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Mining Area <br />Date Inspected <br />Impoundment <br />SAM 0 <br />I?-l`1-ICS <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? In.c_-) <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? In, 0 <br />If yes explain: <br />The depth and, elevation of any impounded waters at the time of inspection. <br />k <br />Existing storage capacity of water in the impoundment (from principal spillway, in acre- <br />feet).- JA Lor <br />Required storage capac of water in the impoundment (fr m principal spillway, in <br />acre-feet). 1AA , - o ity cx Secs- . t.,o -& A &,, <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. "0 <br />Has structure been maintained as designe and in accordance with the approved plan <br />and the applicable regulations? <br />If no explain <br />\ \\\???X?\\\\ouuRlErliii <br />Uo 26046 cr <br />L-Li <br />ll!lll I I I I I I I I I I\\\\ <br />PROFESSIONAL ENGINEERS 51-ATE-ME-NT <br />l :Mate that this map was prepared <br />under my supervision and all the <br />information presented hereon is true <br />and correct to the best of my <br />` / in or lion. <br />/ to and <br />/ f(b <br />ate Micha / W. Ludlo CO P.E. 26046