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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />~ c' NPDES No. ~~.d~ <br />Date of <br />EMBANKMENT <br />1. Adequacy of the vegetative cover Excellent Moderate, <br />2. Erosion forming gtdlies: Extensive, Some, <br />3. ]s [vavc action causing erosion: <br />On the upstream embankment? <br />At the principal spillway inlet? <br />4. Erosion of the do[vns[ream toe of the embankment? <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dam? <br />Could this seepage cause potential instabtlin? <br />Explain: <br />Fe[a, Poor <br />cry Few None <br />Yes No ~ _ <br />Yes No ~ <br />Y'es No ~ <br />Yes <br />Yes <br />PRINCIPAL SPILLWAY A/oT l4pp/ca~l~~--/~~«.tr~~~ <br />1. Is the principal spillway system in worlung order^. ( Yes <br />2. Is [he inlet free of debris and restncuve material" Yes <br />3. Is the discharge outlet free of restrictive materal? Y"es <br />No ~~ <br />No <br />No <br />No <br />No <br />~. Is erosion occurring at the discharge outlet'.' Y"es No <br />Evaluate the severity: Extensive Moderate Just Stanine None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spiltway s1s[em capable of passing design storm discharge'.' <br />Y'es No <br />2. Doe} it appear as if the emergenc}• spillway has discharged watE; since the last inspection' <br />Yes No <br />3. is erosion occumng at any section of the emergency spilhvay? Yes No__ <br />Describe the extent: _. __ <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design stora a capacity of the resenaa been surpassed? Yes No_~= <br />-1~, explarn: ~o.v h ~c ~P ~ t _ - _ _ <br />-~-- <br />~ Pt'eas~ adk. any specPitl com"rEnts coocertling potentially d2n>;erop± roblems ~![t ii1'e back of this <br />sheet! <br />7ospected by: __ <br />