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<br /> <br />- <br />`. <br />'~ <br />:~ <br />__ <br />, <br />. <br />-, _ <br />., <br />BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />i <br />Pond D/4 NPDES No. Oo <br />Date of Inspection <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, oderate Few, Poor <br />~~ <br />2. Erasion forming gullies: Extensive, Some, Very Fe None <br />3. Is wave action causing erosion: <br />On the upsveam embankment? <br />At the principal spillway inlet? <br />4. Erosion of the downsveam toe of the embankment? <br />.The cause of the erosion is attributed to: <br />~ [s seepage occumng through the dam? <br />Could this seepage cause potenaa! instahilir;'% <br />Explain: <br />PRINCIPAL SPILLWAY <br />1. Is the principal spillway system in working order? <br />2. Is the inlet free of debris and restrictive material? <br />Yes No (~ <br />Yes No !/ <br />Yes No (~ <br /> <br /> <br />Yes _ _ No ~ <br />Yes _ _ Nc <br />Yes L- No <br />Yes 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 system capable of passing design storm discharge? <br />Yes c~ No <br />2. Does it appear as if the emergency spillway has discharged water since the last inspection? <br />Yes No ~- <br />~. Is erosion occuning at any section of the emergency sptlhvay? Yes No Ci <br />Describe the extent: <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design stn a capacity of the rese~j <br />If yes, explain: ~a,i~.u~~ ~( <br />Please add any special comments concerning potentially dangerous <br />sheet.' <br />Inspected by: <br />