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Ctnvk Pnnd <br />Inspection Form <br />Date: (o 114n <br />Time: A ®D ?"Oi <br />Name of Inspector: <br />Current Panel and XC Being Mined: F COMIC Co <br />Stock Pond(s) Being Inspected: `?4.4 - <br />Yes No <br />Is the stock pond within twice the projected angle of draw of <br />subsidence? If yes, which pond(s): <br />❑ 8"�' Are there visible surface cracks in or near the stock pond? If yes, <br />describe (location, width, length, etc.): <br />❑ Ei""' Is there any evidence of potential subsidence induced water loss? If <br />yes, describe: <br />❑ Eq"" Is there water in the pond? If yes, describe: <br />❑ [� Is mitigation needed? If yes, list suggestions: <br />Notes: <br />Signature of Inspector: u� <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 />