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• Forest Service Roads <br />Inspection Form <br />• <br />• <br />Date: 8-7La/ 1 f <br />Time: 3 O c t 4 1 <br />Name of Inspector: G ' <br />Current Panel and XC Being Mined:. XC <br />Road(s) Being Inspected: Cry �r k <br />Yes No <br />❑ ❑ <br />Notes: <br />Is the Forest Service road within the projected angle of draw of <br />subsidence? If , which road(s): <br />es k.- <br />t <br />Are there visible surface cracks on the road? If yes, describe <br />'(location, width, length, etc.): <br />❑ ❑ Is there any recent evidence ` po en n al ubsidence 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 />❑ ❑ i , Is mitigation needed? If yes, list suggestions: <br />c� <br />SI B " `� <br />I <br />�• <br />r C �' <br />Signature of Inspector: f <br />* If any potential subsidence induced fea es are observed that could cause harm <br />to the public or operations, notify Ryan Sweetwood or Mike Peacock immediately. <br />