Form Tceq 20361 PDF Details

Ensuring the safety and integrity of dams across Texas is a critical responsibility of the Texas Commission on Environmental Quality (TCEQ), which utilizes the TCEQ-20361 Dam Inspection Form as a comprehensive tool for this purpose. This detailed form serves as a standard for inspectors to evaluate various structural aspects and safety features of dams, including the conditions of embankments, spillways (both service and emergency), outlet structures, and potential hazard conditions downstream, to name a few. Items such as the dam's crest level, ground moisture conditions, and the general health of the embankment are meticulously checked to ensure the dam's ability to perform its functions safely. Furthermore, the form assesses security issues, operational procedures, communication systems, emergency action plans, and the presence and state of early warning and backup power systems. Ranking repair items by priority highlights the importance of addressing the most critical maintenance needs promptly to mitigate risks. The completion of this form not only facilitates a systematic inspection process but also plays a pivotal role in safeguarding the environment and populations living in proximity to these significant water retention structures.

QuestionAnswer
Form NameForm Tceq 20361
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesTCEQ, TCEQ-20361, Texas, tceq 20361

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Texas Commission on Environmental Quality

DAM INSPECTION FORM

Dam Name:__________________________________________________________ Inventory No:________________________

Name of Inspector/s: _______________________________________________________________________________________

Name of Contact/s: ________________________________________________________________________________________

Date of Inspection: _________ Start Time: ________ End Time: _________ Weather: ___________________________________

Crest level (at center) above water: _____________________________________________________________________________

Service spillway level Above or Below water: _____________________________________________________________

Emergency spillway level above water: __________________________________________________________________________

Ground Moisture Condition: Dry

Damp Wet Snow ____ Other: __________________________________

CREST OF EMBANKMENT General Condition: Good Fair Poor

Width: ______________________________________

Problems Noted: None

Rutting Erosion Poor Drainage

Height: ______________________________________

Trees Depressions

Bulges

Livestock Damage Cracks

Length: _____________________________________

Misalignment of Crest Misalignment of Utility Poles Misalignment of Fences or Rails Sinkhole Burrows

Breached Other: ___________________________________________________________________________________

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

UPSTREAM EMBANKMENT

General Condition: Good Fair

Poor Slope: ___________________________________

Problems Noted: None

Rip-Rap Erosion Too Steep

Burrows Trees

Cattails

Depressions

Bulges Livestock Damage Slides Concrete Decay Cracks Sinkhole

Benching

 

Misalignment of Rip-rap Open Joints in Concrete

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

DOWNSTREAM EMBANKMENT General Condition: Good Fair Poor Slope: ________________________________

Problems Noted: None Sloughing Erosion Too Steep Burrows Trees Cattails Depressions

Bulges Livestock Damage Slides Concrete Decay Cracks Sinkhole Other:_______________________

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

SEEPAGE ON DOWNSTREAM SLOPE Amount: Major

Moderate Minor None Found

Problems Noted: None

Saturation Starts at ___________________ % up Embankment Presence of Sediment in Flow

Cattails at Toe of Dam

Surface Water at Toe of Dam

Seepage Associated with Sloughing Continuous Flow

Sporadic Flow

 

 

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

TCEQ-20361 (2/07)

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DOWNSTREAM HAZARD CONDITIONS

Narrow Canyon Wide Canyon Lightly Sloping Prairie Pastureland

Large Trees and Forest Brushy and Scrubby Forest

No Homes Lightly Populated Moderately Populated

Densely Populated Industrial

Businesses

Estimated number of homes: ______________________

Comments: ________________________________________________________________________________________________

__________________________________________________________________________________________________________

_________________________________________________________________________________________________________

SERVICE INLET STRUCTURE

General Condition: Good

Fair Poor

Problems Noted: None

Blockage Not Located

Steel Corrosion Concrete Spalling Concrete Cracking

Reinforcement Corrosion

Missing Parts Timber Decay Leakage Below Water Level Inoperable Valve

Other:_________________________________________________________________________________________________

