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• <br />Yes No <br />Notes: <br />N 0 <br />Forest Service Roads <br />Inspection Form <br />Date: ! / /i/ <br />Time: <br />Name of Inspector: d4- S <br />Current Panel and XC Being Mined: <br />Road(s) Being Inspected: 0 ')' 'e- <br />Is the Forest Service road within the projected angle of draw of <br />subsidence? If es, 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 />Signature of Inspector: r <br />* If any potential subsidence indu0 feat%ir- are 6bserve , that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately. <br />