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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />inspectors Name • l vv <br />v.55 �`` !ox Q <br />1,7PDES ID. NO.:CO- 0000213 <br />nave• /I A6 &,, Zc /t <br />Date Last Inspected: '7 <br />Facility Configuration: Cross Valley Pond <br />Site Name: Impoundment #007 Lccation:461\T,15W SEC 6 <br />Mine Name: New Horizon Mine Location:! mi.NW of Nucla, CO. <br />Mine ID No.: CDMr Permit #0008 -81 <br />Owners Rep.: R. L. Wade, Mine Manaqer <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1 _FnIJ11r9-ai-i on preparation (removal of vegetation_, sti�mDS , topsoil) 62 Ho N/A <br />Lift thickness (inches) <br />7 <br />9. <br />10 <br />� 1 <br />12 <br />14 <br />is <br />16 <br />17 <br />i9 <br />W1 <br />c• <br />H/A <br />Ii/ n <br />IQ /A <br />N/A <br />L4/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />1j/7, <br />N/A <br />NjA <br />Feet <br />N/A <br />N/A <br />N/A <br />N/A <br />IVA <br />N/A <br />N/A <br />N, A <br />j -3 4 0 t/ 7-0 f -4- <br />Compaction according to approved ljla.n <br />V <br />!To <br />Burning (specify e: -tend and location) <br />Yes <br />lr <br />Angle of slope: 3:1 upstream, :1 downstream <br />Seepage (specify location, color, and apprc_r. volume) <br />a ) F? Gin underdrain pipes: <br />Yes <br />Q <br />b.) AL isolated points on embankment slopes: <br />Yes <br />c) At natural hillside <br />Yes <br />d) over widespread areas <br />Yes <br />Q <br />e) From downsteam foundation area <br />Yes <br />(!2? <br />f) "Boils" beneath stream or ponded water <br />Yes <br />40 <br />Cracks or scarps on crest <br />Yes <br />Cracks -,r scraps on slope <br />Yes <br />Sloughing or bulging on slope <br />Yes <br />^'Ia]Gr e1`oS4cn problems <br />:es <br />.T® <br />Sur =ace lllo,leTen-cs in �i c+ -11e_% bottoiR �_- r_'il hillside <br />e <br />\(' <br />Erosion of toe <br />Yes <br />Q <br />Water impounded against toe <br />Yes <br />E_._isting embankment freeboard (feet) 56¢ Z" 5�i38, <br />9.3 <br />Crac }.s, bulging, or erosion or, upsteam face <br />Yes <br />Q <br />Visible sumps or sinkholes in slurry surface <br />Yes <br />C1r,,,3i „g <br />a) Spillway channels and wipes <br />Yes <br />J <br />b) Decant s stein <br />Yes <br />®. <br />c) Ditrersion Ditches <br />Yes <br />V <br />Cracking or crushing of pipes <br />a) pipes <br />Yes <br />b) Decant s-_ stem <br />-,,es <br />CID <br />Trash racks clear and in olacs <br />C�> <br />ISo <br />W1 <br />c• <br />H/A <br />Ii/ n <br />IQ /A <br />N/A <br />L4/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />1j/7, <br />N/A <br />NjA <br />Feet <br />N/A <br />N/A <br />N/A <br />N/A <br />IVA <br />N/A <br />N/A <br />N, A <br />j -3 4 0 t/ 7-0 f -4- <br />