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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? 140 <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? 14.0 <br />If yes explain: <br />The depth and elevation of any — impounded waters at the time of inspection. <br />G.9 4•k•Q►r r e v e l 1 e�� 1042 ( A D 40 S p: l( 1a9 c, <br />Existing storage capacity of water in the impoundment (from principal spillway, in acre - <br />feet). t/l. <br />Required storage capacity of water in the im (from principal spillway, in <br />acre - feet). \ A 1 s S ems: tM e--•••-`■ cn- <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. <br />Has structure been maintained as desi d and in accordance with the approved plan <br />and the applicable regulations? <br />If no explain <br />0111 1 1 1 1 1 1 ////ll / / <br />o0 REGI <br />......... S . <br />- u 26046 <br />PROFESSIONAL ENGINEERS STA TEMEN 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 A or ation. <br />ate Mich el W. L <br />, CO P.E. 26046 <br />