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*ATTACHMENT 3 <br /> SITE ASSESSMENT DATA FORM <br /> (Attach additional description or explanation as needed <br /> or include in comment Section VII.) <br /> I. DISPOSAL SITE CHARACTERISTICS 7 7--02 d A. Waste Area(s) Dimensions <br /> 1. Area and Volume (acre and yd3): Arm V K ce Co 0 <br /> 2. Estimate Maximum Depth of Waste (ft): - 'ill - - <br /> 3. Estimate Average Depth of Waste (ft): unLes-a-, ---- <br /> B. Soil Type (check appropriate soil type) <br /> Native Cover <br /> 1. Clay, silt, loam (low permeability): <br /> 2. Sand, pebble (medium permeability): 21 <br /> 3. Gravel, cobble, rocks (high permeability): <br /> 14 <br /> C. Mean annual precipitation (in): Iq 2-Year 24-Hour (in): Y )'7 ' <br /> D. Estimated separation between waste and groundwater (ft): is 6, <br /> E. Is waste area within a 100 year flood plain? (9N): 4,e5 <br /> F. Show the following items on a site map(s): <br /> 1 Property boundaries <br /> 2. `Haste disposal area(s) boundary <br /> 3. Structures on or within 1000 ft. of waste <br /> 4. Topographical Contours <br /> 5. Access points and roads <br /> 6. Site security systems <br /> 7. Surface water bodies and drainage patterns <br /> 8. Monitoring and control systems <br /> 9. Areas where landfill gas migration was detected <br /> 10. Areas where leachate migration was detected <br /> G. Provide a chronological list of enforcement actions for the site <br /> 19-2 <br /> S004A"Q-r PALW -j�lflv L a,n <br /> LIJ; st 0,21Z-,117,1 &JrN IC—Al'u,17,.j <br /> 0;"ed I A!;o <br /> U <br /> opt /P c7A A.P OA it, <br /> Pgge 1 of 4 <br /> ClWMB Closure and Remediation Branch (1/25M) <br />