20230413Comments (DEQ) Revised_1.pdf

AFFIDAVIT OF KELSEY CARTER 1

BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION

IN THE MATTER OF ISLAND PARK
WATER COMPANY’S FAILURE TO
COMPLY WITH TARIFF AND UCRR’s.
)
)

AFFIDAVIT OF KELSEY CARTER

STATE OF IDAHO )
ss.
County of Ada ) I, Kelsey Carter, being first duly sworn under oath, depose and state as follows:
1. My name is Kelsey Carter. I am over 21 years of age, of sound mind, and I have
personal knowledge of the facts stated herein.
2. The information contained herein is true and correct to the best of my knowledge
and belief.
3. I am a Drinking Water Compliance Officer and/or Drinking Water Analyst at the
Idaho Department of Environment Quality-Idaho Falls Regional Office (IDEQ). I started
working in this position in February of 2022. I am responsible for providing regulatory
oversight for assign public water systems (PWS) by conducting sanitary survey inspections
and completing associated reports in accordance with the requirements of the
Environmental Protection Agency (EPA), reviewing all monitoring results, data entry and
tracking using the Safe Drinking Water Information System software program, and
providing follow-up activities and response related to contamination events, as well as
providing technical assistance to PWSs for compliance and health-based issues. My
assigned counties include Fremont, Madison, and Jefferson in Eastern Idaho.
4. I have investigated Island Park Water Company (“Company” or “IPWC”) in my
role as a Drinking Water Compliance Officer and Analyst.
5. I attended the Company’s Show Cause Hearing on March 29, 2023. I disagree with
the Company’s representations of DEQ made at the Show Cause Hearing and in Dorothy
McCarty’s Affidavits.
6. My first attempt to contact IPWC was an email April 1, 2022, sent at 2:30pm to
schedule six (6) sanitary surveys. Aspen Ridge Subdivision, Goose Bay Estates, Shotgun
Cherokee Subdivision 5, and Shotgun North had sanitary surveys due by September 16,
RECEIVED
2023 April 12, 4:31PM
IDAHO PUBLIC
UTILITIES COMMISSION
AFFIDAVIT OF KELSEY CARTER 2

2021, and no one was able to get in contact with IPWC to schedule. Shotgun Kickapoo
Subdivision 6 and Shotgun South Stevens Lane were due by July 31, 2022 (Exhibit A)
7. Numerous attempts were made to schedule the sanitary surveys emails, phone calls,
texts, and certified letters were sent to Dorothy McCarty (Exhibit B).
8. On October 19, 2022, and October 20, 2022, DEQ completed a sanitary survey
(“sanitary survey”) for each of the seven PWSs owned by IPWC. In total there were ninety-
three (93) significant deficiencies documented with the seven PWSs. A significant
deficiency is defined as any defect in a system’s design, operation, maintenance, or
administration, and any failure or malfunction of any system component, that the DEQ
determines to cause, or have the potential to cause, risk to health or safety, or that could
affect the reliable delivery of safe drinking water (IDAPA 58.01.08.003.131). In addition,
there were forty-six (46) deficiencies identified and thirty-seven (37) recommendations by
DEQ (Exhibit C).
9. The most common significant deficiencies between all of the PWSs operated by
Island Park Water Company included; no plans and specifications submitted and approved
by DEQ prior to making material modification, not having adequate backflow prevention,
missing check valves, lack of isolation valves, the casing and cap do not prevent
contamination and surface water entry, excessive moisture and signs of components
freezing, the owner is aware of main line leaks, broken pressure gauges, low pressure, and
hydropneumatics tanks located in a structure that is not protected from flooding and
unauthorized entry. Out of the four (4) pump houses, none had doors with a means of
locking (Shotgun Kickapoo, Shotgun North, Aspen Ridge). Of the fourteen (14) pump
vaults in IPWC systems, only the West pump vault in Aspen Ridge had an installed lock.
Neither Dorothy McCarty or Mike Lund had a key to the pump vault and lifted the entire
access hatch to allow entry.
10. The recurrent deficiencies identified in all seven PWS’s sanitary survey were none
of the systems had an operation and maintenance manual (O&M), none of the sample taps
were smooth nosed type, several wells were not equipped with flowmeters, spare parts are
not readily available, and no lighting in the pump houses or vaults.
11. Recommendations made by DEQ included current maps of the distribution system,
as none have ever been documented, implementing a water loss control program, water
AFFIDAVIT OF KELSEY CARTER 3

efficiency program, and asset management plan. Installing locking caps or executing
source water protection. Out of the twelve (12) wells inspected none had any form of source
water protection.
12. I also documented during the sanitary surveys of Aspen Ridge Subdivision, Goose
Bay Estates, and all divisions of Shotgun that question #7 under the distribution system
module was answered “yes” by Dorothy McCarty. It has recently been brought to my
attention that this is incorrect. I have now been made aware by customers and throughout
the hearing through the admission of IPWC that there have been several unplanned and
planned depressurizations of these six water systems. Notification procedures were not
followed, as DEQ does not have any documentation of boil water notices,
depressurizations, or do not drink advisories for any of IPWC’s water systems within the
last five years. Reporting procedures are to notify DEQ within twenty-four hours (24) of a
disruption in service due to loss of pressure, power outage, damaged lines, and positive
bacteria samples. Depressurization has the potential for public health risks associated with
pathogen contamination and can cause the back flow of sewage effluent to backflow into
drinking water.
13. Documentation is required by IDAPA 58.01.08.150.03 to be maintained for a
minimum amount of time. Public Notice has a minimum retention time of three (3) years,
as well as violation corrective action records. These documents have not been produced to
DEQ by IPWC. And to further clarify a posted sign at the entrance of a subdivision does
not meet the minimum requirements of public notification, as IPWC has attempted twice
in 2023.
14. DEQ has thirty (30) days from conducting a sanitary survey to completing and
sending the sanitary survey report. All sanitary survey reports were sent out via email
November 17, 2022, at approximately 5 pm (Exhibit D). An additional hardcopy of each
survey was mailed via USPS November 18, 2023. Certified mail was not used, as the cost
to send 475 pages was quite expensive.
15. November 18, 2022, DEQ received an email from Dorothy McCarty stating she
couldn’t forward the attachments to Roger Buchanan and requested DEQ send them as he
is their operator in charge (Exhibit E).
AFFIDAVIT OF KELSEY CARTER 4

16. A PWS has thirty (30) days from the date of receiving the sanitary survey report to
submit a corrective action plan and one hundred twenty (120) days to execute those
corrective actions. I extended the corrective action due date to June 2023 due to the
snowfall in Island Park, but did not make exceptions for corrective action that could be
completed with no influence of weather, like site sampling plans. I made sure to clearly
specify this in the sanitary survey report as well as send a reminder email to IPWC (Exhibit
F). This is an example of DEQ offering assistance to IPWC of an upcoming deadline that
would not usually be sent by compliance staff. I received the corrective action plan at 3:48
pm on December 19, 2022, from Roger Buchanan (Exhibit G).
17. I discovered during preparation for the sanitary surveys that IPWC did not have a
sample siting plan for any of the seven PWSs. The company had been collecting
compliance samples from each system generally at the same locations, not adequately
representing the entire distribution (Exhibit H). This was documented, highlighted, and
explained in each sanitary survey report. The requirement for a sample siting plan is
documented in the signed Preliminary Inspection Finding Form (PIFF) (Exhibit I). I chose
the deadline of December 31, 2022, as to start off the first quarter of sampling for 2023
correctly, which I explained in the sanitary survey report.
18. IPWC did not submit any site sampling plans, despite receiving reminders. On
January 5, 2023, DEQ sent a violation letter for the Company’s failure to “perform
activities required to address two significant deficiencies” for the Valley View Subdivision,
Shotgun South, Shotgun North, Shotgun Kickapoo 6, Shotgun Cherokee, Shotgun
Cherokee, Goose Bay Estates, and Aspen Ridge. The requirement for this violation is
notifying all water users within thirty (30) days as there was not an immediate risk to human
health. On January 6, 2023, Dorothy McCarty came to my office in Idaho Falls and asked
me to assist in completing the Tier 2 Public Notification. An email was sent January 6,
2023, at 3:05pm to IPWC with the attached Tier 2 Public Notifications. The attachments
were sent again January 9, 2023, at 8:51am due to a typo at the bottom in the subdivision
name. On January 6, 2023, an extension was granted to IPWC to have sample siting plans
submitted to DEQ by January 30, 2023.
19. January 30, 2023, Dorothy McCarty dropped off the first attempt at a sample siting
plan with a lengthy letter on why IPWC should not have to comply. This letter also included
AFFIDAVIT OF KELSEY CARTER 5

IPWC’s formal protest of being required to mail each customer the mandatory public
notification (Exhibit J). Public notification cannot be waived.
20. The first sample siting plan was rejected for having invalid addresses and providing
addresses of empty lots as seen in Exhibit J.
21. February 3, 2023, Carlin Feisthamel and Jason Fales had a meeting at DEQ Idaho
Falls Office with Dorothy McCarty and Roger Buchanan. In the meeting Carlin Feisthamel
explained a site sample plan cannot be waived per the Code of Federal Regulations all
public water systems are required to have them. Dorothy McCarty pointed out the
paragraph at the top of page four (4) of the sample plan template. The language was from
a prior rule to the Revised Total Coliform Rule update in 2016 and has since been corrected.
DEQ suggested the use of quadrants or zones to allow flexibility with transient residents.
This meeting also provided clarification that public notification was required but DEQ
could waive the previous violation (Exhibit K).
22. A second sample siting plan was submitted to DEQ February 17, 2023, and was a
complete list of every address in each subdivision (Exhibit L), again not meeting the rule
requirements. An email was sent to IPWC explaining the rejection to the plan (Exhibit M).
23. A third sample siting plan was submitted for all seven-water systems February 27,
2023 after Dorothy McCarty and Roger Buchanan showed up at DEQ office. Carlin
Feisthamel provided Dorothy McCarty and Roger Buchanan with highlighters and
explained to divide the subdivisions into four quadrants (Exhibit N). Six (6) of these sample
siting plans were accepted. Valley View Subdivision was again rejected for not
representing the two distributions and IPWC marking the system was seasonal,
documented in an email sent March 2, 2023 (Exhibit O)
24. While DEQ granted flexibility in the form of quadrants, DEQ did not excuse the
requirement to provide addresses of sampling, as seen in Exhibit O. I referred the Company
again to the requirements in 40 CFR 141.853(a)(1), and notified the Company that it cannot
issue its own clauses into the site sampling plan. These site sampling plans must follow the
Code of Federal Regulations, and the requirements are not up for debate. I also told the
Company that it was unacceptable to list the water systems as seasonal, and that DEQ had
corrected this on numerous occasions. Since that conversation, the Company had not sent
a corrected site sampling plan for Valley View Subdivision
AFFIDAVIT OF KELSEY CARTER 6

25. Valley View Subdivision, one of the PWSs operated by IPWC, was activated on a
PWS August 8, 2022, after I conducted an onsite evaluation on August 3, 2022. I met with
two different homeowners and spoke to two additional homeowners over the phone. Many
residents feared retaliation from IPWC and were hesitant to speak to me. A determination
was made that more than twenty-five (25) people on average at least sixty (60) days out of
the year have access to drinking water. The number of connections was undetermined but
knew to be more than ten (10). An activation letter was sent certified mail and returned as
undeliverable prior to the onsite evaluation (Exhibit P).
26. I received a text message from Dorothy McCarty on August 25, 2022, stating
Valley View Subdivision was not a PWS due to the size of the system and that it never had
a PW number, shown in Exhibit B.
27. Valley View Ranch Subdivision was designed a PWS, identification number
ID7220080 was assigned and regulated prior to 1992, when it was changed to non-public
for only having seven (7) connections. In 1992 the population size provided by Ed Strobel
was twenty-two (22) individuals. It is the water purveyor’s responsibility to update
population counts, service connections, and contact information.
28. Valley View Subdivision had been on DEQ’s radar for several years, due to growth
in Island Park and several complaints that had been received.
29. A letter of declaration for Valley View Subdivision was sent to David Benton on
October 8, 2008 (Exhibit Q).
30. A letter of declaration for Valley View Subdivision was sent to Mike Bischoff on
September 7, 2010 (Exhibit R)
31. A letter of declaration for Valley View Subdivision was emailed to Dorothy
McCarty on June 28, 2022 at 3:59 pm from DEQ administrative staff.
32. A letter of Declaration for Valley View Subdivision was texted to Dorothy McCarty
on August 26, 2022 (Exhibit S). After the claim the subdivision was too small to be a PWS.
All communication from DEQ went unanswered, and the exact number of service
connections and population were not given to DEQ by IPWC.
33. The sanitary survey I conducted October 20, 2022, was the first sanitary survey
since July 14, 1978, by the District Health Department (Exhibit T). In Dorothy McCarty’s
affidavit she discusses Valley View not being approved by DEQ, but it was her argument
AFFIDAVIT OF KELSEY CARTER 7

to in the IPWC Response Letter Kelsey Carter DEQ Drinking Water Analyst sent January
15, 2022 (Exhibit U).
34. Valley View Subdivision had a main line leak approximately 100 feet south of Well
#1 (East Well) Water was reaching the surface and was clearly visible with pooling shown
in photograph 8 of the sanitary survey report. There was water staining present in the pump
vaults indicating flooding, (photograph 11 and 16). A pressure reading was taken near
Herring Drive and Valley Drive, the lowest elevation of the subdivision. A noncompliance
pressure reading of thirty-two (32) psi was documented (photograph 17). The pump vaults
had mice present, which are a potential source of contamination.
35. On December 28, 2022, DEQ was notified by a consumer that water was flowing
from the pump to waste valve of Well #1 on to the ground. This water wasting to the ground
had caused a partial loss of pressure event in Valley View Subdivision. As a result, the
water system was not pressurized, and homeowners had no water pressure at their
properties. DEQ contacted IPWC via phone call instructing the company to turn off the
pump to waste valve off for Well #1. Dorothy McCarty initially accused me of causing the
damage to the pump to waste valve during a meeting with Carlin Feisthamel. Later,
Dorothy McCarty blamed vandalism as the cause of the pump to waste valve being opened.
36. The pump to waste valve is shown in photograph 16 of the Valley View Sanitary
Survey Report. I did not enter the pump vault containing the pump to waste valve on
October 20, 2022. There was no ladder present to access the vault, and mice were present.
As documented in the photograph, the pump to waste valve is closed at the time of the
sanitary survey.
37. DEQ was informed that Buchanan Well Drilling would be responsible for restoring
water to the subdivision. This was documented in a letter to IPWC on January 3, 2023
(Exhibit V).
38. In response to the January 3, 2023, letter Dorothy McCarty claimed the pump to
waste valve would not be able to be repaired until summer and that Valley View
Subdivision was seasonal. Valley View Subdivision has never been operated in accordance
with seasonal system requirements. A letter to IPWC about year-round water systems was
issued on January 4, 2023 (Exhibit W).
AFFIDAVIT OF KELSEY CARTER 8

39. On January 4, 2023, Carlin Feisthamel and myself again tried to contact Dorothy
McCarty to discuss the corrective actions in Valley View Subdivision multiple times.
(Exhibit X). Jason Fales and myself had spoken with Roger Buchanan for approximately
45 minutes informing IPWC to take responsibility and accountability for the water system
in Valley View Subdivision, and that it was unacceptable that many water users remained
without water in their homes.
40. On January 5, 2023 DEQ became aware some homeowners had water in their
homes at low pressure and with sediment present. DEQ issued a boil advisory requiring
mandatory Tier 1 Public Notification. A copy of the required template with mandatory
language was submitted along with the letter on January 5, 2023 at 3:54 pm.
41. On January 6, 2023, at 11:47 am Carlin Feisthamel and myself received a text
message photograph of a sign posted at the entrance of the subdivision. I called Dorothy
McCarty and told her that the sign was not sufficient delivery of a Tier 1 Public
Notification, which led to her coming to DEQ’s Idaho Falls Office January 6, 2023.
42. While completing the public notification template for Dorothy McCarty, one of the
requirement on the form to be filled in by the water system is corrective actions and
timeframe for the problem to be corrected. Dorothy McCarty did not want to provide a date
that water would be restored. I instructed Island Park Water Company to repair the broken
line and restore service, yet Island Park Water Company refused. The Company stated that
they would not make repairs until June due to snow.
43. Dorothy McCarty repeatedly denied that a pressure loss event had occurred in
Valley View Subdivision and demanded proof. I told Dorothy McCarty homeowners
without water was all the proof DEQ needed. During this meeting was the first mention of
vandalism to the waste valve. No police report or documentation was provided to DEQ of
vandalism.
44. Dorothy McCarty stated she was unaware of the public notification template
required and the mandatory language. I created the public notification for her and printed
off copies. Those copies were taken to the post office to be mailed to all water users of
Valley View Subdivision. After mailing Dorothy McCarty returned a signed copy of the
public notice certification form dated January 5, 2023, signed by herself as the President
of Island Park Water Company (Exhibit Y).
AFFIDAVIT OF KELSEY CARTER 9

45. On January 10, 2023, I sent a survey I created to all property owners in Valley View
Subdivision. I collected all lot owners mailing addresses using Fremont County GIS. To
date I have received thirty-one (31) out of forty-five (45) surveys for Valley View
Subdivision. Based on the information provided by homeowners directly, Valley View
Subdivision was determined to have twenty-one (21) service connections, with two (2)
additional connections planned for installation in the summer of 2023, and two (2)
connections that had been refused by IPWC. The average population size during a sixty
(60) day period is eighty-five (85) individuals. Of the eighty-five (85) forty-two (42) are in
their home more than 6 months out of the year. This classified the PWS as a non-transient
non-community PWS. Documentation of the reclassification was submitted to IPWC
February 24, 2023. This information has never been provided by IPWC as the company
continues to state there are only fourteen (14) service connections in the subdivision
(Exhibit Z).
46. On January 13, 2023, a letter was issued to IPWC about information and
requirements for Valley View Subdivision (Exhibit AA).
47. On January 15, 2023, a letter in response to my January 13, 2023, letter was
received via email at 4:55 pm from Dorothy McCarty, attached as Exhibit U. As well as a
letter addressed to homeowners in Valley View Subdivision (Exhibit BB). Both letters
were full of inaccurate information and refusal by IPWC to take responsibility.
48. On January 18, 2023, and January 20, 2023, DEQ contacted and spoke with
Dorothy McCarty about turning the pump to waste valve off. No attempt was made by
IPWC instead only excuses were given.
49. On January 19, 2023, DEQ informed and asked for assistance from Idaho
Department of Water Resources (IDWR) due to water being wasted in Valley View
Subdivision. Water had been wasting on the ground for over a month at this point.
50. On January 23, 2023, at 6:05 pm IPWC sent an email to DEQ drinking water staff
(Exhibit CC). The conclusion was the pump to waste valve was turned off. However, no
documentation was provided.
51. I requested photographs and pressure reading in Valley View Subdivision. None
were provided and sampling was never conducted by IPWC to lift the boil advisory.
AFFIDAVIT OF KELSEY CARTER 10

52. I sent a reminder letter to IPWC on January 24, 2023, of upcoming deadlines as an
extension of assistance (Exhibit DD).
53. On January 31, 2023, I changed the monitoring schedule of Valley View
Subdivision from quarterly bacteria samples to monthly compliance samples explained in
(Exhibit EE). This letter also documents the understanding of Well #3 in Valley View
Subdivision located on Herring Drive was owned by IPWC and served part of the
subdivision.
54. Prior to the sanitary survey of Valley View Subdivision on October 20, 2023, DEQ
had no knowledge of this well being associated with IPWC. This well had always been
assigned to Henry’s Lake Station and Café since being activated as a PWS in 2011.
55. I conducted a sanitary survey for Henry’s Lake Station and Café on May 16, 2022.
The well that was inspected for this sanitary survey is the well located in Valley View
Subdivision identified as Well #3 (Exhibit FF).
56. While I was conducting the sanitary surveys with IPWC on October 20, 2022, with
Dorothy McCarty and Mike Lund I was first taken to Well #3. I was told by Dorothy
McCarty that this well was her well and it had been stolen by the gas station. Dorothy
McCarty requested DEQ look into this matter. After speaking to Carlin Feisthamel about
Well #3 I was told DEQ would not be involved in the ownership dispute of Well #3 and it
was up to Henry’s Lake Station and IPWC to resolve the situation. This information was
then passed on to Dorothy McCarty.
57. Both Dorothy McCarty and Roger Buchanan have stated on multiple occasions that
IPWC owns the well on Herring, including during the sanitary survey October 20, 2022,
(Exhibit G), during the meeting with myself January 6, 2023, a phone conversation
February 1, 2023 with Jason Fales and myself (Exhibit HH), during the meeting February
3, 2023 with Jason Fales and Carlin Feisthamel, seen in Exhibit K, February 23, 2023 in a
meeting with Jason Fales and myself, and a phone call April 6, 2023. Each time DEQ
responded with we would not be involved in the ownership dispute of the well and
suggested IPWC focus on cooperation.
58. I received an email from a homeowner in Valley View Subdivision February 22,
2023, as they were unaware of the boil advisory put in place. I followed up with several
AFFIDAVIT OF KELSEY CARTER 11

other homeowners I have contact information for, and none of them had received the boil
advisory supplied to Dorothy McCarty on January 6, 2023.
59. Because customers reported not receiving boil water notifications per the Safe
Drinking Water Act’s public notice requirements, I reminded the Company to send the
appropriate notices. A violation was issued February 22, 2023, for failure to provide tier 1
public notification.
60. I followed up on the Company’s compliance with boil notices to its Valley View
Subdivision customers February 24, 2023 and learned that the Company sent a cover letter
with false, misleading, and counterintuitive information that the water was safe for human
consumption, denying a pressure loss event, blaming vandalism for causing the pump to
waste valve being turned on, insisting that the system was designed to be seasonal, and
accusing homeowners of providing false information to DEQ (Exhibit II). For public
safety, I had to send boil notices to all homeowners in Valley View Subdivision stating the
correct information (Exhibit JJ). I informed the Company that DEQ was evaluating
additional violations for the Company’s inappropriate cover letter, including disapproval
of the water system. I informed the Company to immediately issue a new letter to
homeowners retracting all incorrect information, and that it failed to meet the boil notice
requirements. Because the Company had blamed customers of providing false information,
I reminded the Company that the issues had been substantiated, and any homeowner is
capable of contacting and reporting information to DEQ without retaliation.
61. The cover letter was dated February 23, 2023, and addressed to Valley View
homeowners stating the system did not have a pressure loss event below 20 psi as
erroneously reported to DEQ, and water is safe for human consumption, Exhibit II. This
was the cover letter IPWC sent with the second required Tier 1 public notification.
62. The previous day February 22, 2023, during a meeting with Jason Fales, myself,
Roger Buchanan in person, and Dorothy McCarty over the phone, Jason instructed Dorothy
to not send the cover letter she had attached for our preview. This cover letter was not the
letter IPWC ended up sending Valley View homeowners.
63. In response on February 24, 2023, I sent all homeowners correct information and
provided them with the correct required boil advisory letter. I received confirmation from
several water users that my letter had been received.
AFFIDAVIT OF KELSEY CARTER 12

64. IPWC never sent out any corrective information to water users in Valley View
Subdivision.
65. I became concerned by the false information being supplied to homeowners in
Valley View that the water was safe for consumption based on one bacteria test that wasn’t
taken by IPWC. The Company reported that PSI was over 60 in the well vaults after closing
the pump to waste valve. That high of a pressure was not observed during the sanitary
survey. In addition to IPWC continuing to deny a pressure loss event had occurred it was
stated multiple times by IPWC that there was no need for the boil advisory everything was
hearsay. I clarified their authority in an email dated March 2, 2023 (Exhibit KK). I told the
Company that they did not have any authority to lift the boil order themselves, and the
sample testing and pressure study was required to show that the 40 psi was maintained in
the distribution and at all service connections.
66. On February 24, 2023, I issued IPWC two additional violations for failure to submit
an operation and maintenance manual and failure to submit an operations plan for
depressurizations (Exhibit LL).
67. On March 6, 2023, I issued a violation to all seven of IPWC’s PWSs for failure to
provide tier 2 public notification for the significant deficiencies that were not completed
by December 31, 2022.
68. On March 7, 2023, I issued four additional violations for IPWC in relation to Valley
View Subdivision; failure to provide tier 1 public notification, failure to provide a signed
certification form for public notification, failure to monitor routine total coliform from the
distribution of Well #1 and Well #2, and failure to monitor routine total coliform from the
distribution of Well #3.
69. On March 9, 2023, DEQ made the decision to disapprove all of IPWC’s PWSs
based on operating procedures constituting a health hazard due to the numerous violations
accrued in a short period of time, the recalcitrant behavior of IPWC, and the refusal to
provide safe drinking water to the public. On March 17, 2023, seven disapproval letters
were sent to IPWC dated March 15, 2023 (PUC Exhibits 21-27)
70. On March 20, 2023, the Company sent a certified letter to DEQ about the
Company’s sampling. I disagreed with the Company’s stance on sampling. I reached out
to the Company and referred them to the specific rules for a site sample plan, which I had
AFFIDAVIT OF KELSEY CARTER 13

sent multiple times previously, and included in DEQ’s February 17, 2023, letter to the
Company (Exhibit MM).
71. I reminded the Company that it had failed to submit an operation and maintenance
manual, and that no deadline had been granted past the February 13, 2023, due date. In the
certified letter from IPWC delivered on March 20, 2023, included the procedure for
depressurization events and claimed that it was originally sent to DEQ March 9, 2023.
These depressurization plans were not compliant and were not received by DEQ prior to
March 20, 2023. I then sent the Company a copy of a recently approved plan for
depressurizations events for a different PWS as an example. To the current date IPWC has
not produced an operation and maintenance manual or an operations plan for
depressurization events for Valley View Subdivision, or any other PWSs.
72. The February 17, 2023, letter was a final act of assistance sent to IPWC including
the upcoming quarterly deadlines as the Company continued to react recalcitrantly to my
instructions on sampling. I insisted it was the Company’s responsibility to collect the
samples—not the Company’s customers. Samples are required to be collected in
accordance with the submitted site sampling plan.
73. First quarter samples were collected by a “THOLT” according to the chain of
custody forms. THOLT is not listed as a sample collector for IPWC, and the chain of
custody forms are all filled out in Dorothy McCarty’s handwriting. All samples were
collected between March 19, 2023 and March 29, 2023 (Exhibit NN). A compliance
sample was not collected from Goose Bay Estates. At the bottom of each chain of custody
is a note from Dorothy McCarty stating “per agreement with DEQ” which is incorrect.
DEQ approved quadrants. A sample could be collected anywhere within said quadrant to
not limit the area but represent the distribution. The samples collected were from the usual
location IPWC collected samples in the past. These samples were all rejected, and violation
letters were issued with explanation (Exhibit OO). The Company continues to be
noncompliant with sampling requirements and cannot show that its drinking water is safe
for customers in any of the seven PWSs.
74. As of March 31, 2023, IPWC has failed to pay their state drinking water fees for
Shotgun North, Shotgun South Stevens Lane, Shotgun Cherokee Subdivision 5, Shotgun
Kickapoo Subdivision 6, Aspen Ridge Subdivision, and Goose Bay Estates. Payments are
AFFIDAVIT OF KELSEY CARTER 14

over one hundred eighty (180) days past due. Any system that is delinquent in payment of
fees assess under Subsection 010.02 and 010.06 of IDAPA 58.01.08, in excess of one
hundred eighty (180) days DEQ suspends all technical services and may disapprove the
PWS pursuant to subsection 007.06. All the IPWC PWSs were already disapproved on
March 15, 2023.
75. On April 3, 2023, DEQ sent the Company an advisory letter for the Valley View
Subdivision because the Company failed to provide record of a Responsible Charge
Operator. The Company has until May 3, 2023, to respond to DEQ, or the Company may
face additional enforcement actions or monetary penalties.
76. On April 5, 2023, I was notified of a pressure loss event in Aspen Ridge Subdivision
that occurred the afternoon of April 4, 2023, by text message from Dorothy McCarty at
10:25 am. I reminded Dorothy of the requirements for a Tier 1 public notification in a
response text at 10:42 am (Exhibit PP). I worked with Kansas Buchanan on getting the
correct notification to homeowners. It is my understanding that Kansas Buchanan printed
the boil advisory documents for Dorothy McCarty to take to the post office and send to all
customer email. I also granted permission for text messages to be used. Kansas Buchanan
is also responsible for reaching out to Island Park News about posting the boil advisory on
April 5, 2023, all within the required 24-hour period.
77. I received a text message from Dorothy McCarty at 7:46 pm in response to the tier
1 public notification being sent out to all water users, seen in Exhibit PP.
78. On April 6, 2023, DEQ sent IPWC a “Public Health and Ongoing Monitoring
Requirements for Aspen Ridge Subdivision – PWS # ID7220007.” Per Idaho Rules for
Public Drinking Water Systems (IDAPA 58.01.08.003.60, the “frozen water lines, low
pressure, and loss of water to homes is a public health hazard” and “Ongoing public
notification and additional bacteriological monitoring is required until the issue is
resolved.”. I also recommended that the Company supply impacted water users with bottled
water until the Company can restore safe drinking water (Exhibit QQ).
79. Bottled water, or any form of potable water, has not been provided to homeowners
at Aspen Ridge Subdivision or Valley View Subdivision, as both remain under a boil
advisory for loss of pressure. Many homeowners are having to rely on contact from myself
to be informed of what is going on with IPWC.
AFFIDAVIT OF KELSEY CARTER 15

80. The survey I created was also sent to all property owners in the Aspen Ridge
Subdivision. I analyzed the data April 6, 2023, to determine the number of residents
impacted by water loss, as I was aware there were several full time residents. April 7, 2023,
Aspen Ridge was determined to be a non-transient non-community PWS. Out of the one
hundred fifty-two (152) surveys sent out as of April 6, 2023, I had received sixty-six (66)
back, twenty-nine (29) of which were not connected to IPWC PWS. Based on the
remaining thirty-seven (37) surveys alone the population size in Aspen Ridge is over one
hundred seventy-five (175) 175 on average in a sixty (60) day period. Five (5) of the
surveys claimed year-round residence and six (6) stated they live in that residence for more
than six (6) months a year. For this reason, I changed the classification of Aspen Ridge
Subdivision.
81. On April 6, 2023, I received an email from Kansas Buchanan at 1:11 pm with copies
of the Aspen Ridge Boil Water Notice and Certification Form signed by Dorothy McCarty
and dated completion April 5, 2023. I also received certification forms and copies of the
Tier 2 Public Notification that was sent to all homeowners. The Tier 2 public notifications
again were all incorrect and I sent an email to IPWC requiring corrective action (Exhibit
RR).
82. On the afternoon of April 6, 2023, I began receiving phone calls from residents of
Aspen Ridge that were unaware of the boil advisory in place. None of them had received a
notification from Dorothy McCarty by the end of day April 5, 2023, as required. I contacted
Kansas Buchanan about this matter who reached out to Dorothy McCarty. I informed
Kansas Buchanan to tell Dorothy McCarty if documentation for the emails and text
messages were to be sent over to me for verification, I could confirm if the public notice
was done correctly as that was not Kansas Buchanan’s responsibility it was Dorothy
McCarty’s (Exhibit SS).
83. The morning of April 7, 2023, I received two different phone calls from two
different homeowners in Aspen Ridge with the same occurrence. Both had received phone
calls from IPWC directing them to contact me at DEQ and tell me they had received their
public notification on April 5, 2023. Neither homeowner had been previously aware of the
boil advisory prior to this phone call. Both homeowners contacted me to inform me of the
situation.
AFFIDAVIT OF KELSEY CARTER 16

84. I made the decision to post a public notification on behalf of IPWC as this is the
third documented time of failing to provide customers with a boil water notice. DEQ issued
a press release and contacted all local news agencies to make a good faith effort to let the
community know of the concern (Exhibit TT).
85. On April 7, 2023, a violation for failure to provide Tier 1 public notification to
residents in Aspen Ridge was issued to IPWC. In addition, a violation for failure to follow
reporting requirements by fraudulently signing the public notification certification form
was issued (Exhibit UU).
86. An update was requested on Aspen Ridge Subdivision the morning of April 11,
2023 (Exhibit VV). A response was received but did not answer the questions asked. At
this time Aspen Ridge Subdivision continues to have low water pressure and has not met
the requirements for the boil advisory to be lifted.
87. To date, there have been no engineering plans and specifications submitted to DEQ
to make the required and necessary changes to the seven PWSs identified in October 2022.
There have been no corrective actions taken to resolve the pressure issues in Aspen Ridge
or Valley View Subdivision. There have been no remedial actions taken to be reapproved
by DEQ. A conversation about the impact of disapproval and the steps needed to be
reapproved has not happened by Dorothy McCarty. IPWC believes disapproval and
violations letters are just a “slap on the wrist”, which has been stated to myself and other
DEQ staff several times. IPWC intentionally defies directions given by myself and this
department and acts without consequence. I have extended above and beyond compliance
assistance to IPWC, more than any other system, which has been met with disrespectful
and unprofessional behavior.
88. I am concerned for the health of the public using IPWC’s PWSs. None of the water
systems are operated in an acceptable manner with Idaho Rules for Public Drinking Water
Systems. IPWC blatantly refuses to accept responsibility or accountability for the PWSs.
IPWC does not have any concern for the health of the public that they serve water too. I
cannot say with certainty the water in these seven PWSs is safe for human consumption.

Dated this lZ day of Apr i12023.
Drinking Analyst
Idaho Department of Environmental Quality
id1",SUBSCRIBED AND SWORN to before me this of April2023.
Notary
Residing at:
Commission
H$MHIIOAD
PUBLIC.STA:TEOF IDMONOTARY
2022538S}IIJIIBERC0tdridl$SlOll
t1-21-2S?$ETOIRESccffritsslol[4Y
AFFIDAVIT OF KELSEY CARTER 17
CERTIFICATE OF SERVICE
I HEREBY CERTIFY THAT ON THIS DAY OF APRIL,2O23,I SERVED THE
FOREGOING AFFIDAVIT OF KELSEY CARTER, IN CASE NO. ISL-W-23-OI,IN THE
MANNER INDICATED, TO THE FOLLOWING:
Via Overnight Mail:
Island Park Water Company
Dorothy McCarty
155 E. 23'd Street
Idaho Falls, Idaho 83404
Marvin M. Smith
Hawley Troxell
2010 Jennie Lee Drive
Idaho Falls, Idaho 8403
mmsmith@hawleytroxell. com
Legal Administrative Assistant
AFFIDAVIT OF KELSEY CARTER 18
From:Kelsey Carter
To:[e-mail]
Subject:Scheduling Sanitary Surveys
Date:Friday, April 1, 2022 2:30:00 PM
Good afternoon Dorothy,
I am the new drinking water analyst for Idaho Fall Regional Office DEQ and I will be covering Fremont
County. I have a few sanitary surveys coming up with you listed as the administrative contact. I
would love it if I could get them scheduled with you. The systems are listed below:
1. Shotgun Cherokee Subdivision 5 (PWS# ID7220063)2. Shotgun North (PWS# ID7220065)3. Shotgun Kickapoo Subdivision 6 (PWS# ID7220064)4. Shotgun South Stevens Lane (PWS# ID7220066)5. Aspen Ridge Subdivision (PWS# ID7220007)6. Goose Bay Estates (PWS# ID7220030)
I think it would be great to do the four in Shotgun on the same day, if possible, and maybe the other
two on a different day. My schedule for May is completely open, so if there are any days and times
that work best for you, please let me know. I look forward to working with you.
Thank you,
Exhibit A
Exhibit AA
ST A TE OF IDAHO
DEPARTMENT OF ENVIRONMENTAL Q ALITY
900 N. Skyline Dr., Suite B
Idaho Falls, ID. 83402
July 6, 2022
Dorothy McCarty
P.O. BOX 2521
Idaho Falls, ID 83403
[e-mail]
Brad Little, Governor
Jess Byrne, Director
RE: Failure to respond to previous correspondence; Aspen Ridge Subdivision (ID7220007), Goose
Bay Estates (ID7220030), Shotgun Cherokee Subdivision 5 (ID7220063), Shotgun North
(ID7220065), Shotgun Kickapoo Subdivision 6 (1D7220064), and Shotgun South Stevens Lane
(ID7220066)
Dear Dorothy McCarty,
The following public water systems have overdue sanitary surveys that need to be completed.
1.Aspen Ridge Subdivision (ID7220007)
2.Goose Bay Estates (ID7220030)
3.Shotgun Cherokee Subdivision 5 (ID7220063)
4.Shotgun North (ID7220065)
5.Shotgun Kickapoo Subdivision 6 (ID7220064)
6.Shotgun South Stevens Lane (ID7220066)
It has been 15 business days since the department's last correspondence was sent out, with no response
or attempt to schedule the above sanitary surveys. The sanitary survey requirements are set forth by the
Idaho Rules for Public Drinking Water Systems (IDAPA 58.01.08). Failure to schedule these sanitary
surveys will result in the above systems receiving a disapproval status as well as a violation for not
having a current sanitary survey. Please contact me as soon as possible at [phone] or at
[e-mail].
Sincerely,
Kelsey Carter
Drinking Water Analyst
Idaho Falls Regional Office
C: Carlin Feisthamel, Regional Engineering Manager, DEQ-IF
Troy Saffle, Regional Administrator, DEQ-IF
Exhibit B
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 North Skyline, Suite B
Idaho Falls, ID 83402-1718
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Island Park Water Company
455 Constitution Way
Idaho Falls, ID 83402
Email:[e-mail] phone [phone]
Island Park Water Company is aware of the extreme frustration that both you and we have faced this
past year, with wells being turned on and of without permission, causing huge issues. We sincerely
‘thank those who have helped”.!!! THANK YOU!!! Please know that we are doing everything we can
right now to address what has taken place with the most recent vandalism to the upper well and the
broken water line by a vehicle that left the road, but as you can understand the winter weather is a huge
obstacle. We have been told that Some have water, some of you have frozen service lines, and a few
are impacted by what ever damage has taken place with the upper well/break.
To squelch “unfounded rumors being spread about by a few”, we wanted to address the issues and
hope we can continue to work together to improve the system to better serve those on the upper
heights of Valley View so as to eliminate the frustration we all have about tampering with the lower
wells, causing so much heartburn for both you and us.
As everyone knows, the original design of the system in 1970 approved by D.O.E. was for Summer
Cabins and the water systems designed for summer usage, not year round. Never has Island Park Water
Company ( I.P.W.C. ) stated that no one could use their cabins year-round, and to that end have tried
our best to make known that lines freeze and to avoid plowing and methods to maintain an
uninterrupted stream of water within the cabin because the system design for summer usage. The
original development plans did not require lines to be buried to a deeper depth that would permit year-
round usage, as it was never the intent for the water system. Snow pack is the only insulation that helps
us maintain the ability to keep the mainlines open in colder months. Removal of snow in the past has
caused issues and often results in broken lines etc. The county doesn’t maintain the roads. The roads
belong to the homeowners.
We are aware of a specific broken line above the upper well. It was scheduled to be fixed as soon as we
became aware of it. The contractor was unable to get this done due to big snow storm and freezing of
the ground. We can’t dig this until early spring for various reasons. Please know we are doing our best
to repair and protect the lines and wells, but fracturing of lines is a huge issue which we are aware of.
We do not currently know the extent of the damage caused to the upper well with the recent vandalism
that took place. As you all know and many have shared with us, it is truly illegal to trespass onto well
lots, and illegal to access, or tamper with a public water system. Yes, we have gladly worked with
others in the past and will continue to do so, with the same understanding that only if Roger gives
permission, with continual contact with him via cell phone/video BEFORE, DURING & AFTER access can
this be. It is for everyone’s safety and to protect the wells and system
We have deep dived into reviewing requests & possible solutions proposed by some of you. These
include, the request to sell off part of the system, including disconnection and dividing the system up as
it originally was designed, which would allow to either sell to individuals , other companies, or forming
Recreational Water Districts or Homeowner Water Association. Also, have had engineers review
request to separate the two wells creating two separate systems. There are multiple possibilities and
Exhibit BB
IPWC is willing to do whatever it takes to help all. We believe the end goal would be to have the
homeowners give us their feedback and request you call us at 208-521-2369 or email us
[e-mail].
Short of selling directly to individuals, the best solution for the benefit of the majority would to be to
form a ‘Recreational Water District” giving owners control of the system and individual ownership. This
could be two R.W. Districts. This would allow large grants to be applied for and most likely assured they
would be awarded if a Recreational Water District. The dead line to apply for future grants is the first
part of next January 2024. Another solution would be a “Homeowners Water Association that would
also be limited to those currently approved for service with IPWC. We want what you want.
The third solution, in our opinion is the least favorable which is to sell to another interested party that
would immediately seek a justifiably huge increase in the yearly water tariff , etc.
We are not asking you to buy the infrastructure system, but work towards a solution of conveying for
the benefit of the majority.
We do have people who have contacted us about all of the above options. Our goal is to see what each
of you prefer, your thoughts, your goal and would appreciate a reply either by phone call or email
directly to us. 208-521-2369 or [e-mail]
Again we ask your patience until this repair can be done correctly and safely. Again, please understand
that we appreciate your help in the past! We again reiterate that it is illegal to access the wells without
our implicit instruction and then only under the supervision of Roger BEFORE,DURING AND AFTER
accessing the wells. We do have this recent vandalism under investigation as we stated, it is both
trespassing and vandalism to access a public water system without definitive permission to do so.
AGAIN, THANK YOU TO THOSE WHO HAVE STEPPED UP IN THE PAST.
We look forward to hearing from you. Working together we believe we can resolve the issues.

STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Liftle. Governor
Jess Byrne, Dlrector
November t6,2022
Dorothy McCarty
455 Constitution WaY
ldaho Falls, lD 83402
Email: water(Oida.net
Subject: Shotgun South Stevens Lane (lD722Oo66l - Sanitary Survey conducted on October 19,
2022
Dear Dorothy McCartY:
A sanitary survey was recently conducted for Shotgun South Stevens l:ane (1D7220066). This
letter provides the sanitary survey report and photos for your records.
Significant Deficiencies - Significant deficiencies identified in this report must be
addressed after consulting with the ldaho Department of Environmental Quality (DEQ),
ldaho Falls Regional Office. Consultation and a written corrective action plan are
required within 30 days of any significant deficiencies and/or follow-up requirements
identified in this notification (tDAPA 58.01.08). Follow the four steps identified in the
sanitary survey report to address all significant deficiencies.
Deficiencies - The public water system operator/owner identified in this report must
address the deficiencies in a timely manner.
Recommendations -
Recommendations identlfied in the report are not required to be corrected at this time,
but it is recommended.
Consult DEe before taking specific corrective actions or modifying the water system. Modifying
your public water system or installing new components may require assistance from an ldaho
licensed professional engineer and DEQ's review and approval. Contact this office before
making modifications to your system.
Thank you for your help in completing the sanitary survey. For questions, contact Kelsey Carter,
Drinking Water Compliance Officer, ldaho Falls Regional Office, [phone],
kelsev.carter@deq. idaho.gov
1
Exhibit C
€
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Sulte B
ldaho Falls, lD.83402 Brad Llttle, Governor
Jess 8yrne, Dlrector
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
Enclosures: Sanitary Survey Report, Photo Log, Maps, Survey Forms, Well Log, Site Sampling
Plan lnstructions, and Site Sampling plan Template
Troy Saffle, Regional Admin istrator, IFRO-DEe
Carlin Feisthamel, Regional Engineering Manager, IFRO-DEe
Jason Fales, Drinking Water Compliance Supervisor, IFRO-DEe
C:
-2-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite I
ldaho Falls, lD.83402
Brad Little, Governor
Jess BVrne, Director
Sanitary Survey Report
Shotgun South Stevens Lane - 1D7220065
Survey conducted on October 19,2022
Report generated on November L6,2022
Narrative
Shotgun South Stevens Lane is located in Fremont County, in the lsland Park area, along Yale-
Kilgore Road. The water system consists of one groundwater source serving 23 connections and
an average daily population of 96 individuals year-round. Based on the number of people using
the system it is considered a very small water system (VSWS). The water system is classified as a
transient non-community (TNC) because the system does not regularly serve the same twenty-
five people over six months out of the year. A TNC is not required to have a certified operator
overseeing the system operations. The water system supplies water throughout the entire year
and does not depressurize or drain the distribution. Dorothy McCarty is the main contact and
owner of the system with lsland Park Water Company. This system is regulated by the ldaho
Public Utilities Commission. Mrs. McCarty was present for the sanitary survey as well as
Engineer Mike Lund. Together they were able to answer questions and discuss important
aspects of the public water system. The previous sanitary survey was conducted on July 31,
20L7. These inspections are conducted every five years to ensure all the system's components
are operating correctly and to identify any potential health hazards. The previous sanitary
survey identified one significant deficiency: the floor drain sump closer than 30 feet from the
well. This has been corrected. There are six significant deficiencies outlined in this report.
The one well serving the subdivision is located off Yale Kilgore Road near Stevens Lane. The
Stevens Well is located approximately 20 feet to the east outside of the pump vault as seen in
photograph 1. The setback to the closest property line is not being met but presents little risk of
contamination. The well also sits within L0 feet of the road. There is minimal risk of
contamination as the road is not used often. The separation distance may be reevaluated in
future sanitary surveys or in the event compliance samples return present for contamination. A
Well Driller's Report is available for this well. The Stevens Well was drllled in June of 1970 to a
depth of 55 feet. The steel casing is 6-inches in diameter and extends down to 48 feet, it is not
mentioned if or how deep with casing is sealed. The casing is not screened or perforated. The
casing extends above the required l8-inches from the ground surface to the sanitary seal
shown in photograph 3. The well cap was securely attached to the casing and properly vented
as seen in photograph 3. The drawdown is unknown so the well cap should remain vented. The
wellvent is located on the bottom of the well cap and serves to equalize the pressure within
the well column to prevent air from entering the well, which can cause a vacuum to occur
-3 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite I
ldaho Falls, lD. 83402
Brad little, 6overnor
Jess Byrne, Dlrector
where potential contaminates can be drawn back into the system. At the time the well was
drilled, the static water level was measured at 11feet.
The pump vault contains a single pressure tank. lt is presently below ground level which not in
compliance with the drinking water rules, However, a sump pump is present and actively
removes water from the pump vault. The pressure tank is a Well-X-Trol model WX-302 with a
capacity of 85 gallons. The pressure tank was manufactured in April of 2006 and installed soon
after, shown in photograph 5. The pressure gauge in the pump house read42 psi atthetime
the inspection was conducted seen in photograph 7. A distribution reading was taken from the
frost-free hydrant closest to the well and it only read 37 psi, as shown in photograph 10. A
minimum of 40 psi is required to be maintained in the distribution; this has been identified as a
significant deficiency. The pump is a single horsepower submersible type, with the brand and
set points being unknown. An accessible check valve is installed as well as a flowmeter. The
flowmeter displayed 4,467 ,720 gallons, displayed in photograph 6. There is a threaded tap
located in the pump house that is not protected with a backflow prevention device, which has
been deemed a significant deficiency. This significant deficiency is shown in photograph 8.
There is an adequate pump-to-waste with a secure cap in place and isolation valves.
The distribution consists of galvanized steel piping that is being replaced with PVC when repairs
are made. The main line size is 1.5 inches. All valves are exercised at least once every quarter.
There are no fire hydrants or flushing hydrants in the water system. There has been freezing
within the water system, but not in the main lines. Homeowners are responsible for where they
connect on the main to their home. The system was designed for seasonal use and the main
lines and service connections' depth are unknown, but likely buried less than 5 feet.
The pump vault does not have an installed lock on the door, this is deemed a significant
deficiency. Mrs. McCarty mentioned that the system has troubles with individuals cutting the
locks, however, the locks will deter some individuals, and prevent unauthorized access into the
pump house. The pump vault must also be kept secure with a lock as a deterrent to minimize
any potential damage or contamination to the water system components. The pump vault is
not equipped with any lighting, a source of light should be provided for repairs and safety. The
overallcondition of the pump house was clean and in good condition shown in photograph 4.
There were no signs of excessive heat or moisture.
A site sampling plan will be required to be submitted to DEQ by the end of the year. Currently,
samples are only being collected from the same location each quarter. Samples should
represent the entire water system and each quarter bacteria samples must be collected from a
different location, with backup locations identified. Once the site sampling plan is submitted it
must be followed when collecting samples or they may be deemed non-compliant. Samples
4
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, ID.83402
Brad little, Governor
Jess gyrne, Dlrector
were collected for all 4 quarte rs of 2022, with no violations within the last 5 years. The annual
nitrate sample has already been collected for 2022 as well.
The subdivision is up to date with the annual state drinking water fee. Homeowners are
charged a 5280 drinking water fee set by the Public Utilities Commission. These fees cover
system maintenance, repairs, and collection of compliance samples. There is not a current map
of the distribution nor an overall operations and maintenance manual. Overall, the system
appears to be in working condition and is operated with funds and personnelto provide
maintenance and provide reliability.
-5-
STATE OF IDAHO
DtsPARTMENT OI;
ENVIRONMENTAI- QUALITY
900 N. Skyline Dr.,Suite I
ldaho Falls, lD. 83402
Brad little, Governor
Jess 8yrne, Director
Significant Deficiencies:
A significant deficiency as identified during a sanitary survey, is any defect in a system's design,
operation, maintenance, or administration, and any failure or malfunction of any system
component, that the DEQ or its agent determines to cause, or have the potential to cause, risk
to health or safety, or that could affect the reliable delivery of safe drinking water (IDAPA
58.01.08.003.131). Failure to address significant deficiencies constitutes a violation of IDAPA
58.01.08.302 or 58.01.08.303.
Significant deficiencies may reference IDAPA design standard requirements. IDAPA rule
citations for sections 500-549 are primarily requirements during the design or modification
stage of a new system or component, and may not be enforceable as part of a sanitary survey
These requirements are listed to provide reference of what current standards would apply if
that particular component were designed, modified, or constructed today. Corrective actions
that include material modifications must be approved by DEe.
To address all significant deficiencies identified in this report, follow steps 1-4.
Step 1 - Within 30 days of receiving this notification, submit to DEe in writing a
corrective action plan including planned completion dates for each identified significant
deficiency.
step 2 - complete the planned action(s) by the "Planned completion Date(s)."
Step 3 - After completing each planned action, enter an "Actual Completion Date," your
initials, and write the "Corrective action taken."
Step 4 - Sign your name at the bottom certifying that each corrective action has been
corrected by the planned completion date and your public water system has completed
the sanitary survey response requirements pursuant to IDAPA 58.01.08. Send a copy of
the signed paperwork to DEQ.
-6-
STATE OF IDAHO
DEPARTil,lENT OI"'
ENV I RON M riNT'A t" QU ALI.I'Y
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad little, Governor
Jess BVrne, Director
Hydropneumatic Tanks
Question #2- lsthe tank located in a structure that is protected from flooding and unauthorized
entry? (Locked, wotertight wolts and floor, floor drain, occeptable cover, efc'/ No.
Note: The hydropneumatic tonks are not above the normol ground surfoce (IDAPA
58.0L.08.547.01.o). The hydropneumatic tonk housing is not adequately protected
oga i nst u na uth o rized e ntrY.
The hydropneumatic tanks are not above normalground surface and/or completely housed (IDAPA
s8.01.08.547.01.a).
The structure housing the hydropneumatic tanks is not protected from flooding and/or is not
adequately drained and/or the ground surface is not graded to lead surface drainage away from the
structure (IDAPA 58.01.08.541.01.b). The hydropneumatic tank housing is not adequately protected
against unauthorized entrY.
ln the event of o leok, broken pipe, or severe weother, inodequate droinage moy couse domoge to the
electrical ond heating systems. lf the construction of a pit contoining the hydropneumatic tonk(s) is not
watertiqht, ond the pit does not hove on adequate droinoge system, the pit can flood causing surfoce
woter carrying debris, bocterio, pesticides, fertilizers, oil products, etc. to increose the potentiol for
source contomination.
Submit planned completion dates to DEQ by L2/L912022
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitials
Corrective action(s) taken - Photos must be submitted
-7 -
STATE OF IDAHO
DEPAR"TMENT OT;
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess 8yrne, Director
Distribution Systems
DISTRI BUTION SYSTEM (T722OO66DS1}
Question #70- ls a minimum system pressure of 40 psi. maintained during maximum hourly
demand conditions? (PWSs constructed ofter 7/1/1985 - Exctuding fire fto@ No.
Note: A distribution reading wos token closest to the well and only disptoyed 37 psi
(Photogroph L0). A minimum of 40 psi should be mointoined throughout the distribution.
The system hos had modificotions made since L986.
The PWS was constructed or modified afterT/L/L985 and is not able to maintain a minimum pressure of
40 psithroughout the distribution system during peak hour demand conditions (excluding fire flow) as
measured at the service connection or along the property line adjacent to the consumer's premises
(l DAPA s8.01.08.ss2.01.b.v).
System depressurization creates the opportunity for bock-siphoning or backpressure of non-potobte
water from domestic, industrial, or institutionol sources, which moy result in contomination of the
drinking woter. At low pressures, it is possible for contominoted groundwqter to enter through leoks.
Submit planned completion dates to DEQ by L2/L9/2O22
Corrective Action Plan
Planned Completion Date
Actual Completion Date:lnitials
Corrective action(s) taken - Photos rnusf be submitted
-8-
STATE OF IDAHO
DEPAITTMENT Ot.
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Sulte B
ldaho Falls, |D.83402
Brad little, Governor
Jess 8yrne, Director
Pumps
euestion #I2- Are all pump houses protected from unauthorized entry? (Locked, duroble
construction, etc.) No.
Note: There wos not o lock present on the vault lid'
The pump house does not have a locked door or access and/or is not of durable construction to prohibit
unauthorized entry, vandalism, and entrance by animals (IDAPA 58.01.08'541'01.c. and f).
An unsecured pump house compromises security and leoves the structure vulneroble to unouthorized
entry, vondolism, and sabotage.
Submit planned completion dates to DEQ by L2/19/2O22'
Corrective Action Plan
Planned Completion Date
ActualComPletion Date lnitials:
Corrective action(s)taken - Photos mustbe submitted:
-9-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Sulte g
ldaho Falls, lD.83402 Brad little, Governor
Jess Byrne, Director
Question #74- ls adequate backflow protection provided on all threaded taps/ hose bibs
installed in any of the pump houses? No.
Note: Threoded taps did not have a backflow prevention device instalted (photogroph
8).
All threaded taps/ hose bibs installed in the pump house are not equipped with an appropriate backflowprevention device (tDAPA 58.01.08. 541.01.n).
An oppropriate backflow device (typically o tap/ hose bib vacuum breaker) protects the potabte water
supply from contamination should o bock-siphonage backftow event occur.
Submit planned completion dates to DEe by t2/Lg/ZOzZ.
Corrective Action plan
Planned Completion Date
Actual Completion Date:lnitials
Corrective action(s) taken - photos must be submitted
- 10-
STATE OF IDAHO
DHPARTMNNT OI;
IINVIRONMEN'rAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Liftle, Governor
Jess Byrne, Director
FinanciaUMa nagerial Ca pacity
euestion #28- Do all Sample Siting Plan(s) meet the minimum requirements? No.
Note: Somples ore only being collected from 4043 Kickopoo since 2QT20. Samples must
be taken from different locations eoch quorter to get an adequote representation of the
whole distribution. A site sampling plon must be submitted by L2/3L/2022.
The system owner does not have a current written sample siting plan that meets RTCR
requirements (40 CFR 141.853.a). An RTCR sample siting plan needs to be developed and/or
implemented.
A sample siting plon is designed to specify where in the distribution system somples will be
drawn to ensure they are representative of the water system.
Submit planned completion dates to DEQ bV L2/3L/2022.
Corrective Action Plan
Pla n ned Com pletion Date: t2l ?1'12022
Actual Completion Date lnitials:
Corrective action(s) taken: Plan template must be submitted to DEQ for approval
- 11-
STATE OF IDAHO
DEPARTMEN]'Otj
nNVtRONMTjNTAL QUALTTY
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad LiRle, Governor
Jess 8yrne, Director
Question #29- Are samples being taken in accordance with the Sample Siting plan(s)? No.
Note: There is not o current site sampling plan in place. A site sompling plan must be
submitted by 12/3 1/2022.
RTCR monitoring samples are not being taken in accordance with the approved sample siting
plan (40 CFR 141.853.a).
Samples not taken in occordance with a somple siting plon, moy not be representative of the
distribution system resulting in the water system not receiving credit for sompling.
Submit planned completion dates to DEe bV L2/31/2O22.
Corrective Action Plan
Plan ned Com pletion Date: L2l3LlzO2Z
Actual Completion Date:lnitials:
Corrective action(s) taken: Plan template must be submitted to DEe for approval
I certify, to the best of my knowledge that all significant deficiencies have been corrected by
the agreed upon date and that the corrective action meets the requirements pursuant to
rDAPA 58.01.08.
Signature:Date:
-t2-
STATE OF IDAHO
DIiPAR'TN{EN'T OI;
fiNV r RoN MEN'l'Al- QUALI'f Y
900 N. Skyline Dr.. Suite B
ldaho Falls, |D.83402
Brad Little, Governor
Jess gyrne, Director
Deficiencies:
Deficiencies identified in the report should be addressed by the Public Water System's
operator/owner in a timely manner.
Wells
STEVENS WELL (EOOO653OI
euestion #2- Aresurrounding land uses creating health hazards or increasing the potential for
source contamination? (setb ocks not met, dumping, etc.) Yes'
Note: setbacks ore not met to property lines or roads (Photograph L)' Lowered to a
deficiency due to the system being in ploce for mony years with no issues' The PWS
owner should work with homeowners to minimize contaminotion risk. This will be re-
evaluoted in future sanitary surveys or if samples return present for contaminonts'
The land surrounding well: E0006530 has a condition that has the potential to cause a health hazard'
Recommend pWS owner work with the landowner to control/eliminate contamination.
This health hazard may create a danger to the consumer's health (IDAPA 58'01-'08'008'01)'
Lond use increoses the susceptibitity of source woter contaminotion'
euestion #r0- lsa raw water smooth-nosed sample tap provided on the discharge pipe? (Prior
to qny treotment) No.
The discharge pipe for well: E0006530 does not provide a sample tap that is properly located' or the
sample tap that is used to collect bacteria samples is not of the smooth-nosed type without interior or
exterior threads and/or is a mixing faucet and or is of the petcock type and/or has a screen and/or has
an aerator (IDAPA 58.01.08'51-1.0L).
A raw-woter somple top shoutd be smooth-nosed with no interior or exterior threads, screen, oerotor, or
other ottached oppurtenonces to allow for proper sompling techniques ond to decreose the risk of
contaminoting o somple during collection'
-13-
STATB OF IDAHO
DEPARTMENT OFENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite I
ldaho Falls, lD. 83402 Brad little, Governor
Jess Byrne, Director
Hydropneumatic Tanks
Question #3- can all hydropneumatic tanks be isolated from the system without depressurizingthe distribution system? No.
The hydropneumatic tanks cannot be isolated from the system (tDAPA 5g.01.0g.547.01.b). tnstallisolation valves the next time the hydropneumatic tanks are replaced or material modifications to thesystem occur.
Hydropneumatic tanks, which provide pressure to the distribution system, need a byposs to permitoperation of the system when the tonks are out of service. A loss of pressure in the ctistribution systemcreotes the opportunity for back-siphonage or backpressure of non-potable woter that moy result incontomination of the drinking water.
Pumps
Question #73- Do all pump houses have adequate lighting throughout? No.
The pump house does not have adequate lighting throughout (tDAPA 5g.01.0g.501.05.a). tnstalladequate lighting the next time material modifications occur to this section of the water system.
The interior of the building must hove permanent lighting for operator safety ond to facititote inspectionsond mointenance at night.
-14-
STATE OF IDAHO
DEPARTMENT OIi
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, |D.83402
Brad Little, Governor
Jess Byrne, Dlrector
Financial/Managerial CaPacitY
euestion #33- lsthere an overall operation and maintenance manual for the PWS? (including
equipment manuols, as-builts, soPs, manufacturer's literoture, etc.) No.
There is not a complete operation and maintenance (o&M) manual for this public water system (IDAPA
5g.01.0g.50 t.tz, oo3.g2, and 003.93). An O&M manual needs to be developed and/or implemented.
o Submit an O&M manual for review and approval. Upon approval, the operator must operate the
system in accordance with the approved O&M manual. At a minimum, include the following
items in the O&M manual:
o daily, weekly, monthly, and yearly operating instructions
o information specific to a particular type of treatment
o location of valves and other key distribution system features
o pertinent telephone and address contact information including the responsible charge water
system operator and water system owner
. operator safetY Procedures
o alarm system and emergency procedures
. trouble-shooting advice
. water quality testing procedures
. response plan for depressurization events
. customer service procedures
. response plan for customer complaints
o maintenance information and checklists
o manufacture/s product information including troubleshooting information
o parts list, spare parts list, and parts order form
. necessary special tools
An O&M monual provides procedures to operote and maintain a facility's vorious systems and
equipment. lt is importont to onolyze ond evoluote o facility from the system level, then develop
procedures to ottain the most efficient systems integrotion. Lack of on o&M monuol can lead to system
faitures and contaminotion of drinking woter.
-15-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
Brad Little. Governor
Jess Byrne, Dlrector
Recommendations:
Recommendations identified in the report are not required to be corrected at this time, but it is
recommended.
Wells
STEVENS WELI (EOOO653OI
Question #6- ls the well (not located in a pump house) protected from unauthorized access?
(Locking cap, fenced, etc.) (Recommended) No.
Note: Photographs 7 and 3
Well: E0006530 (not in a pump house) should be protected from unauthorized access through fencing
around the source and/or use of a locking well cap.
Distribution Systems
DISTRI BUTION SYSTEM (T722OO66DS1I
Question #6- ls a current map of the distribution system available? (Recommended) No
A current map of the distribution system was not available during the inspection. Maps should be made
available showing main sizes and locations of valves, hydrants, storage tank locations, and
interconnections to other systems. Update maps annually to reflect current conditions. A map should bekept with the Operations and Maintenance Manual.
Financial/Managerial Capacity
Question #34- Does the PWS have an Asset Management Plan? (Recommended) No.
An Asset Management Plan should be established for the PWS. The assets of a water system include thenatural and engineered components for providing water (e.g., source water, pumps, motors, storage
tanks, treatment plants, pipes). A good asset management program typically includes a written plan for
achieving the best appropriate cost for rehabilitation, repair, or replacement of a public water system,s
assets. Asset management is effective in maximizing the value of capital as well as minimizing operations
and maintenance expenditures. To learn more about asset management, go to EpA,s website at:
http://water.epa.gov/infrastructu re/susta in/asset_ma nagement.cfm
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
-16-
Protecting Pubtic Health and the Environment
11116122,10:52 AM Sanitary Survey
Department of Environmental Quality' ' ' :'
Sanitary Survey
DEVELOPMEN
Sanitary Survey
1D722OO66. SHOTGUN SOUTHPw): srEvENs LANE
Jurisdiction: IDAHO FALLS REGIONAL OFFICE
Sanitary Survey Date: 10/1912022
GenerAI I
Approval
Status:Approved
SDW|S Website
# Ground
Water
Sources:
# Surface
Water:
Primary
Source Type:
Total
Population:
# Service
Connections:
PrimaryCounty FREMONT
Served:
owner PrivateIype:
i;?il,' corporation
# Storage ^Facilities: "
*:i:r", (gat)
0
GW
96
23
iCommunitY
Water System '
Type: NoncommunitY
r I Nontransient
it$ Transient
Noncommuni
System Distribution
Classification I Treatment:'** N/A
Annual Period - Population Served:
Water Purchased From:
Water Sold To
Sanitary Survey Index
Modutes Used:#
€f:LiSl
GeneraI
lnformation 1
r3 Wetts 1
--]
-_. J Springs
l
l
lntakes and
lnfiltration
Galteries
I Consecutive
Connections
I Storage Tanks
lrrEil
Hydropneumatic
Tanks 1
ry:b.d
Distribution
Systems 1
'*;"t
|'.dd Pumps 1
freatment
Plants
Chlorinators
!Gas Cl2
t+t Financia[-
Managerial
,|
Total lvlodules 6
9612t31T01to1
Begin Date End Date Type Estimated Count
None
PWS NamePWS Num Status
StatusPWS NamePWS Num
file:///C:/Users/kcarter/Downloads/1D7220066-Finalized-ESSForm (7).html 1l'15
11116122,10:52 AM
Con cfs
* All systems must have an AC and FC (one of eoch only).* All C ond NTNC must have a DO.
Sanitary Survey
AC MCCARTY,
DOROTHY A
455
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
EC MCCARTY,
DOROTHY A
455
Constitution
wav
IDAHO
FALLS ID 83402
208-
521
2369
[e-mail]
FC ISLAND PARK
WATER INC A PO 80X 2521 IDAHO
FALLS ID 83403
208-
522
8033
ow ISLAND PARK
WATER INC A PO BOX 2521 IDAHO
FALLS ID 83403
208-
522
8033
SA MCCARTY,
DOROTHY A
455
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
Type Name Status Addrl City State Zip Biz
Phone Ext Mobile Emergency Fax Email
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11116122,10:52 AM
Facilities
Sanitary Survey
ffitM.467396 -111.451478Y6t25t1970WLAFermanentWELLE0006530lsrwrus
N1-HTANK h nvoRonrummc
lraHr ST A
N 6t611986DSArTzzoo66Dsr l!ffiuro*
WSF StAtC
Assigned lD Name
(Tag)
Type Status Avai labi tity,,.lti,:lti|. .on?.?1,?."0
Lat/Long
VerifiedLatitude Longitude
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11116122,10:52 AM
General Questions
General Questions
Sanitary Survey
Yes No N/AUnk csLgl]
i__t gl
g
1. Have material modlflcations been made to the pws since the tast survey?
2. lf yes, were ptans and specs submitted to and approved by DEe?
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coltected ln the
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STEVENS WELLE0006530
WSF State
Assigned lD Name
(Tag)
Verified
11116122,10:52 AM
Wells
Sanitary Survey
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1'1116122, 10:52 AM
ff#", srEVENs wELL
Tag , Eooo653oNUmDer:
Sanitary Survey
UbI_auestjons
Pump-HoUse.-Questions (Only pumphouses that contain a Groundwater Source)
14. ls the welt enctosed in a pump house?
15.|s the pump house protected from contamination? (clean, in good repair, etc.)
16. ls the pump house protected from unauthorized entry? (Locked, durable construction, etc.)
17. Does the pump house have adequate tighting throughout?
18. ls adequate backflow protection provided on att threaded taps instalted in the pump house?
Yes No N/AUnk csL
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1. ls there a welt log for the source? EDMS#:2019ACA3261
Are surrounding land uses creating heatth hazards or increasing the potential for sourcecontamination? (Setbacks not met, dumping, etc.)
,. Notes: Setbacks ore not met to property lines or roods (Photograph 1). Lowered to a deficiency due to the
system being in ploce for many years with no issues, The PWS owner should work with homeowners to
minimize contaminotion risk. This will be re-evaluated in future sanitary surveys or if somples return present
for contaminonts.
3. 4re toxic or hazardous chemicals stored on the wett tot? (pesticides, point, herbicides,
Ierti lizers, petroleum, etc. )
: 4. lre pesticides, herbicides, or fertitizers apptied to the wett tot without approvat?
. lf the well is in a pit, is the pit protected from flooding and contamination? (watertight waus. 5. and floor, floor drain, acceptoble pit cover, etc,)
Notes: Well ls not located in a ptt.
: ls the wett (not located in a pump house) protected from unauthorized access? (Locking cap,; j 6. fenced, etc.) (Recommended)
No1!g; Photogrophs I and 3
, 7 ls the wett protected from ftooding? (casing height >highest flood level, >18" outdoor, >12"" indoor, etc.)
t. ls the wet[ properly vented? (24 mesh screen, open downward >18" outdoor or >12" indoor,
etc. )
j 9. Does the wett casing and cap prevent contamination and surface water entry?
tO. ls a raw water smooth nosed sample tap provided on the discharge pipe? (Prior to anytreatment)
, 11.ls a working flow meter , nonvolotile memory installed on
discharge pipe, etc.) Gatlons:
, 12.lsa re gauge provided? (lnstant, installed on discharge pipe, etc.) psl
, t.fs ald:ffi::rfjtilt",.o;aste provided? (Capacity of the weII, air sap, prior to the first
q
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11116122,10:52 AM Sanitary Survey
oo Are there signs of equipment damage due to excess heat, moisture, or corrosion?"' (inadequate ventilation)
20. ls there a hlstory of pump house equlpment freezing? (lnadequote heattng)
ls the pump house protected from ftooding and surface water entry? (Floor drain, ground
surface graded to lead surface water away, etc.)
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gl
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i*l !Z i*l 21
tJvliJ
lJ gl t-l ,, Does the configuratlon of the ftoor drain or sump cause a"' other dralnage q/sterns, sump < 30 feet from well' etc.)
contamination rlsk? (connected to il Add
file:///C:/Users/kcarter/Downloads/1D7220066-Finalized-ESSForm (7).html 7t15
11,,16122,10:52 AM Sanitary Survey
Hydropnuematic Tank
1 -HTANK 1 HYDRONEUMATIC TANK - PUMP VAULT . WELL-X.TROL . WX3O2 . BLADDER - 86 GALLONS . APRIL 2006
CommentsTag Name
The questions, below, apply to all Hydropneumotic Tanks.
Hydropneumatic Tanks Questions
Bladder Tanks Only
Non-Bladder Tanks Only
l.,;i r 1. ls the system seryed by variabte speed pumps (VFDs)? (Recommended)
ls the tank located in a structure that is protected from ftooding and unauthorized entry?(Locked, watertight walls and floor, floor drain, acceptable cover, etc.)
Notes: The hydropneumatic tonks ore not obove the normol ground surface (lDApA 58.01.08.542.01.a). The
hydropneumatic tank housing is not adequately protected ogainst unouthorized entry.
. Can a[[ hydropneumatic tank be isolated from the system without depressurizing the"' distribution system?
] 4. Do the exterior surfaces appear to be in good condition? (Coating intact, no corrosion, etc.)
j ] 5.Do att tank supports appear to be structuratty sound and adequate?
f , ig#lily#:iieumatic
tanks been tested for structurat integrity in the past 5 years?
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t. Has the pre-charge on att btadder tanks been tested in the last year to ensure' " is 5 psi below the low operating pressure for the system? (Recommended)
Yes No N/AUnk csL
the air pressure ; Add
No N/A Unk csL
_ ls the recharge air protected from contamination? (free of air compressor oil, clean air filter,1 8. etc.)
l{otes: Ihis PIUS hos no non-blodder hydropneumatic tonk.
Are instatted appurtenances working properly and protected from contamination? (access' 9. manhole, drain, water sight gloss, meons to add air, oir blow-off , etc.)
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1'1116122,10:52 AM Sanitary Survey
Distribution Systems.
BUTION SYSTEM
WSF State
Assigned lD Name
(Tag)
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11116122, 10:52 AM
DistributionSystem DISTRIBUTION SYSTEM
Name:
Sanitary Survey
Tag
Number:T7220066D51
Distribution Sysbern _Questions
Main line type of materials are? (selecf all that appty) Steet ' HDPE (btack)
1. Asbestos/Cement Copper pVC : Ductile lron Gray lron
Gatvanized Other
' 2. Main line sizes?1.5 inches
' 3. Number of Metered Connections?out of 23
: 4. Number of Fire Hydrants? lO I
5. Number of Ftushing Hydrants?
6. ls a current map of the distribution system avaitabte? (Recommended)
Have public notifications, DEQ notifications, and fottow-up actions been fottowed for any
7. ptanned or unplanned depressurizations in the past year?
l{otes: No public notifications, DEQnotifications, or follow-up actionswere required for planned or unplanned
depressurizotions in the past yeor.
Was the pressure measured at a service connection? pSl:
Yes No N/AUnk csL
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t7 Location
8.Frost Free Hydrant 11:55 AM OTime:
Notes: A pressure reading was taken from the frost-free hydrant located near the well
9. f_l a minimum_system pressure of 20 psi. maintained at atl service connections? (tnctuding fire" flow - ldentify pressure complaints in the Notes.)
ls a minimum system pressure of 40 psi. maintained during maximum hourty demand
conditions? (PWSs constructed after 7/ l / tgSS - Excluding fire ftow)10. Notes: A distribution reoding wos taken closest to the wetl and only displayed 37 psi (photograph l0). A
minimum of 40 psi should be maintained throughout the distribution. The system has had modifications made
since 1986.
: 11. Does pressure exceed 100 psi at any seryice connection?
12. Are vatves inspected and exercised regutarty? (Recommended)
Notes: Quarterly
: 13.|s there a water [oss control program? (Recommended)
14. ls the owner/operator aware of any teaking water mains?
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I
: 15. ls there a water efficiency programz. (Recommended)
16. Are att dead end mains equipped with a means to ftush?
Nofes.' No deod end moins exist in this distribution system.
1T.Are dead end mains flushed at teast semiannuatty?
Notes: No dead end mains exist in this distribution system.
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11116122, 10:52 AM Sanitary Survey
1g. Are there any materiats used that shoutd not be in contact with drinking water? (Pipes,
' sealants, components, etc.)
: 19. Does the system experience water main freezing?
Are there any connections that provide supplementat disinfection and meet the definition of
, 20. aPWS but are unregulalsl?. (Recommendedl (Hospitals, businesses, long'term care facilities
etc.)
-, Are there any unused subsurface water storage tanks that need to be abandoned?t'' lR"com.ended)
.. Are there anY watet'' lRecommended)
r suppty wetls that are no longer being used that need to be abandoned?Add
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ls an adequate cross connection control program provided and implemented? (Community
23. pWS ontyi Gutnority to implement, inspecfron program, o!7guate protection, annual
testing,abitity to diicontinue service, 10 days to repair a failed device)
24. ls the operator trained in cross connection controt? (Recommended)
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," Are att backftow preventers owned by the PWS tested annualty?t"' Not"rt This PWS does not own any testoble backflow preventers'
o-*"r" any known unprotected cross connections? (Subm erged blow-offs, direct..
26. connectionsio storm or sewer drains, connection to unapproved source, uncontrolled fire
hydrant use, treatment bypass with raw water, etc')
, .- Are alt non-potable mains, hydrants, and taps easity identified as such?tt' Not"r, There are no non'potable mains, hydronts or taps'
ls the discharge piping on att air vatves protected from contamination? (Prevent surface
, ZS.woter entry ind'b'ackllow, open downward,24 mesh screen, etc.)
Notes: There are no air valves associated with the Distribution system'
^^ Are butk water stations provided with backftow protection measures?tt' Not"r, There are no butkwoter stotions associated with this PWS'
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11116122, 10:52 AM Sanitary Survey
Pump:
The questions, below, apply to alt pumps.
Pump_Qgtions
Pump House (only pump houses that don't contain a Groundwater source.)
Yes No N/AUnk
I ro.lJ:r*:* any pump houses associated with this Pws that don't contain a Groundwater
I i 1 tt.areattpumphousesprotectedfromcontamination? (Clean,goodrepair,etc.)
n.!,:a[[ pump houses protected from unauthorized entry? (Locked, duroble construction, etc.)Notes: There was not a lock present on the vault lld.
13. Do att pump houses have adequate tighting throughout?
ls adequate backftow protection provided on a[[ threaded taps/ hose bibs instatted in any of14. the pump houses?
Notes: Threaded tops did not have o backftow prevention device instolled (photogroph g).
i i i rs. t;ilHH:tl#ffffi;heat, moisture, or corrosion damage in any of the pump houses?
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SubmersibleE0006sSTEVENS WELL WL NO
wsF
State
Assigned
lD (Tag)
Facility
Type
(WL or
PF)
pump rype .:J*i, (" s 1 nfi'l-1"'*",ligh set T;*':3 (..s. E:"J#:lf,oo*",points: 25/75psi) rs a propane generator)
Name
Yes No N/AUnk csL
i
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i
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i-:; I l. Do any of the pumps cycte > 6 times per hour? (Recommended)Add
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Add
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'l I I i z.Are atl pumps in good repair? (excessive noise, vibration, heat, odors, leaks, etc.)
{]j 3. Are spare parts readity avaitable for critical pump components?
O. ls-each pump equipped with an accessibte check vatve? (on the" off valve)
l
(0)
discharge side before the shut- )
j 5.Are isotation vatves provided on the discharge side of the pump?
, i 6. ls a working pressure gauge instalted on the discharge line of att pumps?
I 7. ll a working flow meter provided for each pump? (Required if pump is connected direcgy to'' the distribution system)
(0)
: Add
(0)
: Add
(0)
,i Add
(0)
i) Edit
(0)
l' Edit
(0)
i. i
l
, ..:-. r g. ls atl pump lubrication oil ANSI/NSF 61 approved?
Notes: There are no pumps associated with this PWS that require oil lubricotion
ls an alr/vacuum retief valve provided for each vertical turbine pump and ls it protected from,l i 9 contamination?(Open downword,24 mesh screen,atr 9aP,etc )There ore no verticol turbine ossocloted with this PWS.
file:///c:/Users/kcarter/Downloads/1D7220066_Finalized_ESSForm (7).htmr 12t15
11116122,10:52 AM Sanitary SurveY
16. Are there signs or a history of pump house equipment freezing in any of the pump houses?
' (tnadequate heating)
Ng!g; Heater was in the vault to prevent f reezing-
,,, Are att pump houses protected from ftooding and surface water entry? (Drained, ground
"' surface graded to lead surfoce water away, etc.)
, 18. Do the ftoor drains discharge > 30 feet from any we[[ in alt of the pump houses?
,^ Does an unDrotected cross connection exist due to the floor drain connection in any of thet'' putp houses? (Connected to sewer, storm drains, etc.)
Auxi tiary-Power Uuits -(AP U )
Com m u nity-Systems On ly
APU on a Wetl Lot OnlY
Add
(0)
(0)
(0)
Edit
Add
Add
Yes No N/AUnk csL
20. Does the PWS have anY APUs?
21. Are att APUs tested regutarly? (Recommended)
Add
Add
(0)
, 22.For att APUs, is a working automatic power transfer switch provided?Add
csLYes No N/AUnk
tr.:3[:15 i;Tililt* PWS adequaterv pressurize the distribution svstem during a power
Do the ApUs power a[[ essential electrical functions in the pump houses and the pumping
24. stations (pump, controls, treatment, etc.) and pressurize the system for a minimum of 8
hours?
(0)
(0)
Add
Add
Yes No N/AUnk csL
25. Are there any auxiliary power units located on a we[[ tot?
26. Are the fuet tanks above ground or otherwise accessibte for leak inspection?
Add
Add
(0)
27. ls secondary spitt containment provided for att fuet tanks? (110% of fuel tank volume)Add
(0)
28. Does a certified operator observe fitting of the fuel tank(s)?Add
(0)
29. ls engine exhaust directty discharged to the outside atmosphere for atl APUs?Add
file:///C:/Users/kcarter/Downloads/1D7220066-Finalized-ESSForm (7)'html 13/15
11116122,10:52 AM Sanitary Survey
F i na nci a I I lvlan a ge r i a I
Fi na nci a I Capacily_Questi on s
Ma n geri a I Ca peElly_Qu esti o ns
Review the following with the Owner/Opsatolwhers applhbls
Yes No N/AUnk
1. ls the PWS current with the payment of drinking water fees?
,. ls the user charged for drinking water?
Notes: Users are charged 5280 annually.
r. Has an independent financial audit of the PWS been conducted, or has the S,\MRT Financial-' Too[ been compteted? (Recommended)
CSL Notes
Add
(0)
Edit
Add
Yes No N/AUnk csL
4. Does this PWS have a governing body or board of directors?Add
Add
' 5. Does the board meet routinety? Frequency:
Yes No N/AUnk csL
6. Cross Connection Control Plan (C onty)
7. Asset Management Ptan (C and NTNC)
8. Operation and Maintenance Manual (C and NINC) EDMS#:
9. System Ctassification Worksheet (C and NINC,)
10. Operator Licensing lssues (C and NTNC)
11. Emergency Response Ptan (PlVSs with a poputotion > 3300)
12. PWS lnventory lnformation
'13. Monitoring Schedules
14. Sampte History fiCR and Non-TCR) - past 5 years
15. Viotation History - Past 5 Years
,U. Compliance Schedutes - pending and overdue
Notes: At the time of the inspection, this PWS has no pending or overdue complionce schedules.
.,r. Pubtic Notifications - ongoing/currentty required
Notes.'At the time of the inspection, this PWS has no current or ongoing Pubtic Notification required.
,r. Chtorine Residual History - Past 5 years
Notes: At the time of the inspection, this plt{S does not chlorinote.
19.Monthty Operating Reports (MO
At the time of the to submit lioRs.
EDMS#:
EDMS#:
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Add
Add
Add
Add
Add
Add
Add
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Add
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Edit
Edit
EDMS#:
Rs)
this PWS is not
Picable
Yes No N/AUnk
20. RTCR Sample Siting Ptan EDA,iS#:
21. Have any changes been made to the RTCR schedule or sampling location?
22.PBCU Sample Siting Ptan (C and NTNC onty) EDMS#:
Add
Add
Add
file:///C:/Users/kcarter/Downloads/1D7220066_Finalized_ESSForm (7).html
csL
14t15
11116122, 10:52 AM Sanitary Survey
23. Have any changes been made to the PBCU schedule or sampting location? (C and NTNC only)
24.DBP Sampte Siting Ptan EDMS#:
Notes: At the time of the inspection, thls PWS does not chlorinate
25. Have any changes been made to the DBP schedute or sampting location?
26.POU Sampte Siting Ptan EDMS#:
Nofes: At the time of the inspection, this PVt/s does not have any Point of use units'
27.Have any changes been made to the PoU schedule or sampting location?
Records Management Questions
Managerial Plans Questions
Q pe rato r&fely-Qu esti o n s
i: :
:!
lt
Add
Edit
Add
Edit
Add
Do att Sampte Siting Ptan(s) meet the minimum requirements?
,o , Samples are only being collected for 3035 Yate Kilgore since 1QT19. Samples must be taken fromto' iillerent locations each quorter to get an adeguate representation of the whole distribution. A site sompling
plan must be submitted by 1213112022.
Are samptes being taken in accordance with the Sample Siting Ptan(s)?
29. Notes: There is not a current site sampling plan in ploce. A site sampling plon must be submitted
by12t31 12022.
Are records retained onsite or nearby for the minimum time required? (TC-Syr; cheml rad-
l^yr; violation corrective actions-3yr; sanitary surveys'llyr; wgiver, varionce, or exemption
d e te r mi nati ons- 5y r ; PNs issued'3 y r ; dai ly f r e e ch Io r i ne r e si duals - I y r )
I 31 l;th"r"
u .urtomer comptaint system and ongoing pubtic information program?
Yes No N/AUnk
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csL
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Add
(0)
Add
i .30.
JffiT
I
!
'lffi I
Yes No N/AUnk
, i 32. ls there a recognized organizationat structure and management for the PWS?
ls there an overatl operation and maintenance manual for the PWS? (inc{uding equipment
man uols, as- bui lts, SOPs, m onuf actu r e r's Ii te r atu re, etc. )
i ] 34.Does the PWS have an Asset Management Ptan? (Recommended)
I , 35. Does the PWS have an Emergency Response Ptan? (Community PWSs > 3300)
i
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(0)
.' Add
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Add
csL
Add
33.
.
(0)
Yes No N/AUnk csL
36. Are atl operators trained in safety procedures and equipment?
., Does a safety concern exist for personnel and/or visitors? (PPE, handrailslguardrails,"" Iadders, non-slip triads' etc.)
,r. it ffffpotentiat shock hazard because the etectricat wiring appears to be inadequately
39. Are protocots fottowed for any confined space entry? (Recommended)
Add
(0)
(0)
Add
' Add
Add
(0)
file:///C:/Users/kcarter/Downloads/1D7220066-Finalized-ESSForm (7).html 15/'15
Photog raph ic Documentation
lnspection Date(s): Wednesday, October 19, 2022
Facility lD:1D7220065
Name of Facility: Shotgun South Stevens Ln
lnspector(s): KelseY Carter
Purpose of lnspection: Sanitary Survey
State of ldaho
Department of Environmental Quality
ldaho Department of Environmental euality
Photographic Documentation For: shotgun south stevens Ln - lD722oo66
Table of Photographs:
Photograph 1: The area surrounding Stevens Well is not causing a potential health ha2ard........3
Photograph 2: Stevens Well identified with welltag EO0O653O ..4
Photograph 3: Stevens Well extends 18-inches above the ground surface. The well is properly
................4vented and all bolts are secured
Photograph 4: Overall view of the Shotgun South Stevens Lane vault. Distribution lines aregalvanized steel and PVC. There is one pressure tank for this system ....5
Photograph 5: Pressure tank information tag. The brand is Well-X-Trol, modelWX-302 with a
capacity of 86 gallons. lnstallation date is unknown, but the manufacture date isOa/B/2006
and was likely installed that same year .........5
Photograph 6: A flow meter is installed and working properly with 4,567 ,l2O ga11ons.................G
Photograph 7: The pressure switch and pressure gauge located on the distribution line read
42psi at the time of the inspection. .......7
Photograph 8: The sample tap is not smooth-nosed and has a threaded end. Allthreaded taps
require adequate backflow protection. ...................7
Photograph 9: The pump control box is a L/t.s Hp model 292300g610............... .......8
Photograph 10: A pressure reading from the first connection in the distribution was only 37psi.g
2
photograph 1: (Deficiency)Ihearea surrounding Stevens Well is not causing a potential health hazard'
The setback from the roa,Jis not being met, but there have not been any issues as the road is no used
often and presents minimal risk of coritamination issue. This will be re-evaluated in the future if
necessary.
ldaho Department of Environmental euality
Photographic Documentation For: shotgun south stevens Ln - 1D722006G
Photograph 2: Stevens Well identified with weil tag E0006530
Photograph 3: Stevens Well extends 18-inches above the ground surface. The well is properly ventedand all bolts are secured.
4
ldaho Department of Environmental Quality
Photographic Documentation For: shotgun south stevens Ln - 1D7220066
photograph 4: Overall view of the Shotgun South Stevens Lane vault. Distribution lines are galvanized
steel ald'pVO. There is one pressure tank for this system located below ground.
5
ldaho Department of Environmental euality
Photographic Documentation For: shotgun south stevens Ln - lD722oo66
Photograph 5: Pressure tank information tag. The brand is Well-X-Trol, model\ X-302 with a capacig of86 galions. lnstallation date is unknown, nuitne manufacture date is O4]O3:2OOO and was likely installedthat same year.
6
Photograph 6: A flow meter is installed and working properly with 4,567,720 gallons.
ldaho Department of Environmental Quality
Photographic Documentation For: shotgun south stevens Ln - |D722OO66
photograph 7: The pressure switch and pressure gauge located on the distribution line read 42psi at the
time of the inspection
photograph g: (Significant Deficiencfl fhe sample tap is not smooth-nosed and has a threaded end. All
threaded taps require adequate backflow protection.
7
ldaho Department of Environmental euality
Photographic Documentation For: shotgun south stevens Ln - lD7zzoo66
Photograph 9: The pump control box is a 111.s Hp model 2g2300g61o.
8
Photograph 10: (Significant Deficiencyl A pressure reading from the first connection in the distributionwas only 37psi.
Tq:mtffi
State of ldaho
A&rinistation
REPORT
the State Reclamation Engineert 0f the well,
,r ?:,, i9?O
SJ€u r rc i
'Lrr'-'.-7
requires
within 30
'sliatct map 'li ,, .1- ,l'l0finished
, \.
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ofbest my knowledge,tbe
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CERTIFICATION
,r^ rrt*.rnt-*j It
USE ADDITIONAL SHEETS IF'NEEESSARY FORWARD fHE WHl{rE, BLUE- AND PINK COPIFS TO THE DFP^ATN^C"IT
I
I
I
I
I
RTCR Sample Instructions
RTCR Sample lnstructions
Selecting Sample Locations
Contaminants like coliform bacteria may not be uniformly distributed, so it is critical that the
location(s) selected provide samples that are most representative of the water served to
customers in the PWS's entire distribution system. lt is especially important to identify and
include in the sample siting plan those features of the system that may affect the
microbiological quality of the water. PWSs should consider varying sample site locations
throughout the year to better characterize water quality throughout the distribution system.
When selecting sample locations, PWSs should consider:
. Sites that best represent water served to customers throughout the distribution system;
. Proximity to main transmission lines, pressure zones and storage tanks;
. Locations of dead-end pipes, loops and other areas of the piping system's configuration;
. Pressure zones that are upstream and downstream of all storage tanks;
. Cross-connection hazards;
. Seasonal customers or locations with inconsistent water use;
. Areas of the distribution system delivering water from different sources;
. Areas of the distribution system with longer retention times; and
. Areas of the distribution system with low water pressure and slow water movement.
Generally, sample locations should be
. At a mid-distribution system point;
. Not on the transmission lines (e.g., the distribution system's largest pipes);
. Directly after the storage tanks, specifically for tanks with direct or flow through design (e.g.,
separate pipe for inlet and outlet); and
. Multipurpose sample locations.
o lf consistent with each rule, sample locations can be used for compliance with multiple
drinking water regulations. For example, compliance monitoring for Total
Trihalomethane and Haloacetic Acid under the Disinfectants and Disinfection Byproduct
Rules.
Reoeat Sa ple Actions
Within 24 hours (unless an extension is granted by the primacy agency) of notification of a total
coliform-positive (TC+)sample result, a pWS must:
' Collect 3 repeat samples for each TC+ routine sample, even if a Level L or Level 2 Assessment
is triggered.
' Continue collecting a set of 3 repeat samples until, either TC is not detected in one complete
set or the system triggers a Level 1 or Level 2 Assessment.
PWS's must collect at least 3 repeat samples at the locations described in their sample siting
plan that include:
o one (1) at the same sample tap where the original TC+ sample occurred,
' One (1)at a tap within five (5)service connections upstream of the originalTC+ site, and
' One (1) at a tap within five (5) service connections downstream of the original TC+ site.
Selectine Sampling Taps
Faucets and specially installed sampling taps are the two most common types of sampling sites.
lf faucets are to be used, each faucet should be examined carefully to ensure its suitability.
Some examples of potentially unsuitable faucets are:
. Swivel-type faucets because they are difficult to disinfect;
o Faucets with a single valve for hot and cold water;
o Faucets or taps with leaky packing material around the stem;
o Faucets that supply areas, such as janitorial or commercial sinks, where bacterial
contamination is likely;
r Faucets or taps close to or below ground level;
o Faucets that point upward;
o Faucets that have threads on the inside of their spouts because they are difficult to disinfect;. Outdoor faucets; and
o Faucets with aerators because they may harbor bacteria. lf such faucets are used, it is
recommended that the aerator should be removed before a sample is collected and disinfected
before replacing it.
of Environmental QualitY
PrintForm
TotalColiform Sample Siting Plan Formldaho Department
Total Coliform Sample Siting PIan
for Small Systems
Part 1. General System Information
This form is intended to assist public water system (PW_S) owrers and o.perators withdevelonins a total coliform
sample siting plan. This form ii designed ror sys.tgm! taling three #pl!; ;;;ir-"r9"tq o, "uih
q"uafler (serving s3'300
people). Using this fbrm is optional."Ho*.u"r.'uit public witer.sysjle.q are-Jegl1i19O.1o^tyy.e a written sample siting plan
i' utcordancJ*ittl tt'. ;;lAuhb Rules for Public Water Systems" (IDAPA 58.01 .08.100.01)'
PWSID PWS Name:
Mailing Address
PWS ContactName:
E-mail Phone:
Sources of Water:
Identiff sources of
drinking water and
attach additional
sheets as necessary
Emergency Contact Name:
E-mail Phone
PWS Type: ! Community (CWS) n Nontransient noncommunity (NTNC) | Noncommunity transient (NCT)
Noncommunity Seasonal System: I No I Yes* If yes' season open:close:
* Seasonal systems are required to perform annual start-up procedures prior to opening for the season unless exempted in writing'
Source/FacilitY ID
Name of drinking water source(s): well tag #
name, spring name, intake source
Source TyPe
GW-ground water, SP-spring,
SW--surlace water, GU--ground
water under the influence ol SW,
P-purchase water from other system
Usage
P-permanent (full/time),
E--emergency (not Planned
for use), I--interim to meet
peak demand
4-log Virus
Inactivation*
Source has continuous
disinfection to Provide
4-log virus inactivation
I f Yes CNo
2 CYes CNo
f Yes CNo
4 C Yes CNo
, - -z:-,-a!^-T-:^-^-^.
Phone
source water ater a routrnerus
total coliform positive samPle is required when a sYstem using ground water does not have 4-log virus
inactivation for all ground water sources
Manifold: List sources that
combine before distribution
Disinfection Treatment Installed/Using: f None I Chlorine I Chloramination f] Chlorine dioxide I ozone
(check all that apply)
Owner/Operator Name:
Signature:
Version 1.0
Date:
Page 1 of4
PrintForm
ldaho Department of Environmental Quality TotalColiform Sample Siting Plan Form
Part 2. Sampling Location Information
U
D
2.U
D
-t-U
Debruary I U
D
2.U
D
3.U
D
u
D
2.U
D
Month Routine Sample Location
(address, sample station name)
Repeat sample
within 5(u connections lfomupstream routine,
D within connections5 fromdownstream routine)
lst
a
U
A
R
R
2nd
A
R
R
J U
D
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D
2 U
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J U
D
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2.U
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U
D
3.
une
2.U
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Version 1.0
D
Page2 of 4
ldaho Department of Environmental Quality
PrintForm
TotalColiform Sample Siting Plan Form
U
D
2 U
D
UJ
August I
D
U
D
2.U
D
U
D
U
D
J.
U
D
2.
(U: within 5 connections upstream from routine,
D : within 5 connections downstream from routine)
leRepeatsampRoutine Sample Location
(address, sample station name)Month
R
T
E
R
a
U
R
T
E
R
th
J
October I
U
D
U
D
2.U
D
U
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2.U
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2.
3.
Version 1.0 Page 3 of 4
PrintForm
ldaho Department of Environmental Quality TotalColiform Sample Siting Plan Form
YR:|,*l i::?f:.:{t^t".. owners or operators are not required to submitrotal coliform sample siting plans. Thetollowrng circumstances require submittal and approval df your sample siting plan by youi iocal fieid'office: -
' owners and o^perators w!9.wjs! to propodd altemative fixed s'imple .i?.i oi.fit6rii-ror r"terling rii.r-uur.a onsituational information. This information needs to be written intoa standard ;t;;;G procedurE u, purt oi4r"plan.' Operators or owners of seasonal systems using only ground water and on monthly monitoring that quali$r for andwish to take quarterly samples.
Other considerations:' Attach a schematic of the distribution system_with locations marked for sample sites and other relevant watersystem information such as wells, storage tanks, booster stations, etc.' Ensure the entire distribution system isiepresented when identifying sampling locations.' If there are two or more distribution systems and those distribution_{rst"nis ar"e noi int.r.onn".ted, please ensuresamples are taken from each distribution :ysle.m during each co.pffi"tpil;l-tii"rttr or quarter).' Ila.rou.tine.sampling location is at the end'of the distriEution iystem or one servite .onn..tbn u*'uy from the endof the distribution system, identiff an altemative upstream or,io*n.ti"urn ri"ipii"g r".ation from that routinelocation.' Repeat samples must be collected within 24 houF.of being notified of a routine positive sample result and must betaken the same day at different sites. However, if there is.Snly one ru*pring io";tir;;.;"h ;r'*iit u "u-pg;ouno,please identify whe,ther yo_u will take one repeit total colifonir turnpi"-fi"ia-uy fo;td.. consecutive days or alarger sample size (300 inL; on one day.' Public water systems that use only ground.water and d9 not provide 4-log virus inactivation are required to taketriggered. source water samplesaftei a routine total coliform positive sam'pt; r*;li.}i" samples must be takenfrom each source active at ihe time the routine sample was ta'ken and musl be talen b"fb;";;t;.il;; i;water).
Version 1.0 Page 4 of 4
STATE OF IDAHO
DEPARTMENT OF
HNVIRONMENTAL QUAI-ITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess 8yrne, Director
November L6,2022
Dorothy Mccarty
455 Constitution WaY
ldaho Falls, lD 83402
Email: [e-mail]
Subject: Shotgun North (1D7220065| - Sanitary Survey conducted on October L9,2022
Dear Dorothy MccartY:
A sanitary survey was recently conducted for Shotgun North (1D7220O65)' This letter provides
the sanitary survey report and photos for your records.
Significant Deficiencies - Significant deficiencies identified in this report must be
addressed after consulting with the ldaho Department of Environmental Quality (DEQ),
ldaho Falls Regional Office. Consultation and a written corrective action plan are
required within 30 days of any significant deficiencies and/or follow-up requirements
identified in this notification (IDAPA 58.01.08). Follow the four steps identified in the
sanitary survey report to address all significant deficiencies.
Deficiencies - The public water system operator/owner identified in this report must
address the deficiencies in a timely manner.
Recommendations -
Recommendations identified in the report are not required to be corrected at this time,
but it is recommended.
Consult DEe before taking specific corrective actions or modifying the water system. Modifying
your public water system or installing new components may require assistance from an ldaho
licensed professional engineer and DEQ's review and approval. Contact this office before
making modifications to your system.
Thank you for your help in completing the sanitary survey. For questions, contact Kelsey Carter,
Drinking Water Compliance Officer, ldaho Falls Regional Office, [phone],
[e-mail]
1
€
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, 10.83402 Brad little, covernor
Jess Byrne, Dlrector
C:
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
Enclosures: Sanitary Survey Report, Photo Log, Maps, Survey Forms, Well Log, Site Sampling
Plan lnstructions, and Site Sampling plan Template
Troy Saffle, Regional Ad m in istrator, I FRO-DEe
Carlin Feisthamel, Regional Engineering Manager, IFRO-DEe
Jason Fales, Drinking Water Compliance Supervisor, IFRO-DEe
-2-
STATE OF IDAHO
DEPAR'TMENT OI;
ENV IRONMIINITAL QU ALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
less Byrne, Director
Sanitary Survey Report
Shotgun North - 1D7220065
Survey conducted on October 19,2022
Report generated on Novemb er L6,2022
Narrative
Shotgun North is located in Fremont County, in the lsland Park area, along Yale-Kilgore Road.
The water system consists of two groundwater sources serving 19 connections and an average
daily population of 75 individuals year-round. Based on the number of people using the system
it is considered a very small water system (VSWS). The water system is classified as a transient
non-community (TNC) because the system does not regularly serve the same twenty-five
people over six months out of the year. A TNC is not required to have a certified operator
overseeing the system operations. The water system supplies water throughout the entire year
and does not depressurize or drain the distribution. Dorothy McCarty is the main contact and
owner of the system with lsland Park Water Company. This system is regulated by the ldaho
public Utilities Commission. Mrs. McCarty was present for the sanitary survey as well as
Engineer Mike Lund. Together they were able to answer questions and discuss important
aspects of the public water system. The previous sanitary survey was conducted on September
L6,2OL6.These inspections are conducted every five years to ensure all the system's
components are operating correctly and to identify any potential health hazards. There are
seventeen significant deficiencies identified in this report.
Well #3, now identified as the Savage Well (E0006531), is located directly behind the pump
house on Savage Road shown in photograph 1. All required setbacks to the well from potential
health hazards are being met. A Well Driller's Report is available for this well. The Savage Well
was drilled in August 1986 to a depth of 99 feet. The steel casing is 8-inches in diameter from L
to L1 feet and 6-inches in diameter from 1 to 100 feet. lt appears the 8-inch casing was broken
at some point, just above ground level, exposing the 6-inch casing, shown in photographs 4 and
5. This has been deemed a significant deficiency and must be addressed. There is standing
surface water present between the two casings, which could lead to source contamination' The
area between the casings needs to be sealed in a manner to prevent surface water entry.
Bentonite was used to surface seal the well to 30 feet. The casing is not screened or perforated
The casing extends above the required 18-inches from the ground surface to the sanitary seal
shown in photograph 2. The drawdown is unknown so the well cap should remain vented. The
well vent is located on the top of the well cap and serves to equalize the pressure within the
well column to prevent air from entering the well, which can cause a vacuum to occur where
-3-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
Brad little, Governor
Jess Byrne, Director
potential contaminates can be drawn back into the system. At the time the well was drilled, the
static water level was measured at 40 feet.
The Savage pump house does not have an installed lock on the exterior door, this is deemed a
significant deficiency. Mrs. McCarty mentioned that the system has troubles with individuals
cutting the locks, however, the locks will deter some individuals, and prevent unauthorized
access into the pump house. The overall condition of the pump house was clean and in good
repair. The pump vault is kept secure with an installed lock as shown in photograph G. The
pump vault houses three Well-X-Trol pressure tanks, all model WX-302 with a storage capacity
of 86 gallons. There are currently not any isolation valves installed on these pressure tanks.
lsolation valves allow the tanks to be taken offline in the event of maintenance or replacement
while still maintaining pressure and providing water to residents. The installation date on these
tanks is unknown. Based on exterior observations the tanks are beginning to show signs of rust
and corrosion, evidence of excessive moisture. This is also seen on the distribution pipes and
check valve. There is an installed sump pump that is working effectively as there was no
standing water in the pump vault at the time of the inspection. There is an adequate pump to
waste installed with a capped end, shown in photograph 14. There are two safety concerns in
the Savage pump vault. Seen in photograph L2 is exposed electrical wiring creating a potential
shock hazard for anyone entering the pump vault, including the operator, this has been
deemed a significant deficiency and must be corrected. The second safety hazard is the ladder
being used is missing rungs, it is recommended to replace the ladder. The pump house is not
equipped with any lighting, a source of light should be provided for repairs and safety. There
have not been any reported issues with freezing in the pump house, however, there was not a
heater or installation present at the time of the inspection. Photograph 9 shows that a pressure
switch and pressure gauge are installed and properly working in the Savage pump vault
displaying 58 psi. Allthreaded taps will need the installation of backflow prevention devices,
this is a significant deficiency seen in photograph 13.
Well #4, now identified as the Browning Well (E0006532) is located directly in front of the
pump house as shown in photograph 16. The well does not meet the setback to property lines,
it is recommended that Mrs. McCarty work closely with the property owner to ensure that no
source of contamination is present within 50 feet of the well. At the time of the inspection,
there was a boat parked within 50 feet and the homeowner was reminded of the required
setback. Mrs. McCarty does have sign posted of no chemicals are allowed on the well lot. The
well also sits close to the road but presents minimal risk of contamination and is marked for
snow coverage. The separation distance may be reevaluated in future sanitary surveys, or in the
event compliance samples return present for contamination. A Well Driller's Report is available
for this well. The Browning Well was first drilled in L970, but was not completed until !976 to a
depth of 140 feet. The steel casing is 6 inches in diameter and extends down to 100 feet. The
casing is not screened or perforated. Bentonite was used to surface seal the casing to 18 feet.
The casing does not extend the required l8-inches from the ground surface to the sanitary seal
900 N, Skyline Dr., Suite I
ldaho Falls, lD. 83402
-4-
STATE OF IDAHO
DEPAR'TMEFJ'T OI,
TNvIRoNMENTAl- QUALTTY
900 N. Skyline Dr., Suite 3
ldaho Falls, lD. 83402
shown in photograph 17. This was previously documented in past sanitary surveys. There have
not been any concerns of source contamination for the Browning Well. The height of the casing
will be reevaluated during future sanitary surveys, or in the event compliance samples return
positive for contamination. The well cap is securely in place with no loose bolts and an intact
seal. The drawdown is unknown so the well cap should remain vented. The well vent is located
on the top of the well cap and serves to equalize the pressure within the well column to
prevent air from entering the well, which can cause a vacuum to occur where potential
contaminates can be drawn back into the system. At the time the well was drilled, the static
water level was measured at 40 feet.
The Browning pump house does not have an installed lock on the exterior door, or on the pump
vault, these have been deemed significant deficiencies, locks must be installed to prevent
unauthorized access and reduce the risk of vandalism. Since the previous sanitary survey in
September 2}L6,there have been material modifications made to the public water system, and
plans and specs were not submitted. This is a violation of ldaho Code 5 39-118. Modifications
may include but are not limited to, significant changes to existing processes or facilities or
installation of other processes. A preliminary engineering report would have addressed specific
purpose and scope, design requirements, alternative solutions, costs, and operation and
maintenance requirements to demonstrate adequate system capacity. The buried pressure
tank has been disconnected, it is unknown if it was removed, or remains in place and needs to
be abandoned. The system now pumps directly to distribution and is served by a VFD. When a
system pumps directly to distribution a flow meter is required to be installed, this is
documented in the sanitary survey report. The piping from the pressure tank remains in place
and should be removed if it does not have any connection to the current distribution. The
overall condition of the pump vault and pump house was messy. Debris and items not related
to the water system should not be stored in either location. The large rock needs to be
removed from the pump vault as well as garbage, such as, the bucket and boxes shown in the
previous survey and documents in photographs1.:9,20, and 21. The pump house also had hoses
stored inside it, but there are not any installed backflow prevention devices on any of the
threaded taps, a significant deficiency. The Browning pump vault is not equipped with a floor
drain or sump pump to effectively remove water. There are signs of excessive moisture, leading
to rust and corrosion of the galvanized steel pieces. The installation of a sump will be required
for this system. The pressure gauge located in the Browning pump vault was not functioning
correctly at the time of the sanitary survey and was spinning. A new pressure gauge must be
installed, as this is a significant deficiency. There was not a ladder present for entering this
pump vault. There have not been any reported issues with freezing in the pump house, but
there was not a heater or installation present at the time of the inspection.
The two wells form a continuous loop system with no known dead ends or cross connections'
The distribution consists of galvanized steel piping that is being replaced with PVC when repairs
are made. The main line size is 3 to 1.5 inches. Allvalves are exercised at least once every
Brad Little, Governor
less Byrne, Director
-5-
STATE OF IDAHO
DEPARTMNNT O[t
ENVIRONMENTAT- QUAtTTY
900 N, Skyline Dr., Sulte B grad Little, Governor
ldaho Falls, t0.83402 Jess Byrne, Director
quarter. There are no fire hydrants or flushing hydrants in the water system. None of the
system connections are metered. There has been freezing within the water system, but not in
the main lines. Homeowners are responsible for where they connect on the main to their
home. The system was designed for seasonal use and the main lines and service connections'
depth are unknown, but likely buried less than 5 feet. A pressure reading from the distribution
was taken from 3524 savage Road, and displayed 65 psi, shown in photograph 15.
A site sampling plan will be required to be submitted to DEQ by the end of the year. Currently,
samples are only being collected from the same location each quarter. Samples should
represent the entire water system and each quarter bacteria samples must be collected from a
different location, with backup locations identified. Once the site sampling plan is submitted it
must be followed when collecting samples or they may be deemed non-compliant. Samples
were collected for all 4 quarters of 2022, with no violations within the last 5 years. The annual
nitrate sample has already been collected for 2022 as well.
The subdivision is up to date with the annual state drinking water fee. Homeowners are
charged a 5280 drinking water fee set by the Public Utilities Commission. These fees cover
system maintenance, repairs, and collection of compliance samples. There is not a current map
of the distribution nor an overall operations and maintenance manual.
All planned corrective actions will need to be submitted to DEe by December Lg,2022
-6-
STATE OF IDAHO
DEPARTMENT OT"
ENVIRONMENTAI- QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little. Governor
.less Byrne, Director
Significa nt Deficiencies:
A significant deficiency as identified during a sanitary survey, is any defect in a system's design,
operation, maintenance, or administration, and any failure or malfunction of any system
component, that the DEQ or its agent determines to cause, or have the potential to cause, risk
to health or safety, or that could affect the reliable delivery of safe drinking water (IDAPA
5g.O1.Og.OO3.i.31). Failure to address significant deficiencies constitutes a violation of IDAPA
58.01.08.302 or 58.0L.08.303.
Significant deficiencies may reference IDAPA design standard requirements. IDAPA rule
citations for sections 500-549 are primarily requirements during the design or modification
stage of a new system or component, and may not be enforceable as part of a sanitary survey
These requirements are listed to provide reference of what current standards would apply if
that particular component were designed, modified, or constructed today. Corrective actions
that include material modifications must be approved by DEQ'
To address all significant deficiencies identified in this report, follow steps 1--4.
Step 1 - Within 30 days of receiving this notification, submit to DEQ in writing a
corrective action plan including planned completion dates for each identified significant
deficiency.
Step 2 - Complete the planned action(s) by the "Planned Completion Date(s)'"
Step 3 - After completing each planned action, enter an "Actual Completion Date," your
initials, and write the "Corrective action taken'"
Step 4 - Sign your name at the bottom certifying that each corrective action has been
corrected by the planned completion date and your public water system has completed
the sanitary survey response requirements pursuant to IDAPA 58.01'08' Send a copy of
the signed paperwork to DEQ.
-7 -
STATE OF IDAHO
DEPAR'TMEN'T OF
ENVIRONMENTAI- QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD.83402 Brad Little, Governor
Jess Byrne, Dlrector
General Questions
Question #2- lf yes, were plans and specs submitted to and approved by DEe? No
Note: Plans and specs were not submitted to DEQfor approvol and as-builts must be
su bm itte d for d ocu mentati on.
DEQ has not approved plans and specifications for material modification that have occurred for the
existing water system (IDAPA 58.01.08.504.03). Prior to construction of material modifications of
existing public water systems, submit plans and specifications to DEe for review and approval. A
Qualified Licensed Professional Engineer may review and approve plans and specifications for simple
water main extensions. This issue will be referred for enforcement as an ldaho Code S 3g-11g
violation.
lnspector Note: lf modifications have occurred since the last sanitary survey, check with a DEe
engineer to ensure compliance with engineering submittals and requirements.
Modificotions moy include, but are not timited to, significont chonges to existing processes or focilities,system exponsion, addition of treatment, or installotion of other processes and facilities. A preliminory
engineering report oddresses specific purpose ond scope, design requirements, alternative solutions,
costs, ond operotion and maintenonce requirements to demonstrate odequote system copacity and is
ge ne ro I ly p roject-spe cif ic.
Submit planned completion dates to DEe by LZ/L9/2022
Corrective Action Plan
Planned Completion Date
Actual Com pletion Date:I n itia ls
Corrective action(s) taken
-8-
STATE OF IDAHO
DIJPAR'TMEN-T OI;
tiNVtRON MENITAI. QUALI'I'Y
900 N. Skyline Dr.. Suite B
ldaho Falls, 10.83402
Brad Little, Governor
less Byrne, Director
Wells
SAVAGE WEIL (EOOO6531I
euestion #9- Does the well casing and cap prevent contamination and surface water entry?
No.
Note: There is a smaller cosing inside of a lorger casing with stonding surfoce water
between the cosings (Photogrophs 4 and 5).
Well: E0006531 is not provided with an approved cap and/or solid casing that prevents surface water
and contaminants from entering the well (IDAPA 58.01.08.511.06'b).
A property cased wettwith o sonitary well cop prevents surface water ond potential contominonts
(bocterio, fertilizers, pesticides etc.) from descending along the outside wall of the well down to the
zones of stored ground wqter thus minimizing the possibitity of contominotion. The ground oround the
well casing must slope owoy from the well casing.
Submit planned completion dates to DEQ by t2/L912O22.
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s) taken - Photos must be submitted
-9-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QIJALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Erad Liftle, Governor
Jesl Byrne, Di.ector
BROWNING WEtt (EOOO6532I
Question #72- ls a working pressure gauge provided? (tnstant, installed on dischorge pipe, etc.)
No.
Note: The pressure gauge on the Browning well was not functioning properly
(Photogroph 19).
A pressure gauge is not provided on all discharge piping for Well: E0006532 or the existing pressure
gauge is not properly maintained and working (tDAPA 58.01.08.51j..03).
A pressure gouge identifies proper working pressures and will help diognose well and pump problems
including leaks, lost pressure, short cycling of the well pump, or o bad check volve or foot valve.
Submit planned completion dates to DEQ by t2/L9/2A22.
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitials:
Corrective action(s) taken - Photos must be submitted:
- 10-
STATE OF IDAHO
DTJPARTMEN"T OF
[]NVIRONMEN'TAL QUAI-ITY
900 N. Skyline Dr.,Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne. Direetor
Distribution Systems
DISTRIBUTION SYSTEM (T722OO65DS1}
Question #74- lsthe owner/operator aware of any leaking water mains? Yes'
Note: There were repoirs scheduled to fix o leok from the instollotion of new fiber optic
lines.
Leaking water mains need to be repaired or replaced and disinfected in accordance with American
water works Association (AWWA) standards (IDAPA 58.01.08.542.10).
High leakoge rotes increose the potentiolfor contominoted groundwater intrusion during pressure drops'
Leaks also undermine pipes, causing most moin breoks. Leoking woter moins hove the potentiolto couse
damoge to neorby property ond to creote sinkholes ond road collopse.
Submit planned completion dates to DEQ by L2/1912022.
Corrective Action Plan
Planned Completion Date:
Actual Completion Date lnitia ls
Corrective action(s) taken - Photos must be submitted:
- 1l -
STATE OF IDAHO
I]EPARTMENT OI;
ENVIRONMENI'AL QUAr_tTY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad little, Governor
Jess Byrne, Director
Pumps
Question #4- ls each pump equipped with an accessible check valve? (on the dischorge side
before the shut-off valve) No.
Note: An accessible check valve is not provided on the dischorge line and the shut-off
volve (IDAPA 58.01.08.511..04 -well pumps or tDApA s9.0J..09.s41.03.o. - woter pumps)
for either the Sovage Well or Browning Welt. Materiol modifications hove been made to
the system since the previous sonitory survey and check valves should hove been
instolled. (Photographs 8,9, ond L9)
An accessible check valve is not provided on the discharge line between [pUMp_TAG_NUM] and the
shut-offvalve (IDAPA 58.01.08.511.04 -well pumps or IDAPA 58.01.08.541.03.a. - water pumps). tnstall
an accessible check valve the next time material modifications occur to this section of the water system
A check valve ollows flow in one direction ond prevents bock flow (reverse flow) if water in the tine
reverses direction. The check valve is intended to prevent the system from draining and prevents the
pump from excessive cycling.
Submit planned completion dates to DEe by t2h9/2022
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s) taken - Photos must be submitted:
-12-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
euestion #6- ls a working pressure gauge installed on the discharge line of all pumps? No.
Note: The pressure gauge in the Browning Well was not working properly (Photogroph
ls).
There is not a working standard pressure gauge on the discharge line (IDAPA 58.01.08.541-'03.c' - water
pumps or IDAPA 58.01.08.51L.03 - well pumps).
A pressure gouge helps diognose well ond pump problems including leoks, lost pressure, short cycling
well pump and o bad check volve or foot valve. Lack of o pressure gouge makes it difficult to analyze
proper system pressure.
Submit planned completion dates to DEQ by L2/L9/2O22.
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s)taken - Photos mustbe submitted
-13-
STATE OF IDAHO
DIJPARTMEN'T OF
ENVtR0NMEN"t'AL QUALI'l'Y
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad little, Governor
.less Byrne, Director
Question #7- ls a working flow meter provided for each pump? (Required if pump is connected
directly to the distribution system) No.
Note: The Browning pumps straight to distribution with the removat of the buried
pressure tank, a flowmeter is required
The Browning pump which is directly connected to the distribution system does not have an
instantaneous and totalizing flow meter (IDAPA 58.01.08.542.04). lnstall an instantaneous and totalizing
flow meter the next time material modifications occur to this section of the water system.
A flow meter meosures totol flow (gallons) and flow rote (gpm). A ftow meter con help detect changes in
the system so the operotor can take corrective action before o serious problem develops as well os
provide more occurote accounting of woter production.
Submit planned completion dates to DEe by LZ/19/2022
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitia ls:
Corrective action(s) taken - Photos must be submitted:
-t4-
STATE OF IDAHO
DEPARTMEN'T OTJ
ENVTRONMtsNTAI- QUAT.ITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess BVrne, Director
euestion #II- Are all pump houses protected from contamination? (Clean, good repoir, etc.)
No.
Note: The Browning Pump Vault is not kept cleon, there is debris ond unused ports thot
need to be removed. This wos documented in the previous sdnitory survey in 2076
(Photographs 19 and 20).
The pump house for the Browning Well is not clean and/or in good repair (IDAPA 58.01.08. 541'01'9)'
Signs of animat activity or storoge of hazordous materials in the building ore a possible source of
contamination. An uncleon spoce moy need correction if it is causing o potentiol safety concerns.
Damoge to the pump house, such as ditapidoted roof or walls that allow environmentol domage to
pumps or controls ore on issue as well.
Submit planned completion dates to DEQ by t2/L9/2O22.
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitials:
Corrective action(s)taken - Photos mustbe submitted
- 15 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N.Skyline Dr., Suite B
ldaho Falls, lD. 83402 Erad little, Governor
less Byrne, Dlrector
Question #72- Are all pump houses protected from unauthorized entry? (Locked, durable
construction, etc.) No.
Note: The doors to both pump houses are not kept locked. The vault to the Sovoge
pump vault had o lock on it. There wos not a lock on the Browning pump vault
(Photographs 1,6, and 16).
Both pump houses do not have a locked door or access and/or is not of durable construction to prohibit
unauthorized entry, vandalism, and entrance by animals (IDAPA 58.01.08.54j..01.c. and f).
An unsecured pump house compromises security and leaves the structure vulnerable to unauthorized
entry, vandolism, ond sobotoge.
Submit planned completion dates to DEe by tZ/L9/2022.
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitials
Corrective action(s) taken - photos UltSt be submitted
-16-
STATE OF IDAHO
DEPAR'TMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
.less Byrne, Director
euestion #14- lsadequate backflow protection provided on all threaded taps/ hose bibs
installed in any of the pump houses? No.
Note: Threoded taps in both pump vdults did not have odequate bockflow prevention
devices installed (Photogrophs L3, 79, and 20).
Allthreaded taps/ hose bibs installed in the pump house are not equipped with an appropriate backflow
prevention device ( I DAPA 58.01.08. 541.01.n).
An oppropriate backflow device (typicotty o tap/ hose bib vacuum breoker) protects the potoble woter
suppty from contomination should o back-siphonoge bockflow event occur'
Submit planned completion dates to DEQ by L2/L9/2022.
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitials:
Corrective action(s)taken - Photos mustbe submitted:
-17 -
STATE OF IDAHO
DEPARTMENT O[.
ENVTRONMENTAL QUAL.ITY
900 N. Skyline Dr., Suite B
ldaho Falls, 1D.83402
Brad Little, Governor
Jess Byrne, Director
Question #75- Are there signs of excess heat, moisture, or corrosion damage in any of thepump houses? (lnadequote ventilotion) yes.
Note: There are signs of excessive moisture in both pump voults, there is rust on most
metol components, including check volves, somple taps, ond pressure tanks
(Photographs 7, 8, L9, ond 20).
There is not adequate ventilation in the pump house for dissipation of excess heat and moisture from
the equipment (IDAPA 58.01.08.541.0L.e). At the time of the inspection, there was evidence of
corrosion of metallic and/or electrical components from excessive heat and/or moisture.
Excess moisture in o pump house can lead to premoture faiture of electricol control systems and create
unsofe conditions for operotors. Extremely high temperatures moy olso damage electric motors.
Submit planned completion dates to DEe by L2/I\/2O22.
Corrective Action Plan
Planned Completion Date
Actual Completion Date:lnitials:
Corrective action(s) taken - Photos must be submitted
-18-
STATE OF IDAHO
DEPAR'TMEN'I'OT
ENV IRONMIJNTAL QUALITY
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad LiRle, Governor
Jess Byrne, Director
euestion #76- Arethere signs or a history of pump house equipment freezing in any of the
pump houses? (tnodequote heoting) Yes.
Note: Neither of the two pump vaults hod heoters or insulation in place. The pump
voults hove o moist environment and PVC moteriol which could lead to potential
freezing. Heaters or insulation should be out in the pump voults.
There is not adequate heating in the pump house for safe and efficient operation of the equipment
(lDAPA 5g.01.0g.541.01.d). At the time of the inspection, there was evidence or a history of equipment
and/or a treatment process freezing.
Lock of adequote heoting could prevent the safe and efficient operation of the equipment or treotment
processes due to freezing.
Submit planned completion dates to DEQ by t2/L9/2O22.
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials
Corrective action(s) taken - Photos must be submitted
-19-
STATE OF IDAHO
DBPARTMENT OF
ENVTRONMENTAL QUAt_t'rY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad litlle. Governor
.less 8yrne. Director
Question #77- Are all pump houses protected from flooding and surface water entry? (Droined,
ground surfoce graded to leod surfoce water qwoy, efc./ No.
Note: The Browning pump vault is not equipped with o drain or sump (Photographs 79
and 20).
The pump house for the Browning Well is not protected from flooding and/or is not adequately drained
and/or the ground surface is not graded to lead surface drainage away from the pump house (lDAPA
s8.01.08.s41.01.b).
Pump houses must hove adequote droins to protect the equipment if a pipe breoks inside the facility
cousing flooding. Protect oll electrical controls, motors, ond equipment from ftooding. pump houses must
be constructed to prevent surfoce woter from entering the focility.
Submit planned completion dates to DEe by L2/L9/2O22.
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitia ls:
Corrective action(s)taken - Photos mustbe submitted
-20 -
STATE OF IDAHO
DEPARTMEN'T OF
ENVrRohl MEN'rAL QUALI'I'Y
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad little, Governor
Jess Byrne, Director
Fi na ncial/Managerial CaPacitY
euestion #28- Do all Sample Siting Plan(s) meet the minimum requirements? No.
Note: Samples ore only being collected from 4043 Kickapoo since 2QT20. Samples must
be taken from different locations each quarter to get on odequote representation of the
whole distribution. A site sampling plon must be submitted by 12/31/2022.
The system owner does not have a current written sample siting plan that meets RTCR
requirements (40 CFR 141.853.a). An RTCR sample siting plan needs to be developed and/or
implemented.
A sample siting plon is designed to specify where in the distribution system samples will be
drawn to ensure they are representotive of the water system'
Submit planned completion dates to DEQ bV L2/3L/2022.
Corrective Action Plan
Planned Completion Date: t2l lLl 2022
Actual Completion Date lnitials:
Corrective action(s) taken: Plan template must be submitted to DEQ for approval
-21 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N, Skyline Dr., Suite I
ldaho Falls, 1D.83402 Srad Little, Governor
Jess Byrne, Dlrector
Question #29- Are samples being taken in accordance with the Sample Siting plan(s)? No
Note: There is not q current site sompling plon in place. A site sampling plan must be
submitted by 12/31/2022.
RTCR monitoring samples are not being taken in accordance with the approved sample siting
plan (40 CFR 141.853.a).
Somples not token in accordance with a somple siting plan, moy not be representative of the
distribution system resulting in the woter system not receiving credit for sampling.
Submit planned completion dates to DEe by L2/3L/2022.
Corrective Action Plan
Planned Completion Date: L2l3t l2O2Z
Actual Completion Date:lnitials:
Corrective action(s) taken: Plan template must be submitted to DEe for approval
-22 -
STATE OF IDAHO
DtiPARTMIrN'l'()F
nNVIRON MEN'[At. QUAI-l'f Y
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Question #37- Does a safety concern exist for personnel and/or visitors? (PPF,
handroits/guardrails, lodders, non-slip triods, etc./ Yes.
Note: The exposed wiring creotes o sofety concern for the operator and the ladder being
used is missing q rung (Photograph 8). There is not a ladder present in the Browning
pump house.
Safety hazards were identified during the sanitary survey. The owner/operator should address the
identified safety concerns to protect personnel and visitors (IDAPA 58.01.08.501.14). Each facility should
be equipped with a fire extinguisher and necessary personal protection equipment (PPE); install
appropriate handrails and guards as needed; anchor equipment, including all ladders, ensure equipment
is structurally stable; and consider all other safety codes and regulations. DEQ does not enforce
applicable safety codes and regulations, including Occupational Safety & Health Administration (OSHA)
regulations. The PWS owner is responsible for knowing and complying with applicable safety codes and
regulations.
The water system shoutd ensure the safety of oll personnel/visitors.
submit planned completion dates to DEQ by L2/7912022.
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitials:
Corrective action(s) taken - Photos must be submitted:
Brad LiRle, Governor
Jess Byrne, Director
-23 -
STATE OF IDAHO
I]I]PARTMIiNT'O[.
IiNVtR()NMEN"TAI- QUAt-lTY
900 N, Skyline Dr.,Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess 8yrne, Director
Question #38- ls there a potential shock hazard because the electrical wiring appears to be
inadequately protected? Yes.
Note: There is o shock hazord in the Savage Pump Voult, there is exposed wiring
(Photogroph L2).
It appears that inadequately protected electrical wiring may be producing a safety concern. All electrical
control systems and wiring must conform to the requirements of the National Electrical Code or relevant
state/local codes (IDAPA 58.01.08.501.06). DEe does not enforce National Electrical Code and National
Fire Protection Association regulations. The PWS owner is responsible for knowing and complying with
applicable electrical and fire codes or regulations.
lnadequately protected electrical wiring poses o potentiol shock hozard to personnel working in the areo
ond should be oddressed.
Submit planned completion dates to DEe by L2/19/2O22
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s) taken - Photos UuSt be submitted
I certify, to the best of my knowledge that all significant deficiencies have been corrected by
the agreed upon date and that the corrective action meets the requirements pursuant to
TDAPA 58.01.08.
Signature:Date
-24 -
STATE OF IDAHO
DEPARTMENT Of;
ENVIRONMENTAL QUALTTY
900 N. Skyllne Dr., Suite B
ldaho Falls, 10. 83402
Brad Little, Governor
Jess Byrne, Director
Deficiencies:
Deficiencies identified in the report should be addressed by the Public Water System's
operator/owner in a timely manner.
Wells
SAVAGE WELL (EOOO6531}
euestion #I0- ls a raw water smooth nosed sample tap provided on the discharge pipe? (Prior
to ony treotment) No.
The discharge pipe for Well: E0006531 does not provide a sample tap that is properly located, or the
sample tap that is used to collect bacteria samples is not of the smooth-nosed type without interior or
exterior threads and/or is a mixing faucet and or is of the petcock type and/or has a screen and/or has
an aerator (IDAPA 58.01.08.511.0L).
A row-woter sample top shoutd be smooth-nosed with no interior or exterior threads, screen, oerator, or
other attached oppurtenonces to allow for proper sompling techniques and to decreose the risk of
contominoting o sample during collection-
euestion #77- ls a working flow meter provided? (lnstont, totaling, nonvolatile memory,
instolled on discharge pipe, etc./ No.
The pump distribution line for Well: E0006531 does not provide an instantaneous and totalizing flow
meter equipped with nonvolatile memory and/or the installed flow meter is not working properly.
lnstall an instantaneous and totalizing flow meter equipped with nonvolatile memory the next time
material modifications occur to this section of the water system (IDAPA 58.01.08.511.04)'
A flow meter meosures total flow (gotlons) ond flow rote (gpm). A flow meter con help detect chonges in
the system so the operotor can take corrective oction before a serious problem develops as well as
provide more occurote accounting of woter production.
BROWNING WELL (EOOO6532I
euestion #2- Are surrounding land uses creating health hazards or increasing the potential for
source contamination? (setbacks not met, dumping, etc.) Yes.
Note: Well does not meet the required setback from property lines. Homeowners should
be mode owore they can not store ony sources of contamination within 50 feet of the
wetl. The current homeowner wos present ond mode aware of the setbock requirements
(Photograph 18).
-25 -
STATE OF IDAHO
DTIPARTMEN'f ()F
IjNVtRONMtiNTAL QUALt.f Y
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess 8yrne, Director
The land surrounding Well: E0006532 has a condition that has the potential to cause a health hazard
Recommend PWS owner work with land owner to control/eliminate contamination.
This health hazard may create a danger to the consumer's health (IDAPA 58.01.08.008.0i.).
Land use increoses the susceptibility of source wqter contaminotion.
Question #7- ls the well protected from flooding? (casing height >highest flood level, >L8"
outdoor, >72" indoor, etc.) No.
Note: The well casing does not extend the required 78-inches from the ground surface
to the sanitory seal (Photogrophs 76 and L7). This is a deficiency since the system has
been in place for o longer period and has not had any issues with contaminotion. This
will be re-evaluated in future sonitory surveys or if compliance samples return present
for contaminants.
The well casing for Well: E0006532 does not extend above the flood level and/or is not protected from
flooding (IDAPA 58.01.08.511.06.a).
The cosing height provides source protection ogoinst surfoce woter runoff or drainoge problems. ln the
event of a broken pipe in the pump house or a flooding event, o wellwith o short cosing height could be
susceptible to contominotion creoting o potentiol heolth hozord.
Question #77- ls a working flow meter provided? (lnstant, totaling, nonvolatile memory,
installed on discharge pipe, etc./ No.
The pump distribution line for Well: E0006532 does not provide an instantaneous and totalizing flow
meter equipped with nonvolatile memory and/or the installed flow meter is not working properly.
lnstall an instantaneous and totalizing flow meter equipped with nonvolatile memory the next time
material modifications occur to this section of the water system (tDAPA 58.01.08.511.04).
A flow meter measures totol flow (gollons) ond flow rate (gpm). A flow meter con help detect chonges in
the system so the operotor con toke corrective oction before o serious problem develops as well as
provide more occurote accounting of woter production.
-26-
STATE OF IDAHO
DEPARTMENT OI;
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
iess Byrne, Director
Hydropneumatic Tanks
euestion #2-lsthe tank located in a structure that is protected from flooding and unauthorized
entry? (Locked, watertight watts and floor, floor droin, acceptable cover, etc./ No.
Note: The Browning vault is not kept locked ond is not protected from unauthorized
entry. There is no floor droin or sump pump in the Browning pump voult. The structure
housing the hydropneumotic tonks is not protected from flooding ond/or is not
odequately drained (Photographs L9 ond 20). The hydropneumatic tanks in the Sovage
pump voult are not obove the normal ground surface ond/or completely housed (IDAPA
SB.OJ-OB.S47.01.a). When the pressure tank foils it will need to be replaced with on
above-ground pressure to nk.
The hydropneumatic tanks are not abovthe e normal ground surface and/or completely housed (IDAPA
58.01.08.547.01.a).
The structure housing the hydropneumatic tanks is not protected from flooding and/or is not
adequately drained and/or the ground surface is not graded to lead surface drainage away from the
structure (tDAPA 58.01.08.541.01.b). The hydropneumatic tank housing is not adequately protected
against unauthorized entrY.
tn the event of o leak, broken pipe, or severe weother, inadequote droinoge moy cquse domage to the
electricol ond heating systems. tf the construction of a pit contoining the hydropneumotic tank(s) is not
watertight, ond the pit does not have an odequate drainage system, the pit can flood cousing surfoce
woter corrying debris, bocteria, pesticides, fertilizers, oil products, etc. to increose the potential for
source contomination.
euestion #3- Can all hydropneumatic tanks be isolated from the system without depressurizing
the distribution system? No.
The hydropneumatic tanks cannot be isolated from the system (IDAPA 58.01.08.547.01.b). lnstall
isolation valves the next time the hydropneumatic tanks are replaced or material modifications to the
system occur.
Hydropneumatic tonks, which provide pressure to the distribution system, need a byposs to permit
operotion of the system when the tanks are out of service. A loss of pressure in the distribution system
creotes the opportunity for bock-siphonoge or bockpressure of non-potoble water thot may result in
contominotion of the drinking woter.
-27 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
Pumps
Question #3- Are spare parts readily available for critical pump components? No.
Critical spare parts and/or tools are not readily available for IPUMP_TAG_NUM] (tDAPA
s8.01.08.s41.02.c).
lf the public water system does not hove spore ports ond tools avoiloble onsite, it is acceptable to identify
a compony who can provide the needed ports within 24 hours.
Question #73- Do all pump houses have adequate lighting throughout? No.
The pump house does not have adequate lighting throughout (IDAPA 58.0i..08.S01.05.a). tnstall
adequate lighting the next time material modifications occur to this section of the water system.
The interior of the building must hove permonent lighting for operotor sofety ond to focititate inspections
and mointenance ot night.
Financial/Managerial Capacity
Question #33- ls there an overall operation and maintenance manual for the pWS? (including
equipment monuols, os-builts, SOPs, monufacturer's literature, etc.) No.
There is not a complete operation and maintenance (O&M) manual for this public water system (lDAPA
58.01.08.507.t2, OO3.92, and 003.93). An O&M manual needs to be developed and/or implemented.
o Submit an O&M manualfor review and approval. Upon approval, the operator must operate the
system in accordance with the approved O&M manual. At a minimum, include the following
items in the O&M manual:
o daily, weekly, monthly, and yearly operating instructions
o information specific to a particular type of treatment
o location of valves and other key distribution system features
o pertinent telephone and address contact information including the responsible charge water
system operator and water system owner
. operator safety procedures
o alarm system and emergency procedures
o trouble-shooting advice
. water quality testing procedures
-28-
€
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, |D.83402
. response plan for depressurization events
. customer service procedures
. response plan for customer complaints
. maintenance information and checklists
. manufacture/s product information including troubleshooting information
o parts list, spare parts list, and parts order form
o necessary special tools
Srad Little, Governor
Jess 8yrne, Dlrector
An O&M monual provides procedures to operote ond mointain o facility's vorious systems and
equipment. tt is important to onalyze and evoluate o facility from the system level, then develop
procedures to ottain the most efficient systems integration. Lack of an O&M monual can lead to system
failures and contamination of drinking water.
-29 -
STATE OF IDAHO
DEPARTMENT OTT
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
Recommendations:
Recommendations identified in the report are not required to be corrected at this time, but it is
recommended
Wells
SAVAGE WELL (EOOO6531I
Question #6- ls the well (not located in a pump house) protected from unauthorized access?
(Locking cop, fenced, etc.) (Recommended) No.
Note: Photograph 77
Well: E0006531 (not in a pump house) should be protected from unauthorized access through fencing
around the source and/or use of a locking well cap.
BROWNING WEIL (EOOO6532}
Question #6- ls the well (not located in a pump house) protected from unauthorized access?
(Locking cap, fenced, etc.) (Recommended) No.
Note: Photogroph 77
Well: E0006532 (not in a pump house)should be protected from unauthorized access through fencing
around the source and/or use of a locking well cap.
Hydropneumatic Tanks
Question #7- ls the system served by variable speed pumps (VFDs)? (Recommended) yes.
Note: The Browning Well Pump is served by a VFD.
A VFD pump produces steady pressure and can cause stagnation in a hydropneumatic tank. Stagnant
water (aged water) is a major factor in water quality deterioration within a distribution system. The
Department recommends all hydropneumatic tanks associated with a VFD be isolated and drained twice
a year to remove stagnant water.
Distribution Systems
DISTRIBUTION SYSTEM fi722OO65DS1I
Question #6- ls a current map of the distribution system available? (Recommended) No.
A current map of the distribution system was not available during the inspection. Maps should be made
available showing main sizes and locations of valves, hydrants, storage tank locations, and
-30-
STATE OF IDAHO
DHPARTMENT OF.
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 8340?
Erad Little, Governor
.less Byrne, Director
interconnections to other systems. Update maps annually to reflect current conditions. A map should be
kept with the Operations and Maintenance Manual.
Question #73- lsthere a water loss control program? (Recommended) No'
A water loss control program should be put in place and utilized. More than 15% water loss is an
indication of either inaccurate meters or excessive leakage. lnaccurate meters result in lost revenue and
leaks are potential points for entry of contaminated groundwater. The following is a link to an EPA
resource for developing a water loss control program:
https://www.epa.gov/sites/producti on/files/2Ol5-04/documents/epa816f13002.pdf.
Financial/Managerial CaPacitY
euestion #34- Doesthe PWS have an Asset Management Plan? (Recommended) No'
An Asset Management Plan should be established for the PWS. The assets of a water system include the
natural and engineered components for providing water (e'g., source water, pumps, motors, storage
tanks, treatment plants, pipes). A good asset management program typically includes a written plan for
achieving the best ,ppropiirt" cost for rehabilitation, repair, or replacement of a public water system's
assets. Asset management is effective in maximizing the value of capital as well as minimizing operations
and maintenance expenditures. To learn more about asset management, go to EPA's website at:
http ://water.e pa.gov/i nfrastructu re/sustain/asset_ma nage ment.cfm
- 31 -
11116122,12:15 PM Sanitary Survey
Protecting Pubtic Heatth and the Environment
Sanitary Survey
PWS: \D722OO65' SHOTGUN NORTH
Jurisdiction: IDAHO FALLS REGIONAL OFFICE
Sanitary Survey Date: 10/1912022
General lnf ormation
Approval
Status:Approved
Department of Environmental Quality
Sam*tany Sunvey
DEVELOPMENT
FREMONT
Private
Corporation
0
(gat)
SDWIS Website
# Ground
Water
Sources:
# Surface
Water:
Primary
Source Type:
Total
Population:
# Service
Connections:
Primary
County
Served:
Owner
Type:
Legal
Entity:
# Storage
Facilities:
Total
Storage:
2
0
GW
75
19
, CommunitY
Water SystemType: NoncommunitY
Noncommunity
System Distribution:
Classification : Treatment:N/A
Annual ng Period - Population Served:
Water Purchased From:
Water Sold To:
Nontransient
Transient
Sonitary Survey Index
Modules Used:#
Generat
lnformation 1
Wetts 2
Springs
lntakes and
lnfittration
Gatleries
Consecutive
Connections
Storage Tanks
Hydropneumatic
Tanks 1
Distribution
Systems 1
Pumps 1
Treatment
Ptants
Chlorinators
Gas CL2
Financiat-
ManageriaI 1
Tbtal hlodules 7
01t01 12t31 T 75
Begin Date End Date Type Estimated Count
PWS Num PWS Name Status
None
PWS Num PWS Name Status
file:///C:/Users/kcarter/Downloads/1D7220065-Finalized-ESSForm (4).html 1 t17
11116122,12:15 PM
Contacfs
* AII systems must have on AC and FC (one of eoch only).- All C ond NINC musf have a DO.
Sanitary Survey
AC MCCARTY,
DOROTHY A
4s5
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
EC MCCARTY,
DOROTHY A
455
Constitution
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
FC ISLAND PARK
WATER INC A PO BOX 2s21 IDAHO
FALLS ID 83403
208-
522
8033
ow ISLAND PARK
WATER INC A PO BOX 2521 IDAHO
FALLS ID 83403
208-
522-
8033
SA MCCARTY,
DOROTHY A
455
Wav
IDAHO
F;ALLS ID 83402
208-
521-
2369
[e-mail]
Type Name status Addrl city state zip Ext Mobile Emergency Fax EmailBiz
Phone
file:///C:/Users/kcarter/DownloadsllD7220O65_Finalized_ESSForm (4).html 2t17
'11116122, 12:15 PM
Facilities
Sanitary Survey
44.471556 -1 1 1.453356Y7 t31 t1986WLAPermanentE0006531SAVAGE WELL
-111.451737 filtsY10t23t197044.472335WLAPermanentE0006s32BROWNING WELL
A N3 - HYDRONEUMATIC
TANKS ST3-H TANKS
6/6t1986DSANDISTRIBUTION
SYSTEMT7220065D51
WSF State
Assigned lD Name
(Tag)
rype status Avai labi lity, ff ::::, con?,11,".,"a
Lat/Long
VerifiedLatitude Longitude
file:///C:/Users/kcarter/DownloadsllD722O065-Finalized-ESSForm (4).html 3t17
11116122,12:15 PM
al sfi ons
General Questions
Sanitary Survey
Have material modifications been made to the PWS since the tast survey?
i --l 1 , I i- j 1 . Nqlg$ Since the prevlous sanitary survey in September 2016, the buried pressure tank in the Brownlng pump
voult hos been disconnected ond the pump now goes directly to the distributlon,
lf yes, were ptans and specs submitted to and approved by DEe?
2, Notes: Plons ond specs were not submitted to DEQfor approval and as-builts must be submitted for
documentation.
Yes No N/AUnk csL
Edit
Editt
Addsamples wereWeredutakenthetheindicatesamplesringbysurveywhatinspector?Y€5,(tf3.lncollected theffi
ffivffiffi
file:///C:/Users/kcarter/Downloads/1D7220065_Finalized_ESSForm (4).html 4t17
WELLE0006531
ROWNING WELLE0005532
WSF State
Assigned lD Name
(Tag)
Verified
'11116122,12:15 PM Sanitary Survey
Wells
fite://lc:/Users/kcarter/DownloadstlD7220O65_Finalized-ESSForm (4).html 5t17
11116122, 12:'15 PM
ffj|", sAVAGE WELL
Tag , Eooo6531NUmDer:
Sanitary Survey
Well Questions
Pump--Hguse-Questions pnty pump houses that contain a Grounclwater Saurce
Yes No N/AUnk
)
14. ls the well enclosed in a pump house?
15.|s the pump house protected from contamination? (clean, in good repoir, etc.)
16.ls the pump house protected from unauthorized entry? (ocked, durable construction, etc.)
17. Does the pump house have adequate tighting throughout?
18. ls adequate backflow protection provided on att threaded taps instatted in the pump house?
19. Are there signs of equipment damage due to excess heat, moisture, or corrosion?
csL
(0)
(0)
(0)
(0)
Add
Add
Add
Add
Add
Add
Yes No N/AUnk CSL N
1. ls there a wetl log for the source? EDMS#:19ACA3612 Add
t. Are surroundin-g [and uses creating heatth hazards or increasing the potential for source-' contamination? (setbacks not met, dumping, etc.)
t. fre_19xic or hazardous chemicals stored on the wetl tot? (pesticides, paint, herbicides,
Iertt lrzers, petroleum, etc. )
4. Are pesticides, herbicides, or fertitizers apptied to the wett tot without approvat?
Add
(0)
Add
(0)
Add
(0)
_ lf the.wetl is in a pit, is the pit protected from ftooding and contamination? (watertight walls5. ond floor, floor drain, acceptable pit cover, etc.)
Notes: Well is not located in a pit.
ls the wetl (not located in a pump house) protected from unauthorized access? (Locking cap,6. fenced, etc.) (Recommended)
Notes: Photographs 1 ond 2
r ls the wetl protected from ftooding? (casing height >highest f[ood level, >18" outdoor, >.,2,'" indoor, etc.)
t. ls.the well property vented? (24 mesh screen, open downword >1g', outdoor or >l2,,indoor,
etc. )
Does the wetl casing and cap prevent contamination and surface water entry?9. Nofes: There is a smoller casing inside of a larger casing with standing surface water between the casings(Photographs 4 and 5).
lO.lt u raw water smooth nosed sample tap provided on the discharge pipe? (Prior to anytreatment)
Edit
(0)
Edit
(0)
Add
(0)
(0)
Add
Edit
(0)
Add
(0)
11
ls a working flow meter provided?to nonvolatile memory, installed on
discharge pipe, etc.) Gattons:Add
(0)
ls a workin gauge provided? (lnstant, installed on discharge pipe, etc.) pSl:12.Add
(0)
13. It un adequate pump'to-waste provided? (Capacity of the well, air gap, prior to the firstservtce connection, etc.)Add
file:///C:/Users/kcarter/Downloads/1D7220065_Finalized_ESSForm (4).html 6t17
11116122,12:15 PM Sanitary Survey
(inadequate ventilation)
i_l g il ZO. ts there a history of pump house equipment freezing? (lnodequate heoting)
.--t ,l r-t ra ls the pump house protected from ftooding and surface water entry? (Floor drain, ground
'* -i L ') L t' surface graded to leod surface water away, etc,)
,, Does the configuration of the floor drain or sump cause a contamination risk? (connected to
"' other dratnage systerns, sump < 30 feet from well, etc.)
Add
(0)nLJ
(0)
I,i
(0)
,:l
Add
Add
gt
file:///C:/Users/kcarter/Downloads/1D7220065-Finalized-ESSForm (4).html 7t17
11116122, 12:15 PM
ffiJ", BRoWNTNG WELL
Tag , Eooo653zNUmDer:
Sanitary Survey
lVell_.lQuestions
Pump Flguse-Q,uestions (Only pump houses that contain a Groundwater Source)
"
14.1s the wett enclosed in a pump house?
15.ls the pump house protected from contamination? (Clean, in good repair, etc.)
16.1s the pump house protected from unauthorized entry? (ocked, duroble construction, etc.)
17. Does the pump house have adequate tighting throughout?
Yes No N/AUnk csL
Add
Add
(0)
(0
)
)
Add
Add
Yes No N/AUnk
1. ls there a wetl log for the source? EDMS#:2019ACA3612
Are surrounding land uses creating heatth hazards or increasing the potential for source IcontaminationT (Setbacks not met, dumping, etc.) t2, Notes: Well does not meet the required setback from property lines. Homeowners should be made awore they !flcan not store any sources of contamination within 50 feet of the well, The current homeowner was present anafl
made aware ol the setbock requirements (photograph l8). f
CSL Notes
Add
Edit
Edit
Add
r 3. {re toxic or hazardous chemicats stored on the wett tot? (pesticides, point, herbicides,-' fertilizers, petroleum, etc.)
i 4. Are pesticides, herbicides, or fertitizers apptied to the wett lot without approvat?
I Add
(0)
:
(0)
l' Edit
(0)
:
Edit
(0)r
n*"
' Add
(0)
' Add
(0)
Add
-i ,,i -l.
I
_ lf the welt is in a pit, is the pit protected from ftooding and contamination? (watertight walls5. and floor, floor drain, acceptable pit cover, etc.)
Notes: Well is not located in a pit.
ls the wetl (not located in a pump house) protected from unauthorized access? (Locking cap,6. fenced, etc.) (Recommended)
Notes: Photograph 17
ls the we[[ protected from ftooding? (casing height >highest flood level, >18" outdoor, >12"
indoor, etc.)
7. Notes: The well casing does not extend the required l8-inches from the ground surface to the sonitary seal
(Photogrophs 16 and 17). This is a deficiency since the system hos been in place for a longer period and has not
had ony issues with contamination. This will be re-evoluated in future sonitary surveys or if compllance
samples return present for contaminants.
t. ls the wet[ property vented? (24 mesh screen, open downward >18" outdoor or >12" indoor,
etc, )
j I 9. Does the wel[ casing and cap prevent contamination and surface water entry?
tO. ls a raw water smooth nosed sampte tap provided on the discharge pipe? (Prior to anytreatment)
11
ls a working flow meter provided?, nonvolatile memory, installed on
discharge pipe, etc.) Gatlons:
ls a worki gauge provided? (lnstant, installed on discharge pipe, etc.) pSl:
12.
Notes: The pressure gauge on the Browning well was not functioning properly (photograph lg).
t
Add
(0)
i
(0)
(0)
I 13.lt"ilcXdffi::r#il?;?.-waste provided? (capacity of the wett, oir gap, prior to the first
{:.
it, {
file:///C:/Users/kcarter/Downloads/|D722006S_Finalized_ESSForm (4).html 8l'17
'l'1116122, 12:15 PM Sanitary Survey
i:] gl fj f a.ls adequate backftow protection provided on att threaded taps instalted in the pump house?
(0)
il Add
(0)
il Add
(0)
il Add
(0)
'---) Add
(0)
i-l Add
atvl{],,o Are there signs of equipment damage due to excess heat, moisture, or corrosion?
"' (inadequate ventilotion)
|l U i.J ZO. ls there a history of pump house equipment freezing? (lnadequate heating)
i__j vl *J zr ls the pump house protected from ftooding and surface water entry? (Floor drain, ground
surface graded to lead surface water away, etc.)
Does the configuration of the ftoor drain or sump cause a contamination risk? (connected to
other dralnage systems, sump < 30 feet from well, etc.)i:,i !2 f) zz.
file:///C:/Users/kcarter/Downloads/1D7220065-Finalized-ESSForm (4).html 9117
111'16122, 12:15PM Sanitary Survey
Hydropnuematic Tank
The questions, below, opply to all Hydropneumotic Tonks.
Hydropneumatic Tanks Quest
Bladder Tanks Only
Yes No N/AUnk csL
, 7.Has the.pre-charge on a[[ btadder tanks been tested in the tast year to ensure the air pressure' 'is 5 psi below the low operating pressure for the system? (Recommended)Add
Non-Bladder Tanks Onlyq
Yes No N/AUnk csL
- ls the recharge air protected from contamination? (free of air compressor oil, clean oir filter,8. etc.)
Notes: This Pl{S has no non-blodder hydropneumatic tonk.
Are instatted appurtenances working property and protected from contamination? (access
9. manhole, drain, water sight glass, means to add oir, oir btow-off , etc.)
Edit
(0)
Edit
This PWS has no non-bladder tanks,(0)
3.H TANKS . SAVAGE PUMP VAULT - WELL-X-TROL - WX-302 - BLADDER . 86 GALLONS .
- SAVAGE PUMP VAULT. WELL-X-TROL - WX-302 - BLADDER - 36 GALLONS -
- HYDRONEUMATIC
- SAVAGE PUMP VAULT. WELL.X-TROL - WX-302 . BLADDER - 86 GALLONS -
INSTALLED: UNKNOWN
NSTALLED: UNKNOWN
INSTALLED: UNKNOWN
Yes No N/AUnk csL
.,1 i I t. ls the system served by variable speed pumps (vFDs)? (Recommended)
Notes: The Browning Well pump is served by o VFD.
j: Edit
ls the tank located in a structure that is protected from ftooding and unauthorized entry?(Locked, watertight walls ond floor, f loor drain, acceptable cover, etc.)
Notes: The Browning vault is not kept locked and is not protected from unauthorized entry. There is no floordroin or sump pump in the Browning pump vault. The structure housing the hydropneumatic tanks is not
protected from flooding and/or is not adequately drained (Photographs 19 and 20). The hydropneumatic tanks
ore not obove the normal ground surface andlor completely housed (IDAPA 58.01.08.547.01.a). When the
pressure tank fails it wiII need to be replaced with on above-ground pressure tank.
Can atl hydropneumatic tanks be isotated from the system without depressurizing thedistribution system?
Edit
: 4.Do the exterior surfaces appear to be in good condition? (Coating intact, no corrosion, etc.)
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i r , 5. Do all tank supports appear to be structuratly sound and adequate?
a Have a[[ hydropneumatic tanks been tested for structural integrity in the past 5 years?"'(Recommended)
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11116122, 12:15 PM
Distri tion S ystems
Sanitary Survey
DISTRIBUTION SYSTEM
WSF State
Assigned lD Name
(Tag)
file:///C:/Users/kcarter/Downloads/1D7220065-Finalized-ESSForm (4).html 11 t17
11116122, 12:15PM
Distribution
System DISTRIBUTION SYSTEM
Name:
Il,t,.,.'o"r, 17220065Ds1
Sanitary Survey
Distrib ution Syjtem_Questions
Main line type of materiats are? (Se{ecf aII that applv) Steet HDpE (btack)
1. Asbestos/Cement Copper PVC Ductite lron , Gray lron
Gatvanized Other
2. Main line sizes?3 inches
3. Number of Metered Connections?out of 19
4. Number of Fire Hydrants?
5. Number of Flushing Hydrants?
6. ls a current map of the distribution system avaitabte? (Recommended)
Have pubtic notifications, DEQ notifications, and foltow-up actions been fotlowed for any
7. ptanned or unplanned depressurizations in the past year?
Notes: No public notifications, DEqnotificotions, or follow-up actionswere required for planned or unplanned
depressurizations in the past year.
Was the pressure measured at a service connection? PSI
Yes No N/AUnk csL
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65 Location
8 Time:01:30 PM O
Notes: A pressure reoding from the distribution wos collected,
9 fl a minimum system Pressure of 20 psi. maintained at atl service connections? (lnctuding fire" flow - ldentify pressure complaints in the Notes.)
tn ls a minimum system pressure of 40 psi. maintained during maximum hourty demand'-'conditions?. (PWSI constructed after 7/ I /1995 - Exctuding fire flow)
11. Does pressure exceed 100 psi at any seryice connection?
12. Are valves inspected and exercised regularty? (Recommended)
Notes: Quarterly
, 13.|s there a water toss control program? (Recommended)
.,0. ls the owner/operator aware of any teaking water mains?
Notes: There were repairs scheduled to fix a leak from the installation of new fiber optic lines.
15. ls there a water efficiency program? (Recommended)
16. Are a[[ dead end mains equipped with a means to ftush?
Notes: No dead end moins exist in this distribution system.
17.Are dead end mains ftushed at least semiannualty?
Notes No dead end moins exist in this distribution sJstem,
18. Are there any materiats used that shoutd not be in contact with drinking water? (Pipes,
sealants, components, etc. )
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11116122, 12:15 PM Sanitary Survey
19. Does the system experience water main freezing?
Are there any connections that provide supptementat disinfection and meet the definition of
20. a pWS but are unregutated? (Recom mended) (Hospitals, businesses, Iong'term care f acilities,
etc.)
Are there any unused subsurface water storage tanks that need to be abandoned?
Cross Connection Control
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21. (Recommended)
Noltes: The slstem originalty had a buried storage tank, it is unknown if the tank was abandoned and removed. (01
., Are there any water suppty wetts that are no tonger being used that need to be abandoned?
"'lRecommended)
Add
csLYes No N/AUnk
ls an adequate cross connection controt program provided and imptementedT. (Community
. 23. PWS ontyi (ntnority to implement, inspection program' adequate protection, annual
testing,aibiility to discontinue service, 10 days to repair a failed device)
24. ls the operator trained in cross connection controt? (Recommended)
.. Are att backftow preventers owned by the PWS tested annuatty?
"' Not"ra This PWS does not own any testable backflow preventers'
il"r" any known unprotected cross connections? (Subm erged btow'offs, direct..
26. connections to storm oi sewer drains, connection to unapproved source, uncontrolled fire
hydrant use, treotment bypass with raw water, etc.)
,, Are alt non-potable mains, hydrants, and taps easity identified as such?
'' ' Notes: There are no non-potable moins, hydrants or taps.
ill air.f,urge piping on atl air vatves protected from contamination? (Prevent surface
28. water entry and backflow, open downward, 24 mesh screen, etc')
pggThere ore no oir valves associated with the Distribution System'
.^ Are butk water stations provided with backftow protection measures?tt' Not"r, There are no bulk water stations ossociated with this PV:/S'
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11116122, 12:15 PM Sanitary Survey
Pump;
The questions, below, apply to all pumps.
Pump_Questions
FUfnp_H_AUSg (Only pump hauses tltctt don"t eontain a Graundwater Saaree.)
,|0.fl:r[:t" any pump houses associated with this PWS that don't contain a Groundwater
Are atl pump houses protected from contamination? (Clean, good repair, etc.)
11. Notes: The Browning Pump Voutt is not kept clean, there is debris and unused parts that need to be removed.
This was documented in the previous sanitary survey in 2016 (photographs 19 and 20).
Are atl pump houses protected from unauthorized entry? (Locked, durable construction, etc.)
12- Notes: The doors to both pump houses are not kept tocked. The vault to the Savage pump vault had a lock onit. There wos not a lock on the Browning pump vault (photographs l, 6, and 15).
Yes No N/AUnk csL
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E0006531 SAVAGE WELL WL Submersible
Pump Capacity: Unknown
High/Low Set Points:
Unknown
NO
E0006532 BROWNING WELL WL Submersible
Pump Capacity: Unknown
High/Low Set Points:
Unknown
NO
wsF
State
Assigned
lD (Tag)
Facility
Type
(WL or
PF)
Description
(e.g. 1.5HP. Low/High
set points: 25/75psil
Comments
(e.g. Emergency power
is a propane generator)
Pump TypeName Pump
Capacity
Auxiliary
Power
Yes No N/AUnk csL
1. Do any of the pumps cycle > 6 times per hour? (Recommended)Add
(0)
2. Are all pumps in good repair? (excessive noise, vibration, heat, odors, leaks, etc.)Add
(0)
t{iir 3. Are spare parts readily avaitabte for criticat pump components?Add
f s,each pump equipped with an accessibte check valve? (on the discharge side before the shut-off valve)
Notes: An accessible checkvalve is not provided on the dischorge line and the shut-off valve (lDApA
58.01 '08'511 .04 'well pumps or IDAPA 58.01 .08.541 .03.a. - woter pumps) f or either the Savage Well or Browning
Well. Material modifications have been made to the system since the previous sanitary survey and check valves
should have been installed. (Photographs 8,9, ond 19)
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5. Are isolation valves provided on the discharge side of the pump?Add
(0)
,. ls a working pressure gauge instatted on the discharge tine of alt pumps?
Notes: The pressure gauge in the Browning well wos not working properly (photograph I9).
ls a working ftow meter provided for each pump? (Required if pump is connected directly to
,. the distribution system)
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(0)
Notes: The Browning pumps straight to distribution with the removal of the buried
is required
,. ls atl pump lubrication oilANS|/NSF 61 approved?
Notes: There are no pumps associated with this pws that require oil lubrication.
t Editpressure tank, o ftowmeter
Edit
ls an airlvacuum retief vatve provided for each vertical turbine pump and is it protected from9. contamination? (Open downward, 24 mesh screen, air gap, etc. j
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EditThere are no verticol turbine pumps associoted with this pWS.
]IEII
ITIT
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11116122, 12:15 PM Sanitary Survey
1 3. Do att pump houses have adequate tighting throughout?
ls adequate backflow protection provided on atl threaded taps/ hose bibs instalted in any
n, the pump houses?'-' , Threaded taps in both pump vaults did not have odequate backf low preventlon devices installed
(Photographs 13, 19, and20).
Are there signs of excess heat, moisture, or corrosion damage in any of the pump houses?
"= (lnadequate ventilation)
t '' Not"rr There are signs of excessive moisture in both pump vaults, there is rust on most metal components,
inctuding checkvalves, somple taps, and pressure tanks (Photographs 7, 8, 19, and 20).
Are there signs or a history of pump house equipment freezing in any of the pump houses?
(lnadequate heating)
16. Notes: Neither of the two pump vaults had heaters or insulation in place. The pump vaults have o moist
environment and PVC material which could lead to potentlal freezing. Heaters or insulation should be out in
the pump vaults.
Are a[[ pump houses protected from ftooding and surface water entry? (Drained, ground
17. surface graded to lead surface water away, etc.)
No:!es;The Browning pump vault is not equipped with a drain or sump (Photographs 19 and 20).
Do the floor drains discharge > 30 feet from any wetl in at[ of the pump houses?
Notes: The Savage pump vault drain discharges more than 30 feet from the well.
i .. , ,ro Does an unprotected cross connection exist due to the ftoor drain connection in any of the' ''' pump houses? (Connected to sewer, storm drains, etc.)
Auxi liary-PowetU nits (AP U )
C o m m u n i tyjysle ms-Qn$l
APU on a Wetl Lot Only-
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Yes No N/AUnk
: 20. Does the PWS have anY APUs?
; .l . ') ?2. For att APUs, is a working automatic power transfer switch provided?
i 21. Are att APUs tested regularly? (Recommended)
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' ;23-Can the community PWS adequatety pressurize the distribution system during a power
outage? (C only)
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Do the APUs power atl essential etectrical functions in the pump houses and the pumping
24. stations (pump, controts, treatment, etc.) and pressurize the system for a minimum of 8
hours?
Yes No N/AUnk csL
25. Are there any auxitiary power units [ocated on a welt [ot?
, 26. Are the fuet tanks above ground or otherwise accessibte for leak inspection?
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, : 27.|s secondary spitl containment provided for att fuel tanks? (110% of fuel tank volume)
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: 28. Does a certified operator observe fitting of the fuel tank(s)?Add
(0)
, I i zg.ls engine exhaust directty discharged to the outside atmosphere for att APUs?
i) Add
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11116122, 12:15 PM Sanitary Survey
anciall lA gerial
Fi nancial Cap:c:i!y_.!Questions
Man ge ri a I Ca p_aE!!y_Qu esti o n s
Revi ew t h e fo I lowi n g wi th t h e Own erlO peratgll{hre_lp pjsable
Review the following Sample5ling Plans with the Owner/Opcrator_where:pplisabls
Yes No N/AUnk
20. RTCR Sample Siting Ptan EDMS#:
21. Have any changes been made to the RTCR schedute or sampting [ocation?
22. PBCU Sampte Siting Ptan (C and NTNC only) EDMS#:
a
CSL Notes
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Yes No N/AUnk CSL Notes
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(0)
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1. ls the PWS current with the payment of drinking water fees?
,. ls the user charged for drinking water?
Notes: Users are charged an annual fee of S2B0 set by the Public lJtilities Commission.
. Has an independent financial audit of the PWS been conducted, or has the SMART Financial-' Too[ been compteted? (Recommended)
Yes No N/AUnk csL
4. Does this PWS have a governing body or board of directors?Add
Add5. Does the board meet routinely? Frequency:Weekly
Yes No N/AUnk csL
6. Cross Connection Controt Plan (C only) EDMS#:
7. Asset Management Ptan (C ond NTNC) EDMS#:
8. Operation and Maintenance Manual (C and NINC) EDMS#:
9. System Classification Worksheet (C and NINC,)
10. Operator Licensing lssues (C and NTNC)
11. Emergency Response Ptan (PWSs with o population , 3300)
12. PWS lnventory lnformation
1 3. Monitoring Schedutes
14. Sample History ICR and Non-TCR) - Past 5 Years
15. Viotation History - Past 5 Years
,'a. Comptiance Schedutes - pending and overdue
Notes: At the time of the inspection, this PWS has no pending or overdue compliance schedules.
,'r. Pubtic Notifications - ongoing/currentty required
Notes: At the time of the inspection, this PWS hos no current or ongoing Public Notification required.
,'r. Chtorine Residual History - Past 5 years
Notes: At the time of the inspection, this PWS does not chlorinate.
19 Monthty Operating Reports (MORs)
At the time of the this PWS is not to submit lvl0Rs,
EDMS#:
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Sanitary SurveY
23. Have any changes been made to the PBCU schedute or sampting location? (C and NTNC only)
24 DBP Sampte Siting Ptan EDMS#:
Nofes: At the time of the inspection, this PWS does not chlorinate.
25. Have any changes been made to the DBP schedute or sampling location?
26 POU Sampte Siting Ptan EDMS#:
Notes: At the time of the inspection, this PWS does not have ony Point of use units.
27 . Have any changes been made to the PoU schedule or sampting location?
Records Management Questions
Manageria[ Plans Questions
A pe rats r-S&tY-.1Qu esti o n s
11116122, 12:15 PM
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Do att Sampte Siting Ptan(s) meet the minimum requirements?
No@Each quarter somples need to be collected from different locations in the distribution to get an
adequate representation of the system.
Are samptes being taken in accordance with the sampte siting Ptan(s)?
29. Notes: There is not a current site sampling plan in place. A site sompling plon must be submitted by
12t 31 12022
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Are records retained onsite or nearby for the minimum time required? (TC'Syr; cheml rad' i
30.10yr;viotationcorrectiveoctions-3ir;sanitarysurveys-10yr;waiver,variance,orexemption
determinations-Syr; PNs issued-3yri aoiv free chlorine risiduals-|yr) (0)
.n ls there a customer complaint system and ongoing pubtic information program?
" " (Recommended) (0)
Yes No N/AUnk
:]
ffi I
rs t
I 32. ls there a recognized organizational structure and management for the PWS?
,, ls there an overatl operation and maintenance manual for the PWS? (inc{uding equipment
t "' manuals, as' bui lts, SOPs, manuf acturer's Ii terature' etc. )
; I 34. Does the PWS have an Asset Management Ptan? (Recommended)
i 35. Does the PWS have an Emergency Response Plan? (Community PWSs > 3300)
Yes No N/AUnk
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rffi I
Yes No N/AUnk
, , , 36. Are atl operators trained in safety procedures and equipment?
Does a safety concern exist for personne[ and/or visitors? (PPE, handrails/guardrails,
-- Iadders, non-sliP triads, etc.)
"' Not"r, The exposed wiring creates a sofety concern for the operator and the ladder being used is missing o
rung (Photograph 8). There is not a ladder present in the Browning pump house.
ls there a potentiat shock hazard because the etectrical wiring appears to be inadequatety
38. protected?
Notes: There is a shock hazard in the Savage Pump Vault, there is exposed wiring (Photograph 12).
39. Are protocots foltowed for any confined space entry? (Recommended)
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t file:lltc:/users/kcarter/Downloads/|D7220065_Finalized_ESSForm (4).html 17 117
Photog raph ic Documentation
fnspection Date(s): Wednesday, October L9, 2022
Facility lDz 1D7220065
Name of Facility: Shotgun North
lnspector(s): Kelsey Carter
Purpose of Inspection: Sanitary Survey
State of ldaho
Department of Environmental Quality
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun North - |D722O06S
Table of Photographs:
Photograph L: Savage Well and Pump House. The area surrounding the well is not causing any
potential health hazards. The Savage Well is located directly behind the pump house. The pump
house is not kept locked and is not protected from unauthorized entry. ....................3
Photograph 2: Well #3 is now identified as the Savage Well. The casing extends above the
required 18-inches and is properly vented. .................3
Photograph 3: The identification tag on the Savage Well displays E0006531 .,.4
Photograph 4: The Savage Well appears to have a smaller casing set inside a larger casing. This
is not properly sealed and surface water is sitting between the two casings. .............4
Photograph 5: Standing water between the two casings allows for surface water entry and
contamination
Photograph 5: The Savage Pump Vault is locked and protected from unauthorized entry. ..........5
Photograph 7: Overall view of the Savage Pump Vault. There are three pressure tanks located in
the vault. All three are Well-X-Trol model WX-302 with a storage capacity of 86 ga|1ons.............6
Photograph 8: The sump pump is installed and discharging 30 feet from the well. There is a
safety hazard for the operator, the ladder being used to enter the vault is missing a rung..........6
Photograph 9: lnstalled pressure switch and properly working pressure gauge reading 58 psi....7
Photograph L0: A gate valve installed on the distribution line....7
Photograph 11: 3HP submersible pump control panel. Model 2823018310 ....8
Photograph 12: Safety hazard exposed electricalwiring in the Savage Pump Vault. Documented
in the previous sanitary survey................8
Photograph L3: Threaded tap in the Savage Pump Vault that is not protected by a backflow
prevention device .9
Photograph 14: Capped pump to waste and where the sump pump discharge leaves the pump
house. ...9
Photograph 15: A reading from the distribution at the time of the inspection was 65 psi..........10
Photograph 16: The Browning Pump House with the Browning Well directly in front of the
structure. Doors to the pump house are not protected with locks. .......10
Photograph 17: Well #4 is now identified as the Browning Well (E0006532). The well is properly
vented, but the casing does not extend the required l8-inches above surface |eve|..................11
Photograph L8: A reminder was given that all sources of contamination must be kept a
minimum if 50 feet from the well. This boat has an electric motor, but the best practice is to
keep items at a safe distance to avoid potential contamination ...11
Photograph 19: Overall view of the Browning Pump Vault. The pressure gauge was not working
properly at the time of the inspection and will need to be replaced. ..!2
Photograph 20: The threaded tap in the upper left corner needs a backflow prevention device
installed. The pump vault is not in clean condition, garbage, large rocks, and anything not
related to the water system should be removed............13
Photograph 21: Capped pump to waste. There are also hoses being stored in the pump house
but there are not proper backflow devices.
Photograph 22:The Browning Well pump is controlled by a VFD. ...
14
L4
2
photograph 1: Savage Well and Pump House. The area surrounding the well is not causing any potential
health-hazards. The-savage Well is located directly behind the pump house. The pump house is not kept
locked and is not protected from unauthorized entry (Significant Deficiency)'
photograph 2: Well #3 is now identified as the Savage Well. The casing extends above the required 18-
inches and is properly vented.
ldaho Department of Environmental euality
Photographic Documentation For: Shotgun North - \D722OO6S
Photograph 3: The identification tag on the savage well displays E0006531
Photograph 4: (Significant Deficiency)The Savage Well appears to have a smaller casing set inside alarger casing. This is not properly sealed, and surface water is sitting between the two casiigs.
4
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun North - ID722OO65
photograph S: (Significant Deficiencyl Standing water between the two casings allows for surface water
entry and contamination.
photograph 6: The Savage Pump Vault is locked and protected from unauthorized entry
5
ldaho Department of Environmental euality
Photographic Documentation For: Shotgun North - |D722OO6S
Photograph 7: Overall view of the Savage Pump Vault. There are three pressure tanks located in thevault. All three are Well-X-Trol model \M(-302 with a storage capacity oi 86 gallons.
Photograph 8: The sump pump is installed and discharging 30 feet from the well. There is not anaccessible check valve installed between the pump and shutoff valve (Srgn ificant Deficiency). There is asafety hazard for the operator, the ladder being used to enter the vauli ishissing a rung (oeiiciency).
6
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun North - ID722OO65
photograph 9: lnstalled pressure switch and properly working pressure gauge reading 58 psi.
Photograph 10: A gate valve installed on the distribution line
7
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun North - \D722OO6S
Photograph 1 1 : 3HP submersible pump control panel. Model 2923019310
P.hotograph 12: (Significant Deficiencyl Safety hazard exposed electricalwiring in the Savage pump
Vault. Documented in the previous sanitary survey.
8
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun North - ID722OO65
Photograph 13 (Significant Deficiency) Threaded tap in the Savage Pump Vault that is not protected by
a backflow prevention device.
t
9
Photograph 14: Capped pump to waste and where the sump pump discharge leaves the pump house.
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun North - |D722OO65
Photograph 15: A reading from the distribution at the time of the inspection was 65 psi
Photograph 16: The Browning Pump House with the Browning Well directly in front of the structure. Doors
to the pump house are not protected with locks (Significant Deficiency).
l0
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun North - ID722OO65
Photograph 17: Well#4 is now identified as the Browning Well (E0006532). The well is properly vented,
but the casing does not extend the required 18-inches above surface level (Deficiency).
Photograph 18: (Deficiency) A reminder was given that all source of contamination must be kept a
minimum if 50 feet from the well. This boat has an electric motor, but the best practice is to keep items at
a safe distance to avoid potential contamination.
l1
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun North - \D711OOGS
Photograph 19: Overall view of the Browning Pump Vault. The pressure gauge was not working properly
at the time of the inspection and will need to be replaced (Significant Deficiency). There is not an
accessible check valve installed (Significant Deficiency). The system now flows direcfly to distribution
and there is not a flow meter installed (Significant Deficiency). There is not a means for the pump vault
to properly drain, there is moisture present in the vault (signiflcant Deficiency).
l2
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun North - lD7220065
photograph 20: The threaded tap in the upper left corner needs a backflow prevention device installed
(Significant Deficiency). The pump vauti is not in clean condition, garbage, large rocks, and anything
not related to the wateiiystem'should be remov ed (Significant DeficiencyJ lt is unknown if the buried
pi"rrur" tank has neen droperly removed and/or abandoned. There is piping still in place that should be
removed.
l3
ldaho Department of Environmental euality
Photographic Documentation For: Shotgun North - ID722OO65
Photograph 21: Capped pump to waste. There are also hoses being stored in the pump house but thereare not proper backflow devices.
Photograph 22:The Browning Well pump is controlled by a VFD
14
;,-.*l!*,*-:;#_-'
i' 'v srATE oF IDAHo \'/
DEPARTN4ENT OF WATER RESOURCES
WELL DRILLER'S REPORT
Stro hnr toquiro $ar $lr rgDorrbe lllsd wlth tho Dlroctor, Department of water Resources
wlfiln 30 dryr dtlr thr r6omplatl6n or rbandonment ot ths wsll'
D Orher -*----.-From .ro
I feot ll rcot1 feet.100. teot
____ feo! ____t.at_- f6st ---fu
USE TYPEWRITER OR
BALLPOINT PEN
$, 'l',.1
/" 'l;
5. WELL CONSTRUCnoTT
Casing schedule: trl'Steel D,. Concrete
Thickns :' Dtmrsr,
.2\O - irchre ' I ..1 h'lches +
.2\O-_ inches ....6 ,. , . lnchesln"h*...-':lnch€!
-_=-
inctres Tl. '-
inct,es
Was casing drive *toe uradt , I tes
Was a packer or realuredl E Yssperforated? Orycs
tl NoilNo
f,, No
How perforated? B Factof D Knife O ?orch
Slze of perforation'- ffies by
-
lnches
Numbar I Fre- To
fret
perforgtions feet _.- foet
p€rforations teet --=--_- fedt
Well screen insiall€d? tr Yes iI No
Manufactutgt's
Type Model No.
Diameter
-.
Slot size ---Sst from
-foot
to
-fst
Diameter
-Slot
sizo --Setfr:)m
-feet
to
-f€et
Gravel packed? E Yes [1. No U Size of gravel --
Plac€d trom *_--- foot to fsat
Surface seal depth 3O+ Matarial used in seal: tr
m Eentonite tl Puddling claY tr
Ooment grout
Ssaling procedure used: D Slurry pit Ef, Temp. surf*e casing
I Overboru ro s€al d€Pth
Method ofioiningcacing: [J Threaded [f,Welded E Solvent
W6ld
, E ctmerited betw€en iratgi Doscii're "gs6sil:ptN.is"
'a'Ital-t -!4p ,- r' .:- :-rg
6. LOCATION OF WELL
Sketch map location mus! sgrec wilh written location.
Nr
Subdlvislon Name
uot No. -t-- Block No. *il--
pt,,Storn 3
perforaliom
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Flowing? il Yes F No G'P.M. Jlow
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-
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:$
7, WATER LEVEL
OualityTomperature ,-oF.Desctibe aalesian ot
1. WELL OWNER.T'!t'
.ri
"Y
Name
Address
,* L)\
Owner's Ptflttit Nq,
,,,, d#,ilVELL TEST DATA
O Pump t.l Bailer f1 Air D Other
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wsllNew tr Beplacernent!
abiadortm€nl te'ld€rtribs procedurtornAbandoh6d guch
tcpfu$deplh8,mat€ridl}litholog logletF.,-ih
9. LITHOLOGIC LOG
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i
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d Staf . U wast€ Disposal ot lni€clion
o orher __.--$j --.*
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I.JA t:mvr'l & shrlc6m
11, OBILLERS CERTIFICATION
l/We certify that all minimum well construction standards were
complied wlth at tho time the rig was removed'
Addrsls 1i|68 t. l?!!--9!teS-L- Date
ttiaho rurJa' Idrb 834ur
Signed by (Firm Official) --.-.--
and
(Operator)
No.Firm Name __!ndrg{-Udl-urilf iltgrm
sl7/86
County
treE AnnlTlnilAl ""r'T' ll ^lc'Ecq
u,
,:1ll
',',iJ'
REPORT
,Oapotln nr o{ Wotrr R.toutq.r within 3O
of the
OI!NER
ro
v,"ll
Total depth
LJ Concr€te . -.'i'.F .- 1;{v
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closed.in precsure'_.._-P's. I'
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il Bailer O Other
LOG
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-Work o*.6 i0-}?-?0 tinisrea io*?
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rdule:
{t
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rPerlorate l? . O '/es EI
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sireofr: tfotation
-
lil:tresbY-
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- perforations ...+- fe€t
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-
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,sl
No
Manufac' rrer's
Type-nlodel No.
Diameter .-Slot slto4 Sst from-.-lo€t to+*:
Diamerer - Slot size* Sst t?om.,-- fe,tt to-
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., Placed I'leet fBtr
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g c.rilrt
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lo ad
O. LOCATI IN OF ilELI :1.
' Sketch r rp loc6lion murl sg'o€ wlth wriften localion.
--t-
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i..bdtvidon *o"i:it ,'" 81!L-y11 1 8gc
-1 ''/
bl t{o i Eock ts.-:-
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r*
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usF ^ .lTloNAL SHEFTS lF Nr ^EecAr!v
R
Enorilapn THF trlultr inow t^ ruc hFoall?"- \rt
RTCR Sample Instructions
RTCR Sample lnstructions
Selectine Sa ole Locations
Contaminants like coliform bacteria may not be uniformly distributed, so it is critical that the
location(s) selected provide samples that are most representative of the water served to
customers in the PWS's entire distribution system. lt is especially important to identify and
include in the sample siting plan those features of the system that may affect the
microbiological quality of the water. PWSs should consider varying sample site locations
throughout the year to better characterize water quality throughout the distribution system'
When selecting sample locations, PWSs should consider:
e Sites that best represent water served to customers throughout the distribution system;
o Proximity to main transmission lines, pressure zones and storage tanks;
. Locations of dead-end pipes, loops and other areas of the piping system's configuration;
o Pressure zones that are upstream and downstream of all storage tanks;
. Cross-connection hazards;
. Seasonal customers or locations with inconsistent water use;
. Areas of the distribution system delivering water from different sources;
. Areas of the distribution system with longer retention times; and
. Areas of the distribution system with low water pressure and slow water movement.
Generally, sample locations should be:
. At a mid-distribution system point;
. Not on the transmission lines (e.g., the distribution system's largest pipes);
. Directly after the storage tanks, specifically for tanks with direct or flow through design (e.g.,
separate pipe for inlet and outlet); and
. Multipurpose sample locations'
o lf consistent with each rule, sample locations can be used for compliance with multiple
drinking water regulations. For example, compliance monitoring for Total
Trihalomethane and Haloacetic Acid under the Disinfectants and Disinfection Byproduct
Rules.
Repeat Sample Actions
Within 24 hours (unless an extension is granted by the primacy agency) of notification of a total
coliform-positive (TC+)sample result, a pWS must:
o Collect 3 repeat samples for each TC+ routine sample, even if a Level 1 or Level 2 Assessment
is triggered.
' Continue collecting a set of 3 repeat samples until, either TC is not detected in one complete
set or the system triggers a Level 1 or Level 2 Assessment.
PWS's must collect at least 3 repeat samples at the locations described in their sample siting
plan that include:
' one (1) at the same sample tap where the original TC+ sample occurred,I One (1)at a tap within five (5)service connections upstream of the originalTC+ 5i1g, 3n6
' One (1) at a tap within five (5) service connections downstream of the original TC+ site.
Sele ine Samoli Taps
Faucets and specially installed sampling taps are the two most common types of sampling sites.
lf faucets are to be used, each faucet should be examined carefully to ensure its suitability.
Some examples of potentially unsuitable faucets are:
. Swivel-type faucets because they are difficult to disinfect;
o Faucets with a single valve for hot and cold water;
o Faucets or taps with leaky packing material around the stem;
o Faucets that supply areas, such as janitorial or commercial sinks, where bacterial
contamination is likely;
r Faucets or taps close to or below ground level;
o Faucets that point upward;I Faucets that have threads on the inside of their spouts because they are difficult to disinfect;. Outdoor faucets; and
r Faucets with aerators because they may harbor bacteria. lf such faucets are used, it is
recommended that the aerator should be removed before a sample is collected and disinfected
before replacing it.
nt of Environmental QualitY
PrintForm
TotalColiform Sample Siting Plan Formldaho Departme
Total Goliform Sample Siting Plan
for Small Systems
Part 1. General System Information
This form is intended to assist public water system (PWS) owners and operators withdeveloping a total coliform^
*i"pi.-riii"g fi"". fttir i"i. i! airign"a r"r ryr19*l raking three sampGs each month or each quarter (serving.<3,300
people). Using this form is optional.Ho*.u.t; utf puUlic witer..syste^nl?re-IegyTf0.t^"^tt:y: a written sample siting plan
in ul.oraunrJ*itt", ttr.;'lOuttb Rules for Public Water Systems" (IDAPA 58.01.08'100.01).
PWSID:PWS Name:
Mailing Address
PWS Contact Name
E-mail Phone
Sources of Water:
Identify sources of
drinking water and
attach additional
sheets as necessary
Emergency Contact Name:
E-mail:Phone
PWS Type: f Community (cws) f Nontransient noncommunity (Nl"NC) [ Noncommunity transient (NCT)
Noncommunity Seasonal System: tr No f Yes* If yes, season close:
* Seasonal systems are required to perform annual start-up procedures prior to opening for the season unless exempted in writing'
Source/Facility ID
Name of drinking water source(s): well tag #,
name, spring name, intake source
Source Type
GW-ground water, SP--sPring,
SW--surface water, GU--ground
under the influence of SW,
water lrom other system
Usage
P-permanent (full/time),
E--emergency (not Planned
for use), I--interim to meet
peak demand
4Jog Virus
Inactivation*
Source has continuous
disinfection to Provide
4-log virus inactivation
I f Yes CNo
2 CYes CNo
3.f Yes CNo
4 C Yes CNo
Phone
Date:
source water ater arus
total coliform positive sample is required when a system using ground water does not have 4-log virus
inactivation for all ground water sources
Manifold: List sources that
combine before distribution
Disinfection Treatment Installed/Using: f None f Chlorine D Chloramination f Chlorine dioxide [] ozone
(check all that apply)
Owner/Operator Name
Signature:
Version 1.0 Page 1 of4
PrintForm
ldaho Department of Environmental Quality TotalColiform Sample Siting Plan Form
Part 2. Sampling Location Information
U
D
2 U
D
J U
Debruary I U
D
2.U
D
U
D
U
D
J.
I
2.U
D
Month Routine Sample Location
(address, sample station name)
sample
within 5(u connections fiomupstream routine,
D within 5 connections downstream from routine)
lst
E
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nd
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U
D
2.U
D
3 U
D
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2.U
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I U
D
2.U
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D
Version 1.0 Page 2 of 4
PrintForm
ldaho Department of Environmental Quality TotalColiform Sample Siting Plan Form
U
D
2 U
D
U
D
U
D
-t
1
U
D
2.
J
September 1
U
D
U
D
2.U
D
Repeat sample locations
(U = within 5 connections upstream from routine,
D = within 5 connections downstream from routine)Month Routine Sample Location
(address, sample station name)
3rd
a
U
A
R
T
E
R
T
E
R
th
U
-t
October I
U
D
U
D
2.U
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D
U
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3.
2 U
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J
2.
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Version 1.0 Page 3 of 4
PrintForm
ldaho Department of Environmental euality TotalColiform Sample Siting Plan Form
Yl:lelb]l: _!f!!1-lVstem owners or operators are not required to submit total coliform sample siting plans. Thetollowing circumstances require submiual and approval of your sample siting plan by your iocal fieid'office:' Owners and operators wlg.wf s! to propoid altemative fixed s'ample si'ie's or ciitl,ria for seteCting iiies'UareO onsituational information. This information needs to be written into a standard operating pto..AurE ur p".t "iift.plan.' Operators or owners of seasonal systems using only ground water and on monthly monitoring that qualify for andwish to take quarterly samples.
Other considerations:' Attach a schematic of the distribution system with locations marked for sample sites and other relevant watersystem information such as wells, storage tanks, booster stations, etc.' Ensure the entire distribution system is?epresented when identiffing sampling locations.' If there are two or more distribution systems and those distribution systems ar-e not interconnected, please ensuresamples.are taken from each distribution system d.gring each compliince period lmonttr o. quurt"ij.'' If a.routine.sampling location is.at the end-of the disfiIution syst6m o. ori" servi"e connection aw'ay from the endof the distribution system, identifu an altemative upstream or downstream sampling location from that routinelocation.' Repeat samples must be collected within 24 hoursof being notified of a routine positive sample result and must betaken the same day at different sites. However, if there i9.{nly one sampling toca:tion, ru"ft uJ*iift u "u-pgiouna,p],"::_: j9:-ttl0 Jvhe1h31 yo_u will take_ one repeat total colifoni sample p"r d'ay fot ttti.. consecutive Aayi'o?alarger sample size (300 mL) on one day.' Public water systems that use only ground water and do-not provide 4-log virus inactivation are required to taketriggered. source water samples aftei a routine total coliform positive ram"pt" result. The .ilpi;. "iff U" iut"nfrom each source active at the time the routine sample was taken and musi be taken U"f"re aiy iril;*t i;;*water).
Version 1.0 Page 4 of 4
STATE OT IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite I
ldaho Falls, |D.83402
Brad Little, Governor
Jess Byrne, Dlrector
November L6,2022
Dorothy McCarty
455 Constitution Way
ldaho Falls, lD 83402
Email: [e-mail]
Subject: Shotgun Kickapoo Subd 6 laD722OO64) - Sanitary Survey conducted on October L9,
2022
Dear Dorothy McCarty:
A sanitary survey was recently conducted for Shotgun Kickapoo Subd 6 (1D7220064). This letter
provides the sanitary survey report and photos for your records.
Significant Deficiencies - Significant deficiencies identified in this report must be
addressed after consulting with the ldaho Department of Environmental Quality (DEQ),
ldaho Falls Regional Office. Consultation and a written corrective action plan are
required within 30 days of any significant deficiencies and/or follow-up requirements
identified in this notification (IDAPA 58.01.08). Follow the four steps identified in the
sanitary survey report to address all significant deficiencies.
Deficiencies - The public water system operator/owner identified in this report must
address the deficiencies in a timely manner.
Recommendations -
Recommendations identified in the report are not required to be corrected at this time,
but it is recommended.
Consult DEQ before taking specific corrective actions or modifying the water system. Modifying
your public water system or installing new components may require assistance from an ldaho
licensed professional engineer and DEQ's review and approval. Contact this office before
making modifications to your system.
Thank you for your help in completing the sanitary survey. For questions, contact Kelsey Carter,
Drinking Water Compliance Officer, ldaho Falls Regional Office, [phone],
[e-mail]
1
STATE OF IDAHO
DEPARTMENTOF
EWIRONMENTAL QUALITY
900 N, Skyllne Dr., Suite B
ldaho Falls, 1D.83402
Brad little, Governor
Jess Byrne, Dlrector
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
Enclosures: Sanitary Survey Report, Photo Log, Maps, Survey Forms, Well Log, Site Sampling
Plan lnstructions, and Site Sampling Plan Template
Troy Saffle, Regional Administrator, IFRO-DEQ
Carlin Feisthamel, Regional Engineering Manager, IFRO-DEQ
Jason Fales, Drinking Water Compliance Supervisor, IFRO-DEQ
C:
.,
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Sulte B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Dlrector
Sanitary Survey Report
Shotgun Kickapoo Subd 6 - lD722OO64
Survey conducted on October t9, 2022
Report generated on November L6,2022
Narrative
Shotgun Kickapoo Subdivision 6 is located in Fremont County, in the lsland Park area, along
Yale-Kilgore Road. The water system consists of one groundwater source serving 18
connections and an average daily population of 65 individuals year-round. Based on the
number of people using the system it is considered a very small water system (VSWS). The
water system is classified as a transient non-community (TNC) because the system does not
regularly serve the same twenty-five people over six months out of the year. A TNC is not
required to have a certified operator overseeing the system operations. The water system
supplies water throughout the entire year and does not depressurize or drain the distribution.
Dorothy McCarty is the main contact and owner of the system with lsland Park Water
Company. This system is regulated by the ldaho Public Utilities Commission. Mrs. McCarty was
present for the sanitary survey as well as Engineer Mike Lund. Together they were able to
answer questions and discuss important aspects of the public water system. The previous
sanitary survey was conducted on July 31, 2OL7. These inspections are conducted every five
years to ensure allthe system's components are operating correctly and to identify any
potential health hazards. There are seven significant deficiencies identified in this report.
The one well serving the subdivision is located just off the northeast corner of the pump house.
All required setbacks to the well from potential health hazards are being met, depicted in
photographs L and 4. A Well Driller's Report is available for this well. The Kickapoo Well was
drilled in August L972to a depth of 7L feet. The steel casing is 6-inches in diameter and extends
down to 50 feet. A bentonite puddling clay was used to surface seal the well to L9 feet. The
casing is not screened or perforated. The casing extends above the required 18-inches from the
ground surface to the sanitary seal shown in photograph 2. The well cap was securely attached
to the casing and properly vented as seen in photograph 3. The drawdown is unknown so the
wellcap should remain vented. The wellvent is located on the bottom of the wellcap and
serves to equalize the pressure within the well column to prevent air from entering the well,
which can cause a vacuum to occur where potential contaminates can be drawn back into the
system. At the time the well was drilled, the static water level was measured at L7 feet.
-J-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, |D.83402
Brad Little, Governor
Jess Byrne, Director
A single buried pressure tank is located next to the pump house. lt was not accessible for the
inspection. The specifications for the pressure tank are all unknown, including brand, model,
and capacity. lt is thought to be a 2,000-gallon steel buoy that has been in place for over ten
years. The pressure tank has not been tested for structural integrity due to it being inaccessible
The tank is capable of maintaining pressure greater than 40 psi. At the time the sanitary survey
was conducted, the pressure gauge was reading 54 psi as shown in photograph 8. The pump
was not cycling excessively, another indicator that the tank is still functioning properly. The
specifications for the pump are also unknown, other than it is
submersible. An accessible check valve is installed on the line after the pump to waste seen in
photograph 7. There is an adequate pump-to-waste with a secure cap in place. The distribution
consists of galvanized steel pipingthat is being replaced with PVC when repairs are made. The
main line size is 1.5 inches. All valves are exercised at least once every quarter. There are no fire
hydrants or flushing hydrants in the water system. There has been freezing within the water
system, but not in the main lines. Homeowners are responsible for where they connect on the
main to their home. The system was designed for seasonal use and the main lines and service
connections' depth are unknown, but likely buried less than 5 feet.
The pump house does not have an installed lock on the door, this is deemed a significant
deficiency. Mrs. McCarty mentioned that the system has troubles with individuals cutting the
locks, however, the locks will deter some individuals, and prevent unauthorized access into the
pump house. The pump vault must also be kept secure with a lock as a deterrent to minimize
any potential damage or contamination to the water system components. This significant
deficiency is identified in photograph 5. lt is recommended to install a locking well cap or a
fence surrounding the well for the same reason. The pump house is not equipped with any
lighting, a source of light should be provided for repairs and safety. The overall condition of the
pump house was clean and in good repair. There was pooling water in the pump vault which
creates a potential health hazard and could damage any electrical wires and cause corrosion
shown in photograph 6. This has been deemed a significant deficiency, and a floor drain, or
sump pump must be installed. All threaded taps will also require the installation of a backflow
prevention device. Previous sanitary surveys mentioned an uninstalled flow meter in the pump
vault, this has been removed and there was no flowmeter installed. There is a safety concern
for the operator with the ladder being used to enter the pump vault missing a rung. There have
not been any reported issues with freezing in the pump house, there was not a heater or
installation present at the time of the inspection.
A site sampling plan will be required to be submitted to DEe by the end of the year. Currently,
samples are only being collected from the same location each quarter. Samples should
represent the entire water system and each quarter bacteria samples must be collected from a
different location, with backup locations identified. Once the site sampling plan is submitted it
-4-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Liftle. Governor
Jess Byrne, Dlrector
must be followed when collecting samples or they may be deemed non-compliant. Samples
were collected for all 4 quarters of 2022, with no violations within the last 5 years. The annual
nitrate sample has already been collected for 2022 as well.
The subdivision is up to date with the annual state drinking water fee. Homeowners are
charged a 5280 drinking water fee set by the Public Utilities Commission. These fees cover
system maintenance, repairs, and collection of compliance samples. There is not a current map
of the distribution nor an overalloperations and maintenance manual. Overall, the system
appears to be in working condition and is operated with funds and personnel to provide
maintenance and provide reliability.
-5-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD, 83402
Brad Liftle, Governor
iess 8yme, Director
Significant Deficiencies:
A significant deficiency as identified during a sanitary survey, is any defect in a system's design,
operation, maintenance, or administration, and any failure or malfunction of any system
component, that the DEQ or its agent determines to cause, or have the potential to cause, risk
to health or safety, or that could affect the reliable delivery of safe drinking water (IDAPA
58.01.08.003.131). Failure to address significant deficiencies constitutes a violation of IDAPA
58.01.08.302 or 58.01.08.303.
Significant deficiencies may reference IDAPA design standard requirements. IDAPA rule
citations for sections 500-549 are primarily requirements during the design or modification
stage of a new system or component, and may not be enforceable as part of a sanitary survey.
These requirements are listed to provide reference of what current standards would apply if
that particular component were designed, modified, or constructed today. Corrective actions
that include material modifications must be approved by DEQ.
To address all significant deficiencies identified in this report, follow steps 1-4.
Step 1- Within 30 days of receiving this notification, submit to DEQ in writing a
corrective action plan including planned completion dates for each identified significant
deficiency.
Step 2 - Complete the planned action(s) by the "Planned Completion Date(s)."
Step 3 - After completing each planned action, enter an "Actual Completion Date," your
initials, and write the "Corrective action taken."
Step 4 - Sign your name at the bottom certifying that each corrective action has been
corrected by the planned completion date and your public water system has completed
the sanitary survey response requirements pursuant to IDAPA 58.01.08. Send a copy of
the signed paperwork to DEQ.
-6-
STATE OF IDAHO
DHPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
Hydropneumatic Tanks
Question #2- lsthe tank located in a structure that is protected from flooding and unauthorized
entry? (Locked, wotertight wolls and floor, floor droin, acceptoble cover, etc./ No.
Note: The vault is not kept locked and is not protected from unquthorized entry
(Photographs 4 ond 5). There is no floor drain or sump pump in the pump vault. The
structure housing the hydropneumatic tanks is not protected from flooding ond/or is not
adequately droined (Photogroph 6). The pressure tonk is buried ond does not meet the
current rules. When the pressure rank foils it will need to be reploced with on qbove-
ground pressure tonk.
The hydropneumatic tanks are not above normal ground surface and/or completely housed (IDAPA
58.01.08.547 .O7.al.
The structure housing the hydropneumatic tanks is not protected from flooding and/or is not
adequately drained and/or the ground surface is not graded to lead surface drainage away from the
structure (IDAPA 58.01.08.541.01.b). The hydropneumatic tank housing is not adequately protected
against unauthorized entry.
ln the event of o leok, broken pipe, or severe weother, inodequote droinoge moy cquse damoge to the
electricol and heoting systems. lf the construction of o pit contqining the hydropneumatic tank(s) is not
wotertight, ond the pit does not have an adequote droinage system, the pit con flood cousing surfoce
woter carrying debris, bacterio, pesticides, fertilizers, oil products, etc. to increose the potentiolfor
source contaminotion.
Submit planned completion dates to DEQ by 72/19/2022
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitials:
Corrective action(s) taken - Photos must be submitted
-l -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr.,Suite B
ldaho Falls, lD.83402
Erad Little, Governor
less 8yrne, Dlrector
Pumps
Question #72- Are all pump houses protected from unauthorized entry? (Locked, duroble
construction, etc.) No.
Note: The pump house ond voult ore not kept locked (Photographs 4 and 5)
The pump house for [PUMP_TAG_NUM] does not have a locked door or access and/or is not of durable
construction to prohibit unauthorized entry, vandalism, and entrance by animals (IDAPA
58.01.08.541.01.c. and f).
An unsecured pump house compromises security ond leoves the structure vulnerable to unauthorized
entry, vondolism, ond sobotage.
Submit planned completion dates to DEQ by 12/L9/2022
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s)taken - Photos mustbe submitted:
-8-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD.83402
grad Little, Governor
Jess Byrne, Director
Question #74- ls adequate backflow protection provided on all threaded taps/ hose bibs
installed in any of the pump houses? No.
Note: None of the threaded tops have backflow prevention devices installed
(Photograph 6).
Allthreaded taps/ hose bibs installed in the pump house are not equipped with an appropriate backflow
prevention device (IDAPA 58.01.08. 541.01.n).
An appropriate backflow device (typicolly o top/ hose bib vocuum breaker) protects the potable water
supply from contaminotion should a bock-siphonage bockflow event occur'
Submit planned completion dates to DEQ by L2/L9/2022'
Corrective Action Plan
Planned Completion Date
Actual Completion Date:lnitials:
Corrective action(s) taken - Photos must be submitted:
-9 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr.,5uite B
ldaho Falls, lD. 83402
Brad Little, Governor
.less Byrne, Director
Question #75- Are there signs of excess heat, moisture, or corrosion damage in any of the
pump houses? (lnadequate ventilationl Yes.
Note: There is excessive moisture in the pump vault. There is pooling woter at the
bottom of the vault (Photogroph 6).
There is not adequate ventilation in the pump house for dissipation of excess heat and moisture from
the equipment (IDAPA 58.01.08.541.01.e). At the time of the inspection, there was evidence of
corrosion of metallic and/or electrical components from excessive heat and/or moisture.
Excess moisture in a pump house can lead to premoture foilure of electrical control systems ond creote
unsofe conditions for operators. Extremely high temperotures moy also damoge electric motors.
Submit planned completion dates to DEQ by L2/t9/2O22.
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitials
Corrective action(s) taken - Photos must be submitted
- 10-
STATE OF IDAHO
DEPARTMENT O[.
ENVIRONMENTAL QUALITY
900 N. Skyline Dr.,Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
Question #77- Are all pump houses protected from flooding and surface water entry? (Droined,
ground surfoce graded to lead surfoce woter oway, etc./ No.
Note: There is no floor drain or sump pump installed to prevent flooding (Photogroph 6)
The pump house is not protected from flooding andlor is not adequately drained and/or the ground
surface is not graded to lead surface drainage away from the pump house (IDAPA 58.01.08.541.01-.b).
Pump houses must have adequote drains to protect the equipment if o pipe breaks inside the focility
cousing flooding. Protect all electrical controls, motors, ond equipment from flooding. Pump houses must
be constructed to prevent surfoce water from entering the focility.
Submit planned completion dates to DEQ by 72/L9/2O22.
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s) taken - Photos must be submitted
- 11-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline D..,suite B
ldaho Falls, |D.83402
Brad Little, Governor
less Byrne, Director
Financial/Managerial Capacity
Question #28- Do all Sample Siting Plan(s) meet the minimum requirements? No
Note: Samples ore only being collected from 4043 Kickapoo since 2QT20. Somples must
be taken from different locations each quorter to get an adequate representation of the
whole distribution. A site sompling plon must be submitted by L2/31/2022.
The system owner does not have a current written sample siting plan that meets RTCR
requirements (40 CFR 141.853.a). An RTCR sample siting plan needs to be developed and/or
implemented.
A sample siting plan is designed to specify where in the distribution system samples will be
drawn to ensure they are representative of the wqter system.
Submit planned completion dates to DEQ bV L2/31/2022.
Corrective Action Plan
Planned Completion Date: t2l3t l2O22
Actual Completion Date:lnitials:
Corrective action(s) taken: Plan template musf be submitted to DEQ for approval
-12-
STATE OF IDAHO
DEPARTMENT OI.'
ENV IRON MI:NTAL QUAt-lTY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governot
Jess 8yrne, Director
Question #29- Are samples being taken in accordance with the Sample Siting Plan(s)? No.
Note: There is not o current site sompling plan in place. A site sompling plan must be
submitted by 12/31/2022.
RTCR monitoring samples are not being taken in accordance with the approved sample siting
plan (40 CFR 141.853.a).
Somples not taken in accordance with a sample siting plan, may not be representotive of the
distribution system resulting in the water system not receiving credit for sompling.
Submit planned completion dates to DEQ bV t2/3L/2022.
Corrective Action Plan
Pla n ned Com pletion Date: t2l 3Ll2O22
Actual Completion Date:lnitials:
Corrective action(s)taken: Plan template must be submitted to DEQfor approval
I certify, to the best of my knowledge that all significant deficiencies have been corrected by
the agreed upon date and that the corrective action meets the requirements pursuant to
rDAPA 58.01.08.
Signature:Date:
- 13 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N, Skyllne Dr., Suite I
ldaho Falls, lD, 83402
Brad Little, Governor
Jess Byrne, Director
Deficiencies:
Deficiencies identified in the report should be addressed by the Public Water System's
operator/owner in a timely manner.
Wells
KICKAPOO WELL (EOOO6529I
Question #70- ls a raw water smooth nosed sample tap provided on the discharge pipe? (Prior
to ony treotment) No.
The discharge pipe for Well: E0006529 does not provide a sample tap that is properly located, or the
sample tap that is used to collect bacteria samples is not of the smooth-nosed type without interior or
exterior threads and/or is a mixing faucet and or is of the petcock type and/or has a screen and/or has
an aerator (IDAPA 58.01.08.511.01).
A raw-water sample top should be smooth-nosed with no interior or exterior threads, screen, oerotor, or
other ottoched oppurtenonces to ollow for proper sampling techniques and to decrease the risk of
contaminating o somple during collection.
Question #77- ls a working flow meter provided? (lnstant, totaling, nonvolatile memory,
instolled on discharge pipe, efc./ No.
The pump distribution line for Well: E0006529 does not provide an instantaneous and totalizing flow
meter equipped with nonvolatile memory and/or the installed flow meter is not working properly.
lnstall an instantaneous and totalizing flow meter equipped with nonvolatile memory the next time
material modifications occur to this section of the water system (IDAPA 58.01.08.5L1.04).
Aflow meter meosures totalflow (gallons)and flow rate (gpm). Aflow meter can help detect changes in
the system so the operotor can toke corrective action before a serious problem develops as well as
provide more accurote occounting of water production.
Pumps
Question #7- ls a working flow meter provided for each pump? (Required if pump is connected
directly to the distribution system) No.
The pump which is directly connected to the distribution system does not have an instantaneous and
totalizing flow meter (IDAPA 58.01.08.542.04). lnstall an instantaneous and totalizing flow meter the
next time material modifications occur to this section of the water system.
-t4-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N, Skyline Dr.,Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess gyrne, Director
A ftow meter meosures totat ftow (gotlons) ond ftow rote (gpm). Aflow meter con help detect chonges in
the system so the operotor can toke corrective oction before a serious problem develops as well as
provide more occurote occounting of woter production
Question #73- Do all pump houses have adequate lighting throughout? No.
The pump house does not have adequate lighting throughout (IDAPA 58.01.08.501.05.a). lnstall
adequate lighting the next time material modifications occur to this section of the water system.
The interior of the buitding must hove permanent tighting for operotor safety ond to facilitote inspections
ond mointenonce at night.
FinanciaUManagerial CaPacitY
euestion #33- lsthere an overall operation and maintenance manual for the PWS? (including
equipment manuols, as-builts, SOPs, monufocturer's literature, etc.) No.
There is not a complete operation and maintenance (O&M) manual for this public water system (IDAPA
5g.01.0g.50LI2,OO3.g2, and 003.93). An O&M manual needs to be developed and/or implemented.
o Submit an O&M manualfor review and approval. Upon approval, the operator must operate the
system in accordance with the approved O&M manual. At a minimum, include the following
items in the O&M manual:
o daily, weekly, monthly, and yearly operating instructions
o information specific to a particular type of treatment
o location of valves and other key distribution system features
. pertinent telephone and address contact information including the responsible charge water
system operator and water system owner
. operator safetY Procedures
o alarm system and emergency procedures
o trouble-shooting advice
. water quality testing procedures
. response plan for depressurization events
. customer service procedures
. response plan for customer complaints
o maintenance information and checklists
o manufacture/s product information including troubleshooting information
o parts list, spare parts list, and parts order form
. necessary sPecial tools
-15-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Dlrector
An O&M manuol provides procedures to operote ond maintain a facitity's vorious systems ond
equipment. lt is important to onolyze and evoluote o facitity from the system level, then develop
procedures to attoin the most efficient systems integrotion. Lqck of an O&M manual can leod to system
failures and contomination of drinking woter.
Question #37- Does a safety concern exist for personnel and/or visitors? (ppE,
handroils/guo rdroils, ladders, non-slip triads, etc./ yes.
Note: A broken ladder is being used to enter the Kickapoo pump vaurt.
Safety hazards were identified during the sanitary survey. The owner/operator should address the
identified safety concerns to protect personnel and visitors (IDAPA 58.01.08.501.14). Each facility should
be equipped with a fire extinguisher and necessary personal protection equipment (ppE); install
appropriate handrails and guards as needed; anchor equipment, including all ladders, ensure equipment
is structurally stable; and consider all other safety codes and regulations. DEe does not enforce
applicable safety codes and regulations, including occupational Safety & Health Administration (oSHA)
regulations. The PWS owner is responsible for knowing and complying with applicable safety codes and
regulations.
The water system should ensure the sofety of oll personnel/visitors.
-16-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, 10.83402
Brad Little, Governor
less Byrne, Director
Recommendotions:
Recommendations identified in the report are not required to be corrected at this time, but it is
recommended.
Wells
K|CKAPOO WELr (E00065291
Question #6- ls the well (not located in a pump house) protected from unauthorized access?
(Locking cap, fenced, etc.) (Recommended) No.
Note: (Photogrophs 2 ond 4)
Well: E0006529 (not in a pump house) should be protected from unauthorized access through fencing
around the source and/or use of a locking well cap.
Hydropneumatic Tanks
Question #6- Have all hydropneumatic tanks been tested for structural integrity in the past 5
years? (Recommended) No.
Hydropneumatic tanks should be tested for structural integrity every 5 years or be replaced with a
pressure tank of the same volume that meets American Society of Mechanical Engineers (ASME) code
requirements.
Distribution Systems
DISTRI BUTION SYSTEM (T7220064D51I
Question #6- ls a current map of the distribution system available? (Recommended) No.
A current map of the distribution system was not available during the inspection. Maps should be made
available showing main sizes and locations of valves, hydrants, storage tank locations, and
interconnections to other systems. Update maps annually to reflect current conditions. A map should be
kept with the Operations and Maintenance Manual.
-17 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD.83402
Erad Little, Governor
Jess Byrne, Dlrector
Question #73- ls there a water loss control program? (Recommended) No.
A water loss control program should be put in place and utilized. More than 15% water loss is an
indication of either inaccurate meters or excessive leakage. lnaccurate meters result in lost revenue and
leaks are potential points for entry of contaminated groundwater. The following is a link to an EPA
resource for developing a water loss control program:
https://www.epa.gov/sites/production/files/2oL5-04ldocuments/epa816f13002.pdf.
Question #75- ls there a water efficiency program? (Recommended) No.
A water efficiency program should be implemented. lmprovements in water efficiency in the
distribution system begin with metering, water audits, and water loss control programs. The following is
a link to an EPA resource for developing a water efficiency program:
https://nepis.epa.gov/Exe/ZyPDF.cgilP100MEV6.PDF?Dockey=P100MEV6.PDF.
Financial/Managerial Capacity
Question #34- Does the PWS have an Asset Management Plan? (Recommended) No
An Asset Management Plan should be established for the PWS. The assets of a water system include the
natural and engineered components for providing water (e.g., source water, pumps, motors, storage
tanks, treatment plants, pipes). A good asset management program typically includes a written plan for
achieving the best appropriate cost for rehabilitation, repair, or replacement of a public water system's
assets. Asset management is effective in maximizing the value of capital as well as minimizing operations
and maintenance expenditures. To learn more about asset management, go to EPA's website at:
http://water.e pa.gov/infrastructu re/susta i n/asset_ma nagement.cfm
-18-
11116122,8:32 AM Sanitary Survey
Protecting Pubtic Heatth and the Environment
Department of Environmental Quality
Sanitary
DEV
Survey
ELOPMENT
Sanitary Survey
ID722OO64 . SHOTGUN KICKAPOOPw): suBD 6
Jurisdiction: IDAHO FALLS REGIONAL OFFICE
Sanitary Survey Date: 10/1912022
General
Approval
Status:Approved
SDWIS Website
# Ground
Water
Sources:
# Surface
Water:
Primary
Source Type:
Total
Population:
# Service
Connections:
0
GW
65
18
Noncomm
System Distribution
Classification I Treatment:
PrimaryCounty FREMONT
Served:
owner Privatelype:
!"931 coroorationtntrty:
# Storage ^Facilities: '
I#:r", (gat)
1
I Community
Water SystemType: NoncommunitY
Nontransient
'Transient
N/A
AnnualOperating Period - Population Served:
Water Purchased From:
Water Sold To:
Sanitary Survey lndex
ModuleilJsed #
GeneraI
lnformation 1
Wetts 1
Springs
lntakes and
lnfittration
Gatleries
Consecutive
Connections
Storage Tanks
Hydropneumatic
Tanks 1
Distribution
Svstems 1
Pumps 1
freatment
Plants
Chtorinators
Gas CL2
Financiat-
ManaqeriaI 1
Total Modules 6
01tol 12t31 T 65
Begin Date End Date Type Estimated Count
PWS NamePWS Num Status
None
PWS NamePWS Num Status
file:///C:/Users/kcarter/DownloadsllD7220064-Finalized-ESSForm (6).html 1t15
11116122,8:32 AM
Contacts
* All systems must have an AC and FC (one of eoch only).
* All C and NINC must have a DO.
Sanitary Survey
AC MCCARTY,
DOROTHY A
455
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
EC MCCARTY,
DOROTHY A
455
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
FC ISLAND PARK
WATER INC A PO BOX 2521 IDAHO
FALLS ID 83403
208-
522
8033
OW ISLAND PARK
WATER INC A PO BOX 2521 IDAHO
FALLS ID 83403
208-
522
8033
SA MCCARTY,
DOROTHY A
455
Constitution
Way
rDAr-ro
FALLS ID 83402
208-
521-
2369
[e-mail]
Type Name Status Addrl City State 7ip Biz
Phone Ext Mobile Emergency Fax Email
file:///C:/Users/kcarter/DownloadsllD7220064_Finalized_ESSForm (6).html 2t',t5
'11116122,8:32 AM
Facilities
Sanitary Survey
-1 I 1.446602Y8t91197244.468002E0006529lrccraroo wer-l WL A Permanent
N
Ir eururo
lnvonoNrumartc
luNr
1 H-TANK ST A
D5 A N 6t6t1986r 7 zzoo64Ds1
| !ftg;"' o *
WSF Statc
Assigned lD Name
(Tag)
Ty pe Stat us Avai labi li ty,,io",l'"t i|. . o n 3,?tu?,"0
Lat/Long
VerifiedLatitude Longitude
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'11116122,8:32 AM
General Questions
General Questions
Sanitary Survey
g 'r"l i--l t, ttave materlat modifications been made to the PWS slnce the tast survey?
"l .. ,1 U .._ j 2. lf yes, were ptans and specs submitted to and approved by DEQ?
Yes No N/AUnk csL
Add
Add
AddWeretakenthethelndlcatewhatv{eresamplesduringsurveybyufinspector?YCS'somples3.lncollected Notes.thegl
---t
t.)
(0)
file:///C:/Users/kcarter/DownloadsllD7220O64_Finalized_ESSForm (6).html 4t15
YesE0006529WELL
WSF State
Assigned lD Name
(Tag)
Verified
'l1l'16122,8:32 AM Sanitary Survey
Wells
file:///C:/Users/kcarter/DownloadsllD7220O64-Finalized-ESSForm (6).html 5/1 5
11116122, 8:32 AM
Y"tt KcKAPoo WELLName:
Tag . Eooo6529NumDer:
Sanitary Survey
Well Questions
Pump- l-A-Ulg--Questions {Only pump houses that contain a Groundwater Source)
Yes No N/AUnk
14. ls the wett enctosed in a pump house?
15. ls the pump house protected from contamination? (Clean, in good repair, etc.)
16. ls the pump house protected from unauthorized entry? (Locked, durable construction, etc.)
17. Does the pump house have adequate tighting throughout?
18. ls adequate backftow protection provided on all threaded taps instatled in the pump house?
19. Are there signs of equipment damage due to excess heat, moisture, or corrosion?
(i nodequate ve nti lati on)
csL
(0)
(0)
(0)
Add
Add
Add
Add
Add
Add
Yes No N/AUnk csL
1. ls there a wet[ log for the source? EDMS#:20194C43243 Add
, Are surrounding tand uses creating health hazards or increasing the potential for source-' contamination? (Setbacks not met, dumping, etc.)
, Are toxic or hazardous chemicats stored on the wett tot? (pesticides, paint, herbicides,-' fertilizers, petroleum, etc.)
4. Are pesticides, herbicides, or fertilizers apptied to the well lot without approvat?
Add
(0)
Add
(0)
Add
(0)
lf the wett is in a pit, is the pit protected from flooding and contamination? (watertight walls
5. and floor, floor drain, acceptable pit cover, etc.)
Notes: Welt is not located in a pit. (0)
ls the well (not located in a pump house) protected from unauthorized access? (Locking cap,
6. fenced, etc.) (Recommended)
Notes: (Photographs 2 and 4) (0)
Edit
Edit
, ls the wetl protected from ftooding? (casing height'highest flood level, >18" outdoor, >12"'' indoor, etc.)Add
,. ls the wet[ property vented? (24 mesh screen, open downward >18" outdoor or >12" indoor,
etc. )
(0)
(0)
(0)
(0)
(0)
(0)
Add
9. Does the wett casing and cap prevent contamination and surface water entry?Add
', i;.rlilffiter smooth nosed sampte tap provided on the discharge pipeT (Prior to any Add
11
ls a working ftow meter nonvolatile memory, installed on Adddischarge pipe, etc.) Gatlons:
ls a worki gauge provided? (lnstant, installed on discharge pipe, etc.) PSI12.Add
,, ls an adequate pump-to-waste provided? (Capacity of the well, oir gap, prior to the first''' service connection, etc.)Add
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(0)
6/15
11116122,8:32 AM Sanitary Survey
i .l gl fl ZO. ts there a history of pump house equipment freezing ftaderyate heattng)
ls the pump house protected from ftooding and surface water entry? (Floor drain, ground
surface graded to lead surface water oway, etc.)
i_r gl i:J ,, Does the configuration of the ftoor draln or sump cause a contamlnation risk? (cannected to
"' other dralnage systems, sump < 30 feet frsm well, etc.)Add
(0),l
{0)il
(0)
i--)IJ
Add
Addr:gj)zr
file:///CJUsers/kcarter/DownloadsllD7220064-Finalized-ESSForm (6)'html 7t't,
11116122,8:32 AM Sanitary Survey
HVdro
The questions, below, apply to all Hydropneumatic Tanks.
Hydfgpneumatic Tan ks Quest
Bladder Tanks Only
Non-Bladder Thnks Only
ED PRESSURE TANK ALL SPECS ARE UNKNOWN
1 BURIED1 H-TANK C TANK
CommentsTag Name
1. ls the system served by variable speed pumps (VFDs)? (Recommended)
ls the tank located in a structure that is protected from flooding and unauthorized entry?(Locked, watertight walls and f loor, lloor drain, acceptable coier, etc.)
Notes: The vault is not kept locked ond is not protected from unauthorized entry (Photographs 4 and 5). There
2. is no floor drain or sump pump in the pump vault. The structure housing the hydropneumotic tanks is not
protected from flooding andlor is not adequately drained (Photograph 6). The pressure tank is buried and does
not meet the current rules, When the pressure ronk fails it will need to be reploced with an obove-ground
pressure tonk,
r 1. Can all hydropneumatic tanks be isolated from the system without depressurizing the"' distribution system?
O. Do the exterior surfaces appear to be in good condition? (Coating intact, no corrosion, etc.)
Notes: The pressure tonk is unoble to be seen and has not been recently inspected.
; 5. Do atl tank supports appear to be structurally sound and adequate?
ffofes: The pressure tank is unable to be seen and hos not been recently inspected.
r 6 Have a[[ hydropneumatic tanks been tested for structurat integrity in the past 5 years?: v'(Recommended)
i
I
)
csL
(0)
Edit
(0
Add
:) Add
Edit
Yes No N/AUnk
,.l: i ) laa
(0)
l' Edit
(0)
Yes No N/AUnk csL
_ l-|"_t the pre-charge on atl btadder tanks been tested in the tast year to ensure the air pressur€
1: 7. is 5 psi betow the low operating pressure for the system? (Recommended) Edit
This PV{S has no bladder tonk.(0)
Yes No N/AUnk csL
t. ls the recharge air protected from contamination? (free of air compressor oil, clean air filter,etc.)
n. Are installed appurtenances working property and protected from contamination? (access" manhole, drain, water sight glass, means to add air, air blow-off , etc.)
Add
(0)
Add
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T7220064D5',1 DISTRIBUTION SYSTEM
WSF State
Assigned lD Name
(Tag)
11|16122,8:32 AM
Distribution S ystems
Sanitary Survey
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11116122,8:32 AM
Distribution
System
Name:
Tag
Number:
Sanitary Survey
DISTRIBUTION SYSTEM
T7220064D51
Distri bution Sy5lgnn_.lQuestions
Main tine type of materials are? (Se{ect all thot apply) Steet
1' Asbestos/Cement Copper PVC Ductite lron
Yes No N/AUnk csL
Gatvanized Other Plastic
2. Main line sizes?1 .5-inch
3. Number of Metered Connections?out of 18
4. Number of Fire Hydrants?
5. Number of Flushing Hydrants?
6. ls a current map of the distribution system availabte? (Recommended)
Have public notifications, DEQ notifications, and fottow-up actions been fottowed for any
planned or unptanned depressurizations in the past year?
, No public notifications, DEQnotifications, or follow-up actions were required for planned or unplanned
depressurizations in the past year.
Was the pressure measured at a service connection? PSI
7.
8.
HDPE (btack)
Gray lron
Location:
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
Add
Add
Add
Add
Add
Add
Edit
Add
Add
Add
Add
Edit
Add
Add
Add
Edit
Edit
Add
Time o
n ls a minimum system pressure of 20 psi. maintained at all seMce connections? (lncluding fire" flow - ldentify pressure complaints in the Notes.)
tn ls a minimum system pressure of 40 psi. maintained during maximum hourty demand'-'conditions?. (PWSS constructed after 7/1/1985 - Excluding fire flow)
11. Does pressure exceed 100 psi at any seryice connection?
12. Are valves inspected and exercised regutarty? (Recommended)
Notes: Quarterly
'l3.ls there a water loss controt program? (Recommended)
14. ls the owner/operator aware of any leaking water mains?
15. ls there a water efficiency program? (Recommended)
16. Are att dead end mains equipped with a means to ftush?
Notes: No deod end mains exist in this distribution system.
17.Are dead end mains ftushed at least semiannually?
Notes: No dead end mains exist in this distribution system.
.,r. Are.there any materiats used that shoutd not be in contact with drinking water? (Pipes,
sealants, components, etc. )
10/15
0
0
0
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11116122,8:32 AM Sanitary Survey
19. Does the system experience water main freezing?
Pges: Freezing hos occurred at the service connections.
Are there any connections that provide supplemental disinfection and meet the definition of
' 20.a PWS but are unregutated? (Recommended) (Hospitals, businesses, long-term care facilities,
etc.)
: 21. fr:cfffr"XyJirr"d
subsurface water storage tanks that need to be abandoned?
22.Are there any water suppty we[[s that are no longer being used that need to be abandoned?
(Recommended)
Cross Connection Control
Edit
(0)
(0)
(0)
Add
' Add
Add
Yes No N/AUnk
ls an adequate cross connection control program provided and imptemented? (Community
' , 23. PWS only) (Authority to implement, inspection progrom, adequate protection, onnuol
testing,ability to discontinue service, 10 days to repoir a foiled device)
, 74.|s the operator trained in cross connection controt? (Recommended)
"= Are att backftow preventers owned by the PWS tested annuatty?LJ.--- Notes.' This PWS does not own ony testoble backflow preventers.
Are there any known unprotected cross connections? (Submerged blow-offs, direct
26. connections to storm or sewer drains, connection to unapproved source, uncontrolled fire
hydrant use, treatment bypass with raw water, etc.)
27 Are atl non-potable mains, hydrants, and taps easity identified as such?
'Notes.' There are no non-potable mains, hydrants or taps,
ls the discharge piping on atl air vatves protected from contamination? (Prevent surface
28.water entry and backflow, open downward,24 mesh screen, etc.)
Notes: There are no air valves ossociated with the Distribution System,
'29 Are butk water stations provided with backftow protection measures?
Notes: There are no bulk water stations ossociated with this PWS.
CSL Notes
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file:///C:/Users/kcarter/Downloads/1D7220064_Finalized_ESSForm (6).html 11t15
KICKAPOO WELLEooo652el WL Suumerstutel
Pump Capacity: Unknown
High/Low Set Points:
Unknown
NO
wsF
State
Assigned
lD (Tag)
Facility
Type
(WL or
PF)
Description
(e.g. 1.5HP. Low/High
set points: 25/75psil
Comments
(e.g. Emergency power
is a propane generator)
Pump TypeName Pump
Capacity
Auxiliary
Power
11116122,8:32 AM Sanitary Survey
PumpS
The questions, below, opply to all Pumps.
Pump_Questions
Pump Flguse (Only pump houses that don't contain a Groundwater Source.)
Yes No N/AUnk csL
,'0. |;:r:5r" any pump houses associated with this PWS that don't contain a Groundwater
11.Are att pump houses protected from contamination? (Clean, good repair, etc.)
,," Are all pump houses protected from unauthorized entry? (Locked, durable construction, etc.)''' N@.The pump house and vault ore not kept locked (Photograph 4 and 5).
13. Do att pump houses have adequate tighting throughout?
ls adequate backflow protection provided on atl threaded taps/ hose bibs installed in any of
14. the pump houses?
A@gggi None of the threaded taps have backflow prevention devices lnstolled (Photograph 6),
15. Are there signs of excess heat, moisture, or corrosion damage in any of the pump houses?
(lnodequate ve nti lotion)
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Yes No N/AUnk
1 .:: lr I 1. Do any of the pumps cycte > 6 times per hour? (Recommended)
) t Z.Are atl pumps in good repair? (excessive noise, vibration, heat, odors, Ieaks, etc.)
i 3. Are spare parts readily available for critical pump components?
:4.ls each pump equipped with an accessible check vatve? (on the discharge side before the shut-
off valve)
I , 5. Are isolation vatves provided on the discharge side of the pump?
6. ls a working pressure gauge instatted on the discharge line of atl pumps?
ls a working flow meter provided for each pump? (Required if pump ls connected directly to' the distribution slstem)
r8.ls atl pump lubrication oit ANSI/NSF 61 approved?
No1!gThere are no pumps associated with this PWS thot require oil lubrication
ls an airlvacuum relief vatve provided for each vertical turbine pump and is it protected fromi 9. contamination? (Open downward, 24 mesh screen, air gap, etc.)
MtgThere are no vertical turbine associated with this Phr5.
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file:///C:/Users/kcarter/DownloadsllD722O064 Finalized_ESSForm (6).html
Sanitary Survey
Nojfes;There is excessive moisture in the pump vault. There is pooling water ot the bottom of the voult
(Photograph 6).
Are there signs or a history of pump house equipment freezing in any of the pump houses?
16. (lnadequate heoting)
NolgThere wos not a heater present ln the pump vault.
Are alt pump houses protected from ftooding and surface water entry? (Drained, ground
17, surfoce graded to lead surface water away, etc.)
Notes: There is no floor drain or sump pump installed to prevent Ilooding (Photograph 6).
18 Do the ftoor drains discharge > 30 feet from any wetl in a[[ of the pump houses?
No'lgThis pump house does not have a floor drain.
Does an unprotected cross connection exist due to the ftoor drain connection in any of the
19. pump houses? (Connected to sewer, storm drains, etc,)
This house dies not have a floor drain.
Auxi liary-Power LJ n'its-(AP U )
Com m u nity Sy:lems-Qnly
APU on a Wetl Lot Only-
111'16122,8:32 AM
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Yes No N/AUnk CSL Notes
Add20. Does the PWS have any APUs?
21. Are att APUs tested regularly? (Recommended)Add
(0)
22. For att APUs, is a working automatic power transfer switch provided?Add
Yes No N/AUnk csL
23.Can the community PWS adequatety pressurize the distribution system during a power
outage? (C only)
Do the APUs power att essential etectrical functions in the pump houses and the pumping
24. stations (pump, controts, treatment, etc.) and pressurize the system for a minimum of 8
hours?
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Yes No N/AUnk CSL Notes
Add25. Are there any auxitiary power units located on a wetl [ot?
26. Are the fuel tanks above ground or otherwise accessible for leak inspection?Add
27. ls secondary spitt containment provided for att fue[ tanks? (110% of fuel tank volume)
(0)
(0)
(0)
Add
28. Does a certified operator observe fitting of the fuel tank(s)?Add
29. ls engine exhaust directty discharged to the outside atmosphere for atl APUs?Add
file:///C:/Users/kcarter/DownloadsllD7220064-Finalized-ESSForm (6).html 13115
11116122,8:32 AM Sanitary Survey
F i nanci a I I lAana ge r i a I
Fi n a n ci a t Ca paci=ty_Qu esti o n s
Ma n ge ri a t C a p_aE!!y_Qu es ti o n s
Review th e fo [ lowi n g with t he Owner/Operatolwherc_applicab le
Review the following Sample5ling Plans with the Owner/Orcralor_where_appl!_eable
Yes No N/AUnk
20. RTCR Sampte Siting Ptan EDirlS#:
21. Have any changes been made to the RTCR schedute or sampling [ocation?
ZZ.PBCU Sample Siting Plan (C and NTNC only) EDMS#:
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1. ls the PWS current with the payment of drinking water fees?
Z. ls the user charged for drinking water?
-'Notes.' lJsers are chorged 5280 annually.
. Has an independent financial audit of the PWS been conducted, or has the SMART Financial"' Too[ been completed? (Recommended)
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4. Does this PWS have a governing body or board of directors?Add
Add5. Does the board meet routinety? Frequency:Weekly
Yes No N/AUnk CSL N
6. Cross Connection Controt Plan (C only) EDMS#:
7. Asset Management Ptan (C and NTNC) EDMS#:
8. Operation and Maintenance Manuat (C ond NINC) EDMS#:
9. System Classification Worksheet (C and NINC,)
10. Operator Licensing lssues (C and NTNC)
11. Emergency Response Ptan (PWSs with a population > 3300)
12. PWS lnventory lnformation
1 3. Monitoring Schedutes
14. Sample History (TCR and Non-TCR) - Past 5 Years
15. Viotation History - Past 5 Years
,'r. Comptiance Schedutes - pending and overdue
Notes: At the time of the inspection, this Pl(S has no pending or overdue compliance schedules.
.,r. Pubtic Notifications - ongoing/currently required
Notes: At the time of the inspection, this PWS has no current or ongoing Public Notilication required.
EDMS#:
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.'r. Chtorine Residual History - Past 5 years
Notes: At the time of the inspection, this PWS does not chlorinate.
19.Monthty Operating Reports (MoRs)
At the time the this PWS is not required to submit lliORs
file://iC:/Users/kcarter/DownloadsllD7220064_Finalized_ESSForm (6).html 14t15
11116122,8:32 AM Sanitary Survey
23. Have any changes been made to the PBCU schedute or sampting [ocation? (C and NTNC only)
24.DBP Sampte Siting Ptan EDMS#:
M!es:.At the time of the inspection, this PWS does not chlorinate.
25. Have any changes been made to the DBP schedute or sampting location?
26 POU Sampte Siting Plan EDMS#:
' l@tes:. At the time of the inspection, this PWS does not have ony Point of llse units.
27 . Have any changes been made to the POU schedule or sampting location?
Records Management Questions
Managerial Plans Questions
O ps rat or S af ety-Qu e sti o n s
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Do atl Sampte Siting Ptan(s) meet the minimum requirements?
M@samples are only being collected from 4M3 Kickapa since 2QT20. Samples must be taken from' different locotions each quarter to get on adequate representation of the whole distribution. A site sampling
plan must be submitted by 12131 /2022.
Are samptes being taken in accordance with the Sampte Siting Plan(s)?
9. Notes: There is not a current site sampling plan in place. A site sampling plon must be submitted by
12/ 3t /2022.
Are records retained onsite or nearby for the minimum time required? (TC-Syr; cheml rod'' 30.l%f; violation corrective actions-3yr; sanitory surveys-l$yr; waiver, voriance, or exemption
determinations-Syr ; PNs fssued-3yr ; dai ly f ree chlorine residuals' I yr)
ls there a customer comptaint system and ongoing public information program?
(Recommended)
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32. ls there a recognized organizational structure and management for the PWS?
ls there an overatt operation and maintenance manual for the PWS? (including equipment
' manuols, as-builts, SOPs, manufacturer's literature, etc.)
34. Does the PWS have an Asset Management Plan? (Recommended)
35. Does the PWS have an Emergency Response planz. (Community PWSs > 3300)
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36. Are at[ operators trained in safety procedures and equipment?
Does a safety concern exist for personnet and/or visitors? (PPE, handroils/guardrails,
37. lodders, non-slip triads, etc.)
Notes: Broken lodder is being used to enter the Kickopoo pump voult,
ls there a potential shock hazard because the electrical wiring appears to be inadequately
protected?
39. Are protocots foltowed for any confined space entry? (Recommended)
Yes No N/AUnk
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Photog raph ic Documentation
lnspection Date(s): Wednesday, October L9, 2022
Facif ity lDz 1D7220064
Name of Facility: Shotgun Kickapoo Subd 5
lnspector(s): Kelsey Carter
Purpose of lnspection: Sanitary Survey
State of ldaho
Department of Environmental Quality
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun Kickapoo Subd 6 - |D722OO64
Table of Photographs:
Photograph 1: Welltag is attached reading E0006529 .............3
Photograph 2: The Kickapoo Well extends above l8-inches above ground level. All bolts are
secured and the seal is intact
Photograph 3: The Kickapoo Well cap is properly vented.
Photograph 4: The pump house with the well pictured to the right. The area surrounding the
well is not creating any potential health hazard, there are no fertilizers or herbicides being
used......
Photograph 5: lnside the pump house, the entrance to the vault. The door and vault are not
kept locked 5
Photograph 5: Overallview of the Kickapoo Vault; distribution lines are galvanized steel and
PVC. There is a pressure gauge and switch installed. There is not a flow meter installed on this
system. There is some standing water in the bottom of the vault. ............6
Photograph 7: The accessible check valve located on the distribution line
Photograph 8: lnstalled pressure gauge reading 50 psi
7
7
2
4
$
Photograph 1: Well tag is attached reading E0006529
Photograph 2: The Kickapoo Wellextends above 18-inches above ground level. All bolts are secured and
the seal is intact.
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun Kickapoo Subd 6 - |D722OO64
Photograph 3: The Kickapoo Well cap is properly vented.
Photograph 4: (Significant Deficiency)The pump house with the well pictured to the right. The area
surrounding the well is not creating any potential health hazard, there are no fertilizers or herbicides being
used.
4
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun Kickapoo Subd 6 - ID722OO64
'rgt 't"ryuo.'
Photograph 5: (Significant Deficiencyl lnside the pump house, the entrance to the vault. The door and
vault are not kept locked.
i
5
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun Kickapoo Subd 6 - |D722OO64
Photograph 6: (Significant Deficiency) Overall view of the Kickapoo Vault; distribution lines are
galvanized steeland PVC. There is a pressure gauge and switch installed. There is not a flow meter
installed on this system. There is some standing water in the bottom of the vault. The two threaded taps
are not protected with a backflow device.
6
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun Kickapoo Subd 6 - ID722OO64
Photograph 7: The accessible check valve located on the distribution line.
Photograph 8: lnstalled pressure gauge reading 50 psi
7
s K.b*g*'wEljlj.
' Total
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test
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No
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fost
pelorations -*--.-fe€t , ;' ,,foet
porlorstions --; -
feot fost
of Wolrr lrrosrco within 3O
v,'eli
EVEI.
level -1?-- feet below land surfacc
O Yes fl No G.P.M. flow---
, Tsmperature--o F. Ouality good
closed-in prfiFlte
lled by I Valve O CaP 0 Plus
DATA
O Bailer E Other
'fihmbt, ' .'''i' ,Fromj',t,- ,. porforstiort4.$;i*.- t*t ld:
a:'_
++
Wbll screm installod?ElYec E}No"
Manufagt tor's
Type Model No,
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D.iametsr* Slot ilo- Sst hm_-- fe€t to---il*'h
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gung6fl1;e I Puolting ctoy .0:|bGE r4e.+-.+:!:l E =-a; i.,
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LOCATION OF I|ELL
Skstch mEp locrtion must a$oo wit:r written location'
srffirrion Nom. ;hotgrp Vtl+age
w E . .i \1
bt rb-.- AocI lla
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or, ** Anc, *r Ho1l DriilLlnq 'l'':ll':'ri- r* jlt. illLlli3 clFfincfnol
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72Ae .rst 17th S+.reet
lrSF I aDtTtoNAl- euFFTe lF at;"'rr^ 1av rnoutAOn tHF t^tulTF ^n.\/'r^ ?qB nFOAQ?r .TNT
RTCR Sample Instructions
RTCR Sample lnstructions
Selecting Sample Locations
Contaminants like coliform bacteria may not be uniformly distributed, so it is critical that the
location(s) selected provide samples that are most representative of the water served to
customers in the PWS's entire distribution system. lt is especially important to identify and
include in the sample siting plan those features of the system that may affect the
microbiological quality of the water. PWSs should consider varying sample site locations
throughout the year to better characterize water quality throughout the distribution system.
When selecting sample locations, PWSs should consider:
o Sites that best represent water served to customers throughout the distribution system;
o Proximity to main transmission lines, pressure zones and storage tanks;
o Locations of dead-end pipes, loops and other areas of the piping system's configuration;
. Pressure zones that are upstream and downstream of all storage tanks;
. Cross-connection hazards;
. Seasonal customers or locations with inconsistent water use;
o Areas of the distribution system delivering water from different sources;
. Areas of the distribution system with longer retention times; and
. Areas of the distribution system with low water pressure and slow water movement'
Generally, sample locations should be:
. At a mid-distribution system point;
. Not on the transmission lines (e.g., the distribution system's largest pipes);
o Directly after the storage tanks, specifically for tanks with direct or flow through design (e'g.,
separate pipe for inlet and outlet); and
. Multipurpose sample locations.
o lf consistent with each rule, sample locations can be used for compliance with multiple
drinking water regulations. For example, compliance monitoring for Total
Trihalomethane and Haloacetic Acid under the Disinfectants and Disinfection Byproduct
Rules.
Repeat Sample Actions
Within 24 hours (unless an extension is granted by the primacy agency) of notification of a total
coliform-positive (TC+)sample result, a PWS must:
. Collect 3 repeat samples for each TC+ routine sample, even if a Level L or Level 2 Assessment
is triggered.
. Continue collecting a set of 3 repeat samples until, either TC is not detected in one complete
set or the system triggers a Level 1 or Level 2 Assessment.
PWS's must collect at least 3 repeat samples at the locations described in their sample siting
plan that include:
. One (1) at the same sample tap where the original TC+ sample occurred,. One (1)at a tap within five (5)service connections upstream of the originalTC+ site, and
o One (1) at a tap within five (5) service connections downstream of the original TC+ site.
Selectins Sampline Taps
Faucets and specially installed sampling taps are the two most common types of sampling sites,
lf faucets are to be used, each faucet should be examined carefully to ensure its suitability.
Some examples of potentially unsuitable faucets are:
. Swivel-type faucets because they are difficult to disinfect;
r Faucets with a single valve for hot and cold water;
o Faucets or taps with leaky packing material around the stem;
o Faucets that supply areas, such as janitorial or commercial sinks, where bacterial
contamination is likely;
o Faucets or taps close to or below ground level;
o Faucets that point upward;
o Faucets that have threads on the inside of their spouts because they are difficult to disinfect;. Outdoor faucets; and
r Faucets with aerators because they may harbor bacteria. lf such faucets are used, it is
recommended that the aerator should be removed before a sample is collected and disinfected
before replacing it.
ldaho Departme nt of Environmental QualitY
PrintForm
TotalColiform Sample Siting Plan Form
Total Goliform Sample Siting Plan
for Small Systems
This form is intended to assist public water system (PWS) owners and operators with.developing a total coliform-^
*mpfi siting plan. fnii to.nr ii designed for'systems.l4ing three samples each month or each quarter (serving.<3'300
;;;iit. U;fi6thir iormlr optionut.iroryeygl;?llpublic wlter.systemqe_rygy19d.t^o^ryy.. a written sample siting plan
in abcordanci*ittr the "Idahb Rules for Public Water Systems" (IDAPA 58.01.08.100.01)'
Part 1. General System Information
PWSID:PWS Name
Mailing Address:
PWS ContactName
E-mail Phone
Sources of Water:
Identify sources of
drinking water and
attach additional
sheets as necessary
Emergency Contact Name
E-mail:Phone:
pWS Type: I Community (CWS) f, Nontransient noncommunity (NTNC) [ Noncommunity transient (NCT)
Noncommunity Seasonal System: I No f, Yes* If yes, season open close:
* Seasonal systems are required to perform annual start-up procedures prior to opening for the season unless exempted in writing.
Source/Facility ID
Name of drinking water source(s): well tag #,
name, spring name, intake source
Source Type
GW-ground water, SP--spring,
SW--surface water, Gu-ground
water under the influence of SW,
P--purchase water from other system
Usage
P-permanent (full/time),
E--emergency (not Planned
for use), I--interim to meet
peak demand
4-log Virus
Inactivation*
Source has continuous
disinfection to provide
4-log virus inactivation
1 C Yes CNo
2 C Yes CNo
3 f Yes CNo
4.C Yes CNo
Phone:
Date:
*4-log
ground water does not have 4-log virustotal coliform positive sample is required when a system using
inactivation for all ground water sources.
Manifold: List sources that
combine before distribution
Disinfection Treatment Installed/Using: f None f Chlorine I Chloramination E Chlorine dioxide I Ozone
(check all that apply)
Owner/Operator Name
Signature:
source water a routlne
Version 1.0 Page 1 of4
PrintFom
ldaho Department of Environmental Qualitv TotalColiform Sample Siting Plan Form
P art 2. Sampling Location Information
anuary I
D
U
2 U
D
U
D
U
D
3.
2 U
D
U
D
U
D
-t.
U
D
2
Month Routine Samp
(address, sample
le Location
station name)(U: within 5 connections upstream {lom routine,
D : within 5 connections downstream from routine)
Repeat locations
lst
a
U
R
R
A
R
T
E
U
pril
D
U
D
2.U
D
U3
D
D
U
U
D
2.
U
D
U
D
3
2.U
D
J U
D
Version 1.0 Page2of 4
ldaho Department of Environmental Quality
PrintFom
TotalColiform Sample Siting Plan Form
U
D
U
D
)
U
D
U
D
J
U
D
2
3
September I
D
U
U
D
2 U
D
(U: within 5 connections upstream from routine,
D : within 5 connections downstream from routine)
sample locations
Month Routine Sample Location
(address, sample station name)
3rd
a
a
U
R
T
E
R
3
October I
U
D
U
D
2.U
D
U
D
U
D
J
I
U
D
2.
U
D
U
D
U
D
U
D
J
ber 1
2.
Version 1.0 Page 3 of 4
PrintForm
ldaho Department of Environmental Quality TotalColiform Sample Siting Plan Form
Most public water system owners or operators are not required to submit total coliform sample siting plans. The
following circumstances require submittal and approval of your sample siting plan by your local field office:' Owners and operators who wish to propose alternative fixed sample sites or criteria for selecting sites based on
situational information. This information needs to be written into a standard operating procedure as part of the
plan.' Operators or owners of seasonal systems using only ground water and on monthly monitoring that qualify for and
wish to take quarterly samples.
Other considerations:' Attach a schematic of the distribution system with locations marked for sample sites and other relevant water
system information such as wells, storage tanks, booster stations, etc.' Ensure the entire distribution system is represented when identiSing sampling locations.' If there are two or more distribution systems and those distribution systems are not interconnected, please ensure
samples are taken from each distribution system during each compliance period (month or quarter).' If a routine sampling location is at the end of the distribution system or one service connection away from the end
of the distribution system, identify an alternative upstream or downstream sampling location from that routine
location.' Repeat samples must be collected within 24 hours of being notified of a routine positive sample result and must be
taken the same day at different sites. However, if there is only one sampling location, such as with a campground,
please identify whether you will take one repeat total coliform sample per day for three consecutive days o1 a
larger sample size (300 mL) on one day.' Public water systems that use only ground water and do not provide 4-log virus inactivation are required to take
triggered source water samples after a routine total coliform positive sample result. The samples must be taken
from each source active at the time the routine sample was taken and must be taken before any treatment (raw
water).
Version 1.0 Page 4 of 4
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMET{TAL QUALI'I"Y
900 N. SkVline Dr., Suite B
ldaho Falls, |D.83402
Brad LiRle, Governor
Jess Byrne, Director
November L6,2022
Dorothy McCarty
455 Constitution Way
ldaho Falls, lD 83402
Email: water(Oida.net
Subject: Shotgun Cherokee Subd 5 {lD722OO63f - Sanitary Survey conducted on October 19,
2022
Dear Dorothy McCarty:
A sanitary survey was recently conducted for Shotgun Cherokee Subd 5 (1D722oo63). This letter
provides the sanitary survey report and photos for your records'
Significant Deficiencies - Significant deficiencies identified in this report must be
addressed after consulting with the ldaho Department of Environmental Quality (DEQ),
ldaho Falls Regional Office. Consultation and a written corrective action plan are
required within 30 days of any significant deficiencies and/or follow-up requirements
identified in this notification (IDAPA 58.01.08). Follow the four steps identified in the
sanitary survey report to address all significant deficiencies.
Deficiencies - The public water system operator/owner identified in this report must
address the deficiencies in a timely manner.
Recommendations -
Recommendations identified in the report are not required to be corrected at this time,
but it is recommended.
Consult DEe before taking specific corrective actions or modifying the water system. Modifying
your public water system or installing new components may require assistance from an ldaho
licensed professional engineer and DEQ's review and approval. Contact this office before
making modifications to your system.
Thank you for your help in completing the sanitary survey. For questions, contact Kelsey Carter,
Drinking Water Compliance Officer, ldaho Falls Regional Office, [phone],
[e-mail]
1
6 STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Sulte B
ldaho Falls, |D.83402
Brad Little,Governot
Jess Byrne, Dlrector
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
Enclosures: Sanitary Survey Report, Photo Log, Maps, Survey Forms, Well Log, Site Sampling
Plan lnstructions, and Site Sampling plan Template
Troy Saffle, Region a I Adm i n istrator, I FRO-DEe
Carlin Feisthamel, Regional Engineering Manager, IFRO-DEe
Jason Fales, Drinking Water Compliance Supervisor, IFRO-DEe
c
-2-
STATE OF IDAHO
DSPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite g
ldaho Falls, ID.83402
Brad Liftle, Governor
Jess Byrne, Director
Sanitary Survey RePort
Shotgun Cherokee Subd 5 - 1D7220063
Survey conducted on October L9,2022
Report generated on November t6,2022
Narrative
Shotgun Cherokee Subdivision 5 is located in Fremont County, in the lsland Park area, along
yale-Kilgore Road. The water system consists of two groundwater sources serving 21
connections and an average daily population of 85 individuals year-round' Based on the
number of people using the system it is considered a very small water system (VSWS). The
water system is classified as a transient non-community (TNC) because the system does not
regularly serve the same twenty-five people over six months out of the year. A TNC is not
required to have a certified operator overseeing the system operations. The water system
supplies water throughout the entire year and does not depressurize or drain the distribution'
Dorothy McCarty is the main contact and owner of the system with lsland Park Water
Company. This system is regulated by the ldaho Public Utilities Commission. Mrs' McCarty was
present for the sanitary survey as well as Engineer Mike Lund. Together they were able to
answer questions and discuss important aspects of the public water system. The previous
sanitary survey was conducted on September t6,2Ot6. These inspections are conducted every
five years to ensure allthe system's components operate correctly and identify any potential
health hazards. There are fourteen significant deficiencies identified in this report.
Well #1, now identified as the Choctaw Well (EOO0691O), is located to the east of the pump
vault. The well does not meet the setback to property lines, it is recommended that Mrs'
McCarty work closely with the property owner to ensure that no source of contamination is
presentwithin 50 feet of the well. Mrs. McCarty does have a sign posted stating no chemicals
are allowed on the well lot. A Well Driller's Report is available for this well. The Choctaw Well
was drilled in July L972 to a depth of 85 feet. The steel casing is 6 inches in diameter and
extends down g5 feet. The casing is not screened or perforated. Bentonite was used to surface
seal the casingto 19 feet. The casing does extend above the required 18-inches from the
ground surface to the sanitary seal, shown in photograph 1. The well cap was securely in place
with no loose bolts and an intact sanitary seal. The well cap does allow for proper ventilation,
however, the screen on the vent is missing as seen in photograph 2' A new screen will need to
be installed to minimize source contamination. The drawdown is unknown so the well cap
should remain vented. The wellvent is located on the top of the well cap and serves to equalize
the pressure within the well column to prevent air from entering the well, which can cause a
a-J-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMETITAL QUALITY
900 N. Skyline Dr.,Suite B
ldaho Falls, lD. 83402
Brad Liftle, Governor
iess Byrne, Director
vacuum to occur where potential contaminates can be drawn back into the system. At the time
the well was drilled, the static water level was measured at 30 feet.
The Choctaw system does not have a pump house. There is a pump vault is located within 6
feet of the Choctaw Well. There was no lock installed on the pump vault, this is a significant
deficiency and must be corrected. The Choctaw pump vault is not in good repair or clean
condition, as it had approximately L2 inches of standing water as seen in photograph 4. This
was previously documented in the sanitary survey from 2016. The seam halfway through the
vault is not watertight causing surface water to enter the vault, shown in photograph 5. There
appears to be a layer of foam that was applied to this seem since the previous survey, but the
material is failing, and water is still able to enter. The walls in a pump vault must be watertight,
this has been deemed a significant deficiency and must be corrected. There is not a floor drain
or sump installed in this pump house, this also needs to be corrected to allow water to drain
from the pump vault. Most of the components of the system were submerged in water and
inaccessible at the time of the inspection. lt is unknown if there is an accessible installed check
valve. There is a smooth nose sample tap with threads on the end that is not equipped with a
backflow device and is submerged in standing water, this is a significant deficiency. There are
signs the standing water has been in the vault for quite some time with signs of rust and
corrosion on the pressure tank. The pressure tank is a Well-X-Trol modelWX-302 with a
capacity of 886 gallons The previous survey mentioned the potential for the tank to have been
waterlogged. The same tank pictured in the 2016 survey is still in place in the Choctaw pump
vault. The pump house is not equipped with any lighting, a source of light should be provided
for repairs and safety. There have not been any reported issues with freezing in the pump
house, however, there was not a heater or installation present at the time of the inspection.
Photographs 6 and 7 show two pressure gauges installed in the Choctaw pump vault, one
displaying 48 psi and the other 72 psi.lt is unknown what the pressure gauge displaying 4g psi
is connected to. There is an adequate capped pump to waste shown in photograph 3.
Well #2, now identified as the Cherokee Wetl (E0006911) is located on the east side of
Cherokee Road. The well is located within 6 feet of the pump vault. The well does not meet the
setback to property lines, it is recommended that Mrs. McCarty work closely with the property
owner to ensure that no source of contamination is present within 50 feet of the well. Mrs.
McCarty has a sign stating no chemicals are allowed on the well lot. A Well Driller's Report is
available for this well. The Cherokee Well was drilled in October 1970 to a depth of 100 feet.
The steel casing is 6 inches in diameter and extends down 1O0 feet. The casing is not screened
or perforated. Bentonite was used to surface seal the casing to L8 feet. The casing does extend
above the required l8-inches from the ground surface to the sanitary seal, shown in
photograph L0. At the time of the sanitary survey, a vent on the well cap was not observed. A
vent will need to be installed and properly screened since the drawdown is unknown. The well
vent serves to equalize the pressure within the well column to prevent air from entering the
-4-
STATE OF IDAHO
DEPAIi.TMENT OF
HNVIRONMENTAL QUALII"Y
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
well, which can cause a vacuum to occur where potential contaminates can be drawn back into
the system. At the time the well was drilled, the static water level was measured at 30 feet'
The Cherokee system does not have a pump house, all the water system components are
located in the pump vault next to the well. The pump vault does not have an installed lock,
which has been deemed a significant deficiency. There have been several material
modifications made to the Cherokee system and plans and specs were not submitted for
approval. This is a violation of ldaho Code g 39-118. Modifications may include but are not
limited to, significant changes to existing processes or facilities or the installation of other
processes. A preliminary engineering report would have addressed specific purpose and scope,
design requirements, alternative solutions, costs, and operation and maintenance requirements
to demonstrate adequate system capacity. The buried pressure tank has been disconnected, it
is unknown if it was removed, or remains in place and needs to be abandoned. The system also
now has a cycle stop valve installed which acts similarly to a VFD. A flow meter has been
installed as seen in photograph 16. There is an accessible check valve installed in the Cherokee
pump vault. The Cherokee pump vault was in an overall good, clean condition as shown in
photograph 13. There is a single Well-X-Trol model WX-302 pressure tank installed in 2020'
There are no signs of excessive moisture or heat, there was a working heater in place to
prevent freezing. There is some cracking of the wall surface that should be evaluated as soon as
possible to avoid surface water entry, this can be seen in photograph L1' The threaded taps in
the Cherokee pump vault will all need to be equipped with backflow prevention devices'
The two wells form a continuous loop system with no known dead ends or cross-connections'
The distribution consists of galvanized steel piping that is being replaced with PVC when repairs
are made. The main line size is 3 to L.5 inches. All valves are exercised at least once every
quarter. There are no fire hydrants or flushing hydrants in the water system. None of the
