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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond ~~~ ST r~oTt4,r.P ~~e.r ~~~nvh~ r.~~ZNPDES No. ~~vE <br />Date of Inspection__T~,cdcy /Z i ~~{{ <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: .~cellen , Moderate, Few, Poor <br />2. Erosion fornting gullies: Extensive, Some, ery Fe None <br />3. Is wave action causing erosion: <br />On the upstream embankment? Yes No ~ <br />At the principal spilhvay inlet? Yes No___.~ <br />d. Erosion of the downstream toe of the embanl:ntent? Yes No 1. <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dam? Yes No1~ <br />Could this seepage cause potential instability? Yes No <br />E.~cplain: <br />PRINCIPAL SPILLWAY Rrb'r /}PpUcr+~?c~.C L I~~.''~~ ~~ ~°`e- Cd~~'~N`~"~ <br />1. Is the principal spillway system in working order? Yes No <br />2. Is the inlet free of debris and restrictive material? 1'es No <br />3. Is the discharge outlet free of restrictive material? Yes No <br />~. Is erosion occurring at the discharge outlet? Y'es No <br />Evaluate the severity: E.~tensiye Moderate Just S[artine 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 the emergency sptlhvey has discharged water since the last inspection? <br />Yes No <br />3. Is erosion occurring at any section of the emergency spi]hvay? Yes No <br />Describe the ectent: _. <br />SEDIMENT STORAGE CAPACITY <br />I Has the design storage capacity of the reservoir been surpassed? Yes No~_ <br />[f yes. e:cplain: <br />liteas'ea~d any special conilnents concerning potentially dangerous problems•ao the back of this <br />sheet! ~ ~./J <br />'Inspected by: ~}ib/y"~- <br />