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HomeMy WebLinkAboutWAYNE WINCHESTER UNION_MISC_20171231FAL APR 1 4 1988 Control Number County Number "41GROUNDWATER POLLUTION SOURCE INVENTORY C)d-, Source Name ^RSHIP WAVne 3rivate Source AddrfeSS 0• 1 2 5. $IQe, 31S 2 Municipal i D 6A V SQ 3 County 4 State City County Region lfill'O=� Uin IV, 5 Federal 6 Military Owner/ perator Quad Name "gultiple Sources a County ource s YES NO POTENTIAL SOURCE OF GROUNDWATER POLLUTION LOCATION OPERATION TYPE TYPE OF WASTE DISPOSAL FACILITY OTHER SOURCE OFacility 1 Municipal 1 Gasoline/diesel 0 Lagoon, etc. l Agricultural Activity 2 Highway 2 Industrial 2 Other oil 2 Landfill-contro. 2 Salt water intrusion 3 Railroad 3 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 Other chemical 5 Abandoned site 5 Mine drainage 6 Dumpsite 6 Other Source Sewage/septage 6 Sewer system 6 Intentional dump 7 Other C7) 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 i� In use? 10 Gas WASTE: 14+»gal Wasie Sw:He bper&�'^ 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 Rank l NPDES 6 Mining 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: OStatus 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 1 ��tGoe r► — /OD �X %O ' x 5 ' deep J 10:23 3 GW Pollution Source Inv. Date: 4 Other DEM investigation Date: Compiler: Date: ' �I .r /'1 �1� n,4 ,r a17 OMB NO. 158-S78004 r DATE PREPARED U.S, ENVIRONMENTAL PROTECTION AGENCY SURFACE IMPOUNDMENT ASSESSMENT (SIA) LOCATION AND COUNT OF IMPOUNDMENTS SECTION I SERIAL NUMBER MONTH � [DAY YEAR I 75 76 77 7S 79 60' r' FACILITY IDENTIFICATION How many impoundments are 4 STATE IDENTIFICATION NO. (Optional) STATE CNTY./CITY PLACE CATEGORY SIA SITE NUMBER 1.rilocated at this site? 41311 #' 1 2 3 - 5 r. 6 - 10 11 - 13 14 - is 22 23 - 25 26 - 37 INDUSTRIAL 36TE LOCATION NPDES NUMBERSTANDARD CLASSIFICATION (SIC Gode)Rrrr MIN VTES SECONDS 7 ` GO * x tN 9 DEGREES MINUTES Si CONDS -JEM LATITUDE -91- LONGITUDEf 1150, CJ } t 3B _ 46 --� 47 _ 50 51 52 53 5'4j 55 56 OWNER NAME OF OWNER 22 - 59 OWNER'S MAILING ADDRESS (Street No. or P.O. Box) zx:.. 22 _ 59 %s g CITY OR TOWN STATE ZIP CODE F22 itsc: r7� .a-: / n 52 53 54 55 - 59: OPERATOR NAME OF OPERATOR s t�' ii `1 � \� 1 rl INA122 - 59 OPERATOR'S MAILING ADDRESS (Streelt No. or P.O. Box) b WOE 11 1 IT 22 59 CITY OR TOWN ---T--F=1 STATE ZIP CODE I tl I I I 1 .711111 1 I I 52 153 54 1 55 -- 59 EPA Form 7500-44 (6-78) STATE COPY ;i �SaSl��n �1 GROUND WATER DIVISION OFFICE OF WATER AND AIR RESOURCES DEPARTMENT OF NATURAL AND ECONOMIC RESOURCES RECORD.OF GROUND WATER POLLUTION SOURCE RECORD BY: ��%/.�.-F'_ (���.,�.-� DATE 9Iz7I79 W.D. PERMIT N0, TOWN: 7-1-" COUNTY: 1ifn,a� LO0AT?0;N' (SKETCH ON BACK: 0.-7 a1 Jit C. s'cr� o-�- s,QI]IS OWNERS) OF FACILITY OR INSTALLATION: TY?H SOURCE: CLAMD FI LL, LAGOON, ETC) Com,-= R -.CTER AIND QUANTITY OF POLLUTANTS: Xr'tAmA/ U/Rrle.r �n►.••� Sr.-.��_ �tF-.