system connections are metered. There has been freezing within the water system, but not in
the main lines. Homeowners are responsible for where they connect on the main to their
home. The system was designed for seasonal use and the main lines and service connections'
depth are unknown, but likely buried less than 5 feet. A pressure reading from the distribution
was taken from the home where the Choctaw Well is located, and displayedTt psi, shown in
photograph 8.
A site sampling plan will be required to be submitted to DEQ by the end of the year. Currently,
samples are only being collected from the same location each quarter. Samples should
represent the entire *.t"r system and each quarter bacteria samples must be collected from a
different location, with backup locations identified. Once the site sampling plan is submitted, it
must be followed when collecting samples or they may be deemed non-compliant' samples
were collected for all 4 quarte rs of 2o22,with no violations within the last 5 years. The annual
nitrate sample has already been collected for 2022 as well.
-5-
STATE OF IDAHO
DEPARTMENT OFENVIRONMENTAL QUALITY
900 N, Skyllne Dr., Suite B
ldaho Falls, |D.83402 Brad little, Governor
less 8yrne, Dlrector
The subdivision is up to date with the annual state drinking water fee. Homeowners are
charged a s280 drinking water fee set by the Public Utilities commission. These fees cover
system maintenance, repairs, and collection of compliance samples. There is not a current mapof the distribution nor an overall operations and maintenance manual.
All planned corrective actions will need to be submitted to DEe by December Lg,2022
-6-
STATE OF IDAHO
DEPARTMEN'T OF
Er{v TRONMENTAL QUALI'rY
900 N. Skyllne Dr., Suit€ B
ldaho Falls, lD. 83402
Brad Little. Governor
Jess Byrne, Director
Significant Deficiencies:
A significant deficiency as identified during a sanitary survey, is any defect in a system's design,
operation, maintenance, or administration, and any failure or malfunction of any system
component, that the DEQ or its agent determines to cause, or have the potential to cause, risk
to health or safety, or that could affect the reliable delivery of safe drinking water (IDAPA
5g.01.0g.003.i.31). Failure to address significant deficiencies constitutes a violation of IDAPA
58.0L.08.302 or 58.0L.08.303.
Significant deficiencies may reference IDAPA design standard requirements. IDAPA rule
citations for sections 500-549 are primarily requirements during the design or modification
stage of a new system or component, and may not be enforceable as part of a sanitary survey.
These requirements are listed to provide reference of what current standards would apply if
that particular component were designed, modified, or constructed today. Corrective actions
that include material modifications must be approved by DEQ'
To address all significant deficiencies identified in this report, follow steps L-4.
Step 1 - Within 30 days of receiving this notification, submit to DEQ in writing a
corrective action plan including planned completion dates for each identified significant
deficiency.
Step 2 - Complete the planned action(s) by the "Planned Completion Date(s)'"
Step 3 - After completing each planned action, enter an "Actual Completion Date," your
initials, and write the "Corrective action taken'"
Step 4 - Sign your name at the bottom certifying that each corrective action has been
corrected by the planned completion date and your public water system has completed
the sanitary survey response requirements pursuant to IDAPA 58.01.08. Send a copy of
the signed paperwork to DEQ.
-7 -
STATE OF IDAHO
DEPARTMENT OF'
ENVtRONMENTAT". QUALT'rY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess 8yrne, Director
General Questions
Question #2- lf yes, were plans and specs submitted to and approved by DEe? No.
Note: Plons ond specs were not submitted to DEefor opprovol ond os-builts must be
su b mitte d fo r docu m e ntotion.
DEQ has not approved plans and specifications for material modification that have occurred for the
existing water system (IDAPA 58.01.08.504.03). Prior to construction of material modifications of
existing public water systems, submit plans and specifications to DEe for review and approval. A
Qualified Licensed Professional Engineer may review and approve plans and specifications for simple
water main extensions. This issue will be referred for enforcement as an ldaho Code $ 3g-11g
violation.
lnspector Note: lf modifications have occurred since the last sanitary survey, check with a DEe
e neer to ensure iance with enginee submittals and requirements.
Modifications moy include, but are not timited to, significant chonges to existing processes or focilities,system exponsion, oddition of treotment, or installotion of other processes ond focitities. A preliminory
engineering report oddresses specific purpose and scope, design requirements, alternotive solutions,
costs, ond operotion ond mointenonce requirements to demonstrate adequate system copacity ond is
g e ne ro I ly p roj e ct-s pecific.
Submit planned completion dates to DEe by L2/19/2O22.
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitials:
Corrective action(s) taken:
-8-
STATE OF IDAHO
DEPARTMgNT OI;
ENV tR()N M IIN'I'AL QU ALI'r'Y
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess gyrne, Director
Wells
CHOCTAW WE LL ( EOOO691OI
euestion #8- lsthe well properly vented? (24 mesh screen, open downward >78" outdoor or
>1"2" indoor, etc.) No.
Note: The wellvent is missing o 24-mesh screen (Photograph 2)'
The well casing for Well: EOO06gi.O is not properly vented to include a 24 mesh screen and/or does not
open downward and/or is not high enough above the receiving surface to protect the well from flooding
(r DAPA 58.01.08.511.0s)
Instolt o cosing vent to minimize the possibitity of contomination coused by the creation of a partial
vocuum during pumping ond to releose air tropped in the pump column when the pump is not running'
On some wells the presence of o woter tight (ond thus oir tight ) well cosing cop con meon thot when the
pump is running ond drawing down the static heod in the wett it con creote q vocuum thot could impede
pumtp operation. The vent lets equolizing oir into the cosing. The vent needs to be at a height obove flood
levels and terminoted downward to prevent entry of ony potential surfoce woter. This moy be
accomplished by extending the cosing 78 inches above the ground or 72 inches above the pump house
floor. A 24-mesh screen instalted on the vent prevents contomination by prohibiting entry of insects,
rodents, ond birds.
Submit planned completion dates to DEQ by L2ltgl2122.
Corrective Action Plan
Planned Completion Date
Actual Completion Date:lnitials:
Corrective action(s) taken
-9 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALTTY
900 N. Skyline Dr.. Suite B
ldaho Falls, lD. 83402
Brad Little. Governor
Jess 8yrne, Dlrector
CHEROKEE WELL (EOOO6911}
Question #8- ls the well properly vented? (24 mesh screen, open downward >L8" outdoor or
>L2" indoor, etc.) No.
Note: The wellvent is missing a 24-mesh screen (photograph 2).
The well casing for Well: E000691-1 is not properly vented to include a 24 mesh screen and/or does not
open downward and/or is not high enough above the receiving surface to protect the well from flooding
(TDAPA s8.01.08.s11.0s)
lnstall o cosing vent to minimize the possibitity of contaminotion caused by the creotion of a partiot
vocuum during pumping ond to release oir tropped in the pump column when the pump is not running.
On some wells the presence of a water tight (and thus oir tight ) well cosing cop con meon thot when the
pump is running and drawing down the stqtic heod in the well it can creote o vacuum thot could impede
pump operation. The vent lets equalizing oir into the cosing. The vent needs to be at a height obove floodlevels ond terminoted downward to prevent entry of any potentiol surfoce woter. This may be
accomplished by extending the casing 78 inches above the ground or 72 inches above the pump house
floor' A 24-mesh steen instolled on the vent prevents contaminotion by prohibiting entry of insects,
rodents, and birds.
Submit planned completion dates to DEe by 12/L9/2O22
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitials
Corrective action(s) taken
-10-
STATE OF IDAHO
DEPARTMUN'I'OF
TJNVIRONI MEN"TAI- QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad little, 6overnor
Jess Byrne, Director
Hydropneumatic Tanks
euestion #2- lsthe tank located in a structure that is protected from flooding and unauthorized
entry? (Locked, watertight walts and ftoor, floor droin, occeptdble cover, etc'/ No'
Note: There is approximately 72 inches of standing woter in the Choctaw Pump Vault,
the walls ore not wotertight, and oppears water is entering ot the seem halfway through
the vault. (photogrophs 4 and 5). The hydropneumatic tonks ore not above the normol
ground surfoce (tDA\A 58.01.08.547.01.o). The structure housing the hydropneumatic
tanks is not protected from ftooding and/or is not adequotely drained' The
hydropneumatic tank housing is not adequately protected against unauthorized entry'
The hydropneumatic tanks are not above normal ground surface and/or completely housed (IDAPA
s8.01.08.547.01.a).
The structure housing the hydropneumatic tanks is not protected from flooding and/or is not
adequately drained ind/orthe ground surface is not graded to lead surface drainage away from the
structure (IDAPA 58.01.08.541.01.b). The hydropneumatic tank housing is not adequately protected
against unauthorized entrY.
tn the event of o leok, broken pipe, or severe weother, inadequate droinoge moy couse damage to the
electrical and heoting systems. tf the construction of o pit contoining the hydropneumotic tonk(s) is not
wotertight, ond the pit does not hove an odequote drainage system, the pit con flood cousing surfoce
woter corrying debris, bacterio, pesticides, fertilizers, oil products, etc' to increose the potentialfor
source contomination.
Submit planned completion dates to DEQ by L2lL9/2022'
Corrective Action Plan
Planned ComPletion Date:
Actual ComPletion Date:lnitials:
Corrective action(s) taken
- 11-
STATE OF IDAHO
DEPARTMENT OF
UNVI RONMEhTTAL QUALI'rY
900 N. Skyline Dr., Suite B
ldaho Falls, 1D.83402 Brad Little, Governor
Jess 8yrne, Director
Question #3- Can all hydropneumatic tanks be isolated from the system without depressurizingthe distribution system? No.
Note: The hydropneumotic tanks cannot be isoloted from the system (tDA\A
58.01.08.547.0L.b)' lsolation valves should have been instolled when moteriol
modifications to the system were mode ond the pressure tonk wos reploced.
(Photograph LL ond 12).
The hydropneumatic tanks cannot be isolated from the system (tDAPA 5g.01.0g.547.01.b). lnstallisolation valves the next time the hydropneumatic tanks are replaced or material modifications to thesystem occur.
Hydropneumotic tanks, which provide pressure to the distribution system, need o bypass to permit
operation of the system when the tonks are out of service. A loss of pressure in the distribution systemcreotes the opportunity for bock-siphonoge or bockpressure of non-potobte water thot moy result incontomindtion of the drinking woter.
Submit planned completion dates to DEe by L2/tg/2022.
Corrective Action plan
Planned Completion Date
ActualCompletion Date lnitials:
Corrective action(s) taken:
-12-
STATE OF IDAHO
DEPARTMENT OI"'
ENVIRONMENTAL QUALITY
900 N. Skyline Dr.,suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrn€, Dlrector
euestion #4- Dothe exterior surfaces appear to be in good condition? (Cooting intoct, no
corrosion, etc./ No.
Note: The pressure tank in the Choctaw pump voult is submerged in water. There are
signs of corrosion ond rust. (Photogroph 4)
The exterior surfaces of hydropneumatic tanks are not in good condition (IDAPA 58.01.08'547'0L'b)'
A hydropneumatic that is not in good condition poses o risk to the pumping system's obility to mointoin
reliabte pressure in the distribution system ond q potentiot safety hazard due to cotostrophic foilure of
the tonk.
Submit planned completion dates to DEQ by I2/L9/2O22
Corrective Action Plan
Planned Completion Date
ActualComPletion Date lnitials:
Corrective action(s) taken
-13-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrn€. Director
Pumps
Question #4- ls each pump equipped with an accessible check valve? (on the discharge side
before the shut-off valve) No.
Note: There is an accessible check volve on the Cherokee distribution, however, it is in
the wrong location ond must be between the pump and the shutoff volve, prior to the
flowmeter ond pressure switch. Plans must be submitted by an engineer. The Choctaw
distribution wos submerged in woter and unable to be verified during the inspection, butit does not oppear a check valve is in ploce prior to the first isolotion valve which was
above the woter.
An accessible check valve is not provided on the discharge line between [PUMp_TAG_NUM] and the
shut-offvalve (IDAPA 58.01.08.511.04 -well pumps or IDAPA 58.01.08.541.03.a. - water pumps). tnstall
an accessible check valve the next time material modifications occur to this section of the water system
A check volve ollows flow in one direction ond prevents back ftow (reverse flow) if water in the tine
reverses direction. The check volve is intended to prevent the system from droining ond prevents thepump from excessive cycling.
Submit planned completion dates to DEe by I2/tg/ZOZ2.
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s) taken :
-14-
STATE OF IDAHO
DEPAR'TMENT OT;
ENVIRONME}{TAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad LiRle, Governor
Jess 8yrne, Director
euestion #II- Are all pump houses protected from contamination? (Clean, good repair, etc.)
No.
Note: The Choctaw pump vault hos approximotety 12 inches of stonding woter cousing
potentiol sofety concerns (Photogrophs 4 and 5). There wall in the Cherokee pump voult
shows signs of deterioration and must be addressed'
The pump vault for both wells is not clean and/or in good repair (IDAPA 58.01-'08. 541.01.9).
Signs of onimol octivity or storage of hozardous motedds in the building qre o possible source of
contaminotion. An unclean spoce may need correction if it is causing o potential safety concerns'
Damage to the pump house, such os ditapidoted roof or walls that allow environmental damage to
pumps or controls ore an issue os well.
Submit planned completion dates to DEQ by L2/L9/2022'
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitials
Corrective action(s) taken
- 15 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne. Dlrector
Question #72- Are all pump houses protected from unauthorized entry? (Locked, durable
construction, etc.) No.
Note: There are not locks on either of the pump voults.
The pump house for [PUMP-TAG-NUM] does not have a locked door or access and/or is not of durable
construction to prohibit unauthorized entry, vandalism, and entrance by animals (lDApA
58.01.08.541.01.c. a nd f).
An unsecured pump house compromises security ond leaves the structure vulneroble to unauthorized
entry, vondolism, ond sobotage.
Submit planned completion dates to DEe by tZ/Lg/2OZz
Corrective Action Plan
Planned Completion Date
Actual Completion Date:lnitials
Corrective action(s) taken
-16-
STATE OF IDAHO
DEPARTMENT OI:
ENVIRONM[:NTAL QUALITY
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrn€, Director
euestion #I4- lsadequate backflow protection provided on all threaded taps/ hose bibs
installed in any of the pump houses? No'
Note: Allthreoded taps in both pump voults need to be equipped with a backflow
prevention device (photographs 5 ond 17). The somple tap in the Choctaw pump voult is
completely submerged in water without on installed backflow device.
All threaded taps/ hose bibs installed in the pump house are not equipped with an appropriate backflow
prevention device (IDAPA 58.01.08. 541.01.n).
An oppropriote backftow device (typicotly a tap/ hose bib vacuum breaker) protects the potoble woter
supply from contamination should o bock-siphonoge backflow event occur.
Submit planned completion dates to DEQ by L2/L9/2022'
Corrective Action Plan
Planned ComPletion Date:
Actual Completion Date:lnitials:
Corrective action(s) taken:
-17 -
STATE OF IDAHO
DT.PARTMENT OI,
ENVIRONMENTAL QUA[.ITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402 Srad Little, Governor
Jess Byrne, Director
Question #75- Are there signs of excess heat, moisture, or corrosion damage in any of thepump houses? (lnadequote ventilotion/ yes.
Note: There is excessive moisture in the Choctaw pump vault, documented in the
previous sonitory survey os welL with stonding woter (Photographs 4 and 5). There ore
signs of moisture in the Cherokee pump vault as wett (Photogrophs 1L and 13).
There is not adequate ventilation in the pump house for dissipation of excess heat and moisture fromthe equipment (IDAPA 58.01.08.541.01.e). At the time of the inspection, there was evidence of
corrosion of metallic and/or electrical components from excessive heat and/or moisture.
Excess moisture in o pump house can lead to premoture foilure of electricot control systems and creote
unsafe conditions for operqtors. Extremely high temperotures may olso domage electric motors.
Submit planned completion dates to DEe by t2/Ig/2O22.
Corrective Action plan
Planned Completion Date
Actual Completion Date:lnitials
Corrective action(s) taken
- l8 -
STATE OF IDAHO
DtiPARTIvlllN'r (x;
ENVIRONMEN'TAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls. |D.83402
Brad Little, Governor
less Byrne, Director
euestion #I7- Are all pump houses protected from flooding and surface water entry? (Droined,
ground sufface groded to leod suffoce woter owoy, etc'i No'
Note: There is not an odequdte droin installed in the Choctaw pump vault.
The pump vault for the Choctaw well is not protected from flooding and/or is not adequately drained
and/orthe ground surface is not graded to lead surface drainage away from the pump house (IDAPA
s8.01.08.s41.01.b).
pump houses must hove adequote drains to protect the equipment if o pipe breoks inside the focility
cousing flooding. protect all electricol controls, motors, and equipment from flooding. Pump houses must
be constructed to prevent surfoce woter from entering the facility.
Submit planned completion dates to DEQ by L2/t912O22'
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitials:
Corrective action(s) taken
-t9-
STATE OF IDAHO
DBPARTMENTOF
ENVIRONMENTAL QUAt-t'rY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
Financia l/Managerial Capacity
Question #28- Do all Sample Siting Plan(s) meet the minimum requirements? No.
Note: somples are only being collected from 4043 Kickapoo since 2er20. samples must
be token from different locotions eoch quarter to get an odequate representotion of the
whole distribution. A site sampling plon must be submitted by L2/gj./2022.
The system owner does not have a current written sample siting plan that meets RTCR
requirements (40 CFR 141.853.a). An RTCR sample siting plan needs to be developed and/or
implemented.
A sample siting plan is designed to specify where in the distribution system samples witt be
drown to ensure they are representative of the woter system.
Submit planned completion dates to DEe bV tZ/3L/2022.
Corrective Action plan
Pla n ned Completion Date: t2l 3tl 2O2Z
Actual Completion Date:lnitials:
corrective action(s) taken: plan template must be submitted to DEe for approval
-20-
STATE OF IDAHO
DBPAR'TMENT OI;
ENVTRONMENTAL QUALITY
900 N, Skyline Dr., Suite B
ldaho Falls, 10.83402
Brad Little, Governor
Jess 8yrne, Director
Question #29- Aresamples being taken in accordance with the Sample Siting Plan(s)? No'
Note: There is not a current site sampling plan in place. A site sompling plan must be
submitted bY 12/3L/2022.
RTCR monitoring samples are not being taken in accordance with the approved sample siting
plan (40 CFR L41.853'a).
samples not taken in accordance with a sample siting plon, moy not be representotive of the
distribution system resulting in the woter system not receiving credit for sampling'
Submit planned completion dates to DEQ bV L2/3L/2O22'
Corrective Action Plan
Plan ned Com pletion DaIe: L2l 3Ll2O22
Actual ComPletion Date:lnitials:
Corrective action(s) taken: Plan template must be submitted to DEQ for approval
I certify, to the best of my knowledge that all significant deficiencies have been corrected by
the agreed upon date and that the corrective action meets the requirements pursuant to
rDAPA 58.01.08.
Signature:Date:
-2t -
STATE OF IDAHO
DEPARTMENT'OI]
ENVIRONMENTAI_ QUALTTY
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402 Erad Little, Governor
Jess Byrne, Director
cies:
Deficiencies identified in the report should be addressed by the public Water System,soperator/owner in a timely manner.
Wells
cHocTAW WELL (E00069101
Question #2- Are surrounding land uses creating health hazards or increasing the potential forsource contamination? (Setbocks not met, dumping, etc.) yes.
Note: The Choctaw Well does not meet the required setbocks to property lines. This wilbe a deficiency as the system hos been in place for mqny yeors. lt is recommended thotthe PWS owner work closely with the homeowner to controt/etiminote futurecontq mi notion. (photogra ph 7)
The land surrounding well: E0006910 has a condition that has the potential to cause a health hazard.Recommend PWS owner work with land owner to control/eliminate contamination.
This health hazard may create a danger to the consumer's health (tDAPA 5g.01.0g.00g.01).
Lond use increases the susceptibility of source water contominotion.
Question #77- ls a working flow meter provided? (lnstant, totaling, nonvolatile memory,installed on discharge pipe, efc./ No.
The pump distribution line for Well: E0006910 does not provide an instantaneous and totalizing flowmeter equipped with nonvolatile memory and/or the installed flow meter is not working properly.lnstall an instantaneous and totalizing flow meter equipped with nonvolatile memory the next timematerial modifications occur to this section of the water system (tDAPA 5g.01.0g.511.04).
A flow meter meosures total ftow (gattons) and ftow rote (gpm). A flow meter con help detect changes inthe system so the operotor con toke corrective action before o serious problem develops os well osprovide more occurote occounting of woter production.
1a.LL-
STATE OF IDAHO
DEPARTMEN'T O}.-
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, 10.83402
Brad Little,6overnor
Jess 8yrne, Dlrector
Pumps
Question #3- Arespare parts readily available for critical pump components? No'
Critical spare parts and/or tools are not readily available for IPUMP-TAG-NUM] (IDAPA
s8.01.08.s4t.O2.c\.
tf the public wqter system does not have spare ports ond tools availoble onsite, it is occeptable to identify
o company who con provide the needed ports within 24 hours'
Question #73- Do all pump houses have adequate lighting throughout? No'
The pump house does not have adequate lighting throughout (IDAPA 58'01-.08.501.05'a)' lnstall
adequate lighting the next time material modifications occur to this section of the water system'
The interior of the building must hove permonent tighting for operotor safety ond to facilitote inspections
and mointenonce at night.
Fina ncia l/Managerial CaPacitY
euestion #33- lsthere an overall operation and maintenance manual for the PWs? (including
equipment manuols, as-builts, SOPs, manufacturer's literature, etc') No'
There is not a complete operation and maintenance (o&M) manual for this public water system (IDAPA
58.01-.08.50 1.12, OO3.g2, and 003.93). An O&M manual needs to be developed and/or implemented'
o Submit an O&M manualfor review and approval. Upon approval, the operator must operate the
system in accordance with the approved o&M manual. At a minimum, include the following
items in the O&M manual:
o daily, weekly, monthly, and yearly operating instructions
o information specific to a particular type of treatment
o location of valves and other key distribution system features
o pertinent telephone and address contact information including the responsible charge water
system operator and water system owner
. operator safetY Procedures
o alarm system and emergency procedures
o trouble-shooting advice
o water quality testing procedures
. response plan for depressurization events
-23 -
s STATE OF IDAHO
DEPARTMENT OF
ENVIRONMSNTAL QUALITY
Erad Little, Governot
Jess Byrne, Director. customer service procedures
. response plan for customer complaints
o maintenance information and checklists
o manufacture/s product information including troubleshooting informationo parts list, spare parts list, and parts order form
o necessary special tools
An O&M monual provides procedures to operote ond mointain o facility's various systems ondequipment. lt is important to onolyze and evaluate o facility from the system level, then developprocedures to attoin the most efficient systems integration. Lack of an O&M monual con leod to system
foilures and contaminotion of drinking woter.
900 N. Skyllne Dr., Suite B
ldaho Falls, 10.83402
-24-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite I
ldaho Falls, lD. 83402
Brad little, Governor
less Byrne, Director
Recomme ndations:
Recommendations identified in the report are not required to be corrected at this time, but it is
recommended
Wells
CHOCTAW WELL (EOOO691OI
euestion #6- lsthe well (not located in a pump house) protected from unauthorized access?
(Locking cap, fenced, etc.) (Recommended) No.
Note: PhotograPh L
Well: E0006910 (not in a pump house) should be protected from unauthorized access through fencing
around the source and/or use of a locking well cap.
CHEROKEE WELL (EOOO6911I
euestion #6- lsthe well (not located in a pump house) protected from unauthorized access?
(Locking cap, fenced, etc.) (Recommended) No.
Note: Photograph 1
Well: E0006911 (not in a pump house) should be protected from unauthorized access through fencing
around the source and/or use of a locking well cap.
Distribution Systems
DISTRIBUT!ON SYSTEM fi722OO63DSlI
euestion #6- ls a current map of the distribution system available? (Recommended) No.
A current map of the distribution system was not available during the inspection' Maps should be made
available showing main sizes and locations of valves, hydrants, storage tank locations, and
interconnections to other systems. Update maps annually to reflect current conditions. A map should be
kept with the Operations and Maintenance Manual.
Question #73- lsthere a water loss control program? (Recommended) No.
A water loss control program should be put in place and utilized. More than 15% water loss is an
indication of either inaccurate meters or excessive leakage. lnaccurate meters result in lost revenue and
leaks are potential points for entry of contaminated groundwater. The following is a link to an EPA
resource for developing a water loss control program:
https://www.epa.gov/sites/producti on/files/2015-04/documents/epa815f13002.pdf.
-25 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
Srad Little, Governor
Jess Byrne, Dlrector
Question #75- ls there a water efficiency program? (Recommended) No
A water efficiency program should be implemented. lmprovements in water efficiency in the
distribution system begin with metering, water audits, and water loss control programs. The following is
a link to an EPA resource for developing a water efficiency program:
https://nepis.epa.gov/Exe/ZyPDF.cgilp1O0MEV6.pDF?Dockey=p100MEV6.pDF.
Financial/Managerial Capacity
Question #34- Does the PWS have an Asset Management Plan? (Recommended) No.
An Asset Management Plan should be established for the PWS. The assets of a water system include the
natural and engineered components for providing water (e.g., source water, pumps, motors, storage
tanks, treatment plants, pipes). A good asset management program typically includes a written plan for
achieving the best appropriate cost for rehabilitation, repair, or replacement of a public water system,s
assets. Asset management is effective in maximizing the value of capital as well as minimizing operations
and maintenance expenditures. To learn more about asset management, go to EpA's website at:
http ://wate r.epa.gov/infrastructu re/susta in/asset_ma nagement.cfm
-26 -
11116122,2:12 PM Sanitary Survey
Protectirrg Pubtic Heatth and the Environment
Department of Environmental Quality
San{tary Survey
DEVELOPMENT
Sanitary Survey
.D722O063 - SHOTGUN CHEROKEEPw5: suBD 5
Jurisdiction: IDAHO FALLS REGIONAL OFFICE
Sanitary Survey Date: 10/1912022
General Inf ormation
Approval
Status:Approved
SDWIS Website
# Ground
Water
Sources:
# Surface
Water:
Primary
Source Type:
Total
Population:
# Service
Connections:
Primary
County FREMONT
Served:
owner Privatelype:
!t931 coroorationEntrty:
# Storage ^Facilities: "
Illllr"' (gat)
2
0
GW
85
21
I CommunitY
Water SystemType: NoncommunitY
Noncomm
System Distribution:
Classification : Treatment N/A
Annual Operating Period -lation Served:
Water Purchased From:
Water Sold To:
Nontransient
' Transient
Sanitary Survey lndex
Modutes Used:#
Generat
lnformation 1
Wetls 2
Springs
lntakes and
lnfiltration
Galleries
Consecutive
Connections
Storage Tanks
Hydropneumatic
Tanks 1
Distribution
Systems 1
Pumps 1
Treatment
Ptants
Chlorinators
Gas CL2
Financiat-
Manageriat 1
Total llodules 7
8501to112t31T
Begin Date End Date Type Estimated Count
None
PWS NamePWS Num Status
None
PWS Num PWS Name Status
file:///C:/Users/kcarter/Downloadsll)7220063-Finalized-ESSForm (4).html 1118
11116122,2:12 PM
Contacts
. All sysfems must have on AC and FC (one of each only).
" AII C and NINC must have a DO.
Sanitary Survey
AC MCCARTY,
DOROTHY A
455
Constitution
Way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
EC MCCARTY,
DOROTHY A
455
Wav
IDAHO
FALLS ID 83402
208-
52t-
2369
[e-mail]
FC ISLAND PARK
WATER INC A PO BOX 2521 IDAHO
FALLS ID 83403
208-
522-
8033
ow ISLAND PARK
WATER INC A PO BOX 2521 IDAHO
FALLS ID 83403
208-
522-
8033
5A MCCARTY,
DOROTHY A
455
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
Type Name Status Addrl City State Zip Biz
Phone Ext Mobile Emergency Fax Email
file:///C:/Users/kcarter/Downloads/1D7220063_Finalized_ESSForm (4).html 2118
11116122,2!12 PM
Facilities
Sanitary Survey
44.464236 -111.457525PermanentY7 t7 I 1972CHOCTAW WELL WL AE0006910
44.464386 -111.4s5286Y10/23t1970WLAPermanentE000691 1 CHEROKEE WELL
ST A N2.H TANKS Z HYDROPNEUMATIC
rANKS
N 6/6/1986DSAT7220063D51DISTRIBUTION
SYSTEM
WSF State
Assigned lD Name
(Tag)
rype status Avaitability ,ff::::. .onSilr?."d
Lat/Long
VerifiedLatitude Longitude
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11116122,2'.12 PM
General Questions
General Questions
Sanitary Survey
i,-"j ,-J i-l t. Have materiat modifications been made to the PWS since the last survey?
lf yes, were ptans and specs submitted to and approved by DEQ?
Nolgi P|ans and specs were not submitted to DEQfor approval and as-builts must be submitted for
documentation.
ken during the survey by the inspector? (lf yes, indlcate whot samples were
Yes No N/AUnk csL
Add
EditttAdd, Were samples ta'' collected in the
ffivffik
file:///C:/Users/kcarteriDownloads/1D7220063_Finalized_ESSForm (4).html 4118
YesE000691 0 WELL
YesE000691 1 KEE WELL
WSF State
Assigned lD Name
(Tag)
Verified
11116122,2:'12 PM
Wells
Sanitary Survey
file:///C:/Users/kcarter/Downloads/|D7220063-Finalized-ESSForm (4)'html 5/18
11116122,2:12 PM
il;#", cHocrAw WELL
Tag . Eooo691oNUmDer:
Sanitary Survey
Well Questions
Pump FloUs€-Questions {only pump houses that cantain a Groundwater Saurce)
Yes No N/AUnk
. ' , 14. ls the wett enclosed in a pump house?
CSL Notes
Add
15. ls the pump house protected from contamination? (Clean, in good repair, etc.)
, 16.1s the pump house protected from unauthorized entry? Gocked, durable construction, etc.)
17. Does the pump house have adequate tighting throughout?
, 18. ls adequate backflow protection provided on a[[ threaded taps instatted in the pump house?:,
(0)
(0)
Add
Add
Add
Add
Yes No N/AUnk csL
1. ls there a welt log for the source? EDMS#:2019ACA3238
Are surrounding tand uses creating heatth hazards or increasing the potential for source
contamination? (Setbacks not met, dumping, etc.)
2, Notes: The Choctow Well does not meet the required setbacks to property lines. Ihis will be a deficiency os
the system has been in place for many years, lt is recommended that the PWS owner work closely with the
homeowner to control / elimi nate future contami nation, (Photograph 1 )
Are toxic or hazardous chemicals stored on the wett [ot? (pesticides, paint, herbicides,
ferti lizers, petroleum, etc. )
Are pesticides, herbicides, or fertitizers apptied to the wetl lot without approval?, 4. Notes: A reminder was given that fertilizer or herbicides must not be used on the well lot. The homeowner's
lawn was very well maintained and landscaped. (Photograph l) (0)
lf the wett is in a pit, is the pit protected from ftooding and contamination? (watertight watts :, 5. ond floor, floor drain, acceptoble pit cover, etc.)
Notes: Well is not located in a pit. (0)
ls the well (not located in a pump house) protected from unauthorized access? (Locking cap,, , ' : 6. fenced, etc.) (Recommended)
Notes: Photograph I (0)
8
ls the well protected from ftooding? (casing height >highest flood level, >18" outdoor, >12"
indoor, etc.)
ls the wetl properly vented? (24 mesh screen, open downward >18" outdoor or >12" indoor
etc.)
Notes: The well vent is rnissing a 24-mesh screen (Photograph 2).
, I 9. Does the wetl casing and cap prevent contamination and surface water entry?
ls a raw water smooth nosed sampte tap provided on the discharge pipe? (Prior to any
10. treatment)
Notlg Smooth nose sample tap has threads on the end and is submerged in water
ls a working ftow meter nonvolotile memory, instolled on
Add
Edit
Add
Edit
Edit
Edit
l3
(0)
,l Add
Edit
Add
Edit
Add
Add
(0)
(0)
(0)
(0)
1't.discharge pipe, etc.) Gatlons:
lsa ressure gauge provided? (lnstant, installed on discharge pipe, etc.) PSI12.
I 13. rs anad:ffi::r?jil?;::-waste provided? (capacity of the wett, air sop, prior to the first
(0)
(0)
Add
ft: v &i{i
El
file:///C:/Users/kcarter/Downloads/1D7220063_Finalized_ESSForm (4).html
(0)
6/1 I
11116122,2:12PM Sanitary Survey
t': Ul r'l ts.Are there signs of equipment damage due to excess heat, moisture, or corrosion?
(inadequate venti lation)
'l g [l ZO.ts there a history of pump house equipment freezing? (lnadequote heating)
.-l rl , I ra lsthepumphouseprotectedfromftoodingandsurfacewaterentry? (Floordrain,ground
r' J Lt :' -') L t' surface graded to lead surface water away, etc.)
ifglI ,, Does the configuration of the ftoor drain or sump cause a contamination risk? (connected to
"' other drainage systems, sump < 3A feet from well, etc,)
(0)
Add
(0)
I Add
(0)
il Add
(0)
il Add
file:///C:/Users/kcarter/Downloads/1D7220063-Finalized-ESSForm (4)'html 7t18
11116122,2:12 PM
ff}", cHERoKEE wELL
Tag . Eooo591 1Number:
Sanitary Survey
Well Questions
PUfnp- FloUSg--Q.uestions {Qnly pump houses that cantain s Graunclwater Source}
14. ls the wetl enctosed in a pump house?
15.|s the pump house protected from contamination? (Clean, in good repair, etc.)
16.|s the pump house protected from unauthorized entry? (Locked, durable construction, etc.)
17. Does the pump house have adequate tighting throughout?
18. ls adequate backftow protection provided on att threaded taps instatted in the pump house?
19. Are there signs of equipment damage due to excess heat, moisture, or corrosion?
Yes No N/AUnk csL
(0)
(0)
(0)
(0)
Add
Add
Add
Add
Add
Add
8/18
Yes No N/AUnk csL
1. ls there a welt log for the source? EDMS#:201 9ACA3238 Add
, Are surrounding land uses creating heatth hazards or increasing the potential for source-' contamination? (Setbacks not met, dumping, etc.)
. Are toxic or hazardous chemicats stored on the welt tot? (pesticides, paint, herbicides," fertilizers, petroleum, etc.)
4. Are pesticides, herbicides, or fertilizers apptied to the wett tot without approvat?
Add
(0)
Add
(0)
Add
(0)
lf the wett is in a pit, is the pit protected from ftooding and contamination? (watertight walts
5. and floor, floor drain, acceptable pit cover, etc.) Edit
Notes: Well is not located in a pit. (0)
a ls the we[[ (not located in a pump house) protected from unauthorized access? (Locking cap,-' fenced, etc.) (Recommended) (0)
, ls the wetl protected from ftooding? (casing height >highest flood levet, >18" outdoor, >12" ,'' indoor, etc.)(0)
ls the wetl properly vented? (24 mesh screen, open downward >18" outdoor or >12" indoor,
8. etc.)
Notes: The well cap is not equipped with a vent (Photographs 9 ond l0). (0)
9. Does the wetl casing and cap prevent contamination and surface water entry?
(0)
ls a raw water smooth nosed sample tap provided on the discharge pipe? (Prior to any
10. treatment)
Nolg;The smooth nose sample tap has threads on the end. (0)
Add
Add
Edit
Add
Edit
11.ls a working ftow meter provided?nonvolatile memory, installed on
discharge pipe, etc.) Gattons:Add
(0)
ls a workin gauge provided?. (lnstant, installed on discharge pipe, etc.) PSI12 Add
(0)
13. f s an- adequate pumP-to-waste provided? (Capacity of the well, air gap, prior to the first- service connection, etc.)Add
2 025,300
file:///C:/Usersikcarter/Downloads/|D7220063_Finalized_ESSForm (4).html
11116122,2:12 PM Sanitary SurveY
(inadequate venti lation)
20. ls there a history of pump house equipment freezing? (lnadequate hedting)i j vl i_l
,r r*-t ," ls the pump house protected from ftooding and surface water entry? floor drain, ground
!l J " t' surface graded to lead surface water away, etc')
(0)
LJ Add
(0)
Ll Add
(0)
LJ Addi:l gl iJ -. Does the configuration of the floortt' other drainage alstems, sump < 30
drain or sump cause a contamination risk? (connected to
feet from well, etc.)
file:///c:/Users/kcarter/Downloads/1D7220063_Finalized_ESSForm (4).html 9/1 I
11 1'16122, 2:12 PM Sanitary Survey
Hydropnuematic Tank
The questions, below, apply to ail Hydropneumatic Tanks.
Hydropneumatic Tanks euestions
Bladder Tanks Only
Non-Bladder Thnks Only
- WELL-X-TROL - WX-302 . BLADDER - 86 GALLONS- CHEROKEE PUMP VAULT - WELL.X-TROL - WX-
HYDROPNEUMATIC2.H TANKS - CHOCTAW PUMP VAULT
302 - BLADDER - 86 GALLONS
CommentsTag Name
Yes No N/AUnk
I # i I t. ls the system served by variabte speed pumps (vFDs)? (Recommended)
ls the tank located in a structure that is protected from ftooding and unauthorized entry?(Locked, wotertight walls and floor, floor droin, acceptabte coier, etc.)
No!$;There is opproximotety 12 inches of standing water in the Choctaw pump Vault, the wolls are notwatertight, and appears water is entering at the seem holfway through the vault. (photographs 4 ond 5). Thehydropneumatic tanks are not above the normal ground surface (tDApA 58.01.08.547.01.a). The structurehousing the hydropneumotic tanls is not protected from ftooding andlor is not adequately droined. Thehydropneumotic tank housing is not adequately protected against unauthorized entry.
Sitrijli,l,J:iffiffiatic tanks be isotated rrom the svstem without depressurizins rhe tNotes: The hydropneumotic tonk cannot be isototed from the system (tDApA sg.ot.Og.547.Ol.b). lsolation votvesll
should have been installed when materiol modificotions to the system were made and the pressure tank wos Ireplaced. (Photogroph fi ond t2). fDo the exterior surfaces appear to be in good condition? (Coating intact, no corrosion, etc.) INotes: The pressure tank in the Choctaw pump vault is submerged in woter. There are signs of corrosion andrust. (Photograph 4) (0)
CSL Notes
lJ Add
(0)
;
(0)
Edit
3
.] '. i i . I 5.Do att tank supports appear to be structuratly sound and adequate?
O. Have atl hydropneumatic tanks been tested for structurat integrity in the past 5 years?--(Recommended)
Edit
Edit
:J Add
(0)
Add
:Iv f
{
{
I I . 7. la_s the-pre-charge on all btadder tanks been tested in the tast year to ensure'is 5 psi betow the low operating pressure for the system? (Recommended)
csLYes No N/AUnk
the air pressure - ; Add
Yes No N/AUnk csL
llrl _ ls the recharge air protected from contamination? (free of air compressor oil, clean air filter,i 8. etc.)
l{ofes: Ihis PWS has no non-bladder hydropneumotic tank.' Edit
(0)
Are instatted appurtenances working properly and protected from contamination?(access
t'9 manhole drain woter sight glass,meons to add Qtr,otr blow-off ,etc )EditThisPWShosnonon-blodder hydropneumatic tanks-(0)
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11116122,2:12 PM Sanitary Survey
Distribution Systems.
DISTRIBUTION SYSTEM
WSF State
Assigned lD Name
(Tag)
4 file:lllC:/Users/kcarter/DownloadsilDT22OO63-Finalized-ESSForm (4).html 't1t18
11116122.2:'12 PM Sanitary Survey
Distribution
System
Name:
Tag
Number:
DISTRIBUTION SYSTEM
T7220063D51
Distri b ution Sysbem_lQuesti ons
Main line type of materials are? (Select all that appty) steet HDpE (btack)
1. Asbestos/Cement Copper PVC Ductile lron Gray lron
Gatvanized Other
2. Main line sizes?3inches-linch
3. Number of Metered Connections?out of 21
4. Number of Fire Hydrants?
5. Number of Flushing Hydrants?
6. ls a current map of the distribution system avaitabte? (Recommended)
Have pubtic notifications, DEQ notifications, and fotlow-up actions been fotlowed for any
7. ptanned or unptanned depressurizations in the past year?
Nofes; No public notifications, DEQnotifications, or follow-up octions were required for ptanned or unplanned
depressurizations in the past year.
Was the pressure measured at a service connection? pSl
Yes No N/AUnk csL
(0)
(0)
(0)
(0)
(0)
(0)
(0)
Add
Add
Add
Add
Add
Add
Edit
Edit
Add
Add
Add
Edit
Add
Add
Add
Edit
Edit
Add
71 Location:
8.Home next to the Choct 02:00 PM OTime:
Notes: A pressure reading from the distribution wos collected.
9- f-l a minimum system pressure of 20 psi. maintained at atl service connections? (lncluding fire" flow - ldentify pressure complaints in the Notes.)
.tn ls a minimum system pressure of 40 psi. maintained during maximum hourty demand'-' conditions? (PWSs constructed after 7/ 1 / l9g5 - Exctuding fire flow)
1 1. Does pressure exceed 100 psi at any service connection?
12. Are vatves inspected and exercised regutarty? (Recommended)
Notes: Quarterly
13. ls there a water loss contro[ program? (Recommended)
14. ls the owner/operator aware of any leaking water mains?
15. ls there a water efficiency program? (Recommended)
16. Are atl dead end mains equipped with a means to ftush?
Notes: No deod end mains exist in this distribution system.
17.Are dead end mains ftushed at least semiannuatly?
Notes: No dead end moins exist in this disffibution system.
18. Are there any materials used that shoutd not be in contact with drinking water? (pipes,
sealants, components, etc. )
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
12t18
0
0
0
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11116122,2:12 PM Sanitary Survey
19. Does the system exPerience water main freezing?
Are there any connections that provide supplementaldisinfection and meet the definition of
: 20. a pWS but are unregulated? (Recommended) (Hospitals, businesses, long-term care facilities,
,21
etc.)
Are there any unused subsurface water storage tanks that need to be abandoned?
(Recommended)
.. Are there any water supply wetls that are no longer being used that need to be abandoned?
"'lRecommended)
Cross Connection Control
(0)
' Add
(0)
l' Add
(0)
(0)
Add
Add
Yes No N/AUnk csL
ls an adequate cross connection control program provided and imptemenls&. ((ommunity
, 23. pWS ontyj lntnority to implement, inspection program, adequate protection, annual
testing,abitity to discontinue service, 10 days to repair a failed device)
24. ls the operator trained in cross connection control? (Recommended)
Add
(0)
(0)
Add
,. Are att backftow preventers owned by the PWS tested annualty?t"' Not"r, This PWS does not own any testable backflow preventers.
Are there any known unprotected cross connections? (Submerged blow'offs, direct
26. connections to storm or sewer drains, connection to unopproved source, uncontrolled fire
hydrant use, treotment bypass with raw water, etc.)
.- Are att non-potabte mains, hydrants, and taps easity identified as such?t' ' Not"r, There are no non-potable moins, hydronts or taps.
ill Oir.nurge piping on atl air vatves protected from contamination? (Prevent surface
28. water entry and backflow, open downward, 24 mesh screen, etc.)
No'lgThere ore no air valves associated with the Distribution System.
Edit
(0)
(0)
(0)
(0)
Add
Edit
Edit
,o Are butk water stations provided with backflow protection measures?-" Notes: There are no butkwater stations associated with this PWS,
Edit
file:///C:/Usersikcarter/Downloads/1D7220063-Finalized-ESSForm (4)'html 13/18
11116122,2:12PM Sanitary Survey
PumW
The questions, below, apply to all Pumps.
Pump_Questions
Pump- l-ouse (onty pump houses that don't contain a Groundwater source.)
,0. il;r:|T" any pump houses associated with this PWS that don't contain a Groundwater
CSL
Are atl pump houses protected from contamination? (clean, good repair, etc.)
1 1. Notes The Choctow pump voult has approximotely 12 inches of standing water causing potentiat sofety
concerns (Photogrophs 4 and 5) (0)
tZ.lte att pump houses protected from unauthorized entry? (ocked, durable construction, etc.) lNotes: There are not lock on either of the pump voults. (0)
13. Do att pump houses have adequate tighting throughout?
Yes No N/AUnk
Add
Edit
Edit
Add
E000691 WELLolcHocraw WL Submersi O,"l
Pump Capacity: Unknown
High/Low Set Points:
Unknown
NO
E000691 1 HEROKEE WELL WL Suumersiutel
Pump Capacity: Unknown
High/Low Set Points:
Unknown
NO
WSF
State
Assigned
lD (Tag)
Facility
Type
(WL or
PF)
Description
(e.g. 1.5HP. Low/High
set points: 25/75psil
Comments
(e.g. Emergency power
is a propane generator)
Pump TypeName Pump
Capacity
Auxiliary
Power
No N/AUnk
i ';:-l : I t. Do any of the pumps cycte > 6 times per hour? (Recommended)
2.Are att pumps rn good repair?(excessive notse vibration heat,odors ea/ra etc.)
Are spare parts readily avaitable for critical pump components?
ls each pump equipped with an accessibte check vatve? (on the discharge side before the shut-off valve)
Notes: There is an accessible check valve on the Cherokee distribution, however, it is in the wrong location and
must be between the pump and the shutoff valve, prior to the flowmeter ond pressure switch. plans must be
submitted by an engineer. The Choctaw distribution was submerged in woter and unable to be verified during
the inspection, but it does not appeor a check valve is in place prior to the first isolotion valve which was above
the water,
csL
\- i Add
.+
(0)
(0)
l , .j 5.Are isotation vatves provided on the discharge side of the pump?
I O. ls a working pressure gauge instatted on the discharge tine of att pumps?
. 7. f: a working flow meter provided for each pump? (Required if pump is connected directly to' ' the distribution system)
. ,. ls att pump lubrication oiI ANSti NSF 61 approved?
Notes: There are no pumps ossociated with this PWS thot require oil lubrication.
ls an air/vacuum relief valve provided for each verticat turbine pump and is it protected from :: 9. contamination? (Open downward, 24 mesh screen, oir gap, etc.) l
There are no verticol turbine associated with this PWS.
:i
)
Add
Add
Edit
Add
Add
Add
Edit
Edit
(0)
i
)
:i': i.., ' j
ii
(0)
(0)
(0)
{
{
file:///C:/Users/kcarter/DownloadsllD7220063_Finalized_ESSForm (4).html 14t18
'11116122, 2:12 PM Sanitary Survey
ls adequate backftow protection provided on all threaded taps/ hose bibs instatled in any of
the pump houses?
14. Notes: Atl threaded taps in both pump voults need to be equlpped with a backflow prevention device
(Photographs 5 and 17). The nmple tap in the Choctaw pump vault is completely submerged in water without
an installed backflow device.
Are there signs of excess heat, moisture, or corrosion damage in any of the pump houses?
(lnadequate venti lation)
1 5. Notes: There is excessiye moisture in the Choctaw pump vault, documented in the previous sanitary survey as
well, with standing water (Photographs 4 and 5). There are signs of moisture in the Cherokee pump vault as
well (Photographs 11 and 13).
Are there signs or a history of pump house equipment freezing in any of the pump houses?
^. (lnadequate heating)tt'
. Heaters were present in the Cherokee pump vault. There is no insulation or heater in the Choctaw
pump voult with standing water potential for freezing is high.
Are att pump houses protected from ftooding and surface water entry? (Drained, ground
17. surface graded to lead surface water away, etc.)
Notes: There is not an adequate drain installed in the Choctaw pump vault.
Do the ftoor drains discharge > 30 feet from any wetl in at[ of the pump houses?
Notes: This pump house does not have a floor drain.
Edi
(0)
..l
(0)
,
(0)
(0)
(0
(0
Edit
:l ,1 Edit
Edit
CSL N
Add
Add
Edit
;':j,j
t
I i18
no Does an unprotected cross connection exist due to the floor drain connection in any of the
''' putp houses? (Connected to sewer, storm drains, etc,)
Auxi liary-Pqwer Unjlr-(APU )
Co m m u n i tylyste m s_Qnly
APU on a Well Lot Only
Yes No N/AUnk
25. Are there any auxitiary power units located on a wetl tot?
26. Are the fuet tanks above ground or otherwise accessibte for [eak inspection?
r 28. Does a certified operator observe fitting of the fuel tank(s)?
29. ls engine exhaust directty discharged to the outside atmosphere for a[[ APUs?
Add
(0)
: 27.1s secondary spilt containment provided for alt fuet tanks? (11096 of fuel tank volume), Add
(0)
Add
Add
Yes No N/AUnk
, 20. Does the PWS have anY APUs?
CSL Notes
Add
: 21. Are att APUs tested regularty? (Recommended)Add
(0)
: | 22.For all APUs, is a working automatic power transfer switch provided?Add
Yes No N/AUnk
: , '23 Can the community PWS adequatety pressurize the distribution system during a power
outage? (C only)
Do the APUs power atl essential etectrical functions in the pump houses and the pumping
24. stations (pump, controls, treatment, etc.) and pressurize the system for a minimum of 8
hours?
NotescsL
:
(0)
(0)
Add
Add
file:///C:/Users/kcarter/Downloads/1D7220063-Finalized-ESSForm (4).html
(0)
15118
11116122,2:12PM Sanitary Survey
file:///C:/Users/kcarter/Downloads/1D7220063_Finalized_ESSForm (4).html 16/18
11116122,2:12PM Sanitary SurveY
Fina nciall Mana gerial
Fi nanci a I Capeslly-Questi ons
Ma n ge ri a I Ca pagily-Qu esti o ns
Review the following with the Ownerlorcrclgr where appJcable
Review the following SampJe-Sllin
Yes No N/AUnk
20. RTCR Sampte Siting Ptan EDMS#:
21. Have any changes been made to the RTCR schedule or sampting location?
22.PBcU5amp[eSitingPtan(CondNTNConIy)EDMS#:
Add
Add
Add
Yes No N/AUnk csL
Add1. ls the PWS current with the payment of drinking water fees?(0)
2.ls the user charged for drinking water?
Notesi Users are charged an annual fee of 5280
Edit
. Has an independent financiat audit of the PWS been conducted, or has the SMART Financiat
t' Too[ been compteted? (Recommended)
Add
Yes No N/AUnk CSL Notes
Add
Add
4. Does this PWS have a governing body or board of directors?
5. Does the board meet routinely? Frequency:
Yes No N/AUnk
EDMS#:
CSL Notes
Add
Add
Add
Add
Add
Add
Add
Add
Add
Add
Edit
Edit
Edit
Edit
6. Cross Connection Control Ptan (C only) EDMS#:
7. Asset Management Ptan (C and NTNC) EDMS#:
8. Operation and Maintenance Manual (C and NINC) EDMS#:
9. System Ctassification Worksheet (C and NINC)
10. Operator Licensing lssues (C and NTNC)
11. Emergency Response Ptan (PWSs with a population > 3300)
12. PWS lnventory lnformation
1 3. Monitoring Schedules
14.Sampte History fiCR and Non-TCR) ' Past 5 Years
15. Viotation History - Past 5 Years
., Compliance Schedutes - pending and overdue
I o' Notes; At the time of the inspection, this PWS has no pending or overdue complionce schedules'
,- Pubtic Notifications - ongoing/currentty required't''
Not"r, At the time of the inspection, this PWS has no current or ongoing Public Notification required'
18 Chlorine Residual History - Past 5 years
No,les:.At the time of the inspection, this PWS does not chlorinate'
Monthty Operating RePorts (MORs)
19 At the time the this PWS is not required to submit llORs.
file:/i/c:/users/kcarter/Downloads/|D7220063_Finalized-ESSForm (4).html
csL
17t18
11116122, 2:12 PM
26. POU Sampte Siting ptan EDMS#:
Notes: At the time of the inspection, this PWS does not hove any Point of lJse units.
Records Management Questions
lvta n a geri a I P la n s_Questi o n s
O p era tor5 af ety_Qu e sti o n s
Sanitary Survey
23. Have any changes been made to the PBCU schedute or sampting tocation? (C and NTNC only)
Z4.DBP Sampte Siting Plan EDMS#:
Nofes:At the time of the inspectlon, this pWS does not chlorinate.
Add
Edit
Edit
Add
Add
28.
29.
30.
csL
Do all Sampte Siting Ptan(s) meet the minimum requirements? INotes: The rystem owner does not hove a current written sample siting plon that meets RT1R requirements f(40 cFR 141.853.a). An RTCR nmpte siting plan needs to be developed andlor imptemented IAre samptes being taken in accordance with the sampte siting ptan(s)? INotes: samples must be collected from different locotions in the distribution every quarter to get an adequatellrepresentation of the overall system. IAre records retained onsite or nearby for the minimum time require d? (TC-Syr; cheml rad- l10yr; violation corrective actions-3yr; sanitary surveys-I\yr; woiver, viriance-, or exemption , :
determinotions-Syr; PNs issued-Jyr; daily frei chlorine reiiduals-tyr) (o)
,t h:fff;X:Tier compraint svstem and ongoing pubtic information program?
Yes No N/AUnk
Edit
Edit
Add
Add
Yes No N/AUnk csL
, 32. ls there a recognized organizationat structure and management for the pws?
(0)
Add
,t. ls therg an overall operation and maintenance manual for the PtNS? (including equipmentmanuels, as-bui lts, 5OPs, manufacturer's literature, etc.)Add
' 34. Does the PWS have an Asset Management ptan? (Recom mended)
(0)
.:
(0)
Add
35. Does the PWS have an Emergency Response plan? (community pwss , 3300)Add
Yes No N/AUnk csL
, 36. Are atl operators trained in safety procedures and equipment?
lZ. Pogf a safety concern exist for personnel and/or visitors? (PPE, handrailslguardrails,Iaclclers, non-slip triads, etc.)
tt.f;[::"Xpotentia[ shock hazard because the etectricat wiring appears to be inadequatety
39. Are protocots fotlowed for any confined space entry? fiecommended)
Add
Add
Add
(0)
(0)
:
(0)
Add
file:///c:/Usersikcarter/Downloads/1D7220063_Finalized_ESSForm (4).html 18/18
Photog raph ic Documentation
lnspection Date(s): Wednesday, October 19, 2022
Facility lDz 1D7220063
Name of Facility: Shotgun Cherokee Subd 5
lnspector(s): KelseY Carter
Purpose of lnspection: Sanitary Survey
State of ldaho
Department of Environmental Quality
ldaho Department of Environmental euality
Photographic Documentation For: shotgun cherokee subd 5 - lD7z2oo63
Table of Photographs:
Photograph 1: Well #L now identified as the Choctaw Well (E0006g10)with a secure cap..........3
Photograph 2: choctaw well (E0006910) is vented but missing a screen. ...................3
Photograph 3: Capped pump to waste located next to pump vault. ..........4
Photograph 4: Overall view of the Choctaw Well vault. There is standing water and most
components of the system are submerged. There is the potential the pressure tank has become
water logged as standing water was photographed in the previous inspection. .........4
Photograph 5: At least 12 inches of standing water in the Choctaw Well Vault. All distribution
piping is covered. There is no floor drain.
Photograph 6: Pressure gauge reading 48psi.
Photograph 7: The second pressure gauge reading 72psi. ........................6
Photograph 8: A pressure reading taken from the home next to the well vault read 71 psi. ........6
Photograph 9: Well #2 is now identified as the Cherokee Wellwith tag E00069j.1 attached .......7
Photograph 10: The Cherokee Well cap is not properly vented. The seal is intact and all bolts are
securely fastened....7
Photograph 11.: overallview of the Cherokee pump vault. Modifications since the previous
sanitary survey include a new check valve, flow meter, new pressure tank, and the removal ofoutdated materials. ......8
Photograph 12: Pressure tank information tag. The pressure tank in the Cherokee pump vault is
a well-X-Trol brand, model wx-302 with a manufactured date of 06/06/2020............................8
Photograph L3: Another view of the distribution lines, galvanized steel and pVC. There is a
sump pump located in the pump vault to avoid standing water. A flow meter has been installed.
Photograph 14: Pressure gauge reading 60 psi.
Photograph 15: second pressure gauge installed on the cycle stop valve
Photograph 16: Flow meter reading z,o2s,3oo during the inspection.....
Photograph L7: Threaded sample tap missing a backflow prevention device
.5
.5
2
Photograph 1:Well#1 now identified as the Choctaw Well(E0006910) with a secure cap' (Deficiency)
The well does not meet the required setbacks to property lines.
photograph 2: Choctaw Well (E0006910) is vented but missing a screen (Significant Deficiency)
ldaho Department of Environmental Quality
Photographic Documentation For: shotgun cherokee subd 5 - lD722oo63
Photograph 3: Capped pump to waste located next to pump vault.
Photograph 4: Overall view of the Choctaw Well vault. There is standing water and most components ofthe system are submerged (Significant Deficiency).There is the potentialthe pressure tank has becomewaterlogged as standing water was photographed in the previous inspection and high amounts of rust arepresent (S i g n ifi ca nt Defi c i ency).
4
ldaho Department of Environmental Quality
Photographic Documentation For: shotgun cherokee subd 5 - 1D722O063
photograph 5: At teast 12 inches of standing water.in the€hoctaw well Vault (significant Deficiency)'
Alldistribution piping is covered. There is n6 Roor drain (Significant Deficiency).The pump vault is.not in
good repair. Water is eniering the vault through the seam tihere a foam has been sprayed but is failing
(Significant DeficiencY).
5
Photograph 6: Pressure gauge reading 48psi'
ldaho Department of Environmental euality
Photographic Documentation For: shotgun cherokee subd 5 - lD72zoo6g
Photograph 7: The second pressure gauge reading T2 psi
Photograph 8: A pressure reading taken from the home next to the well vault read 71 psi
6
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun Cherokee Subd 5 - ||D722OO63
Photograph 9: Well #2 is now identified as the Cherokee Well with tag E0006911 attached.
Photograph 10: The Cherokee Well cap is not properly vented (Significant Deficiency). The seal is intact
and all bolts are securely fastened.
7
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun Cherokee Subd 5 - lD7220063
Photograph 1 1: Overall view of the Cherokee pump vault. Modifications since the previous sanitary
survey include a new check valve, flow meter, new pressure tank, and the removal of outdated materials(Significant Deficiency).
Photograph 12: Pressure tank information tag. The pressure tank in the Cherokee pump vault is a Well-X-
Trol brand, model \ D(-302 with a manufactured date of 0610612020. There is not an installed isolation
valve on the pressure tank (Significant Deficiency).
8
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun Cherokee Subd 5 - ID722OO63
Photograph 13: Another view of the distribution lines, galvanized steel and PVC. There is a sump pump
located in the pump vault to avoid standing water. A flow meter has been installed. There is not an
accessible check valve in the correct location between the pump and the shutoff valve, prior to the
flowmeter and pressure switch (Significant Deficiency).
9
Photograph 14: Pressure gauge reading 60 psi.
ldaho Department of Environmental Quality
Photographic Documentation For: Shotgun Cherokee Subd 5 - |D722OO63
Photograph 15: Pressure gauge installed on the cycle stop valve reading 0 psi indicating the pump is not
currently running.
Photograph 16: Flow meter reading 2,025,300 during the inspection.
l0
ldaho Department of Environmental Quality
photographic Documentation For: Shotgun cherokee subd 5 - ID722OO63
photograph 17: Threaded sample tap missing a backflow prevention device (significant Deficiency).
ll
r;;;,;;;;;,'thLlr:vv:r-l
*'t. fra"r,oItspe\.tnt of water neaourceg
WEI.L DRILLER'S REPORT
Strln l.w .eqritol thrt thb r.Port bolil€dwith
cftar the oomploilon
I, WEILOWNER
Name Perlr frter Co.
Ownor's Pormil No.
5. WCIL COftlSlRt gTlot{
Oirmelor of holn j* it nrr
Cr;ingschsdulc: E SE I
Total dopth -,S--.,ltut
fhEtm olmt' FmE To.2iit--i*h* 6 In fier {- tcor 65!61 reot
lrds
-
lnchrc
-_inch€i .- inchar
-
incis3 ..--- itEhia ^-
inchcs
-
lmhcr
-
uh. €ofie *ii *c...ad? O tb !
Wa e prkr or ed ud? E Yre A
Plrtorat€d? 0 Yt f,l
How perforrted? Cl F-rory B Knlft
fsst r0 oistrid ofics
Sralic warsr lcvol -l-.- taet bctow tand c/rtocc
-" -' - --^r)
FlowingT O Yes )rl No G.P.M. llow-.
Temperature --o F. OuelitY Eood
2I 19/6
7. UI,ATER LEVEL lhprdmril of lvahr Resourcd
Arttian cl6s+in presrrro---p s.i.
controlled by ll Volvs CJ Csp fl Plug
8. W€LLTESTDATA
E Pvmp E Bailer Cl Othcr
9. Lttlloloclc LoG
ll.l'Ll
tlta Oitoctor, O+qh..t ol tlbtrr
or obrndonmst of lho w€ll.
aoa.eo-..|@-rdrlro --
l{oVE
ItJara.
g Concr€tt
5{or6a{
Olffi7tu&
--4*ffial
cftwE€-
Qril^- t
U
^pro?
ffit
leettu
frrt
Xo
No
No
-
feet
---- feet
_,.* fror
-- -- -,loot
E Torch
Sizlolporfootlon
-
incht'by.__ lnches
Xunbr Frcn fopefotrtionr ter .--- fea
pedorrtionc is1 -'.-==..- feat
psrlor.lhnr tct
-
fcrt
Wcll scrssn inclclLdl E Yca S No
Muufrturst't tl€ltlo
-*
Typ6*=--*--- Modd No, *-_
Diamet€i _ Slot dre
-
Set hom--- f.€t to -=- feot
Diamerr'- Slot riuo- Sn ftom-'- loot to--.- fo€t
Grovcl packod? cl Y. I ilo Slea ol grrd
Placgd |rom=,+laat hct
3rt!. l.ol ddn-lS*-raclr.l0a tra, ln aacl [l cmrot geirt
B@tontt€ !! ruaioi aoy El f,ll .urfinc.g.fitraa.Ii- tt fryil Otrlrrrrtr
El o*rr.r t rr
oF wEtt
map location murt €gt€6 with ffinao locltion,
lsrdtrlbtr rr --Sbolggl[Jise
I
fd lb'-docr it-
counrv hcDnt
.dq>
Dtilgdn9rr
A ilATURE OF WORI(
I NerY wall g OGPmod 0 ScPhccmcnr
tl Abondoncd (ditc(lbo mlthod ol rbrndoning!
Faom To
LohObo,
3. Pfi'OFOlED Ue!
tl oonrclc O rfidoo
D lr*cec tr ht.ltid
tr ortstcdtr tr.lOnd
g $o.r O flldr Ol$dd ot
lnl.clio.1l)o
Itr-,l Am Qlulc1.l ,.,
t.t ((Frrm {Ylrv({
4 I'ETHOD ONILLED
O Crblo I Fotow tr Ouo O otho
arf| Dadrl{oh ehalotr'l An
hrlea DaiA.l rh Rho]rAAm
oar ur*l DarlA{ olr Qhrl s
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t0.tinirh.d Jnlv ?. 1972lryort EtltLd .tu].v 6. 19?2
rirn ltnr@rnr ro5-
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ari
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lL ilrufit cclnncjtu
us€
U
YYHITE COPY TO THI OEPAfiTIICII?
\
** !*olip*rftnt of tJat'er Reeources C
PEN
WELL DRILLER'S REPORT
thir rstlort b€ ll lsd wlth tha O l.cclor, o.P.tlrd of llloLr
aftgr rht complotbn ot rbttdonmcnl of tho well.
30St.lr law roq.li.or thst
t. rrlrELL OwtrlER
Ngme lElsnd Uater Co.
' :::::,:]:.,- on-,*, l,"fmm'm Y,/
aaa'*{htm S}}ff,fftffifo, rdffi*-
Owncr's Ptrmir No,
5. trEfL ooNsTRUCllOil
oa.rflotar of hole -C * in.rt* Torrl d6oth 100 tcGt
C.iingsch€dul.: I$ Sr.el O Concttt
thi*E Olrnur FEm !P-
-tij8- inctror -$ inotrrs +l- |ct ]O9trtecr
in66
-
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-
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-
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-
lat
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lnchsr -._-* Itt fto6 .*-_ t$l --{ilt\ibcorhe &firdw rr.d? tr lL t! Xc
w$ E packor o? sl u!d? [] Y06 3 No
Perfontcd? OYrr 8No
Ho{, perfo?atd? O Frctoty D Knlle tr Torctt
Sirs of perloratlon
-
Itraru by
-*-
lndr€t
a{cnlat Fffi lo
Wgll 3c?o€n inst lld? E Yos 6 No
Monufacntret'r nonc
-
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Oiamoter - $lot dzo
-
Sct llorn_- |.il to__* frt
Oarmora-'- Slor drc- Set fmm_- f6sr to-- -- foit
Grrol Dacksda O Y.r I No Slze ol grrd
PlEcad l€st ticr
sslc.. rrot c*tn_lLgrhl rrd ln rxl Et crlor llorl
8@tonlas EF Prlarr ory O ttt
t.-{ rtG*..d O fr, I trlrrf :tu
€l mr. b .a
& tpcATroit oF wclt
['$acn nrp locrflon mulr agrlc wilh wrincn locetlon.
r{ffiioa l5.&lgln-gll}gc.
Flowrngl O Yor lQ tto C.P-M.
Temperature--o F. Ourliiy
Arte6icn clo$d.in prg3gJrs _. _*-p'1.i.
Cstroll€d bv O Volvo fl CrP O Plug
8. WETLTESTDATA
D Pumo fJ Eailcr CI Orhor
e. UTHOLOGTC tOG
l/lrtLl tfrta,Y;F;i
flttrv/^l
0Wrruu
"'/''fu
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ld t{a- No.l tt
-
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A NAfUREOFWONT
I Nar woll 0 DesPonsd Cl ficPl*cment
n Ab.ndoned ldcrcribo mcilrod ot.bmdoningl
tl.d.
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a PROF0tto ntc
El Danrdl€ O Ldcdlo.r
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Il ohrle.dlr ft!.|O nrt
tl Sbcl EI lcll lxFgrd orhldh.5 o
5
Klo
lv,5
4, i,IETHOD DRILLED
6 Cabte tg Rorory 0 O.n tr Orher
Klr5).lv
IC,o50 :CIr5
7q
K}
X80to9
* r r.r.I.
10.r0-23-?OWo.k stfrad I0-1?-?0 llnidred
Finr|o-@ntrxJ-
* 1268 E.st l?th Street
J{
fi.t
tL nll-l.tlc c:rnflcrrul
Ooi 1^-20-?6
Id&FlrUeEria bt (n i
-bJ-Eo-Lltr.)o
E
qorwAtt) THI vrHtTE @py ro txE o:FARtrEf,?
RTCR SamPle Instructions
RTCR Sample lnstructions
Selecting SamPle Locations
Contaminants like coliform bacteria may not be uniformly distributed, so it is critical that the
location(s) selected provide samples that are most representative of the water served to
customers in the PWS's entire distribution system. lt is especially important to identify and
include in the sample siting plan those features of the system that may affect the
microbiological quality of the water. PWSs should consider varying sample site locations
throughout the year to better characterize water quality throughout the distribution system.
When selecting sample locations, PWSs should consider:
. Sites that best represent water served to customers throughout the distribution system;
. Proximity to main transmission lines, pressure zones and storage tanks;
r Locations of dead-end pipes, loops and other areas of the piping system's configuration;
. Pressure zones that are upstream and downstream of all storage tanks;
. Cross-connection hazards;
. seasonal customers or locations with inconsistent water use;
. Areas of the distribution system delivering water from different sources;
. Areas of the distribution system with longer retention times; and
. Areas of the distribution system with low water pressure and slow water movement.
Generally, sample locations should be:
. At a mid-distribution system point;
. Not on the transmission lines (e.g., the distribution system's largest pipes);
. Directly after the storage tanks, specifically for tanks with direct or flow through design (e'g',
separate pipe for inlet and outlet); and
. Multipurpose samPle locations.
o lf consistent with each rule, sample locations can be used for compliance with multiple
drinking water regulations. For example, compliance monitoring for Total
Trihalomethane and Haloacetic Acid under the Disinfectants and Disinfection Byproduct
Rules.
Repeat Sample Actions
within 24 hours (unless an extension is granted by the primacy agency) of notification of a totalcoliform-positive (TC+)sample result, a pWS must:
' Collect 3 repeat samples for each TC+ routine sample, even if a Level 1 or Level 2 Assessment
is triggered.
r Continue collecting a set of 3 repeat samples until, either TC is not detected in one completeset or the system triggers a Level 1 or Level 2 Assessment.
PWS's must collect at least 3 repeat samples at the locations described in their sample sitingplan that include:
o one (L)at the same sample tap where the originalTC+ sampte occurred,
' one (1) at a tap within five (5) service connections upstream of the original TC+ 5i1g, 3n6o One (1) at a tap within five (5) service connections downstream of the original TC+ site.
Selecting Sampling Ta ps
Faucets and specially installed sampling taps are the two most common types of sampling sites.lf faucets are to be used, each faucet should be examined carefully to enzure its suitability.
Some examples of potentially unsuitable faucets are:
' swivel-type faucets because they are difficult to disinfect;
o Faucets with a single valve for hot and cold water;
' Faucets or taps with leaky packing material around the stem;
' Faucets that supply areas, such as janitorial or commercial sinks, where bacteriat
contamination is likely;
o Faucets or taps close to or below ground level;. Faucets that point upward;
' Faucets that have threads on the inside of their spouts because they are difficult to disinfect;r Outdoor faucets; and
o Faucets with aerators because they may harbor bacteria. lf such faucets are used, it isrecommended that the aerator should be removed before a sample is collected and disinfectedbefore replacing it.
ldaho Department of Environmental QualitY
PrintForm
TotalColiform Sample Siting Plan Form
Total Coliform Sample Siting Plan
for Small Systems
This form is intended to assist public water system (PWS) owrers and operators with.developing a total coliform-^
samole sitins plan. rftir ioirn il aesigneo ror systems taking three samples each mgnt! or each quarter (se1i1g,1],300
;:';i't;:ilfi;;ili; iffi i'-opiiongr.loy"yqi,"elip"uiic witer.system 9re-ryg9q9d.t^o^ryy: a written sample siting plan
i' ubcordancj*ith the itdahb Rules for Public Water Systems" (IDAPA 58.01.08.100.01).
Part 1. General System Information
PWSID:PWS Name
Mailing Address
PWS ContactName:
E-mail:Phone:
Sources of Water:
Identiff sources of
drinking water and
attach additional
sheets as necessary
Emergency Contact Name
E-mail Phone
PWS Type f Community (CWS) f, Nontransient noncommunity (NTNC) [ Noncommunity transient (NCT)
Noncommunity Seasonal System: E No f Yes* If yes, season open:close:
* Seasonal systems are required to perform annual start-up procedures prior to opening for the season unless exempted in writing'
Source/FacilitY ID
Name of drinking water source(s): well tag #,
name, spring name, intake source
Source TyPe
GW--ground water, SP--sPring,
SW--surface water, GU--ground
water under the influence of SW,
P--purchase water from other system
Usage
P-permanent (full/time),
E--emergency (not Planned
for use), l--interim to meet
peak demand
4-log Virus
Inactivation*
Source has continuous
disinfection to provide
4-log virus inactivation
I {^ Yes CNo
2 C Yes CNo
t f Yes CNo
4 C Yes CNo
Phone:
Date:
source water
total coliform positive samPle is required when a system using ground water does not have 4-log vtrus
inactivation for all ground water sources.
Manifold: List sources that
combine before distribution
Disinfection Treatment Installed/Using: f None I Chlorine f] Chloramination E Chlorine dioxide I Ozone
(check all that apply)
Owner/Operator Name:
Signature:
Version 1.0 Page 1 of4
PrintForm
ldaho Department of Environmental Quality TotalColiform Sample Siting Plan Form
Part 2. Sampling Location Information
U
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2.U
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2.U
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Month Routine Sample Location
(address, sample station name)connections upstream from routine,
connections downstream from routine
Kepeat sample
)
(U = within 5D: within 5
lst
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Version 1.0 Page2 of 4
ldaho Department of Environmental Quality
PrintForm
TotalColiform Sample Siting Plan Form
July 1 U
D
2.U
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3
August I
U
D
U
D
2.U
D
3
September I
U
D
U
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2.U
D
(U: within 5 connections upstream from routine,
D : within 5 connections downstream from routine)
Repeat
Month Routine Sample Location
(address, sample station name)
3rd
a
U
A
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E
R
4th
a
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October I
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Version 1.0 Page 3 of 4
PrintForm
ldaho Department of Environmental Qualitv TotalColiform Sample Siting Plan Form
M,ost public water system owners or operators are not required to submit total coliform sample siting plans. Thefbllowing circumstances require submittal and approval df your sample siting plan by your iocal fieid'office:' Owners and operators who.wish to propoie altemative fixed sbmple siies or ciiti:ria for selecting sites based onsituational information. This information needs to be written intoa standard operating procedur"e as part of iheplan.' Operators or owners of seasonal systems using only ground water and on monthly monitoring that qualiff for andwish to take quarterly samples.
Other considerations:' Attach a schematic of the distribution system with locations marked for sample sites and other relevant watersystem information such as wells, storage tanks, booster stations, etc.' Ensure the entire distribution system is represented when identifying sampling locations.' If there are two or more disjribution systems and those distribution systems are not interconnected, please ensuresamples.are taken from each distribution system d-gring each compliince period (month or quarterj.'' If a.routine.sampling location is.at the end of the distri-bution syst6m or orie serviie connection u*uy frorn the endof the distribution system, identify an altemative upstream or downstream sampling location from tirat routin.location.' Repeat samples must be collected within 24 hours_of being notified of a routine positive sample result and must betaken the same day at different_sites. However, if there is.only one sampling locdtion, such as'with a carnpground,please identiff wheJhe^r yo_u will take_ one repeat total coliform sample per d'ay for three consecutive days'o"r alarger sample size (300 mL) on one day.' Public water systems that use only ground water and do not provide 4-log virus inactivation are required to taketriggered. source water samples aftei a routine total coliform positive sam-ple result. The samples *ir.t b" tuk"nfrom each source active at the time the routine sample was taken and musl be taken before uiry tr"ut*ent 1iu*water).
Version 1.0 Page 4 ot 4
STATE OF IDAHO
DtsPARTMENT OF
ENVIRONMI'I{TAL QUALI'TY
900 N. Skyline Dr.,Suite B
ldaho Falls, |D.83402
Brad Little, Governor
Jess Byrne, Director
November t7,2022
Dorothy McCarty
455 Constitution Way
ldaho Falls, lD 83402
Email:water@ ida.net
Subject: Valley View Subdivision llD722OL56|- Sanitary Survey conducted on October 20,
2022
Dear Dorothy McCarty
A sanitary survey was recently conducted for Valley View Subdivision (1D7220L56). This letter
provides the sanitary survey report and photos for your records.
Significant Deficiencies - Significant deficiencies identified in this report must be
addressed after consulting with the ldaho Department of Environmental Quality (DEQ),
ldaho Falls Regional Office. Consultation and a written corrective action plan are
required within 30 days of any significant deficiencies and/or follow-up requirements
identified in this notification (IDAPA 58.01.08). Follow the four steps identified in the
sanitary survey report to address all significant deficiencies.
Deficiencies - The public water system operator/owner identified in this report must
address the deficiencies in a timely manner.
Recommendations -
Recommendations identified in the report are not required to be corrected at this time,
but it is recommended.
Consult DEQ before taking specific corrective actions or modifying the water system. Modifying
your public water system or installing new components may require assistance from an ldaho
licensed professional engineer and DEQ's review and approval. Contact this office before
making modifications to your system.
Thank you for your help in completing the sanitary survey. For questions, contact Kelsey Carter,
Drinking Water Compliance Officer, ldaho Falls Regional Office, (20g)528-2650,
kelsev.ca [e-mail]
-1
€
STATE OF IDAHO
DEPARTMENTOF
ENVIRONMENTAL QUALITY
900 N, Skyllne Dr., Sulte B
ldaho Falls, lD.83402
Brad little, Governor
Jess 8yrne, Dlrector
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
Enclosures: Sanitary Survey Report, Photo Log, Maps, Survey Forms, Well Log, Site Sampling
Plan lnstructions, and Site Sampling Plan Template
C:Troy Saffle, Regional Administrator, IFRO-DEQ
Carlin Feisthamel, Regional Engineering Manager, IFRO-DEe
Jason Fales, Drinking Water Compliance Supervisor, IFRO-DEe
a
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
Sanitary Survey Report
Valley View Subdivision - 1D7220155
Survey conducted on October 20,2022
Report generated on November L7,2022
Narrative
Valley View Subdivision is located in Fremont County, in the lsland Park area, east of Henry's
Lake. The water system consists of two groundwater sources serving 20 connections and an
average daily population of 40 individuals year-round. Based on the number of people using the
system it is considered a very small water system (VSWS). The water system is classified as a
transient non-community (TNC) because the system does not regularly serve the same twenty-
five people over six months out of the year. A TNC is not required to have a certified operator
overseeing the system operations. The water system supplies water throughout the entire year
and does not depressurize or drain the distribution. This system is regulated by the ldaho Public
Utilities Commission. Dorothy McCarty is the main contact and owner of the system with lsland
Park Water Company. Mrs. McCarty was present for the sanitary survey as well as Engineer
Mike Lund. Together they were able to answer questions and discuss important aspects of the
public water system. This is the first sanitary survey conducted for Valley View Subdivision. The
public water system was activated on August 9,2022, after an onsite evaluation was completed
and data was collected. These inspections are conducted every five years to ensure all the
system's components operate correctly and identify any potential health hazards. There are
nineteen significant deficiencies identified in this report.
The East Well has been identified as the original well for the subdivision, drilled in September
1983. The well is located at the intersection of Lakeview Drive and Rees Road. A Well Driller's
Report was documented with the ldaho Department of Water Resources in 1985. The well was
drilled before plans and spec had been approved by DEQ in L987. The well took 26 days to drill
to a depth of 47O feet. The steel casing is 8-inches in diameter from 0 to 226 feet. The steel
casing from 201 feet to 414 feet is 6-inches in diameter. The two casings are welded together
from 201 feet to 226 feet. The well log indicates that the casing is perforated, but does not
mention the size, number of perforations, or depth. The casing is not screened. Bentonite and
cement grout was used to surface seal the well to 50 feet. The casing does extend above the
required L8-inches from the ground surface to the sanitary seal, as shown in photograph 9. The
cap is not equipped with a proper vent with 24-mesh with a downturned opening. This is a
significant deficiency, and a new cap must be installed. The drawdown is unknown, and not
-J-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B Brad Unle, Governor
ldaho Falls, 10.83402 jess Byrne, Director
provided on the well driller's report so the well cap must be vented. The well vent is located on
the top of the well cap and serves to equalize the pressure within the well column to prevent
air from entering the well, which can cause a vacuum to occur where potential contaminates
can be drawn back into the system. At the time the well was drilled, the static water level was
measured at 50 feet.
The East Well does not have a pump house. There are two pump vaults associated with the East
Well, pictured in photograph 10. Neitherof the pump vaults had locks in place. Locks must be
installed on the pump vaults to protect the water system components from unauthorized
access and potential vandalism. There is an acceptable cover for both pump vaults, but it is not
sealed in a way to prevent the entry of surface water and animals. All walls and floors must be
watertight to minimize the risk of contamination. At the time of the inspection, there were
mice in both pump vaults, with a nest shown in photograph 16. This indicates that animals are
able to get in and out of the pump vaults. This is deemed a significant deficiency as mice are a
source of contamination. The seal around the pump vault lids should be examined as well as
resealing the seam in both pump vaults. There is staining present on, and below the seam,
indicating surface water entering the vaults. This has been determined to be a significant
deficiency as surface water entry is a source of contamination. The construction of the vault
containing the pressure tanks is not watertight and does not have an adequate drainage
system, the vault can flood causing surface water carrying debris and bacteria to increase
contamination leading to a health hazard. A proper drainage system must be installed in all the
pump vaults.
The water enters the east pump vault, where it is undetermined if a check valve is installed
based on the photographing angle. There is a working flowmeter installed and then water flows
to the west pump vault through galvanized steel pipe and PVC. The west pump vault contains
two unmarked pressure tanks. There is no information tag to determine the make, model, and
installation dates. Based on exterior observations, the tanks are likely Well-X-Trol or Amtrol
tanks with a L19-gallon storage capacity. Each pressure tank is equipped with an isolation valve.
The tanks have rusty exteriors and show signs of excessive moisture. lt is unknown if the tanks
have been tested recently for structural integrity. The west pump vault contains the pump to
waste. There is an installed isolation valve on the pump to waste as well as a tap. This tap is not
a smooth-nosed sample tap and should be removed or downturned with a backflow prevention
device installed. Allthreaded ends must have an installed backflow device installed. Water re-
enters the east pump vault where a pressure switch and pressure gauge are installed. The
pressure gauge was reading 59 psi. The high and low set point for the pump is unknown. The
pump did not turn on at any point during the survey. A chlorinator is also located in the east
pump vault. The chlorinator is currently inactive and does to appear to have been used
recently. ln order for chlorination to be used, DEQ must be notified prior to treatment.
4
STATE OF IDAHO
I]EPARTMENT OF
ENVIRONMENTAI- QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Gove.nor
less Byrne, Director
The West Well is located off Valley Drive and Jones Drive. After working with the Department of
Water Resources a Well Driller's Report has been identified. The well log was determined by
casing size, date, location, and water rights permits. Based on the identified Well Driller's
Report the West Well was drilled to 176 feet in August of 1990. The steel casing is 6-inches in
diameter. The casing is not screened or perforated. The casing is surface sealed with bentonite
to 30 feet. The static water level at the time the well was drilled was measured at 1L8 feet' The
casing does not extend the required L8-inches above the ground surface to the sanitary seal'
This has been deemed a significant deficiency and must be addressed. We do not have
compliance sample data to show the height of the casing adequately protects the source. The
casing height provides source protection against surface water runoff or drainage problems. ln
the event of a broken pipe or a flooding event, a well with a short casing height could be
susceptible to contamination creating a potential health hazard. The cap on the West Well was
not properly vented. This is a significant deficiency, and a new cap must be installed. The
drawdown is unknown, and not provided on the well driller's report so the well cap must be
vented. The well vent is located on the top of the well cap and serves to equalize the pressure
within the well column to prevent air from entering the well, which can cause a vacuum to
occur where potential contaminates can be drawn back into the system' The cap was also not
properly secured to the casing. The bolts had been exposed to the elements and not
maintained. All the bolts were broken, loose, or missing.
The West Welldoes not have a pump house. There is a pump vault located within 10feet of the
well. The pump vault did not have a lock installed to prevent unauthorized access to the water
system component. A lock must be properly installed. All walls and floors must be watertight to
minimize the risk of contamination. The seal around the pump vault lids should be examined as
well as resealing the seam in both pump vaults. There is staining present on, and below the
seam, indicating surface water entering the vaults. This has been determined to be a significant
deficiency as surface water entry is a source of contamination. The construction of the vault
containing the pressure tanks is not watertight and does not have an adequate drainage
system, the vault can flood causing surface water carrying debris and bacter:ia to increase
contamination, leading to a health hazard. A proper drainage system must be installed in the
pump vault.
The pump vault contains a single-pressure tank. The installation date is unknown' The pressure
tank is a Well-X-Trol, likely a WX-350 modelwith a storage capacity of 119 gallons. The exterior
surface of the pressuretank has rusted and begun to deteriorate and flake in spots, which
indicates excessive moisture. lt is unknown if the tanks have been tested recently for structural
integrity. The pressure tank is equipped with an isolation valve to avoid depressurizingthe
entire system in the event of maintenance. There is a working pressure switch and pressure
gauge displaying 58 psi. There is an installed smooth-nose style sample tap, but the end of the
tap is threaded. A backflow prevention device will need to be installed. There is not an
5
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess 8yrne. Director
accessible check valve installed in the West Well pump vault. A check valve will need to be
installed between the pump and the first isolation valve to protect the source from
contaminants. There is not adequate heating or insulation in the West Well pump vault, to
prevent freezing and ensure efficient operation. DEQ is aware of main lines freezing and
breaking during the beginning of 2022. These mains have been repaired according to the pWS
owner.
There is currently a significant main line leak that has made its way to the surface, shown in
photograph 8. The main line break is within 100 feet of the East Well and has the potentialto
impact the two pump vaults. Water main breaks are major sources of contamination and must
be fixed as soon as possible. lf the main line is not repaired in a timely manner freezing will also
be an issue. The main line leak is likely impacting pressure throughout the distribution. During
the sanitary survey, a pressure reading was taken from a home nearthe West Well and
displayed 32 psi. Low pressure is a significant deficiency that will need to be addressed. The
PWS was constructed and has been modified after 7/L/L985 and is not able to maintain a
minimum pressure of 40 psi throughout the distribution system during peak hour demand
conditions. The reading was collected during a low demand when few residents were there.
There is a booster station on Rees Drive that was inaccessible at the time the sanitary survey
was conducted. lnformation about the booster station is all unknown and plans and specs have
never been submitted to DEQ. The next time the operator is in the booster station they are to
collect data and take pictures to be given to DEe. Based on the original plans submitted to DEe
there is a dead-end main located on Valley Drive. This will need to be flushed semi-annually to
avoid stagnant water-related issues. All valves are exercised at least once every quarter. There
are no fire hydrants or flushing hydrants in the water system. None of the system connections
are metered. There has been freezing within the water system, but not in the main lines.
Homeowners are responsible for where they connect on the main to their home. The system
was designed for seasonal use and the main lines and service connections' depth are unknown,
but likely buried less than 5 feet.
A site sampling plan will be required to be submitted to DEe by the end of the year. Currently,
samples are only being collected from 4L29 Herring Drive each quarter. Samples should
represent the entire water system and each quarter bacteria samples must be collected from a
different location, with backup locations identified. Once the site sampling plan is submitted, it
must be followed when collecting samples or they may be deemed non-compliant. Samples
were collected for all4 quarters of 2022, with no violations within the last 5 years. The annual
nitrate sample has already been collected for 2022 as well.
The subdivision is up to date with the annual state drinking water fee. Homeowners are
charged a 5280 drinking water fee set by the Public Utilities Commission. These fees cover
-6-
s STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALTTY
900 N. Skyllne Dr.,Suite g
ldaho Falls, |D.83402
Brad Little, Governor
Jess 8yrne, Dlrector
system maintenance, repairs, and collection of compliance samples. There is not a current map
of the distribution nor an overall operations and maintenance manual'
All planned corrective actions will need to be submitted to DEQ by December L9,2022.
-7 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMBNTAL QUALITY
Brad Little. Governor
Jess Byrne, Director
Significant Deficiencies:
A significant deficiency as identified during a sanitary survey, is any defect in a system's design,
operation, maintenance, or administration, and any failure or malfunction of any system
component, that the DEQ or its agent determines to cause, or have the potential to cause, risk
to health or safety, or that could affect the reliable delivery of safe drinking water (lDApA
58.01'08.003.131). Failure to address significant deficiencies constitutes a violation of IDApA
58.01.08.302 or 58.01.08.303.
Significant deficiencies may reference IDAPA design standard requirements. IDApA rule
citations for sections 500-549 are primarily requirements during the design or modification
stage of a new system or component, and may not be enforceable as part of a sanitary survey
These requirements are listed to provide reference of what current standards would apply if
that particular component were designed, modified, or constructed today. Corrective actions
that include material modifications must be approved by DEe.
To address all significant deficiencies identified in this report, follow steps 1-4.
Step 1 - Within 30 days of receiving this notification, submit to DEQ in writing a
corrective action plan including planned completion dates for each identified significant
deficiency.
step 2 - complete the planned action(s) by the "planned completion Date(s).,,
Step 3 - After completing each planned action, enter an "Actual Completion Date," your
initials, and write the "Corrective action taken."
Step 4 - Sign your name at the bottom certifying that each corrective action has been
corrected bythe planned completion date and your public water system has completed
the sanitary survey response requirements pursuant to IDAPA 58.01.08. Send a copy of
the signed paperwork to DEe.
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
-8-
STATE OF IDAHO
DI]PARTMENT'OF
ENVIRONMI]NTAL QUALI'|Y
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
less 8yrne, Director
Wells
wEsr WELL (000000015839)
euestion #7- lsthe well protected from flood ing? (casing height >highest flood level, >1-8"
outdoor, >L2" indoor, etc.) No'
Note: The casing does not extend the required 78-inches from the ground
surface to the sonitory seal. An extension will need to be welded to the casing to
prevent surface woter entry and minimize contominotion. We do not hove
somple dato to show the height hos not impocted water quolity. (Photograph L)
The well casing for well: o0o0ooo15839 does not extend above the flood level and/or is not protected
from flooding (IDAPA 58.01.08.511.06.a).
The cosing height provides source protection ogoinst surface water runoff or droinage problems. ln the
event of o broken pipe in the pump house or a ftooding event, a well with o short cosing height could be
susceptible to contominotion creoting o potentiol health hazard.
Submit planned completion dates to DEQ by L2lt9l2o22'
Corrective Action Plan
Planned Completion Date
Actual Completion Date:lnitials
Corrective action(s) taken - Photos must be submitted
-9 -
STATE OF IDAHO
DEPARTMENT OT,
ENVIRONMENTAT, QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, 10.83402 Brad little, Governor
Jess 8yrne, Dlrector
Question #8- ls the well properly vented? (24 mesh screen, open downword >j.8" outdoor or>72" indoor, etc.) No.
Note: The well is not vented (photogroph 1).
The well casing for Well: 000000015839 is not properly vented to include a 24 mesh screen and/or does
not open downward and/or is not high enough above the receiving surface to protect the well from
flooding (IDAPA 58.01.08.5 j. j..05)
lnstoll o cosing vent to minimize the possibitity of contaminotion caused by the creotion of a portiol
vocuum during pumping and to release air trapped in the pump column when the pump is not running.
on some wells the presence of o water tight (ond thus air tight ) well cosing cop can meqn that when thepump is running and drowing down the static heod in the welt it can creote o vocuum that coutd impede
pump operation. The vent lets equalizing oir into the cosing. The vent needs to be ot a height obove floodlevels ond terminated downwqrd to prevent entry of any potential surfoce woter. This may be
occomplished by extending the casing 78 inches above the ground or 72 inches above the pump house
floor' A 24-mesh sffeen instolled on the vent prevents contamination by prohibiting entry of insects,
rodents, ond birds.
Submit planned completion dates to DEe by L2/L9/2O22.
Corrective Action plan
Planned Completion Date
ActualCompletion Date lnitials:
Corrective action(s) taken - Photos mustbe submitted
-10-
STATE OF IDAHO
DEPARTMENT OF
HNVIRONMENTAL QUAI,ITY
900 N. Skyline Dr.,Suite B
ldaho Falls, lD. 83402
Brad Little, 6overnor
Jess Byrne, Director
euestion#9- Does the well casing and cap prevent contamination and surface water entry?
No
Note: The cap is not secured to the casing. Most of the bolts ore rusted, broken, loose,
or missing. (PhotograPh L)
well: 0000000L5g39 is not provided with an approved cap and/or solid casing that prevents surface
water and contaminants from entering the well (IDAPA 58.01.08.511.06.b).
A property cased well with a sonitory well cap prevents surfoce woter and potential contominonts
(bacteria, fertilizers, pesticides etc.) from descending along the outside woll of the well down to the
zones of stored ground woter thus minimizing the possibility of contamination. The ground oround the
well casing must slope away from the well cosing.
Submit planned completion dates to DEQ by t217912O22.
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitials
Corrective action(s)taken - Photos mustbe submitted
- 11-
STATE OF IDAHO
DEPAR'TMENT OT.
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, 1D.83402
Brad little, Governor
.less Byrne, Director
Question #73- ls an adequate pump-to-waste provided? (Capacity of the well, air gap, prior to
the first service connection, etc./ No.
Note: The pump to woste is not screened or copped ot the end (photogroph 2).
The pump distribution line for Well: 000000015839 does not provide the necessary valves and
appurtenances to allow the well to be pumped to waste at the design capacity of the well via an
approved air gap through an approved non-corrodible screen at a location prior to the first service
connection (IDAPA 58.01.08.511.02). lnstall pump to waste capabilities the next time material
modifications occur to this section of the water system.
Pump-to-woste copability permits well woter to be discharged prior to entering the distribution system.
wells ore typicolly pumped-to-woste to ftush out stognont woter and ony potentiat contaminants, ofterthe well or pump hos been serviced to cleor any debris, bacterio, chemicols, and ofter ony known ground
woter contaminotion.
Submit planned completion dates to OEe by I2/tg/2O22
Corrective Action plan
Planned Completion Date
ActualCompletion Date lnitials
Corrective action(s)taken - photos mustbe submitted
-12-
STATE OF IDAHO
DTJPAI1.'I"MUNT OF
ENV IRONMIJNTAI., QUAI-I'TY
900 N. Skyllne Dr., Suite I
ldaho Falls, lD. 83402
Brad Little, Governor
less Byrne, Director
EAST WELL (0000000160141
euestion #8- lsthe well properly vented? (24 mesh screen, open downward >18" outdoor or
>L2" indoor, etc.) No.
Note: The well is not vented (Photograph L).
The well casing for Well: 00000001-6014 is not properly vented to include a 24 mesh screen and/or does
not open downward and/or is not high enough above the receiving surface to protect the wellfrom
flooding (IDAPA 58.01.08.511.05)
tnstoll o cosing vent to minimize the possibitity of contamination coused by the creotion of o portial
vocuum during pumping ond to releose air trapped in the pump column when the pump is not running.
On some welts the presence of o woter tight (and thus air tight ) well cosing cop cqn meon thot when the
pump is running ond drowing down the static heod in the well it can create o vocuum thot could impede
pump operotion. The vent lets equolizing oir into the casing. The vent needs to be ot o height obove flood
levels ond terminoted downward to prevent entry of any potentiol surfoce woter. This may be
occomplished by extending the cosing 18 inches above the ground or 72 inches above the pump house
ftoor. A 24-mesh screen instatted on the vent prevents contaminotion by prohibiting entry of insects,
rodents, and birds.
Submit planned completion dates to oEQ by L2/L9/2O22'
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials
Corrective action(s) taken - Photos must be submitted:
- 13 -
STATE OF IDAHO
DEPARTMEN'I'OII
ENVIRONMENTAI- Qt JALtTY
900 N. Skyline Dr., Suite B
ldaho Falls, 10.83402
Brad Little. Governor
Jess 8yrne, Director
Hydropneumatic Tanks
Question #2- ls the tank located in a structure that is protected from flooding and unauthorized
entry? (Locked, watertight walls ond floor, floor drain, occeptoble cover, efc./ No.
Note: The hydropneumatictanks are not above normol ground surface and/or
completely housed (IDAPA 58.0L.08.547.01.a). When the pressure tanks fail they wilt
need to be replaced with obove-ground type. The structure housing the hydropneumotic
tanks is not protected from flooding and/or is not odequotely droined and/or the ground
surface is not graded to leod surface droinoge owoy from the structure (lDApA
58.0L.08.54L.0L.b). The walls ore not wotertight. The hydropneumatic tonk housing is
not odequately protected ogainst unouthorized entry. (Photogrophs 3, 1-0, J.1-, and 76)
The hydropneumatic tanks are not above normal ground surface and/or completely housed (lDAPA
58.01.08.547 .O7.al.
The structure housing the hydropneumatic tanks is not protected from flooding and/or is not
adequately drained and/or the ground surface is not graded to lead surface drainage away from the
structure (IDAPA 58.01.08.541.01.b). The hydropneumatic tank housing is not adequately protected
against unauthorized entry.
ln the event of o leok, broken pipe, or severe weather, inadequote droinage moy cause damoge to the
electricol and heoting systems. lf the construction of a pit containing the hydropneumotic tank(s) is not
wotertight, ond the pit does not hove an odequote drainoge system, the pit con flood cousing surface
woter carrying debris, bocterio, pesticides, fertilizers, oil products, etc. to increose the potentiat for
source contaminotion.
Submit planned completion dates to DEe by tZ/Lg/2022
Corrective Action Plan
Planned Completion Date
Actual Completion Date lnitials:
Corrective action(s)taken - Photos mustbe submitted
-14-
STATE OF IDAHO
DSPAR'IMEN'T OF
ENV I RONMENTAI, QUALITY
900 N. Skyline Dr.,5uite B
ldaho Falls, lD.83402
Brad Little, Governor
Jess Byrne, Director
I
i
1
I
I
.i
l
I
l
l
euestion #4- Dothe exterior surfaces appear to be in good condition? (Cooting intoct, no
corrosion, etc./ No.
Note: The exterior suffoces of hydropneumatic tanks in the East pump voult qnd West
pump voult are not in good condition (IDAPA 58.01.08.547.01.b) (Photogrophs 4 and L6)'
The exterior surfaces of hydropneumatic tanks are not in good condition (IDAPA 58.01.08.547'01'b)'
A hydropneumotic thot is not in good condition poses o risk to the pumping system's obility to maintoin
reliiabte pressure in the distribution system ond a potentiol safety hozord due to cotastophic foilure of
the tank.
Submit planned completion dates to DEQ by L2/L9/2O22'
Corrective Action Plan
Planned ComPletion Date:
Actual ComPletion Date:lnitials:
Corrective action(s)taken - Photos mustbe submitted
-15-
STATE OF IDAHO
DEPARTMENT OF
HN V IRONMENTAL QI.JALIT'Y
900 N, Skyllne Dr., Suite B
ldaho Falls, 1D.83402 Brad Little,60vernor
Jess Byrne, Director
Distribution Systems
DrsTRt BUTTON (0000000158411
Question #70- ls a minimum system pressure of 40 psi. maintained during maximum hourly
demand conditions? (pwss constructed ofter 7/1/1995 - Excluding fire flo@ No.
Note: The PWS was constructed or modified after 7/L/L985 and is not able to mointoin
a minimum pressure of 40 psi throughout the distribution system during peak hour
demand conditions (excluding fire flow) os meosured at the service connection or olong
the property line adjacent to the consumer's premises (tDA.A 58.0L.0g.552.01.b.v).
(Photograph 17)
The PWS was constructed or modified after 7 /L/L985 a nd is not a ble to mainta in a minimum pressure of40 psithroughout the distribution system during peak hour demand conditions (excluding fire flow) asmeasured at the service connection or along the property line adjacent to the consumer,s premises
(IDAPA 58.01.08.5s2.01.b.v).
System depressurizotion creotes the opportunity for bock-siphoning or backpressure of non-potable
water from domestic, industrial, or institutionol sources, which moy result in contominotion of thedrinking woter- At low pressures, it is possible for contaminoted groundwoter to enter through leoks.
Submit planned completion dates to DEe by tZ/Ig/2O22.
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitials:
Corrective action(s) taken - photos must be submitted
-t6-
STATE OF IDAHO
DHI'ARTMEN'T O};
[iNVIRONMENTAI- QUAI",ITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
.less Byrne, Director
Question #74- lsthe owner/operator aware of any leaking water mains? Yes
Note: The owner is owqre of a significont moin line leak thot hos mode its way to the
surfoce (photogroph 8) within L00 feet of Well #2. Likely impacting the water pressure
ond a source of potential contominqtion. The teak could potentially impoct the two
pump voults associdted with Well #2.
Leaking water mains need to be repaired or replaced and disinfected in accordance with American
Water Works Association (AWWA) standards (IDAPA 58.01.08.542.1-0).
High teokoge rotes increose the potentialfor contominoted groundwoter intrusion during pressure drops.
Leaks olso undermine pipes, causing most moin breoks. Leaking woter moins hove the potentialto cause
domoge to nearby property ond to ffeote sinkholes and rood collapse.
Submit planned completion dates to DEQ by L2/19/2O22.
Corrective Action Plan
Planned Completion Date
Actual Completion Date:lnitia ls:
Corrective action(s) taken - Photos must be submitted
-17 -
STATE OF IDAHO
DTJPAR'TMENT OF
ENVIRONMEN'IAt- QUALTTY
900 N. Skyline Dr.,Suite I
ldaho Falls, lD. 83402
Brad Little, Governor
Jess gyrne, Director
Pumps
Question #4- ls each pump equipped with an accessible check valve? (on the discharge side
before the shut-off volve) No.
Note: The West well vault does not have on occessible check valve. lt is undetermined if
the Eost well voult has on accessible check valve prior to the flowmeter.
An accessible check valve is not provided on the discharge line between [pUMp_TAG_NUM] and the
shut-offvalve (IDAPA 58.01.08.51L.04 -well pumps or IDAPA 58.01.08.541.03.a. - water pumps). tnstall
an accessible check valve the next time material modifications occur to this section of the water system.
A check valve allows flow in one direction ond prevents back ftow (reverse flow) if woter in the line
reverses direction. The check volve is intended to prevent the system from droining ond prevents the
pump from excessive cycling.
Submit planned completion dates to DEe by L2/L9/2022.
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitials:
Corrective action(s) taken - Photos must be submitted
-18-
STATE OF IDAHO
DEPARTMENT OI'
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
Question #77- Are all pump houses protected from contamination? (Clean, good repoir, etc.)
No.
Note: There ore mice present in the Eost Well's two pump vaults, o source of
contominotion. Nests ore visible in photogroph L6.
The pump house for [PUMP_TAG-NUM] is not clean and/or in good repair (IDAPA 58.01.08.5a1.01.g)
Signs of animol activity or storoge of hazordous moterials in the building ore a possible source of
contominotion. An unclean spoce moy need correction if it is cousing o potentiol safety concerns.
Damage to the pump house, such os dilapidoted roof or wolls that allow environmentol damoge to
pumps or controls qre on issue as well.
Submit planned completion dates to DEQ by L2/L9/2O22.
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:ln itia ls
Corrective action(s) taken - Photos must be submitted:
-t9-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N, Skyllne Dr.,Suit€ B
ldaho Falls, 10.83402
Erad Little, Governor
less 8yrne, Dlrector
Question #72- Are all pump houses protected from unauthorized entry? (Locked, duroble
construction, etc.) No.
Note: The pump voults ore not kept locked. (Photogroph 10)
The pump house for [PUMP_TAG_NUM] does not have a locked door or access and/or is not of durable
construction to prohibit unauthorized entry, vandalism, and entrance by animals (IDAPA
58.01.08.541.01.c. and f).
An unsecured pump house compromises security and leaves the structure vulnerable to unauthorized
entry, vondolism, and sobotoge.
Submit planned completion dates to DEQ by t2/L9/2022
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s)taken - Photos mustbe submitted:
-20 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr.. Suite B
ldaho Falls. ID.83402
Brad Little, Governor
less Byrne, Dlrector
euestion #14- ls adequate backflow protection provided on all threaded taps/ hose bibs
installed in any of the pump houses? No.
Note: Multipte threaded tops with no backflow prevention device instolled.
(Photographs 6, 12, and L6)
All threaded taps/ hose bibs installed in the pump house are not equipped with an appropriate backflow
prevention device ( I DAPA 58.01.08. 541.01.n).
An appropriote bockflow device (typicolty a tap/ hose bib vacuum breoker) protects the potable water
supply from contaminotion should o bock-siphonoge bockflow event occur.
Submit planned completion dates to DEQ by L2/t9/2O22.
Corrective Action Plan
Planned Completion Date
Actual Completion Date lnitials:
Corrective action(s) taken - Photos must be submitted
-2r -
STATE OF IDAHO
DEPAR'TMENT OF
HNVTRONMEN'rAr- QUAt_tTY
900 N. Skyline Dr., Suite I
ldaho Falls, lD. 83402
Brad Little, Governor
.less Byrne, Director
Question #75- Are there signs of excess heat, moisture, or corrosion damage in any of the
pump houses? (lnodequote ventilation/ Yes.
Note: Woter stoins on the walls in the pump voult ond rusted pressure tonks indicote
excessive moisture. (Photographs 3,4, J,1, and 16)
There is not adequate ventilation in the pump house for dissipation of excess heat and moisture from
the equipment (IDAPA 58.01.08.541.01.e). At the time of the inspection, there was evidence of
corrosion of metallic and/or electrical components from excessive heat and/or moisture.
Excess moisture in a pump house con leod to premature foilure of electricol control systems and creote
unsafe conditions for operotors. Extremely high temperotures moy olso domoge electric motors.
Submit planned completion dates to OEe by L2/t9/2O22.
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitia ls:
Corrective action(s) taken - Photos must be submitted
.,1
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls. |D.83402
Brad LiRle, Governor
Jess 8yrne, Director
euestion #16- Arethere signs or a history of pump house equipment freezing in any of the
pump houses? (tnadequote heoting) Yes.
Note: The West Well vault does not have adequote heoting in the pump house for the
nfe ond efficient operation of the equipment (tDAPA 58.01.08.541.01.d).
There is not adequate heating in the pump house for safe and efficient operation of the equipment
(lDApA 5g.01.0g.S41.01.d). At the time of the inspection, there was evidence or a history of equipment
and/or a treatment process freezing.
Lock of odequote heating could prevent the sofe ond efficient operation of the equipment or treotment
processes due to freezing.
Submit planned completion dates to DEQ by t2/L9/2O22'
Corrective Action Plan
Planned ComPletion Date:
Actual ComPletion Date:lnitials
Corrective action(s)taken - Photos mustbe submitted
-23 -
STATE OF IDAHO
DEPARTMI]N'T OT;
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad little, Governor
Jess Byrne, Director
Question #77- Are all pump houses protected from flooding and surface water entry? (Droined,
ground surfoce graded to lead surface woter oway etc./ No.
Note: There is no provided drain or pump to prevent flooding in ony of the pump voults.
(Photographs 3, 7L, and L6)
The pump vaults are not protected from floodin g and/or is not adequately drained and/or the ground
surface is not graded to lead surface drainage away from the pump house (tDApA 5g.01.0g.541.01.b).
Pump houses must have odequote droins to protect the equipment if a pipe breoks inside the facititycousing flooding. Protect all electricol controls, motors, ond equipment from ftooding. pump houses must
be constructed to prevent surfqce woter from entering the focitity.
Submit planned completion dates to DEe by L2/lg/2022.
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitials:
Corrective action(s) taken - photos ryustbe submitted
-24 -
STATE OF IDAHO
DUPARTMENT OF
IiNV IRON M llhl'l"Al- QtJALll"Y
900 N. Skyllne Dr..Suite B
ldaho Falls, 1D.83402
Brad Little, Governor
Jess 8yrne, Director
Financial/Ma nagerial Ca pacitY
euestion #28- Do all Sample Siting Plan(s) meet the minimum requirements? No.
Note: The system owner does not have a current written sample siting plon that meets
RTCR requirements (40 CFR 141".853.a). An RTCR somple siting plan needs to be
deve loped a nd/o r i m pl e m e nted.
The system owner does not have a current written sample siting plan that meets RTCR
requirements (40 CFR 141.853.a). An RTCR sample siting plan needs to be developed and/or
implemented.
A sample siting plon is designed to specify where in the distribution system samples will be
drawn to ensure they ore representotive of the water system.
Submit planned completion dates to DEQ bV L2/3L/2022.
Corrective Action Plan
Planned Completion Date: L2131 12022
Actual Completion Date:lnitials:
-25 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr.,Sulte B
ldaho Falls, 1D.83402
Brad Little, Governor
Jess gyrne, Dlrector
Question #29- Are samples being taken in accordance with the Sample Siting Plan(s)? No.
Note: Samples are only being taken from 4729 Herring Drive ond do not odequote
represent the entire system.
RTCR monitoring samples are not being taken in accordance with the approved sample siting
plan (40 CFR 141.853.a).
Somples not taken in occordonce with o sample siting plan, moy not be representotive of the
distribution system resulting in the woter system not receiving credit for sompling.
Submit planned completion dates to DEQ bV L2/3I/2022.
Corrective Action Plan
Pla nned Completion Date: t2l 3Ll 2022
Actual Completion Date lnitials:
-26 -
STATE OF IDAHO
DTJPAR'I-MEN]"O[;
IjNV IRON M[:NTAt- QUALffY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
euestion #38- lsthere a potential shock hazard because the electrical wiring appears to be
inadequately protected? Yes.
Note: Photogroph 1"2
It appears that inadequately protected electrical wiring may be producing a safety concern. All electrical
control systems and wiring must conform to the requirements of the National Electrical Code or relevant
state/local codes (tDApA 58.01.08.501.06). DEQ does not enforce National Electrical Code and National
Fire Protection Association regulations. The PWS owner is responsible for knowing and complying with
applicable electrical and fire codes or regulations.
tnodequotely protected electricolwiring poses a potentiol shock hozard to personnel working in the orea
and should be oddressed.
Submit planned completion dates to DEQ by t2lL9/2O22
Corrective Action Plan
Planned Completion Date
ActualCompletion Date ln itia ls
Corrective action(s)taken - Photos mustbe submitted
I certify, to the best of my knowledge that atl significant deficiencies have been corrected by
the agreed upon date and that the corrective action meets the requirements pursuant to
rDAPA 58.01.08.
Signature:Date:
-27 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
