Laserfiche WebLink
Forest Service Roads <br /> Inspection Form <br /> Date: IS (I$ <br /> Time: :30 o---�, <br /> Name of Inspector: WIC <br /> Current Panel and XC Being Mined: 7�•1 7�CG <br /> Road(s) Being Inspected: 'Dv,}, ire e�- <br /> Yes No <br /> ❑ ®! Is the Forest Service road within the projected angle of draw of <br /> subsidence? If yes, which road(s): <br /> ❑ 9' Are there visible surface cracks on the road? If yes, describe <br /> (location, width, length, etc.): <br /> ❑ li" Is there any recent evidence of potential subsidence induced slope <br /> failure? If yes, describe: <br /> ❑ Are there any other potentially damaging, subsidence induced <br /> features on or near the road? If yes, describe: <br /> ❑ E91 Is mitigation needed? If yes, list suggestions: <br /> Notes: <br /> Signature of Inspector: <br /> * �z— <br /> '00- <br /> If any potential subsidence induced features are observed that could cause harm <br /> to the public or operations, notify Mike Peacock or Kathy Welt immediately. <br /> W:V,4CC-Engineering\ENV PERMITTING\REG AGENCIESTDRMSVnspection-Survey USFS Ponds&Rds\Roads\forest service roads inspection form <br />