Laserfiche WebLink
F: \Eng \DATA \WP \pond - banks \DAMFORM.wpd <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name : S C;uVAI. Date: 3■ A,AvAA> ?s,l\ <br />NPDES ID. No.:00- 0000213 Date Last Inspected: .„,. `tfl \\ <br />Facility Configuration: Total Incised Pond <br />Site Name: Impoundment #0015 Location:47N 16W SEC 36 <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) Yes No <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan Yes No <br />4. Burning (specify extend and location) Yes No <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 No <br />b.) At isolated points on embankment slopes: Yes a) N/A <br />c) At natural hillside: Yes ® N/A <br />d) Over widespread areas Yes G ^ R N/A <br />e) From downsteam foundation area Yes w N/A <br />f) "Boils" beneath stream or ponded water Yes N® N/A <br />7. Cracks or scarps on crest Yes C N/A <br />8. Cracks or scraps on slope Yes ® N/A <br />9. Sloughing or bulging on slope Yes N/A <br />10. Major erosion problems Yes ka. N/A <br />11. Surface movements in valley bottom or on hillside Yes 411 N/A <br />12. Erosion of toe Yes £ .. N/A <br />13. Water impounded against toe Yes a) N/A <br />14. Existing embankment freeboard (feet) SA 1 CI - SS 5 S.ib it : Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes N/A <br />16. Visible sumps or sinkholes in slurry surface Yes N/A <br />17. Clogging <br />a) Spillway channels and pipes Yes No 1' <br />b) Decant system Yes No Cpi. <br />c) Diversion Ditches Yes No N/ <br />18. Cracking or crushing of pipes <br />a) Spillway pipes Yes No <br />b) Decant system Yes No <br />19. Trash racks clear and in place Yes No <br />31 .Au 9 LA ,s 20 j + <br />