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~\ - v- ('~~~G~ kf~'S BASIN RESOURCES, INC. <br />~ b <br />SEDIMENTATION POND INSPECTION FORM <br />Pond /Ue~/ F:ef'1 <br />Date of Inspection <br />DES No. ~~/ <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: xcellent Moderate, Few, Poor <br />2. Erosion farming gullies: Extensive, Some, Very Few, one <br />3. Is wave action causing erosion: <br />On the upstream embankment? Yes No L- <br />At the principal spillway inlet? Yes No y <br />4. Erosion of the downstream toe of the embankment? Yes No ~ <br />The cause of the erosion is attributed to: <br />5. Is seepage occurring tluough the dam? Yes __ No •~' <br />Could Cris seepage ca~~sc po[enc:.! inttabilit;~? v.-, ___ n,o (_ <br />F.~rpiairt _ <br />PRINCIPAL SPILLWAY <br />1. Is the principal spillway rystem in working order? Yes L No <br />2. Is the inlet free of debris and restrictive material? Yes V No <br />3. Is the discharge outlet free of restrictive material? Yes ~~ No <br />4. Is erosion occurring at the discharge outlet? Yes No ~- <br />Evaluate the severity: Extensive Moderate Just Starting one <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spillway rystem capable of passing design storm discharge? <br />Yes / No <br />2. Does it appear as if [he emergenry spillway has discharged water since the last inspection? <br />Yes No J <br />3. Is erosio^ occurring at any section of the emergency spillway? Yes No ~~ <br />Describe the extent: <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storag~,_apaciry of the reservoir been asse ? Yes No. <br />Please add any special comments concerning potentially dangerou roblems on the back o this <br />sheet! <br />Inspected b_ <br />