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Mining Area <br />Date Inspected <br />Impoundment <br /> <br /> <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? _ 1) 4 <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 capacity of water in the impoundment (from principal <br />spillway). All D <br />Required storage capacity of water in the impoundment (from principal <br />spillway). 1V 1 P <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. Al, . /.L aF e^,7 <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? C <br />If no explain <br />\\\????\\\\\11I iII I I IIIIIIIIII//j??w <br />Off: •?s M. •eF?•., ?`? <br />17274 r rz <br />Q <br />/ulnilnm?\\ <br />PROFESSIONAL ENGINEER5) STATEMENT <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 tion. <br />..1 _j.,;1Lc. <br />Date Curtis M. Belden, CO P.E. 17274