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Inspectors Name: low (; o Date: `7 „,_, -k ZoIZ <br />NPDES ID. No.:CO- 0000213 Date Last inspected: I1mAY 'to 12 <br />Facility Co_n_f igurati on: Incised Pond <br />Site Name: impoundment #012 Location:47N16W Sec 36 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: CI Permit #0008 -81 <br />Owners Rep.: R . L. 'Wade, Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Frundation Preparation (removal of - . egetation, stumps , topsoil) _F� I ?7r N/A <br />Lift thickness (inches) �% <br />3 Compaction according to approved plan (0 No I'T /A <br />1 Burning (specify e: :tend and location( Yes 11i N/A <br />Angle _ = slope: 3.1 upstream, 3:1 downstream <br />Seepage (specify location, color, and appro:: - rolume( <br />a.) From underdrain pipes: Yes 0 N/A <br />b.) At isolated points on es4oen }=ment slopes: Yes C2 iJ /A <br />c) At natural hi llside: Yes IT /A_ <br />d) Over :videspr areas Yes iT /A <br />e) From downsteam foundation area Yes ® IT /A <br />f) "Foils" beneath stream Dr ponded water Yes N/A <br />7. Cracks or scarps on crest Yes No IT /A <br />o Cracks or scraps on slope Yes 0 N/A <br />9. Sloughing or bulging on slope Yes 4IP ITT /A <br />10. Major erosion problems Les c:› N/A <br />11 Surface movements in valley bottom or on hillside Yes ® N/A <br />12 Erosion of toe Yes QJ N/A <br />13 dater impounded against toe Yes IT /A <br />14 S__isting embankment freeboard (feet) 51�o7 —5591 10.3 Peet <br />15 Cracks, t'ulging, or erosion on upsteam face Yes 10 N <br />15 Visible sumps or sinkholes in slurry surface Yes `.Y' N/A <br />17 Clogging <br />a) Spillway channels and pipes Yes N/A <br />b) Decant system Yes N/A <br />c) Diversion Ditches Yes IT /A <br />18 Cracking or crushing of pipes <br />a) Spillway pipes Yes So N <br />L) Decant system Yes CP II /A <br />15'. Trash racks clear and in place Q No N/A <br />RA Ca,p ?o ' it \-.L-1- <br />014 WE+20 t` Y-e_T F • f e CAE <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />za/z <br />