HomeMy WebLinkAboutTREXLER HOG FARM ROWAN COUNTY_MISC_20171231a nn 1 2 inam
Co.atrol Number
""
County Number
..15
GROUNDWATER POLLUTION SOURCE INVENTORY
0 IS
Na
OWNERSHIP
FS4,e
Private
Address
2 Municipal
3 County
4 State
City
Count Region
5 Federal
6 Military
Owner/Operator U
} Quad Name
MultiPle Sources at Site
county source Us
YES NO
POTENTIAL SOURCE OF GROUNDWATER POLLUTION
LOCATION
OPERATION TYPE
TYPE OF WASTE
DISPOSAL FACILITY
OTHER SOURCE
0 Facility
l Municipal
i Gasoline/diesel
1� Lagoon, etc.
i
Agricultural Activity
2 Highway
2 Industrial
2 Other oil
2 Landfill-contro.
2
Salt water intrusion
3 Railroad
Q Agricultural
3 Solvents
3 Landfill-uncont.
3
Chemical stock pile
4 Waterway
4 Oil and gas
4 Corrosives
4 Land application
4
River infiltration
5 Pipeline
5 Mining
5 Other chemical
5 Abandoned site
5'
Mine drainage
6 Dumpsite
6 Other Source
O Sewage/septage
6 Sewer system
6
Intentional dump
7 Other
7 Sludge
7 Septic tank
7
Spill
B Leachate
8 Injection well
8
Leak --above ground
9 Other solids
9 Disposal well
9
Leak --underground
In use
10 Gas
WASTE:
STATUS OF SOURCE: 2 Inactive
11 Pest/herbicides
3 Other
12 Fertilizers
POLLUTION STATUS AND
CROSS-REFERENCES
GROUNDWATER POLLUTION
FACILITY PERMITTED:
Yes No
1 Confirmed �1 Rank
1 NPDES
6 Mining
�2 Potential 2 Tabulate
No:
2 DEM Nondischarge
No:
7 Hazardous
Waste (RCRA)
MONITORING WELLS
No:
No:
1 No monitoring
2 State has data
3 Well Construction
8 Solid Waste
(Landfill)
3 Data at facility
No:
No:
4 Status unknown
4 Capacity Use
9 Oil Terminal
Registration
DATABASE CROSS-REFERENCE
No:
No:
1 ERRIS (CERCLA) list
5 UIC
0 Air Quality
ID:
No:
No:
2 Surface Impoundment (SIA)
Comments
ID: I
3 GW Pollution Source Inv.
Date:
4 Other DEM investigation
Date:
Compiler:
Date:
1
OMB NO. 8-SE8004
SPARED
SERIAL NUMBER
YEARU.S.
ENVIRONMENTAL PROTECTION AGENCYSURFACE
VVV ,j3LOCATION
111!6
O7 Y
IMPOUNDMENT ASSESSMENT (SIA)
AND COUNT OF IMPOUNDMENTS
n 7a� 79 ao j
SECTION I
FACILITY IDENTIFICATION
How any impoundments are
-:.
STATE
CNTY.C1TY
,
PLACE
CATEGORY
SIA S1TE NUMBER located at this site?
STATE IDENTIFICATION NO. (Optional)
�t5g5�
�o�GR
7 $�
t '�
IfS�L�!
�-
1'
2
3
- 5
6 -
10
11 - 13 14 - 18 22 ,a; 23 - 25 =$ 26 -
37
STANDARD INDUSTRIAL
SITE LOCATION
NPDES NUMBER
CLASSIFICATION (SIC Code)
,(
iii b q y ° 6EGR EES MINUTES
_
SEC➢Hh5 , C y#; ➢EGAEES MINUTES SFC➢H➢S
:,
�ry
LATITUDES
3 I.ONGTTUDE�
80 8.�
F
an.,.a
,
,�3
.- 51 52 53 54 1 55
56'°k 'm i:�x 57
— 59 60 61 fit
63
OWNER
NAME OF OWNER
22
-
-
59
OWNER'S MAILING ADDRESS (Street No. or P.O. Box)
22
_
59'
CITY OR TOWN
STATE
ZIP CODE
2252
53 54
55 5.9
j;
OPERATOR
NAME OF OPERATOR
El
-I-
91
x
_
22
59
OPERATOR'S MAILING ADDRESS (Street No. or P.D. Box)
22
_
59
a
CITY OR TOWN
STATE-
ZIP CODE
22
_
52
53 54
55 59
EPA Form 7500-44 (6-78)
5TATE COPY
GROUND WATER DIVISION
OFFICE OF WATER AND AIR RESOURCES ROP036
DEPARTMENT OF NATURAL AND ECONOMIC RESOURCES
RECORD OF GROUND WATER POLLUTION SOURCE
RECORD BY: Michael S. Marsh DATE6/10/75 W.D. PERMIT NO.
