INFORMATIONAL NOTICE!!!
RECEIVED
CLERK'S OFFICE
JAN 0 6 2003
STATE OF ILLINOIS
Pollution Control Board
IT IS IMPORTANT THAT YOU READ THE ENCLOSED DOCUMENTS
.
NOTE :
This Administrative Citation refers to TWO separate State
of Illinois Agencies. One is the ILLINOIS POLLUTION
CONTROL BOARD located at James R. Thompson
Center, 100 West Randolph Street, Suite 11-500,
Chicago, Illinois 60601 . The other state agency is the
ILLINOIS ENVIRONMENTAL PROTECTION AGENCY
located at: 1021 North Grand Avenue East, P.O. Box
19276, Springfield, Illinois 61794-9276 .
If you elect to contest the enclosed Administrative Citation, you must
file a PETITION FOR REVIEW with thirty-five (35) days of the date
the Administrative Citation was served upon you . Any such Petition
for Review must be filed with the clerk of the Illinois Pollution Control
Board by either hand delivering or mailing to the Board at the
address given above. A copy of the Petition for Review should be
either hand-delivered or mailed to the Illinois Environmental
Protection Agency at the address given above and should be marked
to the ATTENTION: DIVISION OF LEGAL COUNSEL .
Any person other than individuals MUST appear through an attorney-
at-law licensed and registered to practice law. Individuals may
appear on their own behalf, or through an attorney. 35 III. Adm .
Code 101 .400(a) .
BEFORE THE ILLINOIS POLLUTION CONTROL BOARDRECEIVED
CLERK'S OFFICE
ADMINISTRATIVE CITATION
JAN 0 6 2006
STATE OF ILLINOIS
ILLINOIS ENVIRONMENTAL
)
Pollution
Control Board
PROTECTION AGENCY,
)
Complainant,
)
AC ~~
v .
)
(IEPA No. 459-05-AC)
GEORGIA SHANK and STEVE SHANK,
)
Respondents .
)
NOTICE OF FILING
To :
Georgia Shank
Steve Shank
P.O. Box 195
2222 Dewey Street
Greenville, IL 62246
Greenville, IL 62246
PLEASE TAKE NOTICE that on this date I mailed for filing with the Clerk of the Pollution
Control Board of the State of Illinois the following instrument(s) entitled ADMINISTRATIVE
CITATION, AFFIDAVIT, and OPEN DUMP INSPECTION CHECKLIST
.
Respectfully submitted,
Illinois Environmental Protection Agency
1021 North Grand Avenue East
P.O. Box 19276
Springfield, Illinois 62794-9276
(217) 782-5544
Dated
:
January 4, 2006
iche le M. Ryan
Special Assistant Attorney General
THIS FILING SUBMITTED ON RECYCLED PAPER
BEFORE THE ILLINOIS POLLUTION CONTROL BOARD
ADMINISTRATIVE CITATION
ILLINOIS ENVIRONMENTAL
)
PROTECTION AGENCY,
)
Complainant,
)
V .
)
GEORGIA SHANK and STEVE SHANK,
)
Respondents
.
AC t/t.v "d"0
(IEPA No. 459-05-AC)
RECEIVED
CLERK'S OFFICE
JAN 0 6 2006
Pollution Control Board
JURISDICTION
This Administrative Citation is issued pursuant to the authority vested in the Illinois
Environmental Protection Agency by Section 31 .1 of the Illinois Environmental Protection Act, 415
ILCS 5/31.1 (2004) .
FACTS
1
.
That Georgia Shank is the present owner and Steve Shank is the present operator
(collectively "Respondents") of a facility located at Route 40 and Elm Street, Greenville, Bond
County, Illinois. The property is commonly known to the Illinois Environmental Protection Agency as
Greenville/Shank, Steve
.
2
.
That said facility is an open dump operating without an Illinois Environmental
Protection Agency Operating Permit and is designated with Site Code No . 0050055070
.
3
.
That Respondents have owned and/or operated said facility at all times pertinent
hereto .
4
.
That on November 15, 2005, Kendall Couch of the Illinois Environmental Protection
Agency's Collinsville Regional Office inspected the above-described facility.
A copy of his
inspection report setting forth the results of said inspection is attached hereto and made a part
hereof.
VIOLATIONS
Based upon direct observations made by Kendall Couch during the course of his November
15, 2005 inspection of the above-named facility, the Illinois Environmental Protection Agency has
determined that Respondents have violated the Illinois Environmental Protection Act (hereinafter,
the "Act") as follows
:
(1)
That Respondents caused or allowed the open dumping of waste in a manner
resulting in litter, a violation of Section 21(p)(1) of the Act, 415 ILCS 5/21(p)(1)
(2004) .
(2)
That Respondents caused or allowed the open dumping of waste in a manner
resulting in open burning, a violation of Section 21(p)(3) of the Act, 415 ILCS
5/21 (p)(3) (2004) .
That Respondents caused or allowed the open dumping of waste in a manner
resulting in the deposition of general construction or demolition debris; or clean
construction demolition debris, a violation of Section 21(p)(7) of the Act, 415 ILCS
5/21 (p)(7) (2004) .
CIVIL PENALTY
Pursuant to Section 42(b)(4-5) of the Act, 415 ILCS 5/42(b)(4-5) (2004), Respondents are
subject to a civil penalty of One Thousand Five Hundred Dollars ($1,500 .00) for each of the
violations identified above, for a total of Four Thousand Five Hundred Dollars ($ 4,500.00) .
If
Respondents elect not to petition the Illinois Pollution Control Board, the statutory civil penalty
(3)
2
specified above shall be due and payable no later than January 31, 2006,unless otherwise provided
by order of the Illinois Pollution Control Board
.
If Respondents elect to contest this Administrative Citation by petitioning the Illinois Pollution
Control Board in accordance with Section 31 .1 of the Act, 415 ILCS 5/31 .1 (2004), and if the Illinois
Pollution Control Board issues a finding of violation as alleged herein, after an adjudicatory hearing,
Respondents shall be assessed the associated hearing costs incurred by the Illinois Environmental
Protection Agency and the Illinois Pollution Control Board
. Those hearing costs shall be assessed
in addition to the One Thousand Five Hundred Dollar ($1,500 .00) statutory civil penalty for each
violation .
Pursuant to Section 31 .1 (d)(1) of the Act, 415 I LCS 5/31 .1(d)(1) (2004), if Respondents fail
to petition or elect not to petition the Illinois Pollution Control Board for review of this Administrative
Citation within thirty-five (35) days of the date of service,
the Illinois Pollution Control Board shall
adopt a final order, which shall include this Administrative
Citation and findings of violation as
alleged herein, and shall impose the statutory civil penalty specified above
.
When payment is made, Respondent's check
shall be made payable to the Illinois
Environmental Protection Trust Fund
and mailed to the attention of Fiscal
Services, Illinois
Environmental Protection Agency, 1021 North Grand Avenue East, P.O. Box 19276, Springfield,
Illinois 62794-9276. Along with payment, Respondents shall complete and return the enclosed
Remittance Form to ensure proper documentation of payment
.
