Template. For Preparing a Source Water Assessment and Protection Plan. The. Fill-in-the-Blank Form

Similar documents
Supplemental Guide II-Delineations

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

SOURCE WATER PROTECTION PLAN

Source Water Assessment Program (SWAP) Report for Heath Elementary School

Livingston County Department of Public Health Environmental Health Division. Hydrogeologic Investigation Requirements for Land Division Developments

The Michigan Wellhead Protection Program Guide

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

Safe Water Depends on Us.

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

2 ROLES AND RESPONSIBILITIES

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

VIRGINIA POLLUTION ABATEMENT APPLICATION FORM D MUNICIPAL EFFLUENT AND BIOSOLIDS

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

CITY OF HARBOR SPRINGS WELLHEAD PROTECTION PROGRAM PLAN September 2004

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

GUN PLAIN CHARTER TOWNSHIP ALLEGAN COUNTY, MICHIGAN

Report created: 3/25/2009 1

WELLHEAD PROTECTION DELINEATION REPORT FOR THE VILLAGE OF BEAR LAKE DECEMBER 2002

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

Source Water Assessment Program (SWAP) Report for Rowe Elementary School

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

4 DETERMINATION OF WELLHEAD PROTECTION AREAS

SOURCE WATER PROTECTION PLANNING

State of West Virginia Source Water Assessment and Protection Program Source Water Assessment Report

Application for Gas Exploration and Production

SUBCHAPTER 1. INTRODUCTION

DEPARTMENT OF ENVIRONMENTAL QUALITY WATER QUALITY DIVISION PERMIT APPLICATION FORM UNDERGROUND INJECTION CONTROL (UIC) CLASS V WELL

Wellhead Protection Issues Related to Mining Activities Minnesota Rural Water Conference March 4, 2014

CHAPTER 10 NATURAL GROUNDWATER AND AQUIFER RECHARGE ELEMENT

City of Englewood 2017 Drinking Water Consumer Confidence Report

Saint Louis Water Supply Replacement Gratiot Area Water Authority

Aquifer Science Staff, January 2007

The Village of Wellington NPDES Guidance/Reference Document

City of Marshall. June 1, Dear City of Marshall Water Customers:

Conn. Agencies Regs d-2 Preparation of plans and schedule for submission

Appendix O Example Industrial SWPPP Template

(this cover page left intentionally blank)

Environmental Hazard Evaluations

Annual Drinking Water Quality Report

Headwaters Underground Water Conservation. District Hill Country Priority Groundwater Management Area

STANDARDS AND GUIDELINES FOR MUNICIPAL WATERWORKS, WASTEWATER AND STORM DRAINAGE SYSTEMS

WELLHEAD PROTECTION PLAN FOR THE CITY OF NORTH MANKATO, MINNESOTA

Chapter 11: Hazardous Materials A. INTRODUCTION

Stormwater Erosion Control & Post-Construction Plans (Stormwater Quality Plans)

6.1 Introduction to Wastewater Issues

OF CONTENTS 14.0 COUNTY OF BRANT...

MARYLAND DEPARTMENT OF THE ENVIRONMENT

ALABAMA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT WATER DIVISION- INDUSTRIAL SECTION

[THIS PAGE INTENTIONALLY LEFT BLANK]

15A NCAC 02C.0225 GROUNDWATER REMEDIATION WELLS (a) Groundwater Remediation Wells are used to inject additives, treated groundwater, or ambient air

CITY OF HOYT LAKES, MINNESOTA SOURCE WATER ASSESSMENT

TABLE OF CONTENTS 8.0 CITY OF GUELPH...