TOWN: COUNTY: Rowan
LOCATION (SKETCH ON BACK):
OWNERS) OF FACILITY OR INSTALLATI'ON: L.E. Trexler Hog Farm
TYPE SOURCE: (LAND FILL, LAGOON, ETC) Lagoon —
CHARACTER AND QUANTITY OF POLLUTANTS: Animal waste
DESCRIPTION OF FACILITY (SKETCH ON BACK): Unknown
HYDROGEOLOGIC CONDITIONS AT SITE:
POLLUTION CONFIRMED BY ANALYSIS? DATE ANALYST:
MONITORING FACILITIES INSTALLED:
SAMPLING SCHEDULE:
NEAREST STREAM: Unknown DISTANCE
NEAREST WATER SUPPLY WELL: Unknown DISTANCE
ANALYSES AND OTHER DATA AVAILABLE:
REMARKS: unable to locate - information from water quality sections files. No other
information available at this time.
R !
'V'1 ER DIVISION
RALEIGH, N. C
FORM GW -46
0
1
STATEFDE RTRIENT OFWAIU? ANI) AIR RMSOURCES
1(, . n 14V i K�7tCt ,]ry£1ii111. on Conti -Al Division
P, (). 130. 9, 92
r� 7�,kk�`%�� sf"7���+h�ky �' 'FiAiCI�'�1� �rOl'fil C�71'flli[lil" lrl�)t�ry _ i'y�.xff"� �' `•'
� �r-.r �,d.d" �•Y,�,'r�'�+`t,�'� .. ,. '. r - .1;fiva �. �•,.
r �, ��t ♦�L rkltf � tr>��rl '� ti � '
z�r'QiR�ad1�S U51afC�f�
'mice visited .b 3. 3'7 33jQ tf17iC _l: C:�� 73(:ti: T _�.-rt -- ► 19__� 3 r
ddre:;s _. ieEsr} 1c11D�A 1 h_��_S,t i. ls.tt�' ► . �e .i�-[�...._..- Diver- Ila.'sin _-._?"rtc'!1 _'it�•�?cin. ;fit _.._._-._ .._._.._.__ F F
1� jar}1,�2r1 J Spent ......
inn
-2rs nF. Con6CtG'C3
0.
--lAr;v-.iIZ�>w4'�-Fat,rielc,.:s�*Ltr.��r,�;it.�sf:�t_Ilt�ri.�.F:1s-:itic�r� �:t.LT';�a�P.'�_---'-'-------'-------_-- ---_.__.._.�_.._...----_---------•- ;'�
?ason fcr Visit" _-'£3a^iS]3cii�1��L9���Y'n.= .�_Y�'A mi!,i+�i �l .l►�<: l_J:�7�iY_5 �1 -1 .F.i( 5��1:« s. -L, L)6_"j-L: ic!1ht1t;LC1n_ _z �
o; dit ioni •artgA natlm,7,-A,23.,n....1...:.a g1i-_0i.,_!-ato---------------------_.----.--.--
to
Pixy 10 IS 11Ie+ 1111 n, the e,UTAE:. tCtCd b'1 Y711?T;c: Ft brUi2j.'1 � r,
6g [973. rnw sewage Uvs %,i."%g
He 05o fiE:L'U6 thak Ci19•v
i.tuat:Ion had erir•t ad" fSJ%iia^•.0 l'.,1?" ?t 972. The mG'nw, tvyjc.*i3 °X4•;1.) � '
t"!i'rC3Z:,gh ii).ap[3rxy-UL7ned I N=. sYli"llZ',l+`,F:n, in all tSGt.`,''i,Fia.'y11 w.i)Est: gy CL7
RK Walter Fowlers, j"s-ean County 17C'i?/.I:Li !iC?1''i':i:'i:ow, and Lbe •WSi.i: v
u1nited the hog fam oc,rned 1, A r:n , Fe 7',-o•;Y.ez, FcA:-unry Ap X973fl hu
A:""1 ��
-located on Se}inn 1010 north cel: �Li'i-r�.£��1.I`.w, ,'7t;vkh 4.1-t.?.'::��,1,na, t'lr:e
�!si:ovioA stated that Uac,.�7,%-is6 ? P ! 1 RUM i 0 3�1
.. M �,,. icG _t_ L' . .c .t:..0
t1!"18AC'ath' 0:,e Cf"!. tr ii DL.i_ f'!'111ch aha t`.('!y c:p?3y:c7nla::f:oly 3si1 hinn? :jWR
?.,
Isr. I oun NeCUC01yo•roe': n i;oi;:,li`y FAM E n.e? ,t:.5 rC.q?:L).':i:od thnn chn lagoon