If any civil penalty and/or hearing costs are not paid within the time prescribed by order of the
Illinois Pollution Control Board, interest on said penalty and/or hearing costs shall be assessed
against the Respondents from the date payment is due up to and including the date that payment is
received. The Office of the Illinois Attorney General may be requested to initiate proceedings
against Respondents in Circuit Court to collect said penalty and/or hearing costs, plus any interest
accrued
.
3
PROCEDURE FOR CONTESTING THIS
ADMINISTRATIVE CITATION
Respondents have the right to contest this Administrative Citation pursuant to and in
accordance with Section 31 .1 of the Act, 415 ILCS 5/31/1 (2004). If Respondents elect to contest
this Administrative Citation, then Respondents shall file a signed Petition for Review, including a
Notice of Filing, Certificate of Service, and Notice of Appearance, with the Clerk of the Illinois
Pollution Control Board, State of Illinois Center, 100 West Randolph, Suite 11-500, Chicago, Illinois
60601 . A copy of said Petition for Review shall be filed with the Illinois Environmental Protection
Agency's Division of Legal Counsel at 1021 North Grand Avenue East, P .O. Box 19276, Springfield,
Illinois 62794-9276 . Section 31 .1 of the Act provides that any Petition for Review shall be filed within
thirty-five (35) days of the date of service of this Administrative Citation or the Illinois Pollution
Control Board shall enter a default judgment against the Respondents
.
you- -~.
P. s -
Douglas P . Scott, Director
~a
mss.
Illinois Environmental Protection Agency
Prepared by
:
Susan E. Konzelmann, Legal Assistant
Division of Legal Counsel
Illinois Environmental Protection Agency
1021 North Grand Avenue East
P.O. Box 19276
Springfield, Illinois 62794-9276
(217) 782-5544
4
Date : I
I
H
I
d(0
RECEIVED
REMITTANCE FORM
CLERK'S OFFICE
JAN 0 6 2006
ILLINOIS ENVIRONMENTAL
)
PROTECTION AGENCY,
)
STATE OF ILLINOIS
Po lution Control Board
Complainant,
)
AC ()G ~
V .
)
(IEPA No. 459-05-AC)
GEORGIA SHANK and STEVE SHANK,
)
Respondents
.
)
FACILITY
:
Greenville/Shank, Steve
SITE CODE NO
.
:
0050055070
COUNTY :
Jefferson
CIVIL PENALTY
:
$4,500.00
DATE OF INSPECTION :
November 15, 2005
DATE REMITTED
:
SS/FEIN NUMBER
:
SIGNATURE :
NOTE
Please enter the date of your remittance, your Social Security number (SS) if an individual or
Federal Employer Identification Number (FEIN) if a corporation, and sign this Remittance Form . Be
sure your check is enclosed and mail, along with Remittance Form, to Illinois Environmental
Protection Agency, Attn
.: Fiscal Services, P.O. Box 19276, Springfield, Illinois 62794-9276
.
5
ILLINOIS ENVIRONMENTAL PROTECTION AGENCY
AFFIDAVIT
IN THE MATTER OF :
)
IEPA DOCKET NO
.
Greenville/Shank, Steve
)
Georgia Shank and Steve Shank
)
Respondent .
)
Affiant, Kendall Couch, being first duly sworn, voluntarily deposes and states as follows
:
I
.
Affiant is a field inspector employed by the Bureau of Land of the Illinois
Environmental Protection Agency and has been so employed at all times pertinent
hereto
.
2 .
On November 15, 2005, between 3 :35pm and 4:00pm, Affiant conducted an
inspection of the open dump in Bond County, Illinois, known as
Greenville/Shank, Steve, Illinois Environmental Protection Agency Site
No. 0050105007
.
3
.
Affiant inspected said Greenville/Shank, Steve open dump by an on-site
inspection which included walking the site and taking photographs
.
4
.
As a result of the activities referred to in Paragraph 3 above, Affiant assisted in
the completion of the Inspection Report form attached hereto and made a part
hereof, which, to the best of the Affiant' s knowledge and belief, is an accurate
representation of Affiant' s observation and factual conclusions with respect to
said Greenville/Shank, Steve open dump
.
Subscribed and Sworn to before me
this 30th day of November 2005
UL1Fti 0th
2
Notary Public
y
"OFFICIAL SEAL"
11
PAULA OITENSMEIER
NOTARY PUBLIC-STATE OF ILLINOIS
MY COMMISSION EXPIRES NOV. 9, 2007
/i.M1
a1L
Kendall Couch
ILLINOIS ENVIRONMENTAL PROTECTION AGENCY
Open Dump Inspection Checklist
County :
Bond
LPC# :
0050055070
Region
:
6 - Collinsville
Location/Site Name
:
Greenville/Shank, Steve
Date :
11/15/2005
Time: From
3:35pm
To 4:00pm
Previous Inspection Date
:
11/18/2004
Inspector(s)
:
Kendall Couch
Weather: Cloudy, wet, 50 degress F .
No. of Photos Taken
: # 9
Est. Amt. of Waste
:
150
yds
3
Samples Taken
:
Yes #
X
No
U
Interviewed
:
No one present
Complaint # :
N.A .
Revised 10/5/2005
(Open Dump -
1 )
SECTION
DESCRIPTION
ILPA/SOL
VIOL
ILLINOIS ENVIRONMENTAL PROTECTION ACT REQUIREMENTS
1 .
9(a)
CAUSE, THREATEN OR ALLOW AIR POLLUTION IN ILLINOIS
VA
2 .
9(c)
CAUSE OR ALLOW OPEN BURNING
V
3 .
12(a)
CAUSE, THREATEN OR ALLOW WATER POLLUTION IN ILLINOIS
4 .
12(d)
CREATE A WATER POLLUTION HAZARD
5 .
21 (a)
CAUSE OR ALLOW OPEN DUMPING
V
6 .
21(d)
CONDUCT ANY WASTE-STORAGE, WASTE-TREATMENT, OR WASTE- DISPOSAL
OPERATION :
(1)
Without a Permit
~11
(2)
In Violation of Any Regulations or Standards Adopted by the Board
V
7 .
21(e)
DISPOSE, TREAT, STORE, OR ABANDON ANY WASTE, OR TRANSPORT ANY
WASTE INTO THE STATE AT/TO SITES NOT MEETING REOUIREMENTS OF ACT
FIN
8 .
21(p)
CAUSE OR ALLOW THE OPEN DUMPING OF ANY WASTE IN A MANNER WHICH RESULTS
IN ANY OF THE FOLLOWING OCCURRENCES AT THE DUMP SITE :
(1)
Litter
162
(2)
Scavenging
(3)
Open Burning
~
4
(4)
Deposition of Waste in Standing or Flowing Waters
(5)
Proliferation of Disease Vectors
(6)
Standing or Flowing Liquid Discharge from the Dump Site
Latitude :
N38.87372
Longitude
:
W89.40033
Collection Point Description
: Dump Location -
(Example
:
Lat .: 41 .26493
GPS -
Long . : -89.38294)
Collection Method
:
Responsible Party
Mailing Address(es)
and Phone Number(s) :
Georgia Shank-Owner
P.O Box 195
Greenville, IL. 62246
Steve Shank-Operator
2222 Dewey S
Gr
02
'4(f ?-
IV r
2
618/664-0005
618/664-0005
11F
r
~t
c 2005
LPC #
0050055070
Inspection Date :
11/15/2005
Informational Notes
1
.
