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Mining Area <br />Date Inspected <br />Impoundment <br />~~ i ~~5~- <br />~ R-12 -o3 <br />o~~~ <br />Are there any appearances of erosion, Instability, structural weakness or other <br />hazardous conditions? ~( t9 __ <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? ~ _ <br />If yes explain: <br />waters at tt}e time of certified report <br />Existing storage capacity of the impoundment. ~• ~_S ate ~~ A a ~ . S p . ~'td ~ y <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. ~O <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations?~ <br />If no explain <br />~\~\\\\\\\11111 V I I I II///// <br />_~ \O~POOp1,pE~g S /ST("~ <br />\U~'m~~ F~•~:0 <br />-0;°37382~c~_ <br />~oFSS; ~0.... ••~~C,\~~~ <br />°j~iiiinn uA ~Ila\~\\\~ <br />PROFESSIONAL ENGINEER'S STATEMENT <br />I s to to that this Pond ivas ir~spec tPG1~ <br />and s~n~veyed under ~,y supervision <br />onrl all the h~~l=ori~atlon presented <br />V~ereon is tri_i~ and correct to the <br />,best of ivv knoly(edge and <br />in r or'r,a Lion, <br />/?-~s~- <br />Ilate~:ohFr~t J ~G . ~~(il~q, CO rE. '%38c' <br />