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BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond ;PDf~- -,SCC~ Cv,-t~~ ~ '~ NPDES No. /l~rt~_ <br />Date of Inspection / /~zy/p u <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, Moderate: ~ Poor <br />2. Erosion forming gullies: Extensive, Some, ery F None <br />3. Is wave action causing erosion: <br />On the upstream embankment? n,7 Yes No v <br />A[ the principal spillway inlet?/lei S~rtte"~ Yes No <br />4. Erosion of the downsveam toe of the embankment? Yes No ~ <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 III:: s~i w u't~ <br />L Is llte principal spilhvay system m working order^ <br />2. [s 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 severia: <br />Extensive Moderate <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Just Stoning None <br />EMERGENCY SPILLWAY ~f.~ %~c.C%~~lirLEG S~~cct/-( <br />I. Is [he overall emergency spillway system capable of passing design storm discharge? <br />Yes No <br />2. Does it appear as if the emergency spillway haz discharged water since the last inspection? <br />Yes No <br />J. Is erosion occurring at any section of [he emergency spillway':' Yes No <br />Describe the extent: <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storage capacity of the reservoir been surpassed? Y'es No ~_ <br />If yes. explain: <br />Please addrny special comments concerning potentially dangerous problems the back of this <br />sheet! ,/~ <br />Inspected by: /~- <br />