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WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: JZ,eSS GNAN11. Date: Z Nov ?xa \\ <br />NPDES ID. No.:CO - 0000213 Date Last Inspected:ztA "s- /o \1 <br />Facility Configuration: Total Incised Pond <br />Site Name: Impoundment #0015 <br />Mine Name: New Horizon Mine <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) ie No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan <EDO No N/A <br />4. Burning (specify extend and location) Yes <o 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 ® N/A <br />b.) At isolated points on embankment slopes: Yes ® N/A <br />c) At natural hillside: Yes CIS, N/A <br />d) Over widespread areas Yes ® N/A <br />e) From downsteam foundation area Yes IV 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 4191 N/A <br />9. Sloughing or bulging on slope Yes a N/A <br />10. Major erosion problems Yes ® N/A <br />11. Surface movements in valley bottom or on hillside Yes 0 N/A <br />12. Erosion of toe Yes ® N/A <br />13. Water impounded against toe Yes 4I3b N/A <br />1 4 . Existing embankment freeboard (feet) cs 5 / 1 , 0 - S S S 9 ,licit, fit. S 2-- Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes N/A <br />16. Visible sumps or sinkholes in slurry surface Yes Ca. N/A <br />17. Clogging <br />a) Spillway channels and pipes <br />PERIODIC INSPECTION FORM <br />Location:47N 16W SEC 36 <br />Location:1 mi.NW of Nucla, CO. <br />Yes ® N/A <br />b) Decant system Yes 6ILID N/A <br />c) Diversion Ditches Yes 1 1 . 4 N/A <br />18. Cracking c crushing of es <br />..� ..g p_p�.. <br />a) Spillway pipes Yes CD N/A <br />b) Decant system Yes CD N/A <br />19. Trash racks clear and in place No N/A <br />Po r,6 ' 5 ‘ <br />F: \Eng \DATA \WP \pond - banks \DAMFORM.wpd <br />