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Mining Area <br />Date Inspected <br />Impoundment <br />Id-?-off' <br />Old <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? V10 <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? k-P <br />If yes explain: <br />The deptl? and <br />4V 9 <br />of any iWpounded waters at the time of <br />Existing storage ca acity of w er in the impoundment (from principal <br />spillway). Y. 6 <br />Required storage capacity of wate in the impoundment (from principal <br />spillway). a - $? Gtc-'? <br />4 <br />Any other aspects ofthe structure affecting stability, or requiring <br />maintenance. <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? <br />If no explain <br />\\\\\????????1111I ICI <br />????`? P?? • EGGS ???/? <br />v0?.•??S M. •6F?'•.T?? <br />?0NAL • \? ??\\\? <br />1 = 17274 cr <br />llllll l I t IIII? <br />PROFESSIONAL ENGINEERS S TA TEMEN T <br />l state that this pond was respected <br />and surveyed under my supervision <br />and all the information presented <br />hereon I'S true and correct to the <br />best of my knowledge and <br />in form a Lion. <br />Date Curtis M. Belden, CO P.E. 17274