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. '~ <br />'~J .. <br />BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond ?tiCJ NPDES No. ©o <br />Date of Inspection U <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, odera Few, Poor <br />2. Erosion forming gullies: Extensive, Same, ery Fe None <br />3. Is wave action causing erosion <br />On the upstream embankment? Yes No ~- <br />At the principal spillway inlet? Yes No c:- <br />4. Erasion of the downstream toe of the embankment? Yes No !i <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through [he dam? Yes _ No f <br />l'euiS this seepage cause potential icetability~ Yes No <br />Explain: <br /> <br />PRINCIPAL SPILLWAY <br />1. Is the pnncipal spillway system in working order? Yes ~ No <br />2. Is the inlet free of debris and restrictive material? Yes `~ No <br />3. Is the discharge outlet free of restrictive material? Yes ~ No <br />4. Is erosion occurring at the discharge outlet? Yes No ~ <br />Evaluate the severity: Extensive Moderate Just Starting 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 spillway has discharged water 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 />1. Has the design storage c p try of the rese it been surp~ri~se~~/.7,~ ~Yes ~_ No L. <br />If yes, explain: ~~(~ ~ r S ^6~-- "-~ /a" t i' G <br />Please add any special comments concerning potentially dangerous problems on the back of this <br />sheet! <br />Inspected by: <br />