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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: 15 Cj.V�04 <br />,TPDES ID. No.:CO- 0000213 <br />Date: 13 M'ou --zx--yz- <br />Date Last Inspected: zpxt <br />Facility Configuration: Parcel Incised Pond <br />Site <br />Name: Impoundment #011 Location: 46N1o_Vd _SEC <br />,_1 <br />Mine <br />Name: New Horizon Mine Location:! <br />mi.TTW of <br />Nucla, CO. <br />Mine <br />ID No.: C-T Permit #0000 -01 <br />Owners Rep.: R. L. Wade, Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />_Fo ndar iron D,e ,ara on (removal of regetat- ion, cr_ii?P -ps. ton en_11 <br />T.T., <br />nJ /➢ <br />2. <br />Lift uhlckness (inches) <br />3 <br />Compaction according to approved plan <br />',,To <br />N/A <br />4 <br />Burning (spec'ifi% _: Lend and locazicn) <br />ies <br />1J /A <br />5 <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />o. <br />seepage (specify location, color, and app -o -_. volume) <br />a 1 From inderdrain pipes: <br />Yes <br />® <br />N/A <br />ID. ! Ac isolated points on embankment slopes: <br />Yes <br />® <br />N/A <br />c) At natural hillside: <br />'Les <br />® <br />N/A <br />d) Over widespread areas <br />Yes <br />N/A <br />e) From downsteam foundation area <br />Yes <br />N/A <br />f) "Boils" beneath stream or ponded water <br />Yes <br />® <br />N/A <br />7 <br />Cracks or scarps on crest <br />Yes <br />N <br />N/A <br />a. <br />Cracks or scraps on slope <br />Yes <br />® <br />N/A <br />9. <br />Sloughing or bulging on slope <br />Yes <br />® <br />N/A <br />10 <br />Major erosion problems <br />Les <br />® <br />N/A <br />11. <br />Surface movements in valle hottoei _r ^n hillside <br />"_Fes <br />© <br />A7 /A <br />12. <br />Erosion of toe <br />Yes <br />® <br />N/A <br />1: <br />Water impounded against toe <br />Yes <br />Q <br />N/A <br />1-1. <br />^c_ istilg embankment freeboard ( feet) S(1 9 0 S�p07, �O <br />Feet <br />is. <br />Cracks, bulging, or erosion on upsteam face <br />Yes <br />IQo <br />N/A <br />iG. <br />Visible sumps or sinkholes in slurry surface <br />Yes <br />N <br />N/A <br />17. <br />Clogging <br />a) Spillway channels and pipes <br />Yes <br />\YT <br />N/A <br />b) Decant s'rstenT <br />Yes <br />N/A <br />c) Diversion Ditches <br />Yes <br />�� <br />N/A <br />lo. <br />Cracking or crushing of pipes <br />a) spillway pipes <br />Yes <br />I-E179? <br />I,T /A <br />b) Decant _'s Lem <br />-es <br />0 _ O <br />N/A <br />19. <br />Trasn _aci.s clear and in place <br />"No <br />l,T -'I'l <br />WCpA -0—d <br />S,r+r. a <br />11 Q °° ' <br />•'o <br />I3 YAuJ 7-01 Z <br />