(Illinois] Environmental Protection Act: 415 ILCS 5/4 .
2 .
Illinois Pollution Control Board : 35 III . Adm. Code, Subtitle G
.
3 .
Statutory and regulatory references herein are provided for convenience only and should not be construed as legal
conclusions of the Agency or as limiting the Agency's statutory or regulatory powers . Requirements of some statutes
and regulations cited are in summary format. Full text of requirements can be found in references listed in 1
. and 2
.
above .
4 .
The provisions of subsection (p) of Section 21 of the [Illinois] Environmental Protection Act shall be enforceable either by
administrative citation under Section 31 .1 of the Act or by complaint under Section 31 of the Act
.
5 .
This inspection was conducted in accordance with Sections 4(c) and 4(d) of the (Illinois]
Environmental Protection Act :
415 ILCS 5/4(c) and (d) .
6
.
Items marked with an "NE" were not evaluated at the time of this inspection
.
Revised 10/5/2005
(Open Dump - 2)
(7)
Deposition of General Construction or Demolition Debris ; or Clean Construction or
Demolitinn Dphris
04
9 .
55(a)
NO PERSON SHALL :
(1)
Cause or Allow Open Dumping of Any Used or Waste Tire
FAR
(2)
Cause or Allow Open Burning of Any Used or Waste Tire
~~4
35 ILLINOIS ADMINISTRATIVE CODE REQUIREMENTS
SUBTITLE G
10 .
812.101(a)
FAILURE TO SUBMIT AN APPLICATION FOR A PERMIT TO DEVELOP AND
OPERATE A LANDFILL
11
.
722.111
HAZARDOUS WASTE DETERMINATION
12 .
808.121
SPECIAL WASTE DETERMINATION
13 .
809.302(a)
ACCEPTANCE OF SPECIAL WASTE FROM AWASTE TRANSPORTER WITHOUT A
WASTE HAULING PERMIT, UNIFORM WASTE PROGRAM REGISTRATION AND
PERMIT AND/OR MANIFEST
OTHER REQUIREMENTS
14 .
APPARENT VIOLATION OF
:
(
PCB; (/) CIRCUIT COURT
CASE NUMBER :
ORDER ENTERED ON :
15.
OTHER :
LPC#-0050055070-Bond County
Greenville/Shank, Steve
Date of Inspection: November 15, 2005
Prepared by: Kendall Couch
Date: November 30, 2005
Narrative
General Remarks
On November 15, 2005, 1 went to the Greenville, Illinois to investigate a complaint
involving a tire fire. The weather was cloudy, wet, and temperature was 50° F . The
owner of this site, Georgia Shank, was not present during this inspection
.
History
On August 25, 2004, a complaint was received by the Agency stating that this site was
dumping and burning household garbage. On September 3, 2004, I went to this site
.
When I arrived I observed six 55-gallon drums and a dumpster located at this site
.
Four of the drums were full of burned material and the fifth was partially full . The last
drum was empty and lying on its side . The dumpster was half full of building materials
and other miscellaneous items .
To the east of the dumpster was a burned area approximately 10 feet by 15 feet . This
burned area was smoldering during this inspection. It appeared wood and brush had been
ignited recently. Just to the south of this burned are was a darkly stained area covered
with an unknown absorbant
.
An Administrative Warning Notice was sent to Steve Shank alleging several violations of
the Illinois Environmental Protection Act . Steve Shank responded to the ACWN and
cleaned the site. A Return to Compliance Letter was then sent to Mr. Shank .
Inspection
Mr. Shank had recently had several tons of tire shred delivered to this site. The tire shred
was to be used as fill for a future construction project. The tire shred came from Century
Mulch of Mulberry Grove, Illinois . Century Mulch is located approximately 5 miles to
the east on US Highway 40 . 1 spoke to Mr. Shank on November 10, 2005 via phone and
explained that the tire shred was not considered clean fill per the Illinois Environmental
Protection Act
.
The Emergency Response Unit of the Collinsville Regional Office received a complaint
from the Greenville Fire Department on November 14, 2005 . The complaint was referred
to the [EPA Bureau of Land for follow-up. On November 14, 2005, at approximately
6:30am, the Greenville Fire Department was dispatched to a tire shred fire at this site .The
Greenville Fire Department extinquished the fire and left.The Greenville Fire Department
was dispatched again to this site at approximately 10 :30am on that day, and once again
extinquished the fire and left. A fire incident report is attached to this report
.
LPC#-0050055070-Bond County
Greenville/Shank, Steve
Compliance File
On November 15, 2005 I spoke with Bill Johnston of the Greenville Fire Department
.
Mr. Johnston explained that he spoke with Mr . Shank and Mr. Shank stated that he was at
this site at 6 :00pm on November 13, 2005 and observed the tire shred burning . Mr. Shank
explained that he did not want to bother the fire department and let the fire continue to
burn. Mr. Shank went back to this site on November 14, 2005 at 6 :30am. He then called
the Greenville Fire Department to report the fire .
Later that day, I went to this site . This site is an open field on the south side of
Greenville. Just south of US Highway 40 is an area with several piles a tire shred on the
east side and a large area covered with half burned tire shred on the west side . The area
smelled of burned rubber .
I then went to the south side of the field where an area contained concrete and tree mulch
.
This area was sited for open burning and dumping back in September of 2004 as
previously stated in the history paragraph of this Narrative . The tree mulch pile was
approximately 4 feet by 10 feet and the concrete pile was approximately 10 feet by 15
feet. The concrete appaired to be from a sidewalk or driveway
.
On November 17, 2005, I went to the Bond County Assessor's Office. This site is owned
by Georgia Shank, wife of Steve Shank according to the Deed aquired from their Office
.
I then went to the site and noticed another large bum pile to the east of the
aforementioned sites. This bum pile was approximately 30 feet in diameter . The burn pile
contained large tree stumps, mattress springs, unburned furniture, a door handle, some
white fiberous material and some solid matter resembling burned roofing material
.
This site is two contiguous pieces of property with the tire shred being on the western
property while this larger burn pile being on the eastern property. Both properties are
owned by Georgia Shank
.
Mr. Shank needs to immediately cease the open dumping and open burning at this site
.
All the burned tire shred and burned waste material must be taken to a permitted landfill
for proper diposal by January 15, 2006 . Receipts from the landfill must be submitted to
the IEPA for review .
