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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />q <br />Inspectors Name:TrAVur Ku jdl.0 Date: 7.4a, Z�l3 <br />NPDES ID. No.:CO- 0000213 Date Last Inspected: 20 Juiz 2(j)3 <br />Facility Configuration:Incised Pond <br />Site Name: Impoundment #012 Location:47N16W Sec 36 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: CDMG Permit #0008 -81 <br />Owners Rep.: Rick Wolney, Mine Manager <br />G: \ DATA \WP \pond- ban,:s \DAMFOPIR. doc <br />PO� REG /Sr <br />oP•��WIS <br />Zc� A'�`�v►S -c Zsa 13 <br />CIRCLE OR WRITE IN APPROPRIATE <br />RESPONSE <br />1. <br />Foundation Preparation (removal of vegetation, stumps., topsoil) Yes' <br />No <br />N/A <br />— <br />Lift Lift thic }mess (inches) <br />3. <br />Compaction according to approved plan <br />Yes <br />No <br />N/A <br />4. <br />Burning (specify e--:tend and location) <br />Yes <br />No <br />N/A <br />5. <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />6. <br />Seepage (specify location, color, and approz. volume) <br />a.) From underdrain pipes: <br />Yes <br />N/A <br />b.) At isolated points on embankment slopes: <br />Yes <br />N/A <br />C ) At natural hillside: <br />Yes <br />N/A <br />d) Over widespread areas <br />Yes <br />Vo) <br />N/A <br />e) From downsteam foundation area <br />Yes <br />No <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 />No <br />N/A <br />8. <br />Cracks or scraps on slope <br />Yes <br />No <br />N/A <br />9. <br />Sloughing or bulging on slope <br />Yes <br />D <br />N/A <br />10. <br />Major erosion problems <br />Yes <br />G% <br />