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Mining Area <br />Date Inspected <br />Impoundment <br />is9 !- /040 I <br />Are there any appearances of erosion, instability, structural weakness or other <br />hazardous conditions? Li. t) <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? <br />If yes explain: <br />The depth and elevation of any impounded waters at the time of inspection. <br />yv cll�. 6 0 4s10.-y,. p o k.ce.. ck- 3 c . f "ou... s ; l L <br />Existing storage capacity of water in the impoundment (from principal spillway, in acre - <br />feet). V\ kL <br />Required storagv capacity of water in the impoundment (frKri principal spillway, in <br />acre - feet). IA A e <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. k o <br />Has structure been maintained as designed and in accordance with the approved plan <br />and the applicable regulations? <br />v QA <br />14 (3 <br />If no explain <br />0 RE-C/, <br />,... .,,• Tom' <br />0 CD <br />�. 26046 <br />/ �1N11�1 m\\\\\\\ \\\\\ <br />PROFESSIONAL ENGINEERS S TA 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 formation. <br />yip/p <br />ate Mich el W. Lu• .w, CO P.E. 26046 <br />