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Ctnck Pnnd <br />Inspection Form <br />Date: 5lx (l� <br />Time: 1 C. 4S # rK <br />Name of Inspector: Y,' KC SCA c- a K - <br />Current Panel and XC Being Mined: E`2 t� e- L 2 �- <br />Stock Pond(s) Being Inspected: <br />Yes No <br />❑ [fj-"'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 />❑ R"" Is there water in the pond? If yes, describe: <br />❑ Is mitigation needed? If yes, list suggestions: <br />Notes: <br />Signature of Inspector: Y <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 />(W:\MCC-Engineering\ENV PERMITTING\RFG AGENCIES\CDRMSUnspection-Survey USFS Ponds & Rds\Ponds\Stock Pond inspection Foan) <br />