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Mining Area <br />Date Inspected <br />Impoundment <br />`~ ~n1 EC A- <br />9~x~ ~o S'" <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? N D <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? N b <br />If yes explain: <br />The depth and elevation of any impounded waters at the time of inspection. <br />Existing stora e capacity of water in the impoundment (from principal <br />spillway). <br />Required storage capacity of water in the impoundment (from principal <br />spillway). !~ !p <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. NOiJ~ <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? T~ S <br />If no explain <br />\~p~~~~°QQ REG/ //~O~ii <br />~~ P ,......, S <br />Q~. T <br />~00.~~ ~~.^ES syF~ F~~;. <br />~ ; ° 37382 ~ e ~ <br />o ~; :~ ~~\ <br />~ipOS Oi(Vmii llo~~~~ <br />PROEESSiONAL ENGINEER'S STATEMENT <br />I sta to that this Pond was ihspected <br />and surveyed under my supervision <br />and all the Inforr~ation presented <br />hereon is true and correct to the <br />,best of ry knowledge and <br />inforria np <br />i J~ <br />Da to RobPr~ Shev(ing, CO P,E, 37382 <br />