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T <br />Mining Area <br />Date Inspected <br />Impoundment <br />Sr/V ?C'a Z 6'1/ <br />T-- <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? AY 0_ <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? N O <br />If yes explain: <br />The depth and elevation of any impounded waters at the time of inspection. <br />Existing storage capacity of water in the impoundment (from principal <br />Required storage capacity of water in the impoundment (from principal <br />spillway). nl / <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. N OA- ° <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? <br />f e.> <br />If no explain <br />\????\\\\\\1111 I I I I illl!!!!!??!!i/ <br />c) -A <br />174 <br />/ONAL• <br />/lllllillll111 <br />PROFESSIONAL ENGINEER'S STATEMENT <br />l state that this pond was inspected <br />and surveyed under my supervision <br />and all the information presented <br />hereon i true and correct to the <br />best of my knowledge and <br />in form a tlon. <br />Date Cur "S M. Belden, CO FF. 17274