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NPDES ID. No.:CO- 0000213 Date Last Inspected: <br />Facility Configuration: Total Incised Pond <br />Site Name: Impoundment 40015 Location:47N 16W 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) (2 No N/A <br />2. Lift thickness (inches) <br />3 Compaction according to approved plan CD No N/A <br />4. Burning (specify e._tend and location) Yes cp 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 />h.) At isolated points on embankment a le ■. : Yes N/n <br />c) At natural hillside: Yes N/A <br />d) Over widespread areas Yes ® N/A <br />e) From downsteam foundation area Yes 40 N/A <br />f) 'Boils" beneath stream or ponded water Yes N/A <br />7. Cracks or scarps on crest Yes ® N/A <br />S. Cracks or scraps on slope Yes <19 N/A <br />9. Sloughing or bulging on slope Yes ®o N/A <br />10. Major erosion problems Yes CI> N/A <br />11 Surface movements in valley bottom or on hillside Yes N/A <br />12. Erosion of toe Yes ® N/A <br />13 Water impounded arainst toe Yes LW N/A <br />14. E:_istinq embankment freeboard (feet) .55710 55 59.1 a q' Feet <br />15 Cracks, bulging, or erosion on upsteam face _e,. N/A <br />16 Visible sumps or sinkholes in slurry surface ';es C2 N/A <br />Inspectors Name: Date: <br />17 Clogging <br />a) Spillway channels and pines <br />b) <br />c) <br />15. <br />19. <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Decant system Yes No CLP <br />Diversion Ditches Yes No `i <br />( or crushing of pipes <br />a) Soillwav pipes <br />b) Decant s <br />rash racks clear and in place <br />PERIODIC INSPECTION FORM <br />Yes No <br />Yes No <br />Yes No <br />,es No <br />