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I~~~n~~~ .°~~ <br />mate ~~~~~~#e~ <br />Iayap®aa~si~~~~t <br />~6 qS ~` <br />~- `~.~O 1 <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? IiIU <br />If yes explain: <br />Are there any existing 'and required monitoring procedures and instruments? Vl0 <br />If yes explain: <br />The depth and elevation of any impounded waters at the time of inspe <br />4 ~2ar ~2~~ 'ee`E Q~ ~ a:~.c: a S <br />Existing stora e capaci of water in th impoundment (from principal <br />spillway). 0• ~ C.~c.~~d- (~ a1005~ <br />Required storage capacity of wate/r in tl~e impoundmennt (from principa <br />spillway). (!1 V ~ u.~A ~: co b ~~P C bo~ 4 ~OrY-.~~.~! ~.w.~ .A <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. V~c~ <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? <br />If no explain <br />~~~~\\\\\'~~'~I111111 i; r; <br />O 1/l///j, <br />n ~// <br />/ ` ~ Y • ~/ <br />uiulll~,n, <br />PROFFSSIO/V,4 ~ E NG,/~\lc EP, ;S S TAI TFi'~%_Fl~,/ <br />l stcte that this pond was inspected <br />a,~d surveyed under rn,~r su,oer~~isior <br />and cr!l the ;n {orm anon presented <br />%ereon is true and correct t o the <br />nest ci my knowledge and <br />in form u7 ,r/on. <br />~_ Zoe ' <br />C%Ci~e i U/`t/S /1~I. Bcia'en, ~O ;~.C ~,~~7~, <br />