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Stock Pond <br /> Inspection Form <br /> Date: W W 66 <br /> Time: 1 1 '.00 c -M. <br /> Name of Inspector: <br /> Current Panel and XC Being Mined: 7X C- <br /> Stock Pond(s)Being Inspected: �a <br /> Yes No <br /> ❑ jj- Is the stock pond within twice the projected angle of draw of <br /> subsidence? If yes, which pond(s): <br /> ❑ 0' 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 /> 2 E� Is there water in the pond? If yes, describe: <br /> ❑ [ Is mitigation needed? If yes, list suggestions: <br /> Notes: <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 /> (WAMCC-Engineering\ENV PERMITTING\REG AGENCIMCDRMSUnspection-Survey USFS Ponds&Rds\Ponds\Stock Pond Inspection Form) <br />