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Stock Pond <br />Inspection Form <br />Date: ///,.w 117 <br />Time: <br />Name of Inspector: <br />Current Panel and XC Being Mined: <br />g& I XC Z <br />Stock Pond(s) Being Inspected: PC) <br />Yes No <br />Is the stock pond within twice the projected angle of draw of <br />subsidence? If yes, which pond(s): <br />❑ ❑ Are there visible surface cracks in or near the stock pond? If yes, <br />describe (location, width, length, etc.): <br />❑ ❑ Is there any evidence of potential subsidence induced water loss? If <br />yes, describe: <br />❑ ❑ Is there water in the pond? If yes, describe: <br />❑ ❑ Is mitigation needed? If yes, list suggestions: <br />Notes: A/0 Qccc� / � j .may . � a—, ,h,44t,cQ <br />Signature of Inspector: G <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 />(WAMCC-Engineering\ENV PERMITTING\REG AGENCIES\CDRMS\Inspection-Survey USFS Ponds & Rds\Ponds\Stock Pond Inspection Form) <br />