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<br />BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond ~p/,t -Sr C'O~Xrrf/NIErI/r ~~ NPDES No. er/ <br />Date of Inspection DIA~CGr 3o r Zoo / <br /> <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, Moderate , ~, Poor <br />2. Erosion forming gullies: Extensive, Some, ery Fe None <br />3. Is wave action caasing erosion: <br />On the upstream embankment? / <br />~ Yes No ~ <br />At the principal spillway inlet? ///p ~Orl <br />~ Yes No <br />4. Erosion of the downstream toe of the embankment? Yes No <br />The cause of the erosion is attributed to: <br /> <br />5. Is seepage occurring through the dam? Yes No //' <br />Could this seepage cause potential instability? Yes No <br />Explain: <br /> <br />PRINCIPAL SPILLWAY /l~d SPr CCWi,`-j <br />L 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 />~. Is erosion ocetrrring at the discharge outlet? Yes No <br />Evaluate the severity: Extensi <br />e <br />Moderate Just Stanin a None <br />v <br />! <br />EMERGENCY SPILLWAY /'t/~ S~~~u w~j <br />I. Is the overall emergency spillway stem capable of passing design storm discharge'? <br /> Yes No <br />2. Does it appear as if the emergenc}~ 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 capac~{{ty of the rese otr been surpassed? Yes No ~/ <br />I#~. explain: /f rs uc,X (aiS.Eln~,.,., ~ ~ 16.E rv1 ~ <br />Please add any speci:il comments concerning potentially d:wgerous prable~ on the back of this <br />sheet! <br />Inspected by: <br />