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Inspectors Name: - Ross Gutiokq Date: --r tap) zo,k k <br />NPDES ID. No.:CO- 0000213 Date Last Inspected:Z \p ?.lpq <br />Facility Configuration: Parcel Incised Pond <br />Site Name: Impoundment #0013 Location:47N16W 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) Ye 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 Clg 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 7 N/A <br />b.) At isolated points on embankment slopes: Yes ® N/A <br />c) At natural hillside: Yes CD 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 ® N/A <br />8. Cracks or scraps on slope Yes c N/A <br />9. Sloughing or bulging on slope Yes N/A <br />10. Major erosion problems Yes ® N/A <br />11. Surface movements in valley bottom or on hillside Yes ® N/A <br />12. Erosion of toe Yes (Dl N/A <br />13. Water impounded against toe Yes ©o N/A <br />14. Existing embankment freeboard (feet) g310o. ( ■ 7.8 Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes <br />N/A <br />16. Visible sumps or sinkholes in slurry surface Yes q) N/A <br />17. Clogging <br />a) Spillway channels and pipes Yes t ®. N/A <br />b) Decant system Yes wit N/A <br />c) Diversion Ditches Yes CD N/A <br />18. Cracking or crushing of pipes <br />a) Spillway pipes Yes ®, N/A <br />b) Decant system Yes ® N/A <br />19. Trash racks clear and in place CD No N/A <br />Po 4.c:::\ VS SC,y,occJ <br />F: \Eng \DATA \WP \pond- banks \DAMFORM.wpd <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />- 7 Nov ?��� <br />