City of Park Rapids WELLHEAD PROTECTION PLAN

Safe Drinking Water Program. Public Water System Permitting

City of Barwick PO Box 146 Barwick, GA Phone:

Environmental Management Chapter ALABAMA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT WATER DIVISION-WATER SUPPLY PROGRAM ADMINISTRATIVE CODE

2017 Water Quality Report City of Parchment, Michigan

TITLE 252. DEPARTMENT OF ENVIRONMENTAL QUALITY CHAPTER 616. INDUSTRIAL WASTEWATER SYSTEMS SUBCHAPTER 1. INTRODUCTION [AMENDED]

DEPARTMENT OF ENVIRONMENTAL QUALITY OIL, GAS, AND MINERALS DIVISION OIL AND GAS OPERATIONS. Filed with the Secretary of State on

2017 (CCR) Consumer Confidence Report January 1 st to December 31 st 2017

VILLAGE OF GREENWICH STATE OF OHIO Administration Offices: 45 Main Street. Greenwich, Ohio (419)

City of Guelph Transfer of Review Procedures 7 March, 2017

PENNSYLVANIA WELLHEAD PROTECTION PROGRAM

Wellhead Protection Issues Related to Mining Activities Minnesota Department of Health August 2009

REGIONAL OFFICIAL PLAN AMENDMENT 5 TO THE OFFICIAL PLAN FOR THE NIAGARA PLANNING AREA

INFRASTRUCTURE ELEMENT

Evaluating Risks in a Source Water Protection Area - Modernized Methodologies

Division: Number: Category: Status: Issued: DDAGW WQ Water Quality Guidance Final December 2, 2010

MARION COUNTY COMPREHENSIVE PLAN 2035

ARKANSAS WASTE-TO- ENERGY WAREHOUSE SITE

INFRASTRUCTURE ELEMENT Goal, Objectives and Policies

Infrastructure Element

MINNESOTA POLLUTION CONTROL AGENCY SITE REMEDIATION SECTION

CHAPTER 10 DRINKING WATER

PUTNAM COUNTY COMPREHENSIVE PLAN EXHIBIT DD INFRASTRUCTURE ELEMENT

STORMWATER RUNOFF AND WATER QUALITY IMPACT REVIEW

Southwood Community s Public Water Supply. Consumer Confidence Report 2014

REGIONAL GROUND-WATER STUDY TOWN OF WOODBURY ORANGE COUNTY, NEW YORK INTRODUCTION

Village of Ada Water Department 2014 Drinking Water Quality Report

SOURCE WATER ASSESSMENT SUMMARY BROCHURE

Understanding the Water System

COMMONWEALTH of VIRGINIA DEPARTMENT OF ENVIRONMENTAL QUALITY APPLICATION FOR A GROUNDWATER WITHDRAWAL PERMIT (FOR USE IN GROUNDWATER MANAGEMENT AREAS)

CITY OF HAMILTON LYNDEN RURAL SETTLEMENT AREA...

2014 White Earth Drinking Water Report

Groundwater Flow Demonstration Model Activities for grades 4-12

ARKANSAS WASTE-TO- ENERGY E.R. MOORE SITE

THE DAVIS BASIN DO NOT DELAY IN GETTING STARTED RIGHT AWAY!

13.0 CITY OF HAMILTON LYNDEN RURAL SETTLEMENT AREA

Why is protecting the groundwater so important?

COMMUNITY FACILITIES ELEMENT

UTILITIES: SOLID WASTE GOALS, OBJECTIVES AND POLICIES. Goal 1: [SW] (EFF. 7/16/90; REV. EFF. 12/24/10)

Transcription:

Template For Preparing a Source Water Assessment and Plan The Fill-in-the-Blank Form Prepared for: West Virginia Department of Health and Human Resources Bureau for Public Health Office of Health Services Engineering Division February 1, 2000

TEMPLATE - TABLE OF CONTENTS Acknowledgments 6 Purpose 6 Step One - Introductory Materials 7 The Community 7 Geographic Setting 7 General Description of the Source Water 7 The Public Drinking Water Supply 7 Influencing Factors 7 Source Water Management 7 Step Two - Reservoir Characterization 8 Geologic Conditions 8 Hydrologic Parameters 9 Well Construction10 Water Quality Monitoring Results 11 Treated Water Analysis 12 Raw Water Analysis 12 Step Three - Delineation 13 Mapping Method Used 14 Model or Equation Input Parameters 14 Base Map 14 Limiting Factors 14 Conjunctive Delineations 15 Step Four - Inventory of Potential Contaminants Sources 15 Inventory Method 15 Inventory Process 16 Step 1 - Regulated Survey Results 16 Step 2 - Detailed Survey Results 16 Inventory Update 17 Inventory Limitations 17 Step Five - Management 18 Management Implementation 18 Management 18 Management Implementation 19

