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Forest Service Roads <br />• Inspection Form <br />• <br />• <br />Date: 7lz °(rl <br />Time: 7; CO 4n <br />Name of Inspector: Ca At�'J, Gc We h i-- <br />Current Panel and XC Being Mined: C3 <br />Road(s) Being Inspected: :br), F-L ,.se / 4 <br />Yes <br />❑ g Are there visible surface cracks on the road? If yes, describe <br />(location, width, length, etc.): <br />❑ if Is there any recent evidence of potential subsidence induced slope <br />failure? If yes, describe: <br />Notes: <br />— AM arty itlort- <br />Is the Forest Service road within the projected angle of draw of <br />subsidence? If yes, which road(s): <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: / <br />* If any potential subsidence induced features are o• served that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately. <br />