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L <br />u <br />Indications of potential failure or instability: <br />- ~(/Q v~'S,'6/e ~v~~PrcP ~~ns~oh cro~,~s ~y-c ~,.~s <br />B Si°tved <br />Threat to human life or property://yy~~ <br />- ~'t; lug cou/o0 o7'~-c-f Persons 4•~„~ e~c.,~OMrn7` r1~gr <br />Pj~~ or s~~ /T~yAwq~ /01, <br /> <br />Potential harm to land, air, and water resources: <br />- ~; ~l,re COa/off 4 ~"~°cf ~ l'Gr~~ Yory Fi~1.~r', <br />Maintenance Required: <br />') ~' ~0r17~i/1u~ CO/v)S~rut ~iAil~7" r~Sf C/~!'giY1 , <br />a., - ~L°-eS/~"iD /iSh ~OS/ 7`i l~ Rr'q.r4~ ~ j/1 e?~~~M e <br />(~e5~rn Cnr~ o'~ yip 7~c~iticr <br />Supporting Documentation (Compactiontests,snrveys, photographs, othermeasurements): <br />0~ <br />Inspector <br />//~~/~ ~ <br />Date <br />J '-~..,~ <br />:~~y`~~...' <br />E~tS~ a!y''~9t, <br />~~ °~`~ <br />~~~~=, <br />~Y/N,~~~~ ~~~ <br />Send to: Colorado Division of Minerals & Geology within 2 weeks of quarterly inspection <br />(4.09.1(11)(b)). <br />'See 4.0911(c) for additional requirements. <br /> <br />~1a3 ~'o G't, 1 ~ V <br />