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Monument Dam <br />Inspection Form <br /> <br /> <br />? Are there visible surface cracks on the dam? <br />If es indicate length and size of crack <br />Date: if/r / v R <br />Time: ? ; q p,z <br />--???c?- <br />Name of Inspector: <br />Current Panel Being Mined: eIns <br />? Weekly Inspection Monthly pection <br />Yes No <br />? tsK Is mining within I mile of Monument Dam? <br />13 <br /> <br /> <br /> <br />Y <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 /> <br />Signature of Inspector: <br />Inspections are performed der dir c01' n of Michael J. Peacock, P.E. <br />-If cracks or other potentially damaging features occur, notify Ryan Sweetwood or <br />Wendell Koontz immediately.