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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond~~~~~4 ~,~ ~o.J~ NPDES No. /Uoit1~ <br />Date of Inspection mg.~, /D ~/9Qy <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, oder~ Few, Poor <br />2. Erosion forming gullies: Extensive, Some, ry Few None <br />3. Is wave action causing erosion: <br />On the upstream entbattkment? Y'es No_ L- <br />At the principal spillwa} inlet? Ycs No_~~ <br />4. Erosion of the downstream roe of the embankment? Y'es No <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring though the dam? Yes No V <br />Could this seepage cause potential instability? Yes No <br />Explain: <br />PRINCIPAL SPILLWAY y.TA~t~PUCi~jLF \j~e.sy~Ie~ Qr,. 7:f:-c_ (~nt`Q,d,ne,t,~ <br />1. Is the principal spillway system in working order? Yes No <br />?. Is the inlet free of debris and restrictive material' Yes No <br />3. Is the discharge outlet free of restrictive material' Y"es No <br />~. Is erosion occumng at the discharge outlet? Yes Na <br />Evaluate the severin~: Extensive Moderate Just Starune None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spillway system capable of passine design storm discharge'? <br />Yes No <br />2. Doe! it appear as if the emergency sptllw3y has discharged watE;- since [he last inspection? <br />Yes No <br />3 Is erosion occurring a[ any section of the emergency spilhvay? Y'es No_ __ <br />Describe the extenr. _. ,_ <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storage capacin• of the resew-oir been surpassed" Yes No ~~ <br />Ifye%. explain: _ - <br />Pfeas~2'ad; any specPal com^rfnts concerning poten[ially dan~eror* problems •t~t u1'e back of this <br />sheet! <br />Inspected by: <br />