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l <br />BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />NEW ELK 004 <br />Pond NPDES No. <br />Date of Inspection ~y/ .L ~,~SS~ <br />EMBANICMENd' <br />1. Adequacy o! the vegetative cover: Excellent Moderate, Few, Poor <br />2. Erosion forming gullies: Extensive, Some, Very Few, !tonal <br />3. Is wave action causing erosions <br />On the upstream embar-lmient? Yes No )( <br />At the principal spillway inlet? Yes No <br />4. Erosion of the downstream toe of the embankment? Yea No~_ <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dnm? Yea No~_ If yes <br />could this seepage cause potential instability? Yes No <br />Explain• <br />PRINCIPAL SPILLMAY <br />1. is the principal spillway ayatem in working order? Yea_y~No <br />2. Ia the inlet free of debris and restrictive material?Yea~_No <br />~• 3. is the discharge outlet free of restrictive material? Yea~_No, <br />,, <br />4. Is erosion occurring at the discharge outlet? Yes No~If <br />yes, <br />evaluate the severity: Extensive. Moderate Just starting ~' <br />,i . <br />EMERGENCY SPILLMAY <br />1. Is the overall emergency spillway ayatem capable of passing <br />design storm discharge? Yea~_No <br />2. Does it appear as if the emergency'spillway has discharged water <br />since the last inspection? Yea Nom <br />3. Is erosion occurring at any section of the emergency spillway? <br />Yes No~_ Describe the <br />extent <br />SEDIMENT 3TORAGE CAPACITY <br />1. Has the design storage capacity of the reservoir been surpassed? <br />Yea No J I T ve+~ . <br />\ ~~; Pleeae add any apecinl comments concerning potentially dangerous <br />problems on the back of this sheet. <br />Inspector /7~.~.~,.~ <br />