Step Six - Contingency Planning 19 Appendices Tables Identification of Possible Disruption Threats 19 Designation of Emergency Coordinator 19 Equipment and Material Resources 20 Procedures to Communicate to Water Users 20 Procedure to Shut Down the Well(s) 20 Source of Emergency Water 20 Funds 20 Appendix A - Vicinity Map Appendix B - Geologic Maps Appendix C - System Drawing(s) Appendix D - Source Water Area Delineation Appendix E - Links Between Common Sources and Possible Contaminants Appendix F - PSC Checklist Appendix G - Management Short Form Table 1 - List of Geologic or Hydrologic Research Activities Table 2 - Hydraulic Parameters Table 3 - Data Collection Table 4 -Water Quality Monitoring Results Table 5 - Contamination Source and State Regulatory Agency

Quick Start: How to Use this Template This template was designed to be used by the Bureau for Public Health (BPH), consulting groups, communities, Public Water Supplies (PWS), etc., to ensure that all information required for approval is included and to act as a common starting point from which all Source Water Assessment and (SWAP) plans in West Virginia can be developed. How to use the Template: The section headers are shown in bold, black and enlarged print and should be used in every Source Water Assessment and plan. Please provide the required information and fill in the required information where prompted. If you do not have complete information or a section is not appropriate to your system, please explain why in the section. Instructions and informational data are in italicized text for easy reference. The bracketed text within should be replaced with the appropriate information. The information provided should be sufficient to allow the reader to fully understand how the water system works, what steps have taken to identify and manage the potential contaminants.

[Insert Name] A [Community, Non-Transient or Transient] Public Water Supply WELLHEAD AND SOURCE WATER ASSESSMENT AND PROTECTION PLAN PWSID [WV Insert Number] [Insert Name], Certified Operator [Insert Name], SWAP Contact Telephone: (304) [Insert Number] ACKNOWLEDGMENTS The following information was completed by [insert name, title of person completing plan, and who they work for] to meet certain requirements of the Source Water and Assessment Program (SWAPP) and the Wellhead Program (WHPP) for the State of West Virginia as directed by the federal Safe Drinking Water Act (SDWA).

PURPOSE This report is intended to meet all the informational and data requirements for approval of the Wellhead Program for the [insert PWS name and location] as required by the SDWA. Information supplied will be used to formulate the Assessment/ Susceptibility Report for [insert PWS name] by the Bureau for Public Health (BPH). Note: To meet the requirements of the federal SDWA, West Virginia is continuing to implement the WHPP and SWAP programs in which the public water suppliers are required to submit data as prescribed by the BPH and to meet the requirements of the United States Agency (USEPA). The intent of the SWAP is to be pro-active and prevent contamination of water used for drinking water in West Virginia for the protection of the public health. West Virginia is fortunate to have an abundant supply of both ground and surface water for public and industrial usage. However, once polluted, the cleanup can be expensive and difficult. The greatest threat to both ground and surface water is from human activities. Agricultural, industrial, commercial, and residential activities all threaten the quality of water. But these are vital activities for human survival and quality of life. With care, these activities can continue without contaminating the water. In the past, West Virginia Public Water Supply System (PWSS) have provided an excellent record of providing safe drinking water. When contamination does occur in a public supply well, the cleanup, or drilling of new wells, can be very costly and may require many years to cleanup. In West Virginia, several communities have discovered ground water contamination in their well fields that have required expensive cleanup operations, or the abandonment of the well field. Any community or industry that has endured the expense to clean or find alternative sources of water after contamination has occurred will agree that an ounce of prevention is worth a pound of cure. Therefore, the SWAP provides a structured, organized means of focusing federal, state, and local government resources on areas of greatest concern for the public water supply. The major sequence of activities that West Virginia will follow in the implementation of the SWAPP for the ground water public water systems are as follows: Resource Characterization, Delineation of Source Water Area, Inventory of Potential Significant Contaminant Sources, Susceptibility Analysis and the Assessment Report. [delete after used]

