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

410 Forest Service Roads
Inspection Form
Date: / i
Time: ( a.i.00 p • �.
Name of Inspector: Yom S 1
Current Panel and XC Being Mined: £ 3
Road(s) Being Inspected: p ry irk-
Yes No
❑ El
Are there visible surface cracks on the road? If yes, describe
(location, width, length, etc.):
• ❑ [53 Is there any recent evidence of potential subsidence induced slope
failure? If yes, describe:
❑ Are there any other potentially damaging, subsidence induced
features on or near the road? If yes, describe:
❑ Is mitigation needed? If yes, listsuggestions:
Notes:
.Is the Forest Service road Within .the projected angle of draw of
subsidence? If yes, which road(s):
Signature of Inspector:
* If any potential subsidence him d f s a ed that could cause harm
to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately.