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Date: , <br />Time: <br />Name of Inspector: <br />Current Panel Being Mined: 6--y C <br />Weekly Inspection /Monthly Inspection <br />Yes No <br />❑ Is mining within 1 mile of Monument Darn? <br />❑ <br />❑ <br />Notes: <br />r <br />Signature of Inspector: <br />Monument Dam <br />Inspection Form <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 />Are there bulges on the dam? <br />If yes, indicate where and degree. <br />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 darn? <br />If yes, describe. <br />Are there any recent evidences of slope failure on the landside south of the <br />darn (perform visual inspection and data analysis of inclinometers)? <br />If yes, describe. <br />i? <br />/ ?4 & /77 lA t % .Jii /..E �.r .ii7 z , <br />Inspections are performed under the direction of Jessica Loveland, P.E. <br />-If cracks or other potentially damaging features occur, notify Jessica Loveland or <br />Wendell Koontz immediately. <br />