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<br />Monument Dam <br />Inspection Form <br />? ? e there visible surface cracks on the dam? <br />f 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 />? ? e there any recent evidences of slope failure on the landside south of the <br />da (perform visual inspection and data analysis of inclinometers)? <br />If s, describe. <br />Date: <br />Time: CJ'. 5 <br />a-a- <br />Name of Inspector: ?Yu ^ S <br />Current Panel Being Mined: I?1- X, c <br />? Weekly Inspection ? Monthly Inspection <br />Yes No <br />? ,t(' Is mi ng within 1 mile of Monument Dam? <br />Notes: <br />//V, ? aC('es s 1 L ? <br />Signature of Inspector: <br />Inspections are performed under th di)rction of Michael J. Peacock, P.E. <br />-If cracks or other potentially damaging features occur, notify Ryan Sweetwood or <br />Wendell Koontz immediately.