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Date: Q 3 ,/ca 1 <br />Time: /0 -- <br />Name of Inspector: E c,���, SC <br />Current Panel Being Mined: <br />0 Weekly Inspection, Monthly Inspection <br />Yes No <br />O X Is mining within 1 mile of Monument Dam? <br />O ❑ Are there visible surface cracks on the dam? <br />If yes, indicate length and size of crack. 'I\ <br />u ! Is there evidence of subsided areas on or around dam? <br />If yes, indicate where and degree. _ <br />r- n Are there bulges on the dam? <br />If yes, indicate where and degree. <br />O Are there signs of seeps on the dam? <br />If yes, indicate where and estimated flow. <br />Notes: <br />-- Ro cJ <br />Monument Dam <br />Inspection Form <br />N <br />• Are there any other potentially damaging features on the dam? <br />If yes, describe. <br />A. <br />• Are there any recent evidences of slope failure on the landside south of the <br />dam (perform visual inspection and data analysjs of inclinometers)? <br />If yes, describe. <br />Signature of Inspector: <br />Inspections are performed under tke.Iirection of Michael J. Peacock, P.E. <br />-If cracks or other potentially damaging features occur, notify Robin Schiro or Wendell <br />Koontz immediately. <br />