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• BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond ~ir~i~e~eJ' ~o~~ NPDES No. /'c~~rJe- <br />Date of Inspection ~ Z/ , Zoe ~ <br />EMBANKMENT yy~~ <br />1. Adequacy of the vegetative cover: Excellent, Moderate, (~et4, Poor <br />2. Erosion forming gttllies: Extensive, Some, Very ew, None <br />3. Is wave action causing erosion: <br />On the upstream embankment? Yes No it <br />At [he principal spilhvay inlet? fU°.S~t ~~~`~ Yes No <br />4. Erosion of [he downstream toe of the embanktent? 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 />E.rplain: <br />PRINCIPAL SPILLWAY /j~o ~~in~;l~~ S/~r (~~t~~ <br />• 1. is the principal spilhvay system in working order? Ye No <br />2. Is the inlet free of debris and restrictive material? Yes No <br />3. Is the dischazge outlet free of restrictive material? Yes No <br />~. Is erasion occurring at the dischazge outlet? Yes No <br />Evaluate [he severity: Extensive Moderate Just Starting None <br />EMERGENCY SPILLWAY /I,v ~,,tE,, c..cc-y Spc~lc.eic <br />1. Is the overall emergency spillway system capable of ~ssing design storm dischar e? <br />Yes Na <br />2. Does i[ appear as if the emergency spillway has discharged water since the last inspection? <br />Yes No <br />3. Is erasion occurring at any section of the emergency spillway? Yes No <br />Describe the extent: <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storage capacity of ate reservoir been surpassed? Yes No ~~ <br />^ (•D <br />Tfyes,explain: 1~es:au~:I r ~-v'F. ~ ~„'~".«v,vtte.`l~e/~o,ryr~ <br />• Please add any special comments coocerniug potentially dangerous problems oo the back of this <br />sheet! ~~_,.1/~ <br />Inspected by: ~~yv,,,,,~--~--~ <br />