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~- <br />~II II~II~II~II~~ II~ <br />GHQ <br />BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Date of <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: <br />2. Erosion forming gullies: <br />~NPDES No. /r/zr~- <br />Excellent, ad [e, Few, Poor <br />Extensive, Same, ~ew, None <br />3. is wave action causing erosion: <br />On the upstream embankment? np~~ Yes No ~ <br />A[ the principal spilhvay inlet? ~~ 5~'cUy+'7 Yes No <br />4. Erosion of the downstream toe of the embankment? <br />The cause of the erosion is attributed to: <br />Yes No ~~ <br />5. Is seepage occurring through the dam? Yes No +~ <br />Could this seepage cause potential instability? Yes No <br />PRINCIPAL SPILLWAY N' S~o;,(',(~w'.rc~ <br />1. 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. 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: Extensive Moderate Just Staring None <br />EMERGENCY SPILLWAY ~j~°, S ~~w~ <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 lazt 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 [he reservoir been surpassed? Yes No i/ <br />If yes, explain: <br />Please add any special comments concerning potentially dangerous problems oo the back of this <br />sheet! <br />Inspected by: <br />