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

Forest Service Roads
inspection Form
•
Date: 4 619 =6- /°‘
Time: 13 c.>
Name of Inspector: 12y <<n S o
Current Panel and XC Being Mined: f 3
Road(s) Being Inspected: D' r=v r k
Yes No
Is the Forest Service road within the projected angle of draw of
subsidence? If yes, which road(s):
94 Are there visible surface cracks on the road? If yes, describe
(location, width, length, etc.):
• Is there any recent evidence of potential subsidence induced slope
failure? If yes, describe:
• gi Are there any other potentially damaging, subsidence induced
features on or near the road? If yes, describe:
�] Is mitigation needed? If yes, list suggestions:
Notes:
Signature of Inspector: ars
If any potential subsidence induc ° e ss are observed that could cause harm
to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately.