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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond~~ <br />Date of Inspecti <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, Moderate, w Poor <br />2. Erosion forming gullies: Extensive, Some, ery w, None <br />3. Is wavc action causing erosion: _ <br />Ou the upstream embankment? Ycs No ~ <br />At the principal spilhvay inlet? Yes No L <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 occurring through the dam? <br />Could this seepage cause potential instabilin~? <br />Yes No ~ <br />Yes No <br />PRINCIPAL SPILLWAY /~~ Na'1~.~'~u_= ~(~l"~Q.P~~z~ ~G_~Dy'r~f7/NNK.~ <br />1. Is the principal spillway system in working order? Yes No <br />2. Is [Ite inlet free of debris and restrictive materiail? Yes No <br />3. is the dischazge outlet free of restrictive material? Yes No <br />~. is erosion occurring at the discharge outlet? Yes No <br />Evaluate the severity: Extensive Moderate Just Starting None <br />EMERGENCY SPILLWAY <br />1. Is [he overall emergency spilhvay system capable of passing design storm discharge? <br />Yes No <br />2. Does it appear as if the emergency spillway has discharged wator since the last inspection? <br />Yes No <br />3. is erosion occurring at any section of the emergency spilhvay? Yes No <br />Describe the extent: <br />SEDIMETVT STORAGE CAPACITY <br />1. Has the design storage capacity of the reservoir been surpassed? Yes No~_ <br />If yes, explain: <br />>sleaseaNU any special conilnents cooceming potentially dangerous problems•on the back of this <br />sheet! /J ~/J /~ <br />Inspected by:_/~-~ %~~L c/yrL,K-~ <br />~NPDES No. prL,~t~ <br />