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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? <br />If yes explain: <br />Are there any existing and required monitoring procedures and instruments? h.0 <br />If yes explain: <br />The depth a,nd elevation of any impounded water at the time of inspection. <br />L■3 4 Z-O' 'e N.) �l.s �.�� b � v1 p��t,.�� �.I <br />Existing storage capacity of water in the impoundment (from principal spillway, in acre - <br />ft.). N <br />Required stor ge capacity of water in the impoundment (from principal spillway, in <br />acre -ft.). 1\I J <br />Any other aspects of the structure affecting stability, or requiring <br />maintenance. Via <br />Has structure been maintained as designed and in accordance with the proved plan <br />and the applicable regulations? C { L',5 (see. Q- X no 4 ; . -.- toe ( 0 <br />If no exp A U r . Cv,,S t o'1 s ck p p e «v` c: c c.k' , hJ t.J e u i 45- <br />buaId - aV'c,w',K l:-.S tA e -0 ►•1 p � le_ {-e...._ GI.f�c `J w u <br />il_ T Q V,,�_ce ct ct <br />lt () ecA k� c c w �, d- i o`-'5 , As - �, : l i 1,.^ i l l IO e- c, 0 " l e 4'P <br />� \ \\\ \1111 111111lll /l/ // <br />P �0 REG� / /i�,, 5 SO c� 4 5 1 0 o 3 n,. b j <br />_ U O .. h � l- • <br />= 29172 <br />P5c_. W <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 informatl'g <br />Date Patrick Kevin Sollars, CO P.E. 29772 <br />