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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond /~b~ -12~i,'~'Ll, 1~.~~t~7r/9~~' ~~ NPDES N0. l~~r//~_ <br />Date of Inspection_ 197,.9r~Ga ~t z_~~/~ <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, oderate Few, Poor <br />2. Erosion forming gullies: Extensive, Some, i:ry Fe None <br />3. Is wave action causing erosion: <br />On the upstream embankment? Yes No [~ <br />At the principal spillway inlet? .^..~ $P. ~~wr~ Yes No <br />4. Erosion of the downsveam tae of the embankment? Y'es No <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dam? Yes No <br />Could this seepage cause potential instability? Yes No <br />Explain: _ __ <br />PRINCIPAL SPILLWAY ~/~ S ~• C.I L!.'t* <br />1. is the principal spillway system m working order? / Y'es _ 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 />3. is erosion occurring at the discharge outlet? Yes No <br />Evaluate the severity: E.~iensive Moderate lus[ Staring None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spillway system capable of passtng design storm discharge'' <br />Yes No _ <br />2. Doe's it appear as if the emergenry spillway has discharged water since the las[ 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 capacity of the reservoir been surpassed? Yes No ~ <br />explain: ~ ~: _ <br />Please add nay special comments cooceraiag potentially dangerous problem oo the back of this <br />sheet! <br />Inspected by: - ~~'~+'-~ <br />