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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />NPDES No. ©o <br />Date of Inspection <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, 4oder< Few, Poor <br />2. Erosion fornting gullies: Extensive, Some, ery Fe~v None <br />3. Is wave action causing erosion: <br />On the upstream embattkntent? Yes No ~ <br />A[ the principal spilhvay inlet? Yes No~_ <br />4. Erosion of the downstream toe of the embankment? Yes No (, <br />The cause of the erosion is attributed to: <br />5. Is seepage occumng through the dam? Yes No <br />Could this seepage cause potential insmbiliq~? 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? Yes ~~ No <br />4. Is erosion occurring at the discharge outlet' Yes No f~- <br />Evaluate the severity: Extensive 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. Does it appear as if [he emergency spilhvay has discharged vvat0r since the last inspection'? t_ <br />Yes No <br />3. Is erosion occurring at any section of the emergency spillway? Yes No L' <br />Describe the extent: <br />SEDIMENT STORAGE CAPACITY ~, <br />1. Has the design storage capacity of the reservoir been surpassed? Yes No <br />If yes. explain: ~- -- <br />t<les5e aU'd any special conifnents concerning potentially dangerous problems•an the back of this <br />sheet! ~~~~ <br />'Inspected by: G~yy`^- <br />