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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