be rsYacst7donad bacc 3mn' of J}C}' �.fS'irt3ti °ri., (`?:•�],F.a?.ir.:," ';..".7'lt t' t ;:i2.Sc7.• _ 3 't'14: 4. "
to Chia iQCt3Qf",Pp' Mr.' NSA 911 C';' ';("O One F,L'. W�;'%ti.,1 �.tf' i:f3G'. 1.t�-t7GYIo. i.' itid
Wo co ntent i b aha lF. ga":on C°7CGr:a"ti, l;l"Z;�i;tf:t:4`dto :'an o,?;:... a ditch into r,LT
1 tcYle^ r+C sari o•'ti. a:t i old _201"), yTfr
f; �.. .777 :h: �t.-�f:c:I' - ' � tri. Jt- 0 Ill
c. ,; 1. a 1holed*e.°•'X'l:f..,�, i'is-,ld is uos:deyed by t:Xic: ni mod In tho complaints:
ftxap�rtfaai. atz Y"c;>h ru�xs~ f; r:evar�lcs�i a �tf_ cYt s:r[.� y:..�.a NADU tank
t'i�a �'s:caiLez stated �tYzi tho (dill;4n:7Ce rias ac t?A'111)7 `l:, OVOI-,E:LGT�-i0F.1nl.hir4r;
f'.;'n tyle YL'tantl63't._'of Wa^.,ste in Wo 'tank nince Dc w;Tken Q 1072e U& "'4 v . �V r S k:.' "
stated that alumnugz ap7.andc ,^ I��tcl 1oci.Z ptsr:• basad in a.�nntinr " 1�: 73, butt � � .�
,. .w
had not beenjusad.t:-' he di c:IJ: rr,,;3 F's:ta .t.Y�u:nttt??� tho Open cMcd of Cho 1agnon '
co the settjllllbditChaso t;i�;�ril tTC�',k ! �.t'i7f�C�¢Snj�~'lt�l(,i 4? 4i i.'G"�r �.'% 1e ayocipr'11f1 • �:� �`; t �'J �� �KY�A
rme-CfEI1°om t:h[JE1(AACi:i.AChan !';tli ermd 0.2rd .W11„,jnC1pr E [tt"rons
. 3n 7C.1 y�.N l rJh,�Ldarr'
19 'L~b A.^;tatertYzt'?Ic
1 121110 (4• ;
s'L '�l���i'!''
1C i g I l i l +] • I! �. r i 1 f I I
z }fid r ;,
;i.. d'� }}2;1,t•r�yxl �'r {'tv 1 �'• ,+ j ,_ I� �''Gxiir, �
r � •• (���)t �} �,ji�y,�fll}� 1 l r'J }1•h • ] .. ��sl{��i � • . '{'�. . A - .R � T4i�rr� i. i�l 7t
•.!'`r� r e �,r,<.I,TyE il,J s _. I h1�1 s •jr,�'�
,�,•�
,:• T e "writler_'rmggested that Mr, Trc. lcr rn)Y r:.:lun Y.voly •upon the
t ,i'3nnur(3"S�.rC, L dr 1:Or'!::sp0Ssa1 d e'7a�:E c? 'w5 t'z a •, �r• y
��j M/�yy /� pA `, _iac� (:�.S��. r-� Z:eE, shc.r ±'R Thea.
. l - S•it4T 'also cua i R.7♦ '-t l Ii -k" r'rl li 1ra w r• 1f3 � � _ .. .. -
rL r+�:G i:.a,a1�' r"_ !., cl-j f3.. t)(? r_c, rn- i; scJ.i Isi (-::dcr to tirAd
�Lny ovorfXGW' or lC.:. kaf,,a T?."mm, r l'17 c'L`.1: t�i7 # 1•i.S1i:� {.a:.i:E Ct)l:C3a^. �Cf1 Il i 11 r j
the '!'0d+:1gst by. lira is ,"
+ "wbe il
�S4CI L?%ZIY
.1'•.. A. Ct,;.,s .a tll.a, 5.
� Y. r, ,• r i n,.
1 � J• t 1.Z�.� �II::i. t;�.11f;' � T;i:r.""1 .�.3, r:t:'�.1 I,r� G ,p:f A£
or. thea nein t :TT /� •�. ., -InU >-' l L'
�.rraa�
�E.0 {• r3 ut, n. 'by Mr., = -
' �: 7:(.,7�rr;�.'I..C` s:t_ �SC;c� £l'.i'S:�rl-f]LTi'■r;:� �
'.%'1�C ' lar ii 1 Z [".i ias ]1'}i'
h
the maurQ S road,],p t7f prat ion rr `r, ]Y „fir. F � i `r ar' ,.„ 4 t 'a =, •�� al
' j.:.. E=fl c� ?!.....t:c ..x�,.^. jI Crttht:PJ S C) £ice.
