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Mining Area <br />Date Inspected <br />Impoundment <br />a ,c <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? VW <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? Ll U <br />If yes explain: <br />The depth and elevption of any iWpounded waters at the time of <br />Existing storage capacity o water in the impoundment (from principal <br />spillway). ? <br />Required storage apacity of water in the impoundment (fro principal <br />spillway). In KC? 4- ? S ec Z w. a %-%- (- Q a L'.T- . <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. A U <br />u L. <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? <br />If no explain <br />n 17274 <br />1M <br />?CNA L <br />//unllllnull <br />PROFESSIONAL ENGINEER'S STA Ff-UENT <br />l state that this pond wos inspected <br />and surveyed under my super,,11'sion <br />ar,d G11 the i,? `ormation presented <br />hereon ;s true and correct to the <br />best of my knowledge and <br />in form a Lion. <br />JA^ <br />Date Curtis M. L5'eldeo, CO P. L. 17274