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Name of Professional Conducting Inspection: <br />Colorado P.E. License No.: <br />Company Name and Address: <br />Phone Nos.: <br />email: <br />INSPECTION PREPARATION: I have reviewed all pertinent technical documentation related to this dam and site in the Owner's files: <br />❑ Yes ❑ No Comment: <br />STATEMENT OF EXPERIENCE: I am experienced in the technical disciplines or I am working with other professionals experienced in the <br />technical disciplines to properly inspect this dam and appurtenant works. Technical disciplines in addition to general civil engineering <br />may include geotechnical, geological, hydrologic, hydraulics, and structural. <br />❑ Yes El No Comment. <br />YR COMPL <br />T R Sec COUNTY <br />Costilla <br />DATE OF INSPECTION: <br />DAM HEIGHT (FT) <br />DAM LENGTH (FT) <br />CREST WIDTH (FT) <br />PREVIOUS INSPECTION: <br />FREEBOARD (FT) <br />DRAINAGE AREA (AC) <br />CREST ELEV (FT) <br />NORMAL STORAGE (AF) <br />POOL SURFACE AREA (AC) <br />BEACH LENGTH ABOVE POOL (FT): (DIVERSION CHANNEL CAPACITY (CFS): <br />OWNER: <br />OWNER REPRESENTATIVE /CONTACT: <br />OWNER ADDRESS: <br />OWNER CONTACT PHONE NOS.: <br />FIELD CONDITIONS <br />OBSERVED <br />WATER LEVEL BELOW DAM CREST: FT <br />GROUND MOISTURE CONDITION: ❑ DRY ❑ WET ❑ SNOW COVER ❑ OTHER <br />Directions: Mark and X for conditions found and underline words that apply <br />UPSTREAM SLOPE AND BEACH AREA <br />PROBLEMS NOTED: ❑ (0) NONE ❑ (1) EROSION PROTECTION - Missing, Sparse ❑ (2) BEACH AREA WAVE EROSION <br />❑ (3) CRACKS WITH DISPLACEMENT ❑ (4) SINKHOLE ❑ (5) APPEARS TOO STEEP <br />❑ (6) DEPRESSIONS OR BULGES ❑ (7) SLIDES ❑ (8) ANIMAL BURROWS <br />❑ (9) OTHER <br />CONDITIONS OBSERVED: ❑ GOOD ❑ ACCEPTABLE ❑ POOR <br />CREST <br />PROBLEMS NOTED: ❑ (10) NONE ❑ (11) RUTS OR PUDDLES ❑ (12) EROSION <br />❑ (13) CRACKS WITH DISPLACEMENT ❑ (14) SINKHOLES ❑ (15) NOT WIDE ENOUGH <br />❑ (16) LOW AREA ❑ (17) MISALIGNMENT ❑ (18) IMPROPER SURFACE DRAINAGE <br />❑ (19) OTHER <br />CONDITIONS OBSERVED: ❑ GOOD ❑ ACCEPTABLE ❑ POOR <br />DOWNSTREAM SLOPE <br />PROBLEMS NOTED: ❑ (20) NONE ❑ (21) LIVESTOCK DAMAGE El (22) EROSION OR GULLIES <br />❑ (23) CRACKS WITH DISPLACEMENT ❑ (24) SINKHOLE ❑ (25) APPEARS TOO STEEP <br />❑ (26) DEPRESSIONS OR BULGES ❑ (27) SLIDES ❑ (28) SOFT AREAS <br />❑ (9) OTHER <br />CONDITIONS OBSERVED: ❑ GOOD ❑ ACCEPTABLE ❑ POOR <br />Y / Y <br />DAM NAME: San Luis Tailing Dam <br />TAILING DAM INSPECTION FORM <br />Page 1 of 4 <br />DATE OF REPORT: <br />