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Mining Area <br />Date Inspected <br />Impoundment <br />?t=zti - <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? VV) <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? ILA <br />If yes explain: <br />The depth and e, evation of any impounded waters at the time of inspection. <br />Existing storage capacity of water in the impoundment (from principal spillway, in acre- <br />feet). V% IL <br />Required Storage capaci y of water i the impoundment (froj principal spillway, in <br />acre-feet). 1A A - wo -, g i Z w, e.?-`? to o - 2 <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. VLO <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? T?Q <br />If no explain <br />REG <br />14 /1/ <br />26046 i cr <br />ONA?iI <br />PROFESSIONA L ENGINEERS S TA TEMFN T <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 a d i for a ion. <br />? Z 17 (a <br />Date Micha / W. Lu CO P.E. 26046