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<br />BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond ~d~~¢,,, ~~_ -,~/L~~~ _ NPDES No._ ~p,S <br />Date of Inspection ~~~/6l~ Z /' <br />EMBANKMENT ~ ~~ ~F -S~~~c~ <br />1. Adequacy of the vegetative cover: Excellent, Moderate, Few, Poor <br />2. Erosion forming gullies: Extensive, Some, Very Few, None <br />3. Is wave action causing erosion: <br />On the upstream embankment? Yea No <br />At the principal spillway inlet? Yea, No <br />4. Erosion of the downstream toe of the embankment? Yea No <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dam? Yea No If yes <br />could this seepage cause potential instability? Yes No <br />Explain• <br />PRINCIPAL SPILLWAY <br />1. Is the principal spillway system in working order? Yes No <br />2. Is the inlet free of debris and restrictive materia.l?Yes No <br />3. Is the discharge outlet free of restrictive material? Yea No_ <br />4. Is erosion occurring at the discharge outlet? Yes__No If <br />yes, <br />evaluate the severity: Extensive Moderate Just starting None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spillway system capable of passing <br />design storm discharge? Yes No <br />2. Does it appear as if the emergency spillway has discharged water <br />since the last inspection? Yea No <br />3. Is erosion occurring at any section of the emergency spillway? <br />Yes No Describe the <br />extent <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storage capacity of the reservoir been surpassed? <br />Yes No If yea, <br />explain: <br />Please add any special comments concerning potentially dangerous <br />problems on the back of this sheet. <br />Inspector <br />