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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />~NPDES No. ~a~e_ <br />Date of Insp <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, dera Fen•, Poor <br />2. Erosion forming gullies: Extensive, Sottte, Very Fe None <br />3. Is wave action causing erosion: <br />On [he upstream embankment? Yes No V <br />At [he principal spillway inlet? ~/0 5~+t~t'G-'[~ Yes No <br />4. Erosion of the downstream toe of the embankment? Yes No y- <br />The cause of the erasion is attributed to: <br />5. Is seepage occurring through [he dam? Yes No v <br />Could this seepage cause potential instability'' Yes No ~ <br />Explain: <br />PRINCIPAL SPILLWAY~s.~~,((r..:'e;e, - 17e-;-esq.?t'~ ~i°" /~~ ~'T~~ltt+e~u`~ <br />1. Is the principal spillway system in working order^. d Yes No <br />2. Is the inlet free of debris and restncuve material'? Yes No <br />3. is the discharge outlet free of restrictive material? Yes No <br />~. Is erosion occurring a[ the discharge outlet? Yes No <br />Evaluate the severin• Extensive Moderate Just Smrtine None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spilhvac stem capable of passing design storm discharge' <br />Yes No <br />2. Dot93 it appear as if the emergency sptllwey has discharged wattir since the last inspection? <br />Yes No <br />3. Is erosion occurring at any section of the emergence spilhvay? Yes No <br />Describe the extent: _. <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storage capacin of the resenotr been surpassed? Yes <br />If vrs, explain: ~ia,3,..J i,t r;t"r /y:~ %~ c:, . Y" <br />~le~e•alt~d any speeial cooitnents concerning potentially dangerous oblems~oo the bac c of this <br />sheet! 0 <br />~[nspected by: r/! e~ <br />