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Stock Pond <br />Inspection Form <br />Date: /-2 /Zlo 118' <br />Time: ? Name of Inspector:C oL <br />Current Panel and XC Being Mined: E57 <br />Stock Pond(s) Being Inspected: zt 3-0 <br />Yes No <br />-F We.L — 5tq/,f Jvve- <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 />❑ ❑ 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 />❑ ❑ Is mitigation needed? If yes, list suggestions: <br />Notes: / C `� i 4)4Cccs y: 6/e <br />.,Oftu rnc�.�a i �Ot.l,� , �% •� vl G'ovdi r�ia�-V <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 />(W \MCC-En�AGENCIES\CDRMSUnspechoo-Survey USFS Panda do Rds\Poo&Stock Pond Inspection Form) <br />