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Mining Area <br />Date Inspected <br />Impoundment <br />S En, e c~ ~ <br />~/~-~ /n r <br />rT - 3~_- <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? /~O <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? /~ ~ <br />If yes explain: <br />The depth and elevation of any impounded waters at the time of inspection. <br />Existing storage capacity of water in the impoundment (from principal <br />spillway). (V '~ <br />Required storage capacity of water in the impoundment (from principal <br />spillway). (~_ <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. N G N ~ <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? ytv ~ <br />[f no explain <br />\\ o~POO II IiRi U~ iST ~~% <br />=~:m ~ :o= <br />-~ 3° 37382 ms's ~° <br />o~ ~~ <br />~' z <br />////FSS i~n iAi 1~~~~~\ \ <br />PR(]FESSIONAL ENGINEER'S STATEMENT <br />I sta to that this pond was inspected <br />and surveyed under ray supervlslon <br />and all the inf or~atlon presented <br />hereon Is true and correct to the <br />,best of ray knowledge and <br />Z ~hfprrva o <br />Ias <br />DateRola rt J~hevling, CO P.E. 37382 <br />