During the inspections I observed the apparent violations of 9(a), 9(c), 21(a), 21(d)(1),
21(d)(2), 21(e), 21(p)(1), 21(p)(3), 21(p)(7), 55(a)(1) and 55(a)(2) of the Illinois
Environmental Protection Act
.
cc :
DLPC/FOS- Collinsville Regional
R
Conc
n~~
AWO
s
State of Illinois
Environmental Protection Agency
Facility Diagram
Date of Inspection:November 15, 2005 Inspector:
Kendall Couch
Site Code: 0050055070 County :
Bond
Site Name :
Shank, Steve
retie-Tree
S
#1a
Time
:
3:35pm
OPA l
pt
res#
State of Illinois
Environmental Protection Agency
Facility Diagram
Date of Inspection
:
November 17, 2005 Inspector
:
Kendall Couch
Site Code
:
0050055070 County :
Bond
Site Name :
Shank, Steve
Time
:
1 :55pm
garage
rave
ea
Conc
AMho) o
rete-Tree
Q
5idO@N
---~
O
4BQo
Mind
ict'ure-,s
•#
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 15, 2005
TIME : 3:35pm-4:00pm
DIRECTION: Southwest
PHOTO by: Kendall Couch
PHOTO FILE NAME
:
0050055070--11152005-001
COMMENTS :
DATE: November 15, 2005
TIME : 3:35pm-4:00pm
DIRECTION : Southwest
PHOTO by: Kendall Couch
PHOTO FILE NAME :
005005507011152005-002
COMMENTS :
DIGITAL PHOTOGRAPH PHOTOCOPIES
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 15, 2005
TIME: 3:35pm-4:00pm
DIRECTION: South
PHOTO by: Kendall Couch
PHOTO FILE NAME :
0050055070-11152005-003
COMMENTS :
DATE: November 15, 2005
TIME: 3:35pm-4:00pm
DIRECTION : South
PHOTO by: Kendall Couch
PHOTO FILE NAME :
0050055070-11152005-004
COMMENTS :
DIGITAL PHOTOGRAPH PHOTOCOPIES
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 15, 2005
TIME: 3:35pm-4:00pm
DIRECTION: Southwest
PHOTO by: Kendall Couch
PHOTO FILE NAME :
0050055070-11152005-005
COMMENTS
:
DATE: November 15, 2005
TIME: 3:35pm-4:00pm
DIRECTION : Southwest
PHOTO by: Kendall Couch
PHOTO FILE NAME :
0050055070-11152005-006
COMMENTS :
DIGITAL PHOTOGRAPH PHOTOCOPIES
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 15, 2005
TIME: 3:35pm-4:00pm
DIRECTION: South
PHOTO by: Kendall Couch
PHOTO FILE NAME
:
0050055070-11152005-007
COMMENTS
:
DATE: November 15, 2005
TIME: 3:35pm-4:00pm
DIRECTION: Down
PHOTO by: Kendall Couch
PHOTO FILE NAME :
005005507011152005-008
COMMENTS :
DIGITAL PHOTOGRAPH PHOTOCOPIES
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 15, 2005
TIME: 3:35pm-4:00pm
DIRECTION: Northwest
PHOTO by: Kendall Couch
PHOTO FILE NAME
:
0050055070--11152005-009
COMMENTS :
DIGITAL PHOTOGRAPH PHOTOCOPIES
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 17, 2005
TIME : 1:55pm-2:l Opm
DIRECTION: North
PHOTO by: Kendall Couch
PHOTO FILE NAME :
0050055070-11172005-001
COMMENTS :
DATE: November 17, 2005
TIME: 1:55pm-2:10pm
DIRECTION: North
PHOTO by: Kendall Couch
PHOTO FILE NAME
:
0050055070-11172005-002
COMMENTS :
DIGITAL PHOTOGRAPH PHOTOCOPIES
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 17, 2005
TIME : 1 :55pm-2:10pm
DIRECTION : Down
PHOTO by: Kendall Couch
PHOTO FILE NAME :
005005507011172005-003
COMMENTS :
DATE: November 17, 2005
TIME : 1:55pm-2:10pm
DIRECTION : East
PHOTO by: Kendall Couch
PHOTO FILE NAME :
005005507011172005-004
COMMENTS :
DIGITAL PHOTOGRAPH PHOTOCOPIES
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 17, 2005
TIME : 1 :55pm-2:10pm
DIRECTION: Down
PHOTO by: Kendall Couch
PHOTO FILE NAME
:
005005507011172005-005
COMMENTS :
DATE: November 17, 2005
TIME : 1 :55pm-2:10pm
DIRECTION: Down
PHOTO by: Kendall Couch
PHOTO FILE NAME :
005005507011172005-006
COMMENTS :
DIGITAL PHOTOGRAPH PHOTOCOPIES
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 17, 2005
TIME: 1 :55pm-2:10pm
DIRECTION: South
PHOTO by: Kendall Couch
PHOTO FILE NAME :
0050055070-11172005-007
COMMENTS :
DATE: November 17, 2005
TIME: 1 :55pm-2:10pm
DIRECTION: South
PHOTO by: Kendall Couch
PHOTO FILE NAME :
0050055070--11172005-008
COMMENTS :
DIGITAL PHOTOGRAPH PHOTOCOPIES
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 17, 2005
TIME : 1 :55pm-2:10pm
DIRECTION: Down
PHOTO by: Kendall Couch
PHOTO FILE NAME :
0050055070-11172005-009
COMMENTS
:
DATE: November 17, 2005
TIME: 1 :55pm-2:10pm
DIRECTION: Down
PHOTO by: Kendall Couch
PHOTO FILE NAME :
005005507011172005-010
COMMENTS :
DIGITAL PHOTOGRAPH PHOTOCOPIES
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 17, 2005
TIME: 1:55pm-2:10pm
DIRECTION: West
PHOTO by: Kendall Couch
PHOTO FILE NAME :
0050055070-11172005-011
COMMENTS :
DATE: November 17, 2005
TIME : 1 :55pm-2:10pm
DIRECTION: Northwest
PHOTO by: Kendall Couch
PHOTO FILE NAME
:
0050055070-11172005-012
COMMENTS :
DIGITAL PHOTOGRAPH PHOTOCOPIES
LPC #0050055070 -Bond County
Greenville/Shank, Steve
FOS File
DATE: November 17, 2005
TIME: 1 :55pm-2:10pm
DIRECTION: Down
PHOTO by: Kendall Couch
PHOTO FILE NAME :
005005507011172005-013
COMMENTS
:
DIGITAL PHOTOGRAPH PHOTOCOPIES
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FAX NUMlil ;lZ
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GREENVILLE FIRE PROTECTION DISTRICT
P, 0 Box 402
Greenville, unnms 6224h
METHOD OF ALARM FROM PUB
G
Tel, phoneDuect
1
Private Fire Alarm
0
3
Radio
O
4
Direct Verbal Report
0
5
TelopltoneTie Line
EJ
7
0
TYPE
8
OF SITUATION FOUND
Structure
0
11
Outside of Structure
0
12
Vehicle
0
13
Trees/Brush/Grass
E7
14
Refuse
0
16
"16h
U((1
TYPE OF ACTION TAKEN
Extlnguishment
Investigation
on ly E7
3
Remove Hazard
0
4
Standby
E7
5
1
ITAal(TO
IES10NDINC
'
I
I1
7
11,
7
L+UUINI r
Ix,' r
M„
III,
I
l
)I ~rl(A
0-
1
1
0OTHEe VEHICLES
RESPONDING
I
I
a INCIDENT.a(LAT(O INJURIES
I
Nrt
Stmt
Ch
: 'I
161
I I
a INCIDENT-aruTED MTALITItS
Fit S.,r¢P
olhr
IN
1
L10
1
I
~( J
COMPLL X
Education
0
20
Dwelling
0
41
Apartment
0
42
Shopping
0
68
Farm
0
65
Medical Cars
0
33
Road
E7
98
No Complex
0
g8
ti
Mobile
HomeP
P
rk,
47
FIXED PROPERTY USE
Not Applicable
0
008
1-Family Owelllng-Year
0
411
2-FomilyDwelllng-Year
0
414
3-8 Unit Apt/Tanmt/Flat
0
422
Stores/euelnsaa
0
600
Schools/Edurallonal
0
200
Farming ,
Vaunt Property
0
,915
Open Lend/field
0
931
Vacant Lot
0
938
Railroad Right of Way
E7
951
Limit Aeuee/Divide Hwy .
