3800-FM-WSFR0080 9/2005 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WATER STANDARDS AND FACILITY REGULATION IMPAIRED REACHES (Date (YYYYMMDD), Start Time (military) and your three Initials uniquely identify the stream reach) Date-Time-Initials Example 20040401-1111-XYZ Date Time Initials Secondary Reach ID (15 Characters Maximum) State Water Plan Survey Type: (1) Basin Survey, (2) Cause & Effect, (3) Fish Tissue, (4) Intensive Unassessed Follow-up, (5) Point of First Use, (6) SERA, (7) Special Protection, (8) Toxics, (9) Unassessed Screening, (10) Use Attainability, (11) WQN 1. 2. Station IDs (Date-Time-Initials) used to make assessment 3. 4. (Up to 5 stations) 5. Magnitude Compliance BMPs in Problem? Place? (H)igh, (M)edium, Source Cause (L)ow (Check if Yes) (Check if Yes) 1. 2. 3. 4. 5. 6. Sources Causes 100 Industrial Point Source 8050 Erosion from Derelict 0 Cause Unknown 2600 Exotic Species 200 Municipal Point Source Land 100 Unknown Toxicity 2700 Osmotic Pressure 230 Package Plants 8100 Atmospheric 200 Pesticides Deposition 300 Priority Organics 400 Combined Sewer Overflow 8300 Road Runoff 400 Nonpriority Organics 1000 Agriculture 8600 Natural Sources 410 PCB 1050 Crop Related 8700 Recreation and 420 Dioxin Tourism 430 Chlordane 1350 Grazing Related 8710 Golf Courses 500 Metals 1600 Animal Feeding 8950 Other 600 Un-ionized Ammonia 2000 Silviculture 9000 Source Unknown 700 Chlorine 2300 Logging Roads 800 Other Inorganics 3000 Construction 900 Nutrients 3100 Road/Bridge 990 Water/Flow Variability 3200 Land Development 1000 pH 4000 Urban Runoff/Storm Sewers 1100 Siltation 4350 Small Residential Runoff 1200 Organic Enrichment/Low Dissolved Oxygen 5100 Active Surface Mining (DO) 5200 Active Subsurface Mining 1300 Salinity/TDS/Chlorides 5500 Petroleum Activities 1400 Thermal Modifications 5800 Abandoned Mine Drainage 1500 Flow Alterations 6000 Land Disposal 1600 Other Habitat Alterations 6500 On-site Wastewater 1700 Pathogens 7000 Hydromodification 1900 Oil and Grease 7100 Channelization 2000 Taste and Odor 7200 Dredging 2100 Suspended Solids 7350 Upstream Impoundment 2200 Noxious Aquatic Plants 7400 Flow Regulation or Modification 2210 Excessive Algal Growth 7550 Habitat Modification 2300 Filling and Draining 7600 Removal of Riparian Vegetation 2500 Turbidity 7700 Bank Modification 7800 Drain and Fill Wetlands Assessed By: (15 Characters Maximum) -1- 3800-FM-WSFR0080 Code 9/2005 Source 100 Industrial Point Source 200 Municipal Point Source 230 Package Plants 400 Combined Sewer Overflow 1000 Agriculture 1050 Crop Related 1350 Grazing Related 1600 Animal Feeding 2000 Silviculture 2300 Logging Roads 3000 Construction 3100 Road/Bridge 3200 Land Development Definition A point source that processes liquid wastes generated by manufacturing or industrial processes. Probable causes of impairment associated with this source include metals, pH, organics, PCB, dioxin and thermal modifications . Any publicly owned treatment works (sewage and wastewater treatment plants) that process domestic, industrial and commercial wastewaters. Probable causes of impairment associated with this source include nutrients, ammonia, chlorine, dissolved solids, suspended solids, turbidity, pH and pathogens. A subcategory of Municipal Point Source is Package Plants, includes single residence sewage treatment plants (SRSTP) and small STPs that are prefabricated. Probable causes of impairment associated with this source are nutrients, ammonia, chlorine, dissolved solids, suspended solids, turbidity, pH and pathogens. Intermittent overflow or other untreated discharge from a municipal combined sewer system which results from a flow in excess of the dry weather carrying capacity of the system. Such systems combine domestic, industrial and commercial wastewater with stormwater. Found in older towns and cities. Probable causes of impairment include pathogens, suspended solids, nutrients, organic enrichment, unknown toxics and turbidity. Consists of many agriculture activities that include crops, pasture, animal feeding operations, waste spreading, fertilizers, etc. Probable causes of impairment associated with this source include organic enrichment, nutrients, pesticides, siltation and pathogens. Subcategory of Agriculture used when the primary agricultural activity is row crops or other crop related activities. Probable causes of impairment associated with this source include organic enrichment, nutrients, pesticides, siltation and pathogens. Subcategory of Agriculture used when the primary agricultural activity is grazing related. Probable causes of impairment associated with this source include organic enrichment, nutrients, pesticides, siltation and pathogens. Subcategory of Agriculture used when the primary agricultural activity is related to animal feed lots. Probable causes of impairment associated with this source include organic enrichment, nutrients, pesticides, siltation and pathogens. Any activities associated with removal of timber from forested lands including tree farms and plantations. Clear cutting (even aged management), log skidding, construction of log landings (location where logs are piled to be loaded on trucks) and construction of logging roads are all activities included under silviculture. Probable causes of impairment associated with this source include thermal modifications, flow alterations (increased surface runoff as a result of tree removal) and siltation. Subcategory of Silviculture used when the primary silvicultural activity is related to road building and logging roads. Probable causes of impairment associated with this source include thermal modifications, flow alterations (increased surface runoff as a result of road building) and siltation. Earth moving and disturbance related to highway, road and bridge building activities and other land development activities (i.e., new subdivisions for residential housing and commercial properties). Probable causes of impairment associated with this source include siltation, thermal modifications and turbidity. Earth moving and disturbance related to highway, road and bridge building activities. Probable causes of impairment associated with this source include siltation, thermal modifications and turbidity. Earth moving and disturbance related to land development activities such as new subdivisions for residential housing, commercial and industrial properties. Probable causes of impairment associated with this source include siltation, thermal modifications and turbidity. -2- 3800-FM-WSFR0080 Code 4000 4350 5100 5200 5500 5800 6000 6500 7000 7100 7200 7350 7400 7550 9/2005 Source Definition Runoff from impervious or urban areas to surface waters from precipitation, snowmelt and subsurface drainage and may be conveyed by storm sewers. Urban Runoff/Storm Probable causes of impairment associated with this source include habitat Sewers removal caused by bank erosion, or streambed scouring, or smothering of habitat by siltation. Other probable causes include oils and grease, metals, pathogens and nutrients. Subcategory of Urban Runoff/Storm Sewers used for small residential developments less than 25 acres. Probable causes of impairment associated Small Residential with this source include habitat removal caused by bank erosion, or Runoff streambed scouring, or smothering of habitat by siltation. Other probable causes include oils and grease, metals, pathogens and nutrients. Strip mining or quarrying operations to remove coal, other minerals or rocks from the ground that are day-lighted. Probable causes of impairment Active Surface Mining associated with this source include flow alterations from dewatering due to bedrock fracturing; and siltation due to erosion from spoil piles, or runoff from hauling roads, or from process washing. Deep mining activities related to coal and other mineral extraction. Probable Active Subsurface causes of impairment associated with this source include metals and/or pH Mining from acid or alkaline discharges, flow alterations from dewatering due to long wall mining activities that fracture bedrock. Activities related to the extraction of oil and gas. These activities include road building site preparation, tank holding facilities, and brine water holding facilities. Probable causes of impairment associated with this source include Petroleum Activities siltation from road build and site preparation; oils and grease from leaking tanks, pipes and equipment; salinity/TDS/chlorides; and osmotic pressure due to improper disposal of brine solutions. Acid or alkaline discharges from inactive mine sites. Probable causes of Abandoned Mine impairment associated with this source include metals, pH and siltation from Drainage erosion of spoil piles. Disposal of sewage effluent on land via spray irrigation, or onlot septic or the beneficial use of sewage sludge or disposal of industrial or other non-sewage Land Disposal wastes on land. Probable cause of impairment associated with this source is nutrients. A subcategory of Land Disposal used when onlot septic systems are failing. On-site Wastewater Probable cause of impairment associated with this source is nutrients. Modification of hydrologic regimes by damming, channelizing and dredging. Probable causes of impairment associated with this source include habitat Hydromodification alterations (lack of or removal of habitat by concrete channels and dredging), thermal modifications, suspended solids, DO from upstream impoundments and flow alterations due to discharge regulation. Subcategory of Hydromodification used when streams are channelized. Probable causes of impairment associated with this source include habitat Channelization alterations (lack of or removal of habitat by concrete channels), thermal modifications. Subcategory of Hydromodification used when dredging has or is occurring. Dredging Probable causes of impairment associated with this source include habitat alterations (lack of or removal of habitat). Subcategory of Hydromodification used when upstream impoundments are Upstream Impoundment present. Probable causes of impairment associated with this source include thermal modifications and low DO. Subcategory of Hydromodification used when upstream impoundments are Flow Regulation or present and controlling stream discharge. Probable causes of impairment Modification associated with this source include thermal modifications, flow variability and flow alterations. Changes to habitat associated primarily with land development activities. Probable causes of impairment associated with this source include habitat Habitat Modification alterations, thermal modifications, flow alterations, filling and draining and siltation. -3- 3800-FM-WSFR0080 9/2005 Code Source 7600 Removal of Riparian Vegetation 7700 Bank Modification 7800 Drain and Fill Wetlands 8050 Erosion from Derelict Lands 8100 Atmospheric Deposition 8300 Road Runoff 8600 Natural Sources 8700 Recreation and Tourism 8710 Golf Courses 8950 Other 9000 Source Unknown Definition Subcategory of Habitat Modification used when riparian vegetation has been removed from banks and riparian areas. Probable causes of impairment associated with this source include habitat alterations, thermal modifications, flow alterations and siltation. Subcategory of Habitat Modification used when stream banks have been modified by bank stabilization. Probable causes of impairment associated with this source include habitat alterations, thermal modifications and siltation. Subcategory of Habitat Modification used when wetlands have been drained and filled. Probable causes of impairment associated with this source include habitat alterations, thermal modifications, flow alterations, filling and draining and siltation. Erosion from contaminated abandoned industrial or other developed land. Probable causes of impairment associated with this source include siltation, metals, PCBs, dioxins and chlordane. Fallout of pollutants released into the air through the burning of fossil fuels with precipitation. Probable primary causes of impairment associated with this source include pH, metals, and secondary causes from nutrients (nitrogen), PCBs and dioxins. Surface runoff of precipitation from roadways. Probable causes of impairment associated with this source include siltation, salinity, metals, oils and grease. Naturally occurring pollutants, found in watersheds, which originate from unique geologic formations, or from activities of wildlife (beaver dams) that result in unusual water quality conditions. Because these “impairments” are due to naturally occurring conditions, this condition should be considered to be site-specific and not impairment. Course of action should be to develop site-specific criteria. Impairments related to recreational or tourism activities. As an example, stream bank erosion caused by heavy foot traffic at a campground or other recreational facility. Subcategory of Recreation and Tourism related to land management activities for the maintenance of golf courses. Probable causes of impairment associated with this source include habitat alterations, siltation, pesticides, nutrients, pathogens and thermal modifications. Other sources of pollutants not described by any other sources. Sources that have not or cannot be determined at the present time. Should only be used when unable to conduct an exhaustive investigation of potential sources of pollutants. -4- 3800-FM-WSFR0080 Code 9/2005 Cause 0 Cause Unknown 100 Unknown Toxicity 200 Pesticides 300 Priority Organics 400 Nonpriority Organics 410 PCB 420 Dioxins 430 Chlordane 500 Metals 600 Un-ionized Ammonia 700 Chlorine 800 Other Inorganics Definition Used when the cause of impairment cannot be identified. Should be used only when unable to identify cause when an immediate follow-up survey is not possible or when no cause can be identified. Cause of impairment from some unknown toxic agent. WETT testing should be conducted on any suspected toxic substance in point source discharges to the stream. Should not be used except on rare occasions. If nonpoint sources are involved, follow-up should concentrate on suspected causes inferred by land use such as pesticides, metals, etc. Group of man-made chemical compounds (diazinon, carbaryl, chlropyrifos, prometon, atrazine, etc.) used for the control of pests. These pesticides have a direct impact on aquatic communities and often result in aquatic life use impairment and violations of Chapter 16 criteria violations. Persistent biomagnifying man-made compounds (PCBs, Aldrin, DDT, Dieldrin and other man-made organic compounds) introduced to the environment. When introduced into the environment, these compounds biomagnify and, as a result, concentrations increase rapidly as humans and other wildlife consume them. Impairment results when fish tissue sample results exceed the chronic criteria, resulting in the issuance of fish consumption advisories to protect human health. Other organic compounds not known to bioaccumulate or biomagnify up the food chain, but known to be toxic or injurious to human health. Man-made compound (no known natural source of this compound) used in electrical equipment, hydraulic fluids and heat-conducting fluids and other industrial applications. Manufacture of PCBs ceased in 1977. When introduced into the environment, these compounds biomagnify up the food chain and, as a result, concentrations increase rapidly as humans and other wildlife consume them. PCBs primarily enter the environment through contaminated sites and sediments. Impairment results when fish tissue sample results exceed the chronic criteria, resulting in the issuance of fish consumption advisories to protect human health. Group of persistent, toxic, heterocyclic hydrocarbons that occur as byproducts from industrial processes (manufacture of herbicides, paper), incineration of waste and other combustion (forest fires). Dioxins biomagnify up the food chain and, as a result, concentrations increase rapidly as humans and other wildlife consume them. Impairment results when fish tissue sample results exceed the chronic criteria, resulting in the issuance of fish consumption advisories to protect human health. Pesticide used on crops, lawns and gardens to control insect populations and on home foundations as a termiticide, used from 1948 to 1988. Chlordane, a persistent biomagnifying organochlorine insecticide, rapidly increases in concentration as it moves up the food chain as humans and other wildlife consume them. Impairment results when fish tissue sample results exceed the chronic criteria, resulting in the issuance of fish consumption advisories to protect human health. High concentrations instream of various metals caused by mining and other resource use/extraction activities as a nonpoint source pollutant. Iron, Al and Mn typically precipitate and are frequently obvious, but other metals may be present in high concentrations with no visible precipitate present. Metals may also enter streams as point source pollutants from industrial and municipal waste treatment plants. May also include heavy metals that biomagnify (Hg) or bioaccumulate (Pb). Ammonia nitrogen associated with sewage, manure or fertilizers in elevated concentrations that can be very toxic (pH dependent) to aquatic life (see §93.7 for water quality criteria). Used as a disinfection agent in water processing that when present in treated effluent in elevated concentrations is toxic to aquatic life. Other inorganic compounds (i.e., antimony, arsenic, chromium, lead, mercury, zinc, etc.) that may be in high concentrations and toxic to aquatic life. -5- 3800-FM-WSFR0080 Code 9/2005 Cause 900 Nutrients 990 Water/Flow Variability 1000 pH 1100 Siltation 1200 Organic Enrichment/Low DO 1300 Salinity/TDS/Chlorides 1400 Thermal Modifications 1500 Flow Alterations 1600 Other Habitat Alterations 1700 Pathogens 1900 Oil and Grease 2000 Taste and Odor 2050 Color 2100 Suspended Solids 2200 Noxious Aquatic Plants 2210 Excessive Algal Growth 2300 Filling and Draining 2500 Turbidity 2600 Exotic Species 2700 Osmotic Pressure Definition Presence of excessive quantities of phosphorus and/or nitrogen that under the proper conditions may result in dense algal or macrophyte growth and wide fluctuations in DO levels. Average daily DO may be relatively normal. Biological impairment may occur without Chapter 93 criteria violations. Changes in hydrologic regime caused by water releases, increased surface runoff from impervious surfaces during storm events, scouring and drought. Results in unstable environment for macroinvertebrates and fishes. Habitat alterations include stream widening, substrate paving, shallower pools, etc. Measure of hydronium ions that may be in excess of water quality standard of 6.0–9.0. May be related to abandoned mine drainage and/or acid precipitation, but may also be associated with excess nutrients and organic enrichment of streams. Aggradation of “clean” sediments or soils in excess of what the stream channel can transport. Results in smothering of habitat for macroinvertebrates and fishes. Excessive quantities of organic material instream causing severe DO sag and may result in low average daily DO. Dissolved solutes (i.e., brines from oil and gas industry or meat packing, road salt) that once they are instream can become toxic at high concentrations. Increases in natural water temperatures from heated wastewater sources. Changes in hydrologic regime as a result of water regulation (including dams without or with insufficient minimum releases) or dewatering as a result of bedrock fracturing from mining activities or lack of base flow due to reduced rain water infiltration in urban areas or reduction in base flow caused by groundwater withdrawals. Habitat changes due to severe bank erosion, removal or lack of riparian vegetation, or presence of concrete channels and streambeds. High levels of fecal coliform bacteria that are indicators of the potential for disease-causing bacteria, viruses and protozoans. Petroleum products used for lubrication for automobiles and industrial equipment. May enter the stream with road and highway runoff or from improper disposal. Bad tastes and odors in drinking water generally caused by excessive algal growth in water supply waters. Addition of colors to stream water from processed industrial wastewater. Organic solids suspended in the water column, primarily from sewage. May also be from inorganic sediments associated with land use. Invasive non-native aquatic plants such as the Hydrilla, Eurasian Water Milfoil and Purple Loosestrife. Large algal standing crops generally occurring due to high concentrations of nutrients. Filling of wetlands and/or streams with soils in combination with the installation of drainage pipes to remove water. This is a DEP-permitted activity and should be confirmed with the Soils and Waterways section to determine if permits have been issued. Reduction of water clarity as a result of suspended sediments and/or organic material. Invasive non-native animal species such as the Zebra Mussel, European Ruffe, Round Goby, Sea Lamprey, Spiny Water Flea and Red-Eared Slider. Pollutants that disrupt the ability of aquatic life to maintain osmoregulatory balance. This cause is primarily related to the specifics of discharge permits that involve brines and other wastes with high solute concentrations (i.e., oil and gas drilling activities, meat packing, food processing, etc.). -6-