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Stock Pond <br />Inspection Form <br />Date: 61 (Er (`6- <br />Time: 'oQ ar*L. <br />Name of Inspector: <br />Current Panel and XC Being Mined: k 7 b-. , 7XCC <br />Stock Pond(s) Being Inspected: <br />Yes No <br />❑ Is the stock pond within twice the projected angle of draw of <br />subsidence? If yes, which pond(s): <br />❑ 9' Are there visible surface cracks in or near the stock pond? If yes, <br />describe (location, width, length, etc.): <br />❑ 9' 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: <br />tk�' <br />Signature of Inspector: '�"'z 6 <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-ErWneering\ENV PERNffrTR4GNREG AGENCIMCDRMSUnspectaon-Survey USFS Ponds & Rds\Ponds\Stock Pond Inspection Foam) <br />