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• Forest Service Roads <br />Inspection Form <br />• <br />• <br />Date: y71-7 it <br />Time: q v ®, <br />Name of Inspector: g • S <br />Current Panel and XC Being Mined: XC_ I $ <br />Road(s) Being Inspected: Dry �'''•�' <br />Yes No <br />❑ ❑ <br />Notes: <br />Is the Forest Service road within the projected angle of draw of <br />subsidence? If yes, which road(s): <br />Dry ro4- <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 />N <br />Signature of Inspector: r Al <br />* If any potential subsidence induc e f' fe a s are observed that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately. <br />