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Monument Dam <br />Inspection Form <br />Date: <br />Time: <br />Name of Inspector: t??c?,??ws?• <br />Current Panel Being Mined: <br />• <br />Yes No <br />? 9 Is mining within 1 mile of Monument Dam? <br />11 <br />9 Are there visible surface cracks? C3_ <br />If yes, indicate length and size of crack. <br />9 <br /> <br />Is there evidence of subsided areas on or around dam? <br />If yes, indicate where and degree. <br />Are there any other potentially damaging features on the dam? <br />If yes, describe. <br />9 ? Are there any evidences of slope failure on the landside south of dam? <br />If yes, describe. ?cks cLt ham. 4('_ sl???, Sees OEsi??e <br />Notes: <br />- FT <br />C'_ , o 3 C o t W `I / 2r'`-3i <br />16 vvl cam.( CZO ?q?c?v e-? Ati', 0- % ?QdS SCaf..J 5 :u? c:??(+?^?.°vti? <br />Signature of Inspector: L y a? <br /> <br />-If cracks or other potentially damaging features occur, CDRMS, the Minnesota <br />Reservoir Company, SEO, USFS and other appropriate agencies will be notified by MCC <br />immediately. <br />qD