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Date 1AA V., CA- <br />Minin Area 4 -Lj ?ev? <br />Inspected iO `b 0 `6 <br />Impoundment OCR t <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? -14 C) <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? k a <br />If yes explain: <br />The depth and el vati of an impounded waters aa? the tilr a of inspection. <br />W ?eu Ie.?erg 'T b o fo po d _, <br />tier?clLweeJ?L <br />Existing <br />Required stora; <br />srffWM ). <br />capacity of water in the impoundment fro g isacip al <br />G Ne ?-? evI?c?.? of e?e?1 0? + 40 <br />ba-?{oln? o (?oM. <br />.ca,?)aciy of water in the impoundment (from <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. V1 O <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 />??\\\\11111111 I I illllll/?j?i <br />.......... <br />20 O •., ??` <br />o?. 37 ?oz? .moo <br />?_ = o 17274 ( n <br />KA <br />'/////?,//ONAL <br />1111111IiOO\ <br />PIT OFESSIONA L ENGINEERS S TA TEMEN T <br />I 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 form o tion <br />Date Curtis M. Belden, CO P.C. 11274