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Inspectors Name:. ca„Mck Date: 13 � e � � "?...A.,%,---- <br />NPDES ID. No.:COG- 850062 Date Last Inspected: <br />Facility Configuration: Partial Incised Pond <br />Site Name: NHN Impoundment #001A Location:SEC 25, 47N 16W <br />Mine Name: New Horizon North Mine Location:2.4 mi.NW of Nucla, <br />CO. Mine ID No.: CDMG Permit: C- 2010 -089 <br />Owners Rep.: R. L. Wade, Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <br />?. Lift thickness (inches) <br />3. Compaction according to approved plan t L No N/A <br />4. Burning (specify e::tend and location) Yes I7 N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and appro::. volume) <br />a.) From underdrain pipes: Yes . N/A <br />b.) At isolated points on embankment slopes: Yes C. N/A <br />c) At natural hillside: Yes N/A <br />d) Over widespread areas Yes dED N/A <br />e) From downsteam foundation area Yes N N/A <br />f) "Boils" beneath stream or ponded water Yes N/A <br />7. Cracks or scarps on crest Yes N/A <br />8. Cracks or scraps on slope Yes N/A <br />9. Sloughing or bulging on slope Yes CD N/A <br />19. Major erosion problems Yes Q N/A <br />11. Surface movements in valley bottom or on hillside Yes 41ID N/A <br />12. Erosion of toe Yes t� N/A <br />13. Water impounded against toe Yes N/A <br />14. E_:isting embankment freeboard (feet) SG19 • 5 — 5(.L (0.0 f 3.5 Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes N/A <br />16. Visible sumps or sinkholes in slurry surface Yes 0 N/A <br />17. Clogging <br />a) Spillway channels and pipes Yes S N/A <br />b) Decant system Yes (0]) N/A <br />c) Diversion Ditches Yes C.ID N/A <br />18. Cracking or crushing of pipes <br />a) Spillway pipes Yes U. N/A <br />b) Decant system Yes N/A <br />19. Trash racks clear and in place (j No N/A <br />t_n v. S � r v • 5 C'vr P l'4.- 1 v 1 . # c►er tv'tbs t <br />Porgy , \ <br />F: \Eng \DATA \WP \pond - ban } :s \D -1i. wpd <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />j Z -eAL.,4- 2 - 0 t z- <br />