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Mining Area <br />Date Inspected <br />Impoundment <br />s-av-v9 <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? n (.)_ <br />If yes explain: <br />The depth a 9d elevation of any impounded waters at the time of <br />Existing storage capacity of water in the impoundment (from principal <br />spillway). Nt Q <br />Required storage c pacity of water in the impoundment (from principal <br />spillway). . 4uC_ k oo ,.1 , <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. h i7 <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? _P4__ <br />If no explain <br />?,\\X\\V\\\11111111 Il X <br />o? 00 REG/ <br />17274 ' <br />\\\? <br />?N'NAI ????`\ <br />PROFESSIONAL ENGINEERS STA TEti1ENT <br />l stole that this pond wos inspected <br />and surveyed under my sL roer,,11sion <br />an,d c// the i,-?formation presented <br />hereon is true and correct to the <br />best of my knowledge and <br />in forii7 a lion. <br />Date Curtis AW Belden, C PE 7 '.