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BASIN RESOURCES, INC. <br />SEDIMEN/TATION POND INSPECTION FORM <br />- /'/~-E~ r~,?]R` tn~e~l~~s NPDES No. fnrcc <br />Date of Inspecti <br />EMBANKMENT <br />1. Adequacy of [he vegetative cover: Excellent, odes et Few, ~ Poor <br />2. Erosion forming gullies: Extensive, Some, Very Feva, None <br />3. Is wave action causing erosion: <br />On the upstream embankment? Yes No / <br />At the principal spillway inlet? ~~o ~,r'i ~("~'~ Yes No <br />4. Erosion of the downstream toe of the embankment? <br />The cause of the erosion is attributed to: <br />Yes No / <br />5. Is seepage occurring through the dam? <br />Could this seepage cause potential insmbiliry? <br />Yes No V' <br />Yes No v <br />PRINCIPAL SPILLWAY /y~j Sri; Ilc.'>:;,, _ Cie>~i~~:~~ ~: 7c1-~ ~ G;~~~~~~'~~''~'"-~ <br />- - - 1: 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 the discharge outlet free of restrictive material? Yes No <br />~. Is erosion occurring at the discharge outlet'? Yes No <br />Evaluate the severity: Extensive biodera[e Just Staring None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spillway system capable of passing design storm discharge? <br />Yes No <br />2. Doffs i[ appeaz as if the emergency spillway has dischazged water since [he last inspection? <br />Yes No <br />3. Is erosion occurring a[ any section of the emergency spillway? Yes No <br />Describe the ectent: _. <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storage capacity of the reservoir been surpassed? Yes No~ <br />If yes.explain:~ranrr~~~t,~vt~~,`~ (,~~~ ['~,~ay«.i/ ~~ ~,., ~nr_~ ( i949 <br />/a'~a~ lviJeL eWoa~ .cyl ~fi h~/c~•J -spzr La H,,,CiNra,T <br />Illeife aU'd any special conilneots concerting potentially dangerous oblems~on the bac c of this <br />sheet! ,,/~ ~~L/ <br />Inspected by: ~w(d~ Sn~ <br />