�/.',,,, DESCRIPTION OF FACILITY (SKETCH ON BACK): �-iYDROGEOLOGIC CONDITIONS AT SITE: POLLUTION CONFIRMED BY ANALYSIS? DATE" ANALYST: MO`,ITORING FACILITIES INSTALLED: AMA ; A SCHEDULE: NEAREST STREAM; REAM; u. ; a. DISTANCE Gq �:E,.REST `rrATER SUPPLY WELL: DISTANCE 6-00, ANALYSES AND OTHER DATA AVAILABLE: REMARKS: pro i Gzinow FORM GW -45 0 G R O U N D 1-1 A T E° P O L L U T I O N S O U R C E E V A L U A T I O N RANKING CRITEP.IA THREAT TO GROUNDWATER ,� THREAT TO PEOPLE OR ECONOMY =THREAT OF POLLUTANTS Probability of Groundwater Violations How Hazardous to Health/Economy How Toxic are Pollutants (use Sax) 3 Violations documented or highly probable 3 People or business advised of contamination 3 High value ® Default ® Default Mod value 1 Violations unlikely i No expected impacts on people or business i Low or None value Ext@nt of Groundwater Contamination Number of Peoole at Risk Quantity of Pollutants in Ground 3 Mappable. 'migrating plume 3 4 or more family units, or $10,000 loss 3 Reportable quantity of hazardous material (CERCLA def.) or quantity of real concern 2 Default ® Default Default 1 Insignificant contamination expected 1 No people or other interests at risk 1 Not of concern to regional office Seriousness of Groundwater Threat Seriousness of People Threat Seriousness of Pollutant Treat 3 One of most serious in DEM region 3 Strong DEM concern over threat to people 3 One of most serious in OEM region 0 Default 2 Default �./ Default 1 Not considered a serious problem 1 No threat to people or economy 1 Not a serious threat 8 FEASIBILITY FOR TAKING ACTION FEASIBILITY OF RECLASSIFYING GROUNDWATER RANK SCORE: Feasibility for Remedial Action Need to Reclassifv Croundwater ( 3) Remedial action -both feasible and desirable Groundwater should be relassified RS or GC Source ame: 2 Default X33 ( 2 JDefault I No remedial action recommended 1 No reclass. nor remedial action recommended Control Number: O Desirability of Remedial Action Desirability of Reclassification 3 One of top regional office priorities 3 ne of top reclassification priorities County: 2 Default 2efault Ranker. 1 Not a priority incident 1 Not a priority incident Date: NVtCM AYYKuYLU *U. S. GOVERNMENT PRINTING OFFICE: 1978-724-845 OM$ NO, 158-S78004 EPA Farm 7500-44A (6-78) STATR COPY 1� U.S. ENVIRONMENTAL PROTECTION AGENCY SERIAL NUMBER DATE PREPARED SURFACE IMPOUNDMENT ASSESSMENT (SIA) OPERATIONAL FEATURES OF THE IMPOUNDMENT AND GROUND -WATER CONTAMINATION POTENTIAL p �q p MONTH DAY YEAR=, SECTION II 038408 form impoundment in Section Count Form f INSTRUCTIONS: This is to be completed for one per site (facility) identified I, Location and of Impoundments or for one impoundment per site selected via random sampling procedures. Complete multiple choice questions by entering the code number preceding the appropriate answer, 75 76 77 78 79 80 t u- I. FACILITY IDENTIFICATION II. PURPOSE OF IMPOUNDMENT (Enter no. in block 23 --- °".to-�aIMPOUND