Brad little, Governor
Jess Byrne, Dlrector
Deficiencies:
Deficiencies identified in the report should be addressed by the Public Water System's
operator/owner in a timely manner.
Wells
wEsT wEtt (00000001s8391
Question #77- ls a working flow meter provided? (lnstant, totaling, nonvolotile memory,
instolled on discharge pipe, efc./ No.
The pump distribution line for Well: 000000015839 does not provide an instantaneous and totalizing
flow meter equipped with nonvolatile memory and/or the installed flow meter is not working properly.
lnstall an instantaneous and totalizing flow meter equipped with nonvolatile memory the next time
material modifications occur to this section of the water system (tDAPA 58.01.08.511.04).
A flow meter meqsures total flow (gollons) ond ftow rote (gpm). A ftow meter con help detect changes in
the system so the operotor can take corrective oction before o serious probtem develops os well as
provide more occurote occounting of woter production.
EAST WEtt (0000000160141
Question #70- ls a raw water smooth nosed sample tap provided on the discharge pipe? (prior
to ony treatment) No.
Note: The end of the sample tap is threoded.
The discharge pipe for Well: 00000001601.4 does not provide a sample tap that is properly located, or
the sample tap that is used to collect bacteria samples is not of the smooth-nosed type without interior
or exterior threads and/or is a mixing faucet and or is of the petcock type and/or has a screen and/or
has an aerator (IDAPA 58.01.08.51L.01).
A row-woter somple tap should be smooth-nosed with no interior or exterior threads, screen, oerotor, or
other ottached appurtenonces to allow for proper sompling techniques and to decreose the risk of
contaminoting a somple during collection.
Distribution Systems
DrsTRr BUTTON (0000000158411
Question #7- Have public notifications, DEQ notifications, and follow-up actions been followed
for any planned or unplanned depressurizations in the past year? No.
900 N. Skyline Dr., Suite B
ldaho Falls, ID.83402
-28 -
STATE OF IDAHO
DEPARTMgN'T OF
ENVIRONMENTAL QUALITY
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
The owner/operator did not provide the required notifications or conduct the required follow-up
actions after the distribution system depressurized. Any time the distribution system drops below 20 psi,
the public water system owner/operator must notify the Department, provide public notice to affected
customers within 24 hours, and disinfect or flush the system as appropriate (IDAPA
58.01.08.552.01.b.ii). This public water system will be assessed a violation for failing to notify the public.
lnspector Note: Enter a type 76 violation into SDWIS for failing to provide public notification (see
EDMS record # 20t2AME18).
Depressurization hos the potentiol for public health risks ossocioted with pothogen contominotion,
hormful chemicol intrusion ond exposure to excess disinfectont residuol. System depressurizotions create
the opportunity for back-siphoning or backpressure of non-potable water from domestic, industrial or
institutional sources, such os sewoge effluent, hot woter heaters, woter reuse systems, ond wqter
softeners, which may result in drinking woter contamination.
Question #76- Are all dead end mains equipped with a means to flush? No
Note: Based on the original plans and spec submitted to DEQ there is a moin line deod
end on Valley Drive
A means to flush all dead end water mains is not provided (IDAPA 58.01.08.542.09). Address the dead
end water mains through tie-ins or flushing devices the next time material modifications are made to
this section of the distribution system.
Deod ends in distribution systems con lead to woter becoming stagnont in portions of the distribution
system, which could leod to loss of disinfectant residuol ond bocterial regrowth. Minimize dead end
woter moins through oppropriate tie-ins where proctical or instoll flushing devices.
Question #77- Are dead end mains flushed at least semiannually? No.
All dead end water mains are not flushed at least semiannually (IDAPA 58.01.08. 542.09).
Areas of stognant water in a distribution system moy result in bacterial regrowth, increosed disinfection
byproduct formotion, red woter, or customer comploints. Operotors should routinely flush deod ends to
remove sediment and stagnont woter.
Question #79- Doesthe system experience water main freezing? Yes.
Note: DEQ is aware of mainline freezing during the winter of 2022.
Water mains may not be adequately protected from freezing due to insufficient soil depth or lack of
insulation (IDAPA 58.01.08.542.O2.fl,.
Brad Little, Governor
Jess gyrne, Director
-29 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr.,Suite B grad l_ittle, Governor
ldaho Falls, 1D.83402 Jess Byrne, Director
Pipes susceptible to freezing or a freeze thaw cycle have a greater tikelihood of teoking or breoking which
con depressurize the woter system and introduce contqminotion into the water system.
Pumps
Question #3- Are spare parts readily available for critical pump components? No.
Criticalspare parts and/or tools are not readily available for [PUMP_TAG_NUM] (tDApA
s8.01.08.s41.02.c).
lf the public woter system does not hove spare parts ond tools ovailoble onsite, it is occeptoble to identify
a compony who con provide the needed parts within 24 hours.
Question #7- ls a working flow meter provided for each pump? (Required if pump is connected
directly to the distribution systeml No.
Note: There is o flowmeter in the Eost pump voult. There is not a flowmeter associated
with the West well.
The West Well does not have an instantaneous and totalizing flow meter (IDAPA 58.01.08.542.04).
lnstall an instantaneous and totalizing flow meter the next time material modifications occur to this
section of the water system.
A flow meter meosures total flow (gollons) ond flow rote (gpm). A ftow meter can help detect changes in
the system so the operotor can toke corrective qction before o serious problem develops os well as
provide more occurate accounting of woter production.
Question#73-Do all pump houses have adequate lightingthroughout? No
The pump house does not have adequate lighting throughout (IDAPA 58.01.08.501.05.a). tnstall
adequate lighting the next time material modifications occur to this section of the water system.
The interior of the building must hove permonent lighting for operotor sofety ond to focititate inspections
and mointenonce of night.
Financia l/Managerial Capacity
Question #33- ls there an overall operation and maintenance manual for the PWS? (including
equipment monuols, as-builts, SOPs, monufocturer's literoture, etc.) No.
-30-
STATE OF IDAHO
DEPAR'TMENT OF
ENVI RONMENTAI- QUALTTY
900 N. Skyllne Dr., Suite I Brad Little, Governor
ldaho Falls, 10.83402 Jess 8yrne, Director
There is not a complete operation and maintenance (O&M) manual for this public water system (IDAPA
58.01.08.501,.L2,003.92, and 003.93). An O&M manual needs to be developed and/or implemented.
o Submit an O&M manual for review and approval. Upon approval, the operator must operate the
system in accordance with the approved O&M manual. At a minimum, include the following
items in the O&M manual:
o daily, weekly, monthly, and yearly operating instructions
o information specific to a particular type of treatment
o location of valves and other key distribution system features
o pertinent telephone and address contact information including the responsible charge water
system operator and water system owner
. operator safety procedures
o alarm system and emergency procedures
o trouble-shooting advice
. water quality testing procedures
. response plan for depressurization events
. customer service procedures
o response plan for customer complaints
o maintenance information and checklists
o manufacturer's product information including troubleshooting information
o parts list, spare parts list, and parts order form
o necessary special tools
An O&M monuol provides procedures to operote and mointoin o focility's various systems and
equipment. tt is importont to onalyze ond evaluate a facility from the system level, then develop
procedures to attoin the most efficient systems integration. Lock of an O&M monuol con lead to system
foilures ond contamination of drinking woter.
- 31 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Sulte B
ldaho Falls, |D.83402
Brad Little, Governor
Jess BVrne, Director
Recommendations:
Recommendations identified in the report are not required to be corrected at this time, but it is
recommended.
Distribution Systems
prsTRr BUTToN (0000000158411
Question #6- ls a current map of the distribution system available? (Recommended) No.
A current map of the distribution system was not available during the inspection. Maps should be made
available showing main sizes and locations of valves, hydrants, storage tank locations, and
interconnections to other systems. Update maps annually to reflect current conditions. A map should be
kept with the Operations and Maintenance Manual.
Question #73- ls there a water loss control program? (Recommended) No.
A water loss control program should be put in place and utilized. More than 15% water loss is an
indication of either inaccurate meters or excessive leakage. lnaccurate meters result in lost revenue and
leaks are potential points for entry of contaminated groundwater. The following is a link to an EPA
resource for developing a water loss control program:
https://www.epa.gov/sites/production/files/2ot5-04ldocuments/epa816f13002.pdf.
Question #75- ls there a water efficiency program? (Recommended) No.
A water efficiency program should be implemented. lmprovements in water efficiency in the
distribution system begin with metering, water audits, and water loss control programs. The following is
a link to an EPA resource for developing a water efficiency program:
https://nepis.epa.gov/Exe/ZyeOr.cgilP100M EV6.PDF?Dockey=P100MEV6.PDF.
Financial/Managerial Capacity
Question #34- Does the PWS have an Asset Management Plan? (Recommended) No.
An Asset Management Plan should be established for the PWS. The assets of a water system include the
natural and engineered components for providing water (e.g., source water, pumps, motors, storage
tanks, treatment plants, pipes). A good asset management program typically includes a written plan for
achieving the best appropriate cost for rehabilitation, repair, or replacement of a public water system's
assets. Asset management is effective in maximizing the value of capital as well as minimizing operations
and maintenance expenditures. To learn more about asset management, go to EPA's website at:
http://wate r.e pa.gov/i nfrastructure/susta in/asset_ma nagement.cfm
-32-
11117122,3:00 PM Sanitary Survey
Protecting Pubtic Heatth and the Environment
Department of Environmental Quality
Sanftary Survey
DEVELOPME
Sanitary Survey
pwq. 1D722O156 - VALLEY VIEW
SUBDIVISION
Jurisdiction: IDAHO FALLS REGIONAL OFFICE
Sanitary Survey Date: 10/2012022
General Inf ormation
Approval
Status:Approved
SDWIS Website
# Ground
Water
Sources:
# Surface
Water:
Primary
Source Type:
Total
Population:
# Service
Connections:
PrimaryCounty FREMONT
Served:
Owner Type: Private
Legal Entity: lndividual
# Storage
Facilities:
Total
Storage:
0
(gat)
Nontransient
Transient
N/A
2
0
GW
40
20
' Community
Water SystemType: NoncommunitY
System Distribution:
Classification : Treatment:
Annual Operating Period -lation Served:
Water Purchased From:
Water Sold To:
Sanitary Survey lndex
Modutes Used:#
Generat
lnformation 1
Wetts 2
Springs
lntakes and
lnfittration
Gatleries
Consecutive
Connections
Storage Tanks
Hydropneumatic
Tanks 1
Distribution
Svstems 1
Pumps 1
Tieatment
Plants
Chtorinators
Gas CL2
Financiat-
ManaqeriaI 1
Total lAodules 7
4001to112t31T
Begin Date End Date Type Estimated Count
PWS NamePWS Num Status
None
PWS Num PWS Name Status
q liletltC:/Users/kcarter/Downloads/|D7220'156-Finalized-ESSForm (1 ).html 1117
11117122,3:00 PM
Contacts
* All systems must have an AC and FC (one of each only).
" AII C ond NTNC must have a DO.
Sanitary Survey
AC MCCARTY,
DOROTHY A
455
Way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
EC MCCARry
DOROTHY A
45s
Constitution
way
IDAHO
FALLS ID 83402
208-
52',t-
2369
[e-mail]
FC MCCARTY,
DOROTHY A
455
Constitution
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
OW MCCARry
DOROTHY A
455
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
5A MCCARTY,
DOROTHY A
455
Way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
Type Name Status Addrl City State Zip Ext Mobite Emergency Fax EmailBiz
Phone
file:///C:/Users/kcarter/DownloadsllD722O156_Finalized_ESSForm (1).html 2t17
'11117122,3:00 PM Sanitary Survey
Eacilities
3tL6-1 I 1.32944444.627500YWLAPermanentWEST WELL00000001 5839
w:'r"fi-1 1 I .32s27744.623611YWLAPermanent000000016014EAST WELL
NSTA3 HYDRONEUMATIC
IANKS3 H-TANKS
NDSADISTRIBUTION00000001 5841
Other NTPICHLORINATOR000000016036
WSF State
Assigned lD Name
(Tag)
rype status Avai labi lity, ff ::::, .on3ilr".."o
Lat/Long
VerifiedLatitude Longitude
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'11117122,3:00 PM Sanitary Survey
General Questions
General Questions
t. Have materiat modiflcations been made to the pws since the tast survey?
l,lotes: Ihis is the flrst nnltary survey conducted for the pWS.
f--l il , I Z. lf yes, were ptans and specs submitted to and approved by DEe?
Notes.. Plans and specs were never submitted for this system.Edit
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Edtt
JI Addinspector? (lf yes, lndicate whot samBtes wereWeretakenthesamptestheduringsurveyby3Incollectedthe
Yes No N/AUnk
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Yes5839WELL
Yes6014lEAST WELL
WSF State
Assigned lD Name
(Tac)
Verified
11117122,3:00 PM
Wells
Sanitary Survey
a file:llIC:/Users/kcarter/Downloads/1D7220156-Finalized-ESSForm (1)'html 5t17
11117122,3:00 PM
Y"tt wEsr WELLName:
Tag . ooooooo15839NUmber:
Sanitary Survey
Wetauestisru
Pump- HoUSr Questions (Only pump fiouses that contain a Groundwater Source)
14. ls the wett enctosed in a pump house?
15.|s the pump house protected from contamination? (Clean, in good repair, etc.)
16. ls the pump house protected from unauthorized entry? (Locked, durable construction, etc.)
17. Does the pump house have adequate tighting throughout?
18. ls adequate backflow protection provided on atl threaded taps instatted in the pump house?
Yes No N/AUnk csL
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, ls there a wetl loe for the source? EDMS#:t. -
Notes: A welt log could not be located.
, Are surrounding land uses creating heatth hazards or increasing the potential for source-' contamination? (Setbacks not met, dumping, etc.)
r Are toxic or hazardous chemicals stored on the wett tot? (pesticides, paint, herbicides,-' fertilizers, petroleum, etc.)
4. Are pesticides, herbicides, or fertilizers apptied to the we[[ tot without approval?
(0)
lf the welt is in a pit, is the pit protected from flooding and contamination? (watertight wolls ;i 5. and ftoor, floor diain, acceptabte pit cover, etc.) l
Notes: WelI is not located in a pit. (0)
ls the wetl (not tocated in a pump house) protected from unauthorized access? (Locking cap,' 6. fenced, etc.) (Recommended)
Nofes: Ihis well is in a well house protecting it from unouthorized occess, (0)
ls the welt protected from ftooding? (casing height ,highest ftood level, >18" outdoor, >12"
indoor, etc.)
7 . Notes: The casing does not extend the required 1 8-inches from the ground surface to the sanitory seal. An
extension will need to be welded to the cosing to prevent surface water entry and minimize contaminotion. We (0)
do not hove sample dato to show the height hos not impocted water quality. (photograph l)
ls the wetl properly vented? (24 mesh screen, open downward >18" outdoor or >12" indoor,8. etc.)
Notes: Ihe well is not vented (Photograph 1). (0)
Doesthewet[casingandcappreventcontaminationandsurfacewaterentry?
9. Notes: The cap is not secured to the casing. lAost of the botts are rusted, broken, loose, or missing,
(Photosraph 1) (0)
ls a raw water smooth nosed sample tap provided on the discharge pipe? (Prior to any, 10. treatment)
Notes: The end of the sample top is threaded.(0)
, nonvolatile memory, instoiled on
(0)
1',t.ls a working flow meter provided?
discharge pipe, etc.) Gattons:
lsa re gauge provided? (lnstant, installed on discharge pipe, etc.) PSI
ls an adequate pump-to-waste provided? (capacity of the well, air gap, prior to the first
13. service connection, etc.)
Notes: The to woste is not screened or ot the end
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11117122,3:00 PM Sanitary Survey
LJ Vl L-]
,It*lB."1 rg Are there signs of equipment damage due to excess heat, moisture, or corrosion?
(i nadequate venti lati on)
if gl il ZO.ls there a history of pump house equipment freezing? (lnadequate heottng)
-t tzt .-t ra lsthepumphouseprotectedfromftoodingandsurfacewaterentry? (Floordrain,groundi L' r '" sltrface graded to lead surface water away, etc.)
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11117122,3:00 PM
Y"tt EAsr wELLName:
Tag , ooooooo16014NUmDer:
Sanitary Survey
Well Questions
Pump-l-f oUse-Q,Uestions (onty pump houses that contain a Groundwater Source)
Yes No N/AUnk
' 14. ls the we[[ enclosed in a pump house?
csL
15.|s the pump house protected from contamination? (Clean, in good repair, etc.)
16. ls the pump house protected from unauthorized entry? (Locked, durable construction, etc.)
17. Does the pump house have adequate tighting throughout?
, 18. ls adequate backflow protection provided on a[[ threaded taps instatted in the pump house?
(0)
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Yes No N/AUnk csL
1. ls there a welt log for the source? EDlrtS#:
, Are surrounding [and uses creating heatth hazards or increasing the potential for source-' contamination? (Setbacks not met, dumping, etc.)
.1 Are toxic or hazardous chemicals stored on the wetl tot? (pesticides, point, herbicides,-' fertilizers, petroleum, etc.)
: 4. Are pesticides, herbicides, or fertitizers apptied to the wett tot without approva[?
lf the wett is in a pit, is the pit protected from ftooding and contamination? (watertight walts5. and floor, floor drain, acceptable pit cover, etc.)
Notes: WeIl is not located in a pit.
ls the well (not located in a pump house) protected from unauthorized access? (Locking cap,6. fenced, etc.) (Recommended)
Notes: Ihis well is in awell house protecting it from unauthorized access,
r ls the wetl protected from ftooding? (casing height >highest flood levet, >18" outdoor, >12"'' indoor, etc.)
ls the well property vented? (24 mesh screen, open downward >18" outdoor or >12" indoor,8. etc.)
Notes: The well cap is not vented (Photograph 9).
i 9. Does the wetl casing and cap prevent contamination and surface water entry?
ls a raw water smooth nosed sampte tap provided on the discharge pipe? (Prior to any
treatment)
10. Notes: The sample top in the East pump vault is the smooth-nosed type with a threaded end (Photograph l2).
The sample top in the West pump vault on the pump to waste line is not a smooth-nise type nor is it properly (0)
downturned (Photograph I 6).
ls a working ftow meter provided?, nonvolatile memory, installed on
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11 discharge pipe, etc.) Gatlons:
lsa gauge provided? (lnstant, installed on discharge pipe, etc.) PSI:12
.t.1 ls an adequate pump-to-waste provided? (capacity of the well, air gap, prior to the first'-' service connection, etc.)
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'11117122,3:00 PM Sanitary Survey
i,tilte Are there signs of equipment damage due to excess heat, moisture, or corrosion?
(i nadequate venti lati on )
il gl I ZO. ls there a history of pump house equipment freezing? (lnadequate heatlng)
r-l g .1 zt.ls the pump house protected from ftooding and surface water entry? (Floor drain, ground
surfoce graded to lead surface water away, etc-)
Does the configuration of the floor drain or sump cause a contaminatlon risk? (connected to
other drainage sysfems, sump < 30 feet from well, etc.)lVli)zz
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11117122,3:00 PM Sanitary Survey
Hydropnuemafic fanks
The questions, below, opply to all Hydropneumatic Tanks.
flyrlropneumatic Tirnks Questions
Bladder Tanks Only
Yes No N/AUnk csL
t. l-|ry th!-Pr!-charge on atl btadder tanks been tested in the tast year to ensure the air pressure' 'is 5 psi below the low operating pressure for the system? (Recommended)Add
Non-Bladder Tanks Only
3 H.TANKS
: WEST WELL VAULT - WELL.X.TROL - WX.35O - BLADDER - 119 GALLONS -
#2: EAST WELL VAULT - UNKNOWN - UNKNOWN - BLADDER - 119 GALLONS -
INSTALLATION: UNKNOWN
EAST WELL VAULT . UNKNOWN - UNKNOWN - BLADDER - 119 GALLONS -
INSTALLATION: UNKNOWN
NSTALLATION: UNKNOWN
HYDRONEUMATIC
\NKS
Yes No N/AUnk
- I ffi i- i 1. ls the system seryed by variabte speed pumps (vFDs)? (Recommended)
ls the tank located in a structure that is protected from flooding and unauthorized entry?(Locked, wotertight walls and floor, floor drain, acceptable cover, etc.)
Notes: The hydropneumotic tanks are not obove normol ground surface ond/or completely housed (tDApA
58.01.08.547'01.o), When the pressure tanks fail they wilt need to be replaced with obove-ground type. The
structure housing the hydropneumatic tanks is not protected from ftooding and I or is not adequately droined
andlor the ground surface is not groded to lead surfoce droinage awoy from the structure (lDApA
58.01.08.541.01.b). The walls ore not watertight. The hydropneumatic tank housing is not adequately protected
against unauthorized entry. (Photographs 3, 10, 11, and 16)
_ 99n att hydropneumatic tanks be isotated from the system without depressurizing theI 3. distribution system?
Nolg4cate valves ore lnstalled on all three of the pressure tanks.
Do the exterior surfaces appear to be in good condition? (Coating intact, no corrosion, etc.)
Notes: The exterior surfaces of hydropneumatic tank in the East pump voult and West pump vault are not in
good condition (IDAPA 58.01.08.547.01.b) (Photographs 4 ond 16).
iio t, ' i j 5. Do att tank supports appear to be structuralty sound and adequate?
Have atl hydropneumatic tanks been tested for structurat integrity in the past 5 years?
It is unknown if the tanks have been tested for structural
CSL Notes
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- fs the recharge air protected from contamination? (free of air compressor oil, clean air filter,8. etc.)
Notes.' Ihis PttlS hos no non-bladder hydropneumatic tank.
Are instatled appurtenances working property and protected from contamination? (access
9, manhole, drain, water sight glass, means to add air, air blow-off , etc.)
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This PWS has no non-blodder tanks.
file:///C:/Users/kcarter/Downloads/1D7220156_Finalized_ESSForm (1).html 10t17
11117122,3:00 PM
Distri tion S ystemg
Sanitary Survey
5841 STRIBUTION
WSF State
Assigned lD Name
(Tag)
file:///C:/Users/kcarter/DownloadsllD7220156-Finalized-ESSForm (1).html 11t17
11117122,3:00 PM Sanitary Survey
Distribution
System
Name:
Tag
Number:
DISTRIBUTION
00000001 s841
Di st ri b uti o n SysEn_Qrestis n s
Main [ine type of materials are? (select all that appty) : steel HDpE (btack)
1. Asbestos/Cement i Copper pVC Ductite lron , Gray lron
Gatvanized Other
2. Main line sizes?inches to 1 inch
, 3. Number of Metered Connections?out of 20
4. Number of Fire Hydrants?
5. Number of Ftushing Hydrants?
i 6. ls a current map of the distribution system avaitabte? (Recommended)
t- Have pubtic notifications, DEQ notifications, and fotlow-up actions been fottowed for any" ptanned or unplanned depressurizations in the past year?
8.
Was the pressure measured at a service connection? pSl:32 Location:
Herri Drive Time 02:30 PM O
9. f-s. a minimum system pressure of 20 psi. maintained at atl service connections? (tncluding fire" flow - ldentify pressure complaints in the Notes.)
ls a minimum system pressure of 40 psi. maintained during maximum hourty demand
conditions? (PWSs constructed after 7 / I / 1985 - Exctuding fire f tow)
t O. Notes: The PWS was constructed or modified after 7/ 1/ 1985 and is not able to maintoin a minimum pressure
of 40 psi throughout the distribution system during peak hour demand conditions (excluding fire flow) as
measured at the service connection or along the property line adjacent to the consumer,s premises (tDApA
58.01.08.552.01.b.v). (Photograph 17)
11. Does pressure exceed 100 psi at any seryice connection?
12.Are valves inspected and exercised regutarty? (Recommended)
Notes: Quorterly
, 13.|s there a water [oss control program? (Recommended)
ls the owner/operator aware of any leaking water mains?
,O.Notes: The owner is oware of a significant moin line leak thot has made its woy to the surface (photograph 8)
within lao feet of WeU #2. Likely impacting the woter pressure and a source of potential contomination. The
Ieak could potentially impact the two pump vaults associated with Well #2.
: 15. ls there a water efficiency program? (Recommended)
16. Ar" atl dead end mains equipped with a means to ftush?
Notes: Based on the original plans and spec submitted to DEQthere is a moin |ine dead end on Valley Drive
17. Are dead end mains ftushed at least semiannuatty?
Yes No N/AUnk csL
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Sanitary Survey
18. Are there any materiats used that shoutd not be in contact with drinking water? (Pipes,
sealants, components, etc. )
no Does the system experience water main freezing?"' W.DEQis aware of maintine freezing during the wlnter of 2022.
Are there any connections that provide supplementat disinfection and meet the definition of
20. a PWS but are unregutated? (Recommended) (Hospita{s, businesses, Iong-term care facilities,
etc.)
. 21. fr:cfffr"HJl"t"d
subsurface water storage tanks that need to be abandoned?
,r.i;z::;:;#J"w€ter suppty we[[s that are no longer being used that need to be abandoned?
Cross Connection Control
11117122,3:00 PM
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ls an adequate cross connection contro[ program provided and imptemented? (Community
: , t 23. PWS only) (Authority to implement, inspection progrom, adequate protection, onnual
testing,ability to discontinue service, 10 days to repair a failed device)
, 24.|s the operator trained in cross connection controt? (Recommended)
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i25 Are att backftow preventers owned by the PWS tested annuatty?
Norles;This PWS does not own any testable backflow preventers.
Are there any known unprotected cross connections? (Submerged blow-offs, direct
26. connections to storm or sewer drains, connection to unapproved source, uncontrolled fire
hydrant use, treQtment bypass with raw water, etc.)
,, Are all non-potable mains, hydrants, and taps easity identified as such?-' 'Nofes: There are no non-potable mains, hydrants or taps.
ill Oir.nurge piping on atl air valves protected from contamination? (Prevent surface
28. water entry and backflow, open downward, 24 mesh screen, etc.)
Notes: There are no air valves ossociated with the Distribution System.
,o Are butk water stations provided with backftow protection measures?
"' Notes: There ore no bulk water stations associoted with this PWS.
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11117122,3:00 PM Sanitary Survey
PumpS
The questions, below, apply to all Pumps
Pump_Questions
PUmp-HOUSQ (Onty pump houses that don't contain o Groundwater Source.)
,0.ffi.[:* any pump houses associated with this PWS that don't contain a Groundwater
Are atl pump houses protected from contamination? (Clean, good repair, etc.)
11. Notes: There are mice present in the East Well's two pump vaults, a source of contamination. Nests are visible
in photograph 16.
12. Are att pump houses protected from unauthorized entry? (ocked, durable construction, etc.)plgThe pump vaults are not kept locked. (Photograph 10)
13. Do att pump houses have adequate lighting throughout?
14. ls adequate backftow protection provided on a[[ threaded taps/ hose bibs instatted in any of
Yes No N/AUnk CSL Notes
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00000001 s839 WEST WELL WL Submersib."l
Pump Capacity:
Unknown High/Low Set
Points: Unknown
NO
00000001 601 4 EAST WELL WL Submersi o'"1
Pump Capacity:
Unknown High/Low Set
Points: Unknown
NO
WSF State
Assigned lD Name
(Tag)
Facility
Type
(WL or
PF)
Description
(e.g. 1.5HP. Low/High
set points: 25/75psi)
Comments
(e.g. Emergency power
is a propane generator)
Pump Type Pump
Capacity
Auxiliary
Power
No N/A Unk
I ;:.,j , I 1. Do any of the pumps cycte > 6 times per hour? (Recommended)
:;',:t 1 j I 2. Are att pumps in good repair? (excessive noise, vibration, heat, odors, Ieaks, etc.)
3. Are spare parts readity avaitable for criticat pump components?
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ls each pump equipped with an accessibte check vatve? (on the discharge side before the shut-
off valve)
Notes: The West well voult does not have an accessible check valve, lt is undetermined if the East well vault has
an accessible check valve prior to the flowmeter.
irf i j 5. Are isotation vatves provided on the discharge side of the pump?
' ,+ i I I O. ls a working pressure gauge installed on the discharge tine of att pumps?
ls a working ftow meter provided for each pump? (Required if pump is connected directly to
7. the distribution system)
No1lgThere is a flowmeter in the East pump voult. There is not a flowmeter associated with the West well.
,. ls atl pump lubrication oil ANSI/NSF 61 approved?
Notes: There are no pumps associated with this PWS that require oil lubricotion.
ls an air/vacuum relief valve provided for each vertical turbine pump and is it protected fromi 9. contamination? (Open downward, 24 mesh screen, air gap, etc.j
There are no vertical turbine associated with this PWS.
lv I
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11117122,3:00 PM Sanitary SurveY
the pump houses?
Notes: llultipte threaded taps wtth no bockflow prevention device lnstalled. (Photographs 6' 12, and 16)
Are there signs of excess heat, moisture, or corrosion damage in any of the pump houses?
". (lnadequate ventilation)t'' Notegt Water stains on the walls in the pump voult and rusted pressure tanks indicate excessive moisture.
-(Photogrophr
3,4, 11, and 16)
Are there signs or a history of pump house equipment freezing in any of the pump houses?
". (lnadequote heoting)to' Nof"", The West Wetl vault does not have adequate heating in the pump house for the safe and efficient
operation of the equipment (IDAPA 58.01.08'541.01 .d),
Are a1 pump houses protected from flooding and surface water entry? (Droined, ground
4a surface graded to lead surface water away, etc.)
''' Not"r.. There is no provided drain or pump to prevent flooding in any of the pump vaults. (Photographs 3' 11,
and 16)
Do the floor drains discharge > 30 feet from any wetl in alt of the pump houses?
Notes: Ihis pump house does not have a floor drain.
- i I j 19. Does an unprotected cross connection exist due to the ftoor drain connection in any of the: | : '" pump houses? (Connected to sewer, storm drains, etc.)
Auxi ti a ry-Powel l.Jnj!s-(AP U ).
C o m m u n i tylystenns-OnJY
APU on a Wetl Lot Only
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Yes No N/AUnk
I , 20. Does the PWS have anY APUs?
i : 21. Are att APUs tested regularly? (Recommended)
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i , 1 t 22.For alt APUs, is a working automatic power transfer switch provided?
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Yes No N/AUnk
i , . ', 23.:li"!5 ETffittt
PWS adequatetv pressurize the distribution svstem during a power
Do the APUs power all essential etectrica[ functions in the pump houses and the pumping
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(0)
Add
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hours?(0)
Yes No N/AUnk CSL Notes
Add25. Are there any auxitiary power units tocated on a welt lot?
26. Are the fuet tanks above ground or otherwise accessibte for teak inspection?
(0)
Add
Add
Add
Add
I ' 27. ts secondary spitt containment provided for att fuet tanks? (11096 of fuel tank volume)
(0)
(0)28. Does a certified operator observe fitting of the fuel tank(s)?
i 29. ls engine exhaust directty discharged to the outside atmosphere for att APUs?
file:///C:/Users/kcarter/DownloadsllDT22O'156-Finalized-ESSForm (1).html 15t17
111'17122,3:00 PM
Yes No N/AUnk
Sanitary Survey
20. RTCR Sample Siting Ptan EDMS#:
21. Have any changes been made to the RTCR schedute or sampting location?
22.PBCU Sampte Siting Ptan (C and NTNC onty) EDMS#:
F i nanc i a I I ll/'an a ge r i a I
Fi na ncia I Capac'ily_Questions
Ma n ge ri a I Ca p_Bgjly_Qu e s ti o ru
Revi ew t h e fo I lowi n g wit h t h e own e r/o peratax-lvhere_a ppjsa b.!e
Review the _fol lowi ng Sample_srting P la n s wi t h t h e Own er/Op€Glsr_wheregp p Uca ble
Add
Add
Add
Yes No N/AUnk csL
1. ls the PWS current with the payment of drinking water fees?
,. ls the user charged for drinking water?
Notes: Users are charged an annual fee of S2B0 set by the public lJtitities Commission.
.1 Has an independent financia[ audit of the PWS been conducted, or has the SMART Financial-' Toot been completed? (Recommended)
Add
(0)
Edit
Add
Yes No N/AUnk
4. Does this PWS have a governing body or board of directors?
5. Does the board meet routinety? Frequency:
CSL Notes
Add
Add
Yes No N/AUnk CSL Notes
6. Cross Connection Control Plan (C only) EDMS#:
7. Asset Management Ptan (C and NTNC) EDMS#:
8. Operation and Maintenance Manual (C ond NINC) EDMS#
9. System Ctassification Worksheet (C and NINC)
10. Operator Licensing lssues (C ond NTNC)
11. Emergency Response Ptan (PWSs with a population , 3300)
12. PWS lnventory lnformation
1 3. Monitoring Schedutes
14.Sample History (TCR and Non-TCR) - past 5 years
15. Violation History - Past 5 Years
,'U. Comptiance Schedutes - pending and overdue
Nofes; At the time of the inspection, this PWS has no pending or overdue compliance schedules.
,,r. Pubtic Notifications - ongoing/currently required
Nofes; At the time of the inspection, this PWS has no current or ongoing Public Notilication required.
,'r. Chtorine Residual History - Past 5 years
Notes: At the time of the inspection, this pWS does not chlorinate.
.,n. Monthty Operating Reports (MORs)
Notes: At the time the , this PWS is not to submit lAORs.
EDMS#:
Add
Add
Add
Add
Add
Add
Add
Add
Add
Add
Edit
Edit
Edit
Edit
file:///C:/Users/kcarter/DownloadsllD7220156_Finalized_ESSForm (1).html
csL
16117
Sanitary Survey
23. Have any changes been made to the PBCU schedute or sampling location? (C and NTNC only)
24 DBP Sampte Siting Ptan EDMS#:
Notes: At the time of the inspection, this PWS does not chlorinate.
25. Have any changes been made to the DBP schedute or sampting location?
26 POU Sampte Siting Ptan EDMS#:
Notes: At the time of the inspection, this PWS does not hove any Point of Use units.
27. Have any changes been made to the POU schedule or sampting location?
Records Management Questions
Manageriat-P [ans Questions
Q ps ralor&f ely-Qu e s t i o n s
11117122,3:00 PM
Add
Edit
Add
Add
Edit
Do att Sampte Siting Ptan(s) meet the minimum requirements?
28. Notes: The system owner does not have a current written sample siting plan thot meets RTCR requirements
(4 CFR 141.853.a). An RTCR sample siting plon needs to be developed andlor implemented.
Are samples being taken in accordance with the Sampte Siting Ptan(s)?
29. Notes: Samples are only being taken from 4129 Herring Drive and do not adequate represent the entire
system.
Are records retained onsite or nearby for the minimum time required? (TC-Syr; chem/rad'
30. 10yr; violation corrective actions-3yr; sanitary surveys-10yr; waiver, varionce, or exemption
determinati ons-Syr; PNs issued'3yr ; dai ly f ree chlorine resi duals- lyr)
,, ls there a customer comptaint system and ongoing pubtic information program?
''' lRecommended)
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(0)
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Add
Add
Yes No N/AUnk
tn r
IT I
Yes No N/AUnk
, , 32. ls there a recognized organizational structure and management for the PWS?
csL
(0)
(0)
(0)
,, ls there an overalt operation and maintenance manual for the PWS? (inc{uding equipment
"'' menuels, as-builts, SOPs, manufacturer's literature, etc.)
: 34. Does the PWS have an Asset Management Ptan? (Recommended)
35. Does the PWS have an Emergency Response Plan? (Community PWSs ' 3300)
Add
Add
Add
Add
lt I
Yes No N/AUnk
36. Are att operators trained in safety procedures and equipment?
". Does a safety concern exist for personnel and/or visitors? (PPE, handrailslguardrails,t'' Iadders, non-slip triads, etc.)
ls there a potentiat shock hazard because the etectricat wiring appears to be inadequately
38. protected?
Notes: Photograph 12
39. Are protocots fottowed for any confined space entry? (Recommended)
csL
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(0)
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17 t17
Photog raph ic Documentation
lnspection Date(s): Thursday, October 20, 2022
Facility lD:1D7220156
Name of Facility: Valley View Subdivision
lnspector(s): Kelsey Carter
Purpose of lnspection: Sanitary Survey
State of ldaho
Department of Environmental Quality
ldaho Department of Environmental euality
Photographic Documentation For: Valley View Subdivision - \D722OLS6
Table of Photographs:
Photograph 1: Well #2 is identified as the West Well. Located on near the intersection of Jones
and Valley Drive. The casing does not extend the required 18-inches from the ground surface to
the sanitary seal. The cap is not properly vented nor secure to the casing. Most of the bolts are
rusted, broken, loose, or missing. ....A
Photograph 2: Adequate pump to waste is installed but the end is not capped or screened . ......4
Photograph 3: Overallview of the west pump vault. The distribution lines are galvanized steel
and HPDE black. There is not a flowmeter installed. There is not an accessible check valve
installed between the pump and the first shutoff valve.
Photograph 4: A single pressure tank is housed in the west pump vault. The installation date is
unknown and no tag was provided. The pressure tank is a Well-X-Trol. Based on exterior
observations, likely a wX-350 model with a storage capacity of 119 gallons. .............6
Photograph 5: There is a working pressure gauge installed in the west pump vault displaying
..........6
Photograph 6: There is an installed smooth-nose sample tap, the end is threaded and a
backflow prevention device is not installed..'....,'.7
Photograph 7: Franklin Electric submersible pump control panel for a ULs hp pump. Model
#28230081L0..
Photograph 8: A predominant known leak in the distribution has made its way to the surface
The leak is located within 100 feet of Well #2. .......................8
Photograph 9: Well #1 is identified as the East Well. The casing extends above the required 18-
inches from the ground surface to the sanitary seal. The cap is not approved and does not allow
for proper ventilation ...8
Photograph 10: Two pump vaults are located next to Well#2. The west pump vault is pictured
on the left and the east pump vault is pictured on the right. There is an adequate pump to
waste installed with a capped end. None of the pump vaults are kept secure with locks.............g
Photograph L1: Overallview of the east pump vault. There is an inactive chlorinator installed,
no chlorine was present at the time of the inspection. The pump vault is not kept clean, with
debris present. The seam of the pump vault allows for surface water entry and water stains are
present. There are also mice living in the pump vault that are able to get in and out...................9
Photograph 12: Exposed wiring is present near the chlorinator. There is a working pressure
switch and a pressure gauge reading 59 psi ........10
Photograph 13: Franklin Electric submersible pump control panel designed for a 3 hp pump and
a pump protection control. The pump did notturn on atthetime of the inspection. Model
#2823008310. A wall heater is also installed. .......10
Photograph L4: Based onthe angle of the picture it is undetermined if there is an accessible
check valve in place before the flow meter. ...................11
Photograph 15: lnstalled flowmeter reading 2Z,g33,OOO gallons.LT
Photograph 16: West pump vault contains two pressure tanks with no identifiable markers. The
pressure tanks are equipped with isolation valves. The seam of the pump vault is deteriorating
and needs to be resealed. There are mice living in the vault with access in and out of the vault.
...L2
2
ldaho Department of Environmental Quality
Photographic Documentation For: Valley View Subdivision - \D722OL56
Photograph 17: A reading from the distribution was 32 psi, systems are required to maintain 40
psi in the distribution during peak demand. At the time of the survey, there was little demand.
L2
Photograph 18: The booster station and its contents were inaccessible during the inspection..13
J
Photograph 1: Well #2 is identified as the West Well. Located on near the intersection of Jones and
Valley Drive. The casing does not extend the required 18-inches from the ground surface to the sanitary
seal (Significant Deficiency). The cap is not properly vented nor secure to the casing (Significant
Deficiency). Most of the bolts are rusted, broken, loose, or missing (Significant Deficiency).
Photograph 2: Adequate pump to waste is installed but the end is not capped or screened (significant
Deficiency).
ldaho Department of Environmental Quality
Photographic Documentation For: Valley View subdivision - lD722oL56
photograph 3: Overall view of the west pump vault. The distribution lines are galvanized steel and HPDE
black.ihere is not a flowmeter installed (Deficiency). There is not an accessible check valve installed
between the pump and the first shutoff valve (Srgnificant Deficiency).
5
ldaho Department of Environmental Quality
Photographic Documentation For: Valley View Subdivision - \D722OLS6
Photograph 4: A single pressure tank is housed in the west pump vault. The installation date is unknown
?!g no tag was provided. The pressure tank is a Well-X-Trol. Based on exterior observations, likely a \AX-
350 model with a storage capacity of 1 19 gallons. The seam of the pump vault wall is not fully seal-ed and
water stains are shown (Significant Deficiency).
6
Photograph 5: There is a working pressure gauge installed in the west pump vault displaying Sgpsi.
ldaho Department of Environmental Quality
Photographic Documentation For: Valley View Subdivision - |D722OI56
Photograph 6: There is an installed smooth-nose sample tap, the end is threaded, and a backflow
prevention device is not installed (Significant Deficiency).
Photograph 7: Franklin Electric submersible pump control panel lor a 111.5 hp pump. Model #2823008110
7
ldaho Department of Environmental Quality
Photographic Documentation For: Valley View Subdivision - \D7Z2OLS6
Photograph 8: A predominant known leak in the distribution has made its way to the surface. The leak is
located within 100 feet of Well #2 (Significant Deficiency).
Photograph 9: Well #1 is identified as the East Well. The casing extends above the required 18-inches
from the ground surface to the sanitary seal. The cap is not approved and does not allow for proper
ventilation (Significant Deficiency).
8
ldaho Department of Environmental Quality
Photographic Documentation For: Valley View Subdivision - ID722OL56
Photograph 10: Two pump vaults are located next to Well#2. The west pump vault is pictured on the left
and th-e east pump vault is pictured on the right. There is an adequate pump to waste installed with a
capped end. None of the pump vaults are kept secure with locks.
Photograph 11: Overall view of the east pump vault. There is an inactive chlorinator installed, no chlorine
was piesent at the time of the inspection. The pump vault is not kept clean, with debris present
lSignificant Deficiency). The seam of the pump vault allows for surface water entry and water stains are
present (Significant Deficiency). There are also mice living in the pump vault that are able to get in and
oul (S ig n ifi cant Def i ciency).
9
ldaho Department of Environmental Quality
Photographic Documentation For: Valley View Subdivision - \D7Z2OI56
-' '-': '
"
Photograph 12: Exposed wiring is present nearthe chlorinator (Significant Deficiency). There is a
working pressure switch and a pressure gauge reading 59 psi.
Photograph 13: Franklin Electric submersible pump control paneldesigned for a 3 hp pump and a pump
protection control. The pump did not turn on at the time of the inspection. Model #2823008310. A wall
heater is also installed.
l0
ldaho Department of Environmental Quality
Photographic Documentation For: Valley View Subdivision - lD722Ot56
Photograph 14: Based on the angle of the picture it is undetermined if there is an accessible check valve
in place before the flow meter.
Photograph 15: lnstalled flowmeter reading 22,933,000 gallons
ll
ldaho Department of Environmental Quality
Photographic Documentation For: Valley View Subdivision - ',D722OLS6
Photograph 16: West pump vault contains two pressure tanks with no identifiable markers. The pressure
tanks are equipped with isolation valves. The seam of the pump vault is deteriorating and needs to be
resealed (Significant Deficiency). There are mic'e living in the vault with access in and out of the vault
(Sign ificant Deficiency).
Photograph 17: A reading from the distribution was 32 psi (Significant Deficiency), systems are required
to maintain 40 psi in the distribution during peak demand. At the time of the survey, there was litfle
demand.
t2
ldaho Department of Environmental Quality
Photographic Documentation For: Valley View subdivision - |D722OL56
photograph 18: The booster station and its contents were inaccessible during the inspection
l3
+,
Fotri, 238-7g/82 STATE OF IDAHO
DEPARTMENT OF WATER RESOURCES
WELL DRILLER'S REPORT
Sta@ law requires tfrat this teport b€ filed wifi lhe Director, Departnsnt of Wat8t Resoufgot:,
within 30 dayr aftsr tho complotion or abandonment of the u,6ll. ir
USE TYPEWBITER OR
BALLPOINT PEN
r0st woll L
'. WATER LEVEL
Dopartment .l ;.'; l':r :::icurp€l
Staric warer levet 50 r . {eet belor*fbl*flOfgphit Oltiso
Flowing? tr Yes F No G.P.M. flow
Artesian closad-in pressure
-=--
p.s.i.
Controll€d by: E Valve tr CaP [-J Plug
ULI IJ IJgJ
lemparalurc zone' bolow,
Goo{OualityTemperature --oF.Describe artcsidn or
1, WELL OWNER
Name Ed. Strobel
4?O Park Ave
eoaress ldriho feller IdFho 83@1
Owner's Permit No,
-
8. WELL TEST DATA
E Pump tr Bailer tr Alr E Other
Hou?r PumpedDi$hsrce G,P,M.Pumping L€wl
2, NATURE OF WORK
E New well E Deepened El Replacement
E Abandoned {descrabe abandonment plocsdures such as
marerials, plug depths, etc. in lithologic log)
883849, LITHOLOGIC LOG
Bore
NoloMateriatFrom
E lrrigation tr Test D Municipal
tr Stock E Waste Disposai or lni€ction
3. PROPOSED USE
(specify type)
E Domestic
E lndu$trial
E Other
o L .Soi1-
Far]darc mwa] & c'lrv-xIL12'
)rR1)\:tl Shalc rad & clev-
TA-r A<1T Shsle red lava-
TA1m'l o!Claw mrl fihnv-
4..METHOD DRILLED
[J Rotary E Air
tr Cable tr Dug E Other
tr Hydraulic E Reverse rotary
In'l o<,tt 3hr1 r rcd & c'l rw ^YAttlaAtAho'l a nad fi a -xA)A\)',Shala rad broken-aA"'lo )qE Shr]c onav fim-
T62qt?(x Shale srav broken.
?24 rale crav fir,rn-6 300
331 x6i25.TA??o ?xr C'] rv & p*vel -
6 x?q ?g(x
?q s x6390I6a91LI'Gravef & sand.
6 r,l c LA Bouldere herd.xA1,20 L2l Bou]der-e eome sravol & sarrd.tAt,)4 Lt,t C]rv hmm prrvel-
A Lt,o l,q,'i}Frva] -It
Y,.12 t.t
t1a*rl llrvi nc YAt,A4 L7t
it,'ill
i.Jt
il vl tJo:
- --h-r!E '!f; d iltfr.
ltTnlgntTl waler Kes(rurces
10.q/2.q/a1 rinished to/25/83Work started
Casing schedule: E Steel [] Concrete g Other
--*-Thickneri OiEmot6r From lo
.25O .- inches I .. inch€s + L feet 2?6- f*t
.25q_ inches 6 inches LOt twt 4t( teet
inches _---.''- inches _ feot _feet
inches _ inches
-_
feat
--feetWascasingdrlveshoeused? E Yes tr No 6 & 8n
Was a packer or seal used? D Yes s. NoPerforated? [I Yes E No
How perforated? E Factory D Knife D Torch
Size of perforation _ inches by
--
inchesNumber From To
Well screen in$talled? O Yes E No
Diameter-'Slot size *-Set from _feot to _fe9t
Diameter _-Slot slze _Set from _teet to _feet
Gravelpacked? tr Yas ENo E Sizeofgravel
Method of joiningcasing: E Threaded E Welded D Solvent
Weld
D Cemented beh.vaen strat. Del
I{o11 Cap
Placed from feet to
-.'---
hlq
Surfacssealdepth -60+ Materiat ureU'rn s""t. E Cer.entg+Dd
F Bentonite D Puddllnscloy n ----{Sls€aling procedure u6ed: E Slurry pit 0[ Temp. surfme caslrJ{}
E Overbore to seal detili
5. WELL CONSTRUCTION
feet
f6et
feet
Model No.
Descrlbe acces port
Type
Manufacturer's
feet
feet
perforations
p€rforations
perforations
11. DRILLERS CERTIFICATION d-9,*
lAVe certify that all minimum wsll construction standards were
complied ryit'l at thd time $9 rig was removed.
Flrm uame lndrer lJqll Drllllntirm No. -. 5 -
t
Addr€6s
Sisn€d by (Firm Olficiall
Date ro/3r/s3
n and
(Operetor)
6. LOCATION OF WELL
Sk8tch map location must agreo wlth writton location.
Lot No. _ Block No.
5Vo- a N E ,, s.c. /3 - ,r. ,5*@s ,A. 43@N.
?
-+
County
N I/all1 U.L-^
w
Subdivislon Name
USE ADDITIONAL SHEETS IF NECESSAFY - FORWARD THE III'HITE COPY TO THE
E,fu- r-
unL-
STATE OF IDAHO. OEPARTMENT OF WATER RESOURCES
WELL DRILLER'S REPORT
State law requires thal this roport b€ flled with tho Director' Department of Water
within 30 days after the compl6tion or abandonment of the well'
USE IYPEWRITER OB
BALLPOINT PEN
weet
welt
Resurces
feet below land surface'
G.P.M, flow
Artesian closed-in pressure --- p's'i
Controlled bY
GoodOuality
zones below.
7. WATER LEVEL
static water level -l!8 -Flowing? 5Ys5 6No
E Valve I CaP t1 Ptug
Temperature
-oF.
Desctibe ailesian ot
Adoress l4aqks lryl. Idaho 8?433 -
e
-rl]rt-q0-Owner's Permit No,
1, WELL OWNER
Name
8. W€LLTEST DATA
n Pump I Bailer tr Air D Other
HoursPumping LewlDischargs G,P,M
2. NATURE OF WORK
ff New well r DeePened [J Replacemeni
: Well diameter increase
'i Abandoned ldescribe abandonment procedures such as
materials. plug dsptlrs, etc. in lithologic log)
9, LITHOLOGIC LOG
M aterial NToFrom
Bore
Diam
$ Domestic fl lrrigation fl Test fl Municipal
E lndustrial E Stock C Waste Disposal or lniection
tr other (sPecifY tYPe)
3. PROPOSED USE
10 xdlav. slrt &Bqnd
-
5 25 x258x1LOx'l 55
--Cravet. alnd & sqe. ;; clal
Gravel . sand & gme cIaY.
4. METHOD DRILLED
6 Rotary I Air
D Cable ! Dug n Oth€r
n Hydraulic ! Roverse rotarY
Yqma ni Il i.Inrze aravel.1q5
work started 8/S/go rinished . 8/1ql9o10.
5. WELL CONSTRUCTION
Casing schedule: lb Steel I concrete E Other _-
Thickness Dlametet Ftom
.ZSO in"rteu 6- inches + I
inches- inches
-fest
inches-inches -.-feetinches
-.-*
inches
-.-
{eet
Was casing drive shoe used? [Yes f] No
Was a packer or seal used? ! Yes Q(No
Perforated? E Yes Q(No
How perforated? n Factory tr Knife f Torch
Size o{ parforation _- inches by
-
inches
Number Ftom
well screen installed? E Yes F No
Manufacturer's name_'---
Diameter =- Slot size
-Set
{rom
-{eet
to ,-
Diameter
-
Slot size
-Set
f rom
-feet
to --
Gravel packed? D Yes XJ No tr Si
Placed from .- feet to -Surface seal depth -3O+ iteris' usec I seal: tr
R Bentonite Il Puddling claY n
Sealing procedure used: D Slurry pit tr Temp' surface casing
! Overbore to sesl depth
Merhod of ioining casing: f) Threaded F Welded I Solvent
Weld
D6scribe access pol-t
feet
To
feet
fl Gun
Model No,Type
Cement giout
feet
feet
feet
feet
fe6t
feet
feel
feet
[] Cemented betweon Strata
ile1l Cao
To
i*et 1?8f ?rteet
perforations
perforations
perforations
ze of gravel
feet
lAve certify that all minimum well construction
complied with at the time the rig was removed'
Firm Name lndrew WoIL Drillir.grm No' 5
Address
were
Date
and
(operator)
Idaho lalls
Signed by (Firm
11. ORILLERS CERTIFICATION6. LOCATION OF WELL
Sketch map location ggql agree with
N
sE,r. M .2s""- 13 ,r.r5
I+-
I
Ew
S
CountY
Nafiesubdiviiion
LOt No. Block
strR.
USE ADDITIONAL SHEETS I F NECESSARY *FORWARD THE WHITE COPY TO THE DEPARTMENT
RTCR Sample Instructions
RTCR Sample Instructions
Selecti Samole ns
Contaminants like coliform bacteria may not be uniformly distributed, so it is critical that the
location(s) selected provide samples that are most representative of the water served to
customers in the pWS's entire distribution system. lt is especially important to identify and
include in the sample siting plan those features of the system that may affect the
microbiological quality of the water. PWSs should consider varying sample site locations
throughout the year to better characterize water quality throughout the distribution system
When selecting sample locations, PWSs should consider:
. Sites that best represent water served to customers throughout the distribution system;
. Proximity to main transmission lines, pressure zones and storage tanks;
. Locations of dead-end pipes, loops and other areas of the piping system's configuration;
. Pressure zones that are upstream and downstream of all storage tanks;
. Cross-connection hazards;
. seasonal customers or locations with inconsistent water use;
. Areas of the distribution system delivering water from different sources;
. Areas of the distribution system with longer retention times; and
. Areas of the distribution system with low water pressure and slow water movement.
Generally, sample locations should be
. At a mid-distribution system point;
o Not on the transmission lines (e.g., the distribution system's largest pipes);
. Directly after the storage tanks, specifically for tanks with direct or flow through design (e'g',
separate pipe for inlet and outlet); and
r Multipurpose samPle locations.
o lf consistent with each rule, sample locations can be used for compliance with multiple
drinking water regulations. For example, compliance monitoring for Total
Trihalomethane and Haloacetic Acid under the Disinfectants and Disinfection Byproduct
Rules.
Repeat Sample Actions
within 24 hours (unless an extension is granted by the primacy agency) of notification of a totalcoliform-positive (TC+)sample result, a pWS must:
' Collect 3 repeat samples for each TC+ routine sample, even if a Level 1 or Level 2 Assessment
is triggered.
' Continue collecting a set of 3 repeat samples until, either TC is not detected in one completeset or the system triggers a Level 1 or Level 2 Assessment.
PWS',s must collect at least 3 repeat samples at the locations described in their sample sitingplan that include:
o one (r) at the same sample tap where the original TC+ sampte occurred,
' one (1)at a tap within five (5)service connections upstream of the originalTC+ site, ando One (1) at a tap within five (5) service connections downstream of the original TC+ site.
Selectins Sampline Ta ps
Faucets and specially installed sampling taps are the two most common types of sampling sites.lf faucets are to be used, each faucet should be examined carefully to ensure its suitability.Some examples of potentially unsuitable faucets are:
' swivel-type faucets because they are difficult to disinfect;. Faucets with a single valve for hot and cold water;
' Faucets or taps with leaky packing material around the stem;
' Faucets that supply areas, such as janitorial or commercial sinks, where bacterialcontamination is likely;
o Faucets or taps close to or below ground level;r Faucets that point upward;
r Faucets that have threads on the inside of their spouts because they are difficult to disinfecq. Outdoor faucets; and
o Faucets with aerators because they may harbor bacteria. lf such faucets are used, it isrecommended that the aerator should be removed before a sample is collected and disinfectedbefore replacing it.
ldaho Department of Environmental Quality
PrintForm
Total Coliform Sample Siting Plan Form
Total Goliform Sample Siting Plan
for Small Systems
This form is intended to assist public water system (PWS) owners and operators with.developing a total coliform-^
il;i; ;iiirg pi"". inir form il designed foisyslgnis. taking three samples each mgnt! or each quarter (serving.<3,300
F;tit;). U;fig thir fbr. is optional."HoweveriqJl public wlter.sy_stemare_required lo^ryy3 a written sample siting plan
In ai.ordan.J*ith the "Idahb Rules for Public Water Systems" (IDAPA 58.01.08.100.01).
Part 1. General System Information
PWSID PWS Name
Mailing Address
PWS ContactName:
E-mail Phone
Sources of Water:
Identiff sources of
drinking water and
attach additional
sheets as necessary
Emergency Contact Name:
E-mail:Phone:
pWS Type: f Community (CWS) f Nontransient noncommunity (NTNC) ! Noncommunity transient (NCT)
Noncommunity Seasonal System: ! No f Yes* If yes, season close
* Seasonal systems are required to perform annual start-up procedures prior to opening for the season unless exempted in writing'
Source/Facility ID
Name of drinking water source(s): well tag #,
name, spring name, intake source
Source Type
GW-ground water, SP-sPring,
SW-surface water, GU--ground
water under the influence of SW,
P--purchase water from other system
Usage
P-permanent (full/time),
E--emergency (not planned
for use), I--interim to meet
peak demand
4-log Virus
Inactivation*
Source has continuous
disinfection to provide
4-log virus inactivation
I f Yes CNo
2 C Yes CNo
t,f Yes CNo
4 C Yes CNo
Phone
Date:
source water monltortng ater a
total coliform positive sample is required when a system using ground water does not have 4-log virus
inactivation for all ground water sources.
Manifold: List sources that
combine before distribution
Disinfection Treatment Installed/Using: ! None f Chlorine I Chloramination f Chlorine dioxide I Ozone
(check all that apply)
Owner/Operator Name:
Signature:
Version 1.0 Page 1 of4
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ldaho Department of Environmental Quality TotalColiform Sample Siting plan Form
P art 2. Sampting Location fnformation
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TotalColiform Sample Siting Plan Form
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ldaho Department of Environmental eualitv Total Coliform Sample Siti ng Plan Form
Yl:l.t:ll:-:i5l.Y.t.t owners or operators are not required to submit total coliform sample siting plans. Thefollowlng circumstances require submittal and approval df your sample siting plan by your local fieid'office:
"o*l-qT_:19-gt_!1-"1-qf *lg,*itl to propode altemative fixed sbmple rfi.! oi "fitiria-for setecting sitls'based onsltuatlonal lntormatlon. I his infbrmation needs to be written into a standard operating procedurE as part of theplan.' Operators or owners of seasonal systems using only ground water and on monthly monitoring that qualify for andwish to take quarterly samples.
Other considerations:' Attach a schematic of the distribution system_with locations marked for sample sites and other relevant watersystem information sugh a9 wells, storage tanks, booster stations, etc.' Ensure the entire distribulion system isiepresented when identif,ing sampling locations.' If there are two 91fory disjribution systems and those distribution_s-'ystems arie not interconnected, please ensuresamples.are taken from each distribution sysjep d.griqg each compliance p"rioO imonttr o. quurt;;j.'---- --
' If a.rouline.sampling location is.at the end-of the distri[ution syst6m or one servite ;m;;ti;;;y from the endof the distribution system, identify an altemative upstream o..io*nrtiiurn d;piinglo.ation from that routinelocation.' Repeat samples must be collected within 24 hours.of being notified of a routine positive sample result and must betaken the same day at different sites. However, if there i9.9'nly on. ru-pting 6g,iti";; .r"11uJ*iirr u rurpg.ounO,please identify yttglttg yo_u will take_one repeat total coliform sample i"if"y i;thi'ee consecutive days'o'ialarger sample size (300 inLy on one day.' Public water systems that use only ground water and do^not provide 4-log virus inactivation are required to taketriggered. source water samples aftei_a routine total coliform positive ru*"pt" r..ufilft. .u*pi.r-"i;;;6; i;k."from each source active at ihe time the routine sample was taken and muslt be taken U"toi"-ui/i.il;; i;water).
Version 1.0 Page 4 of 4
STATE OF IDAHO
DIIPARTIVIENT OI"
ENVIRONMEN'TAL QUALITY
900 N. Skyllne Dr., Suit€ B
ldaho Falls, 10. 83402
Brad Little.6overnor
less 8yrne, Director
November L6,2022
Dorothy McCarty
455 Constitution WaY
ldaho Falls, lD 83402
Email: water a.net
Subject: Goose Bay Estates (1D7220030t - Sanitary Survey conducted on October 20,2022
Dear Dorothy McCartY:
A sanitary survey was recently conducted for Goose Bay Estates (\D722OO3O). This letter
provides the sanitary survey report and photos for your records.
Significant Deficiencies - Significant deficiencies identified in this report must be
addressed after consulting with the ldaho Department of Environmental Quality (DEQ),
ldaho Falls Regional Office. Consultation and a written corrective action plan are
required within 30 days of any significant deficiencies and/or follow-up requirements
identified in this notification (IDAPA 58.01.08). Follow the four steps identified in the
sanitary survey report to address all significant deficiencies.
Deficiencies - The public water system operator/owner identified in this report must
address the deficiencies in a timely manner.
Recommendations -
Recommendations identified in the report are not required to be corrected at this time,
but it is recommended'
consult DEe before taking specific corrective actions or modifying the water system' Modifying
your public water system or installing new components may require assistance from an ldaho
licensed professional engineer and DEQ's review and approval. Contact this office before
making modifications to your system.
Thank you for your help in completing the sanitary survey. For questions, contact Kelsey Carter,
Drinking Water Compliance Officer, ldaho Falls Regional Office, [phone],
[e-mail] ho-sov
1
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, 10.83402
Srad Littte, Governor
Jesr 8yrne, Dlrector
c
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
Enclosures: Sanitary Survey Report, Photo Log, Maps, Survey Forms, Well Log, Site Sampling
Plan lnstructions, and Site Sampling plan Template
Troy Saffle, Regional Administrator, IFRO-DEe
Carlin Feisthamel, Regional Engineering Manager, IFRO-DEe
Jason Fales, Drinking Water Compliance Supervisor, IFRO-DEe
-2-
STATE OF IDAHO
DEPARTMHNT OF
ENV lRONMEl.lTAl- QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls. lD. 83402
Brad Little, Governor
Jess Byrne. Director
Sanitary Survey Report
Goose Bay Estates - \D722OO3O
Survey conducted on October 20,2022
Report generated on November L6,2022
Narrative
Goose Bay Estates is located in Fremont County, in the lsland Park area, near Henry's Lake. The
water system consists of two groundwater sources serving 38 connections and an average daily
population of 50 individuals from May lst to December 3lst. Although the system is seasonal it
does not depressurize. Based on the number of people using the system it is considered a very
small water system (VSWS). The water system is classified as a transient non-community (TNC)
because the system does not regularly serve the same twenty-five people over six months out
of the year. A TNC is not required to have a certified operator overseeing the system
operations. Dorothy McCarty is the main contact and owner of the system with lsland Park
Water Company. This system is regulated by the ldaho Public Utilities Commission. Mrs.
McCarty was present for the sanitary survey as well as Engineer Mike Lund. Together they were
able to answer questions and discuss important aspects of the public water system. The
previous sanitary survey was conducted on September L6,20L6. These inspections are
conducted every five years to ensure all the system's components operate correctly and
identify any potential health hazards. There are fourteen significant deficiencies identified in
this report.
The East Well (E0006535) is now identified as the Goose Bay Well for its location on Goose Bay
Drive. A Well Driller's Report could not be located through the ldaho Department of Water
Resources. The well cap on the Goose Bay Well was not securely attached to the casing, there
were several loose bolts identified. The casing does extend above the required 18-inches from
the ground surface to the sanitary seal, shown in photograph 1. The well cap is properly vented
and in good condition. The drawdown is unknown so the well cap should remain vented. The
well vent is located on the top of the well cap and serves to equalize the pressure within the
well column to prevent air from entering the well, which can cause a vacuum to occur where
potential contaminates can be drawn back into the system.
There are two pump vaults associated with the Goose Bay Well identified as the East and West
Vaults, shown in photograph 2. Neither of the pump vaults have an installed lock on the door,
this is deemed a significant deficiency. Mrs. McCarty mentioned that the system has troubles
with individuals cutting the locks, which is documented in photographs 4 and 5, however, the
locks will deter some individuals, and prevent unauthorized access into the pump house. New
-3 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite I
ldaho Falls, lD, 83402
Brad Little, Governor
Jess Byrne, Director
locks must be installed to minimize any potential damage or contamination to the water system
components. The overall condition of the East and West pump vaults was free of clutter and in
good repair. The East pump vault houses two pressure tanks. Both are Well-X-Trol model WX-
302 with a storage capacity of 86 gallons. The installation date is unknown, but the
manufactures date is 2007 and they were likely installed that same year. There are not any
isolation valves installed for the two pressure tanks. There is an accessible check valve installed
in the East pump vault. The West pump vault contains a single pressure tank, also a Well-X-Trol
model WX-302 with a storage capacity of 86 gallons. The installation date is unknown, but the
manufactures date is 2OO7 and they were likely installed that same year. There is a gate valve
present on the single pressure tank. The West pump vault contains the submersible pump
control panel as well as a flowmeter for the system. There is an inactive chlorinator in the West
vault. ln order for chlorination to be used DEQ must be notified prior to treatment. At the time
the sanitary survey was conducted the pressure switch in the West vault was not functioning,
displaying 0 psi. A distribution reading was taken from a frost-free hydrant across the street,
shown in photograph 16. Allthreaded taps must be protected with a backflow prevention
device. There is a smooth-nose sample tap installed in the West vault, but it contains a
threaded end, as seen in photograph L3. There is an installed pump to waste line, but at some
point, it has been disconnected. This is visible in the bottom right corner of photograph 6.
Without the connection, there is not an adequate pump to waste in place. The pump to waste
does not currently have a screened or capped end, shown in photograph 5. Once the pump to
waste is reconnected, the discharge will require a screen or cap.
The West Well (80006538) is now identified as the Trumpeter Wellfor is location on Trumpeter
Road. A Well Driller's Report is available for this well. The Trumpeter Well was drilled in August
1-970 to a depth of 289 feet. The steel casing is 8 inches in diameter and extends down to 184
feet. The casing is not screened or perforated. Bentonite was used to surface seal the casing to
35 feet. The casing does extend above the required L8-inches from the ground surface to the
sanitary seal. The sanitary seal was broken in places and not fully surrounding the cap, this can
be seen in photograph L7, as well as a non-vented cap. These are both significant deficiencies
and must be addressed. The drawdown is unknown so the well cap should remain vented. The
wellvent is located on the top of the well cap and serves to equalize the pressure within the
well column to prevent air from entering the well, which can cause a vacuum to occur where
potential contaminates can be drawn ba.ck into the system. At the time the well was drilled, the
static water level was measured at 65 feet.
The Trumpeter pump vault is not kept locked. This has been deemed a significant deficiency
and a lock must be installed. The previous sanitary survey conducted in 2016 identified a
missing check valve in the Trumpeter vault. A check valve has since been installed, but not in
the proper location. This has been deemed a significant deficiency and must be corrected. The
check valve must be installed between the pump and the shutoff valve. The check valve should
-4-
STATE OF IDAHO
DtsPAR'TMENl'OT'
ENV IRONMENTAL QtJALITY
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
Erad Little, Governor
less Byrne, Director
be installed before the pressure switch, and ideally before the flowmeter. Plans and specs will
need to be submitted by an engineer. As a reminder, an$ime material modifications are made
to the water system plans must be submitted to DEQ for approval. The overall condition of the
pump vault was free of debris and had no signs of excessive heat or moisture. There is an
installed flow meter in the pump vault, shown in photographs 20 and2L. There is a pressure
tank installed in the pump house that has not been previously documented. The Flow-Thru
model FT18 is a 4.5-gallon bladder tank. There is an installed pressure switch and pressure
gauge. The pressure gauge was only reading 30 psi at the time of the survey, shown in
photograph 26. This is not adequate pressure for the system, a minimum of 40 psi must be
maintained. The pump did not turn on at any time during the inspection and the set points are
unknown. A second pressure reading from the distribution was collected from the home the
well is located on. The reading displayed 44psi. Readings were not collected during a time of
high demand and the pressure of the system will need to be evaluated.
The two wells form a continuous loop system with no known dead ends or cross-connections.
The distribution consists of galvanized steel piping that is being replaced with PVC when repairs
are made and copper was added to the pump vault. The main line size is 3 to 1.5 inches' All
valves are exercised at least once every quarter. There are no fire hydrants or flushing hydrants
in the water system. None of the system connections are metered. There has been freezing
within the water system, but not in the main lines. Homeowners are responsible for where they
connect on the main to their home. The system was designed for seasonal use and the main
lines and service connections' depth are unknown, but likely buried less than 5 feet.
Asite sampling plan willbe required to be submitted to DEQbythe end of the year. Currently,
samples are only being collected from the same location each quarter. Samples should
represent the entire water system and each quarter bacteria samples must be collected from a
different location, with backup locations identified. Once the site sampling plan is submitted, it
must be followed when collecting samples or they may be deemed non-compliant. Samples
were collected for all 4 quarte rs of 2022, with no violations within the last 5 years. The annual
nitrate sample has already been collected for 2022 as well.
The subdivision is up to date with the annual state drinking water fee. Homeowners are
charged a 5280 drinking water fee set by the Public Utilities Commission. These fees cover
system maintenance, repairs, and collection of compliance samples. There is not a current map
of the distribution nor an overall operations and maintenance manual.
All planned corrective actions will need to be submitted to DEQ by December L9,2022'
5
STATE OF IDAHO
DEPARTMENT OF
EN{VTRONMENTA L QUAI.TTY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
less 8yrne, Director
Sign ifica nt Deficiencies:
A significant deficiency as identified during a sanitary survey, is any defect in a system's design,
operation, maintenance, or administration, and any failure or malfunction of any system
component, that the DEQ or its agent determines to cause, or have the potential to cause, risk
to health or safety, or that could affect the reliable delivery of safe drinking water (lDAPA
58.01.08.003.131). Failure to address significant deficiencies constitutes a violation of IDApA
58.01.08.302 or 58.01.08.303.
Significant deficiencies may reference lDAPA design standard requirements. IDApA rule
citations for sections 500-549 are primarily requirements during the design or modification
stage of a new system or component, and may not be enforceable as part of a sanitary survey.
These requirements are listed to provide reference of what current standards would apply if
that particular component were designed, modified, or constructed today. Corrective actions
that include material modifications must be approved by DEe.
To address all significant deficiencies identified in this report, follow steps 1-4.
Step 1 - Within 30 days of receiving this notification, submit to DEe in writing a
corrective action plan including planned completion dates for each identified significant
deficiency.
step 2 - complete the planned action(s) by the "planned completion Date(s)."
Step 3 - After completing each planned action, enter an "Actual Completion Date," your
initials, and write the "Corrective action taken."
Step 4 - Sign your name at the bottom certifying that each corrective action has been
corrected by the planned completion date and your public water system has completed
the sanitary survey response requirements pursuant to IDAPA 58.01.08. Send a copy of
the signed paperwork to DEe.
-6-
STATE OF IDAHO
DEPAR'TMHNT OI;
IJN V IRON M EN'|A I", QUA I-ITY
900 N. Skyline Dr., Suite B
ldaho Falls, 1O.83402
Brad Little. Governor
Jess Byrne. Director
Wells
GOOSE BAY WELL (EOOO6535}
Question #9- Does the well casing and cap prevent contamination and surface water entry?
No.
Note: There ore several loose bolts on the Goose Boy well cop (Photograph L)'
Well: E0006535 is not provided with an approved cap and/or solid casing that prevents surface water
and contaminants from entering the well (IDAPA 58.01'08.511.06'b)'
A properly cosed wett with a sanitory well cop prevents surfoce woter and potentiol contaminonts
(bocterio, fertilizers, pesticides etc.) from descending along the outside woll of the well down to the
zones of stored ground woter thus minimizing the possibility of contaminotion. The ground oround the
well cosinq must slope owoy from the well cosing.
Submit planned completion dates to DEQ by L21L912022
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitia ls:
Corrective action(s) taken
-7 -
STATE OF IDAHO
DEPAR'TMENT OF
EFIVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little,6overnor
Jess Byrne, Dlrector
Question #72- ls a working pressure gauge provided? (tnstant, installed on discharge pipe, etc.)
No.
Note: The pressure gouge in the Goose Bay pump voult was not functioning
(Photogroph 1-1).
A pressure gauge is not provided on all discharge piping for Well: E0006535 or the existing pressure
gauge is not properly maintained and working (tDAPA 58.01.0S.511.03).
A pressure gauge identifies proper working pressures and will help diagnose well ond pump problems
including leoks, lost pressure, short cycling of the well pump, or a bod check volve or foot volve.
Submit planned completion dates to DEQ by l2/L9/2O22
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s) taken :
-8-
STATE OF IDAHO
DEPARTMT]N'T Olj
ENVIRONMNNTAL QUAI.Il'Y
900 N. Skyline Dr., Suite B
tdaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
Question #73- ls an adequate pump-to-waste provided? (Capocity of the well, oir gdp, prior to
the first service connection, etc./ No.
Note: The pump to woste in the Goose Bay pump vault has been disconnected ond
capped off (Photographs 5 and 6). There is not an isoldtion valve that would ollow for
the pump to woste without the connection.
The pump distribution line for Well: E0006535 does not provide the necessary valves and appurtenances
to allow the well to be pumped to waste at the design capacity of the well via an approved air gap
through an approved non-corrodible screen at a location prior to the first service connection (IDAPA
58.01.08.51L.02). lnstall pump to waste capabilities the next time material modifications occur to this
section of the water system.
pump-to-woste capobility permits well water to be discharged prior to entering the distribution system.
Wells ore typicolty pumped-to-woste to ftush out stognont woter ond ony potentiol contominonts, after
the well or pump hos been serviced to cleor ony debris, bacterio, chemicals, ond after ony known ground
water contamination.
submit planned completion dates to DEQ by tzlL9/2O22
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s) taken :
-9 -
STATE OF IDAHO
DEPARTMENl'OF'
tiNvIRONMUN'IAt- QUAr-lTY
900 N. Skyline Dr., Suite B
ldaho Falls, |D.83402
Brad Little, Governor
Jess Byrne, Director
TRUMPETER WELL (EOOO6538}
Question #8- ls the well properly vented? (24 mesh screen, open downword >78" outdoor or
>L2" indoor, etc.) No.
Note: The well cap is not vented (Photograph 17).
The well casing for Well: E0006538 is not properly vented to include a 24 mesh screen and/or does not
open downward and/or is not high enough above the receiving surface to protect the well from flooding
(r DAPA s8.01.08.s11.0s)
lnstall a cosing vent to minimize the possibility of contamination coused by the creation of a portiol
vocuum during pumping ond to release air tropped in the pump column when the pump is not running.
On some wells the presence of a water tight (ond thus oir tight ) well cosing cop can meon thot when the
pump is running ond drawing down the static head in the well it con creote o vdcuum thot coutd impede
pump operqtion. The vent lets equalizing oir into the cosing. The vent needs to be ot o height above flood
levels and terminqted downword to prevent entry of any potentiol surfoce woter. This may be
accomplished by extending the casing 78 inches obove the ground or 72 inches above the pump house
floor. A 24-mesh screen instolled on the vent prevents contominotion by prohibiting entry of insects,
rodents, and birds.
Submit planned completion dates to DEe by LZ/L9l2OZz
Corrective Action Plan
Planned Completion Date
Actual Completion Date:lnitials
Corrective action(s) taken :
-10-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, |D.83402
Brad Little, Governor
Jess Byrne, Director
euestion #9- Does the well casing and cap prevent contamination and surface water entry?
No.
Note: There are several loose bolts on the Goose Boy well cap (Photograph 1).
well: E000653g is not provided with an approved cap and/or solid casing that prevents surface water
and contaminants from entering the well (IDAPA 58.01.08.511'06'b)'
A properly cased wetlwith a sonitory well cap prevents surface water ond potentiol contominants
(bacteria, fertilizers, pesticides etc.)from descending olong the outside wall of the well down to the
zones of stored ground woter thus minimizing the possibitity of contaminotion. The ground oround the
well casing must slope owoy from the well casing.
Submit planned completion dates to DEQ by L2|L9/2O22.
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials
Corrective action(s) taken:
- tl-
STATE OF IDAHO
DEPARTMENT Of;
ENVIRONMENTAL QTJALITY
900 N. Skyline Dr.,Suite B
ldaho Falls, 10.83402
Brad Little, Governor
Jesr Byrne. Director
Hydropneumatic Tanks
Question #2- ls the tank located in a structure that is protected from flooding and unauthorized
entry? (Locked, wotertight walls and floor, floor drain, occeptoble cover, efc./ No.
Note: The hydropneumotic tanks are not above normal ground sufface and/or
completely housed (IDAPA 58.01.09.547.01.a).
The structure housing the hydropneumotic tanks is not protected from ftooding and/or is not
adequotely drained and/or the ground surface is not groded to lead surface droinage away fromthe structure (IDAPA 58.0L.08.541.0L.b). The hydropneumotic tank housing is not odequotely
protected ogoi nst u na uthorized e ntry.
The hydropneumatic tanks are not above normal ground surface and/or completely housed (lDApA
58.01.08.547 .O1..a).
The structure housing the hydropneumatic tanks is not protected from flooding and/or is not
adequately drained and/or the ground surface is not graded to lead surface drainage away from the
structure (IDAPA 58.01.08.541.01.b). The hydropneumatic tank housing is not adequately protected
against unauthorized entry.
ln the event of a leok, broken pipe, or severe weother, inodequote droinoge moy couse domage to the
electricol ond heating systems. lf the construction of o pit contoining the hydropneumotic tonk(s) is not
wotertight, and the pit does not have on adequate droinoge system, the pit can ftood cousing surface
water carrying debris, bacteria, pesticides, fertilizers, oil products, etc. to increose the potentiol forsource contaminotion.
Submit planned completion dates to OEe by L2/I9/2022.
Corrective Action Plan
Planned Completion Date
ActualCompletion Date ln itia ls
Corrective action(s) taken
-12-
STATE OF IDAHO
DI:PARTMtiNI'OF
riN v IRON M EN'l'At- QUAt"l'l'Y
900 N. Skyline Dr.. Suite B
ldaho Falls, 10.83402
Brad Little. Gove.nor
Jess 8yrne, Director
Distribution Systems
DISTRIBUTION SYSTEM (T722OO3ODS1I
euestion #70- ls a minimum system pressure of 40 psi. maintained during maximum hourly
demand conditions? (PWSs constructed after 7/L/L985 - Excluding fire flo@ No.
Note: The PWS wos constructed or modified ofter 7/L/L985 ond is not oble to maintain
a minimum pressure of 40 psi in the Trumpeter pump vault.
The pWS was constructed or modified after 7 /t/1985 and is not able to maintain a minimum pressure of
40 psi throughout the distribution system during peak hour demand conditions (excluding fire flow) as
measured at the service connection or along the property line adjacent to the consumer's premises
( IDAPA s8.01.08.ss2.01-.b.v).
System depressurization creotes the opportunity for back-siphoning or bockpressure of non-potoble
water from domestic, industrial, or institutionol sources, which may result in contominotion of the
drinking woter. At low pressures, it is possible for contaminoted groundwater to enter through leoks.
Submit planned completion dates to DEQ by L2/19/2O22'
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitia ls:
Corrective action(s) taken
- 13 -
STATE OF IDAHO
DHPAR'TMENT OF
ENVtR()NMENTAt"- QT JALITY
900 N. Skyline Dr., Suite I
ldaho Falls, lD. 83402
Erad Little, Governor
Jess Byrne, Director
Pumps
Question #4- ls each pump equipped with an accessible check valve? (on the discharge side
before the shut-off volve) No.
Note: The locotion of the recently instolled check valve in the Trumpeter pump vault is
incorrect. The check volve must be instolled between the pump ond the shutoff votve.
The check valve should be installed before the pressure switch ond ideatly before the
flowmeter. Plans ond specs will need to be submitted by on engineer.
An accessible check valve is not provided on the discharge line between [pUMp_TAG_NUM] and the
shut-off valve (IDAPA 58.01.08.51L.04 -well pumps or IDAPA 58.01.08.541.03.a. - water pumps). tnstall
an accessible check valve the next time material modifications occur to this section of the water system
A check volve allows flow in one direction ond prevents bock flow (reverse flow) if water in the line
reverses direction. The check volve is intended to prevent the system from droining and prevents the
pump from excessive cycling.
Submit planned completion dates to DEe by L2/L9/2O22.
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s) taken :
-14-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
euestion #6- tsa working pressure gauge installed on the discharge line of all pumps? No'
Note: The pressure gauge in the Goose Bay vault was not working. lt is unknown if the
pressure gauge in the Trumpeter pump vault is functioning properly as it only displayed a
psi of 30 when a minimum of 40 psi is required. (Photogrophs L1. and 26)
There is not a working standard pressure gauge on the discharge line (IDAPA 58.01.08'541'03'c' - water
pumps or IDAPA 58.01.08.511.03 - well pumps)'
A pressure gouge helps diagnose well ond pump problems including leoks, lost pressure, short cycling
w'ell pumpind a bad check valve or foot volve. Lack of o pressure gouge mokes it difficult to anolyze
p rope r syste m Pressu re.
Submit planned completion dates to DEQ by L2/L9/2022
Corrective Action Plan
Planned ComPletion Date:
Actual Completion Date:lnitials
Corrective action(s) taken :
-15-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, 10.83402 Erad Little, Governor
Jess 8yrne, Dlrector
Question #72- Are all pump houses protected from unauthorized entry? (Locked, duroble
construction, etc.) No.
Note: Neither of the pump voults was protected with locks. The Goose Boy pump voults
hod locks present but they had been cut ot some point. New locks will need to be
instolled (Photographs 2, 3, ond 4).
The pump vaults do not have a locked door or access and/or is not of durable construction to prohibitunauthorized entry, vandalism, and entrance by animals (lDAPA 58.01.0g.54j..01.c. and f).
An unsecured pump house compromises security and leoves the structure vulneroble to unouthorizedentry, vondolism, and sobotage.
Submit planned completion dates to DEe by t2/Lg/ZAzZ.
Corrective Action plan
Planned Completion Date
ActualCompletion Date lnitials
Corrective action(s) taken
-16-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, |D.83402
Brad Little, Governor
Iess Byrne, Director
euestion #I4- ls adequate backflow protection provided on all threaded taps/ hose bibs
installed in any of the pump houses? No.
Note: None of the threoded tops were protected with a backflow prevention device
(Photogroph 1.3).
All threaded taps/ hose bibs installed in the pump house are not equipped with an appropriate backflow
prevention device (IDAPA 58.01.08. 541.01.n).
An oppropriote backftow device (typicatly a top/ hose bib vocuum breoker) protects the potoble wqter
suppty from contominotion should o bock-siphonage backflow event occur.
Submit planned completion dates to DEQ by L2/L9/2022'
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitials:
Corrective action(s) taken
-17 -
STATE OF IDAHO
DEPARTMEN'I OF-
ENVTRONMENTAt" QUAt.t'rY
900 N. Skyline Dr.,5uite B
ldaho Falls, 10.83402
Erad Little, Governor
Jess Byrne, Director
Question #77- Are all pump houses protected from flooding and surface water entry? (Drained,
ground surface groded to leod surface water owoy, etc./ No.
Note: Neither of the pump vaults is protected from ftooding ond/or is not adequately
droined (Photographs 6, L5, L9, and 20)
None of the pump houses are protected from flooding and/or is not adequately drained and/or the
ground surface is not graded to lead surface drainage away from the pump house (lDApA
s8.01.08.s41.01.b).
Pump houses must hove adequote drains to protect the equipment if a pipe breoks inside the focitity
cousing flooding. Protect all electricol controls, motors, ond equipment from ftooding. pump houses must
be constructed to prevent surfoce woter from entering the focility.
Submit planned completion dates to DEe by L2/19/2022
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitia ls:
Corrective action(s) taken:
-18-
STATE OF IDAHO
DtlPARTMENTOF
ENVIRONfuIENTAI, QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little. Governor
.less Byrne, Director
Fina nciaUMa nagerial CaPacitY
euestion #28- Do all Sample Siting Plan(s) meet the minimum requirements? No.
Note: Somples ore only being collected from 4043 Kickapoo since 2QT20. Samples must
be token from different locations eoch quarter to get on adequate representation of the
whole distribution. A site sampling plan must be submitted by 12/3L/2022.
The system owner does not have a current written sample siting plan that meets RTCR
requirements (40 CFR 141.853.a). An RTCR sample siting plan needs to be developed and/or
implemented.
A somple siting plan is designed to specify where in the distribution system samples will be
drawn to ensure they ore representative of the water system.
Submit planned completion dates to DEQ bV L2/3L/2022.
Corrective Action Plan
Pla nned Com pletion Date: t2l3tl2022
Actual Completion Date:lnitials:
Corrective action(s) taken: Plan template must be submitted to DEQ for approval
-19-
STATE OF IDAHO
DtsPAR'TMEN'I' T)I]
ENVIRONMENTAL QUAI.ITY
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
Question #29- Are samples being taken in accordance with the Sample Siting plan(s)? No
Note: There is not o current site sompling plon in ploce. A site sampling plon must be
su b m itted by 1 2/3 L/2022.
RTCR monitoring samples are not being taken in accordance with the approved sample siting
plan (40 CFR 141.853.a).
Somples not token in occordance with a sample siting plan, may not be representative of the
distribution system resulting in the woter system not receiving credit for sampling.
Submit planned completion dates to DEe bV tZ/3t/2022.
Corrective Action Plan
Plan ned Com pletion Date: t2l3tl 2022
Actual Completion Date:lnitials:
corrective action(s) taken: Plan template must be submitted to DEe for approval
I certify, to the best of my knowledge that all significant deficiencies have been corrected by
the agreed upon date and that the corrective action meets the requirements pursuant to
TDAPA 58.01.08.
Signature:Date:
-20-
STATE OF IDAHO
DEPARTMTJN]- ()I;
ENV IRONMEN'I'Al. Qt.J At,l1'Y
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
.]ess Byrne, Director
Deficiencies:
Deficiencies identified in the report should be addressed by the Public Water System's
operator/owner in a timely manner.
General Questions
Question #2- lf yes, were plans and specs submitted to and approved by DEQ? No'
DEe has not approved plans and specifications for material modification that have occurred for the
existing water system (lDAPA 5g.01.08.504.03). Prior to construction of material modifications of
existing public water systems, submit plans and specifications to DEQ for review and approval. A
eualified Licensed professional Engineer may review and approve plans and specifications for simple
water main extensions. This issue will be referred for enforcement as an ldaho Code g 39-118
violation.
lnsoector Note: lf modifications have occurred since the last sanitary survey,check with a DEQ
engineer to ensure comPl iance with engineering submittals and requirements.
Modifications moy include, but ore not limited to, significont chonges to existing processes or facilities,
system exponsion, oddition of treotment, or instollotion of other processes ond facilities. A preliminory
engineering report addresses specific purpose ond scope, design requirements, olternative solutions,
costs, ond operotion ond mointenonce requirements to demonstrqte odequote system copacity ond is
g e n e ro I ly p roi e ct-s pecific.
Wells
TRUMPETER WELL (EOOO6538}
euestion #2- Are surrounding land uses creating health hazards or increasing the potential for
source contamination? (Setbacks not met, dumping, etc.) Yes'
Note: The setback to property lines is not being meL lt is recommended PWS owner work with
the lond owner to control/eliminote future contaminqtion. This is a deficiency ond will be re-
evaluoted during future sonitary surveys or in the event compliance somples return present for
contominants.
The land surrounding Well: E0006538 has a condition that has the potential to cause a health hazard
Recommend PWS owner work with land owner to control/eliminate contamination'
This health hazard may create a danger to the consumer's health (IDAPA 58'01.08.008.01)'
Lond use increoses the susceptibility of source woter contominotion.
-2t -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite I
ldaho Falls, |D.83402
Brad little, Governor
Jess Byrne, Dlr€ctor
Hydropneumatic Tanks
Question #3- Can all hydropneumatic tanks be isolated from the system without depressurizing
the distribution system? No.
The hydropneumatic tanks cannot be isolated from the system (tDAPA 58.01.08.547.01.b). tnstall
isolation valves the next time the hydropneumatic tanks are replaced or material modifications to the
system occur.
Hydropneumqtic tanks, which provide pressure to the distribution system, need a byposs to permit
operation of the system when the tanks ore out of service. A loss of pressure in the distribution system
creotes the opportunity for back-siphonoge or bockpressure of non-potable woter thot may result in
contamination of the drinking woter.
Pumps
Question #3- Are spare parts readily available for critical pump components? No.
Critical spare parts and/or tools are not readily available for [pUMp_TAG_NUM] (tDAPA
58.01.08.54i..02.c).
lf the public woter system does not hove spare ports ond tools ovoilable onsite, it is occeptable to identify
o company who can provide the needed pdrts within 24 hours.
Question #73- Do all pump houses have adequate lighting throughout? No.
The pump house does not have adequate lighting throughout (tDAPA 58.01.08.50j..05.a). tnstall
adequate lighting the next time material modifications occur to this section of the water system.
The interior of the building must have permanent lighting for operator sofety ond to facititate inspections
and maintenonce ot night.
Financial/Ma nagerial Capacity
Question #33- ls there an overall operation and maintenance manual for the pWS? (inctuding
equipment monuols, as-builts, soPs, monufocturer's Iiteroture, etc.) No.
There is not a complete operation and maintenance (O&M) manual for this public water system (lDAPA
58.01.08.50L.12,OO3.92, and 003.93). An O&M manual needs to be developed and/or implemented.
-22-
STATE OF IDAHO
DEPARTMENT Ofi
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
o Submit an O&M manual for review and approval. Upon approval, the operator must operate the
system in accordance with the approved O&M manual. At a minimum, include the following
items in the O&M manual:
o daily, weekly, monthly, and yearly operating instructions
o information specific to a particular type of treatment
o location of valves and other key distribution system features
. pertinent telephone and address contact information including the responsible charge water
system operator and water system owner
o operator safety procedures
o alarm system and emergency procedures
o trouble-shooting advice
o water quality testing procedures
. response plan for depressurization events
. customer service procedures
o response plan for customer complaints
o maintenance information and checklists
o manufacturer's product information including troubleshooting information
o parts list, spare parts list, and parts order form
. necessary special tools
An O&M monual provides procedures to operote ond maintain o focility's various systems ond
equipment. lt is important to anolyze ond evoluote a facility from the system level, then develop
procedures to ottain the most efficient systems integrotion. Lack of an O&M monual con leod to system
foilures ond contamination of drinking woter.
Brad Little, Governor
less 8yrne, Director
-23 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
9€0 N. Skyline Dr., Suite I
ldaho Falls, 10.83402
Erad liftle, Gorrernor
Jess Byrne, Oirector
Recommendations:
Recommendations identified in the report are not required to be corrected at this time, but it is
recommended
Wells
GOOSE BAY WELL (EOOO6535}
Question #6- )s the well (not located in a pump house) protected from unauthorized access?
(Locking cap, fenced, etc.) (Recommended) No.
Note: Photogroph 1
Well: E0006535 (not in a pump house) should be protected from unauthorized access through fencing
around the source and/or use of a locking well cap.
TRUMPETER WELL (EOOO6538I
Question #6- ls the well (not located in a pump house) protected from unauthorized access?
(Locking cop, fenced, etc.) (Recommended) No.
Note: Photogroph 1-
Well: E0006538 (not in a pump house)should be protected from unauthorized access through fencing
around the source and/or use of a locking well cap.
Distribution Systems
DrsTRr BUTTON SYSTEM (T7220030DS11
Question #6- ls a current map of the distribution system available? (Recommended) No.
A current map of the distribution system was not available during the inspection. Maps should be made
available showing main sizes and locations of valves, hydrants, storage tank locations, and
interconnections to other systems. Update maps annually to reflect current conditions. A map should be
kept with the Operations and Maintenance Manual.
Question #73- ls there a water loss control program? (Recommended) No.
A water loss control program should be put in place and utilized. More than 15% water loss is an
indication of either inaccurate meters or excessive leakage. lnaccurate meters result in lost revenue and
leaks are potential points for entry of contaminated groundwater. The following is a link to an EpA
-24 -
STATE OF IDAHO
DEPAR'TMINT OF
I;NVIRONMENTAL QUALI'TY
900 N. Skyline Dr., Suite B
ldaho Falls, lo. 83402
resource for developing a water loss control program:
https://www.epa.gov/sites/production/files/zo1^S-04/documents/epa816f13002.pdf
Brad little, Governor
Jess 8yrne, Dlrector
Question #75- lsthere a water efficiency program? (Recommended) No
A water efficiency program should be implemented. lmprovements in water efficiency in the
distribution system begin with metering, water audits, and water loss control programs. The following is
a link to an EPA resource for developing a water efficiency program:
https://nepis.epa.gov/E xe/zyPDF.cgilP100M EV6.PDF?Dockey=P100M EV6. PDF.
Fi na ncia UManagerial CaPacitY
euestion #34- Doesthe PWS have an Asset Management Plan? (Recommended) No'
An Asset Management plan should be established for the PWS. The assets of a water system include the
natural and engineered components for providing water (e.g., source water, pumps, motors, storage
tanks, treatment plants, pipes). A good asset management program typically includes a written plan for
achieving the best appropriate cost for rehabilitation, repair, or replacement of a public water system's
assets. Asset management is effective in maximizing the value of capital as well as minimizing operations
and maintenance expenditures. To learn more about asset management, go to EPA's website at:
http://wate r.e pa.gov/i nfrastructu re/susta i n/asset-ma nage ment.cfm
-25 -
11116122, 12:57 PM Sanitary Survey
Protecting Pubtic Health and the Environment
Department of Environmental Quality
Su*g=*{mrye Srunv*y
DEVELOPMENT
Sanitary Survey
PWS: 1D7220030'GOOSE BAY ESTATES
Jurisdiction: IDAHO FALLS REGIONAL OFFICE
Sanitary Survey Date: 10/2012022
General In tion
Approval
Status:Approved
SDWIS Website
# Ground
Water
Sources:
# Surface
Water:
Primary
Source Type:
Total
Population:
# Service
Connections:
GW
50
38
Noncommuni
System Distribution:
Classification : Treatment :
PrimaryCounty FREMONT
Served:
owner private
!ype:
i;iii' corporation
# Storage ^Facilities: '
I#1r", (gar)
2
0
, Community
Water SystemType: NoncommunitY
Nontransient
Transient
, N/A
Annual Operating Period -Served:
Water Purchased From:
Water Sold To:
Sanitary Survey lndex
[,lodutes Used:#
GeneraI
lnformation 1
Wetts 2
Springs
lntakes and
lnfittration
Galteries
Consecutive
Connections
Storage Tanks
Hydropneumatic
Tanks 1
Distribution
Systems 1
Pumps 1
Treatment
Plants
Chtorinators
Gas CL2
Financiat-
ManageriaI 1
Total lAodules 7
T 5005/01 12t31
Begin Date End Date Type Estimated Count
None
PWS NamePWS Num Status
None
PWS NamePWS Num Status
file:///C:/Users/kcarter/Downloads/|D7220030-Finalized-ESSForm (3).html 1t17
1'1116122, 12:57 PM
Contacfs
" All systems must have an AC and FC (one of each only). AII C and NINC musf have a DO.
Sanitary Survey
AC MCCARTY,
DOROTHY A
455
Way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
EC MCCARry
DOROTHY A
455
Constitution
wav
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
FC ISLAND PARK
WATER INC A PO BOX 2521 IDAHO
FALLS ID 83403
208-
522-
8033
ow ISLAND PARK
WATER INC A PO BOX 2521 IDAHO
FALLS ID 83403
208-
522
8033
5A MCCARTY,
DOROTHY A
455
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
status Addrl city state Zip Biz
Phone Ext Mobile Emergency Fax EmailType Name
file:///C:/Users/kcarter/Downloads/1D7220030_Finalized_ESSForm (3).html 2117
11116122,'12:57 PM Sanitary Survey
Facilities
Q-111.37697544.616362Y8t25t1970WLAPermanentGOOSE BAY WELLE0006535
-11I.379722 J'\d44.616388Y11t211992APermanentWLE0006538TRUMPETER WELL
N5TA4 HYDROPNEUMATIC
TANKS4 H.TANKS
4t511991NDSADISTRIBUTION
SYSTEMT7220030DS1
NTPCHLORINATOR000000016028
WSF State
Assigned lD Name
(Tag)
rype s tat u s Avai r a bi ti ty,,ii,:l',i|. co n 3,x1,".," a
Lat/Long
VerifiedLatitude Longitude
file:///C:/Users/kcarter/DownloadstlDT220O3O-Finalized-ESSForm (3)'html 3t',t7
11116122,12:57 PM
General Questions
General Questions
Sanitary Survey
|*J i- l [.-] t. Have materiat modifications been made to the PWS since the last survey?
lf yes, were plans and specs submitted to and approved by DEe?
Yes No N/AUnk
al
(0)ilg
csL
Add
Add
Addsamples wereWeretakenthethesamplesduringsurveybyindicatewhat(tfinspector?YQS,3 incollected the
ffi'/HHi
file:///C:/Users/kcarter/Downloads/1D7220030_Finalized_ESSForm (3).html 4t't7
E0006535 OOSE BAY WELL
E0006538 WELL
WSF State
Assigned lD Name
(Tag)
Verified
11116122, 12:57 PM Sanitary Survey
Wells
file:///C:/Users/kcarter/Downloads/1D7220030-Finalized-ESSForm (3)'html 5117
11116122, 12:57 PM
Yutt coosE BAY wELLName:
Tag , Eooo6535NUMDET:
Sanitary Survey
It/eU_aues$gns
Pump- fiOusg-Q.uestions {onty pump houses that cantain a Graundwater Source)
Yes No N/AUnk
' 14. ls the wetl enctosed in a pump house?
csL
15.|s the pump house protected from contamination? (Clean, in good repair, etc.)
16.|s the pump house protected from unauthorized entry? (Locked, durable construction, etc.)
17. Does the pump house have adequate tighting throughout?
18. ls adequate backftow protection provided on a[[ threaded taps instatted in the pump house?
(0)
(0)
Add
Add
Add
Add
Add
Yes No N/AUnk csL. ls there a wetl tog for the source? EDMS#:t.EditNotes: A well log could not be located.
, Are surrounding land uses creating heatth hazards or increasing the potential for source-' contamination? (Sefbacks not met, dumping, etc.)
t Are toxic or hazardous chemicats stored on the wett tot? (pesticides, paint, herbicides,-' fertilizers, petroleum, etc.)
Add
(0)
i
(0)
Add
4. Are pesticides, herbicides, or fertitizers apptied to the wetl lot without approvat?
_ lf the we[[ is in a pit, is the pit protected from ftooding and contamination? (watertight walls5. and floor, floor drain, acceptable pit cover, etc.)
Notes: Well is not located in a pit.
ls the wetl (not tocated in a pump house) protected from unauthorized access? (Locking cap,6. fenced, etc.) (Recommended)
Notes: Photograph 1
Add
(0)
i
:
(0)
Edit
t
r ls the we[[ protected from ftooding? (casing height,highest flood level, >18" outdoor, >12"" indoor, etc.)
t. ls the we[[ properly vented? (24 mesh screen, open downward >18" outdoor or >l,2" indoor,
etc. )
(0)
:Add
(0)
.
(0)
Add
,. Does the wetl casing and cap prevent contamination and surface water entry?
Notes: There are several loose bolts on the Goose Bay well cap (photograph 1).' Edit
(0)
ls a raw water smooth nosed sample tap provided on the discharge pipe? (Prior to any, 10. treatment)
Notes: Tap is threaded at the end.
Edit
(0)
:11 ls a working ftow meter nonvolatile memory, installed on
discharge pipe, etc.) Galtons:Add
lsawo re gauge provided? (lnstant, installed on discharge pipe, etc.) pSl:
(0)
(0)
12.Edit
No'!gThe pressure gouge in the Goose Bay pump vault was not functioning (photograph 1I)
ls an adequate pump-to-waste provided?(Capacity of the wel atr 9aP,prior to the first
3.servtce connection,etc )
,rrofes.'The pump to waste ,n the Goose Bay pump vault has been disconnected and capped 5 Editoff(Photographs
and There ts not on isolation volve that would allow the to woste without the connection,
300605
ffiv ffi
I
ffiv ffi
LT I
file:///C:/Users/kcarter/Downloads/1D7220030_Finalized_ESSForm (3).html
(0)
6117
11116122,12:57 PM Sanitary Survey
i I tA i-l 1e.Are there signs of equipment damage due to excess heat, moisture, or corrosion?
(i nade quot e ve n ti lati on )
I gl I ZO.ls there a history of pump house equipment freezing? (lnodequate heating)
rl gl i-l zr ls the pump house protected from ftooding and surface water entry? (Floor drain, ground
surface graded to lead surface water away, etc.)
i -r tr i--r rr Does the configuration of the ftoor drain or sump cause a
f--J vl 'J Lz' other drainage systems, sump < 30 feet from wel|, etc')
contamination risk? (connected to il Add
(0)
l-l Add
(0)
(0)
r-l Add
(0)
Add
file:///c:/Users/kcarter/Downloads/1D7220030-Finalized-ESSForm (3).html 7117
11116122, 12:57 PM
ffI|., TRUMeETER wELL
Ii,t'no"r, Eooo6s38
Sanitary Survey
Well Questions
Pump-llgurg--Questions {anly pump rrcuses that contain a Graundwater Saurce)
14. ls the wet[ enclosed in a pump house?
15.|s the pump house protected from contamination? (clean, ingood repair, etc.)
16.|s the pump house protected from unauthorized entry? [ocked, durable construction, etc.)
17. Does the pump house have adequate tighting throughout?
18.1s adequate backftow protection provided on atl threaded taps instatted in the pump house?
No N/AUnk csL
(0)
(0)
Add
Add
Add
Add
Add
Yes No N/AUnk CSL
1. ls there a well log for the source? EDMS#:2019ACA2848
Are surrounding land uses creating heatth hazards or increasing the potential for source
- contamination? (Setbocks not met, dumping, etc.)2. Notes: The setbock to property lines is not being met, lt is recommended pWS owner work with the land ownerto control/eliminate future contaminotion lhis is a deficiency and witl be re-evaluated during future sanitarysurveys or in the event compliance samples return present for contaminonts.
t Are toxic or hazardous chemicals stored on the wett tot? (pesticides, paint, herbicides,'' fertilizers, petroleum, etc.)
4. Are pesticides, herbicides, or fertitizers apptied to the wett lot without approvat?
lf the wetl is in a pit, is the pit protected from flooding and contamination? (watertight walls' 5. and floor, floor drain, acceptable pit cover, etc.)
Notes: Well is not locoted in a pit.
; . ls the well (not located in a pump house) protected from unauthorized access? (Locking cap,; 6. fenced, etc.) (Recommended)
Notes: Photoeraoh 17
t- ls the wetl protected from ftooding? (casing height >highest flood tevel, >lg" outdoor, >12,'" indoor, etc.)
- ls the well properly vented? (24 mesh screen, open downward >18" outdoor or >12" indoor,8. etc.)
Notes: The well cap is not vented (photograph l7).
,. Does the wetl casing and cap prevent contamination and surface water entry?
Notes: The sanitory seal is not fully intact (photograph l7).
f O. ft 1 lu* water smooth nosed sample tap provided on the discharge pipe? (prior to anytreatment)
11.ls a working ftow meter provided?nonvolatile memory, installed on
discharge pipe, etc.) Ga[[ons:
lsawo re gauge provided? (lnstont, instolled on discharge pipe, etc.) psl12.
Add
Add
Add
Edit
Edit
Add
Edit
Edit
Add
Add
Add
Add
Edit
(0
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
(0)
13 . l_t un adequate.pump-to-waste provided? (Capacity of the well, oir gap, prior to the firstservice connection, etc. )
1 709 800
r/ m ffi
ffiv ffi
ffiv ffi
file:///C:/Users/kcarter/Downloads/1D7220030_Finalized_ESSForm (3).html
(0)
8t17
11116122,12'.57 PM Sanitary Survey
:-l9lilrs.Are there signs of equipment damage due to excess heat, moisture, or corrosion?
(i nadequote venti lation)
i] gl I ZO. ts there a history of pump house equipment freezinS (nadequate heatlng)
ls the pump house protected from ftooding and surface water entry? (Floor drain, ground
surface graded to lead surface water away, etc.)
Add
(0)
i:j
(0)
LI Add
(0)
L-i Add
(0)I l-l Vl :1 zt
gl ,, Does the configuration of the ftoor drain or sump cause a"' other droinage systerns, sump < 30 feet from weII, etc,)
contamination risk? (connected to ';] Add
file:///C:/Users/kcarter/Downloads/1D7220030-Finalized-ESSForm (3).html 9117
11116122,12.57 PM Sanitary Survey
Hydropnuematic Tanks
The questions, below, apply to all Hydropneumatic Tanks.
Hydropneumatic Tanks Questions
Bladder Tanks Only
Non-Bladder Tanks Only
4 H.TANKS
#1 - EAST PUMP VAULT - WELL-X-TROL - WX.3O2 - BLADDER - 86 GALLONS . INSTALLED:
2007
#2 - WEST PUMP VAULT. WELL-X-TROL - WX-302 . BLADDER - 86 GALLONS - INSTALLED
7007
#3 . WEST PUMP VAULT - WELL.X.TROL - WX.3O2 - BLADDER . 86 GALLONS - INSTALLED
#4. TRUMPETER PUMP VAULT. FLOWTHRU . FT18 - BLADDER - 4.5 GALLONS -
INSTALLED: 2007
4 HYDROPNEUMATIC
TANKS
Yes No N/AUnk CSL Notes
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I ':'..1 I 1. ls the system served by variable speed pumps (VFDs)? (Recommended)
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, 4.Do the exterior surfaces appear to be in good condition? (Coating intact, no corrosion, etc.) Add
I I ] S. Oo atl tank supports appear to be structuratty sound and adequate?Add
ls the tank located in a structure that is protected from ftooding and unauthorized entry?
(Locked, watertight walls and floor, floor drain, acceptable cover, etc.)
Notes: The hydropneumatic tanks are not above normal ground surface and/or completely housed (IDAPA
58.01.08.547.01.a). The structure housing the hydropneumatic tanks is not protected from flooding andlor is
not adequately drained andlor the ground surface is not graded to lead surface drainage away from the
structure (IDAPA 58.01.08.541.01.b). The hydropneumatic tank housing is not adequately protected against
unauthorized entry.
Can a[[ hydropneumatic tanks be isolated from the system without depressurizing the
distribution system?
, iflfflijy#:jieumatic
tanks been tested for structurat integrity in the past 5 years?
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Add
Yes No N/AUnk CSL Notes
I r Has the pre-charge on all btadder tanks been tested in the last year to ensure'is 5 psi below the low operating pressure for the system? (Recommended)
the air pressure i Add
Yes No N/AUnk
ls the recharge air protected from contamination? (free of air compressor oil, clean air filter,, I :8.etc.)
Notes: Ihis PWS has no non-bladder hydropneumatic tanks.
Are installed appurtenances working properly and protected from contamination? (access: 9. manhole, drain, water sight glass, means to add air, air blow-off , etc.)
This PWS has no non-bladder hydropneumatic tanks
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'l1l'16122,'12:57 PM Sanitary Survey
Distribution Systems.
DISTRIBUTION SYSTEM
WSF State
Assigned lD Name
(Tag)
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11116122, 12:57 PM Sanitary Survey
Distribution
System
Name:
Tag
Number:
DISTRIBUTION SYSTEAA
T722003oDS1
Di st ri b uti on Syjletn_Qu esti o ns
HDPE (btack)
Gray lron
Gatvanized Other
2. Main line sizes?inches to 1 inch
3. Number of Metered Connections?out of 38
4. Number of Fire Hydrants?
5. Number of Ftushing Hydrants?
6. ls a current map of the distribution system avaitabte? (Recommended)
Have pubtic notifications, DEQ notifications, and follow-up actions been fotlowed for any
7. planned or unplanned depressurizations in the past year?
Notes.'No public notifications, DEQnotifications, or follow-up actions were required for planned or unplanned
depressurizations in the past year.
Was the pressure measured at a service connection? psl Location
8
Home Time 11:00 AM O
Notes: Two readings from the distribution were collected. The first is near the Goose Bay Well from a frost-
free hydrant reading of 46 psi. A second reading was collected from the home the Trumpeter Well is tocoted
on, displaying zM psi.
9. f_l a minimum system pressure of 20 psi. maintained at at[ service connections? (tncluding fire" flow - ldentify pressure complaints in the Notes.)
ls a minimum system pressure of 40 psi. maintained during maximum hourty demand
.,0. conditions? (PWSs constructed after 7/ I ll985 - Excluding fire flow)
Notes: Ihe PWS was constructed or modified of ter 7l 1 / 1985 and is not abte to maintain a minimum pressure
of 40 psi in the Trumpeter pump vault,
1 1. Does pressure exceed 100 psi at any service connection?
12. Ar" valves inspected and exercised regutarty? (Recommended)
Noles: Quorterly
13.|s there a water loss controt program? (Recommended)
14. ls the owner/operator aware of any leaking water mains?
: 15.|s there a water efficiency program? (Recommended)
Yes No N/AUnk csL
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f,
Main line type of materials are? (Se{ecf all that appty) Steet
, 1. Asbestos/Cement Copper pVC Ductile lron
16. Are att dead end mains equipped with a means to ftush?
Nofes: No dead end mains exist in this distribution system.
17. Are dead end mains ftushed at least semiannua[y?
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11116122, 12:57 PM Sanitary Survey
Notes: No dead end mains exist in this distribution sysfem.
no Are there any materiats used that shoutd not be in contact with drinking water? (Pipes,
'"' seolonts, components, etc.)
"^ Does the system experience water main freezing?
t '' Nof"r.. There were heoters present in alt pump vaults that were running at the time of the inspection.
*"ru any connections that provide supptementat disinfection and meet the definition of