. 4-A ��, i'7'.•i F2 r'•i7f:all.�co ±-1� 0li3•(or."'p7 ~�� :+ r,, ♦.^, , i ; , Tr�'„'��
M1 1:', iii t313i:}y 7
l.. r!t":'17�i0Y_1(:•
• e7�Tr."�,lSt1('.S� }aiE3 .^.rLS:l?r��t':^'.i.QP:. iltfi�"! �:�?i^.i.:�,r.�1�1.'.�.t`.i: n�: i.i,q, �;,��es.'::t. 'i l.,{4:, � ,,
• 7,4,:1 i" ]�,]IT Ct1'li�
statod that C1 [l:";+.U.E?l ve' a S�C:I: n',':C:�� 1`.1.` 5�n + �^h. i
Or
' '1 � •'l,Llr 4•I,
` •'�!'Ark
4.
4 : re:�L 6t% r+,s..•.+�'ry;-'...+ :,...."+.z 4^• t
. - i
13 ty 6 r.l
n i u91 i'T ` 1t79 eOl
1}�1-
Waedl,ef 7 n 1Lf
1}tA ra ISH t.s 4��
a 9 1bi
i lti} 441 '� t 7 mz C,"k 2222 e 3
S}II
14kt I}7! ]974. I}4L,
'I 71A ,
Cwk /It"113). Cao1.r. tsmIi ! ]4}{ .3 • ±, '•!n
� •q s . L9�i v t L ftp � 1
ec t, 191] . S71 ISO ti0
? 2431 ui', u% ;•• - R
_ sol q ltil Pot U ilii r 'r 't tNiso l , lls7 RtYE
Lu1. 'N
I Ij 2917
N • J
30 R
PAP J Y \ �
7 t +77171 1 .. !in 1 4 s L 7
y 1t4. _ �... 3� 111! 7122
171. 1771. ]ILL �'6 6{, ti3 ..r�'... ..�r 1 X11 '_`
(.}, >Id lI32 " lLli � 1141 w sA1m1f17 ^R rw: '- -7 N • t.3 •
_7 11771 .� _ lIIl +ne tbwwW
tOr .itl I` r ro u � ���� ti �' .7122 J 7 •
JA
PAI1co
..:+h1L'1. ( +R� `1(,-'� _4+ 777II 11Zi •� at
7.? s v 3 7 vT;'r ti 6 1417.
7ALU SAUSBU Y "�f''' •�E:' ; �,
.5 c 11]1 r
PW. 7a51s
Ins 41 ,il:. 3s
ll3i �,,, 114,4 3 MS.4 � 143 •s ~moi! \ } � r .'� '� .3
Kar.. �' v } It 17141 a 3n WWAH 1^1
f:3
N'7
.Lilt No 1.194
•' 1�L • � } 1211 f 4d � I } 112! '�
Wm
OL
7 malmid90 litl. M{M4n dlnp.! ! t STs �` l .... X37 "'_ .,:! ]]]1 n 2211, t
•J I71A 0 U y b = �: 1;i;;;.:::.:i E f.1 li1T• x 7134 221
} }. 7th .7 t'�TPZ7 r+ 1711 �+• ��tt. .I�• 1� I i+ 7 6 i
.v yy
131t. � t J � Sfr t
1374 's c;1:; ,j - Ilii 12t
V, V I1H
! ` Gt'oc, OI. lie! .I ♦ • - silt ? Aft
•a > L 1 •r • tii , f IIL!. :171 •' �, A"
h X42- t3o1? . Z14 33� 1.11 POP. 1,344
Wit a .t •' 4� - - 1371 � e : 711t 4 +1i�R 4 !�t'5��. h + 11H
1� < 1101 16
7.7- lit0 711. / 11V bA^3 R. ":t l0
1.09 A L34Q '" Q 1 3717 t ;r; Sr. ►0A
3� 11111..1 '1 r72331.x3 e
AM t a 7127.� a •'�::, u_LL= ;.': 'y } 1111 I7LL
V'•
1Fi.l. a talo } tie4 i 3S \ I 737 ]71171 .
1391. n i U/ v ,• ] 77]1 MAY
1 � 1004 1.1 S 1 O
1.231 � 111 ,,�7 \ \�
uli]I. Sail n 1391 s ♦ ` ry J111..F�' LII„• ..
