Laserfiche WebLink
Monument Dam <br />Inspection Form <br />Date: ✓fj., <br />Time: cj <br />Name of Inspector: <br />Current Panel Being Mined: <br />❑'Weekly Inspection ❑ Monthly Inspection <br />❑ t:�'_ Are there bulges on the dam? <br />If yes, indicate where and degree. <br />Notes: <br />Yes No <br />II ❑ Is mining within 1 mile of Monument Dam? <br />❑ ❑ Are there visible surface cracks on the dam? <br />If yes, indicate length and size of crack. <br />❑ ❑ Is there evidence of subsided areas on or around 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 />❑ ❑" Are there any other potentially damaging features on the dam? <br />If yes. describe. <br />❑ ❑ Are there any recent evidences of slope failure on the landside south of the <br />dam (perfoiin visual inspection and data analysis of inclinometers)? <br />If yes, describe. <br />Signature of Inspector: _.,„-- u /r -/ / <br />Inspections are pef fortned'itnder the direction of Michael J. Peacock, P.E.' - <br />-If cracks or other potentially damaging features occur, notify Robin Schiro or Wendell <br />Koontz immediately. <br />