Laserfiche WebLink
Forest Service Roads <br />Inspection Form <br />Date: g/a/J7 <br />Time: l; I6P -mo-` <br />Naive of Inspector: �— <br />Current Panel and XC Being Mined: F6 HG 11K e <br />Road(s) Being Inspected: `D��, <br />Yes No <br />❑ [ Is the Forest Service road within the projected angle of draw of <br />subsidence? If yes, which road(s): <br />Are there visible surface cracks on the road? If yes, describe <br />(location, width, length, etc.): <br />❑ ❑ Is there any recent evidence of potential subsidence induced slope <br />failure? If yes, describe: <br />❑ ❑ 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 />Signature of Inspector: <br />* If any potential subsidence induced features are observed that could cause harm <br />to the public or operations, notify Mike Peacock or Kathy Welt immediately. <br />W:\NICC-Engineering\ENV PERMITTING\REG AGENCIES\CDRMS\Inspection-Survey USFS Ponds & Rds\Roads\forest service roads inspection form <br />