20. a PWS but are unregulated? (Recommended) (Hospitals, businesses, long-term care facilities'
etc.)
Are there any unused subsurface water storage tanks that need to be abandoned?
''t'Wtr::::r:ln if the buried pressure tonk is stiu in the sround or if it has been removed and propertv
abandoned.
.. Are there any water supply wetts that are no longer being used that need to be abandoned?
"'lRecommended)
Cross Connection Contlql
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Yes No N/AUnk
ls an adequate cross connection control program provided and imptemented? (Community
, 23. pWS ontyj lntnority to implement, inspection program, adequate protection, annual
testing,ability to discontinue service, 10 days to repair a loiled device)
24. ls the operator trained in cross connection contro[? (Recommended)
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," Are att backftow preventers owned by the PWS tested annualty?tt' Not"r, This PWS does not own any testable backflow preventers-
*"ru any known unprotected cross connections? (Subm erged blow-offs, direct
26. connections to storm or sewer drains, connection to unopproved source, uncontrolled fire
hydrant use, treatment bypass with raw water, etc.)
,, Are atl non-potable mains, hydrants, and taps easity identified as such?
'' ' Notes: There are no non-potable mains, hydrants or tops'
ill air.frurge piping on atl air vatves protected from contamination? (Prevent surface
28. water entry and backf low, open downword, 24 mesh screen, etc.)
Notes: There are no air valves associated with the Distribution System.
.ro Are bulk water stations provided with backftow protection measures?
"' Not"rt There are no bulk water stations associated with this PWS-
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11t16t22,12..57 PM Sanitary Survey
PumpS
The questions, below, apply to oll Pumps.
Pump_.lQuestions
Pump- House (onty pump houses that don't contain a Groundwater Source.)
10 Are there any pump houses associated with this PWS that don't contain a Groundwater
Source?
, 11. Are att pump houses protected from contamination? (clean, good repair, etc.)
Are atl pump houses protected from unauthorized entry? (ocked, durable construction, etc.)
12. Notes: Neither of the pump voults was protected with tock. The Goose Bay pump vaults had lock present but
they had been cut at some point. New lock will need to be instolled (Photogrophs 2, 3, and 4).
13. Do atl pump houses have adequate tighting throughout?
Yes No N/AUnk csL
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E0006s35 GOOSE BAY WELL WL Suumersrutel
Pump Capacity: Unknown
High/Low Set Points:
Unknown
NO
E0006538 TRUMPETER WELL WL Subm ersrotel
Pump Capacity: Unknown
High/Low Set Points:
Unknown
NO
wsF
State
Assigned
lD (Tag)
Facility
Type
(WL or
PF)
Description
(e.g. 1.5HP. Low/High
set points: 25/7Spsi\
Comments
(e.g. Emergency power
is a propane generator)
Name Pump Type Pump
Capacity
Auxiliary
Power
Yes No N/AUnk
! '" .iI al4 I I 1. Do any of the pumps cycte > 6 times per hour? (Recommended)
I i r 2. Are att pumps in good repair? (excessive noise, vibration, heat, odors, Ieaks, etc.)
. Are spare parts readily available for critica[ pump components?
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i?;?:?"!|tt equipped with an accessibte check valve? (on the discharse side before the shut-)
. Notes.' The location of the recently installed checkvalve in the Trumpeter pump vault is incorrect. The check Ivalve must be installed between the pump and the shutoff vatve. The check valve should be instaued before thel
pressure switch and ideo\y before the flowmeter. Plans and specswill need to be submitted by an engineer. I
I : j 5. Are isotation vatves provided on the discharge side of the pump?
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ls a working flow meter provided for each pump? (Required ifpump is connected directly to : Add
ls a working pressure gauge instalted on the discharge [ine of att pumps?
Notes: The pressure gouge in the Goose Bay voult wos not working. lt is unknown if the pressure gauge in the
Trumpeter pump vault is functioning properly as it only displayed o psi of 30 when a minimum of 40 psi is
required. (Photographs 11 and 26)
!7' the distribution slstem)
,. ls alt pump lubrication oil ANSI/NSF 61 approved?
NolgThere are no pumps associated with this PWS that require oil lubricotion.
ls an air/vacuum relief valve provided for each vertical turbine pump and is it protected fromI 9. contamination? (Open downward, 24 mesh screen, air gap, etc.j
There are no verticol turbine assoclated with this PWS.
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11116122, 12:57 PM Sanitary Survey
ls adequate backftow protection provided on att threaded taps/ hose bibs instalted in any of
14. the pump houses?
!q[es; None of the threaded taps were protected with a backflow prevention device (Photograph 13).
(0)
n. Are there signs of excess heat, moisture, or corrosion damage in any of the pump houses?
''' llnadequate ventilation)
,u.l["o*nu;f;#Aftory of pump house equipment freezing in anv of the pump houses?
Are att pump houses protected from flooding and surface water entry? (Drained, ground
.= surface graded to lead surface water away, etc,)
''' Not"r, Niither of the pump voults is protected from ftooding andlor is not adequately drained (Photographs 6, (O)
15, 19, and 20)
no Do the ftoor drains discharge > 30 feet from any wetl in att of the pump houses?
'-' Notes; This pump house does not have a floor drain.
,^ Does an unDrotected cross connection exist due to the floor drain connection in any of thet'' purp houses? (Connected to sewer, storm drains, etc.)
Au xi ti a ryiPstvelulnji ts-( A P U )
C o m m u n i ty-Systems-QnlY
APU on a Wel[ Lot OntY
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20. Does the PWS have anY APUs?
21. Are att APUs tested regularty? (Recommended)
. 22.For att APUs, is a working automatic power transfer switch provided?
Yes No N/AUnk csL
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." Can the community PWS adequatety pressurize the distribution system during a power
zr'outage? (C onty)
Do the ApUs power atl essential etectrical functions in the pump houses and the pumping
24. stations (pump, controts, treatment, etc.) and pressurize the system for a minimum of 8
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(0)hours?
Yes No N/AUnk CSL Notes
Add25. Are there any auxitiary power units located on a wetl tot?
26. Are the fuel tanks above ground or otherwise accessible for leak inspection?Add
(0)
, 27 .ls secondary spitl, containment provided for att fuet tanks? (110% of fuel tank volume)Add
28. Does a certified operator obserye fitting of the fuel tank(s)?
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Add
29. ls engine exhaust directty discharged to the outside atmosphere for atl APUs?Add
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11116122, 12:57 PM Sanitary Survey
F i n anci a I / lAanage r i a I
Fi n a n ci a I Ca p gErlLy_Questi o n s
A{a n ge ri a I Ca p_gg!!y__1Qu estio n s
Review the following with the Ownerl0p€ralsilshers epplbble
Review the following Sample_Slling Plans_with the Owner/Opsralq_where_appfisahle
Yes No N/AUnk
20. RTCR Sampte Siting Ptan EDMS#:
21. Have any changes been made to the RTCR schedute or sampting location?
22. PBCU Sample Siting Ptan (C and NTNC onty) EDMS#:
CSL Notes
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Yes No N/AUnk CSL N
1. ls the PWS current with the payment of drinking water fees?
,. ls the user charged for drinking water?
Notes.' Users are charged an annual fee of 5280 set by the public lJtilities Commission.
r Has an independent financial audit of the PWS been conducted, or has the SIMRT Financiat-' Tool been completedT (Recommended)
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4. Does this PWS have a governing body or board of directors?Add
Add: 5. Does the board meet routinely? Frequency:
Yes No N/AUnk csL
6. Cross Connection Control Plan (C only) EDMS#:
7. Asset Management Ptan (C and NTNC) EDMS#:
8. Operation and Maintenance Manual (C and NINC) EDMS#:
9. System Classification Worksheet (C and NINC,)
10. Operator Licensing lssues (C and NTNC)
11. Emergency Response Ptan (PWSs with a population > 3300)
12. PWS lnventory lnformation
1 3. Monitoring Schedules
14.Sample History (TCR and Non-TCR) - Past 5 years
15. Violation History - Past 5 Years
,'a. Comptiance Schedutes - pending and overdue
Notes: At the time of the inspection, this PWS has no pending or overdue complionce schedules.
.,r. Pubtic Notifications - ongoing/currently required
Notes: At the time of the inspection, this PWS has no current or ongoing Public Notification required
,,r. Chtorine Residual History - Past 5 years
Notes; At the time of the inspection, this pWS does not chlorinate.
1 9 Monthty Operating Reports MORs
A the time of the this PWS ,5 not required to submit lilORs.
()
EDMS#:
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11116122, 12:57 PM Sanitary Survey
23. Have any changes been made to the PBCU schedute or sampting location? (C and NTNC only)
24.DBP Sampte Siting Ptan EDMS#:
Nofes: At the time of the inspection, this Pl4rS does not chlorinote.
25. Have any changes been made to the DBP schedute or sampting location?
26.POU Sampte Siting Plan EDMS#:
Notes: At the time of the inspection, this PWS does not hove ony Point of Use units'
27 . Have any changes been made to the POU schedute or sampting location?
Records iAanagement Questions
Manageriat Plans Questions
Q p-eralqr&fety-.lQu e sti o n s
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Do atl Sampte Siting Ptan(s) meet the minimum requirements?
28. Notes: The system owner does not hove a current written somple siting plan that meets RTCR requirements
(40 cFR 141.853.a). An RTCR mmple siting plon needs to be developed and implemented.
Are samptes being taken in accordance with the Sampte Siting Ptan(s)?
29. Notes: RTCR monitoring samples are not being taken in accordonce with the opproved sample siting plan (40
CFR 141.853.a).
Are records retained onsite or nearby for the minimum time requiredT (TC'Syr; chem/ rad'
30. 10yr; violation corrective actions-3yr; sanitary surveys-10yr; waiver, variance, or exemption
determi nati ons-Syr ; PNs issued-3yr ; dai Iy f ree chlorine residuals- 1 yr)
.,, ls there a customer comptaint system and ongoing pubtic information program?'" (Recommended)
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Yes No N/AUnk
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Yes No N/AUnk
i 32. ls there a recognized organizational structure and management for the PWS?
,, ls there an overat[ operation and maintenance manual for the PWS?. (including equipment
""' monLlals, as-builts, SOPs, manufacturer's literature, etc.)
34. Does the PWS have an Asset Management Ptan? (Recommended)
' 35. Does the PWS have an Emergency Response PlanT (Community PWSs > 3300)
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I EI
Yes No N/AUnk
, 36. Are alt operators trained in safety procedures and equipment?
., Does a safety concern exist for personnel and/or visitors? (PPE, handrailslguardrails,'" ladders, non-slip triads, etc,)
,r. ls there a potential shock hazard because the electrical wiring appears to be inadequatety--'protected?
39. Are protocots fottowed for any confined space entry? (Recommended)
CSL N
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Photog raph ic Docu mentation
lnspection Date(s): Thursday, Octobe r 20, 2022
Facility lD:1D7220030
Name of Facility: Goose Bay Estates
lnspector(s): Kelsey Carter
Purpose of lnspection: Sanitary Survey
State of ldaho
Department of Environmental Quality
ldaho Department of Environmental Quality
Photographic Documentation For: Goose Bay Estates - ID722OO3O
Table of Photographs:
Photograph 1: Well#1 (E0006535) identified as the Goose Bay Well. There are loose bolts on
the wellcap
Photograph 2: The two pump vaults associated with the Goose Bay Well were identified as the
East Vault (left) and West Vault (right).
4
Photograph 3: Lock cut from the West Vault........5
Photograph 4: Lock cut from the East Vault..5
Photograph 5: lnstalled pump to waste for the Goose Bay Well, missing a screen or cap to
prevent contamination .6
Photograph 5: Overall view of the West Pump Vault for the Goose Bay Well. There are no signs
of excessive moisture or heat. There is a heater in place that was actively running at the time of
the inspection
A
.......,'....'.7
Photograph 7: Chlorinator that is not currently being used. There was not any liquid present
inside the chlorinator. The chlorinator is in place in the event it is needed in the future. ............8
Photograph 8: There is a single pressure tank in the West Pump Vault of the Goose Bay Well. ...8
Photograph 9: The Well-X-Trol is a WX-302 model with a storage capacity of 86 gallons. The
installation date is unknown but the manufactured date is O5/2a/2O07 and it was likely installed
that year........9
Photograph 10: There is an isolation valve to the single-pressure tank..9
Photograph 11: The pressure gauge inside the West Pump Vault of the Goose Bay Well was not
working properly.10
Photograph 12: There is a working flowmeter installed in the West Pump Vault of the Goose
Bay Well. At the time of the inspection, it was reading 60,5G5,300.................10
Photograph L3: There is a smooth nose sample tap that has a threaded end missing a backflow
prevention device.....11
Photograph 14: submersible pump control panel in the west pump vault. .............. j.1
Photograph 15: Overallview of the East Pump Vault of the Goose Bay Well. There are not any
isolation valves on the pressure tanks ..L2
Photograph 16: A reading from the distribution near the Goose Bay Well displayed 46 psi. ......L2
Photograph 17: Well #2 now identified as the Trumpeter Well is not properly vented and the
seal is not fully intact................13
Photograph 18: Well tag E0005538.........13
Photograph 19: Overallview of the Trumpeter pump Vault ............L4
Photograph 20: Galvanized steel distribution piping. There is a heater present in the pump
vault.L4
Photograph 21: Flowmeter in the pump vault associated with the Trumpeter Well reading
13,709,800 gallons. ...............15
Photograph 22: Copper piping in the Trumpeter pump vault. There is an accessible check valve
...........1_6
Photograph 23: A single pressure tank installed in the Trumpeter pump vault. ........16
Photograph 24: The pressure tank is a Flow-Thru model FT18 with a storage capacity of 4.5
...L7gallons
2
ldaho Department of Environmental Quality
Photographic Documentation For: Goose Bay Estates - 1D722O03O
photograph 25: Balance Flow Submersible Pump Controller for the Trumpeter We|1........
Photograph 26: Pressure gauge reading 30 psi in the Trumpeter Pump Vault. .......
photograph 27: Reading from the distribution from the home closest to the Trum peter Well
displaying 44 psi............
.t7
.18
L8
J
Photograph 1: Well #1 (E0006535) identified as the Goose Bay Well. There are loose bolts on the wellcap (S i g n ifica nt Defi c iency).
Photograph 2: The two pump vaults associated with the Goose Bay Well were identified as the East Vault(left) and West Vault (right).
ldaho Department of Environmental Quality
Photographic Documentation For: Goose Bay Estates - ID722OO3O
Photograph 3: Lock cut from the West Vault.
Photograph 4: Lock cut from the East Vault.
5
ldaho Department of Environmental Quality
Photographic Documentation For: Goose Bay Estates - \D722OO3O
Photograph 5: lnstalled pump to waste for the Goose Bay Well, missing a screen or cap to prevent
contamination (Significant Deficlency).
6
ldaho Department of Environmental Quality
Photographic Documentation For: Goose Bay Estates - ID722OO3O
photograph 6: Overall view of the West Pump Vault for the Goose Bay Well. There.are.no signs of
excessive moisture or heat. There is a heatei in place that was actively runllng at the time of the
inspection. pump to waste line is not connected (significant Deficiency). There is not a means of
preventing flooding in the pump vaull (Significant Deficiency)'
7
ldaho Department of Environmental euality
Photographic Documentation For: Goose Bay Estates - \D7Z2OO3O
Photograph 7: Chlorinator that is not currently being used. There was not any liquid present inside thechlorinator' The chlorinator is in place in the event it is needed in the future. [n oiOertor the chlorinator tobe used DEQ must be notified prior.
8
Photograph 8: There is a single pressure tank in the West Pump Vault of the Goose Bay Well
':1.
ldaho Department of Environmental Quality
Photographic Documentation For: Goose Bay Estates -|D722OO3O
photograph 9: The Weil-X-Trol is a WX-302 modelwith a storage capacity of 86 gallons. The installation
date ii unknown but the manufactured date is 0512412007 and it was likely installed that year.
9
14407 , -:
Photograph 10: There is an isolation valve to the single-pressure tank.
ldaho Department of Environmental euality
Photographic Documentation For: Goose Bay Estates - ID722OO3O
Photograph 1 1: The pressure gauge inside the West Pump Vault of the Goose Bay Well was not workingproperly (Significant Deficiency).
Photograph 12: There is a working flowmeter installed in the West Pump Vault of the Goose Bay Well. Atthe time of the inspection, it was reading 60,565,300.
4
l0
ldaho Department of Environmental Quality
Photographic Documentation For: Goose Bay Estates - ID722OO3O
photograph 13: There is a smooth nose sample tap that has a threaded end missing a backflow
pr"u"itioh device (Significant Deficiency). There is a hose present in the pump vault seen in
photograph 6 and 7.
Photograph 14: Submersible pump control panel in the west Pump vault.
1l
ldaho Department of Environmental euality
Photographic Documentation For: Goose Bay Estates -\D722OO3O
Photograph 15: Overallview of the East Pump Vault of the Goose Bay Well. There are not any isolationvalves on the pressure tanks (Deficiency). There is an accessible check valve. There is not a means ofpreventing flooding in the pump vault (Significant Deficiency).
Photograph 16: A reading from the distribution near the Goose Bay Well displayed 46 psi
t2
ldaho Department of Environmental Quality
Photographic Documentation For: Goose Bay Estates - ID722OO3O
photograph 17: Well #2 now identified as the Trumpeter Well is not properly vented and the seal is not
fully intact (Significant Deficiency).
Photograph 18: Welltag E0006538
t3
ldaho Department of Environmental Quality
Photographic Documentation For: Goose Bay Estates - ID722OO3O
Photograph 19: Overall view of the Trumpeter Pump Vault. There is not a means of preventing flooding inthe pump vault (Significant Deficiency).
Photograph 20 Galvanized steel distribution piping. There is a heater present in the pump vault.
t4
ldaho Department of Environmental Quality
Photographic Documentation For: Goose Bay Estates - |D722OO3O
photograph 21: Flowmeter in the pump vault associated with the Trumpeter Well reading 13,709'800
gallons.
15
ldaho Department of Environmental euality
Photographic Documentation For: Goose Bay Estates -ID7Z2OO3O
fu";
f ftotog.raph 22: Copper piping in the Trumpeter pump vault. There is an accessible check valve, howeverit is in the improper location and should be located between the pump and isolation valve (significantDeficiency).
Photograph 23: A single pressure tank installed in the Trumpeter pump vault.
t6
ldaho Department of Environmental Quality
Photographic Documentation For: Goose Bay Estates - ID722OO3O
photograph 24: Fhe pressure tank is a Flow-Thru model FT18 with a storage capacity of 4.5 gallons.
photograph 25: Balance Flow Submersible Pump Controller for the Trumpeter Well
l7
ldaho Department of Environmental euality
Photographic Documentation For: Goose Bay Estates - \D722OO3O
Photograph 26: Pressure gauge reading 30 psi in the Trumpeter Pump Vautt (Sign ificant Deficiency).
Photograph 27: Reading from the distribution from the home closest to the Trumpeter Welldisplaying 44psi.
..tlt
18
trufnpaiur wvll
USE TYP€WRITER OR
6ALL POINT PEN
. State of ldaho
O"p"ttaY"t of Watsr Adnlnirtrstion
WELL DRILLER€ REPORT $ no.rilvE Do
Ststo lry .!quitc!thlr drit r.Pon bl lil6d wllh lhd Stlt Rrolsrn6tlon Enoino€r JAll fg 19?,"-
within 30 drYl aft!'complttion oa rbildoffnarr ot dre well'
Sotlc wstsr tE al 6,( * tiat b€low llnd crd6co
Anrrlan cloro4in prlssrtn- .
-P.rLControlled by U Vrlvr D C.9 0 Plug
Flo*ing?
CoodTnnp€rrtutc
O Yel E No G.P.M. florv
F, Ourlity
7, WATER L€VEL Dcr'tffr! o, tystt Adm;nbtrtfiofl
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RTCR Sample Instructions
RTCR Sample lnstructions
Selecting Sample Locations
Contaminants like coliform bacteria may not be uniformly distributed, so it is critical that the
location(s) selected provide samples that are most representative of the water served to
customers in the PWS's entire distribution system. lt is especially important to identify and
include in the sample siting plan those features of the system that may affect the
microbiological quality of the water. PWSs should consider varying sample site locations
throughout the year to better characterize water quality throughout the distribution system.
When selecting sample locations, PWSs should consider:
. Sites that best represent water served to customers throughout the distribution system;
. Proximity to main transmission lines, pressure zones and storage tanks;
o Locations of dead-end pipes, loops and other areas of the piping system's configuration;
. Pressure zones that are upstream and downstream of all storage tanks;
. Cross-connection hazards;
. Seasonal customers or locations with inconsistent water use;
o Areas of the distribution system delivering water from different sources;
. Areas of the distribution system with longer retention times; and
. Areas of the distribution system with low water pressure and slow water movement.
Generally, sample locations should be:
. At a mid-distribution system point;
. Not on the transmission lines (e.g., the distribution system's largest pipes);
. Directly after the storage tanks, specifically for tanks with direct or flow through design (e.g',
separate pipe for inlet and outlet); and
r Multipurpose sample locations.
o lf consistent with each rule, sample locations can be used for compliance with multiple
drinking water regulations. For example, compliance monitoring for Total
Trihalomethane and Haloacetic Acid under the Disinfectants and Disinfection Byproduct
Rules.
Repeat Sample Actions
within 24 hours (unless an extension is granted by the primacy agency) of notification of a total
coliform-positive (TC+)sample result, a pWS must:
o Collect 3 repeat samples for each TC+ routine sample, even if a Level 1 or Level 2 Assessment
is triggered.
' Continue collecting a set of 3 repeat samples until, either TC is not detected in one complete
set or the system triggers a Level 1 or Level 2 Assessment.
PWS's must collect at least 3 repeat samples at the locations described in their sample sitingplan that include:
' one (1)at the same sample tap where the originalTC+ sample occurred,
'One (1)at a tap within five (5)service connections upstream of the originalTC+ site, and' One (L) at a tap within five (5) service connections downstream of the original TC+ site.
Selecting Sampling Taps
Faucets and specially installed sampling taps are the two most common types of sampling sites.lf faucets are to be used, each faucet should be examined carefully to ensure its suitability.
Some examples of potentially unsuitable faucets are:
o Swivel-type faucets because they are difficult to disinfect;r Faucets with a single valve for hot and cold water;r Faucets or taps with leaky packing material around the stem;r Faucets that supply areas, such as janitorialor commercial sinks, where bacterial
contamination is likely;
o Faucets or taps close to or below ground level;r Faucets that point upward;
o Faucets that have threads on the inside of their spouts because they are difficult to disinfect;. Outdoor faucets; and
o Faucets with aerators because they may harbor bacteria. lf such faucets are used, it isrecommended that the aerator should be removed before a sample is collected and disinfectedbefore replacing it.
PrintForm
Siting Plan Formldaho Department of Environmental Qual
PWSID:
TotalColiform SamPle
Total Goliform SamPIe Siting Plan
for Small Systems
Part 1. General System Information
This form is intended to assist public water system (Pws) owners and operators withdeveloping a total coliform-^
sample siting plan. This form is designed ror ryr.i..rr. ta[ing ttlr." samples each month or each quarter (serving <3'300
people). Using this form is optional.-Howeveriall public witer.system'are reouired to have a written sample siting plan
in accordance with the litaut5'ii;il; i;; P;ti[ w"rt", Sytt".t"ilbRpa s8'01 .08.100'01)'
PWS Name:
Mailing Address
PWS ContactName:
E-mail Phone
Sources of Water:
Identify sources of
drinking water and
attach additional
sheets as necessary
Emergency Contact Name:
E-mail:Phone:
PWS Type:f community (cws) f Nontransient noncommunity (NTNC) f, Noncommunity transient (NCT)
Noncommunity Seasonal System: n No I Yes* If yes, season open:close
* Seasonal systems are required to perform annual start-up procedures prior to opening for the season unless exempted in writing'
Source/FacilitY ID
Name of drinking water source(s): well tag #,
name, spring name, intake source
Source TYPe
GW--ground water, SP--sPring,
SW--surface water, GU--ground
water under the influence of SW,
P--purchase water lrom other system
Usage
P-permanent (full/time),
E--emergency (not Planned
for use), I--interim to meet
peak demand
4-log Virus
Inactivation*
Source has continuous
disinfection to Provide
4-log virus inactivation
I f Yes CNo
2 C Yes CNo
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(- Yes CNo
4
f,lrrle tir
C Yes CNo
Water
Phone:
source water arus
total coliform positive sample is required when a system ustng ground water does not have 4-log virus
inactivation for all ground water sources
Manifold: List sources that
combine before distribution
Disinfection Treatment Installed/Using: ! None I Chlorine I Chloramination I Chlorine dioxide ! Ozone
(check all that apply)
Owner/Operator Name:
Signature:
Version 1.0
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ldaho nt of Environmental
Part 2. Sampting Location Information
PrintForm
TotalColiform le Siting Plan Form
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(address, sample station name)within 5(u connections fromupstream routine,t)within 5 connections fromdownstream routine)
Repeat sample
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ldaho Department of Environmental Quality TotalColiform Sample Siting Plan Form
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Repeat
connections5 fromwithin routine,(u upstreamMonthRoutine Samp
(address, sample
le Location
station name)
3rd
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ldaho Department of Environmental Quality Total Coliform Sample Siti Plan Form
Yl:1.t:?l:..l?IlYt-t.rn owners or operators are not required to submit total coliform sample siting plans. Thetollowlng circumstances require submittal and approval of your sample siting plan by your iocal fiel"d'office:-
---
' owners and operators w!9.wjs! to propoiri alternative fixed simple riiei oi Ciit6ria for seteciing ifi'Uurea onsituational information. This inform-ation needs to be written intda standarA ope.ating procedurE ur putt oiit "plan.' Operators or owners of seasonal systems using only ground water and on monthly monitoring that quali$r for andwish to take quarterly samples.
Other considerations:' Attach a schematic of the distribution system_with locations marked for sample sites and other relevant watersystem information such as wells, storage tanks, booster stations, etc.' Ensure the entire distribution system islepresented when identifiing sampling locations.' If there are two o_.p-ot" disjribution systems and those distribution_s--ystems ai not interconnected, please ensuresamples.are taken from each distribution system d.ryiqg each compliince period (month o. quu.t.ij."' If a roul.ine.sampling location is.at the end-of the distri[ution syst6m or orie servite connection aw'ay from the endof the distribution system, identify an alternative upstream or downstriam iurnpiing fo.ation from that routinelocation.' Repeat samples must be collected within 24 hours.of being notified of a routine positive sample result and must betaken the same day at different sites. However, if the.re ig.9'nly on. ru*pting i;dtd, ru"tr uS'*iift?.un'fgiouna,please identify yttglhg yo_u will take one repeat total coliform sample i.i;"y f;thile consecuti;;dat;'o?alarger sample size (300 mL) on one day.' Public water systems that use only ground water and dg^not provide 4-log virus inactivation are required to taketriggered. source water samples aftei a routine total coliform positive sam"pt" tiiuti.Tn" .u,nti"r niurf U. iut.nfrom each source active at the time the routine sample was taken and musi be taien Ueiore ui/iril;; iiu*water).
Version 1.0 Page 4 of 4
STATE OF IDAHO
DEPARTMEN'I OF
ENVIRONMENTAL QUAI-tTY
900 N, Skyllne Dr., Suite B
ldaho Falls, lD. 83402
Erad Little, Governor
Jess Byrne, Director
November L6,2022
Dorothy McCarty
455 Constitution Way
ldaho Falls, lD 83402
Email: water(Aida.net
Subject: Aspen Ridge Subd (1D72200071 - Sanitary Survey conducted on October 20,2022
Dear Dorothy McCarty
A sanitary survey was recently conducted for Aspen Ridge Subd (lD722OOO7). This letter
provides the sanitary survey report and photos for your records.
Significant Deficiencies - Significant deficiencies identified in this report must be
addressed after consulting with the ldaho Department of Environmental Quality (DEQ),
ldaho Falls Regional Office. Consultation and a written corrective action plan are
required within 30 days of any significant deficiencies and/or follow-up requirements
identified in this notification (IDAPA 58.01.08). Follow the four steps identified in the
sanitary survey report to address all significant deficiencies.
Deficiencies - The public water system operator/owner identified in this report must
address the deficiencies in a timely manner.
Recommendations -
Recommendations identified in the report are not required to be corrected at this time,
but it is recommended.
Consult DEQ before taking specific corrective actions or modifying the water system. Modifying
your public water system or installing new components may require assistance from an ldaho
licensed professional engineer and DEQ's review and approval. Contact this office before
making modifications to your system.
Thank you for your help in completing the sanitary survey. For questions, contact Kelsey Carter,
Drinking Water Compliance Officer, ldaho Falls Regional Office, [phone],
[e-mail]
I
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, |D.83402
Brad little, Governor
Jess Byrne, Director
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
Enclosures: Sanitary Survey Report, Photo Log, Maps, Survey Forms, Well Log, Site Sampling
Plan lnstructions, and Site Sampling Plan Template
C:Troy Saffle, Regional Administrator, IFRO-DEQ
Carlin Feisthamel, Regional Engineering Manager, IFRO-DEQ
Jason Fales, Drinking Water Compliance Supervisor, IFRO-DEQ
.'
-L-
STATE OF IDAHO
DEPARTMENT OIi
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, 1D.83402
Brad Little, Governor
Jess Byrne, Director
Sanitary Survey RePort
Aspen Ridge Subd - 1D7220007
Survey conducted on October 20,2022
Report generated on November t6,2Q22
Narrative
Aspen Ridge is located in Fremont County, in the lsland Park area, near Henry's Lake. The water
system consists of two groundwater sources serving 60 connections and an average daily
population of L2O individuals year-round. Based on the number of people using the system it is
considered a very small water system (VSWS). The water system is classified as a transient non-
community (TNC) because the system does not regularly serve the same twenty-five people
over six months out of the year. A TNC is not required to have a certified operator overseeing
the system operations. The water system supplies water throughout the entire year and does
not depressurize or drain the distribution. Dorothy McCarty is the main contact and owner of
the system with lsland Park Water Company. This system is regulated by the ldaho Public
Utilities Commission. Mrs. McCarty was present for the sanitary survey as well as Engineer Mike
Lund. Together they were able to answer questions and discuss important aspects of the public
water system. The previous sanitary survey was conducted on September L6,2OL6' These
inspections are conducted every five years to ensure all the system's components operate
correctly and identify any potential health hazards. There are sixteen significant deficiencies
identified in this report.
Well #i. (E0006523) is now identified as the East Well located near the beginning of the
neighborhood on Aspen Ridge Road. The well sits approximately 10 feet from the south side of
the road. A Well Driller's Report is available for this well. The East Well was drilled in September
I97Oto a depth if 116 feet. The steel casing is 6 inches in diameter and extends down to 63
feet. The casing is not screened or perforated. Bentonite was used to surface seal the casing to
L9 feet. The casing does extend above the required 18-inches from the ground surface to the
sanitary seal, as shown in photograph 1. The cap was not secure in a way to prevent
contamination. Allthe bolts were loose, the sanitary seal is broken, and there is a large crack in
the cap, due to excessive vibrations from the pump constantly running. The area around the
well and pump vault was continuously shaking. The cap was equipped with a vent, however,
the 24-mesh screen was missing and identified as a potential source of contamination. The
drawdown is unknown so the well cap should remain vented. The well vent is located on the
top of the well cap and serves to equalize the pressure within the well column to prevent air
from entering the well, which can cause a vacuum to occur where potential contaminates can
-3 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
Erad Liftle, Governor
Jess 8yrne. Director
be drawn back into the system. At the time the well was drilled, the static water level was
measured at 80 feet.
The East Well does not have a pump house. The pump vault is located near the well and can be
seen in photograph 3. A lock must be installed on the pump vault to protect the water system
components from unauthorized access and potential vandalism. There is an acceptable cover
for the pump vault, but it is not sealed in a way to prevent the entry of surface water. All walls
and floors must be watertight to minimize the risk of contamination. The overallcondition of
the pump vault is in good repair. There is a single installed pressure tank in the East vault. The
pressure tank is a Well-X-Trol model WX-302 with a storage capacity of 86 gallons. The pressure
tank is not equipped with an isolation valve. There is an inactive chlorinator in the pump vault.
ln order for chlorination to be used DEQ must be notified prior to treatment. The pump vault
also contained a working flow meter and pressure gauge. At the time the sanitary survey was
conducted the flowmeter was reading 80,586,700 gallons. The pressure gauge was displaying
66 psi. The high and low set point for the pump is unknown. The pump did not turn off at any
time during the sanitary survey and maintained 66 psi. The pump running excessively and not in
good repair has been deemed a significant deficiency and must be addressed. There is a
smooth-nose sample tap provided on the distribution line, however, the end is threaded and
not protected with a backflow prevention device. At the time of the inspection, a hose was
attached to the threaded end, shown in photograph 8. The East pump is not equipped with an
accessible check valve between the pump and the shutoff valve. This has been identified in
previous sanitary surveys and was supposedly corrected, but no check valve was identified. A
check valve must be installed prior to the flow meter and pressure switch.
Well #2 (E0009068) is now identified as the West Well is located on the corner of Aspen Ridge
Drive and Oak Road. The West Well is directly behind the pump house and meets all required
setbacks. A Well Driller's Report is available for this well. The West Well was drilled in October
1998 to a depth of 340 feet. The steel casing is 12 inches in diameter from 0 to j-60 feet and g
inches in diameter from L60 feet to 340 feet. The casing is not screened or perforated. The
casing is sealed with cement from 160 feet to 296 feet. The casing does extend above the
required 18-inches from the ground surface to the sanitary seal, as seen in photograph j.1. The
cap was not secure in a way to prevent contamination. All the bolts were loose, and the
sanitary seal broke, due to excessive vibrations from the pump constantly running. The area
around the well and pump vault was continuously shaking. The cap was equipped with a vent,
however, the 24-mesh screen was missing and identified as a potential source of
contamination, shown in photograph 13. The drawdown is unknown so the well cap should
remain vented. The well vent is located on the top of the well cap and serves to equalize the
pressure within the well column to prevent air from entering the well, which can cause a
vacuum to occur where potential contaminates can be drawn back into the system. At the time
the well was drilled, the static water level was measured at 97 feet.
4
STATE OF IDAHO
DI]PARTMEN'T OF
ENVIRONMENTAI" QUAI-ITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
The West pump vault is located in a pump house. The pump house is not being kept secure with
a lock to prevent unauthorized entry or vandalism. There is an acceptable cover for the pump
vault, but it is not sealed in a way to prevent the entry of surface water. All walls and floors
must be watertight to minimize the risk of contamination. At the time of the inspection, the
pump to waste was not capped or screened and was leaking in the pump house and back into
the pump vault. This can be seen in1"4,1-5, and 16. An adequate light source was not provided,
and a flashlight was used to examine the pump vault. lt appears as the isolation valve for the
pump to waste has failed to cause water to leak in the pump vault and from the pump to waste.
This has been deemed a significant deficiency and must be corrected. There is water in the
bottom of the pump vault. There is an installed floor drain, which may not be working properly
and should be examined. There is not an accessible check valve installed in the West pump
vault either, this must be corrected as it was mentioned in previous sanitary surveys as being
corrected. The pump vault also contained a working flow meter and pressure gauge. At the
time the sanitary survey was conducted the flowmeter was readin g 46,720,6O0 gallons. The
pressure gauge was displaying 50 psi. The high and low set point for the pump is unknown. The
pump did not turn off at any time during the sanitary survey and maintained 60 psi. The pump
running excessively and not in good repair has been deemed a significant deficiency and must
be addressed. There is a smooth-nose sample tap provided on the pump to waste line,
however, the end is threaded and not protected with a backflow prevention device. There are
two pressure tanks in the West pump vault that have been installed after the sanitary survey
conducted in 2016. These two tanks are both Flex2Pro model H2P. Neither of the pressure
tanks is equipped with an isolation valve. lsolation valves should have been installed with the
new tanks when material modifications were made, this has been deemed a significant
deficiency.
The two wells form a continuous loop system with no known dead ends or cross-connections'
The distribution consists of galvanized steel piping that is being replaced with PVC when repairs
are made. The main line size is 3 to 1.5 inches. The owner is aware of a leak in the main. The
leak has been present for at least a year, but the owner has been unable to locate the leak. This
has been deemed a significant deficiency, and leak detection must be performed and corrected.
The leak is likely significant and causing the pump to run nonstop. A leak can also be a potential
source of contamination for the water system. All valves are exercised at least once every
quarter. There are no fire hydrants or flushing hydrants in the water system. None of the
system connections are metered. There has been freezing within the water system, but not in
the main lines. Homeowners are responsible for where they connect on the main to their
home. The system was designed for seasonal use and the main lines and service connections'
depth are unknown, but likely buried less than 5 feet. Freezing may become an issue if the leak
is not located and corrected.
-5-
STATE OF IDAHO
DEPARTMENT OI;
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite 8
ldaho Falls, lD. 83402
grad Little, Governor
Jess Byrne, Dlrector
A site sampling plan will be required to be submitted to DEe by the end of the year. Currently,
samples are only being collected from the same location each quarter. Samples should
represent the entire water system and each quarter bacteria samples must be collected from a
different location, with backup locations identified. Once the site sampling plan is submitted, it
must be followed when collecting samples or they may be deemed non-compliant. Samples
were collected for all 4 quarters of 2022, with no violations within the last 5 years. The annual
nitrate sample has already been collected for 2022 as well.
The subdivision is up to date with the annual state drinking water fee. Homeowners are
charged a 5280 drinking water fee set by the Public Utilities Commission. These fees cover
system maintenance, repairs, and collection of compliance samples. There is not a current map
of the distribution nor an overall operations and maintenance manual.
All planned corrective actions will need to be submitted to DEe by December Lg, ZO22.
-6-
STATE OF IDAHO
DEPARTMENT OI:
ENVIRONMENTAL QUAI-ITY
900 N, Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Dlrector
Significant Deficiencies:
A significant deficiency as identified during a sanitary survey, is any defect in a system's design,
operation, maintenance, or administration, and any failure or malfunction of any system
component, that the DEQ or its agent determines to cause, or have the potential to cause, risk
to health or safety, or that could affect the reliable delivery of safe drinking water (IDAPA
5g.01.0g.003.131). Failure to address significant deficiencies constitutes a violation of IDAPA
s8.01.08.302 or 58.01.08.303.
Significant deficiencies may reference IDAPA design standard requirements. IDAPA rule
citations for sections 500-549 are primarily requirements during the design or modification
stage of a new system or component, and may not be enforceable as part of a sanitary survey'
These requirements are listed to provide reference of what current standards would apply if
that particular component were designed, modified, or constructed today. Corrective actions
that include material modifications must be approved by DEQ'
To address all significant deficiencies identified in this report, follow steps 1-4.
Step 1 - Within 30 days of receiving this notification, submit to DEQ in writing a
corrective action plan including planned completion dates for each identified significant
deficiency.
Step 2 - Complete the planned action(s) by the "Planned Completion Date(s)'"
Step 3 - After completing each planned action, enter an "Actual Completion Date," your
initials, and write the "Corrective action taken."
Step 4 - Sign your name at the bottom certifyingthat each corrective action has been
coriected by the planned completion date and your public water system has completed
the sanitary survey response requirements pursuant to IDAPA 58.01.08. Send a copy of
the signed paperwork to DEQ.
-7 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr.,Suite B
ldaho Falls, lD. 83402 Erad little, Governor
Jess 8yrne, Director
Wells
EAST WELL (EOOO6523I
Question #8- ls the well properly vented? (24 mesh sueen, open downwqrd >Lg,, outdoor or
>L2" indoor, etc.) No.
Note: The 24-mesh screen for the vent is missing (photograph 13).
The well casing for Well: E0006523 is not properly vented to include a 24 mesh screen and/or does notopen downward and/or is not high enough above the receiving surface to protect the well from flooding
(r DAPA 58.01.08.s11.0s)
lnstall o cosing vent to minimize the possibitity of contamination coused by the creotion of a partiol
vocuum during pumping and to release air tropped in the pump column when the pump is not running.
On some wells the presence of o water tight (ond thus oir tight ) well casing cop con mean that when thepump is running ond drowing down the stotic heod in the well it con create o vqcuum thot could impedepump operotion. The vent lets equolizing air into the cosing. The vent needs to be ot a height above floodlevels and terminoted downward to prevent entry of ony potentiol surface woter. This moy be
accomplished by extending the cosing 78 inches obove the ground or 72 inches obove the pump house
floor. A 24-mesh screen installed on the vent prevents contominotion by prohibiting entry of insects,
rodents, ond birds.
Submit planned completion dates to DEe by t2/tg/2122.
Corrective Action plan
Planned Completion Date:
ActualCompletion Date lnitials:
Corrective action(s) taken
-8-
STATE OF IDAHO
DBPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, 10.83402
Brad Little, Governor
Jess Byrne, Director
Question #9- Does the well casing and cap prevent contamination and surface water entry?
No
Note: The cop is not secured to the casing with all the bolts being loose ond the sanitory
seol is not intoct due to excessive vibration (Photograph 7).
Well: E0006523 is not provided with an approved cap and/or solid casing that prevents surface water
and contaminants from entering the well (IDAPA 58.01.08.511.06'b).
A properly cosed well with o sanitary well cap prevents surfoce woter and potentiol contaminants
(bocterio, fertilizers, pesticides etc.) from descending olong the outside wall of the well down to the
zones of stored ground woter thus minimizing the possibility of contamination. The ground oround the
well cosing must slope owoy from the well cosing'
Submit planned completion dates to DEQ by L2/19/2022
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitials:
Corrective action(s) taken :
-9-
STATE OF IDAHO
DEPARTMENTOF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lO. 83402
Brad Little, Governor
Jess Byrne, Director
WEST WELL (EOOO9O68I
Question #8- ls the well properly vented? (24 mesh screen, open downword >78" outdoor or
>L2" indoor, etc.) No.
Note: The 24-mesh screen for the vent is missing (Photograph i.3).
The well casing for Well: E0009068 is not properly vented to include a 24 mesh screen and/or does not
open downward and/or is not high enough above the receiving surface to protect the well from flooding
(r DAPA s8.01.08.s11.0s)
lnstoll a cosing vent to minimize the possibility of contominotion caused by the creotion of a portiot
vocuum during pumping ond to releose air tropped in the pump column when the pump is not running.
On some wells the presence of o woter tight (and thus air tight ) well cosing cop con mean thot when the
pump is running ond drawing down the static heod in the well it con create o vocuum thot coutd impede
pump operotion. The vent lets equalizing air into the cosing. The vent needs to be ot a height obove flood
levels and terminoted downward to prevent entry of ony potential surface water. This may be
occomplished by extending the cosing 78 inches obove the ground or 72 inches obove the pump house
floor. A 24-mesh screen installed on the vent prevents contominotion by prohibiting entry of insects,
rodents, ond birds.
Submit planned completion dates to DEe by tZ/19/2O22
Corrective Action Plan
Planned Completion Date
Actual Completion Date:lnitials
Corrective action(s) taken
-10-
STATE OF IDAHO
DL,PARTMENTOF
tiNvIRoNMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, 10.83402
Brad LiRle, Governor
Jess Byrne. Dlrector
Question#9- Does the well casing and cap prevent contamination and surface water entry?
No.
Note: The cop is not secured to the casing with attthe bolts being loose and the sonitary
seol is not intoct due to excessive vibration (Photogroph 1).
Well: E0009058 is not provided with an approved cap and/or solid casing that prevents surface water
and contaminants from entering the well (IDAPA 58.01'08'511.06.b).
A properly cased well with a sanitory well cap prevents surfoce woter and potentiol contominants
(bocterio, fertilizers, pesticides etc.) from descending olong the outside woll of the well down to the
zones of stored ground woter thus minimizing the possibitity of contomination' The ground around the
well cosing must slope owoy from the well cosing'
Submit planned completion dates to DEQ by L2/Lgl2O22'
Corrective Action Plan
Planned ComPletion Date
ActualComPletion Date lnitials:
Corrective action(s) taken
- 11-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAI- QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, t0.83402 Brad Little, Governor
less Byrne, Director
Question #73- ls an adequate pump-to-waste provided? (capocity of the well, air gap, prior tothe first service connection, efc./ No.
Note: The pump to waste is teoking water (Photographs 14, L5, and 16) tikely due to theisolation volve is failing.
The pump distribution line for well: E0009068 does not provide the necessary valves and appurtenancesto allow the well to be pumped to waste at the design capacity of the well via an approved air gapthrough an approved non-corrodible screen at a location prior to the first service connection (lDAPA58'01'08'511'02). lnstall pump to waste capabilities the next time material modifications occur to thissection of the water system.
Pump-to-waste capobility permits well water to be dischorged prior to entering the distribution system.wells ore typically pumped-to-woste to ftush out stagnont water and any potentiol contaminants, ofterthe well or pump hos been serviced to cleor ony debris, bacterio, chemicols, ond after ony known groundwoter contominotion.
submit planned completion dates to DEQ by 72/19/2022.
Corrective Action plan
Planned Completion Date:
ActualCompletion Date lnitials:
Corrective action(s) taken
-t2-
STATE OF IDAHO
DIJPAR'TMENT OIJ
rjNvlR()N M UN'I'AL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, 10.83402
Brad Little, Governor
.less Byrne, Director
Hydropneumatic Tanks
euestion #2- lsthe tank located in a structure that is protected from flooding and unauthorized
entry? (Locked, wotertight wotts ond ftoor, floor droin, acceptoble cover, efc'l No'
Note: The hydropneumatic tonks ore not obove the normal ground surface (IDAPA
5g.01.08.547.0L.o). The structure housing the hydropneumatic tanks is not protected
from flooding ond/or is not adequately droined.The hydropneumatic tank housing is not
o d e q u ate ly p rote cte d o go i nst u n a uth o ri ze d e nt ry'
The hydropneumatic tanks are not above the normal ground surface and/or completely housed (IDAPA
5g.01.0g.547.01.a). When the tanks fail they should be replaced with above-ground level
hydropneumatic tanks.
The structure housing the hydropneumatic tanks is not protected from flooding and/or is not
adequately drained and/or the ground surface is not graded to lead surface drainage away from the
structure (tDAPA 5g.01.08.541.01.b). The hydropneumatic tank housing is not adequately protected
against unauthorized entrY.
ln the event of a leok, broken pipe, or severe weother, inodequate droinoge moy couse domoge to the
electrical and heoting systems. lf the construction of a pit contoining the hydropneumotic tank(s) is not
wotertight, and the pit does not hqve an odequote droinage system, the pit con flood cousing surfoce
woter carrying debris, bacterio, pesticides, fertilizers, oil products, etc' to increose the potentiol for
source contamination.
Submit planned completion dates to DEQ by L2/L9/2O22
Corrective Action Plan
Planned Completion Date
ActualCompletion Date lnitia ls:
Corrective action(s) taken :
-13-
STATE OF IDAHO
DEPARTMENT Ot.'
TiNvTRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, 10. 83402
Brad Little, Governor
Jess Byrne, Director
Question #3- Can all hydropneumatic tanks be isolated from the system without depressurizing
the distribution system? No.
Note: Two new pressure tanks were instolled in the West Pump Vault since the previous
sanitory survey, but isolation volves were not installed (photograph 14).
The hydropneumatic tanks cannot be isolated from the system (tDApA 5g.01.0g.547.01.b). tnstall
isolation valves the next time the hydropneumatic tanks are replaced or material modifications to the
system occur.
Hydropneumatic tonks, which provide pressure to the distribution system, need a bypass to permit
operotion of the system when the tonks are out of service. A loss of pressure in the distribution system
creates the opportunity for bock-siphonoge or bockpressure of non-potoble water thot moy result in
contaminotion of the drinking woter.
Submit planned completion dates to DEe by t2/t9/ZO2Z
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials:
Corrective action(s) taken
-14-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
Distribution Systems
DI sYsrEM |-T7220007 DSll
Question #74- lsthe owner/operator aware of any leaking water mains? Yes.
Nete; The owner is aware of leoks in the moin lines but hos been unable to locote them.
Leaking water mains need to be repaired or replaced and disinfected in accordance with American
Water Works Association (AWWA) standards (IDAPA 58.01.08.542.10).
High teokoge rotes increose the potentialfor contaminated groundwater intrusion during pressure drops.
Leoks olso undermine pipes, cousing most moin breaks. Leaking woter moins have the potentiolto couse
domage to neorby property and to ueote sinkholes ond rood collopse'
Submit planned completion dates to DEQ by t2lL9/2O22'
Corrective Action Plan
Planned Completion Date:
Actual Completion Date:lnitials
Corrective action(s) taken:
-15-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne. Director
Pumps
Question #7- Do any of the pumps cycle > 6 times per hour? (Recommended) yes.
Note: Both pumps are cycling excessively, os mentioned in the previous survey. The
pump did not turn off at any time during the survey
Both pumps are cycling more than six times per hour. The cause of excessive cycling should be evaluated
and remedied to prevent premature failure of the pump.
Submit planned completion dates to DEQ by L2/t9/2022
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitials:
Corrective action(s) taken:
-t6-
STATE OT IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, 1D.83402
Brad Little, Governor
Iess Byrne, Director
euestion #2- Areall pumps in good repair? (excessive noise, vibration, heot, odors, leaks, etc')
No.
Note: The ground surrounding the wells ore aggressively vibrating.
Neither pump appears to be in good repair'
Excessive noise, vibration, heat, smell, oil leaks, and excessive teoking of woter from the pump ore
indicators thot immediate mointenance is required to prevent pump failure, which could leod to system
depressurization, and lock of woter suppty. Leoking woter con produce moisture around the motor'
unsafe conditions in the pump house'
Submit planned completion dates to DEQ by L2/L9/2O22'
Corrective Action Plan
Planned ComPletion Date
Actual Completion Date:lnitials:
Corrective action(s) taken:
-17 -
STATE OF IDAHO
DEPARTMEN? OI,'
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD. 83402 Brad liftle, Governor
Jess 8yrne, Director
Question #4- ls each pump equipped with an accessible check valve? (on the discharge side
before the shut-off volve) No.
Note: A check valve hos not been installed in the East pump voult or the West pump
vault which wos supposed to hove been corrected in the previous sonitory survey.
An accessible check valve is not provided on the discharge line between the shut-off valve (lDApA
58'01.08.511.04 -well pumps or IDAPA 58.01.08.541.03.a. - water pumps). tnstall an accessible checkvalve the next time material modifications occur to this section of the water system.
A check volve ollows flow in one direction and prevents bock flow (reverse ftow) if woter in the line
reverses direction. The check valve is intended to prevent the system from draining and prevents thepump from excessive cycling.
Submit planned completion dates to DEe by LL/LI/ZOZI.
Corrective Action plan
Planned Completion Date:
Actual Completion Date:
Corrective action(s) taken
lnitials:
- 18 -
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMSNTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, ID.83402
Brad Little, Governor
Jess Byrne. Director
Question #72- Are all pump houses protected from unauthorized entry? (Locked, durable
construction, etc.) No.
Note: The pump house did not have o lock instolled (Photogroph L0).
The pump house does not have a locked door or access and/or is not of durable construction to prohibit
unauthorized entry, vandalism, and entrance by animals (IDAPA 58.01.08.541.01.c. and f).
An unsecured pump house compromises security ond leaves the structure vulnerable to unauthorized
entry, vondolism, and sabotage.
Submit planned completion dates to DEQ by L2/t9/2022.
Corrective Action Plan
Planned Completion Date
ActualCompletion Date ln itia ls
Corrective action(s) taken
-19-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD. 83402
Brad llttle,6overnor
.less Byrne, Dlrector
Question #74- ls adequate backflow protection provided on allthreaded taps/ hose bibs
installed in any of the pump houses? No.
Note: None of the threoded taps have bockflow prevention devices instolled
(Photographs 8 and 15)
All threaded taps/ hose bibs installed in the pump house are not equipped with an appropriate backflow
prevention device (IDAPA 58.01.08. 541.01.n).
An appropriote bockflow device (typically o top/ hose bib vacuum breoker) protects the potable woter
supply from contomination should o bock-siphonage bockflow event occur.
Submit planned completion dates to DEQ by L2/L9/2022
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitia ls:
Corrective action(s) taken:
-20 -
STATE OF IDAHO
DtsPAR'TMENT OI""
ENVIRONM ENTAI- QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
less Byrne, Director
euestion #IS- Arethere signs of excess heat, moisture, or corrosion damage in any of the
pump houses? (tnodequote ventilotion/ Yes.
Note: There is stonding water (excessive moisture) in the West WellVault from o leaking
isolation volve (Photogrophs 74, L5, ond L6).
There is not adequate ventilation in the pump house for dissipation of excess heat and moisture from
the equipment (tDApA 58.01.08.541.01.e). At the time of the inspection, there was evidence of
corrosion of metallic and/or electrical components from excessive heat and/or moisture'
Excess moisture in a pump house can leod to premature foiture of electrical control systems ond create
unsafe conditions for operotors. Extremely high temperatures may also damoge electric motors'
Submit planned completion dates to DEQ by L2/L9/2O22.
Corrective Action Plan
Planned Completion Date:
ActualCompletion Date lnitials:
Corrective action(s) taken:
-21 -
STATE OF IDAHO
DEPARTMENT OF
ENVIR()NMEN'I'AL QUALTT'Y
900 N. Skyline Dr.,Suite B
ldaho Falls, 10.83402 Brad Little, Governor
Jess 8yrne, Director
Financial/Ma nagerial Capacity
Question #28- Do all Sample Siting Plan(s) meet the minimum requirements? No.
Note: Samples are only being collected from 4043 Kickopoo since 2eT20. Somples must
be taken from different locotions each quorter to get on odequate representotion of the
whole distribution. A site sampling plon must be submitted by 12/31/2022.
The system owner does not have a current written sample siting plan that meets RTCR
requirements (40 CFR 141.853.a). An RTCR sample siting plan needs to be developed and/or
implemented.
A sample siting plan is designed to specify where in the distribution system samples wilt be
drawn to ensure they are representative of the water system.
Submit planned completion dates to DEe bV L2/3L/2022.
Corrective Action Plan
Pla n ned Com pletion Date: L2l3Il 2OZz
Actual Completion Date lnitials:
Corrective action(s) taken: Plan template must be submitted to DEe for approval
.ta
STATE OF IDAHO
DEI'ARTMEN'T OF
I]NVIRONMENTAT. QUALITY
900 N. Skyline Dr.,Suite B
ldaho Falls, lD. 83402
Brad LiRle, Governor
Jess Byrne, Director
Question #29- Are samples being taken in accordance with the Sample Siting Plan(s)? No
Note: There is not o current site sampling plon in place. A site sampling plon must be
submitted by L2/3 1/2022.
RTCR monitoring samples are not being taken in accordance with the approved sample siting
plan (40 CFR 141.853.a).
Somples not taken in occordance with a somple siting plan, moy not be representative of the
distribution system resulting in the woter system not receiving credit for sampling.
Submit planned completion dates to DEQ bV t2/3L/2022.
Corrective Action Plan
Plan ned Com pletion Date: L2l31.l 2022
Actual Completion Date:lnitials:
Corrective action(s) taken: Plan template must be submitted to DEQ for approval
I certify, to the best of my knowledge that all significant deficiencies have been corrected by
the agreed upon date and that the corrective action meets the requirements pursuant to
rDAPA 58.01.08.
Signature:Date
-zJ-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N.Skyline Dr., Suite B
ldaho Falls. lD, 83402
Brad Little, Governor
Jess Byrne, Dlrector
Deficiencies:
Deficiencies identified in the report should be addressed by the Public Water System's
operator/owner in a timely manner.
Pumps
Question #3- Are spare parts readily available for critical pump components? No
Critical spare parts and/or tools are not readily available for [PUMP_TAG_NUM] (IDAPA
58.01.08.s41.02.c).
lf the public woter system does not have spare ports ond tools ovailoble onsite, it is occeptable to identify
o compony who con provide the needed ports within 24 hours.
Question #5- Are isolation valves provided on the discharge side of the pump? No.
Note: West Well
Working isolation valves for pump maintenance are not provided for pump [PUMP_TAG_NUM]. lnstall
an isolation valve the next time the pump is replaced or material modifications occur to this section of
the water system.
lsolation volves facilitate removing the pump for maintenance
Question #73- Do all pump houses have adequate lighting throughout? No.
The pump house does not have adequate lighting throughout (IDAPA 58.01.08.501.05.a). lnstall
adequate lighting the next time material modifications occur to this section of the water system
The interior of the building must have permanent lighting for operotor safety ond to facilitote inspections
ond mointenonce ot night.
Financial/Managerial Capacity
Question #33- ls there an overall operation and maintenance manual for the PWS? (including
equipment monuols, as-builts, SOPs, manufocturer's literature, etc.) No.
There is not a complete operation and maintenance (O&M) manual for this public water system (IDAPA
58.01.08.501.L2,OO3.92, and 003.93). An O&M manual needs to be developed and/or implemented.
-24-
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, 10.83402
Erad Little, Governor
less Byrne, Director
I
l
1
l
I
il
l
I
o Submit an O&M manual for review and approval. Upon approval, the operator must operate the
system in accordance with the approved O&M manual. At a minimum, include the following
items in the O&M manual:
o daily, weekly, monthly, and yearly operating instructions
. information specific to a particular type of treatment
o location of valves and other key distribution system features
o pertinen! telephone and address contact information including the responsible charge water
system operator and water system owner
. operator safety procedures
o alarm system and emergency procedures
o trouble-shooting advice
o water quality testing procedures
. response plan for depressurization events
. customer service Procedures. response plan for customer complaints
o maintenance information and checklists
o manufacturer's product information including troubleshooting information
o parts list, spare parts list, and parts order form
. necessary special tools
An O&M manual provides procedures to operqte and maintain a focility's various systems and
equipment. lt is importont to onolyze ond evoluote a facitity from the system level' then develop
procedures to ottain the most efficient systems integrotion. Lock of on o&M manual can lead to system
foilures and contomination of drinking woter'
-25 -
STATE OT IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyllne Dr., Suite B
ldaho Falls, lD, 83402 Brad Little, Governor
Jess Byrne, Director
Lecommendqtions:
Recommendations identified in the report are not required to be corrected at this time, but it isrecommended.
Wells
EAST WELr (E00065231
Question #6- ls the well (not located in a pump house) protected from unauthorized access?(Locking cap, fenced, etc.) (Recommended) No.
Note: Photographs 7 ond 3
well: E0006523 (not in a pump house) should be protected from unauthorized access through fencingaround the source and/or use of a locking well cap.
WEST WELL (EOOO9O68I
Question #6- ]s the well (not located in a pump house) protected from unauthorized access?(Locking cop, fenced, etc.) (Recommended) No.
Note: Photographs 7 ond 3
well: E0009068 (not in a pump house)should be protected from unauthorized access through fencingaround the source and/or use of a locking well cap.
Distribution Systems
DISTRI BUTION SYSTEM (T722OOO7DS1I
Question #6- ls a current map of the distribution system available? (Recommended) No.
A current map of the distribution system was not available during the inspection. Maps should be madeavailable showing main sizes and locations of valves, hydrants, storage tank locations, andinterconnections to other systems. Update maps annually to reflect current conditions. A map should bekept with the Operations and Maintenance Manual.
Question #73- ls there a water loss control program? (Recommended) No.
A water loss control program should be put in place and utilized. More than lil%water loss is anindication of either inaccurate meters or excessive leakage. lnaccurate meters result in lost revenue andleaks are potential points for entry of contaminated groundwater. The following is a link to an EpAresource for developing a water loss control program:
https://www.epa.gov/sites/production/files/2015-04/documents/epa816f13002.pdf.
-26 -
STATE OF IDAHO
DEPARTMBNl'OF'
ENVIRONMENTAL QUALIT'Y
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
Question #75- ls there a water efficiency program? (Recommended) No'
A water efficiency program should be implemented. lmprovements in water efficiency in the
distribution system begin with metering, water audits, and water loss control programs. The following is
a link to an EPA resource for developing a water efficiency program:
https://nepis.epa.gov/Exe/ZyPDF.cgi/P100M EV6. PDF?Dockey=P100M EV6. PDF.
FinanciaUManagerial Capacity
Question #34- Doesthe PWS have an Asset Management Plan? (Recommended) No.
An Asset Management Plan should be established for the PWS. The assets of a water system include the
natural and engineered components for providing water (e.g., source water, pumps, motors, storage
tanks, treatment plants, pipes). A good asset management program typically includes a written plan for
achieving the best appropriate cost for rehabilitation, repair, or replacement of a public water system's
assets. Asset management is effective in maximizing the value of capital as well as minimizing operations
and maintenance expenditures. To learn more about asset management, go to EPA'S website at:
http ://wate r.e pa.gov/infrastructure/susta i n/asset-ma nage me nt.cfm
-27 -
11116122, 1:30 PM Sanitary Survey
Protecting Pubtic Heatth and the Environment
Department of Environmental Quality
Sar:*t*ny Sx.,arv*y
DEVELOPME
Sanitary Survey
PWS: \D722OOO7'ASPEN RIDGE SUBD
Jurisdiction: IDAHO FALLS REGIONAL OFFICE
Sanitary Survey Date: 10/2012022
General Information
Approval
Status:Approved
SDWIS Website
# Ground
Water
Sources:
# Surface
Water:
Primary
Source Type:
Total
Population:
# Service
Connections:
PrimaryCounty FREMONT
Served:
owner Privatelype:
i;?il,' corporation
# Storage ^Facilities: "
I*::r", (gar)
2
0
GW
120
60
CommunitY
Water SystemType: NoncommunitY
Nontransient
Transient
Noncom
System Distribution:
C lassification ! Treatment:N/A
AnnualOperating Period - Population Served:
Water Purchased From:
Water Sold To:
Sanitory Survey lndex
Modutes Used:#
General
lnformation 1
Wetts 2
Springs
lntakes and
lnfittration
Ga[[eries
Consecutive
Connections
Storage Tanks
Hydropneumatic
Tanks 1
Distribution
Systems 1
Pumps 1
Treatment
Plants
Chtorinators
Gas CL2
Financiat-
ManageriaI 1
Totol Modules 7
T 12001to112t31
Begin Date End Date Type Estimated Count
PWS NamePWS Num Status
None
PWS NamePWS Num Status
4 tileJllC:/Users/kcarter/Downloads/1D7220007 -Finalized-ESSForm
(3)'html 1t17
11116122, 1:30 PM
Cont acts
" All systems must hove an AC and FC (one of each onty).
" AII C and NTNC must have a DO.
Sanitary Survey
AC MCCARTY,
DOROTHY A
455
Constitution
Way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
EC MCCARry
DOROTHY A
455
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
FC ISLAND PARK
WATER INC A PO BOX 2521 IDAHO
FALLS ID 83403
208-
522-
8033
OW ISLAND PARK
WATER INC A PO BOX 2521 IDAHO
FALLS ID 83403
208-
522-
8033
SA MCCARTY,
DOROTHY A
455
way
IDAHO
FALLS ID 83402
208-
521-
2369
[e-mail]
Type Name Status Addrl City State Zip Biz
Phone Ext Mobile Emergency Fax Email
file:///C:/Users/kcarter/DownloadsllDT220OOT_Finalized_ESSForm (3).html 2117
11116122,1:30 PM Sanitary SurveY
Facilities
vl-1 I 1.33857444.5716129t2911970YPermanentWLAEAST WELLE0006523 g-1 1 1.34337344.571808Y10t3011998PermanentWLAWEST WELLE0009068
NAST3 HYDROPNEUMATIC
TANKS3 H.TANKS
6t15/1988NDSADISTRIBUTION
SYSTEMT7220007Ds',|
Other NTPICHLORINATOR000000016032
WSF State
Assigned lD Name
(Tag)
rype status Avai tabi ti ty, ff ::::, co n 3,?1,".,"0
Lat/Long
VerifiedLatitude Longitude
file:///C:/Users/kcarter/Downloads/1D7220007-Finalized-ESSForm (3)'html 3t'17
'l'1116122,1:30 PM Sanitary Survey
General Questions
General Questions
i-.1 t. Have materiat modifications been made to the pws since the tast survey?
lf yes, were ptans and specs submitted to and approved by DEe?. Notes: Plans and specs were not submitted to DEQfor approval and as-builts must be submitted fordocumentation.
Add
i*j Edit
(0)
Add
Yes No N/AUnk csL
g samples wereWeredtakensamptestheuringthebysurveyindicateinspector?Y€5,(tf what3.,ncollected the Nofes.
{ fi! rsi
file:///c:/users/kcarter/Downlo adsilD722o007 _Finalized_ESSForm (3).html 4t17
YesE0006523WELL
YesEooo9o68 lwesr wru
WSF State
Assigned lD Name
(Tag)
Verified
11116122,1:30 PM Sanitary Survey
Wells
file:///C:/Users/kcarter/DownloadsllD7220007-Finalized-ESSForm (3).html 5117
'l1|16122, 1:30 PM
Y"tt EAsr wELLName:
Tag . Eooo6523Number:
Sanitary Survey
Well Questions
PUmLFI-Eu5g-Questions {an$ Tzump l'rouses tlzat cantain a Groundwater Source)
Yes No N/AUnk
14. ls the wett enctosed in a pump house?
15. ls the pump house protected from contamination? (Clean, in good repair, etc.)
'l6.ls the pump house protected from unauthorized entry? ftocked, durabte construction, etc.)
17. Does the pump house have adequate tighting throughout?
18. ls adequate backflow protection provided on a[[ threaded taps installed in the pump house?
19. Are there signs of equipment damage due to excess heat, moisture, or corrosion?
CSL Notes
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1. ls there a wetl log for the source? EDMS#:2019ACA2604 Add
r Are surrounding land uses creating heatth hazards or increasing the potential for source-' contamination? (Setbocks not met, dumping, etc.)Add
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a Are toxic or hazardous chemicals stored on the wetl [ot? (pesticides, paint, herbicides,-' fertilizers, petroleum, etc.)Add
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4. Are pesticides, herbicides, or fertilizers apptied to the wett tot without approvat?Add
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lf the well is in a pit, is the pit protected from flooding and contamination? (watertight watts5. and floor, floor drain, acceptable pit cover, etc.)
Notes: Well is not located in a pit.
ls the wetl (not located in a pump house) protected from unauthorized access? (Locking cap,
6. fenced, etc.) (Recommended)
Notes: Photographs 1 ond 3
r ls the wetl protected from ftooding? (casing height >highest flood level, >18" outdoor, >12"'' indoor, etc.)
ls the well property vented? (24 mesh screen, open downward >18" outdoor or >12" indoor,8. etc.)
Notes: The vent is missing o z4-mesh screen (Photograph 1).
Does the well casing and cap prevent contamination and surface water entry?
9. Notes: The cap is not secured to the casing with all the bolts being loose ond the sanitory seal is not intoct due
to excessive vibrotion (Photograph 1).
ls a raw water smooth nosed sample tap provided on the discharge pipe? (Prior to ony
10. treatment)
Notes: Tap has a threaded end
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11.ls a working flow meter provided?nonvolotile memory, installed on
discharge pipe, etc.) Gattons:Add
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lsa re gauge provided? (lnstant, installed on discharge pipe, etc.) PSI:12 Add
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13. f t an- adequate pump-to-waste provided? (Capacity of the well, air gap, prior to the first- - service connection, etc.)Add
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'11116122, 1:30 PM Sanitary Survey
i 'j i I Vl l_1 1nadequote Yentitation)
il gl iJ ZO. ls there a history of pump house equipment freezing? (lnadequate heattng)
ri vl l_-l 21.ls the pump house protected from ftooding and surface water entry? floor drain, ground
surface graded to lead surface water away, etc.)
Does the configuration of the floor drain or sump cause a contamination risk? (connected to
other drdinage systems, sump < 30 feet from well, etc.)il gl ;-J zz.
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11116122, 1:30 PM
Y"tt wEsr wELLName:
Tag , Eooo9o68NumDer:
Sanitary Survey
Welt Questions
Pump- l-foUgg-Q.uestions (Onty pump houses that contain a Groundwater Source)
Yes No N/AUnk
, 14. ls the we[[ enctosed in a pump house?
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15. ls the pump house protected from contamination? (Clean, in good repair, etc.)Add
16. ls the pump house protected from unauthorized entry? ftocked, durable construction, etc.) Add
17. Does the pump house have adequate tighting throughout?Add
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18. ls adequate backflow protection provided on atl threaded taps instatted in the pump house?
Yes No N/AUnk CSL N
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1. ls there a well tog for the source? EDMS#:2019ACA2604
, Are surrounding land uses creating heatth hazards or increasing the potential for source-' contamination? (Setbacks not met, dumping, etc.)
.1 Are toxic or hazardous chemicats stored on the welt [ot? (pesticides, paint, herbicides,-' fertilizers, petroleum, etc.)
i 4. Are pesticides, herbicides, or fertilizers apptied to the wett tot without approvat?
lf the we[[ is in a pit, is the pit protected from ftooding and contamination? (watertight wallsI 5. and floor, floor diain, acceptable pit cover, etc.)
Notes: Well is not located in a pit.
ls the we[[ (not located in a pump house) protected from unauthorized access? (Locking cap,j i 6. fenced, etc.) (Recommended)
No'!g Photogrophs 10 and 11
, - ls the we[[ protected from flooding? (casing height >highest flood levet, >18" outdoor, >12"t' indoor, etc'.)
ls the we[[ property vented? (24 mesh screen, open downword >18" outdoor or >12" indoor,
8. etc.)
Notes: The 24-mesh screen for the vent is missing (Photograph l3).
Does the wetl casing and cap prevent contamination and surface water entry?9. Nofes: The cop is not securely attached to the casing, all bolts are loose and the sanitary seal is not futlyintoct, due to excessive vibrotions (Photograph 1).
ls a raw water smooth nosed sampte tap provided on the discharge pipe? (Prior to any
10. treatment)
Notes: Tap has o threaded end.
ls a working ftow meter provided?
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' 11., nonvolatile memory, installed on
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lsa gauge provided? (lnstant, installed on discharge pipe, etc.) PSI:12.
ls an adequate pump-to-waste provided? (capacity of the well, air gap, prior to the first
,r. service connection, etc. )
Notes.' Ihe pump to waste is leaking water (Photographs 14, 15, and 16) tikely due to the isolation valve is
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19. Are there signs of equipment damage due to excess heat, moisture, or corrosion?
(inadequate venti lati on)
20. ls there a history of pump house equipment freezing? (lnadequate heattng)
," ls the pump house protected from ftooding and surface water entry? (Floor drain, groundt'' surlace graded to lead surface water away, etc.)
Jt 11 .,., Does the configuration of the ftoor drain or sump cause a contamination risk? (connected toLt t I "' other drainage systems, sump < 30 feet from well, etc.)
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I
3 H-rANKs l+;iYDRoPNEUMATTc
I
PUMP VAULT - FLEX2PRO - H2P - BLADDER - TNSTALLED: UNKNOWN
PUMP VAULT - FLEX2PRO . H2P . BLADDER. INSTALLED: UNKNOWN
PUMP VAULT. WELL-X-TROL . WX.3O2 - BLADDER - INSTALLED
11116122, 1:30 PM Sanitary Survey
Hydropnuemafic r.anks
The questions, below, apply to all Hydropneumatic Tanks.
Hydrqpneumatic Tanks Quest
Bladder Tanks Onl)t
Yes No N/AUnk
r Has the pre-charge on alt bladder tanks been tested in the last year to ensure the air pressure' 'is 5 psi betow the tow operating pressure for the system? (Recommended)
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Non-Bladder Tanks Onty
, j 1.ls the system served by variabte speed pumps (VFDs)? (Recommended)
ls the tank located in a structure that is protected from flooding and unauthorized entry?
(Locked, watertight walls ond floor, floor drain, acceptable cover, etc.)
Nofes: Ihe hydropneumatic tanks are not above the normal ground surface (IDAPA 58.01.08.547.01.o). The
structure housing the hydropneumotic tanks is not protected from flooding and I or is not adequatety droined.
The hydropneumatic tank housing is not adequately protected against unouthorized entry.
Can all hydropneumatic tanks be isolated from the system without depressurizing the
,. distribution system?
Notes: Two new pressure tank were installed in the West Pump Vault since the previous sanitary survey, but
isolation valves were not installed (Photogroph 14).
I i 4. Do the exterior surfaces appear to be in good conditionz. (Coating intact, no corrosion, etc.)
j I I S.0o att tank supports appear to be structuralty sound and adequate?
. Have atl hydropneumatic tanks been tested for structurat integrity in the past 5 years?o'lRecommendedl
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ls the recharge air protected from contamination? (free of air compressor oil, clean air filter,8. etc.)
Notes: This PWS has no non-bladder hydropneumatic tank.
Are instatted appurtenances working properly and protected from contamination? (access
9. manhole, drain, water sight glass, means to add air, air blow-off , etc.)
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Dist tion S ystems.
Sanitary Survey
SYSTEM
WSF StAtE
Assigned lD Name
(Tag)
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11116122, 1 :30 PM
DistributionSystem DISTRIBUTION SYSTEM
Name:
Tag
Number:
Yes No N/AUnk
Sanitary Survey
T7220007D51
Di stri b u ti o n SySGm__Qu esti 0 n s
Main line type of materials are? {Selecf all that apply) steet HDpE (btack)
1. Asbestos/Cement Copper PVC Ductile lron Gray lron
Galvanized Other
2. Main [ine sizes?3 inches to 1 inch
3. Number of Metered Connections?out of 60
: 4. Number of Fire Hydrants?
5. Number of Ftushing Hydrants?
' 6. ls a current map of the distribution system avaitable? (Recommended)
Have pubtic notifications, DEQ notifications, and fotlow-up actions been followed for any
ptanned or unplanned depressurizations in the past year?
Notes.'No public notifications, DEQnotifications, or follow-up actionswere required for planned or unplanned
depressurizations in the post year.
Was the pressure measured at a service connection? PSI:
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7.
8.60 Location:
Frost-free hydrant near Time:09:30 AM O
n ls a minimum system pressure of 20 psi. maintained at a[[ service connections? (tncluding fire" flow - ldentify pressure complaints in the Notes.)
.t n ls a minimum system pressure of 40 psi. maintained during maximum hourty demand'-' conditions? (PWSs constructed after 7/1 /1985 - Excluding fire flow)
1 1. Does pressure exceed 100 psi at any service connection?
12. Are vatves inspected and exercised regutarty? (Recommended)
Noks: quarterly
, 13.|s there a water loss control program? (Recommended)
,0. ls the owner/operator aware of any leaking water mains?
Notes: The owner is awore of leaks in the main lines but has been unoble to locote them,
15. ls there a water efficiency program? (Recommended)
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16. Are att dead end mains equipped with a means to ftush?
Nofes: No dead end mains exist in this distribution system,
17.Are dead end mains ftushed at teast semiannuatly?
l{ofes: No dead end mains exist in this distribution system.
.,r. Are.there any materials used that should not be in contact with drinking water? (Pipes,
sealonts, components, etc. )
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19. Does the system experience water main freezing?
Are there any connections that provide supptemental disinfection and meet the definition of
; 20. a PWS but are unregulated? (Recommended) (Hospitals, businesses, long-term care facilities,
etc.)
i 21. frelhefr"XyJlrt"d
subsurface water storage tanks that need to be abandoned?
,, Are there any water supply wetts that are no longer being used that need to be abandoned?
"'lRecommended)
Cross Connection Con-trol
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Yes No N/AUnk
ls an adequate cross connection control program provided and imptementedT (Community
testing,ability to discontinue service, 10 days to repoir a failed device)
CSL Notes
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', 24.|s the operator trained in cross connection control? (Recommended)Add
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25 Are atl backflow preventers owned by the PWS tested annualty?
@!es: Ihis PWS does not own any testable bockflow preventers.Edit
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Are there any known unprotected cross connections? (Submerged blow-offs, direct
26. connections to storm or sewer droins, connection to unopproved source, uncontrolled fire
hydrant use, treatment bypass with raw water, etc.)
,, Are atl non-potable mains, hydrants, and taps easily identified as such?'' ' Notes: There are no non-potable mains, hydrants or taps.
t, tio air.t urge piping on atl air valves protected from contamination? (Prevent surface
78.water entry and backflow, open downward,24 mesh screen, etc.)
Notes: There are no oir valves ossociated with the Distribution System.
"o Are bulk water stations provided with backftow protection measures?'" Notes, There are no bulkwoter stations associoted with this PWS.
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11116122, 1 :30 PM Sanitary Survey
Pump;
The questions, below, apply to oll Pumps.
Pump_Questions
PUmp--HgUSg pnly pump houses that doa't contain a Eraundwater Source")
,,0.fl:r:$t" any pump houses associated with this PWS that don't contain a Groundwater
11. Are atl pump houses protected from contamination? (Clean, good repair, etc.)
12. Are atl pump houses protected from unauthorized entry? ftocked, durable construction, etc.)
NolgThe pump house did not have a lock installed (Photogroph 10).
13. Do att pump houses have adequate tighting throughout?
14. ls adequate backftow protection provided on alt threaded taps/ hose bibs installed in any of
Yes No N/AUnk CSL Notes
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E0006523 EAST WELL WL Suumersiutel
Pump Capacity: Unknown
High/Low Set Points:
Unknown
NO
E0009068 WEST WELL WL Subme,^sibtel
Pump Capacity: Unknown
High/Low Set Points:
Unknown
NO
wsF
State
Assigned
lD (Tag)
Facility
Type
(WL or
PF)
Description
(e.g. 1.5HP. Low/High set
points: 25175psil
Comments
(e.9. Emergency power is
a propane generator)
Pump TypeName Pump
Capacity
Auxiliary
Power
Yes No N/AUnk csL
,. Do any of the pumps cycle > 6 times per hour? (Recommended)
Notes: Both pumps are cycling excessively, mentioned in the previous survey
Are atl pumps in good repair? (excessive noise, vibration, heat, odors, Ieaks, etc.)
3. Are spare parts readily avaitable for critical pump components?
ls each pump equipped with an accessible check valve? (on the discharge side before the shut
O.off valve)
Notes; A check valve has not been installed in the East pump vault or the West pump vault which was supposed
, noru been corrected in the previous sanitary survey.
U. Are isotation vatves provided on the discharge side of the pump?
Notes: West Well
6. ls a working pressure gauge installed on the discharge line of a[[ pumps?
, ls a working ftow meter provided for each pump? (Required if pump is connected directly to' ' the distribution system)
,. ls a[[ pump lubrication oil ANSI/NSF 61 approved?
Notes: There are no pumps associated with this PWS thot require oil lubrication.
ls an air/vacuum retief vatve provided for each vertical turbine pump and is it protected from
9. contamination? (Open downward, 24 mesh screen, air gap, etc,)
There are no vertical turbine ossociated with this PWS.
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15
Sanitary Survey
the pump houses?
lbggi None ol the threaded tops have backflow prevention devices instolled (Photographs 8 and 15)
Are there signs of excess heat, moisture, or corrosion damage in any of the pump houses?
(l nadequate ve nti lation )
No1lg;There is standing water (excessive moisture) in the West Well Vault from a leoking isolation valve
(Photographs 14, 15, and 16).
, ,, Are there signs or a history of pump house equipment freezing in any of the pump houses?
'o' llnadequate heating)
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j n, Are att pump houses protected from ftooding and surface water entry? (Drained, ground
"' surfQce graded to lead surface water away, etc.)
, , ; I 13. Do the floor drains discharge > 30 feet from any well in att of the pump houses?
no Does an unprotected cross connection exist due to the ftoor drain connection in any of the
''' pu*p houses? (Connected to sewer, storm drains, etc.)
Auxi li ary-Pstuellj n'i ts-(AP U )
C o m m u n i tylyjlem s-Qnly-
APU on a Well Lot Only
Yes No N/AUnk
', 20. Does the PWS have anY APUs?
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, 21. Are att APUs tested regutarty? (Recommended)
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r , 22.For att APUs, is a working automatic power transfer switch provided?Add
Yes No N/AUnk CSL Notes
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: 23. Can the fTfflt*
PWS adequatety pressurize the distribution system during a power
Do the APUs power a[[ essential etectrica[ functions in the pump houses and the pumping
24. stations (pump, controts, treatment, etc.) and pressurize the system for a minimum of 8
hours?
Yes No N/AUnk
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25. Are there any auxitiary power units located on a wetl [ot?
26. Are the fuet tanks above ground or otherwise accessible for leak inspection?
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:, 27.ls secondary spitt containment provided for att fuet tanks? (110% of fuel tonk volume)" Add
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28. Does a certified operator observe fitting of the fuel tank(s)?Add
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29. ls engine exhaust directty discharged to the outside atmosphere for all APUs?' Add
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11116122, 1 :30 PM Sanitary Survey
Financial/ Mana gerial
Fi nancia I CapagtySuestion s
Ma n ge ri a I Ca pagrly_Qu esti o n r
Review th e fo I lowi n g with the Owner/Opsratqlrdh€re_eppfsable
Review the following Sample_Sjtrng Plans with the Owner/Op€ratolwherc_appjca$e
Yes No N/AUnk
20. RTCR Sample Siting Ptan EDMS#:
21. Have any changes been made to the RTCR schedute or sampting tocation?
22. PBCU Sampte Siting Ptan (C and NTNC onty) EDMS#:
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Yes No N/AUnk
': 1. ls the PWS current with the payment of drinking water fees?
,. ls the user charged for drinking water?
Notes: Users are chorged an annual fee of 5280.
r Has an independent financial audit of the PWS been conducted, or has the SiMRT Financial-' Tool been compteted? (Recommended)
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4. Does this PWS have a governing body or board of directors?Add
Add5. Does the board meet routinety? Frequency:weekly
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6. Cross Connection Control Pl,an (C only) EDMS#:
7. Asset Management Ptan (C and NTNC) EDMS#:
8. Operation and Maintenance Manua[ (C and NINC) EDMS#:
9. System Classification Worksheet (C and NINC)
10. Operator Licensing lssues (C and NTNC)
11. Emergency Response Ptan (PWSs with a population , 3300)
12. PWS lnventory lnformation
1 3. Monitoring Schedu[es
14.Sampte History fiCR and Non-TCR) - Past 5 Years
15. Viotation History - Past 5 Years
,,U. Comptiance Schedutes - pending and overdue
Notes: At the time of the inspection, this PWS has no pending or overdue compliance schedules.
,'r. Pubtic Notifications - ongoing/currently required
Notes: At the time of the inspection, this PWS has no current or ongoing Public Notification required.
,'r. Chtorine Residual History - Past 5 years
Notes: At the time of the inspection, this PWS does not chlorinate.
19.Monthty Operating Reports (MORs)
At the time of the inspection, this PWS is not to submit llORs.
EDMS#:
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Sanitary SurveY
23. Have any changes been made to the PBCU schedute or sampting location? (C and NTNC only)
24.DBP Sampte Siting Ptan EDMS#:
Notes: At the time of the inspection, this PWS does not chlorinate-
25. Have any changes been made to the DBP schedute or sampling location?
26 POU Sampte Siting Plan EDMS#:
Notes: At the time of the inspection, this PWS does not have any Point of use units.
27. Have any changes been made to the PoU schedute or sampting location?
Records Management Suestions
Manageria[ P-lans Questions
Q p eralg!:.saf ety-Qu e s t i o n s
11116122,1:30 PM
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CSL NotesYes No N/AUnk
Do att Sampte Siting Ptan(s) meet the minimum requirements?
28. Nofes: The system owner does not have a current written sample siting plan that meets RTCR requirements
(40 cFR 141.853.a). An RTCR sample siting plan needs to be developed and implemented
Are samples being taken in accordance with the Sampte Siting Ptan(s)?
29. Notes: RTCR monitoring samples ore not being taken in occordonce with the approved sample siting plon (40
CFR 141.853.a).
Are records retained onsite or nearby for the minimum time requiredT (TC-Syr; chem/rad-
30. Mlr; violotion corrective actions-3yr; sanitary surveys-I}yr; waiver, vQriance, or exemption
determinations- Syr ; PNs issued-3 yr; doi ly f ree chlorine resi duals- I yr)
". ls there a customer complaint system and ongoing pubtic information program?
"'' (Recommended)
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. 32. ls there a recognized organizational structure and management for the PWS?
"" ls there an overall operation and maintenance manual for the PWS? (including equipment
""' manuals, as-builts, SOPs, manufacturer's literature, etc.)
. : 34. Does the PWS have an Asset Management Ptan? (Recommended)
35. Does the PWS have an Emergency Response Plan? (Community PWSs > 3300)
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Yes No N/AUnk
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37 Does a safety concern exist for personnel and/or visitors? (PPE, handrails/guardrails,Add' Iadders, non-slip triads, etc.)(0)
38.ls there a potential shock hazard because the etectricat wiring appears to be inadequately
protected?
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39. Are protocots fottowed for any confined space entry? (Recommended)Add
(0)
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Photog raph ic Documentation
lnspection Date(s): Thursday, October 20, 2022
Facility lDzlD7220007
Name of Facility: Aspen Ridge
lnspector(s): Kelsey Carter
Purpose of lnspection: Sanitary Survey
State of ldaho
Department of Environmental Quality
ldaho Department of Environmental Quality
Photographic Documentation For: Aspen Ridge - ID722O0O7
Table of Photographs:
Photograph 1: East Well casing extended more than 18 inches from the ground surface. The
well cap is loose with none of the bolts being secured
Photograph 2: East WellTag E0006523..
Photograph 3: The area surrounding the well and proximity to the pump vault. The well sits
approximately 10 feet from the road. There is an adequate pump to waste installed with a
capped end. The pump vault is not kept secured with a |ock........... ..........4
Photograph 4: Overall view of the East Well pump vault with a single pressure tank and a
chlorinator. ......
Photograph 5: Flowmeter in stalled reading 80,586,700 gallons.
Photograph 6: Chlorine injection is in place if ever needs, but is currently inactive. PVC and
galvanized steel distribution lines and isolation va|ves............
Photograph 7: Working pressure gauge displaying 66 psi. ......
Photograph 8: Threaded sample tap with a hose attached with no backflow prevention device
installed..........
Photograph 9: A pressure reading was taken from the home closest to the East Well. The
reading was 60 psi
Photograph L0: The West pump house and the area surrounding. The well is located directly
behind the pump house, meeting all setback requirements. There are no locks installed on the
pump house
Photograph L1: West Well has loose bolts and the sanitary seal is not fully intact. The casing
extends the required 18 inches above the ground surface to minimize contamination..............
Photograph 12: WellTag E0009058
Photograph L3: The well cap is vented but it is missing the required screen to prevent
contamination......
Photograph 14: Overall view of the west pump vault, inside the pump house. The vault contains
two Flex2Pro pressure tanks that have been installed since the previous sanitary survey. There
are no isolation valves on the pressure tanks. There is an installed flowmeter and pressure
gauge. The pressure gauge was reading 50 psi and the flowmeter displayed 46,720,600.
Standing water can also be seen in the photograph .............10
Photograph 15: There is a thread smooth nose sample tap installed on the pump to waste line,
a backflow prevention device is needed. There is a leak in the pump vault, likely coming from
the pump to waste valve failing.LL
3
3
,4
.5
.5
.6
6
7
7
.8
.8
..9
Photograph 15: Pump to waste is not capped or screened and is currently leaking back into the
pump vau|t.............72
2
Photograph 1: East Well casing extended more than 18 inches from the ground surface. The well cap is
loose with none of the bolts being secured (Significant Deficiency).
Photograph 2: East Well Tag E0006523
ldaho Department of Environmental Quality
Photographic Documentation For: Aspen Ridge - \D722OOO7
Photograph 3: The area surrounding the well and proximity to the pump vault. The well sits approximately
10 feet from the road (Deficiencfl.fhere is an adequate pump to waste installed with a capped end. The
pump vault is not kept secured with a lock (Significant Deficiency).
Photograph 4: Overall view of the East Well pump vault with a single pressure tank and a chlorinator
4
ldaho Department of Environmental Quality
Photographic Documentation For: Aspen Ridge - \D722OOO7
photograph 5: Flowmeter installed reading 80,586,700 gallons. There is not an accessible check valve
prior to the flowmeter (Significant Deficiency).
photograph 6: Chlorine injection is in place if ever needed but is currently inactive. DEQ must be notified
prior tJ use of chlorination. PVC and galvanized steel distribution lines and isolation valves.
5
ldaho Department of Environmental euality
Photographic Documentation For: Aspen Ridge - \D722OOO7
Photograph 7: Working pressure gauge displaying 66 psi.
6
Photograph 8: Threaded sample tap with a hose attached with no backflow prevention device installed(S ig n ificant Defi ciency).
ldaho Department of Environmental Quality
Photographic Documentation For: Aspen Ridge - ID722OOO7
Photograph 9: A pressure reading was taken from the home closest to the East Well. The reading was 60
psi.
Photograph 10: The West pump house and the area surrounding. The well is located directly behind the
pump house, meeting allsetback requirements. There are no locks installed on the pump house
(Significant Deficiency).
7
ldaho Department of Environmental Quality
Photographic Documentation For: Aspen Ridge - \D722OOO7
Photograph 1 1: West Well has loose bolts and the sanitary seal is not fully intact (Srgn ificant
Deficiency). The casing extends the required 18 inches above the ground surface to minimize
contamination.
Photograph 12: WellTag E0009068
8
ldaho Department of Environmental Quality
Photographic Documentation For: Aspen Ridge - |D722OOO7
Photograph 13: The well cap is vented but it is missing the required screen to prevent contamination
( S i g n tf i ca nt D ef i ci en cY)
9
ldaho Department of Environmental euality
Photographic Documentation For: Aspen Ridge _ 1D7ZIOOO7
Pholo-graph 14: overall view. of the west pump vault, inside the pump house. The vault contains twoFlex2Pro pressure tanks that have been instatteo silce tnJ pi"tilor" sanitary survey. There are noisolation valves on the pressure tanks (sign ificant Defici"icij.Tnere is an installed flowmeter andpressure gauge. The pressure gauge was reading 60 psi anoi-ne flowmeter dirpr"V"o +0,220,600.standing water can arso be seen iritne photografih ldignniianti oeficieniy).--'-r -- ]
l0
ldaho Department of Environmental Quality
Photographic Documentation For: Aspen Ridge - ID722OOO7
photograph 15: There is a thread smooth nose sample tap installed on the pump to waste line, a backflow
preveition device is needed (Significant Deficiency). There is a leak in the pump vault, likely coming
from the pump to waste valve failing (Significant Deficiency).
11
ldaho Department of Environmental Quality
Photographic Documentation For: Aspen Ridge - \D722OOO7
Pholog_raph 16: Pump to waste is not capped or screened and is currently leaking back into the pump
v aull (S ig n ifica nt Defici en cy).
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RTCR Sample Instructions
RTCR Sample lnstructions
Selecting SamPle Locations
Contaminants like coliform bacteria may not be uniformly distributed, so it is critical that the
location(s) selected provide samples that are most representative of the water served to
customers in the PWS's entire distribution system. lt is especially important to identify and
include in the sample siting plan those features of the system that may affect the
microbiological quality of the water. PWSs should consider varying sample site locations
throughout the year to better characterize water quality throughout the distribution system
When selecting sample locations, PWSs should consider:
. Sites that best represent water served to customers throughout the distribution system;
. Proximity to main transmission lines, pressure zones and storage tanks;
. Locations of dead-end pipes, loops and other areas of the piping system's configuration;
. Pressure zones that are upstream and downstream of all storage tanks;
o Cross-connection hazards;
. seasonal customers or locations with inconsistent water use;
. Areas of the distribution system delivering water from different sources;
. Areas of the distribution system with longer retention times; and
. Areas of the distribution system with low water pressure and slow water movement.
Generally, sample locations should be:
. At a mid-distribution system point;
. Not on the transmission lines (e.g., the distribution system's largest pipes);
o Directly after the storage tanks, specifically for tanks with direct or flow through design (e.g.,
separate pipe for inlet and outlet); and
. Multipurpose samPle locations.
o lf consistent with each rule, sample locations can be used for compliance with multiple
drinking water regulations. For example, compliance monitoring for Total
Trihalomethane and Haloacetic Acid under the Disinfectants and Disinfection Byproduct
Rules.
Repeat Sample Actions
Within 24 hours (unless an extension is granted by the primacy agency) of notification of a totalcoliform-positive (TC+)sample result, a pWS must:
r collect 3 repeat samples for each TC+ routine sample, even if a Level L or Level2 Assessment
is triggered.
r Continue collecting a set of 3 repeat samples until, either TC is not detected in one completeset or the system triggers a Level L or Level 2 Assessment.
PWS's must collect at least 3 repeat samples at the tocations described in their sample sitingplan that include:
' one (1) at the same sample tap where the original TC+ sample occurred,
' one (1) at a tap within five (5) service connections upstream of the original TC+ site, and' one (1) at a tap within five (5) service connections downstream of the original TC+ site.
Selecting Sampling Taps
Faucets and specially installed sampling taps are the two most common types of sampling sites.lf faucets are to be used, each faucet should be examined carefully to ensure its suitability.Some examples of potentially unsuitable faucets are:
o swivel-type faucets because they are difficurt to disinfect;. Faucets with a single valve for hot and cold water;
' Faucets or taps with leaky packing material around the stem;
o Faucets that supply areas, such as janitorialor commercial sinks, where bacterial
contamination is likely;. Faucets or taps close to or below ground level;r Faucets that point upward;
' Faucets that have threads on the inside of their spouts because they are difficult to disinfect;. Outdoor faucets; and
r Faucets with aerators because they may harbor bacteria. lf such faucets are used, it isrecommended that the aerator should be removed before a sample is collected and disinfectedbefore replacing it.
PrintForm
of Environmental QualitY Total Coliform SamPle Siting Plan Formldaho Department
Total Goliform Sample Siting Plan
for Small Systems
Part 1. General System Information
This form is intended to assist public water system (PwS) owners and o-perators with.develooins a total coliform
sample siting plan. This form is designed ror sys.tems. ta[ing three r"tiprl.i .""rr-tg"tq o, .uih q"uarter (serving <3'300
people). Using this fbrm is optional. Ho*.u"i,'uilpublic witer.sy.stemlre-1e9yl1gA.lqryy.. a written sample siting plan
in afcordanci*ith ttr.';'lOlf'rb nrt"r for Public Water Systems" (IDAPA 58.01 .08. 100'01)'
PWSID:PWS Name:
Mailing Address
PWS ContactName
E-mail Phone
Sources of Water:
Identify sources of
drinking water and
attach additional
sheets as necessary
Emergency Contact Name:
E-mail:Phone
PWS Type: ! Community (cws) f Nontransient noncommunity (NTNC) [ Noncommunity transient (ltlcT)
Noncommunity Seasonal System: I No f Yes* If yes, season open close
* Seasonal systems are required to perform annual start-up procedures prior to opening for the season unless exempted in writing'
Source/FacilitY ID
Name of drinking water source(s): well tag #
name, spring name, intake source
Source TYPe
GW--ground water, SP--sPring,
SW--surface water, GU-ground
water under the influence of SW,
P--purchase water from other system
Usage
P-permanent (full/time),
E--emergency (not Planned
for use), I-interim to meet
peak demand
4Jog Virus
Inactivation*
Source has continuous
disinfection to provide
4-1og virus inactivation
f Yes CNo
2 C Yes CNo
J f Yes CNo
4.C Yes CNo
ater
Phone
source water alogrus
total coliform positive samPle TS required when a system using ground water does not have 4-log virus
inactivation for all ground water sources
Manifold: List sources that
combine before distribution
Disinfection Treatment Installed/using: f None f Chlorine L] chloramination I chlorine dioxide I ozone
(check all that aPPIY)
Owner/Operator Name:
Signature:
Version 1.0
Date:
Page 1 of4
PrintForm
ldaho Department of Enviro nmentalQuality
Part 2. Sampling Location Information
TotalColiform le Plan Form
I U
D
2.U
D
3.U
Debruary I U
D
2.U
D
U
D
I U
D
Month Routine Sample Location
(address, sample station name)
Repeat sample
within 5(u connections fromupstream routine,D within 5 connections downstream from routine
lst
A
R
E
R
a
a
U
T
2.U
D
3.
2.
3
U
D
U
D
U
D
U
D
U
D
2.U
D
J U
D
U
D
2 U
D
J U
D
Version 1.0 Page2of 4
PrintForm
ldaho Department of Environmental Quality TotalColiform Samp le Siting Plan Form
U
D
2.U
D
U
D
U
D
-t
2.U
D
J
September I
U
D
U
D
2.U
D
(U: within 5 connections upstream ffom routine,
D : within 5 connections downstream from routine)
Repeat locations
Month Routine Sample Location
(address, sample station name)
3rd
4th
a
U
A
R
T
E
R
-t-
October I
U
D
U
D
2.U
D
U
D
U
D
3
2 U
D
J
2.
J
U
D
U
D
U
D
U
D
Version 1.0 Page 3 of 4
PrintForm
ldaho Department of Environmental Quality TotalColiform Sample Siting Plan Form
|{,91 quUtiq water.system owners or operators are not rgqqired to submit total coliform sample siting plans. Thetollowing circumstances require submittal and approval of your sample siting plan by your iocal fieirl'office:' Owners and operators who.wish to propode altemative fixed sbmple siies or ci,neriafor selecting iitii'Uasea onsituational information. This information needs to be written into a standard operating pro..du.E ur purt oiitr"plan.' Operators or owners of seasonal systems using only ground water and on monthly monitoring that quali$r for andwish to take quarterly samples.
Other considerations:' Attach a schematic of the distribution system with locations marked for sample sites and other relevant watersystem information such as wells, storage tanks, booster stations, etc.' Ensure the entire distribution system isiepresented when identifying sampling locations.' If there are two or more disjribution systems and those distribution systems a[ not interconnected, please ensuresamples.are taken from each distribution system during each compliince period (month or quarterj.'' If a.routine.sampling location is at the end-of the distriEution syst6m or orie servibe connection aw'ay from the endof the distribution system, identify an alternative upstream or downstream sampling toiaiion from tirat routi*location.' Repeat samples must be collected within 24 houls_of being notified of a routine positive sample result and must betaken the same day at different sites. However, if there i1.g'nly one sampling locdtion, .u"tr ur'*iifr u-.u-pgiburA,please identiff whelhe^r yo_u will take_ one repeat total coliform sample per d'uy for three consecutive d"F'o?; -_
larger sample size (300 mL) on one day.' Public water systems that use only ground water and {9 not provide 4-log virus inactivation are required to taketriggered. source water samples aftei.a routine total coliform positive sam"ple result. The samples rilrt 6; t;[;;from each source active at the time the routine sample was taken and muslt be taken before airy treatment (rawwater).
Version 1.0 Page 4 of 4
From:[e-mail]
To:Carlin Feisthamel
Cc:Jason Fales; Kelsey Carter
Subject:Valley View
Date:Monday, January 23, 2023 6:04:57 PM
Importance:High
CAUTION: This email originated outside the State of Idaho network. Verify links and attachmentsBEFORE you click or open, even if you recognize and/or trust the sender. Contact your agencyservice desk with any concerns.
Island Park Water Company, Inc.
208-521-2369
[e-mail]
Attention Carlin Feisthamel
Carlin,
Just to keep you in the loop and also to dispute the " false claims being made to all of
us by Nancy Rumsey and anonymous caller" (*which I discussed on Friday with
Jason Fales, we want to inform you the following actions by Island Park Water.Our deep concern remains that Ms Rumsey claims that DEQ is reaching out to her,
contacting her with 'proof" as well as the PUC.. None of which has been provided to
IPWC and according to Jason, not to DEQ and correspondence. from PUC also had
no proof as to her additional statements and claims.
Island Park Water Operator in Charge (Roger) sent a crew today to Valley View. There areNO open roads into Valley View. It required they rented snowmobiles to have access. Wehad been previously coordinating with a customer who volunteered to help with hissnowmachines, and had anticipated getting in there soon, but he cancelled due to the snowdepths. We will continue to work with those who volunteer in the future.
Today: We confirm the following to be accurate.
The only access to the wells was by renting snowmachines. The snow depths in
Valley View on the lower levels I am told are about 4 ft deep to approximately 6-7ftdeep and higher, especially on upper levels. It was extremely difficult to walk around
as they were sinking hip/waist deep. The incline in Valley View is extremely steep and
narrow and it was very difficult to get to the upper well, but they were able to get to
the upper well I am told with much difficulty. Also, note, there is NO evidence ofanyone inhabiting any homes that Island Park Water serves. in Valley View. The
depth of snow and equipment rentals etc. made this a very costly endeavor.
At the upper well (No. 1) they were able to address the Pump to Waste open
valve issue. We now can confirm the Pump to Waste valve is propery turned
off, the cap replaced.!!! The well is completely operational. The pressure in
the upper well is 60 psi.
Exhibit CC
*Among our concerns are previous statements made to both DEQ and PUC by
Nancy Rumsey when she provided information to both DEQ and PUC thatdiffered from fact and differed to each entity, when she stated that the pump to
waste valve on the upper well had successfully been turned off and there was
water pressure increased due to this. As far as we can confirm these
statements by Nancy are absolutely false statements regarding pump to waste,she would not have been able to read the psi in the wells and said with no proof
whatsoever. No evidence was provided to any of us, rather hearsay. We asked
her for proof and she said" she was being contacted directly by both the PUC
and DEQ and they had the proof." We found this very concerning and told herso. We do not believe this to be true
The lower well ( No. 2) was checked out as well.! The pressure in the lower wellis 70psi.!!! The well was running and operational when they got to this well.
The PSI at the lower well (No. 2) was 70 psi. The well was pumping water as it
should have. The well was covered in deep snow. However, I am told there
were tracks around the well and it appears someone was trying to locate thewell.
When they were able to get into the lower well it was completely operational
and running. The pump to waste was in fact capped and the valve turned off. (Again, contrary to what Nancy Rumsey Claimed) There was NO WATERflowing out of the lower well nor was there any evidence an any water. Snow
packed and no flooding from the lower well per her most recent claim at the
lower well = again Nancy claimed she was told this by DEQ and PUC reachingout to her to inform her.
The snow depths are of minimum of about 4-7 feet deep, and No evidence of
any occupancy within the area served by IPWC, which is ' completely normal'for this time of year. There are no plowed roads into the subdivision areaserved by us. Only access is via snowmobile. Again why the subdivision was
originally designed for summer usage with water provided 05/15/00 each year
to 09/30/00 each year.
We are deeply concerned as to the erroneous and embellished statements being made by Nancy Rumsey, especially that DEQ and PUC is contacting her directly,most recently telling her that the lower well was now flooding and pump to waste open.and moreso given this information didn't come to us directly. When we asked forpictures for proof,, she said DEQ and PUC contacts her directly and provides herwith proof and updates. .
Jason assured me that this is NOT correct, and in fact the flow of information comesfrom her or anonymous caller to PUC being then forwarded to DEQ - again with noproof, hearsay.
Thank you very much for your help and co-operation.
Again, we wanted to update you.
Feel free to contact me with any questions.
Have a great day,
Dorothy McCartyIsland Park Water Company,

