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Mining Area <br />Date Inspected <br />Impoundment <br />s_e.A,_ _T( k) <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? 0. n _ <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? VL 0 <br />If yes explain: <br />The depth and elevation of ny impounded waters at the time of <br />1! ? a 4.L 1 p t -1 C. `C- IC G ; ( I Lt 1 C. CA - ( a 11? <br />Existing storage capacity of water in the impoundment (from principal spillway, in acre- <br />feet). !n N <br />Required storage capaci of water in <br />acre-feet). <br />Any other aspects of the structure <br />maintenance. IM cr u h o CO <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? ? ,.4 <br />If no explain <br />Q??•?•? <br />W <br />o <br />26046 <br />PROFESSIONAL ENGINEERS STATEMENT <br />l state 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 />knowledge and in rmoti n. <br />17,1( 7/0 / (j4&ti <br />Dat Micha / W. Lu CO P.E. 26046 <br />(from p ncipal spillway, in <br />IN "W <br />stability, or requiring