0
9e1
Paved Public Street
0
91{1
Uroeved Star/Road/Path
0
984
Undercover Parking Area
0
965
HosDnsl
0
311
Nursing Home
E7
331
0
__
MOBILE PROPERTY TYPE
(If any, do line U)
Undetermined
Not Appllca
0
0e
Autom
Is
0
I1
Mobile
ome
0
17
Truck-Gen Und
I Ton
0
22
Mot r Home
0
14
Rai Vehicles
0
30
Se
Trailer,
0
23
I
I AI)I,li(
r Ill
0
AREA OF ORIGIN
K
Undetermined
0
00
Lounge Area
0
14
Sleep Am Under 6 People
0
21
Kitchen/ Cooking Area
0
24
Trash Area/Container
0
46
Garage/Carport/Storage
0
47
Trans Eqp/Postal Area
0
91
Engn Area of Trans Eqp
LJ
Railroad Embankment
0
91
Highway/Public Way/St
U
Lawn/Field/Open Area
94
Chimney
0
57
Laundry Room
0 26
Basement 0 71
0
FIRE INCIDENT REPORT
M IIMI
TERMINATION STAGE
Sntfl S100/80I Fhrre
In/After Flame Siege
3
0
EQUIPMENT INVOLVED IN IGNITION
(If any, do line V)
Wood Stove
Undetermined LWS3
V O
'°
MI A4k, IU
/, 03,'{
nr coo(
toZ,ZIYIm
I I
x(x r.~ (
IIIIVII NI
TYP
OF
IN SIk1v(1
I Z
!ILIeNOME
CLNS(Is tACT
ptll4 O 1
CHAnct C!
FORM OF MATERIAL IGNITED
MATERIAL IGNITED
Gasoline LJ 23
Fat/Grease (Food) 0 31
Plastic Unclassified
,0
~
,,
~''
Rubber Lrf 61
Grass/Leaves 0 64
Sawn Wood 0 63
Untreated Paper 0 67
Man-Made Fiber O 71
Cotmn/Rayon 0 72
Multiple Types 0 97
Resin/Tar/Creosote 0 34
Not Classified 0 99
Undetermined O 00
Control H,al/A,r
E-1
it
Portable Local Htg Unit
E7
16
Chimney, Gee Vent Flu 0 1e
Fixd/Stistry Surf Unit
21
Open Fire Grill 0 28
Cord, Plug 0 47
Vehicle 0 96
No Equipment Involved 0 9e
a
FORM OF HEAT OF IGNITION
L
Spark/Gee Fueled Eqp 0
11
12
13
14
23
Heat/Gas Fueled Eqp 0
Spark/Liq Fueled Eqp 0
Heat/Liq Fueled Eqp O
Short Circuit-Dad nil 0
ShortCircuil-Unspoc 0 2e
Overloaded Eqp 0
27
Cigarette0
31
Match 0 46
Open Fire 0 47
Backfire From Engine
E7 48
Friction 0 51
Reigniton/Rekindle 0 66
Properly Oper Flee Eqp 0 56
Fireworks 0 63
Lightning Discharge 0
73
Radiated Heat 0
82
Gas/ Liquid From Pipe
Be
Multiple Form 0
NotClassIfied 0
97
99
IGNITION FACTOR
ANA
Undetermined l
Incendary-No Civil Disirb Oil
Suspicious-No Clvl Dlstrb 0 21
Abandoned Materiel 0 31
InsdaqutComr/OpnFame 0 34
Child Playing 0 36
Combetbl/Too Close Heat 0 46
Pen Failure/Leek/Break 0 61
Shrt Crct/Gmd Fault 0 54
Other Else Failure 0 66
Lack of MeiMenanca 0 66
Backfire D 57
Unattended Opara6on0 73
Fuel Spill 0 40
- LSghtning
REK~79
Heat/Solid Fuel 0
t'^'1 1B
Explosives/Fireworks
Undetermined ~0p
Nat Classified 0 99
O
LEVEL OF FIRE 0
IN
Grad. LevI-9 Ft Above
1
10-19 Ft Above
E7
2
Below Grnd/Weler Levi0
e
Upholstered
Structural
Undetermined E]
Member 0
Sole/Chair 0
00
17
21
Electrical Wire 0 et
Fuel0 e6
Growing/Living Form 0 74
Rubbish/Trash 0 76
CookingMoleriol 0 76
N
0
T
U
V
COMPLETE ON ALL INCIDENTS
A
REME
RESPONDING
1 2 3 4 6 61'919 10 11 0 13 14 15 16 17 18 1®®21 dD23
37 36 39
41 42 4345 46 47
9 50 51 52 53 54 55 56 57 56 59 60 61
62 63 64 85 66 67 60 69 70 71
72
210 215 218 2
206 2D9 210 215 216 217
OPTIONAL COMMENT AREA :
D. JUNIORS: 101 102 103 104 105 106 107 106
26 27 26 29 30 31 32 33
COMPLETE LINES N-R FOR STRUCTURE FIRES ONLY
COMPLETE
FOR
ALL FIRE
INCIDENTS
Q
If SMOKE SPREAD BEYOND
ROOM OF ORIGIN
M THOO OF tXTINCUISHM NT
TYPE
MOST
OF MATERIAL GENERATING
SMOKE
M
Self Extinguished
Q
I
Make-Shih Aid,
Q
2
Undetermined
W
Portable Extinguisher
0
3
Ia,/Grease Too
Q
31
Plastic-l'nclassif d
40
Precon Hose lank Water
rg/J"~
Precon Hose Hydrnl Vdlr
0
b
Ru
1
51
Hand- Laid Lines
∎ 7
Sawn
cod
Q
69
Na,dwoud/PI
ood
O
65
Unt,eaI
PapPr
0
67
Mai,M
fiber
Q
71
0
ESTIMATED TOTAL
SS
LOSS
C NFMTING
Co
)n-Rayon M 72
PROPERTY DAMAGE
M
bple Types
O
97
Applicable
0
98
CLASSIFICATION
Undetermined
Q
0
S
I-
99
0
1
Gasoline
D
23
0 __
5
l 00 - 999
0
2
S
1000 -
9999 [] 3
S 10000 - 24999
941'
No Dollar Loss
AVENUE OF
Nol Determined/Report
SMOKE TRAVEL
C
0
Cur
•o
r
Q
2
Clpenmg in Cons,
Iron
Q
5
No Sign,6canl
enue
O
B
O _
TIME FROM ALARM TO
AGENT APPLICATION
Agent Appl Before Alarm
Q
1
MUTUAL
Pocahontas
Less Than 2 Minuses
M
2
Keyesporl
5oren,
2 - 5 Minutes
0
3
6 -
9 Minutes
O
4
10
19 Minutes
0
-
O
5
Smilhb
No Applicatmn Necess
9
Mulberr
o
•e
ffeen
O
Hlghlon
Pierron
Firemen_
__
Tonkers
--
Pumpers._
IEel~3
TFMP(RA UR(
ND DIRECT ON AND VELOCITY
SSA 8
-17
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I M
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WHI
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IIRS!NAMI MI
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K
s-r ~
Reluw
El
15
Lea
cwes
TYPE OF ACTION TAKEN ~~
Extinguishment
E
t
Investigation Only
0
3
Remove Hazard
0
4
Standby
0
6
f
MUTUAL AID
HiT
None
Rece' ed
e ALA! S
Ul
I
GINIS lisp
GREENVILLE FIRE PROTECTION DISTRICT
P .O
. box 402
Gleenville Illrnois 6??4G
•
VIII S(IVICE
Pits,
RESPONDING
H
IF I
#1AMxan
*ISPONDING
th
os-1h
:S
n
rS,-I)I$IQ
,O1NERVIHI LES
RfSPONDINC
eINCIO
tAifD1N1UR1t1
S
i!C
sei
Me
ws
rNNI
13,
1 I I I to
e INCIO ile
eniATED fAIAlIltt4 t
Fee W".1c
Uhn
I
I Dl L
I
10
COMPL X
Education 0 20
J
Dwelling 0 41
Apartment 0 42
Shopping 0 58
Farm 0 66
Medical Care 0 33
Road
No Complex [79B
Mobile Home Park 0 47
0
Iri
FIXED PROPERTY USE
C
Not Applicable 0 Ule
1-Famuy Dwelling-Veer 0 411
2-Family Dwelling-Year 0 414
3-8 Unit Apt/Taximt/Fiat 11
422
Stoma/Buelnar 0 E>DO
Schools/Educatlonal 0 200
Farming 0
,. .,~
Vaunt Property 1915
Open Land/Field 0931
Vacant Lot 0 93e
Railroad Right of Way 0 961
UmttAcceo/DMO.
