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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond IQbf,z S~ Ca~i9~r,tJrllE,rrl' +'f~ NPDES No. /!/.,de <br />Date of Inspection /l7if-~~o /yTy <br />EMBANKMENT / <br />1. Adequacy of the vegetative cover: Excellent, D•foderate, ~ Poor <br />2. Erosion forming gullies: ExKensive, Some, ery F Nonc <br />3. Is way a action causing erosion: <br />On the upstream embankment? Yes No `_ <br />At the principal spillway inlet? Yes No f_ _ <br />~. Erosion o(the downstream toe oC the embanlunent? Yes No L-- <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dam? <br />Could this seepage cause potential insmbilin? <br />Yes <br />Yes <br />No ~ <br />No <br />PRINCIPAL SPILLWAY ,(/i7 APP/rcPb-~. ~ ~rrttr~tvr <br />1. is the principal spdhvay system in working order' Yes _ <br />2. Is the inlet free of debris and restrictive material' Yes <br />3. Is the discharge outlet free of restnctive material° Yes <br />No <br />No <br />No <br />1. Is erosion occumng at the discharge outlet' Yes No <br />Evaluate the severin: E~Zensive Moderate Just Startine None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spillway system capable of passing design storm discharge' <br />Yes No <br />2. Doi it appear as if the emergence spilhwy has discharged watE;' since the la_i[ inspection? <br />Yes No <br />3. Is erosion occurring at any section of the emergence spillway? Yes No=__ <br />Describe the extent: <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storage capacip• of the reservoir been surpassed? Y'es No~= <br />If ye%, explain: _ _ _ <br />- -- -- <br />Pfeast2 ad'.fi any speciitl com^YEnts concertling potentially d'._ngero+'± p blems •!!t t'h'e back of this <br />sheet! ~ /j <br />Ynspected by: /V <br />