STEP ONE - INTRODUCTORY MATERIALS The Community Note: Describe the population, basis of the economy, any industrial activities, and major transportation routes, include a description of all unusually large or major water users/or waste generators. Geographic Setting Note: Describe the general geographic setting and include reference to a vicinity map as Appendix A. The vicinity map is used to the relative location of your PWS in West Virginia and uses a major town or city as a reference. Maps used for the vicinity map may include the Official West Virginia Highway Map or any other map with a scale of 1 inch=16 miles. Please attach as Appendix A. General Description of the Source Water Generally describe the aquifer and geology and include reference to geologic maps or other documentation attach as Appendix B. The Public Drinking Water Supply Note: Describe the number of residents and service connections on the system and major water users, then describe the source and the distribution system. Include reference to layout map as Appendix C showing main valve, wells, storage tanks, treatment works, etc. The written description may be in your own words or may be a portion of the sanitary survey report, etc. The layout map may also be a copy of an existing distribution system or create your own by drawing it. It should be clear and readable and show the items noted above, it does not have to be professional. Some of this information may be available from files at the BPH office. Influencing Factors Note: Include factors that might include users concerns, rapid growth, increasing contaminant sources, water quality, history of major problem episodes, etc. Source Water Management Note: Include the name of the person(s) who will be responsible for developing and implementing the plan. STEP TWO - RESERVOIR CHARACTERIZATION

Note: The purpose of ground water resource characterization is to collect and compile both regional and site-specific hydrologic data, public water supply well data and locations for the public water supplies in West Virginia to help in the delineation of the SWAP areas. The resource characterization consists of hydrologic setting, hydrologic parameters, well construction information, water quality monitoring results, and wellhead delineation. The reason for this data is to properly define the SWAP area. Without the data, the SWAP area could be too big or small. For the [enter PWS name], the following sections summarize the available information. Geologic Conditions Note: Include a brief description of geologic conditions such as lithologies, lateral extent and thickness of aquifer, structural trends, etc. Summarize in Table 1 all geologic or hydrogeologic work that has occurred in the area. Sources of geologic information may include United States Geological Survey reports, WV Geologic Survey reports, etc. Table 1. List of geologic or hydrologic research activities in [insert area name]: TYPE OF INFORMATION OR MAP SCALE AREA COVERED REFERENCE/DATE

Hydrologic Parameters Hydraulic parameters collected were [please specify type; hydraulic conductivity, transmissivity, saturated aquifer thickness, specific yield, hydrologic gradients, effective porosity, and storage coefficients of the aquifer]. This information is provided on Table 2 as gathered during the site visit and from sources denoted on Table 1. Table 2. Hydraulic Parameter Hydraulic Parameter Hydraulic Conductivity Transmissivity Saturated Aquifer Thickness Specific Yield or Flow in GPM Effective Porosity Storage Coefficient of the Aquifer Depth to Ground Water Specific Yield or Flow in GPM High Flow Low Flow Well #1 Well #2 Well #3 Spring #1 Spring #2 Note: Geologic Formation

Well Construction The PWS well data collected is provided in Table 3 and consists of total depth of well, casing depth, static water levels, pump rates, well diameter, length of screen or open interval, aquifer lithology, and pump test data. Table 3. Data Collection Well Data Units Well #1 Well #2 Well #3 Spring #1 Spring #2 Total Depth of Well Date Drilled Aquifer Type (confined, unconfined, leaky) Aquifer Lithology Casing Length Static Water Levels and dates measured Pump Rates Well Diameter Length of Screen Length of Open Interval Latitude Longitude Pump Test Data (please provide copies) Wellhead Elevation Well Integrity

Water Quality Monitoring Results Note: Characterizing the condition of the ground water within the SWAP is an analysis of available chemical water quality data. This data included test results from treated drinking water (finished water) and some untreated source water (raw water) conducted by the water supplier. The SWAPP guidance indicates that the contaminants of concern should include, but not be limited to, water quality parameters regulated under the Safe Drinking Water Act [contaminants with a maximum contaminant level (MCL) for finished water, contaminants regulated under the Surface Water Treatment Rule, and the microorganism Cryptosporidium]. The following is an expanded list of contaminants of concern that will be evaluated in the SWAPP process: 1) Contaminants having a MCL. 2) Contaminants having a secondary MCL. 3) Contaminants that are targeted for regulatory review on the federal contaminant list. 4) Contaminants that have federal Safe Drinking Water Act or state monitoring requirements. 5) Contaminants included as West Virginia Water Quality Standards developed under the Clean Water Act. Note: Presence of synthetic organic compounds and volatile organic compounds at or above level of detection indicate an adverse impact, since the presence of these parameter usually indicates an anthropogenic source. Table 4 provides the ground water quality monitoring results available from [Name of Water Supplier].

