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<br />a ~ ~.. '~[l' 1. ",I ... <br /> <br /> <br /> f 1 <br />l <br />l v .` <br />/f ~ . <br /> <br />~ ~ ! ' <br /> <br />~~ <br />~ <br />:''SED <br />IMENTATION POND INSP <br />CTION <br />FORM <br /> . <br />: <br />,. <br />Pond ~ ~~ ~ - r'LflvH, r NPDES No. .~~ <br />' . Date of Inspection Z G ~ ~ ~ ~~ - <br />~`'- -'.EMBANKMENT-<; <br />r . <br />I. Adequacy of the vegetative cover Excellent; <br />i:. ~> <br />. 2. Erosion forming gullies: _' Extensive;_ <br />- 3.'. Is wave action causing erosion: - <br />On the upstream embankment? <br />- - A[ the principal spillway inlet? <br />4. Erosion of the downstream toe of the embankment? <br />. The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dam? <br />Could this seepage cause potential instability? <br /> <br />derate "Few,, - Poor, <br /> <br />Some, :. ery Fe None <br />Yes No ~-- <br />Yes No~ <br />Yes Nom <br /> <br /> <br />Yes No <br />Yes No <br />PRINCIPAL SPILLWAY <br />1. Is the principal spillway system in working order? <br />2. Is the inlet free of debris and restrictive material? <br />3. Is the discharge outlet free of restrictive material? <br />Yes ~- No <br />Yes L" No <br />Yes No C.- <br />4. Is erosion occurring a[ [he discharge outlet? Yes No C~ <br />Evaluate the severi~~typpgg,, JJ~~ qq Extensive Moderate Jty/st Starting None <br />~'PilNL~dtrZc,t~ (JwwnS ~ lJ rL`'~'~ ~~ N+t. cY"N:~c~~ <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spillway system capable of passing design storm discharge? <br />Yes ~- Na <br />2. Doe$ it appeaz as if the emergency spillway has discharged water since the last inspection? <br />-_ Yes No `- <br />3. Is erosion occurring at any section of the emergency spillway? Yes No //~ <br />Describe the extent: <br />SEDIMENT STORAGE CAPACITY <br />I. Has the design storage pacify of to rese otr been surpas~se~d?'~~ Yes No ~ <br />Clain: ' Cr~ f~ ~a't~s'` ~~~~ l~do <br />Please add any special comments concerning potentially dangerous proble on the back of this <br />sheet! <br />InspeMed by: s4iri~ <br />