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• <br />• <br />Yes No <br />Notes: <br />Forest Service Roads <br />Inspection Form <br />Date: fa 3(// <br />Time: i / 1' <br />Name of Inspector: g. <br />Current Panel and XC Being Mined: ,2 . 049 / <br />Road(s) Being Inspected: O - y r � - <br />Is the Forest Service road within the projected angle of draw of <br />subsidence? If yes, which road(s): <br />,O Air r l` <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 />7 . ❑ ❑ Is mitigation needed? If yes, list suggestions: <br />A d ,A7<c �� <br />i vv v J <br />we - 7 ) a _a__57( <br />Signature of Inspector: <br />* If any potential subsidence induced - afire - • . served that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately. <br />