Laserfiche WebLink
n � <br />Dare: ,�- ��7/4 - <br />a ime: y ; OG� ✓t <br />Name of Inspector: Lei,--c,..,-(0 s-z(/ <br />Current Panel and XC Being Mined: <br />Road(s) Being Inspected. ti 7// <br />Yes No <br />u <br />Notes: <br />J <br />Is tl Fc :est Service road within die projected ang'e of draw of <br />subsidence? If yes, which or Ys): <br />Are there visible surface cr<eks on the road? If yes, describe <br />(location, width, length, c.c. ): <br />Is there any recent evidence of potential subsidence induced slc <br />failure? If yes, describe: <br />Are there any oth r pcentially damaging, subsider,..e induced <br />features on or n the road? If yes, descrif <br />Is mitigation needed? If yes, list suggestions: <br />7 <br />Signature of Inspector: <br />%I y'C('�f�flafa�ffC 7 <br />Forest Seev ce. L��uath <br />Insuercl <br />If any potential subsidence Lid _ ced features are c hserved that could cr. ase harm <br />to the public or Operatic- s, T ctify Jessica Loveland c -. Mike Peacci* immediately. <br />