Operation And Maintenance Plan Template Page 31
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39Dam ID: HI-####
Inspection No:
Hawaii Reservoir
Date:
Month Day, Year
Physical Dam Features:
(Check All Applicable. Provide description of Items Observed and/or Take Photos. Indicate photo # in description.)
3. Reservoir:
Level during inspection
ft per
(gage / other)
Normal Operating Level/Range
ft per
(gage / other)
Description:
Spillway always flowing Kept within normal range
Kept Empty Drained Daily
Only filled by Storms
Typical Operation
Other:
# Observed:
Not Visible
None Observed
Sinkhole in Res.:
Size:
by
in. Deep
Description:
Staff Gage:
Description:
Findings:
a. The reservoir was not inspected.
b. Satisfactory – Expected to fulfill intended function – no corrective action required.
c. Fair - Expected to fulfill intended function, but maintenance or other actions are recommended.
d. Poor – May not fulfill intended function; maintenance, repairs, or other actions are necessary.
e. Unsatisfactory – Is not expected to fulfill intended function; repair, replacement, or modification is necessary.
f. Unknown – Not visible, not accessible, not inspected, or unable to determine based on the observation taken.
Corrective Actions:
g. The staff gage needs maintenance and/or repair. Description:
h. A staff gage was not observed at the reservoir. Provide some method of quantifying the water level.
i. A sinkhole was observed in the upstream reservoir. Conduct additional investigations and monitoring to
identify the cause, risk and appropriate action.
j.
4. Inflow Works Description:
Number of Inflows
Inflow Culvert / Pipe
DIP Corrugated Metal PVC HDPE
Concrete Other
Size:
in.
Gate Valve
Flow can either be Shut off or Bypassed
Control:
Stream Diversion Pump Reservoir
Other
From:
Inflow Ditch / Flume
Dimension:
(Size x Depth)
Shape
Dirt
Wood
Concrete
Lined w/
Surface:
Gate Valve
Flow can either be Shut off or Bypassed
Control:
Stream Diversion Pump Reservoir
Other
From:
Findings:
a. The inflow works were not inspected.
b. Satisfactory – Expected to fulfill intended function – no corrective action required.
c. Fair - Expected to fulfill intended function, but maintenance or other actions are recommended.
d. Poor – May not fulfill intended function; maintenance, repairs, or other actions are necessary.
e. Unsatisfactory – Is not expected to fulfill intended function; repair, replacement, or modification is necessary.
f. Unknown – Not visible, not accessible, not inspected, or unable to determine based on the observation taken.
Corrective Actions:
g. The inflow works needs maintenance and/or repair. Description:
h.
Sheet 3 of 11
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