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SEDIME``rrNTnnATION-~P~O-ND INSPECTION FORM <br />Pond t(~ Wes`~(~or~X Conl_yttctyreul ~ ~ NPDES No. /Uy~rr` <br />Date of Inspection S /t~/o 2 <br />EMBANKMENT <br />I. Adequacy of [he vegetative cover: Excellent, I dera[e, Few, Poor <br />2. Erosion forming gullies: Extensive, Some, ery Fer , None <br />3. Is wave action causing erosion: <br />On the upstream embankment? Yes No <br />At the principal spillway inlet? fo`r' 1'~Q/~`U"~ Yes No <br />4. Erosion of [he downstreatn 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 />Could this seepage cause potential instability? Yes No <br />PRINCIPAL SPILLWAY Nd SPcl~Wtk3 r /~r/v~ ~P~t ~-~-' <br />L Is [he principal spilhvay 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? Y'es No <br />~. Is erosion occurring at the discharge outlet? Yes No <br />Evaluate the severity: Extensive N oderate Just Startine None <br />EMERGENCY SPILLWAY <br />1. [s [he overall emergence spilhvay system capable of pas ing design storm discharge'? <br />~ Yes No <br />2. Does It appear as if the emergency spilhvay has discharged voter since the last inspection'? <br />Yes No <br />3. Is erosion occurring at arty section of the emergency spilh ~av? Yes No <br />Describe the extent-. <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storage ~gpacity of the reservoir been surpassed'? Y'es No L:/ <br />..~ _- _ .. /~ _ V _ tiL. i n .. --Y~ <br />Please add any special commeats concerning potentially dangerous problems on the back of this <br />sheet: <br />Inspected by: <br />