}, d lido- 13}71 A 7 70719. :.1.441 t.e.^.: 271.71' ! 717111- A� 51. Lxkn ; +.
'•/ .! 6 4;:� ILS iw
1 lig! 79 .9 23.91. 'o r I2P4 OL JiLl
ltl! 6 'e 'M MI _ 7337_ -3])!- n 1.1 •� 41
m. 1313 n 'r•z.I •• 2 ryI 7dW. 6 35'3. !c.:.;,y `'r St Lf➢L } .IILR.40
]237.1.7 iv3 287.
// F 117711. 4 ror• ! . ]81
i:•, 7 n o S 731. .: Y }� T• a
4''4�j F r1op,� . ' !7M
137 ]b1
o 'ttm
LANDIS
. SS l ti' 17/� 4 1941 J 749Q t y'S L` 13ti •. 1)71 1; y a � �
1
f� 7 ` V 7341 4491. .a t3tf + IFi9 7 �5.
•- 1, 413 2221
712}.
2341. !1 ]423 � 1; ":NIL '!}: � r0►.f,9
I/If41S q ^ ,f
■v+ ! F
I./ 1
fq►. 7.7}7 _ � t .?• � + y >21i.�
1 y � 4 282 �2G
0 1344 7344 199! to �u 22 ,4 w•
]lid •.
h u
212!y'am
1.1 �
•7 -14971 �[pp � •9 ' •. � 1111- ! - v i
t1
3211. y ,t
.21171 � iF] �, .s � :•�1
JA" 9 IbY _ 1.4
ti
L001 _�.�..... A .72371 ♦ I71L
zq77111.-
OU5 bl 3s A
1
1
17.74 �� C A;` A R R U S C O' w U
.r
i
' r -z•
YLIM 4 1 a ,
Itll .63 PMO Im
lzu
i 4 jlu
i Im
ittl .ai ; ,1i n I 1 �•
1S i] M
]t i rslt t Sig 1 Ila �
jm
lEil n y .S. � Sl11
03 uu
ro
7gi4
1 Lu1
- - � �,`" �C�.,Y.-.•oma
rift
12Fay' ✓ h ['��-��5 1
0. 1l1.!
.,::;a�'w't;::� ' v ry-,IR%rT.,.re.?•!r:y
A tdi,Iry s Pw r
s! 11 �9 .Y ::i 3
a z 4"1 4 � 1ltLY
.r,:.
} :, r.:M, �a 1l11 A 8
S,•a:,.'r. +,w�,yci,:�?: elf '-I; r.:..1,:t:i!:(lr:::+1}:1 j!:'i � ��
SPENCER
.00
viY� R::�.Yi: u;rN �'• t�lf/r,:k!.;Fr:nn t f:,f .r:tiliA'
1i'.!n •� I Cslwinalw .{ ?:?_ti':1l. y ,I:Ie�Lr•.
M. • q• :a,
EAST $PEN
POP. 7,217
lw
Lul
J IT
IN
`.
.. r 1101 �`"Y,If f •" 1 ''J �
*i" `• '. i� �'. {,� ' '1lll�t r� lM! '4'f'f, : it �' �:
UK SALISBURY.
POP. 27.313
D
!w
Yy
1'�f rfr.i: 130
"b
Llg` ':, I ISP!•
.16
-2-
STEP 3. RATING THE GROUND --WATER QUALITY
A. Is ground water presently used as a drinking water source ?
YES ✓ NO
B. Total dissolved solids content of ground water
C. Score for Step 3:
STEP 4. RATING OF THE WASTE HAZARD POTENTIAL
A. Classification of Impoundment User by Standard Industrial
Classification: 6,2 7 or
B. Waste Type (Give 1. D. Number):
C. Score for Step 4: 1—
STEP 5. RATING THE OVERALL GROUND -WATER POLLUTION
POTENTIAL
Step 1 + Step 2 + Step 3 + Step 4 = Step 5
M g/1.
t
SURFACE IMPOUNDMENT ASSESSMENT TOUjQn CO
EVA.LUA PION SYSTEM WORKSHEE r
A-7
S rEP I. RATING OF = UNSATURATED ZONE
A. Thickness of unsaturated zone 3 - [D meters.
B. Earth Material:
Description of Material Thickness (meters)
C5 L - GI &nrv-
1�j
Earth Material Category:
