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Stock Pond <br />Inspection Form <br />Date: / / 29/1g <br />Time: $ :30 &wL= <br />Name. of Inspector: K%(4 C WA" e X—� <br />Current Panel and XC Being Mined: E-7 <br />Stock Pond(s) Being Inspected: D F 3 6 <br />Yes No <br />❑ Is the stock pond within twice the projected angle of draw of <br />subsidence? If yes, which pond(s): <br />❑ 4� 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 />❑ V Is mitigation needed? If yes, list suggestions: <br />Notes: <br />i&%eae, kzc e- stio w -.fizuwalk V&V151 <br />4944 �fcc�sS �oi�S.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 />(WAMCC-Enginesring\ENV PERMTTTING\REG AGENCIESTDRMSUnspection-Survey USFS Ponds & Rds\Ponds\Stock Pond Inspection Form) <br />