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Mining Area <br />Date Inspected <br />Impoundment <br />CSC <br />$ -as-10 <br />T <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? K ()- <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? 0 <br />If yes explain: <br />The depth and eLevattion of any impounded waters at the time of inspection. <br />.0 R <br />Existing storage capacity of water in the impoundment (from principal spillway, in acre- <br />feet)._ I? C] <br />Required storage capacity of water in the impoundment (fr principal spillway, in <br />acre-feet)._A o 4 c-- .5 e-4 , 1-te- 16 O <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. ?1 0 <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? 14 CA <br />01 <br />If no explain <br />P00 . RED <br />o ; 26046 i <br />F ?'••. <br />l/IIlIIIIil <br />PROFESSIONAL ENGINEERS S TA TEMEN T <br />l state that this map was prepared <br />under my supervision and all the <br />in `ormation presented hereon is true <br />and correct to the best of my <br />knowledge and information. <br />12 t;2(h <br />CO P.E. 26046 <br />Date= Mic ae/ W. LLudwj