Hwy .
0 881
Paved Public Street 0 963
UrgmvadStreat/Roed/Path El 964
Undercover Parking Area
U 965
Hospital 0 311
Nursing Home El 331
0
MOBILE PROPERTY TYPE
(If any. de On. U)
Undetermined 0
Not Applicable
00
Automobil
11
Mobile H
e 0 17
Truck-Gan Under
on 0 22
Mot
Home 0 14
Re
ehicles U 30
miTrallere 0 23
AREA OF ORIGIN
K
Undetermined
Lounge Area El 14
Sleep Rm Under 5 People 0 21
Kitchen/Cooking Area 0 24
Trash Area/Container 0 48
Garage/Carport/Storage 0
47
Trans EgD/Paseagr Area 0 81
Engn Area of Trans Eqp U 93
Railroad Embankment 0 91
Highway/Public Way/St 0
92
Lawn/Feld/Open Area El 94
Chimney 0 57
Laundry Room 0 26
Basement U 71
A
(IwNIir AUIINI'~V.1II
Poo,
64 Y .
U-
L
FIRE INCIDENT REPORT
TERMINATION STAGE
Smria Stage/Bak" Rare
In./After Name Stage
3
_.--._0
EQUIPMENT INVOLVED IN IGNITION
(11 any . dig line V)
Wood Stove 0)
Undetermined L7 00
Central Heat/Air 0 11
Portable Local H19 Unh 0 15
Chimney, Gee Vent Flu El is
Fad/Steny Surf Unit 13 21
Open Fire Grill 0 25
Cord, Plug 0 A7
Vehicle 0 B6
No Equipment Involved 0 9B
FORM OF HEAT OF IGNITION
Soerk/Ges Fueled Eqp 0 11
Heat/Gee Fueled Eqp 0 12
Spark/Lq Fueled Eqp 0 13
Heat/Liq Fueled Eqp 0 14
Short Circuit-Bed Intel El 23
Short
El 24
Overloaded Eqp 0 27
Cigarette 0 31
Match El 46
Open Fire 0 47
Backfire From Engine 0 48
Friction 0 Si
Reignlton/Rekindle 0 65
Properly Oper FJec Eqp 0 56
Fireworks 0 83
Lightning Discharge U 73
Radiated Heat El 62
Heat/Solid Fuel 0 16
Exploelvee/Firaworke U ~1
Undetermined
Not Classified 0 99
LEVEL OF FIREORI
N
Grade Levi.9 Ft Above
10-19 Ft AboveU
2
Below Grnd/Water Levi 0 B
0 _
I A /ID
Clcl2l~l
' a'
24
1
'II ILnHONI
I I
N St v,Cl
ORE L D i
03-15"I Zy'^"ct D2
CINSLIS TKO(1
itIIPHONt
I
I
-
I
tc
, OR MI
FORM OF MATERIAL IGNITED
Undetermined El 00
Structural Member 0 17
Upholstered Sofa/Chair 0 21
Electrical Wire El 61
Fuel 0 65
Growing/LMngFarm 0 74
Rubbish/Trash 0 75
Cooking Mclarial El 76
Gas/ Liquid From Pipe 0 66
Multiple Form 0 97
NotCleselfled 0 99
sandals CH/PS rL.!
IGNITION FACTOR
Undetermined Lfi~OD
Incendary-No CMDletrb 0 11
Suspicious-No CM Oistrb 0 21
Abandoned Materiel 0 31
InadegtR CanR/Open Rvrr El 34
Child Playing 0 36
Combstbl/Too Close Heal 0 48
Pert Failure/Leek/Break 0 bi
ShrtCrct/GmdFault 0 be
Other Elec Failure 0 55
Lack of Maintenance 0 58
Backfire 0 67
Unattended Operation 0 73
Fuel Spill 0 40
Lightning 0 Sit
0
TYPE OF MATERIAL IGNITED
Gasoline LI 23
Fat/ Grease (Food) 0 31
Piaatic-UnclessHled 04~0/
Rubber l{
1
Grew/ Leaves El 54
Sawn Wood 0 ea
Untreated Paper El 67
Man-Mode
Fiber 0 71
Cotton/Rayon
0 72
Multiple Types O 97
Resin/Tar/Creosote U 34
Not Classified 0 99
Undetermined U 00
METHOD OF ALARMFROMPu
C
G
Telephone Direct
1
Private Fire Alarm 0
3
Radio 0 4
DirectVerbal Report 0 6
Telephone lie-Line U
7
0
TYPE OF SITUATION
B
Structure
FOUND
0
11
Outside of Structure 0 12
Vehicle 0 13
Trees/Brush/Gross 0 14
N
0
T
U
COMPLETE ON ALL INCIDENTS
A. FIREMEN RESPONDING :
1 2 3® S
11 12 13 14 15 16 17 16 &20 21 22
rtiT 30 37 3B 39 40 41
42 43
45 46
49 50 51 52 53 64 55 56 67 56 59 60 61 62 63
8. TRUCK: (90
208 209
215
216
217
C. FIREPLUG USED:
207
706
209
210
215 2 6
217
Kptoal
64
27 26 29 30 31
32 Q)
65 66 67 66 66 70 71 72
D . JUNIORS: 101 102 103 104 105 106 107 106
OPTIONAL COMMENT AREA :
y ~C- /80
03' 7%3
CUMrLtItLIMt)N
•K
FUK)IKUCIUKtFIKt)UNLY
COMPLETE
FOR
NUMBER Of STORIES
1 Sto
2 5
e
3 In
Ores
C]
2
0
3
UfTUTOR PERFOKMAN
F
p
N ., Drier un, Pn ,
I
B
Q
11
TYPE Of
MOST
SMOKE SPREAD
ROOM OF
BEYOND
ORIGIN
ALL
FIRE INCIDENTSI
METHOD OF EXTINGUISHMENT
_
MATERIAL GENERATING
SMOKE
Undetermined
M
Self Extinguished
0
1
Make'Shlh Ards
0
2
Portable Extinguisher ~]
3
5
6 Stories
[I
4
PRINKLER PERFORMANCE
00
01 Reported
0
0
fat/(
;,ease (Fwd
•
31
Precon Hose Tank Water ~~
Q
-
No Equip V .
