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<br /> <br /> <br />Monument Dam <br />Inspection Form <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 />Date: It /q (0 <br />Time: 1): oo t <br />Name of Inspector: <br />Current Panel Being Mined: Cf_ <br />? Weekly Inspection 'F Monthly Inspection <br />Yes No <br />? k Is mining within 1 mile of Monument 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: c ? 50 S. <br />Signature of Inspector: <br />j(? ??_?---Inspections are performed un er t dir Lion o j hae J.?acock, P.E. <br />-If cracks or other potentially damaging features occur, notify Ryan Sweetwood or <br />Wendell Koontz immediately.