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Mining Area <br />Date Inspected <br />Impoundment <br />to??-o9 <br />OD`'( <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? - 00 <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? K U <br />If yes explain: <br />The depth and elevation of any impounded waters at the ti a of inspection. <br />w-.4ev (eve( 4.4 fi41 sntlT1WCt0 <br />Existing storage capacity of water In the impoundment (fro principal <br />spillway). 5..S a c Cc( -;Z5- o? <br />Required storage capacity of water in the Wundment (from principal <br />spillway). 3.1 S mac. . <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. 1k 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 />.P?0 REGIS <br />??; U? X02• :•?? <br />1 7 2 7 4 <br />?SIONAI.•.????? <br />PROFf_ SSIONAL ENGIiVEER'5 STA TEVENT <br />l state Mot thls pond was inspected <br />and surveyed under my supervision <br />ono' a// the information presented <br />hereon is true and correct to the <br />best of my knowledge and <br />in form a Lion. <br />10-31 -09 .__ _ <br />Dole - /;C:rtl.S -M. f?elde', C(i ,°.E. 17214