D. Score for Step X: 2
STEP 2. RATING THE GROUND -WATER AVAILABILITY
A. Thickness of saturated zone 2 meters.
B. Earth Material of the saturated zone:
Material Thickness (meters)
--7
Earth Material Category:_.W.._.�
C. Score for Step 2: 4 Ci
GROUNDWATER POLLUTION SOURCE EVALUATION
R A N K I N G C R I T E P, I A
THREAT TO GROUNDWATER
Probability of Groundwater Violations
30 Violations documented or highly probable
2 Default
1 violations unlikely
Extent of Groundwater Contamination
3` Mappable, migrating plume
sf 2 / Default
1 Insignificant contamination expected
Seriousness of Groundwater Threat
3 One of most serious in OEM region
L, Default
1 Not considered a serious problem
FEASIBILITY FOR TAKING ACTION
Feasibility for Remedial Action
�( 3 / Remedial action both feasible and desirable
2 Default
I No remedial action recommended
Desirability of Remedial Action
3 One of top regional office priorities
0 Defaul.t
I Not a priority incident
THREAT TO PEOPLE OR ECONOMY
How Hazardous to Health/Economy
3 People or business advised of contamination
0 Default
1 No expected impacts on people or business
Number of People at Risk
3 4 or more family units, or $10,060 loss
QDefault
I No people or other interests at risk
Seriousness of People Threat
3 Strong DEM concern over threat to people
0 Default
I No threat to people or economy
— FEASIBILITY OF RECLASSIFYING GROUNDWATER
Need to Reclassify Groundwater
3 Groundwater should be relassified RS or GC
0 Default
1 No reclass. nor remedial action recommended
Desirability of Reclassification
3 One of top reclassification priorities
0 Default
1 Not a priority incident
THREAT OF POLLUTANTS
How Toxic are Pollutants (use Sax)
3 Nigh value
f2 1 Mod value
1 J Low or None value
Quantity of Pollutants in Ground
3 Reportable quantity of hazardous material
(CERCLA def.) or quantity of real concern
Default
1 Not of concern to regional office
Seriousness of Pollutant Threat
6One of most serious in DEM region
Default
I Not a serious threat
RANK SCORE:
Source Name:p„
Control Number:
County: (�, Z13
Ranker:
Date : `
P'UKM APPKUVI;U
*U. S, GOVERNMENT PRINTING OFFICE: 1978-724-845 OMB NO. 158-578004
h. Average effluent forAJILL impoundment (gallons per day and year of record),
U.S. ENVIRONMENTAL PROTECTION AGENCY
SERIAL NUMBER
DATE PREPARED
SURFACE IMPOUNDMENT ASSESSMENT (SIA)
etc, (gallons per day and year of record).
--9o-:. „?g:fia
OPERATIONAL FEATURES OF THE IMPOUNDMENT AND GROUND -WATER CONTAMINATION POTENTIAL
a,ixoj
I
MONTH DAY YEAR:SECTION
039632
11
YEAR OF
STEP i
}:
2
STEP 5 STEP 6
INSTRUCTIONS: This form is to be completed for one impoundment per site (facility) identified in Section I, Location and Count of Impoundments Form or for one
impoundment site selected via random sampling Complete multiple choice by entering the code number the answer,
:°1
# 75 76 77 78 79 80
:�-
per procedures. questions preceding appropriate
G.W. AVAIL. CONFIDENCE G.W. QUAL. ONFIDENCE WASTE CONFIDENCE
G W. CONTAM. EALTH HAZARD CONFIDENC
YEAR OF
I. FACILITY IDENTIFICATION II. PURPOSE OF IMPOUNDMENT (Enter no. in block 23
# aI a9": omaE ao. IMPOUNDgws2r
STATE -0 CNTY./CITY :zxK__ PLACE CATEGORY,^ SIA SITE NUMBER #:: #, ga2rp 1. Waste Storage 2. Waste Disposal 3. Waste Treatment (Specify below) 4. Other (Specify below)
MENT NO.
25 a 26
o,s+
t
Rod
>
�'j
::::.. ..--=�:;
3 ::ro-,.::9. »..:.::
J
�'` �
36 ?: ;{rf' 37
:. m,a:
g < _ .
YEAR OF
., >
44
a, n x'
'o ,� $ -' '` # �, °' -- ern-_
"k'd+mi a,s Aoo,
1 ',¢t"£a.,¢
up_ rg, �a rx
< : etc
a ..¢..• ..-' .i 1
,a{a>
/�''
STATE COPY
R ECORP
GALS./DAYJ_T
/�
f
3
S ��:.
/�
«+q
c '� SPECIFY
�*o
v
':i6+s,g}
GALS./DAY
'.g
'�`.'"`
`�'`3;:. <:4�0-< r o:a'',.,'k,.
`_
esx.. S 2 3 5 6 - 10 rra; 11 -, 13 14 - 18 - wad,-`r'�`�'9&_t`aad,"woca,,_;
?.,.... - :n.a.- 19 21 22 .�*#:. = off' :xx as 23 <
a.
