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Ilk <br />Mining Area <br />Date Inspected <br />Impoundment <br />S'-Ai ACA- Z A/ <br />/OA /0 <br />.Z-40 <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? - <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? IV 0 <br />If yes explain: <br />The depth and elevation of any impounded waters at the time of inspection. <br />Existing storage <br />spillway). <br />water in the impoundment (from principal <br />Required storage capacity of water in the impoundment (from principal <br />spillway). All D <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. )VO /V E <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? <br />If no explain <br />\\\\\ \ \ U \ 11111 I I I I I l / / / / ////?? <br />REG/ <br />OAP ??s M..eFI sTF? <br />17274 //lllllllliillll <br />PROFESSIONAL ENGINEERS STA TEMENT <br />l state that this pond was inspected <br />and surveyed under my supervision <br />and all the information presented <br />hereon is true and correct to the <br />best of my knowledge and <br />in form a do <br />J4 -CIO/ - W4, CeOain? <br />Date Curtis M. Belden, CO PE. 71274