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BASIN RESOURCES, ZNC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond ~d~~ ~~~ ~~fi4A ~ NPDES No._ ~v T- <br />Date of Inspection ~~~~ 3 <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: c lent Moderate, Few, Poor <br />2. Erosion forming gullies: Extensive, Some, ry Fe , None <br />3. ie wave action cnuainq erosion: <br />On the upstream embankment? Yee; No ~ <br />At the principal spillway inlet? Yee No ~ <br />4. Erosion of the downstream toe of the embankment? Yes No Gi <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.l7Yea ~No <br />3. Is the discharge outlet free of restrictive material? Yes ~ No_ <br />4. is erosion occurring at the discharge outlet? Yes__No !i 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 spil way 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 ~(/ 1' <br />