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Mining Area <br />Date Inspected <br />Impoundment <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? In.a <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? Ito <br />If yes explain: <br />The depth and elevation of any impounded waters at the time of inspection. <br />L)'e I Q- 0 � o� , Cc-e <br />Existing storage capacity o water in t impoundment (from p teipel- spi}k�y, in acre - <br />feet). Q -�J of <br />Required storage capacity of water in the impoundment (from principal may, in <br />acre - feet). 0 -1 7 <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. VW <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? 0 A <br />If no explain <br />(c) (o)Zi <br />Oat <br />\ \ \1 \I \11111 1 / /// //// <br />1 10, REG <br />\ - F <br />26046 <br />.. <br />iii r i i i l l i l l 11111 \\\ 11 \\\ \ \ <br />PROFESSIONAL ENGINEERS S TA TEMEAI T <br />I 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 i,for ation. <br />Mich a <br />W. Ludl , CO P.E. 26046 <br />