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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond /,y~,~-f>>,.Yr~(' ~nvr~io,,,irvv`~`- ~ Z NPDES No. /GF>.Le~ <br />Date of Inspection ,~/zy/a u __ __~__ <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: xcelle Moderate: Few, Poor <br /> <br />2. Erosion forming gullies: Extensive, Some, `'~vv, None <br />3. Is wave action causing erosion: <br /> On the upstream embankment? ~ Yes No l~ <br /> At the principal spillway inlet? /Ue $Pt ~~ 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 l~ <br /> Could this seepage cause potential instability? Yes No <br /> Explain: <br /> <br />P RINCIPAL SPILLWAY r'/.: S~tC~uld'`'/ <br />1. Is the principal spillway system in working order? Yes No <br />2. [s 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 occurring at the discharge outlet? Yes No <br />Evaluate the severity: Extensive Moderate Just Starting None <br />aj <br />EMERGENCY SPILLWAY /'/~ ,fur.{ S/~-~~~5 <br />1. Is the overall emergency spilhvav system capable or f passing design storm discharge? <br />Yes No <br />2. Does it appear as if the emergency sptllway has dischazged water since the last inspection'' <br />Y"es No <br />3. Is erosion occurring at any section of the emergency spillway'' Yes No <br />Describe the extent: <br />SEDIMENT STORAGE CAPACITY <br />L Has the design storage capacity of the reservoir been surpassed' Yes No ~~ <br />If yes, explain: <br />Please add any special comments concerning potentially d:wgerous problems on the back ot'this <br />sheet! <br />Inspected by:~ <br />