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BASIN RESOURCES, INC. <br />SEDIMENTAl~ION POND INSPECTION FORM <br />Pond (~a~ /cU~ NPDES No. ©_ d~_ <br />Date of Inspection ~- ~~~. /l`~`l9 <br />EMBANKMENT <br /> <br />1. Adequacy of the vegetative cover. Excellent, D9oderate, Few, Poor <br /> <br />2. Erosion forming gtdlies: Extensive, Some, ery F v, None <br />3. Is wave action causing erosion: <br />On the upstream embankment? Yes No L- <br />At the principal spillway inlet? Yes No ~- <br /> <br />4. Erosion of the downstream [oe of the embankrttent? Yes No C~ <br />The cause of the erosion is attributed to: <br /> <br />5. Is seepage occurring though the dam? Yes No ~/~ <br />Could this seepage cause potential instability? Yes No <br />Explain: <br /> <br />PRINCIPAL SPILLWAY <br />1. Is the principal spillway system in working order? Y'es L' No <br />2. Is the inlet free of debris and restrictive matenal'. Yes U 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: Ex7ensive N(oderate Just Smrun e None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spilhvay sstem capable of passing design storm discharge'' <br /> Y'es ice-- No <br />2. Doe+t it appear as if the emergenc}~ spoltwy has discharged watE; since the last inspection'? <br />Yes No <br />3. Is erosion occurring at any section of the emergenc!r spillway? Yes No= <br />Describe the extent: _. __ <br />SEDIMENT STORAGE CAPACITY <br />L Has [he design storage capacity of the reservoir been surpassed? Yes No <br />If ver, explarn: _ - <br />Pfeasii±a~ xny specitl com^tEnts concerBiag potentially d2ngeraa* p blems~S!t tlA'e bael: of this <br />sheet! / .~ <br />Inspected by: •/ <br />