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PWS ID / FACILITY ID 1020035 S09 UNIQUE WELL NO. 743833
<br />PCSI
<br />CODE
<br />ACTUAL OR POTENTIAL
<br />CONTAMINATION SOURCE
<br />ISOLATION DISTANCES (FEET)
<br />LOCATION
<br />Minimum Distances
<br />Sensitive
<br />Well'
<br />Within
<br />200 Ft.
<br />Y / N / U
<br />Dist.
<br />from
<br />Well
<br />Est.
<br />(?)
<br />Community
<br />Non-
<br />community
<br />*GW1
<br />Gray -water dispersal area
<br />50
<br />50
<br />100
<br />N
<br />LC1
<br />Large capacity cesspools (Class V well - illegal)
<br />75
<br />75
<br />150
<br />N
<br />MVW
<br />Motor vehicle waste disposal (Class V well - illegal)
<br />illegal
<br />illegal
<br />N
<br />PR1
<br />Privy, nonportable
<br />50
<br />50
<br />100
<br />N
<br />PR2
<br />Portable (privy) or toilet
<br />50
<br />20
<br />Y
<br />60
<br />N
<br />*SF1
<br />Watertight sand filter; peat filter; or constructed wetland
<br />50
<br />50
<br />N
<br />SET
<br />Septic tank
<br />50
<br />50
<br />N
<br />HTK
<br />Sewage holding tank, watertight
<br />50
<br />50
<br />N
<br />SS1
<br />Sewage sump capacity 100 gal. or more
<br />50
<br />50
<br />N
<br />SS2
<br />Sewage sump capacity less than 100 gal., tested, conforming to rule
<br />50
<br />20
<br />N
<br />*ST1
<br />Sewage treatment device, watertight
<br />50
<br />50
<br />N
<br />SB1
<br />Sewer, buried, approved materials, tested, serving one building, or two or
<br />less single-family residences
<br />50
<br />20
<br />N
<br />SB2
<br />Sewer, buried, collector, municipal, serving a facility handling infectious or
<br />pathological wastes, open -jointed or unapproved materials
<br />50
<br />50
<br />Y
<br />80
<br />N
<br />SB2
<br />Sewer, buried, collector, municipal, serving a facility handling infectious or
<br />pathological wastes, open -jointed or unapproved materials
<br />50
<br />50
<br />Y
<br />90
<br />N
<br />*WB1
<br />Water treatment backwash holding basin, reclaim basin, or surge tank with
<br />a direct sewer connection
<br />50
<br />50
<br />N
<br />"WB2
<br />Water treatment backwash holding basin, reclaim basin, or surge tank with
<br />a backflow protected sewer connection
<br />20
<br />20
<br />N
<br />Land Application
<br />SPT I Land spreading area for sewage, septage, or sludge I 50 I 50 I 100 I N
<br />Solid Waste Related
<br />COS
<br />Commercial compost site
<br />50
<br />50
<br />N
<br />CD1
<br />Construction or demolition debris disposal area
<br />50
<br />50
<br />100
<br />N
<br />*HW1
<br />Household solid waste disposal area, single residence
<br />50
<br />50
<br />100
<br />N
<br />LF1
<br />Landfill, permitted demolition debris, dump, or mixed municipal solid waste
<br />from multiple persons
<br />300
<br />300
<br />600
<br />N
<br />SVY
<br />Scrap yard
<br />50
<br />50
<br />N
<br />SVVT
<br />Solid waste transfer station
<br />50
<br />50
<br />N
<br />Storm Water Related
<br />SD1
<br />Storm water drain pipe, 8 inches or greater in diameter
<br />50
<br />20
<br />Y
<br />130
<br />N
<br />SD1
<br />Storm water drain pipe, 8 inches or greater in diameter
<br />50
<br />20
<br />Y
<br />102
<br />N
<br />SW
<br />Storm water drainage well' (Class V well - illegal')
<br />50
<br />50
<br />N
<br />SM1
<br />Storm water pond greater than 5000 gal.
<br />50
<br />35
<br />N
<br />Wells and Borings
<br />*EB1
<br />Elevator boring, not conforming to rule
<br />50
<br />50
<br />N
<br />*EB2
<br />Elevator boring, conforming to rule
<br />20
<br />20
<br />N
<br />MON
<br />Monitoring well
<br />record dist.
<br />record dist.
<br />N
<br />WEL
<br />Operating well
<br />record dist.
<br />record dist.
<br />N
<br />UUW
<br />Unused, unsealed well or boring
<br />50
<br />50
<br />N
<br />General
<br />*CR1
<br />Cistern or reservoir, buried, nonpressurized water supply
<br />20
<br />20
<br />N
<br />PLM
<br />Contaminant plume
<br />50
<br />50
<br />N
<br />*CW1
<br />Cooling water pond, industrial
<br />50
<br />50
<br />100
<br />N
<br />DC1
<br />Deicing chemicals, bulk road
<br />50
<br />50
<br />100
<br />N
<br />*ET1
<br />Electrical transformer storage area, oil -filled
<br />50
<br />50
<br />N
<br />GRV
<br />Grave or mausoleum
<br />50
<br />50
<br />N
<br />GP1
<br />Gravel pocket or French drain for clear water drainage only
<br />20
<br />20
<br />N
<br />*HS1
<br />Hazardous substance buried piping
<br />50
<br />50
<br />N
<br />HS2
<br />Hazardous substance tank or container, above ground or underground, 56
<br />gal. or more, or 100 lbs. or more dry weight, without safeguards
<br />150
<br />150
<br />N
<br />HS3
<br />Hazardous substance tank or container, above ground or underground, 56
<br />gal. or more, or 100 lbs. or more dry weight with safeguards
<br />100
<br />100
<br />N
<br />HS4
<br />Hazardous substance multiple storage tanks or containers for residential
<br />retail sale or use, no single tank or container exceeding 56 gal. or 100 lbs.,
<br />but aggregate volume exceeding
<br />50
<br />50
<br />N
<br />HWF
<br />Highest water or flood level
<br />50
<br />N/A
<br />N
<br />6/26/2019
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