Table 4. Water Quality Monitoring Results TREATED WATER ANALYSIS Monitoring Data Units Date Well # 1 Well #2 Spring # 1 Spring # 2 ppb ppb ppb ppb ppb RAW WATER ANALYSIS Monitoring Data Units Date Well # 1 Well #2 Spring # 1 Spring # 2 ppb ppb ppb ppb ppb

STEP THREE - DELINEATION The purpose of this section is to describe how the SWAP area for the [enter PWS name] was determined. The delineated area is (1) to provide a well field management area in which all potential sources of contamination can be identified; and (2) to reduce or eliminate the risk of contamination of public drinking water supplies posed by these sources. The delineation area approximates the portion of the aquifer and ground water flow that contributes water to your PWS. Note: Generally describe the method/model used to delineate the SWAPP. The West Virginia Source Water Plan generally requires that the delineation to be completed using the analytical and / hydrogeologic mapping method meeting the minimum of 5 years time of travel and the hydrologic boundaries, respectively. Delineation of the Community Water systems will be delineated by one of the following methods: 1) Bedrock Systems - Hydrogeologic Mapping, 2) Karst Areas - Hydrogeologic Mapping, 3) Mine Areas - Hydrogeologic Mapping, or 4) Alluvial Systems by Analytical methods. The U.S. EPA WHAEM Code is a computer model available through the BPH and can be used to complete the analytical equations. Delineations will be performed by using an interim fixed radius for all Non-Community Non- Transient and Transient Public Water Systems. The radius will be determined based on a sliding scale (see below) based on pumping or estimated pumping capacity and other relevant information available. The WHPA s may be redone using a computer model later, if the necessary information is available or special needs for these systems arise. The following is a scale that will be used to determine the distance of the radius: Pumping Capacity Fixed Radius (Gallons per Day) (Feet) <2,500 gpd 500 2,500 gpd - 5,000 gpd 750 5,000 gpd - 10,000 gpd 1000 10,000 gpd - 25,000 gpd 1500 >25,000 gpd Use Hydrogeologic and/or Analytical Mapping Declination Note: In Karst or Flooded mine systems the interim fixed radius will be 2000 feet for all pumping capacities equal to or less 25,000 gpd.

The reason that the interim fixed radius for the Non-Community Non-Transient and Transient systems is used is due to the general lack of information on the PWSS and well(s). Some systems may not have a well log or even know when the well was drilled or production rates. Pumpage from these systems is generally during a short period of the day with usually low rates. The analytical modeling assumes a uniform 24-hour pumpage that results in reducing the size of the cone of depression, and drawing more of the water from up gradient thereby reducing the protecting area and may ultimately under protect the system. Therefore, a SWAP using the fixed radius approach may be more accurate and protective. Also, the EED budget and time constraints are issues that may not allow computer or hydrogeologic modeling delineations by the federal deadline. The West Virginia BPH will not have adequate staff to initiate and complete delineations for all public water systems. It is anticipated that cooperative agreements and contracts will be signed with statewide or regional organizations such as the WV Rural Water Association or other entities to assist this effort. The BPH staff will assume the responsibility for approving all delineations. The following support data is required: Mapping Method Used Analytical, hydrogeologic boundary mapping, or fixed radius method. Model or Equation Input Parameters Note: Describe the input parameters needed for the delineation method and support value, include reference or describe the basis for using that value. Include the completed equations or input/output information. Base Map Note: The base map will be a 7.5 minute quadrangle map. Show the delineated source water protection area on the base map referenced as Appendix D. The boundaries should be tailor to existing, recognized, and logical geographic or political feature as such as river, road, section line with fence, or ridge top. Limiting Factors Note: Describe the assumptions associated with the delineation approach, values used in model. Is ground water flow uniform, is the aquifer horizontal? Any particular modeling effort merely represents the best estimate of ground water flow conditions based on known and estimated hydrogeologic and pumping conditions and should be modified as additional information becomes available. Specific limitations may include [insert specific limitations, weakest values, etc.]

