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Mining Area <br />Date Inspected <br />Impoundment <br />Vo 4 S <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? 14?, 3 <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? P% Q <br />If yes explain: <br />The depth a9d elevation of an <br />y <br />the time of <br />Existing storage caacity of water in the impo dment (from principal <br />spillway). 10 • 5a., . C-4, Cq(- S- U$) <br />Required storage caTc <br />,of water r* the impoundment (from principal <br />spillway). Ale -'? <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. 0 y <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? <br />If no explain <br />\\\\\\??????P?0IIIIRIE <br />?? . \S ........ 17274 <br />_ <br />i11iiiii/ in iiui?000 <br />PROFESSIONAL ENGINEERS STA TEMENT <br />l stcte 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 forrn o tion <br />1-16-of A, &W., - <br />Date Curtis M. Belden, CO P.E. 77,274