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~ iii iiiiiiiiniii iii <br />QUARTERLY POND INSPECTION REPORT <br />Inspector Name: Ul IL ~~-~,I~-~ Date: ~ - /.~ - ~~ <br />Pond Number: ~+Z Date Last Inspection: Zl(Z/~i'cY <br />Site Name: it T ~- Quarter: zw~ ~/cg <br />1. Design Depth Measured From Spillway Invert ~o a ~ <br />2. Design Maximum Sediment Level Measured From Spillway Invert ~ o ~ ~ <br />3. Sediment Level/Pond Bottom Measured From Spillway Invert 5 , j/ <br />4. Water Level Measured From Spillway Invert NonJ e y <br />5. Discharge Through Spillway Since Last Inspection _ Yes ~ No <br />6. Rills and Gullies _ Yes ~ No <br />7. Vegetation Adequate ~ Yes _ No <br />8. Outlet Channel Erosion Yes ~? _ No <br />9. Animal Burrows <br />10. Cracks . <br />il. Seepage <br />12. Spillway Clogged . <br />13. Valves Operational <br />ADDITIONAL COMMENTS: a' <br />~~ <br />. _Yes ~ No <br />. _Yes ~ No <br />. _ Yes ~ No <br />. _ Yes ~ No <br />!v. /} _Yes _ No <br />S o nc e t/ ti ~e,- <br />MAINTENANCE REQUIRED: /L} p~[j <br />4 <br />~ 0 <br />~~ ~~ <br /> SP/t[WAY SNVE <br />-~--- - <br />~ ~ P ~ p ti <br />h o ~ ~ ~ n <br />A <br />~ O h ~ .~1 <br />