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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond cs•cTl~.Ce,K C'ia.,~,li ~rdrx.. NPDES No._ ~ ,~ <br />Date of Inspection l ~ ~ /9 3 <br />EMBANI(MENT <br />1. Adequacy of the vegetative <br />cover: Excellent, od~lra , <br />Faw, Poor <br />2. Erosion forming gullies: Extensive, Some, Very Few, obe <br />3. Is wave action causing ero sion: <br /> On the upstream embankment? Yes No v <br /> At the principal spillway inlet? Yes No ~ <br />4. Erosion of the downstream toe of the embankment? Yea No ~ <br /> The cause of the erosion i s 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? Yea YNo <br />2. is the inlet free of debris and restrictive material?Yea V'No <br />3. is the discharge outlet free of restrictive material? Yes L/ No_ <br />4. Is erosion occurring nt the discharge outlet? Yes__No r/!rf <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 .ENO <br />2. Does it appear as if the emergency spillway has discharged water <br />since the last inspection? Yes No ti <br />3. is erosion occurring nt 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 c/ff yes, <br />explain: <br />Please add any special comments concerning potentially dangerous <br />problems on the back of this sheet. /J ~ :, <br />Inspector ,/V <br />