X
Vlasta-L'nrlass .h
~ 40
Precon Hose Mydrnt
WEE
Q
6
CONSTRUCTION TYPE
-`--
--
Ru
r
51
Hatd-LaiO Lines
0
7
O
Sawn
cod fl 63
Fire Resist)
∎
R
IFS
KESPREAD BEYOND
_
1
ESTIMATED TOTAL $S LOSS
Unprotected Ordi
ry
0
6
7
ROOM OF ORIGIN
1 ildwuudlP
Dud
Q
65
Univeat
Faber
7
1
71
Q
Protected Wood
ame
0
FORM Of MATERIAL GENERATING
17
Mam
M
n .
de fiber
0 (]
MOST SMOKE
:
Unprotected %
Frame
0
B
C
umRayon
72
(]
Iple
Typos
0
97
PROPERTY DAMAGE
CLASSIFICATION
Undetermined
Q
0
-
Structural Member
0
Upholstered So(a7Chalr
0
Not Applicable
D
98
Electrical Wire
61
Gasoline ~ 23
S
1 -
99
99 011
Fuel
65
74
75
76
06
-
--
S
100-
999 02
S IOOO-
9999
0
3
$ 10000- 24999
4
No Dollar Loss [~
Growing/Living Fo
0
Rubbis
sh
0
-
AVEN
Opening
Not Determined/Reported
OF SMOKE TRAVEL
0
EXTENT OF FLAME DAMAGE
Obje
Part R
0
2
Cookin
aterial
0
Gas/Lioui
rom Pipe
0
Corrido
in C:onstru
In
O
2
5
R m
0
3
ndetermined
D
00
No Significant
enue
8
0-
TIME FROM ALARM TO
B
1
ding ∎ 6
MultlpteForm
U
97
0
AGENT APPLICATION
Agent Appl Before Alarm
O 1
Less Than 2 Minutes O 2
MUTUA AID
Pocohontos O
VALUE OF PROPERTY
INVOLVED IN FIRE
2 -
5 Minutes Q
)
EXTENT OF SMOKE DAMAGE
Keyapon
Object
Pan Room
Roo
B
;(
one
2
0 3
[7 a
7enken~
Saren,o
5mithbo
Firemen,
Pampers
.
6 -
9 Minutes Q 4
10
- 19 Minutes 0 5
No Application Necess 0 9
NUMBER OF FIRE PLUGS
USED :
One
O
f'~
Th,ee
T o
l_J
Four
- -
None
0
Mulberry G
e 0
een0
D-
9
Hight
Pierron 0
IOntLIR IN cHAwL.t'name
pnp •nn ep'Rnmr^°
WSADeI
MPERAlukI
V
WIND DIRECTION AND VELOCITY
So/4 N S .nJ
SLiN
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~s
SAE Z - ~~~r
11NUIIQVVAI MART, K PUR1 In d- "I w,r W,,,
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11 Rro~n 0
CALLER: (/teems+/,//P jre Chief
[ ] anonymous
[ J keep confidential
phone(H) 6i'//
°'
phone(W)
Co/8
-
&G,
•/
-ogee Lx
address: 27S-3
represents : [ ] self
I}
local government
TYPES OF PROBLEMS :
[ J air pollution/odor/open burning
[J waste handling/dumping
[ ] surface water pollution
[ J drinking wa er/utility name is :
,other
L 1
~~IJ''^'~
~/ YS
SOURCE: []known [
J
suspected []unknown
name of person
phone number
firm
street
city Y/
ee,3
V/ [s37in
[
J
near
county
A
,-s
section
twp
range
a
O
t-
S
PROBLEM DESYUPT ON
i
f
IL 532 1570
EPA 173 2/99
(. • _toub - v/7
EMERGENCY RESPONSE UNIT
OFFICE OF CHEMICAL SAFETY
ILLINOIS ENVIRONMENTAL
PROTECTION AGENCY
3-
COMPLAINT NUMBER
PLEASE PRINT AND USE 24 HOUR TIME
ERU received : -
LL : / 1/
I ','/
;
Duty Officer :
Chv':le
relayed through )EMA
OCCURRENCES
[ J on going since
time _ _
date
time
date /
/
[
J
other listed on back
frequency per
FOLLOW UP/STATUS
Referred within IEPA: Region toOBv fax
Bureau: [ ]Air
Land
I
]Water,
Name :
fioL-
T/re U.•A
time _
date
_/_ZAI/ OS-
Ifupgraded to incident:IEMA#
Closed w/o referral because :
[
J
ERU Respons
3J
on scene [ J by~phone
By : T•V ...r
// r
p
errs /,4
E1
time _ _
date
? S
[ J Referred to other Agency
Agency :
Name :
time: _ _
date
/ /
epJ ''//
ire
.rl
(.',a//,.C/
A
((70
r
J o
a e
No
affAWAOMF Sa _
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..5AreO4Y-
a Ac
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[ ]
Log
of
event(s) attached
IL
INVESTIGATION NOTES
\
b
/
QUIT CLAIM DEED
REV . 12120/$9 Form 5225
Pafeedom
4W
Pains . Rockford, IL 61101
TIM GRA MM
Steven J. Shank
.fib. City of Greenville
1,tWCnoayof
Bond
aodsmmuf Illinois
far and In comtideradoo of the sum of One
Dollar mad other good sad valuable
coSdemdom, the reaipl of which labemby
makmowledged.CONVEY sadQUITCL IM
m
Georgia C. Shank
In
APPD( TRANSFER TAX STAMP
OR
visions
Aal
ts k
I
A .
.rr
a
Np
101403
3:3RAM
.
