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Minim Area <br />Date Inspected <br />Impoundment <br /> <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? VA U <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? '4 U <br />If yes explain: <br />The depth and eleva,iop of any impounded waters at the time of inspection. <br />Existing storage capacity of water in the impoundment (from principal <br />spillway). N <br />Required storage capaci of water in the impoundment (from p cipal <br />spillway). 04 et 5 eCA:w"e.'!i 0,c dl <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance.____ _ ?IG <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? <br />If no explain <br />??A?VV\\11111111 I I i II//Ill/j??? <br />0 REG?S? <br />U v? `o?•••? Q <br />_ 17274 <br />f UNAL ••???`??? \ <br />l1/lll it I I I I I Illl\\\ <br />PROFESS?ONAl- ENGINEERS STA TEMENT <br />l state that this pond was inspected <br />and surveyed under my suaervisior,? <br />and G// the i,']formation presented <br />hereon is true and correct to the <br />best Of my knowledge and <br />in i or?ra Lion. <br />Date Curti! M. Hel(len, CO PL_. 111,274