Unusual Event Report (2-620-rev)

Any unusual event such as emergency spillway flow, increase in volume or turbidity of seepage, earth slides, plugging of the principal spillway pipe, or other events which may have an impact on the safety of a dam should be reported. If you have any sketches, photos, or other information that you wish to provide to more fully explain the event you are reporting, please send them to Division of Water Resources, Kansas Department of Agriculture, 1320 Research Park Drive, Manhattan, KS, 66502, or fax them to 785-564-6778, or e-mail them to KDA.WATERSTRUCTURES@ks.gov.

Date:

* Reported By:

Water Structure No.:

Dam Name/Location:

* Street Address:

* City:

* State:

* Zip Code:

* Telephone:

Format example: (913) 555-1212

Emergency Spillway Flow

Depth of flow in Emergency Spillway:

Rainfall amount (inches):

Length of time or duration of Emergency Spillway flow:

Describe any damage to the dam, reservoir, emergency spillway, or the channel below, caused by the flow:

Seepage

Location of Seepage:

Is this a new area of seepage or one already identified by previous inspections?:

Amount of Seepage (gpm):

Turbidity of Seepage (clear, cloudy, or muddy):

Describe any visible damage to the dam or reservoir resulting from this seepage:

Slides

Location of Slides:

Depth of Slide perpendicular to the original embankment surface:

Describe any damages of the appurtenances to the dam and reservoir:

Other

Description:

Generate New Image

Type the code from the image