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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: 11-asb Date: 13 Nej •Lotz- <br />NPDES ID. No.:CO- 0000213 Date Last Inspected: "t 2a�Z- <br />Facility Configuration: Parcel Incised Pond <br />Site Name: Im-coundment #0013 Location:4 7N16W SEC 36 <br />Mine Name: New Horizon Mine Location:l 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. <br />Foundation ?reparation (removal of vegetation, stumps., topsoil) <br />Ye <br />No <br />N/A <br />Z. <br />Lift thickness (inches) <br />3 <br />Compaction according to approved 1Dlan <br />40 <br />tqr <br />7•I /A <br />4. <br />Burning (s,ecifv e_.tend and location) <br />Yes <br />Id /A <br />5. <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />6. <br />Seepage (specifv location, color, and appro__. ,plume) <br />a.) From underdrain pipes: <br />es <br />N/A <br />b i At isolated points on eMbankment slopes: <br />Yes <br />(z <br />N/A <br />C) At natural hillside: <br />yes <br />® <br />�,z/ <br />,n <br />d) over widespread areas <br />Yes <br />® <br />N/A <br />e) From downsteam foundation area <br />Yes <br />® <br />N/A <br />f) 'Boils" beneath stream or ponded water <br />Yes <br />N/A <br />7. <br />Cracks or scarps on crest <br />Yes <br />G�.A <br />N/A <br />= <br />Cracks n scraps on slope <br />Yes <br />N© <br />N/A <br />9 <br />Sloughing or bulging on slope <br />Yes <br />® <br />iQ /A <br />1(� <br />Major erosion problems <br />Yes <br />N/A <br />1i. <br />Surface movements in valle-1 bottom or on hillside <br />yes <br />N/A <br />if. <br />Erosion of toe <br />Yes <br />N /A. <br />13. <br />Water impounded against toe <br />Yes <br />N/A <br />1=. <br />E:: listing emL-ankment freeboard (feet) 55(�O� I — SS.SL. <br />�� <br />Feet <br />15. <br />Cracks, bulging, or erosion cn upsteam _ace <br />Yes <br />15. <br />visible sumps or sinkholes in slurry surface <br />Yes <br />N/A <br />17. <br />Clogging <br />a) Spillway channels and pipes <br />Yes <br />N/A <br />b) Decant s, -stem <br />' =es <br />® <br />N/A <br />c) Diversion Ditches <br />es <br />® <br />N/A <br />1 <br />Cracking or crushing of pipes <br />a) Spillway= pipes <br />Yes <br />Q <br />N/A <br />b) Decant s,••stem <br />-ies <br />7/A <br />1? <br />Trash racks clear and in -place <br />- <br />(zP <br />=ao <br />iV-- <br />- \Rnq \iiT��•;nl7�t- ,n�`-.___! }_" L =_ _ ?iii. ____ <br />J 3 N a V -ze:) CL- <br />