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

SERVICE OUTLET STRUCTURE General Condition: Good

Fair Poor

Problems Noted:

None Blockage Not Located Corrosion of Conduit Presence of Sediment in Flow

Inaccessible

Concrete Cracking Concrete Spalling

Reinforcement Corrosion Misalignment of Walls/Slabs

Open Joints

 

 

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

SERVICE SPILLWAY Condition: Good Fair Poor Depth: ____________________ Width: _____________________

Problems Noted:

None Blockage Not Located

Trees

Burrows Back-Cutting Erosion Inaccessible

Livestock Damage Concrete Cracking Concrete Spalling

Reinforcement Corrosion Damaged Water-stops

Open Joints

Sinkholes Holes in Spillway Chute

Seepage Misalignment of Walls/Slabs Damaged Gates

Nonfunctional Gates Lubrication of Gates Testing of Gates

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

EMERGENCY SPILLWAY Condition: Good Fair

Poor

Depth: __________________ Width: __________________

Problems Noted: None Blockage Not Located

Trees

Burrows Back-Cutting Erosion Inaccessible

Livestock Damage Concrete Cracking Concrete Spalling

Reinforcement Corrosion Damaged Water-stops

Open Joints Sinkholes Holes in Spillway Chute

Seepage Misalignment of Walls/Slabs Damaged Gates

Nonfunctional Gates Lubrication of Gates Testing of Gates

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

OTHER ITEMS Major road along crest of dam Private road or driveway along crest of dam Vehicle bridge along crest of dam Culverts built into crest of dam

Pipeline immediately downstream from dam - Type of pipeline: ____________________________________________________

Water supply line in crest of dam Other: __________________________________________________________________

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

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REPAIR ITEMS RANKED BY PRIORITY

Item 1: __________________________________________________________________________________________________

Item 2: __________________________________________________________________________________________________

Item 3: __________________________________________________________________________________________________

Item 4: __________________________________________________________________________________________________

SECURITY ISSUES Vehicle Accessible Vehicle Gates Vehicle Fences and Railing Pedestrian Accessible Pedestrian Gates and Fences Obscured from Surveillance Locks Breaches in Fence Evidence of Parties

Graffiti Security System

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

OPERATIONAL PROCEDURES SOP Available Location Kept: ____________________________________________________

Logbook Location of Logbook: ________________________________________________________

Major Events Noted Staff Training Topics of Training: ______________________________________________________

Manual Gate Operations Powered Gate Operations Automated Gate Operations

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

COMMUNICATIONS Directory Available 24-Hour Coverage Telephone Available at Dam

Cell Phone Coverage—Provider: ____________________________________________________

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

EMERGENCY ACTION PLAN Available Filed with TCEQ Change in Downstream Hazard

Frequency of Update: _____________________________

Date of Last Revision: ______________________________

Date of Last Exercise: _____________________________

 

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

__________________________________________________________________________________________________________

INSTRUMENTATION Present Adequately Maintained Inadequately Maintained Operational Data Collected

Data Analyzed Adequately Protected

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

__________________________________________________________________________________________________________

EARLY WARNING SYSTEM Present Adequately Maintained Inadequately Maintained Operational

Frequency of Maintenance: _____________________________________ Date of Last Exercise: ______________________________

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

__________________________________________________________________________________________________________

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RESERVOIR DRAWDOWN CAPABILITY Method of Drawdown: _____________________________________________________

Maximum Drawdown: _______________________ c.f.s. Frequency of Testing: ________________________________________

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

__________________________________________________________________________________________________________

BACKUP POWER Present Adequately Maintained Inadequately Maintained Operational

Frequency of Maintenance: _____________________________________ Date of Last Exercise: ______________________________

Comments: _______________________________________________________________________________________________

_________________________________________________________________________________________________________

__________________________________________________________________________________________________________

TCEQ-20361 (2/07)

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