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Mining Area <br />Date Inspected <br />Impoundment <br />S~E« ~- <br />/6~?0~o y <br />Are there any appearances of erosion, Instability, structural weakness or other <br />hazardous conditions? N O <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? !~ o <br />If yes explain: <br />The depth and elevation of any impounded waters at the time of certified report <br />Existing storage capacity of the impoundment. ND <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. RKe~/TGy CGE.4N EC <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? Y~ ~ <br />If no explain <br />\\\ \\\~POOIIIIREG~S; ~i <br />UOO m~ ~pMES•Sy~G T~~O <br />--o 37382 ~`• ~- <br />o'• r ~ <br />T• <br />~j CS •~~'•....... ' ~ •~i? <br />//~ ~ ~ ~ ~~ <br />~ '0~ain~iNmii ua~~~`~ <br />PR~FESSIGNAL ENGINEER'S STATEMENT <br />I s to to that this pond wr s inspected <br />and surveyed under ny supervision <br />and all tf~~e in~ori~atfon presented <br />hereon is tr~_ie ar~cJ corn ec± to the <br />hest of ry knowledge and <br />~Forr~a i~,~. <br />0 7 D'J <br />7a t~ Rober ~ ../. Sher ling G'O PE. 3.-'39c <br />