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Forest Service Roads <br />Inspection Form <br />Date: a <br />Time: <br />Name of Inspector: . S <br />Current Panel and XC Being Mined-92k A( <br />Road(s) Being Inspected: P ry <br />Yes No <br />? Is the Forest Service road within the projected angle of draw of <br />)2T subsidence? If yesnwhich road(s): <br /> <br /> <br /> <br />?i \? <br />11 <br />Notes: <br />Are there visible surface cracks on the road? If yes, describe <br />(location, width, length, etc.): <br />Is there any recent evid e f lpe ial subsidence induced slope <br />failure? If yes, describ?- <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 />erg <br />N6 <br />Signature of Inspector: <br />* If any potential subsidence induced features observed that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately.