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Z~q igg9 <br />BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond yj/GL~ {J Yv ~~ NPDES No. _Q(LC~ <br />Date of Inspection - 1~'luT1/ ['m ~ ~ f ^y <br />EMBANKMENT <br />1. Adequacy of the vegetative cover xcellet Moderate, Few, Poor <br />2. Erosion fornting gullies: Extensive, Some, ery Fe[ • None <br />3. Is w•avc action causing erosion: <br />On the upstream embankment? Yes No L <br />At the principal spillway inlet? Yes No (r. <br />4. Erosion of the downstream toe of the embankrent? Yes No (~- <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dam? Yes No~G <br />Could this seepage cause potential instabilin•? 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 material" Yes y No <br />3. is the discharge outlet free of restrictive material? Y"es L~ No <br />~. Is erosion occumng at the discharge outlet? Yes No ~i <br />Evaluate the seventy: E.nensive Moderate Just Starune None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spillway s<s[em capable of passing design storm discharge'.' <br />Yes ~~ No <br />2. Doe* n appear as if the emergency spillway has discharged watE;' since the last mspecuon' <br />Yes No ~ <br />3. Is erosion occurring a[ any section of the emergencti spillway? Y'es No= <br />Describe the extent: _. __ <br />SEDIMENT STORAGE CAPACITY <br />L Has the design storage capacity of the reservoir been surpassed? Yes _ NoL <br />Ifye^, explain: _ -- - -- <br />PI'eas~ ad; sny speciitl com^.fEnts cancertiing potentially dxn~eror'! problems ~!~t iA'e back of this <br />sheet! <br />Inspected bv: - <br />