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• <br />• III IIIIIIIIIIIIIIII~ <br />999 <br />~~ SUGGESTED QUARTERLY POND INSPECTION /REPORT <br />OPERATOR: ~,i. i O , ~ 6 ~~ l <br />MINE: /t ~- 2 i <br />DATE OF INSPECTION: (7(/ %~ <br />• 1 2 3 <br />POND IDENTIFICATION <br />TYPE OF POND <br />4 5 <br />-~~l OhZ <br />5 -~' s -z aG <br />OPERATIONAL STATUS AT TIME OF INSPECTION <br />Approximate water level: <br />Sediment level(Y, tohhtal storage): <br />Outflow(cfs): /(/G~n/e <br />FEATURES PROELEM <br />COMMENTS <br />EROSIONAL: E NO <br />Rills 6 Gullies on Embankment <br />Inadequate Vegetation ' <br />Outlet Channel Erosion v' <br />Burrows <br />Other <br />STRUCTURAL: ES NO . <br />Differential Settling <br />Cracks or Slides '~ <br />Seepage Y <br />( <br />Other <br />PURTENANT STRUCTURES: ES NO <br />gefective Spillways /~ <br />Dewatering Device Clogged v <br />Faulty Gates, Baffles, Pumps <br />Other <br />DITIONAL COMMENTS: /\ ~/ j~ ~" <br />INTENANCE REQUIRED: ~~/~~ ~ee ~ C:,V al,Yl ~~ I lB <br />I Y L h1 ~ ~ n ol~ <br />NAME OF INSPECTOR: <br />