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I^^ndi//cations of potential failure or ins/Jtabiliry. <br />/vim ~ ~e~~C~(J~ <br />'Ibreat to human lift or pro~~rty. <br />/U~ne ~,6,se~vP~'; hU~u~er~~r~ a m~ssrv~. ~~~u~~.1cou,~~/~at.u~~- <br />o~a vn a a ~-~-'/1 i~G4A. P~ 2df~1 S Gt-,"t~ ~~j(`~/'I!1 Gridr~t~y on <br />d r/ <br />Potential hatm/to land, air, and water/resources. <br />~~ytR l~,,lgO_,$'P~p/~'~~J` NDL/vr^°'/1 AGE' /9CG4Sf //lam ~(.G/~Qi/~ <br />,.,.,P cam( 01 ra` (vlc~ yQ S fi'~ b wT~c~ ~ G~ ry/ t~l°t'("C <br />Maintenance Required. <br />NVrI~ !~ ~(~l/'2~~ <br />Supporting Documentation (Compaztion tests, surveys, photographs, other measuremrnts). <br />~o`~~ <br />~~k <br /> <br />,~.~~- <br />5 /~'/Ge- <br />~~ ,,. <br />~~` .```f'r~ CT ~ ~"O ~.f b <br />zt~irr~g P.E. ,» ,". <br />i <br />i r C . ~Q <br />Send to: Colorado Division of Minerals & Geology within 2 weeKs'of~quarttrki~inspection (4.09.1(11)(b)). <br />• See 4.0911(1) fot additional requirements. <br />Page 2 of 2 <br />