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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors <br />Name: 7jZc.,5S G.���Cq <br />Dame : 1,3 <br />N pNs -w 1 L <br />NDES TT-). <br />I\?o.:CO- 0000213 <br />Date Last <br />Tnsperted: -� '�►L <br />Facility Configuration: Total incised Pond <br />Si to Name: impoundment #009 Location:47IT16W SEC 36 <br />•Rine Name: 'Hew ors zon Mine Location:l mi .NW of Nucla, CO. <br />Mine ID No.: CDMG Permit 40008 -81 <br />Owners Rep.: R. L. Wade, Mine Manager <br />CIRCLE OR WRITE IN APPROPPI TE RESPONSE <br />oU =da 1oIl Preparation (removal o` vegetation, stunts., topsoil) ie No rT /a <br />2. <br />Lift thickness (inches) <br />Compacnion according to approved plan <br />No <br />11 /A <br />Burning (specif;r = _-.tend and location) <br />C) <br />No <br />NiA <br />S. <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />5. <br />seepa (specify location, color, and appro__. volume) <br />a.) From underdrain pipes: <br />yes <br />g <br />II /A <br />h.) At isolated points on embankment slopes: <br />Yes <br />® <br />N/A <br />c) Ai- »at -nral hillside• <br />VPs <br />® <br />N/A <br />d) Over widespread areas <br />Yes <br />N/A <br />e) From dn�,,nsteam foundation area <br />Yes <br />® <br />N/A <br />L) "Boils" beneath stream or ponded water <br />Yes <br />� <br />N/A <br />7. <br />Cracks or scarps on crest <br />Yes <br />® <br />N/A <br />3 <br />Cracks or scraps on slope <br />Yes <br />N/A <br />9 <br />Sloughing or bulging on slope <br />Yes <br />IZDP <br />N/A <br />10. <br />major erosion problems <br />Yes <br />IZ-11 <br />N/A <br />11_ <br />Surface movements in -.ralley bottOM or on hillside <br />Yes <br />Qi� <br />N/A <br />10 <br />E,.osio i of Coe <br />Yes <br />C,® <br />NIA <br />13. <br />Placer impounded against toe <br />-yes <br />NiA <br />1 = . <br />E- .ist.=_g eriJ_ n}_me..t freeboard (leer) 4'9: R " 5% <br />C <br />,39 . 1 10, <br />_ Eec <br />1s. <br />Cracks, bulging, or erosion on upsream face <br />-yes <br />® <br />NI'A <br />16. <br />Visible sumps or sinkholes in slurry surface <br />Yes <br />Q <br />N/A <br />17. <br />Clogging <br />a) Spillway channels and pipes <br />Yes <br />43 <br />N/A <br />b) Decant s- m__ <br />yes <br />0 <br />N/A <br />c) Diversion Ditches <br />Yes <br />N/A <br />1S . <br />Cracking or crushing of pines <br />R) Su; llway pipes <br />es <br />Q <br />iii A <br />t,) Decann s,-sLem <br />es <br />TO <br />P? /< <br />_ °-5n _=-c]_s clear and in i,iare <br />G� <br />N <br />) ,3 N o v 1-0`1- <br />