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. ~ 'f' y ~ <br />~ ~ li <br />~' BASIN RESOURCES, INC. <br />SEDIMENTATION POND INSPECTION FORM <br />Pond j' - NPDES No. <br />Date of Inspection ~p ~~~~ <br />EMBANKMENT <br />1. Adequacy of the vegetative cover: Excellent, odes[ , 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 the downstream toe of the embankment? Yes No ~-- <br />.The cause of the erosion is attributed to: <br />5. L seepage occurring tlt~ugh the dam? Yep No ~~- <br />Could !his seepage cause potential tnsmbility? Yes __ _ No <br />Explain: _ __ <br />PRINCIPAL SPILLWAY f uiywZ~~ ~/f~-(ir/ ~r <br />t Is the principal spillway rystem in working or er? Yes No <br />2. Is the inlet free of debris and restrictive material? Yes No <br />3. Is the discharge outlet free of restrictive material? Yes No <br />4. Is erosion occumng at the discharge outlet? Yes No <br />Evaluate the severity: Extenstve Moderate Just Starting None <br />EMERGENCY SPILLWAY <br />1. Is the overall emergency spillway system capable of passing design storm discharge? <br />Yes No <br />2. Does i[ appear as if [he emergency spillway has discharged water since the last inspection'? <br />Yes Na <br />3. Is erosion occurring at any section of the emergency spillway? Yes No <br />Describe the extent: <br />SEDIMENT STORAGE CAPACITY <br />1. Has the design storage capacity of the reservoir been surpassed? Yes No <br />Please add any special comments concerning potentially dangerous pro ms on the back of this <br />sheet! <br />Inspected by: <br />