CONJUNCTIVE DELINEATIONS Note: Conjunctive Delineation, or ground water under the influence (GWUDI) of surface water, is an event where a hydraulic connection of surface water to a well pumping ground water has been determined. The SWAP guidance requires the watershed for that surface water that is impacting the well(s) to have a surface water delineation performed. In West Virginia, the State is in the process of determining PWS wells that are under the direct influence of surface water, under the Surface Water Treatment Rule. If a PWS has been determined to be under the influence of surface water and its Wellhead Area intersects the surface water body, then this system will be required to do a surface delineation in addition to the ground water delineation. Contact the BPH for additional information concerning the status of the GWUDI program. STEP FOUR - INVENTORY OF POTENTIAL CONTAMINANT SOURCES A Potential contaminant source inventory generally identifies locations of certain land uses as well as potential contaminant sources in relation to the source water. Inventory Method Note: After the SWAP area has been identified the next step is the assessment of the potential significant contaminant sources. The purpose of the inventory is to identify any activity or land use that has the potential to contaminate the public drinking water supply that consists of regulated facilities in the delineated SWAP area, as well as other agricultural, residential, municipal, commercial and industrial activities. The West Virginia BPH has developed Appendix A that commonly identifies sources of contamination (e.g. dry cleaners, animal feedlots) and the possible contaminants commonly associated with those sources and are based on U.S. EPA documents for conducting inventories. It is important to note that the links between the potential significant contaminant sources and the primary contaminant types are not intended to be comprehensive, but only those most commonly associated with the potential contaminant source. Any potential source may have none, some, or more types of contaminants associated with the indicated on Appendix E. This list will be used in the inventory efforts and presents land uses and activities considered to be significant potential sources of contamination to drinking water. Each land use has been ranked relative to its threat to water quality (high, medium, low), considering the type of drinking water source, be it ground water or surface water. The risk rankings were chosen as a collective decision by the SWAP team, TAC, and CAC committees using best professional judgement. The risk rankings are a combination of the perceived risk of release of a contaminant form a land use area, chance of transport of the contaminant from the land use to the source water, and the relative public health risk of the contaminant itself.

Inventory Process Step 1 - Regulated Survey Results Note: The first step is the broad Potential Significant Contaminant Source Inventory based on existing regulated entities, geographic information system coverages, and a general land use analysis to be completed by the BPH. Databases considered for inclusion include: Comprehensive Response, Compensation, and Liability Information System (CERCLIS), Resource Conservation and Recovery Act Information System (large and small quantity generators and disposers) (RCRIS), National Pollution Discharge Elimination System sites (NPDES), Toxic Release Inventory sites (TRI). In addition, oil and gas well, mining permits, abandoned mines, underground storage tanks, Voluntary Remediation under the State s Redevelopment Regulations, Ground water remediation not under CERCLIS and RCRIS, Underground Injection Control - Class Five Wells (Automotive Service Station Disposal Wells, Industrial Process Disposal Wells, Large Capacity Cesspools, Improved Sinkholes, Storm Water Drainage Wells, and other Class Five wells as warranted), Landfills or Dumps, Spills and Releases, Industrial and Municipal Lagoons, and Concentrated Animal Feeding Operations. To the extent feasible, the location of these sources will be mapped. Information not available in a geographical information system format (e.g., location of registered underground storage tanks), will be presented in a tabular format. This information will be supplied to the water supply system on the completed potential source inventory form with a map showing the locations. This will not be a complete survey, but will make the PWS aware of any know regulated facilities in the SWAP area. Step 2 - Detailed Survey Note: The second step is the detailed inventory of potential significant contaminant sources in the Source Water Area. West Virginia BPH will not have adequate staff to initiate and follow up on detailed inventories for all public water systems. It is anticipated that cooperative agreements and contracts will be signed with statewide or regional organizations such as the WVRWA or other entities to assist this effort. The types of potential significant contaminant sources targeted in the detailed inventory process are expanded beyond regulated facilities to include agricultural, residential, municipal, commercial, and industrial sources that may not be covered under the existing regulatory programs. The detailed source inventory will be conducted to identify potential contaminant sources that were not captures in the broad source inventory and to field verify the location of the regulated potential contaminant sources.

