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Indications of po[ential failure or instability. <br /> <br />Threat to hum life or property. (~ Q ; , e _, Q~ ~p~^-i'- <br />~~vG~~~~ G~ ~ ~Y S m S ~ ~l <br />0~6far~C ~' '~~" <br />f -~- ~ <br />Po[ential h to land, air, and watu resources. ~ [ ~` ~ `~„ <br />v~ I[i~~ ~ ham) ~~~~- c~ r <br />btain[ettance Required. <br />~ sl-~~~ ~~.~( f~-~~ sly <br />~~~ <br />Supporting Documentation (Compaction tesu, surveys, pho[ographs other measurements). <br />~h~~~~ ~~'~~~ <br />Inspector ' <br />aze <br />~Y 1~~~~ <br />Supervising ?.~. <br />Send to: Colorado Division of Minerals & Geology within 2 weeks of quarterly ins4ectian (4,09.1(11)(b)). <br />See 4.0911(c) for addi[ional requircmcnts. <br />Page 2 of <br />