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Monument Dam <br />Inspection Form <br />Date: zc!)O <br />Time: <br />?r?i <br />Name of Inspector: <br />Current Panel Being Mined: <br />Yes No <br />? 1ZL Is mining within 1 mile of Monument Dam? <br />? 9 <br />Are there visible surface cracks? <br />If yes, indicate length and size of crack. <br />? 9 Is there evidence of subsided areas on or around dam? <br />If yes, indicate where and degree. <br />? cK Are there any other potentially damaging features on the dam? <br />If yes, describe. <br />? Are there any evidences of slope failure on the landside south of dam? <br />If yes, describe. G(-- <br />Notes: ?../G??'.S ?..r+c?S,Q? (Y../?C.•lJC3'..+?, G.V?C?. -> IJL+?r? S?`^l? .. <br />{ ?I <br />?. • {. 3 C. v? G? ?? ? ???. 4'.w. lJl ? `? ?G. ?J J? a?7 (<G `.?t? ?.. C. +'?.5 1. 1.?'dA.(?,?• <br />c..,Net UC?? '??li.ti'v.. c?ti ?yy? ?` Gwc? S W?a.-J??? / _ •.vSru.t.? <br />r 1: A. G-2.. ''S i „L C'. 'Z'rRa <br />Signature of Inspector:, y a?w? <br />W - <br />-If cracks or other potentially damaging features occur, CDRMS, the Minnesota <br />Reservoir Company, SEO, USFS and other appropriate agencies will be notified by MCC <br />immediately. <br />