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Indications of potential failure or instability. <br />/I/~n-z Dl~s~•~v-c~ <br />Throat to human life or property. /~ !~ <br />(/n ~~F~y ~ ~JrT~%~c~ C~ulLtt~t G~^ ti.•../<rfi7~~~S~^I <br />c~-.~~{ °yuc~,~-tr•--~' i H c ~v- a ~~ e~,~ a Kam' .~1-i ~/ °•`'~/ <br />~of~~ ~K~S~w~~ ~z . <br />Potential harm to land, air, and water resources. <br />Main[ertance Requ'ed. <br />~, j/~ ~G'ii S~i~u w~ / <br />~r1a ~.~ ~ •P~ ~~. r t >7~ ~ i ~ <br /> <br />Supposing Documrntation (Compaction [esa, surveys, photographs, other measurements). <br />~!+/ I `~ <br />~GGI/~«/ <br />J~L~~,~- <br />Supervising P.E. C~ ~ a~g~~ <br />~~~ <br />Inspector p <br />Date <br />Send to: Colorado Division of Minerals & Geology within 2 weeks of quarterly inspectioa (4.09.1(11)(b)). <br />• See 4.09L1(c)'for additional requirements. <br />Page Z of 2 <br />