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• <br />Inspectors Name: bk . Date: — 7 1 \ 1 ‘ 1 0 4 X\ <br />NPDES ID. No.:CO- 0000213 Date Last Inspected:'NW <br />Facility Configuration: Cross Valley Pond <br />Site Name: Impoundment #007 Location:46N15W SEC 6 <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) No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan 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 ID 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 ® N/A <br />f) "Boils" beneath stream or ponded water Yes ® N/A <br />7. Cracks or scarps on crest Yes flE , 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 4221 N/A <br />11. Surface movements in valley bottom or on hillside Yes ® N/A <br />12. Erosion of toe Yes el N/A <br />13. Water impounded against toe Yes ® N/A <br />14. Existing embankment freeboard (feet) 5( t.. - 54, 38, 1 ( 9 , t} q Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes N/A <br />16. Visible sumps or sinkholes in slurry surface Yes 0 N/A <br />17. Clogging <br />a) Spillway channels and pipes Yes 0 N/A <br />b) Decant system Yes 0 N/A <br />c) Diversion Ditches Yes ®N N/A <br />18. Cracking or crushing of pipes <br />a) Spillway pipes Yes <br />b) Decant system Yes <br />19. Trash racks clear and in place Gh <br />PQtM 0 1 S 'S G \%O. ! C, % ."- \/ ( O� <br />F: \Eng \DATA \ banks \DAMFORM.wpd <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />® N/A <br />N/A <br />No N/A <br />-7 N„, z°�� <br />