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Date of <br />SEDIMENTATION POND INSPECTION FORM <br />S~ ~ertl~.ln yte~$3 NPDES No. l~u~ <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, btoderate, ~ Poor <br />2. Erosion forming gullies: Extensive, Some, ery Fet , None <br />3. Is wave action causing erosion: <br />On the upstream embankment? [[ ~~ Yes No -t-^ <br />At the principal spillway inlet? Na`h"A-pr (r CcF."t~y'es No <br />4. Erosion of the downstream toe of the embankment? /t/p (~ryt Yes No <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dam? ~' 1JYriv>_ Yes No <br />Could this seepage cause potential instability? Yes No <br />PRINCIPAL SPILLWAY No SPcU-t~~~ /~~ r~~prt~-~~ <br />1. Is the principal spilhvay system in working order? Yes _ No <br />2. Is the inlet free of debris and restrictive material? ~ Y'es _` No <br />3. Is the discharge outlet free of restrictive ma[erial^ <br />Yes No <br />~. Is erosion occurring at the discharge outleC? Yes No <br />Evaluate the severia: Extensive ti-loderare Just Smrtina None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergence spilhvay system capable of passive sign storm discharge'? <br />Yes No <br />2. Does it appear as if the emergency spillway has discharged ~ mer since the last inspection? <br />Yes No <br />3. Is erosion occurring at any section of the emergency spilhv ~ Yes No <br />Describe the extent. <br />SEDIMENT STORAGE CAPACITY <br />L Has the design storage capacity of the re rvoir been surpassed'? Yes No <br />If yes. explain:. [~n~n ri!aSr,tJ is ~/`y ., rrrrq-e- <br /> <br />Please add any special comments concerning potentially dangerous problem oo the back of this <br />sheet! <br />Inspected hy: <br />