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<br />, I <br />.I <br />I <br />~ <br />0': <br />.~ <br /> <br />."'~'. <br />\'~:. <br />-"l>~' <br /> <br />"". <br />~>:<I...'. --., <br />-~ ?;:~I <br /> <br />Name of Darn <br /> <br />1 rJr.JE <br /> <br />{'c;-Jr <br /> <br />Date /1 A>- 7'1. <br /> <br />19LV <br /> <br />Page 2 <br /> <br />c <br /> <br /> <br />photos, discussion with <br />,I.... l .,--" ~.A.._~ <br /> <br />..1. <br /> <br /> <br />\ <br /> <br /> <br />{""'-<<fir <br />0-1. A ,J <br /> <br />Overall <br /> <br /> <br />(see definitions on reverse) <br />t ....... <br /> <br />'-, <br /> <br />..... <br /> <br />/:'"l":'- Lr-oLc:;.( rctl~t"_ <br /> <br />ITEMS REQUIRING ACTION BY THE OWNERS <br /> <br /> <br />l <br /> <br />"'"1 <br /> <br />.~.}c :t1t ,;';~:"L:r:J(-;;ir:;":t;;~;;; '-.12-6>\7- ."...;';/ ~:~L<-~!<lr'-.'r 0,.- ~a ". J-,c!,! <br /> <br />-'x--"--'-'- <br />ClcL(_ _~ :' <br /> <br />3.) "Re ""-,, tJ.. <br /> <br />O/e/ <br /> <br />- <br />(. rt""P <br /> <br />s't-.~.,,-.,., 01\. U"'s?-:r",,,,,,,- ,s/"",,,,, <br />I' , <br /> <br />..;) }(">lJ~'~<: '1<<4'" r",,( <br />l 'r;:;!ve r . I <br /> <br />M/.trlrl ""f4{ <br /> <br /><!);J <br /> <br />C6f'tf'lre.r-e' rJ,.J.r/l/??- <br /> <br />,.) F, II. Co,,^- "'''' ~ ;:- {- <br />/ , <br />~) .J~~:ld:; r.",....",'P <br /> <br />7-) ('J I'l ",,-""r I'\..cA 'P xJ('odr~ ~ <br />/ I <br /> <br />ref"''''''!/> Ino) ",-reeLS / " <br /> <br />Lr...,,- t... (r,-,<.t.""..J /11''''-''/'') <br /> <br />(' rp ~;- _ <br /> <br />-(!..y,,~ <br /> <br />c:l .Ld ^-~~Y(Od>"t <br /> <br />..... <br />{ 0 <br /> <br />nOt"l (' I'~ I <br /> <br />h, ,A ",,,- <br /> <br /><> >\. <br /> <br />rI ~~V ^ ~?r"G ~ <br /> <br />S/o/'r::.. <br /> <br />, i <br />.1 <br /> <br />; <br />i <br />i <br /> <br />I hereby acknowledge receipt of this inspection report and understand that the <br />State Engineer is to be notified in writing as items are corrected. <br /> <br />j <br />!.." <br />;. <br /> <br /> <br />':' <br /> <br />. Date:;0"//o/ <br />presentative . <br /> <br />~.I <br /> <br />~~: <br /> <br />Inspected by: CI~.EA_ 51. ~~.c.;,O <br /> <br />rJo.'l:er KeC;oJ/",-e E'JI <br />T.i tle <br /> <br />Date: /7..47 2~.F/ <br />