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Cfnl-lr Pang] <br />Inspection Form <br />Date: 2�1 % If 7 <br />Time: a.' o c' J", <br />Name of Inspector: <br />Current Panel and XC Being Mined: E -(p <br />Stock Pond(s) Being Inspected: ?9-5 <br />Yes No <br />Kc Zo <br />t�) 4-e- IJP +e„� C'J <br />❑ [� Is the stock pond within twice the projected angle of draw of <br />subsidence? If yes, which pond(s): <br />❑ 2"' Are there visible surface cracks in or near the stock pond? If yes, <br />describe (location, width, length, etc.): <br />❑ a Is there any evidence of potential subsidence induced water loss? If <br />yes, describe: <br />❑ ❑y Is there water in the pond? If yes, describe: <br />❑ ET" Is mitigation needed? If yes, list suggestions: <br />Notes: <br />(YLC` t06194.0 r <br />AV & r(V lqd C10,) Jt', f iz)'6�S <br />Signature of Inspector: <br />* If any potential subsidence induced features are observed that could cause harm <br />to the pond, notify Mike Peacock or Kathy Welt immediately. <br />(W MCC-Engmeering\ENV PERM MNG\REG AGENCIES\CDRMS\Inspecnon-Survey USFS Ponds & Rds\Ponds\Stock Pond Inspection Foran) <br />