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Forest Service Roads <br />Inspection Form <br />Date: p 61 <br />Time: l 0 0 <br />Name of Inspector: :P- . sUw <br />Current Panel and XC Being Mined: g•2 XGp?6 <br />Road(s) Being Inspected: r)rY F-vr I:! <br />Yes No <br />? Is the Forest Service road within the projected angle of draw of <br />subsidence? f yes, Ew32 road(s): <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 />Z ?1a" C S S 4- ')YO-EO C av-e'j <br />Signature of Inspector: <br />* If any potential subsidence induc features are observed that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately.