Owner:__________________Location:_____________________ Dam Name ………………… Areas of dam Items to address Observations/ Change from last inspection Upstream Slope Protection Uniformity Displacements, bulges, depressions Vegetation Cracking Low spots Sinkholes Vegetation Downstream Signs of instability and non-uniformity Erosion Burrows activity Obscuring growth Wetness Changes in condition Stock damage Seepage Location Extent of area Characteristics of area (ie. soft, boggy, firm) Quantity and color Transported or deposited material Spring activity or Boils Piping and tunnel erosion Changes in vegetation Outlet Outlet pipe and valve condition Operation Leakage Downstream erosion Gate valve operation/ condition/ leakage
Owner:__________________Location:_____________________ Dam Name ………………… Areas of dam Items to address Observations/ Change from last inspection Upstream Slope Protection Uniformity Displacements, bulges, depressions Vegetation Cracking Low spots Sinkholes Vegetation Downstream Signs of instability and non-uniformity Erosion Burrows activity Obscuring growth Wetness Changes in condition Stock damage Seepage Location Extent of area Characteristics of area (ie. soft, boggy, firm) Quantity and color Transported or deposited material Spring activity or Boils Piping and tunnel erosion Changes in vegetation Outlet Outlet pipe and valve condition Operation Leakage Downstream erosion Gate valve operation/ condition/ leakage
E22270v90EA0P10guidelines0May02012.docx