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Forest Service Roads <br />Inspection Form <br />Date: 3 <br />Time: Al' / <br />Name of Inspector: ?• <br />Current Panel and XC Being Mined: <br />Road(s) Being Inspected: OpY A:, ?- <br />Yes No <br />[] Is the Forest Service road within the projected angle of draw of <br />subsidence? If yes, which road(s): <br />1 0` „ r Ic <br />? ? e 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 />Notes: <br />Ae--ue s S <br />wy? <br />Signature of Inspector: <br />* If any potential subsidence induced re served that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately.