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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />-Sir1/ CnttnytNK* ~`3 NPDES No. ud/E <br />Date of <br />EMBAN4CMENT <br />1. Adequacy of the vegetative cover: Excellent, Moderate, ew Poor <br /> <br />2. Erosion forming gullies: Ea2ensive, Some, ery Few None <br />3. Is wave action causing erosion: <br /> On the upstream embankment? Yes No (/ <br /> At the principal spillway inlet? fr/o s~i/~i/M5 <br />U Yes No <br />4. Erosion of the downstream toe of the embankment? Yes No L/ <br /> The cause of the erosion is attributed [o: <br />5. Is seepage occurring through the dam? <br />Could this seepage cause potential instability? <br />Yes Nom <br />Yes No ~ <br />PRINCIPAL SPILLWAY N~ ,~~il~~~ - Pe:,"r~cC `~°.' °!'°'Q ~d'° f Nei/r`L~ <br />I. Is the principal spillway system in working order Yes No <br />2. Is the inlet free of debris and restrictive material? Yes No <br />3. Is [he discharge outlet free of restrictive material? Yes No <br />4. Is erosion occurring at the discharge outlet? Yes No <br />Evaluate the severity: E:ttensive Ivfodera[e Lust Staring None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spillway system capable of passing design storm discharge? <br />Yes No__ <br />2. Doi it appear as if the emergency spillway has discharged water since [he 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 />1. Has the design storage capacity of the reservoir been surpassed? Yes <br />L`yes.eeplain:rr„~,s_<;~iJ is ~ru - /(J, e~q~rriCeawz <br />_ Qrr_, sa„ L'i._ in_ C'.Nfo /Q_C_ Ci. l/. rGU <br />lltea5e a8'd any special continents conceiving potentially dangerous p oblems~nn the bask of this <br />sheet! /~ <br />Inspected by: ..,/~ <br />