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iL <br />Mining Area <br />Date Inspected <br />Impoundment <br />SICAJ 6CA 7- W <br />ao 6 /0 S__1 <br />T_ -5 <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? A10 <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? <br />If yes explain: <br />The depth and elevation of any impounded waters at the time of inspection. <br />Existing storage <br />spillway).- <br />of water in the impoundment (from principal <br />Required storage capacity of water in the impoundment (from principal <br />spillway). / C? <br />/V 0 <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. N OAJF <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? )Lf,5 <br />I - <br />If no explain <br />M. <br />J <br />17274 <br />X <br />0 N A L <br />PR OFESSI ONA L ENGINEER'S S TA TIVEN T <br />I stGte thot thl's pond wos 1??spected <br />ond surveyed under m)l supervIl5ion <br />Gnd a// the 1??/ormation presented <br />hereon Is true and correct to the <br />best Of My knOWledge Ond <br />i f( rt c t/* , <br />g -,t>9 ?1 L4 <br />Date Curtis M. Belden, CO 1D.E. 17274