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: 114 f ►(
Time: ?a,.
Name of Inspector: R , s
Current Panel and XC Being MinediEZ c . K
Road(s) Being Inspected: p ry
Yes No
❑ ❑
Notes:
Is the Forest Service road within the projected angle of draw of
subsidence? If yes which road(s):
4 (y 'r-
Are there visible surface cracks on the road? If yes, describe
(location, width, length, etc.):
Is there any recent evidefi
failure? If yes, describ
❑ ❑ Are there any other potentially damaging, subsidence induced
features on or near the road? If yes, describe:
El ❑ Is mitigation needed? If yes, list suggestions:
Co ve rze-1
caosc
erlpial subsidence induced slope
Signature of Inspector:
* If any potential subsidence in • uced features/a_re -obse ed that could cause harm
to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately.