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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: G <br />NPDES ID. No.:CO - 0000213 Date Last inspected:lir GA, Zp�Z <br />Facility Configuration: Cross Valley Pond <br />Site Name: Impoundment #007 Location:45N15W SEC 5 <br />Mine Name: New Horizon Mine Location:1 mi.NW of Nucla, CO. <br />Mine <br />TI) mo. CDMr Permit #0008 -R1 <br />Owners Rep.: R. L. Wade, Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Ye <br />Foundation ?reparation (removal of vegetation, Stumps topsoil) <br />Lift thickness (inches) <br />Compaction according to approved plan <br />Burning (specify extend and location) <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6 Seepage (specify location, c olor, and approx. volume) <br />g p ----= location, color, <br />7 <br />9 <br />10. <br />12. <br />13 <br />14 <br />15 <br />16. <br />From underdrain pipes. <br />a.) <br />h.) <br />c) At natural hillside: <br />d) <br />e) <br />f) <br />Cracks <br />At isolated points on embankment slopes: <br />Over widespread areas <br />From downsteam foundation area <br />"Boils" beneath stream or ponded water <br />or scarps on crest <br />Cracks or scraps on slope <br />Sloughing or bulging on slope <br />Major erosion problems <br />Surface movements in valley bottom or on hillside <br />Erosion of toe <br />Date: vi <br />l-- 5(0¢(3.I <br />Ze <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />=s <br />Yes <br />Water impounded against toe <br />E::isting embankment freeboard ■feet) (_4-a <br />Cracks, bulging, or erosion on upsteam face <br />Visible sumps or sinkholes in slurry surface <br />17 Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant system Yes <br />c) Diversion Ditches Yes <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 <br />Ct` ` 9 CrJ , � <br />No <br />No <br />No <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />