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PWS ID / FACILITY ID
<br />11020035 S09
<br />UNIQUE WELL NO.
<br />1743833
<br />ISOLATION DISTANCES (FEET)
<br />LOCATION
<br />PCSI
<br />CODE
<br />*GW1
<br />LC1
<br />MVW
<br />PR1
<br />PR2
<br />*SF1
<br />SET
<br />HTK
<br />SS1
<br />SS2
<br />*ST1
<br />SB1
<br />SB2
<br />SB2
<br />*WB1
<br />*WB2
<br />ACTUAL OR POTENTIAL
<br />CONTAMINATION SOURCE
<br />Gray -water dispersal area
<br />Large capacity cesspools (Class V well - illegal)
<br />Motor vehicle waste disposal (Class V well - illegal)
<br />Privy, nonportable
<br />Portable (privy) or toilet
<br />Watertight sand filter; peat filter; or constructed wetland
<br />Septic tank
<br />Sewage holding tank, watertight
<br />Sewage sump capacity 100 gal. or more
<br />Sewage sump capacity less than 100 gal., tested, conforming to rule
<br />Sewage treatment device, watertight
<br />Sewer, buried, approved materials, tested, serving one building, or two or
<br />less single-family residences
<br />Sewer, buried, collector, municipal, serving a facility handling infectious or
<br />pathological wastes, open -jointed or unapproved materials
<br />Sewer, buried, collector, municipal, serving a facility handling infectious or
<br />pathological wastes, open -jointed or unapproved materials
<br />Water treatment backwash holding basin, reclaim basin, or surge tank with
<br />a direct sewer connection
<br />Water treatment backwash holding basin, reclaim basin, or surge tank with
<br />a backflow protected sewer connection
<br />Minimum )istances Within Dist.
<br />Sensitive Est.
<br />Community Non- Well' 200 Ft. from (?)
<br />community Y / N / U Well
<br />50 50 100 N
<br />75 75 150 N
<br />illegal illegal N
<br />50 50 100 N
<br />50 20 Y 60 N
<br />50 50 N
<br />50 50 N
<br />50 50 N
<br />50 50 N
<br />50 20 N
<br />50 50 N
<br />50 20 N
<br />50 50 Y 80 N
<br />50 50 Y 90 N
<br />50 50 N
<br />20 20 N
<br />Land Application
<br />SPT I Land spreading area for sewage, septage, or sludge
<br />50
<br />50
<br />100 IN I I
<br />Solid Waste Related
<br />COS Commercial compost site
<br />CD1 Construction or demolition debris disposal area
<br />*HW1 Household solid waste disposal area, single residence
<br />LF1 Landfill, permitted demolition debris, dump, or mixed municipal solid waste
<br />SVY
<br />SWT
<br />from multiple persons
<br />Scrap yard
<br />Solid waste transfer station
<br />50 50 N
<br />50 50 100 N
<br />50 50 100 N
<br />300 300 600 N
<br />50
<br />50
<br />50
<br />50
<br />N
<br />N
<br />Storm Water Related
<br />SD1
<br />SD1
<br />SWI
<br />SM1
<br />Storm water drain pipe, 8 inches or greater in diameter
<br />Storm water drain pipe, 8 inches or greater in diameter
<br />Storm water drainage well' (Class V well - illegal')
<br />Storm water pond greater than 5000 gal.
<br />50
<br />50
<br />50
<br />50
<br />20
<br />20
<br />50
<br />35
<br />Y
<br />Y
<br />N
<br />N
<br />130
<br />N
<br />102 N
<br />Wells and Borings
<br />*EB1
<br />*EB2
<br />MON
<br />WEL
<br />UUW
<br />Elevator boring, not conforming to rule
<br />Elevator boring, conforming to rule
<br />Monitoring well
<br />Operating well
<br />Unused, unsealed well or boring
<br />50
<br />20
<br />record dist.
<br />record dist.
<br />50
<br />50
<br />20
<br />record dist.
<br />record dist.
<br />50
<br />N
<br />N
<br />N
<br />N
<br />N
<br />General
<br />*CR1 Cistern or reservoir, buried, nonpressurized water supply
<br />PLM Contaminant plume
<br />*CM Cooling water pond, industrial
<br />DC1 Deicing chemicals, bulk road
<br />*ET1 Electrical transformer storage area, oil -filled
<br />GRV Grave or mausoleum
<br />GP1 Gravel pocket or French drain for clear water drainage only
<br />*HS1 Hazardous substance buried piping
<br />HS2 Hazardous substance tank or container, above ground or underground, 56
<br />gal. or more, or 100 lbs. or more dry weight, without safeguards
<br />HS3 Hazardous substance tank or container, above ground or underground, 56
<br />gal. or more, or 100 lbs. or more dry weight with safeguards
<br />HS4 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 />HWF Highest water or flood level
<br />20
<br />50
<br />50
<br />50
<br />50
<br />50
<br />20
<br />50
<br />150
<br />100
<br />20
<br />50
<br />50
<br />50
<br />50
<br />50
<br />20
<br />50
<br />150
<br />100
<br />100
<br />N
<br />N
<br />N
<br />100 N
<br />N
<br />N
<br />N
<br />N
<br />N
<br />N
<br />50 50 N
<br />50 N/A N
<br />6/26/2019
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