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. i ~'. <br />BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond NPDES No. oo s <br />Date of Inspection L <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: xcellent, Ivioderate, Few, Poor <br />2. Erosion forming gullies: Extensive, Some, ery Few, None <br />3. Is wave action causing erosion: <br />On the upstream embankment? Yes No ~ <br />At the principal spillway inlet? Yes No (~ <br />4. Erosion of [he downstream toe of the embankment? Yes No y <br />The cause of the erosion is attributed to: <br />~. Is seepage occurring through the dam'? '~ es i:u ~ <br /> Could this seepage cause potential instability? Yes _____ No ~~ _ <br /> Explain: - - <br />- <br /> - <br />-- <br />P RINCIPAL SPILLWAY <br />1. Is the principal spillway rystem in working order? Yes ~G 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 l• No <br />4. Is erosion occurring at the discharge outlet? Yes No ~ <br /> Evaluate the severity: Extensive Moderate lust Starti ng None <br />E MERGENCY SPILLWAY <br />1. Is the overall emergency spillway system capable of passing design storm discharge? <br /> Yes ~ No <br />2. Does it appear as if the emergency spillway has discharged water since the last inspecti on? <br />~ <br /> Yes No ~ <br />3. Is erosion occurring at any section of the emergency spillway? Yes No ~ <br /> Describe the extent: <br /> <br />SEDIMENT STORAGE CAPACITY ~ <br />1. Has the design stora e~a~aciry the re oir been ~assed? Yes No~T- <br />If ves. exulain: r U~LI'.~ . ~~wv ~ . w n 1l ~ n.~.~ .~3`t- 1...,/~/i <br />Please add any special comments concerning potentially dangerous problems oo the back f this <br />sheet! ~ A/~~ <br />Inspected by: lC~y~„(f <br />