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Forest Service Roads <br />Inspection Form <br />Date: 7fa�3 <br />Time: <br />Name of Inspector: 1-o vxc kc-r U <br />Current Panel and XC Being Mined: 67Y <br />Road(s) Being Inspected: NA - < SEE /L)oT� .5E6oc<., <br />Yes No <br />E Is the Forest Service road within the projected angle of draw of <br />subsidence? If yes, which road(s): <br />11 El Are there visible surface cracks on the road? If yes, describe <br />(location, width, length, etc.): <br />El Is there any recent evidence of potential subsidence induced slope <br />failure? If yes, describe: <br />El El Are there any other potentially damaging, subsidence induced <br />features on or near the road? If yes, describe: <br />Is mitigation needed? If yes, list suggestions: <br />Notes: <br />410 FOr�f� lei �r /2w4y, lug %/ i iYl Est �icn vlt'l 5-p -]e 64CI <br />awx-k el, <br />711 Zz // bl'a a "'J a "'-C <br />Signature of Inspector: eu #vrh om LL l <br />* If any potential subsidence induced features are observed that could cause harm <br />to the public or operations, notify Jessica Loveland or Mike Peacock immediately. <br />