From:Shayla Halstead
To:DOROTHY MCCARTY ([e-mail])
Cc:Troy Saffle; Carlin Feisthamel; Jason Fales; Kelsey Carter; Lisa Cawley
Subject:Sanitary Surveys for Aspen Ridge Subd. (ID7220007), Goose Bay Subd. (ID7220030), Valley View Subd.(ID7220156)
Date:Thursday, November 17, 2022 5:01:50 PM
Attachments:ID7220156 VALLEY VIEW SUBDIVISION - ID7220156 SANITARY SURVEY CONDUCTED ON 10202022.pdfID7220030 GOOSE BAY ESTATES - ID7220030 SANITARY SURVEY CONDUCTED ON 10202022.pdfID7220007 ASPEN RIDGE SUBD - ID7220007 SANITARY SURVEY CONDUCTED ON 10202022.pdf
Please see the attached document for the Sanitary Surveys conducted on 10/20/2022 at Aspen
Ridge Subd. (ID7220007), Goose Bay Subd. (ID7220030), and Valley View Subd. (ID7220156). Please
contact Kelsey Carter [e-mail] or call 208-528-2650 if there are any questions.
Thank you,
Shayla Halstead
Shayla Halstead | Administrative Assistant I
Idaho Department of Environmental Quality
900 N Skyline Dr #B, Idaho Falls, ID, 83402
Office Phone: [phone]
www.deq.idaho.gov
Our Mission: To protect human health and the quality of Idaho’s air, land, and water.
Exhibit D
From:Shayla Halstead
To:DOROTHY MCCARTY ([e-mail])
Cc:Troy Saffle; Carlin Feisthamel; Jason Fales; Kelsey Carter; Lisa Cawley
Subject:Sanitary Surveys for Shotgun Cherokee Subd. 5 (ID7220063), Shotgun Kickapoo Subd. 6 (ID7220064), ShotgunNorth (ID7220065), and Shotgun South Stevens Lane (ID7220066)
Date:Thursday, November 17, 2022 5:06:08 PM
Attachments:ID7220064 SHOTGUN KICKAPOO SUBD 6 - ID7220064 SANITARY SURVEY CONDUCTED ON 10192022.pdfID7220065 SHOTGUN NORTH - ID7220065 SANITARY SURVEY CONDUCTED ON 10192022.pdfID7220066 SHOTGUN SOUTH STEVENS LANE - ID7220066 SANITARY SURVEY CONDUCTED ON 10192022.pdfID7220063 SHOTGUN CHEROKEE SUBD 5 - ID7220063 SANITARY SURVEY CONDUCTED ON 10192022.pdf
Please see the attached document for the Sanitary Survey conducted on 10/19/2022 at Shotgun
Cherokee Subd. 5 (ID7220063), Shotgun Kickapoo Subd. 6 (ID7220064), Shotgun North (ID7220065),
and Shotgun South Stevens Lane (ID7220066). A hard copy will be sent. Please contact Kelsey Carter
[e-mail] or call 208-528-2650 if there are any questions.

