Laserfiche WebLink
Forest Service Roads <br />Inspection Form <br />Date: g J2"T 16 <br />Time: u9;3%> <br />Name of Inspector:�� <br />Current Panel and XC Being Mined:�-- <br />Road(s) Being Inspected: <br />Yes No <br />El 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 />Notes: <br />Foo -d 14PACC' e.Ss 4 1c Jac 7-� JgAI9 L✓ <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: WICC-Engineering\ENV PERMITTING\REG AGENCIES\CDRMSUnspection-Survey USFS Ponds & Rds\Roads\forest service roads inspection form <br />