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Forest Service Roads <br />Inspection Form <br />Date: '21>/1010 <br />Time: 11,0() <br />Name of Inspector: y?`w?eo PJ <br />Current Panel and XC Being Mined: i- I k 1 3 <br />Road(s) Being Inspected: OY, 3 f?'r4?- ? 14-or-see ?UlG? <br />Yes No <br />? Is the Forest Service road within the projected angle of draw of <br />subsidence? If yes, which road(s): <br />? ? Are there visible surface cracks on the road? If yes, describe <br />(location, width, length, etc.): <br />? ? 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 />? ? Is mitigation needed? If yes, list suggestions: <br />I Notes: <br />GL(,1 ? [2 ? ?? S 1w? e/V "Y' // L1 t'3 s G?7i? <br />Signature of Inspector: _?Z_ '/?), 3ZZ7= <br />* If any potential subsidence in ced f ' res drc-o"bserved t ould cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately. <br />