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<br />Indications of potential failure or instability: <br />5~yyf ~ i~14`i'S ~9i~!/rt~ ~l/e~L° 11D7F O~S~/'~, ~~~~!' ~711/'iC <br />a ~ r~ //rmc L G~a~ ~i~e.~ P'lQJ ccoP i ~ ~~~ q ~q o f' y~~ ~ s~9 /l <br />Threat to human life or prop/e~rty: <br />Fa, ry r~ Gvu ~ ~i7-~i°C>/ ~er5ons m ~ ~~oP~~Y q~ Qc~~y- <br />~ Pi(Z°- <br />Potential harm to land, air, and water resources: <br /> <br />Maintenance Required: <br />Supporting Documentation (Compaction tests, surveys, photographs, other measurements): <br />T~~ ~~ ~ <br />~.~ <br />~g ,~~c,.,°~ <br />'~: ^. ~,H <br />Inspector ~ Supervising P. ~ ,, ~~~~, :_ <br />O <br />Date <br />Send to: Colorado Division of Minerals 8 Geology within 2 weeks of quarterly inspection <br />(4.09.1(11)(b)). <br />'See 4.0911(c) for additional requirements. <br />.lob No. 28,170 <br />Page 2 of 2 <br />