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.- <br />~1 ~,~t III III I II I II IIII III 11 ._ )r1C1 1 ; r' ` ~ J F t , i ,l J Y <br />. ..,, . <br />`.f , - ,, l.~ '-5.; r..: _ 19 ~. ~`"T~~-~_ iii ~ ~ ~ 'c:~ 1 . <br />~~~~ ~~f~. .~`'.~Ey,. s'? .. ~_•~- f ..ice - ... ;_ ~'.,.~_:._ <br />- ~~ ~_ - ,~' $EDIMENTATION.POND INSPECTION:FORM.;;~?; -':-: ' -;"~.~ <br />r - Pond "~/~./ ',pri~/f ~ ~ NPDES No. Da! : <br />'- <br />Date of Inspection <br />~. <br />EMBANKMENT--: <br />I: Adequacy of the vegetative cover: <br />xcelle <br />2. Erosion forming gullies: -. ' Extensive; <br />3. Is wave action causing erosion: - <br />On the upstream embankment? <br />At the principal spillway inlet? <br />4. Erosion of the downstream toe 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 potential instability? <br />PRINCIPAL SPILLWAY <br />1. Is the principal spillway rystem in working order? <br />2. Is the inlet free of debris and restrictive material? <br />3. Is the discharge outlet free of restrictive material? <br />Moderate, <br />Some, <br />Few, <br />ery F <br />Yes <br />Yes <br />-Poor ,; <br />\ None <br />No ~' <br />Nom <br />No r. <br />Yes <br />Yes <br />Yes <br />No !~' <br />No <br />Yes i^ No <br />Yes ~ No <br />Yes ~ No <br />4. Is erosion occurring at the discharge outlet'? Yes No i~ <br />Evaluate the severity: Extensive btodemte Just Starting None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spillway system capable of passing design storm discharge? <br />Yes ~' Na <br />2. Does it appear as if dte emergency spillway has discharged water since the last inspection? G~ <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 />If yes, explain: <br />Please add any special comments concerning potentially dangerous problems ao the back of this <br />sheet! <br />Inspected by: <br />