xt@cy%a ts<aR''ry," A, - STATE CNTY./CITY o'<+. PLACE CATEGORY v"° t SIA SITE HUM13ER e 1. Waste Store a 2. Waste Dia eel 3. Waste Treatmentbelow gg s r g Disposal (Specify ) 4. Other (Specify below) MENT NO .c. "..x. S P E C#I- Y 18 3 5 6 10 11 13 14 19 22 23 3. .... . ....... - t3242 -4 �K»k3-�F . III. IMPOUNDMENT DESCRIPTION a. Age of impound b. IS IMPOUNDMENT c. If answer to IlI.b is d. If answer to III.b is e. Surface area of impoundment. f. Surface area ofd impoundments ment in'years. PRESENTLY USED? 'yes', give no. of 'no', give last year at this site (in acres). g. Average influent into jty,$ impoundment (gallons per day and year of record). l' 1. Yes 2. NO years in operation. of operation. (in acres) o{tr I w °} g` tcx x'x.g.W -' °' a, ac 3: KQ? l g., !n ) r 3s"{ '.a �y YEAR O F; '�°-�- V`6"1 .s, �'.� :,t, o`?°o- .c,`o-s O .xo-i :.a.. :o w: »� ` taxi L GALS./DAY R OR ° °ase ° x, 35 36 37 s ?° » �.° x 38 3.9 O, .oa o: 40 - 43 44 - 49 50 56 _z 22 .z x g 23 - 31 32 - 35 III. IMPOUNDMENT DESCRIPTION (Continued) h. Average effluent for jjj^impoundment (gallons per day and year of record). i. Average daily influent forAll impoundments at this facility (gallons per day and year j. Average daily effluent removed from impoundments and discharged to streams, lakes, of record), etc, (gallons per day and year of reeor ). YEAR OF YEAR OF YEAR OF GALS./DAY GALS. /DAY GALS./DAY RE RD RECORD RECORD 36 44 as--oa` 4S ;jjKj o ?' 49 58 - 61 62 - 70 x r a sat 71 - 74 - - 48 - 57 III. IMPOUNDMENT DESCRIPTION (Continued) k...T.YPE 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 TN INCHES (Enter in blocks 25 thru 27.) {in Slacks 40 thru 45) AND TYPE (in b]ock46) OF LIVESTOCK. 01'.None _ 04. Chemically Modified Clay 07. Metal 10, Butyl Rubber Sheeting 13. Chlorinated Polyethylene 02.' 05. Concrete 08. Polyethylene 11. Hypalon Sheeting 14. Other Membrane type (Specify in blks. 28 - 39.) -Clay 1. Cattle 2. Hags 3. Sheep 4. Poultry 5. Other 03.- Bentonite'Modified 06. Asphalt 09. Plasticized PVC 12. Ethylene Propylene - 15. Other (Specify in blocks 28 thru 39.) "epi._ Oil ---",g„ 22 a��i- 23 24 40 25 27 r..�.o`4ai'4 2B 39 '�'� 45 4 a�21-0 x-`0}-_ _ _ _ ca.AS�.. ..-,fir 6 �xo-:ra,.-lo- o6+tC'o.l* IV. GROUND -WATER MONITORING V. GROUND -WATER DEGRADATION . Number of mord- 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 WAFER WELLS IN THE oring wells asso- MONITORING WELLS. OBSERVED IN ANALYSIS FROM MONITORING WELLS? (If 'yes', explain AREA BEEN ADVERSELY AFFECTED BY SEEPAGE FROM THIS fated with this and describe below how the site was corrected.) IMPOUNDMENT? (If 'yes', explain below.) impoundment fif 10' enter and go to 1. None 4. Monthly 7. yearly 1. Yes 2. No 3. Unknown 4. Not Applicable A. Yea 2. No 3. Unknown 4. Not Applicable (Can only be used when there uestion V.b,.). - - - - - - - - - - - - - - - - - - - - - - - - -- - - - ,- - - _ are no welis within one mile of impoundrnent.) - - - - - '-" - - - "' ' 2. Daily 5. Quarterly 8. Other (Specify in blocks 50 thru 61.) EXPLAIN: - EXPLAIN* :-'t- 3_ Weekly 6. Semi -Annually 62 63 47 48 ° 49�. 