2011-09-23_REPORT - C1980007 ‎(9)‎

• Permit No: C1980007
• IBM Index Class Name: REPORT
• Doc Date: 9/23/2011
• Doc Name: Spring 2011 Subsidence Report - Appendix DThru F ‎(Part 3 of 3)‎
• From: Wright Water Engineers, Inc
• To: DRMS
• Permit Index Doc Type: Subsidence Report
• Email Name: TAK
• Media Type: D
• Archive: No

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Date: 3 (
Time: 3 t 1 re a^
Name of Inspector: 4 • S�
Current Panel and XC Being Mined: 2 a k
Road(s) Being Inspected: pr Fo rk_
Yes No
Forest Service Roads
Inspection Form
❑ Is the Forest Service road within the projected angle of draw of
subsidence? If yes, iich roadds):
r ` r i-' �--
l
Are there visible surface cracks on the road? If yes, describe
(location, width, length, etc.):
❑ ❑ Is there any recent evidence of o -n subsidence induced slope
failure? If yes, describe:
/❑ ❑
Notes:
Are there any other potentially damaging, subsidence induced
features on or near the road? If yes, describe:
❑ ❑ Is mitigation needed? If yes, list suggestions:
00 ,,,)
(JO) I , t
lh Yl6,C(e55 ) ‘/4
Signature of Inspector:
* If any potential subsidence induced fea es . e o - - d that could cause harm
to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately.