Template
For Preparing a
Source Water Assessment
and Protection Plan
The
“Fill-in-the-Blank” Form
Prepared for:
West Virginia Department of Health and Human Resources
Bureau for Public Health
Office of Environmental Health Services
Environmental Engineering Division
February 1, 2000
SWP Manual -Template - West Virginia BPH
TEMPLATE - TABLE OF CONTENTS
Acknowledgments
6
Purpose
6
Step One - Introductory Materials
7
The Community
Geographic Setting
General Description of the Source Water
The Public Drinking Water Supply
Influencing Factors
Source Water Protection Management
Step Two - Reservoir Characterization
Geologic Conditions
Hydrologic Parameters
Well Construction10
Water Quality Monitoring Results
Treated Water Analysis
Raw Water Analysis
Step Three - Delineation
Mapping Method Used
Model or Equation Input Parameters
Base Map
Limiting Factors
Conjunctive Delineations
7
7
7
7
7
7
8
8
9
11
12
12
13
14
14
14
14
15
Step Four - Inventory of Potential Contaminants Sources
15
Inventory Method
Inventory Process
Step 1 - Regulated Survey Results
Step 2 - Detailed Survey Results
Inventory Update
Inventory Limitations
15
16
16
16
17
17
Step Five - Management
Management Implementation
Protection Management
Management Implementation
SWP Manual -Template - West Virginia BPH
18
18
18
19
Step Six - Contingency Planning
Identification of Possible Disruption Threats
Designation of Emergency Coordinator
Equipment and Material Resources
Procedures to Communicate to Water Users
Procedure to Shut Down the Well(s)
Source of Emergency Water
Funds
19
19
19
20
20
20
20
20
Appendices
Appendix A - Vicinity Map
Appendix B - Geologic Maps
Appendix C - System Drawing(s)
Appendix D - Source Water Protection Area Delineation
Appendix E - Links Between Common Sources and Possible Contaminants
Appendix F - PSC Checklist
Appendix G - Management Short Form
Tables
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
SWP Manual -Template - West Virginia BPH
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 Protection (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 Protection 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.
SWP Manual -Template - West Virginia BPH
[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 Protection
Program (SWAPP) and the Wellhead Protection Program (WHPP) for the State of West Virginia
as directed by the federal Safe Drinking Water Act (SDWA).
SWP Manual -Template - West Virginia BPH
PURPOSE
This report is intended to meet all the informational and data requirements for approval of the
Wellhead Protection 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 Environmental
Protection 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 Protection Area, Inventory of Potential
Significant Contaminant Sources, Susceptibility Analysis and the Assessment Report.
[delete after used]
SWP Manual -Template - West Virginia BPH
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 Protection Management
Note: Include the name of the person(s) who will be responsible for developing and
implementing the plan.
STEP TWO - RESERVOIR CHARACTERIZATION
SWP Manual -Template - West Virginia BPH
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
SWP Manual -Template - West Virginia BPH
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
Note: Geologic Formation
SWP Manual -Template - West Virginia BPH
Well
#1
Well
#2
Well
#3
Spring #1
Spring #2
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
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
Well #1
SWP Manual -Template - West Virginia BPH
Well #2
Well #3
Spring #1
Spring #2
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].
SWP Manual -Template - West Virginia BPH
Table 4. Water Quality Monitoring Results
TREATED WATER ANALYSIS
Monitoring
Data
Units
Date
Well # 1
Well #2
Spring # 1 Spring # 2
Well # 1
Well #2
Spring # 1 Spring # 2
ppb
ppb
ppb
ppb
ppb
RAW WATER ANALYSIS
Monitoring
Data
Units
Date
ppb
ppb
ppb
ppb
ppb
SWP Manual -Template - West Virginia BPH
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 Protection 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 NonTransient 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
(Gallons per Day)
Fixed Radius
(Feet)
<2,500 gpd
2,500 gpd - 5,000 gpd
5,000 gpd - 10,000 gpd
10,000 gpd - 25,000 gpd
>25,000 gpd
500
750
1000
1500
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.
SWP Manual -Template - West Virginia BPH
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.]
SWP Manual -Template - West Virginia BPH
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 Protection 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.
SWP Manual -Template - West Virginia BPH
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 Environmental 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 Protection 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.
SWP Manual -Template - West Virginia BPH
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.
SWP Manual -Template - West Virginia BPH
SWP Manual -Template - West Virginia BPH
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.
Protection 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.
SWP Manual -Template - West Virginia BPH
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.
SWP Manual -Template - West Virginia BPH
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.
responsibility to communicate with your water users.
Who will have the
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.
SWP Manual -Template - West Virginia BPH
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
AGENCY
DEPARTMENT/
DIVISION
Emergency Services Coordinator
Well Shut Down Contact
Water Hauler
State Office of Emergency Services
Dept. Of Health
Office of Environmental
and Human
Health Services
Resources
Dept. Of Health
Office of Environmental
and Human
Health Services
Resources
Division Of
Hazardous Waste
Environmental
Protection
Division Of
Office of Environmental
Environmental
Remediation
Protection
Division Of
Waste Management
Environmental
Section
Protection
Division Of
Office of Environmental
Environmental
Remediation
Protection
Division Of
Solid Waste
Environmental
Management
Protection
Division Of
Environmental
Environmental
Enforcement
Protection
Office
AGENCY
DEPARTMENT/
DIVISION
Division Of
Office of Abandoned
Environmental
Mine Lands
Protection
Division of
Office of Mining and
Environmental
Reclamation
Protection
Division Of
Oil and Gas Section
Environmental
SWP Manual -Template - West Virginia BPH
TELEPHONE
NUMBER
(304) 558-5380
(304) 558-2981
(304) 558-2981
(304) 558-5393
or
(304) 558-5989
(304) 558-2745
(304) 558-6371
(304) 558-2508
(304) 558-6350
(304) 558-2497
TELEPHONE
NUMBER
(304) 759-0523
(304) 759-0512
(304) 759-0514
Class II & III
Underground
Injection Wells
Class I, IV & V
Pollution Spills, Dam
Emergency (NonCoal/Non-Oil & Gas)
Protection
Division Of
Environmental
Protection
Division Of
Environmental
Protection
Pesticide and
Fertilizer Application
Land Application of
Industrial Wastewater
Sludge (one source in
the state)
Land Application of
Municipal Wastewater
Sludge
Stormwater
Infiltration Ponds
Department of
Agriculture
Division Of
Environmental
Protection
Division Of
Environmental
Protection
Division Of
Environmental
Protection
Division Of
Environmental
Protection
Municipal Wastewater
Lagoons Sludge
SWP Manual -Template - West Virginia BPH
Program Management/
Technical Support
(304) 558-2108
Spill Hotline
Pesticide Division
OUT OF
STATE
(800) 424-8802
IN STATE
(800) 642-3074
(304) 558-2209
Water Resources
(304) 558-8855
Water Resources
(304) 558-4086
Water Resources
(304) 558-4086
Water Resources
(304) 558-4086