24 - 34
..:
.. '�
'Ann w. -fa
III. IMPOUNDMENT DESCRIPTION
a. -Age of impound
b. IS IMPOUNDMENT c. If answer to IILb is d. If answer to ISL.b is
e. Surface area of impoundment.
f. Surface area of AIL impoundments
went in years.
p12 ESENTLY USED? `yes', give no. of `no', give last year
I
at this site (in acres). g. Average influent into JUL& impoundment (gallons per day and year of record).
I- Ves 9_ W1 ve ars in noesrir.n_ of --ti-
rin -4-1 ax1
47 48 49 > _.:,tom`„ -„'g 50
III. IMPOUNDMENT DESCRIPTION (continued)
h. Average effluent forAJILL impoundment (gallons per day and year of record),
1. Average daily influent for pll impoundments at this facility (gallons per day and year
j. Average daily effluent removed from lmpodments and discharged to streams, lakes,
63
of record),
etc, (gallons per day and year of record).
--9o-:. „?g:fia
- 9 e��i
a,ixoj
I
Li
Vi. RATING OF THE GROUND -WATER CONTAMINATION POTENTIAL (See instruction manual EPA 570/9-78-003)
YEAR OF
STEP i
}:
2
STEP 5 STEP 6
-t„
:°1
:�-
UNSAT. ZONE CONFIDENCE
G.W. AVAIL. CONFIDENCE G.W. QUAL. ONFIDENCE WASTE CONFIDENCE
G W. CONTAM. EALTH HAZARD CONFIDENC
YEAR OF
YEAR OF
POTENTIAL
0,�,..:edr:c
25 a 26
o,s+
27 :,�.#--' � 28
: -� '---,y..
Rod
o:
�, ....�...
...
,a?::;< .,:
::::.. ..--=�:;
3 ::ro-,.::9. »..:.::
3°y:.
;
36 ?: ;{rf' 37
:. m,a:
��:ra�` :.,.:,<, 38
....
YEAR OF
., >
44
EPA Form 7500-44A
GALS./DAY
,� GALS./DAY
2 0 -e- w C_o.;-a.' �. r,- ..
STATE COPY
R ECORP
GALS./DAYJ_T
3
S ��:.
r 'RR s�,>n:
'-
�°=:
:
v
':i6+s,g}
GALS./DAY
5 36
�'��<: 37 a2c_..,;��n ,a :.-..>.
-::
38 39 4D 43 o.;e
-
44 49
..:
50 - 56 '' 22 «fir...,e#°»'
23 - 31
: #cr;<«
32 - 35
47 48 49 > _.:,tom`„ -„'g 50
III. IMPOUNDMENT DESCRIPTION (continued)
h. Average effluent forAJILL impoundment (gallons per day and year of record),
1. Average daily influent for pll impoundments at this facility (gallons per day and year
j. Average daily effluent removed from lmpodments and discharged to streams, lakes,
63
of record),
etc, (gallons per day and year of record).
--9o-:. „?g:fia
- 9 e��i
a,ixoj
$:Taw
Vi. RATING OF THE GROUND -WATER CONTAMINATION POTENTIAL (See instruction manual EPA 570/9-78-003)
YEAR OF
STEP i
STEP 2 STEP 3 STEP 4
STEP 5 STEP 6
-t„
:°1
:�-
UNSAT. ZONE CONFIDENCE
G.W. AVAIL. CONFIDENCE G.W. QUAL. ONFIDENCE WASTE CONFIDENCE
G W. CONTAM. EALTH HAZARD CONFIDENC
>n`
YEAR OF
POTENTIAL
0,�,..:edr:c
25 a 26
o,s+
27 :,�.#--' � 28
: -� '---,y..
,-'?`"'t.
�.'�-k.:,s..-:, 29
o:
�, ....�...
...
30 y;:a,.. :0,,:>6
::::.. ..--=�:;
3 ::ro-,.::9. »..:.::
:::.i
32 .�..�.,.-#�::'�? 33
>:-_
34 '---'- ��: �,.rm 35
36 ?: ;{rf' 37
:. m,a:
��:ra�` :.,.:,<, 38
....
YEAR OF
e::,x.,b;,g�-=-`.-. 41
44
EPA Form 7500-44A
GALS./DAY
2 0 -e- w C_o.;-a.' �. r,- ..
STATE COPY
GALS./DAYJ_T
GALS./DAY
RECORD
RECORD
RECOP.O
36 44 �*a°'c' m.
45
49 a �9 s 58 - 6!
=#'°"
fit - 70
" -
71 74
-
-• 48
- 57
,a.`#ss,
#x
III. IMPOUNDMENT DESCRIPTION (Continued)
k. TYPE OF BOTTOM LINER (Enter no. from the types listed into blocks 23 and 24.)
