Laserfiche WebLink
Forest Service Roads <br />Lns ection Form <br />Date: <br />Time: /0 <br />Name of Inspector: Je7ff i &,t/ <br />Current Panel and XC Being Mined: z f�Z <br />Road(s) Being Inspected: n'o,o <br />Yes No t4-L <br />Is the Forest Service road within the projected angle of draw of <br />subsidence? If yes, which road(s): <br />❑ Are there visible surface cracks on the road? If yes, describe <br />(location, width, length, etc.): <br />Nh <br />El ❑ Is there any recent evidence of potential subsidence 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 />❑ ' ❑ Is mitigation needed? If yes, list suggestions: <br />Notes: <br />1\� ; { o . ti t.. - T" H t <br />Signature of Inspector: <br />* If any potential subside a induced features are observed that could cause harm <br />to the public or operations, notify Robin Schiro or Mike Peacock immediately. <br />