J.t psp /_7/-/.T?
t,
Ramada
.1°
THE ABOVE SPACE FOR RECORDER'S USEONLY
add,,,
is
311 South Prairie Street
Greenville,
IL
dliotctestialbe(oBOwingdesaibadrcsicusm,towfC Lot II of the Original Town (now City) of
Greenville, and
Lot II of Stewart's Addition to the Town (now City) of Greenville, and
A tract of land in that part of the Southeast Quarter of the Southwest Quarter of
Section 14, T5N, R3W of the 3rd P .M., Bond County, Illinois, described as follows
:
Beginning at a stone at the South Quarter corner of Section 14 ; thence 5 .88045'55"
West, (bearing developed from record) alond the South line of said Section 14,
369 .15 feet to the point of beginning of the tract herein described ; thence N.1 025'
43" W., a distance of 731 .79 feet to the South right of way line of Old U .S. Route
40; thence 5.63047'57" W., along said South right
06
way line 368 .36 feet ; thence
continuing along said South right of
way
line S . 63 47'31" W ., a distance of 217 .54
feet ; thence S 1044'05' E., a distance of 424 .36 feet to the South line of said
Southwest Quarter of Section 14, thence N.88 45'55" E., a distance of 529.23 feet
to the point of beginning, containing 7 .41 acres, more or less, and
Lots IS, 16 and 17 of Leef's Addition to the Village of Pocahontas, and Part of the
Northwest Quarter of the Southwest Quarter of Section 3, T4N,R4W of the 3rd P .M .
described
as follows; commencing at the southeast corner of the West portion of Lot
(Condos legal daaipdom co reverse side)
,
simaudin
Bond
Coma,lllioois,haabyreleasingandwaiviog
all rights undo and by viram of ft Homestead Exsmpdoo Laws of S State of 11Eoois. Dated this
27th
BOOK
372 Pdc 131
I9_
ESN-
LegalDescription Continued
II in Block B in Crownover's Addition to the Village of Pocahontas, thence running West
32 feet; thence North ILO feet; thence East 71 feet ; and thence Southwesterly in a direct
Line to the place of beginning ; (excepting all coal underlying all of said premises with
the right to mine and remove the same) and
Part of the_NQriheest Quarter of the Northeast Quarter of Section 28, TSN, R2W of the 3rd
P .M.,
described, ag tpjlp,Ns ; Beginning at a point 366 feet East of the Northwest corner of
said Northwest Quarter
of the Northeast Quarter, running thence East 185 feet, thence
South 358 feet ; thence' West 185 feet ; thence North 358 feet to the point of beginning
;
(excepting coal and minerals mixed with Coal underlying said premises with the right to
mine and remove the same and subject to all other rights and easements in favor of the
owner of the mineral estate or of any party claiming by, through or under said estate)
STATE OF ILLINOIS
lord
COUNTY
l,
the undersigned. aNotatyPublic, in and for saidCounryarldState aforesaid DO HEREBY CERTIFY THAT
Shank
personally known to me to be the same person _ whose name i s subscribed to the foregoing
instrument, as having executed the same, appeared before me this day in person and acknowledged that
he signed.sealedanddeliveredthesaidinASUmentas his
free and voluntary act for the uses and purposes therein set fonh. including the release and waiver of the right olhomestead
.
GivenundermyhandadNota_rialSealthls 27th
,
dayo f
Octo
200
19
'OFFICIAL SEAL'
MARIORIE E. WALL
Notary PubIc. Rate of kinds
Lary Public.
My tommlseon expires 3/31/01
Future TaxestoGMtee'i
Return this document to: Georgia C . Shank
OR to
311 South Prairie
62246
This InseumentwasPreparedby: Steven J . Shank
Whose Address is
:
P.O .Box 195
62246
BOOK
372
:PAGE
132
J-,. . .
,tir.ui<1
. .1
Steven
J
.
Please do
not
publish
WARRANTY DEED
Form 756
Perfection Legal Forms, Rockford, IL 61101
THIS INDENTURE WITNFSSETH
.
That the Grantor, Thomas C . Shank,
a married person dealing with
his individually owned, non-
homestead property,
oldie City of Collinsville
intheCountyof Madison
6G1'0
C
ny
RULE
forand inconsideration of the sum ofOne Dollar
ThE ABOVE SPACE FOR RECORDERS USE ONLY
and other good and valuable considerations, the
receipt of which is hereby acknowledged,
CONVEY and WARRANT to Georgia C . Shank, in her individual capacity,
hoseaddressis P .O.Box 195
Greenville, IL
62246
the following described realestate. to-wit; A tract of land in that part of the Southeast Quarter
of the-Southwest Quarter of Section 14, Township 5 North, Range 3 West of the 3rd
P .M ., Bond County, Illinois, described as follows : Beginning at a stone at the South
Quarter corner of section 14 ; thence South 88 degrees 45 minutes 55 seconds West
(bearing developed from record) along the South line of said Section 14, 369 .15 feet
;
thence North 01 degrees 25 minutes 43 seconds West, 731 .79 feet to a point on the
South right of way line of Old U .S . Route 40 ; thence North 63 degrees 47 minutes
57 seconds East along said South right of way line 196 .56 feet to an iron rod, thence
South 01 degrees 25 minutes 43 seconds East, 210 .00 feet to an iron rod ; thence North
63 degrees 47 minutes 57 seconds East, 210 .00 feet to an iron rod on the East line of
the Southwest Quarter of said Section 14 ; thence South 01'.degrees;25 .minotesi43 seconds
Eastnalong said East :line,693139cfeet agreherpddne,oPzbegtantng2rand 8onbatnftig16:01-
Aetes'ihore or less, being Permanent Parcel Number 05-01-14-335-001
(Continue legal description on reverse side)
situated in Bond
County, Illinois, hereby releasing and waiving
all rights under and by virtue
fe~ ~of the Homestead Exemption Laws of the State of Illinois
.
Dated this
this (1't
•~
day of
Sanitxrv
2004
IbcN
119127
Tome
i
•'
3n P,Irt .
Books
Prrci.7i9 z.T 0
ofk
e
ci
_ n'rt: ,
u
BOOK
617
PAGE
219
Thomas C. Shank
TbklnsbumedwuPreparedby:
Thomas C . Shank
Whose Addmssis
708 Wilson Ave .
Collinsville, IL
62234
~fl~Srt.4 a'~ _
1. the undersigned, a Notary Public, In and for said County
OW
State afoteuld. DO HEREBY CERTIFY THAT
Thomas C. Shank
personally known to me to be the an,s person- whose name
,
is ubsetibed to the foregoing
tasttument a having executed the same, appeared before me this day
he
Person
sad OOk5*"kdW that
he dgeed.seakdendddivaedtheseidimmramta his
free and voluntary act for the uses end purposes therein art forth, including the release and waiver of the tight of bomateat
GivuendermylmdandNotaialSealthls dayof
2004
OFFMALWAL
S 7
Notary Public.
Future Taxes to Grantee's AddlCO
ERP
ULANK
EFE
ER
R 2 Rehire this docament to: Georgia Shank
OR to
P .O.Sox 195
62246
PROOF OF SERVICE
I hereby certify that I did on the 4th day of January 2006, send by Certified Mail, Return Receipt
Requested, with postage thereon fully prepaid, by depositing in a United States Post Office Box a true
and correct copy of the following instrument(s) entitled ADMINISTRATIVE CITATION,
AFFIDAVIT, and OPEN DUMP INSPECTION CHECKLIST
To
:
Georgia Shank
Steve Shank
P.O. Box 195
2222 Dewey Street
Greenville, IL 62246
Greenville, IL 62246
and the original and nine (9) true and correct copies of the same foregoing instruments on the same
date by Certified Mail, Return Receipt Requested, with postage thereon fully prepaid
To
:
Dorothy Gunn, Clerk
Pollution Control Board
James R. Thompson Center
100 West Randolph Street, Suite 11-500
Chicago, Illinois 60601
Miche le M. Ryan
Special Assistant Attorney General
Illinois Environmental Protection Agency
1021 North Grand Avenue East
P.O. Box 19276
Springfield, Illinois 62794-9276
(217) 782-5544
THIS FILING SUBMITTED ON RECYCLED PAPER
