2017-01-17_REPORT - C1980007

• Permit No: C1980007
• IBM Index Class Name: Report
• Doc Date: 1/17/2017
• Doc Name: Quarterly Subsidence Monitoring Report
• From: Mountain Coal Company
• To: DRMS
• Annual Report Year: 2016
• Report Quarter_Month: 4
• Permit Index Doc Type: Subsidence Report
• Email Name: LDS
• Email Name: JRS
• Media Type: D
• Archive: No

Inspection Form
Date: /010110
Time:
Name of Inspector:lC�,r�'
Current Panel and XC Being Wed:
Stock Pond(s) Being Inspected:
-W,,,II ��cfi�cy� �� «�, cif
Yes No v
❑ ❑ Is the stock pond within twice the projected angle of draw of
subsidence? If yes, which pond(s):
❑ ❑ Are there visible surface cracks in or near the stock pond? If yes,
describe (location, width, length, etc.):
❑ ❑ Is there any evidence of potential subsidence induced water loss? If
yes, describe:
❑ ❑ Is there water in the pond? If yes, describe:
❑ ❑ Is mitigation needed? If yes, list suggestions:
Notes:
Signature of Inspector: � /
* If any potential subsidence induced features are observed that could cause harm
to the pond, notify Jessica Loveland or Mike Peacock immediately.