Describe the method used to inventory your source water protection area and give names of the participants. Inventory methods may include windshield survey, agency database research, door to door survey, business directory research, etc. The inventory will be conducted by the BPH, BPH supplied contractors, or by BPH in partnership with the public water supplier and/or local stakeholder based organizations. However, the source water assessment process conducted by the BPH will not include site visits to unregulated potential significant sources. Additions and deletions will be made to the Regulated survey based upon the field observations. Appendix F is the SWPP Inventory Forms and checklist to assist in identifying, recording, and reporting information on the potential significant sources. The form provides a uniform approach for recording data, making it easier to compile and analyze the data once its collected. The following guidance recommendations for the inventories are as follows: Identification of sewage areas Explore historic aspects of land use Location of unused wells and injection wells Are zoning maps available? Inventory Update Note: The inventory will be updated annually and resubmitted to the BPH by the certified operator or the SWAP committee. Changes in land uses or potential contaminant sources will be noted and additions made as needed. The complete inventory will be submitted to BPH every five years to ensure re-certification of the source water plan. Describe how the inventory will be updated annually and resubmitted to the BPH every five years. Include the name and position of the person(s) who is responsible for the update. Inventory Limitations Note: Describe the limitations of your inventory effort and assess the impact to your source water protection effort. Possible limitations would be limited access or not all properties inventoried.

STEP FIVE - MANAGEMENT Note: The goal of SWAPP management is to protect source water by reducing the likelihood of ground water contamination impacting the public water system. Source water protection management plans must be perpetual in order to be effective for the long-term protection of our drinking water sources. This requires the use of a combination of factors, including technical assistance and training, and control measures. BPH and West Virginia Rural Water Association personnel are available to provide technical assistance to local public water supplies. Technical assistance from other state agencies are provided to BPH personnel regarding potential sources of contamination that they regulate. To contact BPH personnel, call 304-558-2981. Aside from the existing programs designed to regulate potential sources of contamination, additional control measures developed through the participation of local authorities may be necessary within each SWPA. Some of the tools that may be used to develop additional control measures are: site plan review, operation standards, public education, zoning and site monitoring, and inspection. Inter-jurisdictional arrangements may be necessary to implement a protection strategy that takes into account property and development rights. The BPH can review local regulations and suggest modifications to implement source water management. The review of local regulations is coordinated throughout the various programs of BPH to insure consistency with the many different regulatory programs. For systems serving less than 3000 population, a short form template (Appendix G) has been attached to assist in the development of the their management and contingency planning. Management Implementation Note: The introduction to the management plan should summarize the protective strategies proposed or techniques that will be used to reduce the risk of ground water contamination from specific sources with the SWAP area. This could include the use of zoning, source prohibitions, source restrictions, design standards, operating standards, monitoring requirements and reporting requirements and documentation. Management Note: Describe the general land use and identify contaminant sources in the SWAPP area and how it will be managed. If action is required, such as inspections by the operator or state regulatory personnel, or if education is specified, include a description of the mechanism that the that will ensure that the required actions will occurs. If no management is required, describe your reason for this conclusion.

