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SEDIMENTATION POND INSPECTION FORM <br />Pond ~/ ~ NPDES No. oo ~ <br />Date of Inspection S ~j~ a Z <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, lod te, Few, Poor <br />2. Erosion forming gullies: - EMensive, Some, ery F w, - None <br />3. Is wave action causing erosion: <br />On [he upstream embankment? Yes _ No ~ <br />At the principal spillway inlet? Yes No L <br />4. Erosion of the downstream toe of the embankment? Yes No__~ <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dam? Yes No ~ <br /> Cotild this seepage cause potential instability? Yes No <br /> E.rplain: <br /> <br />P RINCIPAL SPILLWAY <br />1. Is the principal spillway system in working order? Yes ~-'" 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 Li No <br />d. Is erosion occurring at the discharge outlet? Yes No ~ <br />Evaluate the severity: Extensive Moderate Just Starting None <br />EMERGENCY SPILLWAY <br />1. Is [he overall emergency spillway system capable of passing design storm discharge'? <br />Yes ~` No <br />2. Does i[ appear as if the emergency spilhvay has discharged water since the last inspection'? <br />" Yes No L- <br />3. Is erosion occurring at any section of the emergency spilhvay? Yes No_~__ <br />Describe the eetenr. <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storage capacity of reservoir been suFpa,Ss '? Yes ~ ~~ No c~ <br />L`yes, e.~tplain: Lt1,c~ ~~ ~Araic~wa"~~e. ~ t t-2~'.(- ~ Go_ e-c/ ~y <br />b .^ ~ ~+'~c~ru SPL Wt~-( ~~~ c.J DrGU n~ in .~.... ~ !'. .nn_ ~ivicOa'-"Q''~ <br />Please add :my special comments concerning potentially dangerous problems on the back of this <br />sheet! n ~p <br />Inspected by: ~/ ~~_ <br />