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Mining Area <br />Date Inspected <br />Impoundment <br />01r"Z' <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? VI, y <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? VL 0- <br />If yes explain: <br />The depth and elevation of an <br />to Q'- ? le-U0 <br />time of inspection. <br />KCc ? a ; w4? <br />Existing storage capacity of wat r in the impox?dment (from principal <br />spillway). Ll • S a C. r Q- s- O ?S,/ <br />Required storage capacity of w r in the impoundment (from principal <br />spillway). 3 • Sci CLc • 1•k • <br />Any other aspect ?f the structure affecting stability, or requiring <br />maintenance. C) <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? <br />If no explain <br />\\\??\\\\\11111 I I I I i Illl//j?/ <br />R <br />Our UQ- ?OZ:?? <br />17274,E <br />w?iTlII?IN I I A I j 111 \\\\0 <br />PROFESSIONAL ENGINEER'S S TA TEMEN T <br />l state that this pond wos 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 o tion/? <br />_q •l-z <br />Date Curtis M. Belden, CO P.E. 77214