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SEDIMENTATION POND INSPECTION FORM <br />Pond e ~~ NPDES No. oo I <br />Date o Inspection S (g o "~ <br />EMBANKMENT <br />1" Adequacy of the vegetative cover: Excellent, foderat : Few, Poor <br />2. Erosion forming gullies: Extensive, Some, e " Fe v, None <br />3. Is wave action causing erosion: <br />On the upstream embankment? Yes No 1'- <br />At the principal spilhvay inlet? Yes No L <br />4. Erosion of the downstream toe of the embankment? Y'es No !~- <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dam? Yes No L" <br />Could this seepage cause potential instability? Yes No <br />Explain: <br /> <br />PRINCIPAL SPILLWAY <br />I. Is the principal spillway rys[em in working order? Yes L-- No <br />2. Is the inlet free of debris and restrictive material? Yes !~- No <br />3. Is the discharge outlet free of restrictive material? Yes (/ No <br />~. Is erosion occurring at the discharge outlet? Yes No (__ <br />Evaluate the severity: Extensive Moderate Just Sl:tnine None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergenc!, spillway system capable of passing design storm discharge'? <br />Yes ~ _ No <br />2. Does it appear as if the emergency spilhvay bas discharged water since the last inspectimt? <br />" Yes No L <br />3. Is erosion occurring at any section of the emergency spilhvay? Yes No ~"- <br />Describe the event <br />SEDIMENT STORAGE CAPACITY <br />1. Has [he design storage ca acity of the r ervoir e su~f ssed? Yes ~ No <br />Ifyes.explain:Sivta(~ DodC~~ii~tr c~~cT~"(`a.~~F-tip <br />Please add any special comments concerning potentially dangerous problems oo the back of this <br />sheet? ^~ <br />Inspected by: /,(!-' <br />