50 - 61 VI. RATING OF THE GROUND -WATER CONTAMINATION POTENTIAL (See instruction manual EPA 570/9-78-003) VII WASTE IDENTIFICATION NO. STEP 1 STEP 2 STEP 3 STEP 4 STEP 5 STEP 6 MISCELLANEOUS Enter the waste identification number G W. CONTAM. UNSAT. ZONE CONFIDENCE G.W. AVAIL. CONFIDENCE G.W. QUAL. ONFIDENCE WASTE CONFIDENCE EALTH HAZARD CONFIDENCE IDENTIFIERS for Part VI, Step 4, POTENTIA .� �"t<:,<., ex:t�,(W: &'d.'�:n�:,.>..#-.-. L::�d_ s,'�C. 6 �.: � ��r,.0':'O�`' ' � :, :_,,i.::..;:, ,,r.t. �__ .:`-'-.� :,:az-..,i..l ..�t�iR_..:, . �C ..-..-:{.aY_.:,,;: -,. _. ..u..: i.:.. .:,;, a�.:A:-,,,.0'�.k':.::�.,�.'6'_ --:.,�,iQo..::.:'_k,�::n',:4:< *. 1 •�', +�:`Y;,;.�:�CA.t:i:..�,?„.&.t_ Y:', l-: '��.+:,l:� ..'n:,�A..:.�9:`:'�' �.� 5.�s�6.Ct::.; 2 26 $ 3722 3 35 36 3833 49 41 1 N'- 4425 .ASNR� .-:-w_,,. ;. :. ,I 27 2 . :2'a,. .'_2d. _rSL.,::,. ..Rov.3.<'::.f:.._^-. .::.- 31 2 34 m# ..�4:,.: EPA Farm 7500-44A (6-78) STATR COPY 1� --j- - . `DATE 1IRLTIARLD *u. S. GOVCRIhwi NT P1oN,nr4c. oFFICC... 1978-724-845 0,511f No. ISS- S78004 U.S. ENVIRONMENTAL I'IZOTECT[ON AC-ENCY SURFACE IMPOUNDMENT ASSESSMENT (SIA) OPERATIONAL FEATURES OF THE IMPOUNDMENT AND GROUND -WATER CONTAMINATION POTENTIAL SECTION It INil'HUUFIONS'. 1'11t: form is to be completed for one imptiundinont per site (facility) identified in Section Ip I,ocn%jon and Count of Inipotpirlmcnls Iorin or far one ittlPOLIndment per site selected vin random s-oinplinV prucud tires, Complete multiple choice question,; by entoring Hit: code number prQecding the uppropriate answer, SERIAL NUM111" 'U e37 I. 1, AC ILITY IDENTIFICATION If. PURPOSE OF IMPOUNDNIFN,r (Enter no. in block 23) C. If answer to IIIb is d. It answer to Illb is c Surface Arco of impoundment. f. Surface nren ofLlilimpoundments went in years. PRESENTLY USED? Yei" give no. of IMPOUND - at tfits site (in acres). g. Average influent Into jbil Impoindment (gallons per day and your of record). YEAR OF 1. Yes 2. NO TATE of operation. CNTY./CITY PLACE CATEGORY SIA SITE NUMBER V., E. lvastc Storage 2, Wastt: Dispouril 3. War to Treatment (Specify below) 4, Other (Spvc1ly below) MENT NO. 11 :o.LSJDAY Aga; I I YEAR OF GALS./DAY ITI I SPECIFY I I I GALSJOAY T -I %gap fa % RECORD RFCORD' 35 36 37 38 a.9 40 _Lj 44 49 to 11 18 19 21 3 Z 35 22 5M;04AW 23 % 24 34 45 sa 61 62 71 48 49 57 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ill. IMPOUNDMENT DF-SCRTPTTON Age or impoumilb. IS lMP0LJN1DNjP.NT C. If answer to IIIb is d. It answer to Illb is c Surface Arco of impoundment. f. Surface nren ofLlilimpoundments went in years. PRESENTLY USED? Yei" give no. of 'no', give last year at tfits site (in acres). g. Average influent Into jbil Impoindment (gallons per day and your of record). YEAR OF 1. Yes 2. NO years in OperOtlon. of operation. (in acres) V., YEAR OF YEAR OF 11 :o.LSJDAY 2 GALS./DAY I I YEAR OF GALS./DAY ITI I L I I I GALSJOAY RECORD RFCORD' 35 36 37 38 a.9 40 _Lj 44 49 50 56 22 2 3 31 3 Z 35 Ill. IMPOUNDMENT DESCRIPTION (Continued) :average cffluQnt for thesis impoundment (gallons p or day and year of record). 