Laserfiche WebLink
Monument Dam <br />Inspection Form <br />Date: *1i 1j7 <br />Time: 9-, v <br />Name of Inspector: �s✓G <br />Current Panel Being Mined: <br />❑ Weekly Inspection u�-Konthly Inspection <br />Yes No <br />❑ % Is mining within 1 mile of Monument Dam? <br />0 <br />0 <br />Are there visible surface cracks on the dam? <br />If yes, indicate length and size of crack. <br />Is there evidence of subsided areas on or around the dam? <br />If yes, indicate where and degree. <br />❑ Are there bulges on the dam? <br />( If yes, indicate where and degree. <br />❑ Are there signs of seeps on the dam? <br />If yes, indicate where and estimated flow. <br />❑i Are there any other potentially damaging features on the dam? <br />/ If yes, describe. <br />❑ Are there any recent evidences of slope failure on the landside south of the <br />dam (perform visual inspection and data analysis of inclinometers)? <br />If yes, describe. <br />Notes: <br />i� <br />Signature of Inspector: <br />Inspections are performed under the direction of Mike Peacock, P. E. <br />If cracks or other potentially damaging features occur, notify Mike Peacock or Kathy <br />Welt immediately. <br />(W \MCC-Engmeenng\ENV PERMITTING\REG AGENCIES\CDRMS\Monument Dam\Mo=ent Dam Inspecnon ProcedureMonumem Dam Inspection Fozm) <br />