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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond RJ~A - Sv lE,•,~a,n.rPi~~ #~ NPDES No. /ri.',z~ <br />Date of Inspection , ~ji ,~ T ?vim c, <br />EMBANKMENT <br />1. Adequary of the vegetative cover: Excellent, Moderate, <br />2. Erosion forming gullies: Extensive, Some, <br />3. Is wave action causing erosion: <br />On the upstream embankment? <br />A[ the principal spillway inlet? ,„y iprllwvs-~ <br />4. Erosion of the donmstream [oe of the embankment? <br />The cause of the erosion is attributed to'. <br />5. is seepage occurring through the dam? <br />Could this seepage cause po[ential insrabtliry? <br />PRINCIPAL SPILLWAY ~')/v jr~, ll~'fy <br />1. Is the principal spillway system in working order' <br />ew Poor <br />ery F ~, None <br />Yes No ~- <br />Yes No <br />Yes No ~ <br />Yes No <br />Yes No <br />Yes No <br />2. [s the inlet free of debris and restrictive material? Y"es No <br />3. Is the discharge outlet free o' restncuve matenal? Yes No <br />4. Is erosion occurring at the disc~tazge oude[? Yes No <br />Evalua[e the severity: EaZensive Moderate Just Starting None <br />EMERGENCY SPILLWAY <br />1. is the overall emergency spillway system capable of passing design storm discltazee? <br />Yes No <br />2. Does it appear as if the emergency spillway has dischazged wa[er since the last inspecuon? <br />Yes No <br />3. Is erosion occurring at any section of the emergency spillway? <br />Describe the extent: <br />Yes No <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storage capacity of the reservoir been stupassed? Yes No <br />Please add any special comments concerning potentially dangerous problems oo the baclt of this <br />sheet! /J <br />Inspected by /~ ;~ 4^-n ~. <br />T <br />