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<br />Monument Dam <br />Inspection Form <br />Date: 1/2 4/0 <br />Time: 61:e0P? <br />Name of Inspector: <br />Current Panel Being Mined: f, KC l <br />? Weekly Inspection )(Monthly Inspection <br />Yes N <br />? ? <br /> <br />Is mining within I mile of Monument Dam? <br />Are there visible surface cracks on the dam? <br />If yes, indicate length and size of crack. <br />Is there evidence of subsided areas on or around dam? <br />If yes, indicate where and degree. <br />Are there bulges on the dam? <br />If yes, indicate where and degree. <br />Are there signs of seeps on the dam? <br />If yes, indicate where and estimated flow. <br />Are there any other potentially damaging features on the dam? <br />If yes, describe. <br />? ? Are there any recent evidences of slope failure on the landside south of the <br />dam (perform visual inspection and data analysis of inclinometers)? <br />If yes, describe. <br />Notes: <br />?T?> <br />aaeS5 <br />w o-r-1ct <br />Signature of Inspector: /;;?R AP * <br />Inspections are perform+uer ectio WoMichael J. Peacock, P. E. <br />-If cracks or other potentially damaging features occur, notify Ryan Sweetwood or <br />Wendell Koontz immediately.