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Mining Area <br />Date Inspected <br />Impoundment <br />?? gs d- <br />aS <br />a ? <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? h 0 <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? ?I d <br />If yes explain: <br />The depth and elevation of an impfunded irters at the time of inspection. <br />Existing storageca acity of w ter in the impoun ent (from principal <br />spillway). 1. c?c . C C1 '2 cd `0 <br />Required storage capacity of wat in the impoundment (from principal <br />spillway). a • c -?• !ty <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. <br />Has structure been maintained as desi ed and in accordance with the approved plan <br />and the applicable regulations? <br />If no explain <br />\\\???\\\\\\\111111IRI <br />O .• ?S M. •eF •.. F <br />n 17274 <br />OU 44 <br />F <br />0 N A L ••F?\0\ \ <br />irii ?l i i i u i I I n 111\\\\\ <br />PROFESSIONAL ENGINEERS S TA TEMEN T <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 formation <br />-l6 t u , _ <br />Date Curtis M. Belden, CO PE 77274