1. AverflUc daily Influent for nil impoundments at this futility (gallons per day i2nd year j. Average daily effill-nt removed from 'Llimpoundmertts arid discharged to streams, julicips, of record), etc, (gallons per dity and year of rector d). YEAR OF YEAR OF YEAR OF 11 :o.LSJDAY I I GALS./DAY ITI I L I I I GALSJOAY RECORD RECORD RECORD 36 44 45 sa 61 62 71 48 49 57 Ill. IMPOUNDMENT DESCRIPTION (Continued) TYPE OF BOTTOM LINER (Enter no. from the types listed Into blocks 23 and 24.) 1. TOR AGRICULTURAL MIPOUNDMENT GIVE AVEIZAGF DAILY NUMBER IF CLAY LINER No. 2,3 OR 4 IS SELECTED, GIVE THICKNESS IN INCHES (Enter In blocks 25 that 27.) I- None 04. Chemically Modified Clay 07. Metal 10, Sutyl I -fibber Sheeting 13. Chlorinated Polyethylene (in blocks 40 tbru 45) AND TYPE (ir? block4o) OF LIVESTOCK. J2. Clay 05. Concrete 03. Polyethylene II. Hypolon Siieetlnc 14. Other Membrane type (Specify In blks, 28 39.) 1. Cottle 2. Rags 3, Sincep 4. Poultry 5. other 1j, BL -ritaritte Modified 06. Asphalt 09. Plasticized PVC 12. E thyl coc Propylene 15. Other (Specify in blocks 28 thru 39.) 3 FT x Zi 0 25 2 2 23 24 27 Z 6 7 4 0 45 41 �79 ma -,� . -.1 1� 77 7 IV. GROUND -WATER MONITORING V. CROUND-WATER DEGRADATION Ntinb'er of monl- b. FPI--'Qyjl-*NCY OF GI'OU.INID-WATER QUALITY SAMPLING FROMOM i I AVE SIGNIFICANT CHANGES IN GROUND -WATER QUALITY BEEN b. HAS THE GROUND -WATER QUALITY OF DRINKING WATER WELLS IN Tli H alsauk o- uso- %io-,,;1-1'6RING WLLLS. (1I3S1-'RVLD IN ANAT.YSIS FROM MONITORING WELLS? (if 'Yc-Z,', I-PI"in AREA ADVrRSFLY AVJlECTED By SLC PACE FIZOtl TRIS With 1I:t a u4d (1vsrr1bu Z-olow how the site wits corrocfcd.) (If 'yos', oxplahi below.), ,;vr u.1d Cc to 1. None 4. Monthly 7. Yearly Y.. No 3. TJ,�krt­t 4. Not Aj�pll­ld- Nat 1. ye. 2. No 3, unk.QW. 4. Not Ap[Olcriblc (C,jn only bo USQCJ fhgrtr k1ro no W,%vithin orra trillc of Ir:tpoLmdr;vw.) - -- - - - - - - - - - - - - - - .- - - -L 2. Dolly 5. Quarterly 8. Other (Specify In blocks 50 11tru 61.) T-­� 11 LA I N: XT, LTI r 3. Weekly 6. S v m t -A nnuri I I y % , 47 48 a9 g 50 GI -t4 G3 63 VT, RATING 01; THE GROUND -WATT 1, CONTAMINATION 1101-1-NTIA1,(3ca lnsInrclion manual 570/9-78-003) VIT. WASTE DI: ]STU_jgA'fjQtJ 4Q. linter r Ejv wuutc juenarivation nuinUcr for Part VI, Step 4. 4, STEP I STEP P 2 STEP 3 STEP 4 STEP 5 STEP 6 �AISCELLANEOUS UNSAT. ZONE ICONFIDENCE G.W. AVAIL. CONFIDENCE G.W. QUAL. ON FIDENCE WASTC CONFIDENCE G.W. CONTAM. HEALTIi FIAZARO CONFIDENCE IDIE-NTIFFIERS P 02' r7!7 ., 7- 1, 1 F I 22 �T 24 2 44- � I 26 27 r�� 35 3C TPT 77 38 40 1 7M7 7, 41 44 7-, _25 L 33 34 Form 7500-44A 0-761 i4'ACCPY WT,