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\ Mining Area Sr~F~a 1I <br />Date Inspected 8'(s~/o s <br />Impoundment T-i% <br />Are there any appearances of erosion, Instability, structural weakness or other <br />hazardous conditions? N ~ <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? N ~ <br />If yes explain: <br />The depth and elevation of any impounded waters at the time of certified report <br />5 t Fr 0~~ <br />Existing storage capacity of the impoundment. N •p. <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. No~~ <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? `fQ9 <br />If no explain <br />\ O~POOIIII~I II~C ~ ST <br />~~°37382~s~- <br />~ ~~r~~!~i~I IAIII ui~~ ~~~~ <br />PRQRESSIQI~IAL ENGINEER'S STATEMENT <br />I s to to that phis Pond was inspected <br />ar~d st-irveyed ur-,der ray supervision <br />and ull tP~~ ir~+oi~r~atlon presented <br />F'~ereon is tr~_ie and correc+ to -the <br />k_~est ot~ ray k'r ~wlPdge and <br />irfor'r~a . • n. , <br />D ~ ro%er t if iP ~%(ino % O P F, _ 7~ 8c' <br />