Management Implementation If a local ordinance, purchasing property, best management practices(agricultural practices, storm water runoff, etc.), or ongoing education is part of your management plan, describe the process by which it will occur and include an implementation schedule. STEP SIX - CONTINGENCY PLANNING Note: Contingency plans are designated to provide public water supplies with a plan of action in the event that a drinking water source becomes contaminated, or is threatened by contamination. The plans address locating alternate, approved supplies and delivering those supplies to the users. Enhanced treatment of existing water supplies is also considered a viable option. Each public water supply is responsible for submitting their own contingency plans to the OEHS for evaluation as part of the local program. Each supply will have specific needs which is addressed in their contingency plan; however, certain general requirements must be included in the contingency plans. They are as follows: a) Water supply characteristics, such as source name/identification number, water demands, water source capacity/yield, the layout of distribution system, storage capacity, etc. b) Alternate water supply or source in case of shortage, contamination, etc. c) Contact names and phone numbers in case of emergency for public water supply operator and state and local contacts. d) Financial considerations in case of contamination/emergency. e) Provide opportunity for public participation in the development of contingency plans. Identification of Possible Disruption Threats Note: Describe any major or secondary threats identified in the protection area, such as transportation routes and/or potential spills. Special interest should be areas near the ground water well systems, the principle threat being spills, leaks, or discharges that could enter the bore hole through perforations, failed casing or grout, and [insert specific identified threats]. Designation of Emergency Coordinator The emergency coordinator for [insert PWS name] is [insert coordinator name]. The contact phone number is (304) [insert phone #]. The backup emergency coordinator is [insert name and phone number]. Important emergency contacts can be found on Table 5. The emergency coordinator should be familiar with the county and state emergency procedures and is responsible for contacting the appropriate officials should a spill or threat to the source water occurs. The [insert county name] County Emergency coordinator 24 hour phone number is [insert phone #]. The West Virginia 24 hour Spill Hotline phone number is 1-800-424-8802.

Equipment and Material Resources Should additional resources be needed due to magnitude or chemical nature of a spill, the [insert pws] will contract with an emergency response firm properly trained and equipped. A list of possible contractors is maintained and updated by the [Name]. A catastrophic loss of water will require the contracted services of a water hauler, design engineer, and a certified well driller. Procedures to Communicate with Water Users Describe how an emergency would be communicated to water users. Who will have the responsibility to communicate with your water users. Procedures to Shut Down the Well The well supply can be turned off and isolated from the water supply system. Important values are located as shown in [Appendix C]. Under ideal conditions the system can operate without supply using water in the water storage tank for approximately [insert time] Well shut down is the responsibility of the certified operator or backup. Source of Emergency Water Consider what real options would be available to you today if one of your identified disruption threats actually happened and then tailor this section to those options. If the well is out of service for more than [insert figure], an emergency supply of water may need to be arranged. Are inactive wells available for emergency service, if inactive describe how they might be returned to service. Is a short term hauler available using a approved water hauler from an approved BPH water source. Describe the water hauler in your area who could be capable of meeting your needs. Funds Describe the funding available to implement the emergency actions you have considered.

TABLE 5 - Contamination Source and State Regulatory Agency CONTACT SHEET- Updated 9/1/99 SOURCE OF CONTAMINATION Abandoned Water Wells Residential Septic Systems RCRA - Federal Regulations CERCLA Sites Underground Storage Tanks Leaking Underground Storage Tanks Landfills Land Applications of Sludge SOURCE OF CONTAMINATION Abandoned Coal Mines Mining Operations Underground Injection Wells Class II & III AGENCY DEPARTMENT/ DIVISION TELEPHONE NUMBER Emergency Services Coordinator Well Shut Down Contact Water Hauler State Office of Emergency Services (304) 558-5380 Dept. Of Health Office of (304) 558-2981 and Human Health Services Resources Dept. Of Health and Human Resources AGENCY Division of Office of Health Services (304) 558-2981 Hazardous Waste (304) 558-5393 or (304) 558-5989 Office of (304) 558-2745 Remediation Waste Management Section Office of Remediation Solid Waste Management Enforcement Office DEPARTMENT/ DIVISION Office of Abandoned Mine Lands Office of Mining and Reclamation (304) 558-6371 (304) 558-2508 (304) 558-6350 (304) 558-2497 TELEPHONE NUMBER (304) 759-0523 (304) 759-0512 Oil and Gas Section (304) 759-0514

Underground Injection Wells Class I, IV & V Pollution Spills, Dam Emergency (Non- Coal/Non-Oil & Gas) Pesticide and Fertilizer Application Land Application of Industrial Wastewater Sludge (one source in the state) Land Application of Municipal Wastewater Sludge Stormwater Infiltration Ponds Municipal Wastewater Lagoons Sludge Department of Agriculture Program Management/ Technical Support (304) 558-2108 Spill Hotline OUT OF STATE (800) 424-8802 IN STATE (800) 642-3074 Pesticide Division (304) 558-2209 Water Resources (304) 558-8855 Water Resources (304) 558-4086 Water Resources (304) 558-4086 Water Resources (304) 558-4086