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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: 116_5 Gv.bk. Date: 3k ,A,..„( ,,54 "zw lk <br />NPDES ID. No.:CO- 0000213 Date Last Inspected: Z. y Zpl <br />Facility Configuration: Parcel Incised Pond <br />Site Name: Impoundment #011 Location:46N16W SEC 1 <br />Mine Name: New Horizon Mine Location:1 mi.NW of Nucla, CO. <br />Mine ID No.: CDMG Permit #0008 -81 <br />Owners Rep.: R. L. Wade, Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) (0 No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan 6:a• No N/A <br />4. Burning (specify extend and location) Yes ® N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: Yes t N/A <br />b.) At isolated points on embankment slopes: Yes ® N/A <br />c) At natural hillside: Yes ® N/A <br />d) Over widespread areas Yes ® N/A <br />e) From downsteam foundation area Yes e} N/A <br />f) "Boils" beneath stream or ponded water Yes ® N/A <br />7. Cracks or scarps on crest Yes N/A <br />8. Cracks or scraps on slope Yes N/A <br />9. Sloughing or bulging on slope Yes 0 N/A <br />10. Major erosion problems Yes e) N/A <br />11. Surface movements in valley bottom or on hillside Yes ® N/A <br />12. Erosion of toe Yes N/A <br />13. Water impounded against toe Yes 42 N/A <br />14. Existing embankment freeboard (feet) 5619, .Q — 5(,67.(, I I. 4' Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes (11 N/A <br />16. Visible sumps or sinkholes in slurry surface Yes CO. N/A <br />17. Clogging <br />a) Spillway channels and pipes Yes <ED N/A <br />b) Decant system Yes <0 N/A <br />c) Diversion Ditches Yes 10 N/A <br />18. Cracking or crushing of pipes <br />a) Spillway pipes Yes CD N/A <br />b) Decant system Yes Ca, N/A <br />19. Trash racks clear and in place 1 `: ' No N/A <br />"p0 r a o 1 1 S ..- 1 o'c, g - 11 . I n Sear v t CA-- OA '\ � , . s � v. m . . <br />TA, w, ‘‘ o VP-41? t cl ■ w.5 ono \p Arlo, CNN..., e ou ek <br />- pc. ar �r , an, a �` -. SP VA\ • 4 e Q-.S - L - "C Nx..,.� bt vaCI o\\ <br />-p t , vv, we ..e.Nv.- v<S -x►.zC S ♦ \ `Wa 4S p.. 6 \1A + h 3 1ex.-1, <br />F: \Eng \DATA \WP \pond- banks \DAMFORM.wpd <br />