Title Page
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Conducted on
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Prepared by
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Location
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Work Order Number
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Basin dry at time of inspection (Yes / No)
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Water Level (if applicable) (mAHD)
Main Embankment (If yes to any, comment on severity, location and priority)
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Culvert entry (cracks, debris, vegetation)
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Culvert hand railing (condition - broken, rusted)
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East Gabion Entrainment wall (baskets damaged, vegetation, etc.)
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West Gabion Entrainment wall (baskets damaged, vegetation, etc.)
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Earth Embankment - up to RIP RAP (visible slumps, cracks, vegetation)
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Rip Rap - rock mattress (damage)
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Rip Rap - rock mattress (vegetation - trees, grass, etc)
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Trees on either face or toe
Outlet Works - Culvert & Trash-rack (If yes to any, comment on severity, location and priority)
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Culvert Trash-racks blocked or obscured - debris or vegetation
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Culvert entry blocked or obscured - debris or vegetation
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Culvert hand railing (condition - broken, rusted)
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Embankments on either face or toe - Trees growing
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Rip Rap between outlet and road culvert - Problem
Dam Storage Area (If yes to any, comment on severity, location and priority)
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Trees growing in storage area
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Vegetation encroachment onto embankments
General Maintenance Observations (If yes to any, comment on severity, location and priority)
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Stormwater pipe on North side of outlet culvert - Problem
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Obscene or personal Graffiti
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Other
