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Date: <br />Time: <br />Name of Inspector: I r <br />Current Panel Being Mined: .. <br />i3•.,Weekly Inspection ❑ Monthly Inspection <br />Monument Dam <br />Inspection Form <br />Yes No <br />❑ Is mining within 1 mile of Monument Dam? <br />[ 1 'q Are there visible surface cracks on the clam? <br />If yes, indicate length and size of crack. <br />Is there evidence of subsided areas on or around darn'? <br />If yes, indicate where and degree. <br />❑ Are there bulges on the darn? <br />If yes, indicate where and degree. <br />Are there signs of seeps on the dam'? <br />If yes, indicate here and estimated do <br />❑ C? Are there any other potentially damaging features on the dam? <br />If yes, describe. <br />❑ <br />Notes: <br />Are there any recent evidences of slope failure on the landside south of the <br />dam (perform visual inspection and data analysis of inclinometers)? <br />If yes, describe. <br />t. <br />L <br />Signature of Inspector: (t (: < - <br />Inspections are performed under 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 />