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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: Zoss Q.N Date: 11 YrkA..r ?� --- <br />NPDES ID. No.:00- 0000213 Date Last Inspected: iik-C.: 7,o47...- <br />Facility Configuration: Total Incised Pond <br />Site Name: Impoundment #008 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 Ca No N/A <br />4 Burning (specify e__tend and location) Yes CO N/A <br />5. Angle of slope. 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and appro::. volume) <br />a.) From underdrain pipes: Yes i 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 4E, N/A <br />a. Cracks or scraps on slope Yes 0 N/A <br />9 Sloughing or bulging on slope Yes ® N/A <br />10 Major erosion problems Yes to N/A <br />11 Surface movements in valley bottom or on hillside Yes a> N/A <br />12. Erosion of toe Yes ® N/A <br />13. water impounded against toe Yes (2) N/A <br />1 =. E::isting embankment freeboard (feet) 5 3 5344,4- g Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes m N/A <br />lB - ,isih:„le sumps =- sinkholes in slu.i.i1' surface N/A <br />Clogging <br />a) Spillway channels and pipes ies N/A <br />b) Decant system Yes N/A <br />c) Diversion Ditches Yes CD N/A <br />13. Cracking or crushing of oipes <br />a) Spillway pipes Yes © N/A <br />b) Decant system Yes ‹ N/A <br />19 Trash racks clear and in place C:/ No N/A <br />