1. FOR AGRICULTURAL IMPOUNDMENT GIVE AVERAGE DAILY NUMBER "
IF CLAY LINER NO, 2,3 OR 4 IS SELECTED, GIVE THICKNESS IN INCHES (Enter in blocks 25 thru 27.)
01. None 04. Chemically Modified Clay 07. Metal
(in blocks 40 threw 45) AND TYPE {in bloek46) OF LIVESTOCK.
10. Butyl Rubber Sheeting 13. Chlorinated Polyethylene
02. Clay 05. Concrete 08. Polyethylene
11, Hypalon Sheeting 14. Other Membrane type (Specify in blks. 28 - 39.)
1, Cattle 2. Hogs 3. Sheep 4. Poultry S. Other
03. Bentonite Modified 06. Asphalt 09. Plasticized PVC
12, Ethylene Propylene 15. Other (Specify in blocks 28 thru 39.)
:$
id:.*...x�x.. ...3:a
22 24 2 28
27
39 9ei:1 '` 40
a;;zgyg
46;23
IA'M'MV45
rvo,h.A5 o
V. GROUND -WATER DEGRADATION
IV. GROUND -WATER MONITORING
. Number of moni- b. FREQUENCY OF GROUND -WATER QUALITY SAMPLING FROM
a. HAVE SIGNIFICANT CHANGES IN GROUND --WATER QUALITY BEEN
b. HAS THE GROUND -WATER QUALITY OF DRINKING WATER WELLS IN THE
oring wells asses- MONITORING WELLS.
OBSERVED IN ANALYSIS FROM MONITORING WELLS? (11 'Yes', explain
AREA BEEN ADVERSELY AFFECTED EY SEEPAGE FROM THIS
fated with this
and describe below how the site was corrected.)
IMPOUNDMENT? (If 'yea', explain below.)-
'mpoundment (if '0'
-
nter and go to 1. None 4. Monthly 7. Yearly
1. Yes 2. No 3. Unknown 4. Not Applicable
1. Yes 2. No 3. Unknown 4. Not Applicable (Can only be used when there
ea tion V.b.).
- - -- •- - - - - - - - - - - --• - - - - - - - -
� are no wells within one mile of impoundment.)
2. Daily 5. Quarterly 8. Other (Specify in blocks 50 thru 61.)
EIIPLAIN:
E1�CPLAIIV: - - - - "• "' - - - - - - - - - - - -
.. 3. Weekly 6. Semi -Annually
47 48 49 > _.:,tom`„ -„'g 50
- 61 a
62
4
C_x:--,o.: •.,�z�.,
E
63
:�_9'�. �'
.�o-.�:w
--9o-:. „?g:fia
- 9 e��i
a,ixoj
$:Taw
Vi. RATING OF THE GROUND -WATER CONTAMINATION POTENTIAL (See instruction manual EPA 570/9-78-003)
`;r,.-. 23
STEP i
STEP 2 STEP 3 STEP 4
STEP 5 STEP 6
-t„
:°1
:�-
UNSAT. ZONE CONFIDENCE
G.W. AVAIL. CONFIDENCE G.W. QUAL. ONFIDENCE WASTE CONFIDENCE
G W. CONTAM. EALTH HAZARD CONFIDENC
>n`
POTENTIAL
0,�,..:edr:c
25 a 26
o,s+
27 :,�.#--' � 28
: -� '---,y..
MISCELLANEOUS Enter the waste identification number
for Part VI, Step 4.
IDENTIFIERS
4
C_x:--,o.: •.,�z�.,
E
&:� 'n.
:�_9'�. �'
--"�'�;�
--9o-:. „?g:fia
- 9 e��i
a,ixoj
$:Taw
22
`;r,.-. 23
24
-;+r.'<^
-t„
:°1
�.§;;��>:
`
�..
0,�,..:edr:c
25 a 26
o,s+
27 :,�.#--' � 28
: -� '---,y..
,-'?`"'t.
�.'�-k.:,s..-:, 29
o:
�, ....�...
...
30 y;:a,.. :0,,:>6
::::.. ..--=�:;
3 ::ro-,.::9. »..:.::
:::.i
32 .�..�.,.-#�::'�? 33
>:-_
34 '---'- ��: �,.rm 35
36 ?: ;{rf' 37
:. m,a:
��:ra�` :.,.:,<, 38
....
- 40 �'
.: aso�a<«
e::,x.,b;,g�-=-`.-. 41
44
EPA Form 7500-44A
(6-78)
2 0 -e- w C_o.;-a.' �. r,- ..
STATE COPY