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It <br /> <br />Monument Dam <br />Inspection Form <br /> <br /> <br />Date: 1 1? b <br />Time: <br />Name of Inspector: ( <br />Current Panel Being Mined: C? (s U6 s ; A" H t e <br />? Weekly Inspection (4 Monthly Inspection <br />Yes No <br />?] Is mining within 1 mile of Monument Dam? <br />? t 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. `rL A ' ?L :n d? 'III," <br />nU 52 ?1 c; lc? 1 C bta r :;j-? 1.??. 5 oti; vr?v e? i n ?'4? ?t'tx :a'I e ?ti5 . <br />Notes: <br />sa 1 <br />cZ Cmt Fnuc??; ?ult <br />se;i, `- <br />}] (r__ rt05 ?ce4 9\ <br />Signature of Inspector. <br />Inspections are performe under t e dire i of Michael J. Peacock, P. E. <br />-If cracks or other potentially damaging features occur, notify Ryan Sweetwood or <br />Wendell Koontz immediately.