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Environmental Health Division <br />Drinking Water Protection Section <br />DEPARTMENT P.O. Box 64975 <br />OF HEALTH St. Paul, Minnesota 55164-0975 <br />PUBLIC WATER SYSTEM INFORMATION <br />INNER WELLHEAD MANAGEMENT ZONE (IWMZ) - <br />POTENTIAL CONTAMINANT SOURCE INVENTORY (PCSI) REPORT <br />PWS ID 1020035 <br />NAME Ramsey <br />ADDRESS Ramsey Water Superintendent, 7550 Sunwood Drive, Ramsey, MN 55303 <br />COMMUNITY <br />FACILITY (WELL) INFORMATION <br />NAME Well #1 <br />FACILITY ID S01 <br />UNIQUE WELL NO. 161441 <br />COUNTY Anoka <br />IS THERE A WELL LOG OR <br />ADDITIONAL CONSTRUCTION <br />INFORMATION AVAILABLE? <br />❑ YES (Please attach a copy) <br />❑ NO ❑ UNDETERNIINED <br />PWS ID / FACILITY ID 11020035 S01 I UNIQUE WELL NO. 1161441 <br />PCSI <br />CODE <br />ACTUAL OR POTENTIAL <br />CONTAMINATION SOURCE <br />ISOLATION DISTANCES (FEET) <br />LOCATION <br />Minimum <br />Community <br />Distances <br />I Non- <br />community <br />Sensitive <br />Well, <br />Within <br />200 Ft. <br />Y / N / U <br />Dist. <br />from <br />Well <br />Est. <br />(�) <br />Agricultural Related <br />*AC1 <br />'AC2 <br />Agricultural chemical buried piping <br />Agricultural chemical multiple tanks or containers for residential retail sale <br />or use, no single tank or container exceeding, but aggregate volume <br />exceeding 56 gal. or 100 lbs. dry weight <br />ACP Agricultural chemical tank or container with 25 gal. or more or 100 lbs. or <br />more dry weight, or equipment filling or cleaning area without safeguards <br />ACS Agricultural chemical storage or equipment filling or cleaning area with 100 100 <br />safeguards <br />ACR Agricultural chemical storage or equipment filling or cleaning area with 50 50 <br />safeguards and roofed <br />ADW Agricultural drainage well' (Class V well - illegal') 50 50 N <br />AAT Anhydrous ammonia tank (stationary tank) 50 50 N <br />AB1 Animal building, feedlot, confinement area, or kennel, 0.1 to 1.0 animal unit 50 20 100/40 N <br />(stockyard) <br />AB2 Animal building or poultry building, including a horse riding area, more than 50 50 100 N <br />1.0 animal unit <br />ABS Animal burial area, more than 1.0 animal unit <br />FWP Animal feeding or watering area within a pasture, more than 1.0 animal unit <br />AF1 Animal feedlot, unroofed, 300 or more animal units (stockyard) <br />AF2 Animal feedlot, more than 1.0, but less than 300 animal units (stockyard) <br />AMA Animal manure application <br />REN Animal rendering plant <br />MS1 Manure (liquid) storage basin or lagoon, unpermitted or noncertified <br />MS2 Manure (liquid) storage basin or lagoon, approved earthen liner <br />MS3 Manure (liquid) storage basin or lagoon, approved concrete or composite <br />liner <br />Manure (solid) storage area, not covered with a roof <br />Open storage for crops <br />MS4 <br />OSC <br />50 <br />50 <br />150 <br />50 <br />50 <br />100 <br />50 <br />use discretion <br />50 <br />300 <br />150 <br />100 <br />50 <br />50 <br />150 <br />50 <br />50 <br />100 <br />50 <br />use discretion <br />50 <br />300 <br />150 <br />100 <br />100 100 <br />use discretion use discretion <br />100 <br />200 <br />100 <br />600 <br />300 <br />200 <br />200 <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />N <br />SSTS Related <br />AA1 <br />Absorption area of a soil dispersal system, average flow greater than <br />10,000 gal./day <br />AA2 Absorption area of a soil dispersal system serving a facility handling <br />infectious or pathological wastes, average flow 10,000 gal./day or less <br />AA3 Absorption area of a soil dispersal system, average flow 10,000 gal./day <br />or less <br />300 <br />150 <br />50 <br />300 <br />150 <br />50 <br />600 <br />300 <br />100 <br />N <br />N <br />N <br />AA4 Absorption area of a soil dispersal system serving multiple family 50/300/1504 50/300/1504 100/600/300" N <br />residences or a non-residential facility and has the capacity to serve 20 or <br />more persons per day (Class V well) <br />CSP Cesspool 75 75 150 N <br />AGG Dry well, leaching pit, seepage pit 75 75 150 N <br />*FD1 Floor drain, grate, or trough connected to a buried sewer 50 50 N <br />*FD2 Floor drain, grate, or trough if buried sewer is air -tested, approved 50 20 N <br />materials, serving one building, or two or less single-family residences <br />1/21 /2019 <br />1 <br />