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' ' ' ' ~ _ ~ " ' ~' SEDIMENTATION. POND INSPECTION.FORM .,;" - , ". <br />-"; ,..- - <br />-. _ <br />- Pond .~/es`f-~er~o-Q. Co e~c`~ ~Z- NPDES No. -A%N~ <br />Date of Inspection (a ~ of - <br />,. <br />_ EMBANKMENT..: , <br />I. Adequacy of the vegetative~cover: xcelle Moderate, _- Few, , Poor ,. ' <br />2. Erosion forming gullies: - '.. EMensive, Some, ~w, None <br />3. Is wave action causing erosion: <br />- On the upstream embankment? Yes No <br />- At the principal spillway inlet? N~~PP~c~LO'-Yes No <br />4. Erasion of the downstream toe of the embankment? Yes No ~~ <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring through the dam? Yes No c~ <br />Could this seepage cause potential instability? Yes No <br />PRINCIPAL SPILLWAY Jl/o Spt(~w,r~ ~ ~t/.~'ifiyy~ltcu-~,L~ <br />1. Is the principal spillway rys[em in working order? Yes No <br />2. Is the inlet free of debris and restrictive material? <br />3. Is the discharge outlet free of restrictive material? <br />1. Is erosion occurring at the discharge outlet? <br />Evaluate the severity: <br />Extensive Moderate <br />Yes No <br />Yes No <br />Yes No <br />Just Starting None <br />EMERGENCY SPILLWAY /U~ ~'irwlwfs,~f SPtI~"~'+*~~ /'11~/i-P~lt cc>`Io~' <br />1. Is the overall emergency spillway rystem capable of passing design sto discharge? <br />Yes No <br />2. Does it appear as if the emergency spillway has discharged water since the last insTection? <br />Yes No <br />3. [s 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 c/a7paciry of the reservoir been surpassed? <br />If yes, e.~cplain: J~ r~C , .ri rs .may <br />Yes No ~- <br />Please add Jny special comments cooceming potentially dangerous problems oo the back of this <br />sheet! <br />inspected by: <br />