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Date: _3//(:), �$ <br />Time: L % — g L <br />Name of Inspector: <br />Current Panel Being Mined: / - s3kG <br />'Weekly Inspection Monthly Inspection <br />Yes No <br />u p <br />L <br />u <br />L <br />L <br />L <br />Notes: <br />Signature of Inspector: <br />Monument Dam <br />Inspection Form <br />Is mining within 1 mile of Monument Darn? <br />❑ ❑ Are there visible surface cracks on the darn? <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 darn? <br />If yes, indicate where and estim.ted 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 />dam (perform visual inspection and data analysis of inclinometers)? <br />If yes, describe. <br />Inspections are performed z der the direction of Jessica Lol eland, P.E. <br />-If cracks or other potentially damaging features occur, notify Jessica Loveland or <br />Wendell Koontz immediately. <br />