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Stock Pond <br />Inspection Form <br />Date: [3o (15 <br />Time: o n ?. "- <br />Name <br />-Name of Inspector: )K1 k �i GftCd G <br />Current Panel and XC Being Mined: F7XC. Z8' <br />Stock Pond(s) Being Inspected` F 30 <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 />❑ F Is there any evidence of potential subsidence induced water loss? If <br />yes, describe: <br />❑ D� Is there water in the pond? If yes, describe: <br />❑ R"" Is mitigation needed? If yes, list suggestions: <br />Notes: <br />Signature of Inspector: —32i�,2 <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-EngineeringENV PERMITTING\REG AGENCIES\CDRMS\Inspection-Survey USFS Ponds & Rds\Ponds\Stock Pond Inspection Foan) <br />