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Mining Area <br />Date Inspected <br />Impoundment <br />Se~~4 ~C <br />~4tic WCiS~54P~~V' <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? H a <br />If yes explain: <br />The depth and elevation of any impounded waters at the time of inspection. <br />Existing storage call~,acity of water in the impoundment (from principal <br />spillway). ko~ c.Yed~¢v~ w~,~,eoQ <br />Required storage capacit}' of water in the impoundment (from principal <br />spillway). In.,a ~ ~-,p It cs ~ ~P <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. ko <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? <br />If no explain <br />°~\ <br />P~~ <br />R <br />G~S <br />~~ <br />` ' <br />F <br />T~ <br />o~, ,° <br /> <br />-o ; 18406 3 ~_ <br />~o~~~!liimNmi i m~`~~~~ <br />PROFESSIONAL ENGINEER'S STATEMENT <br />/ state that this pond was inspected <br />and surveyed under my supervision <br />and o/l the information presented <br />hereon is true and correct to the <br />best of my knowl~/edg/ea/n dr~-- <br />Dote David Q. Hettinger, CO P.E 18406 <br />