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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond S~ # NPDES No. ,wE <br />Date of Inspection ///laa~c 7 i s~q <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, Moderate, ~ Poor <br /> <br />2. Erosion forming gullies: Extensive, Some, ery F v, Nonc <br />3. Is wave action causing erosion: <br />On the upstream embankment? Yes No e- <br />At the principal spillway inlet? Yes No <br />~. 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 [he dam? Yes No ~' <br />Could this seepage cause potential instability? Yes No <br />PRINCIPAL SPILLWAY /lorf4r'PUti~lc>%\l~er//r~ `~"~ 7°~L ~'"~~~"~ <br />I. Is the principal spillway system in working order? Yes No <br />2. is the inlet free of debris and restrictive material? Yes No <br />3. ]s the discharge outlet free of restrictive material' Yes No <br />~. Is erosion occurring at the discharge outlet? Yes No <br />Evaluate the severity: Ea~tensive Moderate lust Starune None <br />EMERGENCY SPILLWAY <br />I. 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 watdr since the last inspection'? <br />Yes No <br />3. Is erosion occurring at any section of the emergency spillway? Yes No <br />Describe the extent: _. <br />SEDIMENT STORAGE CAPACITY <br />L Has the design storage capacity of the reservoir been stnpassed? Yes No~ <br />[f yes, explain: _ <br />Iflease aN'd any special comments coocerhing potentially dangerous problems•on the back of this <br />sheet! ~/~/ <br />Inspected by:~~, ~ dC~vyr~~ <br />