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Inspectors Name: Rs, Date: <br />NPDES ID. No.:CO - 0000213 <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Facility Configuration: Parcel Incised Pond <br />Site Name: Impoundment #011 Location :46N16W SEC 1 <br />Mine Name: New Horizon Mine Location:1 mi.NW of Nucla, CO. <br />Mine ID Nc. : CDMC Permit #0008 -81 <br />Owners Rep.: R. L. Wade, Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of - egetacion, stumus , topsoil) No No N/A <br />... Lift thickness (inches) <br />3. Compaction according to approved plan CD No N/A <br />4 turning (specify e :_tend and location) Yes 7o N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />G. Seepage (specify location, color, and appro ::. volume) <br />a.) From under-drain pipes: i'es l N/A <br />b.) At isolated points on embankment slopes: Yes C3 N/A <br />c) At natural hillside Yes 0 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 8 N/A <br />3 Cracks or scraps on slope Yes ® N/A <br />9. Sloughing or bulging on slope Yes 0 N/A <br />10 Major erosion problems Yes 40 N/A <br />11. Surface movements in valley bottom or on hillside Yes ® N/A <br />12 Erosion of toe Yes 0 N/A <br />13. Water impounded against toe Yes N/A <br />14- E: :istrng embankment freeboard (feet) ...l�i)Q 4 - 5Gcg iZ 4 Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes 0 N/A <br />16. Visible sumps or sinkholes in slurry surface Yes ® N/A <br />17 Clogging <br />a) Spillway channels and pipes Yes 0 N/A <br />b) Decant system Yes Q N/A <br />c) Diversion Ditches Yes ® N/A <br />18 Cracking or crushing of pipes <br />al Spillway pipes Yes Q , N/A <br />b) Decant system Yes i•T /A <br />lc,. Trash racks clear and in place No N/A <br />_ \'= ng\ D--_ i r T' <br />Date Last Inspected: 14 ��, ?fJl"L— <br />