Thank you,
Shayla Halstead

Shayla Halstead | Administrative Assistant I
Idaho Department of Environmental Quality
900 N Skyline Dr #B, Idaho Falls, ID, 83402
Office Phone: [phone]
www.deq.idaho.gov

Our Mission: To protect human health and the quality of Idaho’s air, land, and water.

900 N. Skyline Drive, Suite B
tdaho Falls, tD 83402 . [phone]
Brad Little, Governor
Jess Byrne, Director
January 24,2023
Dorothy McCarty
lsland Park Water Company
455 Constitution Way
ldaho Falls, ldaho 83402
water(Oida.net
RE: lsland Park Water Company Upcoming Compliance Deadlines
Dear Dorothy McCarty,
This is a reminder for lsland Park Water Company regarding upcoming compliance deadlines:
Failure to Address Significant Deficiencies for the following systems:
L PWS 1D7220063 Shotgun Cherokee Subdivision 5 (Overdue as of t2l3tl2022l:
o Question #28: Do all the Sample Siting Plan(s) meet the minimum requirements? No.
r Questions #29: Are samples being taken in accordance with the Sample Siting Plan(s)? No.
2. PWS 1D7220064 Shotgun Kickapoo Subdivision 6 (Overdue as of t2l3Ll2022l:
o Question #28: Do all the Sample Siting Plan(s) meet the minimum requirements? No.
o Questions #29: Are samples being taken in accordance with the Sample Siting Plan(s)? No.
3. PWS 1D7220065 Shotgun North (Overdue as of L2l3tl2022l:
o Question #28: Do all the Sample Siting Plan(s) meet the minimum requirements? No.
o Questions #29: Are samples being taken in accordance with the Sample Siting Plan(s)? No.
4. PWS 1D7220066 Shotgun South Steven Lane (Overdue as of t2lt1-l2022l:
o Questio n #28: Do all the Sample Siting Plan(s) meet the minimum requirements? No.
o Questions #29:Are samples being taken in accordance with the Sample Siting Plan(s)? No.
5. PWS 1D7220030 Goose Bay Estates (Overdue as of L2l3Ll2O22lz
e Question #28: Do all the Sample Siting Plan(s) meet the minimum requirements? No.
o Questions #29: Are samples being taken in accordance with the Sample Siting Plan(s)? No.
6. PWS 1D7220007 Aspen Ridge Subdivision (Overdue as of L2l3tl2022lz
o Question #28: Do allthe Sample Siting Plan(s) meet the minimum requirements? No.
o Questions #29: Are samples being taken in accordance with the Sample Siting Plan(s)? No.
7. PWS 1D7220156 Valley View Subdivision (Overdue as of t2l?Ll2022l:
o Question#28: Do allthe Sample Siting Plan(s) meet the minimum requirements? No.
o Questions #29: Are samples being taken in accordance with the Sample Siting Plan(s)? No.
A Tier 2 Public Notification is required to be delivered to all water users by Mondav, February 06, 2023.
Your first quarter 2023 compliance samples must be taken in accordance with the approved site sampling plan. You are
still required to submit compliance samples for the first quarter of 2023.
Corrective Actions identified in the Tier 2 Public Notification were to have the Site Sampling Plan submitted to DEQ for
approval by Fridav, Januarv 30, 2023.
Exhibit DD
First quarter 2023 bacteria compliance samples will be required for all of lsland Park Water Company's Public Water
Systems by Fridav, March 31, 2023, including Goose Bay Estates. Your monitoring schedule has been updated and can
be accessed using the Public Drinking Water Switchboard.
Valley View Subdivision was activated as Public Water System on August 09,2022, after an onsite evaluation was
completed. A Public Water System is defined by ldaho Rules for Public Drinking Water Systems as a system that has at
least fifteen (15) service connections, regardless of the number of water sources or configuration of the distribution
system, or regularly serves an average of at least twenty-five (25) individuals daily at least sixty (60) days out of the year
Valley View Subdivision will be receiving a violation for failing to provide the required notifications or conducting the
required follow-up actions after the distribution system depressurized on December 14, 2022. ldaho Drinking Water
R-ules require anrT time the distribution srystem drops below 20 psi, the Public Water SrTstem owner must notifv DEQ,
provide a public notice to affected customers within 24 hours, and disinfect or flush the system as appropriate.
As-builts of Valley View Subdivision's current configuration of all three wells are required to be submitted to DEQ by a
Professional Engineer licensed in the State of ldaho no later than Mondav, Februarv 13, 2023.
The as-builts must include the locations and details of wells, mains, hydrants, valves, dead ends, and
connections. Details must specify the correct number of service connections, depth of water mains, materials,
and sizing.
An Operations and Maintenance Manual, including a specific Operating Plan for Depressurization Events, must be
submitted to DEQ no later than Mondav, Februarv 13, 2023. The Public Water System will then be accountable for
implementing and operating the system in accordance with the approval and executing the approved plan during any
future depressurization events. The requirements for Operations and Maintenance Manuals and Operating Plans for
Depressurization Events can be found in the ldaho Drinking Water Rules IDAPA 58.01.08. DEQ does not maintain
templates for Operations and Maintenance Manuals or Operating Plans.
All 93 Sanitary Survey significant deficiencies identified in lsland Park Water Company's Public Water Systems on
October L9 and October 20,2022, must be corrected by Fridav, June 30, 2023. No extension will be granted as they may
impact the public health of individuals in the subdivision. Dates have already been extended past the standard 120 days
due to weather conditions in lsland Park. Deficiencies must also be addressed in a timely manner and are not
suggestions. Provided recommendations should also be reviewed.
It is the water system purveyor's responsibility to upgrade and maintain the system in a manner that capacity and water
demand can be supported. lsland Park Water Company is responsible for providing accurate information to the
Department and water users. Water system owners are accountable for operating their public water system in a manner
that provides safe and potable water, with adequate pressure. Failing to complete any of these outlined compliance
deadlines will result in further actions by DEQ.
lf you have any questions or need clarification, please feel free to contact me Monday-Friday 7:30 am -4:30 pm at
Kelsev.carter(Odeq. idaho.sov or [phone].
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
C:Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEQ-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEQ-IFRO
Travis Culbertson, ldaho Public Utilities Commission, [e-mail]
Jon Kruck, ldaho Public Utilities Commission, [e-mail]'gov
Chris Hecht, ldaho Public Utilities Commission, [e-mail]
Chris McEwan, ldaho Public Utilities Commission, [e-mail]
Curtis Thaden, ldaho Public Utilities Commission, [e-mail]
Jolene Bossard, ldaho Public Utilities Commission, [e-mail]
Roger Buchanan, Buchanan Well Drilling lnc., Roger@and rewwelldrilling.com
From:Shayla Halstead
To:Kelsey Carter
Subject:FW: Sanitary Surveys for Shotgun Cherokee Subd. 5 (ID7220063), Shotgun Kickapoo Subd. 6 (ID7220064),
Shotgun North (ID7220065), and Shotgun South Stevens Lane (ID7220066)
Date:Friday, November 18, 2022 8:06:49 AM
Just so you know.
From: [e-mail] <[e-mail]>
Sent: Thursday, November 17, 2022 6:54 PM
To: Shayla Halstead <[e-mail]>
Subject: Re: Sanitary Surveys for Shotgun Cherokee Subd. 5 (ID7220063), Shotgun Kickapoo Subd. 6
(ID7220064), Shotgun North (ID7220065), and Shotgun South Stevens Lane (ID7220066)
CAUTION: This email originated outside the State of Idaho network. Verify links and attachmentsBEFORE you click or open, even if you recognize and/or trust the sender. Contact your agencyservice desk with any concerns.
Shayla,
Could you please resend both emails and attachments for both to :
[e-mail] and [e-mail]
I can't forward the attachments to Roger. Buchanan. his email is as above
[e-mail] He is our operator in charge.
Thank you
Dorothy
On Fri, 18 Nov 2022 00:05:52 +0000, Shayla Halstead
<[e-mail]> wrote:
Please see the attached document for the Sanitary Survey conducted on 10/19/2022
at Shotgun Cherokee Subd. 5 (ID7220063), Shotgun Kickapoo Subd. 6 (ID7220064),
Shotgun North (ID7220065), and Shotgun South Stevens Lane (ID7220066). A hard
copy will be sent. Please contact Kelsey Carter [e-mail] or call
208-528-2650 if there are any questions.
Thank you,
Shayla Halstead
Shayla Halstead | Administrative Assistant IIdaho Department of Environmental Quality
900 N Skyline Dr #B, Idaho Falls, ID, 83402
Office Phone: [phone]
www.deq.idaho.gov
Our Mission: To protect human health and the quality of Idaho’s air, land, and water.
Exhibit E
January 31, 2023
Dorothy McCarty
Island Park Water Company
455 Constitution Way
Idaho Falls, Idaho 83402
[e-mail]
RE: Monitoring Schedule Change for Valley View Subdivision – PWS ID#7220156
Dear Dorothy McCarty:
This letter is to inform you that the Public Water System (PWS) Valley View Subdivision has an updated
monitoring schedule. Under the Revised Total Coliform Rule beginning April 1, 2016, the State must
perform a special monitoring evaluation during each sanitary survey to review the status of the system,
including the distribution system, to determine whether the system is on an appropriate monitoring
schedule. After the State has performed the special monitoring evaluation after each sanitary survey,
the State may modify the system's monitoring schedule, as necessary, or it may allow the system to stay
on its existing monitoring schedule, consistent with the provisions of this section.
It has been brought to the Department’s attention that several homes in Valley View Subdivision have
been identified as being connected to Well #3 on Herring Drive. There is also the additional service
connection of Henry’s Lake Gas Station. DEQ will not be involved in the ownership of the well located on
Herring Drive, this is a matter for civil court. It is DEQ’s responsibility to ensure the water coming from
Well #3 is safe for human consumption. Well #3 is located in the platted subdivision for Valley View on
Lot 21. The property is documented with Fremont County as being owned by Valley View Ranches
Incorporated. Homes connected to the distribution of Well #3 are also in the original subdivision plat as
part of Valley View. There is no documentation of the distribution of Well #3 and the distribution of Well
#1 and Well #2 being connected. During the recent depressurization event in Valley View, Well #3’s
delivery of pressurized water was not impacted. This is why it is imperative DEQ receives current as-
builts on the system from a licensed professional engineer in the State of Idaho by February 13, 2023.
Please confirm the licensed professional engineer Island Park Water Company will be working with and
have them reach out to our office for a date extension.
Well #3 has been added to the inventory for Valley View Subdivision, with its own distribution. Valley
View Subdivision will be defined as one public water system composed of three (3) groundwater sources
and two (2) separate distributions. It is currently unclear if previous samples had been taken from Well
#3’s distribution or the distribution of Well #1 and Well #2. Due to this change in the system’s
configuration, and Island Park Water Company’s claim of ownership of Well #3, there are changes to the
monitoring schedule. The owner of the well must demonstrate to the Department’s satisfaction that the
well site conforms to the requirements of Subsections 510.01, 510.02, and Section 512, the well is
constructed in a manner that is protective of public health, and that both the quantity and quality of
water produced by the well meet public water system standards set forth in these rules.
Exhibit EE
Although Island Park Water Company continues to state Valley View Subdivision is a seasonal system,
the system is a year-round public water system. The system does not shut down and depressurize in the
winter months. Residents have access to and use the water year-round. There will be no changes to the
dates the system is in operation. Operational dates will remain January 01 – December 31 every year. As
a year-round Public Water System Island Park Water Company must supply residents with safe, potable
water, with adequate pressure daily. Increased monitoring from both distributions will establish the
quality of the water being produced from the three wells.

Beginning February 2023 Valley View Subdivision will be required to complete monthly total coliform
monitoring from both distributions.
• One sample must be collected from the distribution of Well #1 (East) and Well #2 (West).
• One sample must be collected from the distribution of Well #3 (Herring).
A total of two bacteria compliance samples will be collected monthly from Valley View Subdivision. All
samples must be analyzed by an Idaho Certified Drinking Water Laboratory. A list of certified
laboratories is available on the Public Water System Switchboard.

Before December 31, 2023, a Nitrate and a Nitrite sample must be collected from each well’s provided
sample tap.
• Well #1 (East) Nitrate and Nitrite
• Well #2 (West) Nitrate and Nitrite
• Well #3 (Herring) Nitrate and Nitrite

After the collection of Nitrite samples from each well, Nitrite samples for the Public Water System will
be reduced, pending the results.

Your monitoring schedule has been updated and can be viewed at any time on the Drinking Water
Public Switchboard. I have attached a copy to this letter as well. After a period of 12 months, Island Park
Water Company can request a return to quarterly monitoring under IDAPA 58.01.08.100.01.d if all the
following requirements have been achieved:
• The system must have a completed sanitary survey, or
• A site visit (equivalent to a Level 2 assessment) by a qualified DEQ representative, or
• A voluntary Level 2 assessment by a party approved by DEQ, and
• Be free of sanitary deficiencies or defects, and
• Have a protected water source, and
• The system must have a clean compliance history as it pertains to the RTCR for a minimum of 12
months (i.e., no coliform monitoring violations, E. coli MCLs, or treatment technique violations).

Island Park Water Company must submit updated Sampling Site Plans for Valley View Subdivision to
reflect the change to monthly monitoring. A sample siting plan will not be waived and is required by all
Public Water Systems (40 CFR 141.853.a). A properly completed Sampling Site Plan must be submitted
before Valley View’s February compliance samples are collected. The Sample Site Plan must identify
two locations each month, one from each distribution. Sample locations will be monitored to ensure
each distribution is properly represented. There are known dead ends on the water system that must be
sampled periodically throughout the year and identified on the Sampling Site Plan. It is strongly
suggested Island Park Water Company contacts homeowners and makes them aware their address has
been selected to allow proper access for compliance samples. Homeowners on the provided sampling
site plan may be contacted by the Department to ensure they are complying with giving Island Park
Water Company access to collect compliance samples.

DEQ staff are currently working on getting accurate population and service connection counts for Valley
View Subdivision. Currently, the system is classified as a transient non-community system. A transient non-community system is defined by IDAPA as a non-community water system which does not regularly
serve at least twenty-five (25) of the same persons over six (6) months per year. Reclassification of this
Public Water System may occur based on data that is collected. It is our understanding that a number of
residents live in Valley View Subdivision greater than 6 months of the year with several listing their
homes in Valley View as their permanent address.

As a reminder, Island Park Water Company does not have the policing power to limit the number of
residents that occupy a home. In addition, rental permits are issued by Fremont County and cannot be
regulated by Island Park Water Company. Island Park Water Company is responsible for supplying water
to all platted lots in Valley View Subdivision Division #1. Rental properties are not considered
commercial use and must be supplied with water. In order for future lots to be sold as ‘dry lots’ an
amendment to the subdivision plat would need to be completed and approved. All homeowners in
Valley View Subdivision Division #1 have the right to be connected to the community well as the
designed plans were approved by DEQ.

Please feel free to contact me at [phone] or at [e-mail] if you have any
questions or need assistance.
Sincerely,

Kelsey Carter
Drinking Water Analyst
Idaho Falls Regional Office

c: Cassandra Lemmons, Drinking Water Compliance and Enforcement Supervisor, DEQ
Jami Delmore, Drinking Water Analyst, DEQ
Matthew McGlynn, Drinking Water Analyst, DEQ
Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEQ-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEQ-IFRO
Travis Culbertson, Idaho Public Utilities Commission, [e-mail]
Jon Kruck, Idaho Public Utilities Commission, [e-mail]
Chris Hecht, Idaho Public Utilities Commission, [e-mail]
Chris McEwan, Idaho Public Utilities Commission, [e-mail]
Curtis Thaden, Idaho Public Utilities Commission, [e-mail]
Jolene Bossard, Idaho Public Utilities Commission, [e-mail]
Roger Buchanan, Buchanan Well Drilling Inc., [e-mail]
DEQ Public Drinking Water System
Monitoring Schedule Report
Print Date: February 01, 2023

1D7220156 - VALLEY VIEW SUBDIVISION
Transient Noncommunity water system serving 40 people and 20 connections.
Regulated by: IDAHO FALLS REGIONAL OFFICE
The following schedules include monitoring periods between 1-1-2023 and 12-31-2023
Schedules for Distribution System(s)
Code Group/Analyte Name Monitoring Frequency
3100 COLIFORM (TCR) 2 per MN
Schedules for tag#: 000000016014 Please Label Sampling Point/Location as: "WELL #1 EAST WELL"
Season Begin Date Season End Date
1/1 12/31
Satisfied
Monthly
Code
ZN02
ZN03
Group/Analyte Name
NITRITE
NITRATE
Monitoring Frequency
1 per YR due between 01/01/2013 and 12/31/2023
1 per YR due between 01/01/2023 and 12/31/2023
Season Begin Date Season End Date
n/a n/a
n/a n/a
Satisfied
NO
NO
Schedules for tag#: 00000001ss39 Please Label Sampling Point/Location as: "WELL #2 WEST WELL"
Code
ZN02
ZN03
Group/Analyte Name
NITRITE
NITRATE
Monitoring Frequency
1 per YR due between 01/01/2023 and 12/31/2023
1 per YR due between 01/01/2023 and 12/31/2023
Season Begin Date Season End Date
n/a n/a
n/a n/a
Satisfied
NO
NO
Schedules for tag#: 000000016192 Please Label Sampling Point/Location as: "WELL #3 HERRING"
Code
ZN02
ZN03
Group/Analyte Name
NITRITE
NITRATE
Monitoring Frequency
l per YR due between 01/01/2023 and 12/31/2023
1 per YR due between 01/01/2023 and 12/31/2023
Season Begin Date Season End Date
n/a n/a
n/a n/a
Satisfied
NO
NO
"*FUTURE" in t11e "Satisfied" column indicates the sampling requirement begins sometime in the future. Sampling before the monitoring period begin date will not satisfy t11e requirement for the monitoring period. "'See CO" in the "Satisfied" column indicates tt1e operator needs to contact his or her compliance officer (CO) to verify tllat samples have been taken and the sct1edule has been satisfied. 11\tlPORTANT NOTICE: This monitoring schedule is provided to you as a courtesy and is current as of February 01, 2023 Surface water systems and systems that are disinfecting have additional sampling that is not reflected in this monitoring schedule repot-t. This monitoring schedule may be changed or modified as needed. This monitoring schedule does not show past unfulfilled schedules for wllich violations may exist. Please revisit the monitoring schedule tool and review the system's monitoring schedule prior to sampling to ensure compliance with the most current monitoring requirements. Contact you,· public water system regulatintJ agency if you have any questions.
Date Printed: Wednesday, February 01, 2023 Page 1 of
From:Kelsey Carter
To:[e-mail]
Cc:[e-mail]; Jason Fales
Subject:Corrective Action Plan for Significant Deficiencies
Date:Friday, December 16, 2022 12:04:00 PM
Hi Dorothy and Roger,
Just wanted to send a friendly reminder that the corrective action plan for Shotgun South
Stevens Lane (PWSID7220066), Shotgun North (PWSID7220065), Shotgun Kickapoo Sudb 6
(PWSID7220064), Shotgun Cherokee Subd 5 (PWSID7220063), Goose Bay Estates
(PWSID7220030), Aspen Ridge Subd (PWSID7220007), and Valley View Subdivision
(PWSID7220156) are due Monday, December 19, 2022, by end of the day. Consultation and a
written corrective action plan are required within 30 days of any significant deficiencies
and/or follow-up requirements identified in the sanitary survey report (IDAPA 58.01.08).
Failure to consult and provide a corrective action plan by Monday, December 19, 2022, will
result in a violation for each significant deficiency and require a Tier 2 Public Notification to all
water users. If you have any questions or need assistance with this, please do not hesitate to
reach out to me.
Thank you,
Exhibit F
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Dlrector
May 18,2022
Trevor Winegar
523 Cambridge Circle
Salt Lake City, UT 84103
trevorwi nega r(d hotma il.com
Subject: Henry's lake Station and Caf6, Sanitary Survey conducted on May L3,2022- PWS#
1D7220081,
Dear Trevor Winegar,
A sanitary survey was recently conducted for Henry's Lake Station and Caf6 - PWS# |D7220O8L Enclosed
with this letter is a copy of the sanitary survey report and photos for your records.
There are several deficiencies and a recommendation identified in the attached report, at this time none
have been deemed significant. A deficiency is any defect in a system's design, operation, maintenance,
or administration, as well as any failure or malfunction of any system component, that the Department
determines are not in compliance with the drinking water rules but is not expected to cause a direct risk
to health or safety, or are not expected to directly affect the reliable delivery of safe drinking water
Be advised that modifications to your public water system may require the assistance of an ldaho
licensed professional engineer and require DEQ review and approval prior to making water system
modifications or installing new components. Please contact DEQ before making modifications to your
system.
Thank you for your help in completing the sanitary survey. Contact Kelsey Carter at the DEQ ldaho Falls
Regional Office at [phone] or [e-mail] if you have any questions.
Sincerely,
Kelsey Carter
Drinking Water Analyst
c:Carlin Feisthamel, Senior Water Quality Engineer, DEQ-lF
Exhibit FF
Sanitary Survey Report
May 78,2022
PWS# tD7220079
Valley View RV Park
Narrative
Henry's Lake Station and Caf6 is located in north Fremont County in lsland Park along Highway 20 across
from Henry's Lake. The facility is under new ownership. Trevor Winegar is the new owner and was
present at the time of the sanitary survey to answer any necessary questions. Henry's Lake Station and
Caf6 has 3 service connections and serves a population of 25 all year round. Based on these numbers the
system is considered a Very Small Water System (VSWS). The water system is classified as a Transient
Non-Community (TNC) because the people using the water do not stay or live there year round. A TNC
water system is not required to have a certified operator to oversee operations. These inspections are
conducted every five years to make sure all the components of the system are operating correctly, and
to identify any potential health hazards. There have not been any changes to the system since the
previous inspection on May L6,2017. As a reminder, if any changes are scheduled to happen with the
system the plans and specifications must be approved by the Department of Environmental Quality
(DEQ) prior to construction.
There is one well servicing Henry's Lake Station and Caf6 located east of the gas station building a short
distance up the road. A well driller's report previously was not available, however, a potential report has
been identified matching the casing size and approximate timeframe of the business. According to the
report, the well was drilled in july of L972 to a depth of 155 feet. A 6-inch casing extends down 155 feet
below the ground surface. The casing is neither screened nor perforated. A cement seal was used to a
depth of 20 feet. The static water at the time the well was drilled was 98 feet. Currently, the casing only
extends 10-inches above the ground and doesn't meet the required L2-inches. Raising the casing height
is not required at this time. The casing height provides source protection against surface water runoff, or
in the event of drainage problems. The well cap is also not vented. lnstalling a vent is not required at this
time. The vent is designed to minimize the possibility of contamination caused by the creation of a
partial vacuum during pumping and to release the air trapped in the pump column when the pump is
not running. The cap is securely fastened to the casing and there are not any holes in the cap, casing, or
seal. These concerns have been downgraded to a deficiency as they have been in place for over the last
20 years without any contamination concerns. These deficiencies may need to be addressed in the
future if contamination becomes a concern and will be re-evaluated at the next sanitary survey.
The well is protected in a locked and insulated pump house. The pump house is in good condition and
does not show signs of flooding or excessive heat. There has been significant cleaning done since the
previous survey. There is ample lighting in the pump house and the area is kept warm enough to prevent
the pipes from freezing with a portable heater. An accessible check valve is installed on the discharge
line, at the time of the survey it was wrapped with insulation but identified. Valves are exercised and
inspected bi-annually to ensure that valves are in working condition. At the time of the survey, the
pressure gauge read 50 psi. A single pressure tank has been since the previous survey, the new pressure
tank was installed on August 12,2OL7. The new hydropneumatic tank is a Flex2Pro model H2PL90 with a
capacity of 90 gallons. The pump house is protected from unauthorized entry with a lock. The pipes in
this system are HDPE and steel ranging from l-inch to 2-inches. Pressure is maintained throughout the
distribution. The system maintains pressure greater than 20 psi. The pump can provide the maximum
pumping demand of the system. The specification for the pump are unknown. This includes the make
and model, the horsepower. The pump has been identified as submersible. There have not been any
disruptions in pressure in the last year.
This system is owned and operated by Trevor Winegar, with Terry Cardwell as the sample collector. A
nitrate sample has already been collected for the year and the system has submitted bacteria sampling
for the first and second quarter. The water system is owned and operated as a family business that can
meet to discuss any issues at any time. There are finances available to make necessary repairs to the
system and pay for water samples. A fee is not charged to the people staying at the RV park. The water
system is not in the business of selling or supplying water to other businesses or individuals outside of
the RV park. The annual 5ZS drint<ing water fee to the State of ldaho has been paid and is up to date.
2
Deficiencies
Groundwater Source:
#5: The well casing for the well does not extend above the flood level and/or is not protected from
flooding (IDAPA 58.01.08.511.06.a).
The cosing height provides source protection against surface water runoff or droinoge problems
ln the event of o broken pipe in the pump house or o flooding event, a well with a short casing
height could be susceptible to contaminotion creating o potentiol health hazard
#7: The well casing for the well is not properly vented to include a 24 mesh screen and/or does not open
downward and/or is not high enough above the receiving surface to protect the well from flooding
(r DAPA s8.01.08.511.0s)
lnstall o casing vent to minimize the possibility of contamination caused by the creation of a
portiol vocuum during pumping and to release air tropped in the pump column when the pump is
not running. On some wells the presence of o woter tight (ond thus air tight) well casing cop con
meon thot when the pump is running and drawing down the static head in the well it can create
o vqcuum thot could impede pump operotion. The vent lets equalizing oir into the cosing. The
vent needs to be ot o height above flood levels and terminoted downward to prevent entry of
any potential surfoce woter. This moy be occomplished by extending the cosing 78 inches above
the ground or 72 inches obove the pump house floor. A 24-mesh screen instolled on the vent
prevents contaminotion by prohibiting entry of insects, rodents, ond birds
#9: The discharge pipe for the well does not provide a sample tap that is properly located, or the sample
tap that is used to collect bacteria samples is not of the smooth-nosed type without interior or exterior
threads and/or is a mixing faucet and or is of the petcock type and/or has a screen and/or has an aerator
(r DAPA s8.01.08.s11.01).
A row-water sample top should be smooth-nosed with no interior or exterior threads, sueen,
oerator, or other attached oppurtenonces to ollow for proper sompling techniques ond to
decreose the risk of contaminoting o sample during collection
Hydropneumatic Tanks:
#3: The hydropneumatic tanks cannot be isolated from the system (IDAPA 58.01.08.547.01.b). lnstall
isolation valves the next time the hydropneumatic tanks are replaced or material modifications to the
system occur.
Hydropneumatic tonks, which provide pressure to the distribution system, need o bypass to
permit operation of the system when the tonks ore out of service. A loss of pressure in the
distribution system creotes the opportunity for bock-siphonage or bockpressure of non-potable
woter that moy result in contaminotion of the drinking woter.
J
Recommendations
Financial:
#3: An independent financial audit of the public water system should be completed every year for large
systems and every 3 to 5 years for small systems. The SMART Financial Tool located on DEQ's Public
Water System Switchboard (www.deq.idoho.gov/water-quolity/drinking-water/pws-switchboard) can
also be a great way for a public water system to evaluate their financial capacity.
4
State of ldaho Public Water Svstem Sanitarv Survev
Su Date PWS #
WATER SYSTEM INVENTORY INFORMATION
Groundwater Sources:
Surface Water Sources
1
0
Storage Facilities:
HENRY'S LAKE STATION AND CAFE
IFRO 5N R43E Section 13 Fremont
4 25 Private lndividual
B Approved
! Disapproved
E ruln E ruln
I Community
I Nontransient Noncommunity
El Transient Noncommunity-NC
Distribution ( Scheduled operating date s)
Date Open:
Date Closed:
1-Jan
31-
Water Purchased From:
PWS #:
Name:
E ruln
E ruln
PWS #:
Name:
Responsible Charge Operator (DO): lJ
( I dentify ope rator fo r GW- NC)
I rurr. I ur,
Mailing Address:
City, State, Zip:
Phone Number:
E-mail:
Emergency Phone:
Name:
Title:
Trevor Winegar
Owner
Name:
Title:Substitute Responsible Charge Operator (OP)
L I ruln -Doavaitabte24lT
E Nr. E us.
Mailing Address:
City, State, Zip:
Phone Number:
E-mail:
Emergency Phone:
Name:
Title:
Name:
Title:
Name
Title:
Legal Owner:
E ur. f] Mr. T"uorwinegar
Mailing Address: 523 Cambridge Circle
City, State, Zip: Salt Lake City, UT 84103
PhoneNumber: [phone]
E-mait: [e-mail]
Emergency Phone:
Survey conducted by:
E rorQ I Health Dept.
Name: Kelsey Carter
Title: Drinking Water Analyst
Phone: [phone]
Emair: kelsev.cartet@deqidahogqv
yes no nla unkTEITTXEtrIE
note S,r!.9lel_!E@al!!.9!!tr 1. Have material modifications been made to the PWS since the last survey?
f Z. tt yes, were plans and specs submitted to and approved by DEQ?
I g. Were samples taken during the survey by the inspectoP
(lf yes, indicate what samples were collected in comments below)
Sanitary Survey lndex
Modules used:#
!l General Information
I well source
f Spring Source
! storage
f HydropneumaticTanK
pl Distribution
I eumping
I Financial - Managerial
I Treatment Application
! oisinfection
E Gas Cl2
! Notes
I ehoto tog
1
1
Notes:
This system is a transient non-community type and does not require a DO/OP
'l
1
2
1
Color Key:ificant Deficiency
Deficiency
Recommendations/ lnfo Notification
Total Modules 7
Page lofT
IDEQ - Sanitary Survey - 111120 General lnformation
WELL SOURCE
form must be for each well associated to the PWS
Date PWS #
A
20t7
5t1312022 mm/dd/yw^l D7220081
Tag #:
E0008343
Source Name:
HENRY'S LAKE STATION
WELL
Associated with:
I wettReto w/source:
E Manifold Msource:
l.zl ru/n
Physical Location:
North of the RV park and east of the gas station
Source Activity Status: (Choice one)
E Rctive f Inactive I Proposed
Source Availability: (Choice one)
B Permanent ! seasonal fl Interim f emergency f] ottrer
Latitude 44.628522 Verified as accurate
-111.330563 Verified as accurate
ls there a well log for the source? E ves f ruo I unf EDMS #: 2022ACA2132
Readings at the time of inspection
Pump Capacity (GPM):
Static Water Depth (FT):
E unt
110 I unk
ls this source seasonal?
Start-up (MM/DD):
Shut Down (MM/DD):
[_l Yes ly' No
ls this Well Source
reatment Processes
the Treatment Train in
N/A
Yes No
no nla unk note
tr
trE TtrutrEnr
Etr TT
Are surrounding land uses creating health hazards or increasing the
potential for source contamination? (Setbacks not met, dumping, etc.)
2. Are toxic or hazardous chemicals stored on the well lot?
(pesticides, paint, herbicides, fertilizers, petroleum, etc.)
3. Are pesticides, herbicides, or fertilizers applied to the well lot without approval?
4. lf the well is in a pit, is the pit protected from flooding and contamination?
(watertight walls and floor, floor drain, acceptable pit cover, etc.)
5. ls the well (not located in a pump house) protected from unauthorized access?
(Locking cap, fenced, etc.) (Recommended)
6. ls the well protected from flooding?
(casing height >highest flood level, >18" outdoor, >12" indoor, etc.)
7. ls the well properly vented?
(24 mesh screen, open downward >1 8" outdoor or >12" indoor, etc.)
8. Does the well casing and cap prevent contamination and surface water entry?
9. ls a raw water smooth nosed sample tap provided on the discharge pipe?
(Prior to any treatment)
10. ls a working flow meter provided?gallons
IT
trE
(lnstant, totaling, nonvolatile memory, installed on discharge
11. ls a working pressure gauge provided?
(lnstant, installed on discharge pipe, etc.)
12. ls an adequate pump-to-waste provided?
(Capacity of the well, air gap, prior to the first service connection, etc.)
PUMP HOUSE (Only pump houses that contain a Groundwater Source)
13. ls the well enclosed in a pump house?
14. ls the pump house protected from contaminalion? (Clean, in good repair, etc.)
15. ls the pump house protected from unauthorized entry?
(Locked, durable construction, etc.)
'16. Does the pump house have adequate lighting throughout?
17. ls adequate backflow protection provided on all threaded taps installed in the
pump house?
18. Are there signs of equipment damage due to excess heat, moisture, or
corrosion? (l nadequate ventilation)
19. ls there a history of pump house equipment freezing? (lnadequate heating)
20. ls the pump house protected from flooding and surface water entry?
(Floor drain, ground surface graded to lead sufiace water away, etc.)
21. Does the configuration of the floor drain or sump cause a contamination risk?
(connected to other drainage sysfems, sump <30' from well, etc.)
psi.
yes no nla unk notef E ufTfEftrNfETT
NTEtrTtrXEtrT
ITENT
TTETtrTTETT
TNENtr
Notes:
(Please indicate question number)
#6: Well is approximately 9
inches above ground level
#7: Well is not vented
#9: There is not a smooth nose
sample tap
#10: A flow meter is not
required
#12: Frost-free hydrant installed
near well house
IDEQ - Sanitary Survey - 1/1/20
Page
Well Source
HYDROPNEUMATIC TANKS
One form for all Tanks 5t13t2022 1D7220081
Bladder:(ves/no)Size:(gal.)lnstallation Date:Tank lD#: Phvsical Location Brand:Model
Yes 90 8t12t2017Well House Flex2Pro Lite H2PLgOI
There is not an isolation
valve located on the
hydropneumatic tank
#$ &#7: Tank was installed
08t1212017
Notes;
indicate n
yes no nlauEEI
unk notetrnTN
ALL HYDROPNEUMATIC TANKS
1. ls the system served by variable speed pumps (VFDs)? (Recommended)
2. ls the tank(s) in a structure protected from flooding and unauthorized entry?
(Locked, wateftight walls and floor, floor drain, acceptable cover, etc.)
3. Can the hydropneumatic tank(s) be isolated from the system without
depressurizing the distribution system?
4. Do the exterior surfaces appear to be in good condition?
(Coating intact, no conosion, etc.)
5. Do the tank supports appearto be structurally sound and adequate?
6. Has the hydropneumatic tank(s) been tested for structural integrity in
the past 5 years? (Recommended)
Bladder Tanks Onlv
7. Has the pre-charge on all bladder tanks been tested in the last year to ensure the
air pressure is 5 psi below the low operating pressure for the system?(Recommended)
Non-bladder Tanks Onlv
8. ls the recharge air protected from contamination?
(free of air compressor oil, clean air filter, etc.)
9. Are installed appurtenances working properly and protected from contamination?
(access manhole, drain, water sight glass, means to add air, air blow-off, etc.)
En tr
EtrTNEtr T
yes noEN
yes norT
TX
nlan
nla
E
E
unk!
unkn
T
note
E
noten
n
I
:TEI IT'
Date PWS #
Page 3or 7
IDEQ - Sanitary Survey - 1/'ll20 Hydropneumatic Tanks
DISTRIBUTION
One form for all distribution
Date PWS #
in the PWS.1D7220081mm/dd/vyyy)5t1312022
Main Line Sizes: L-l unr
2-inch. 1-inch
# Metered Connections
0 outof 4
# Flushing Hydrants:
1
# Fire Hydrants:
0
Main Line Type of Materials:
(Select all that apply)
E steet E HDPE (btack)
f evc ! ouctile lron
L_l Unk
f other:
I Asbestos/Cement
f Gray Iron
E copper
f] Galvanized
Notes:
(Please indicate question number)
yes no nla unkEI X
ETtrT
TE I
yes no nla unkEf I
EtrTT
E T T EEtr E I EsEI ntr'lTtrEtrtr1IUEInjIE ntr1
note EllslBUIloNn 1. ls a cunent map of the distribution system available? (Recommended)
(Main sizes, locations of valves and hydrants, etc.)
f] Z. Have public notifications, DEQ notifications, and follow-up actions been followed
for any planned or unplanned depressurizations in the past year?
E g. was the pressure observed at a service connection?
lf yes:
Location:
note Time:
4. ls a minimum system pressure of 20 psi. maintained at all service connections?
(lncluding fire flow - ldentify pressure complaints in the notes.)
E S. t. a minimum system pressure of 40 psi. maintained during maximum hourly
demand conditions? (PWSs constructed after 7/1/1985 - Excluding fire flow)
E 6. Ooes pressure exceed 100 psi at any service connection?
n Z. nre valves inspected and exercised
lf yes, how
. ls there a water loss control program? (Recommended)
. ls the owner/operator aware of any leaking water mains?
0. ls there a water efficiency program? (Recommended)
'l . Are all dead end mains equipped with a means to flush?
2. Are dead end mains flushed at least semiannually?
3. Are there any materials used that should not be in contact with drinking water?
lf yes, explain in comments section. (Pipes, sealants, components, etc.)
Does the system experience water main freezing?
Are there any connections that provide supplemental disinfection and meet the
definition of a PWS but are unregulated? (Recommended)
(H o sp ital s, busrnesses, lo n g-te rm care f aci I iti e s, etc. )
Are there any unused subsurface water storage tanks that need to be
abandoned? (Recommended)
Are there any water supply wells that are no longer being used that
need to be abandoned? (Recommended)
A.M P.M.
T E
trETE
yes no nlantrE
14.
15.
16.
17.
unk noletrtr Cross Connection Control
18. ls an adequate cross connection control program provided and implemented?
(Community PWS only) (Authority to implement, inspection program, adequate
protection, annual testing,abitity to discontinue service, 10 days to repair a
failed device)
19. ls the operator trained in cross connection control? (Recommended)
20. Are all backflow preventers owned by the PWS tested annually?
21. Ne there any known unprotected cross connections?
(Submerged blow-offs, direct connections to storm or sewer drains, connection
to unapproved source, uncontrolled fire hydrant use, treatment bypass with raw
water, etc.)
22. Are all non-potable mains, hydrants, and taps easily identified as such?
23. ls the discharge piping on all air valves protected from contamination?
(Prevent surface water entry and bacffiIow, open downward, 24 mesh screen, etc.)
24. Are bulk water stations provided with backflow protection measures?
Etr TTTENTE T
trtrEITEINTT
NEtrTtr
nTtr
Biannual
4o1 7
IDEQ - Sanitary Survey - 1/1/20
Page
Distribution
PUMPING . PG. 1
One form for all
Survey Date PWS #
PUMPS, PUMP AND CONTROLS
5t1312022 mffuavvvvv 1D7220081
Pump lD#:Physical Location Type of Pump: Horsepower:
Low (psi)
set point
High (psi)
set point PurDose:
1 WellCasinq Submersible Unknown Unknown Unknown To supply water
yes no nta unk note !![$
E n I I 1. Do pumps cycle < 6 times per hour? (Reammended)
E tr n I f] z. Rt" all pumps in good repair? (excessrve noise, vibration, heat, odors, leaks, etc.)
E f tr I 3. Are spare parts readily available for critical pump components?
E f tr n +. l. each pump equipped with an accessible check valve?
(on the discharge side before the shut-off valve)
E t] tr I 5. Are isolation valves provided on the discharge side of the pump?
6. ls a working pressure gauge installed on the discharge line?
7. ls a working flow meter provided?
(Required if pump is connected directly to the distribution system)
I tr E n tr 8. ls allpump lubrication oitANS|/NSF 61 approved?
n n E I X 9. ls an airlvacuum relief valve provided for vertical turbine pump(s) and is it
protected from contamination? (Open downward, 24 mesh screen, air gap, etc.)
yes no nla unk note PUIL HOUS,E (Only pump f,ouses that don't contain a Groundwater Source)
E I I n n 10. ls the pump house protected from contamin ation? (Ctean, good repair, etc.)
E t] n n tr 11. ls the pump house protected from unauthorized entry?
(Locked, durable construction, etc.)ETNTETNT
trETN
I 12. Does the pump house have adequate lighting throughout?
tr fS. ls adequate backflow protection provided on all threaded taps/ hose bibs
installed in the pump house?
n 14. Are there signs of excess heat, moisture, or corrosion damage?
(l n adeguate venti lation)
n 15. Are there signs or a history of pump house equipment freezing?
(lnadequate heating)
f 16. ls the pump house protected from flooding and surface water entry?
(Drained, ground surtace graded to lead surtace water away, etc.)
tr 17. Does the floor drain discharge >30 feet from any well?
tr 18. Does an unprotected cross connection exist due to the floor drain
connection? (Connected to sewer, storm drains, etc.)
trE
ET
TITE
n
tr
nT
Notes
indicate n
meter is not required
Page 5 Of 7
IDEQ - Sanitary Survey - 1/1/20 Pumping
PUMPING . PG.2
One form for all units
Power Units
5t13t2022 mm/dd/yyyy)l lolzzooal
APU ID#:Phvsical Location:Tvpe of APU:Brand Model Purpose:
yes no nla unkTNENTtrEtr
note@
I f S. ls the APU tested regularly? (Recommended)
I ZO. ls a working automatic power transfer switch provided?
yes no nla unk note
1. Can the community PWS adequately pressurize the distribution system
during a power outage?
22. Does the APU power all essential electrical functions in the pump house and
the pumping stalion (pump, controls, treatment, etc.) and pressurize the
system for a minimum of 8 hours?
yes no nla unkTtrEtrTNEtr
note APU on a Well Lot Onlv
tr 23. ls the fuel tank above ground or otherwise accessible for leak inspection?
f 24. ls secondary spill containment provided for all fuel tanks?
(1 10% of fuel tank volume)
I 25. Does a certified operator observe filling of the fuel tank?
I 26. ls the engine exhaust directly discharged to the outside atmosphere?
COMMENTS:
(Please indicate question number)
SURVEY DATE PWS #
60f7
IDEQ - Sanitary Survey - 1/1/20
Page
Pumping
FINANCIAL / MANAGERIAL
One form for each
Survey Date PWS #
5t13t2022 mm/dd/vyyill ID722OO81
yes no nla unk noteEn trnNE TT
IENTE
yes no nla unk noteET TtrtrEtrTTT
yes no nla unk noteEtr TTEf trTEUtr trtr
yes no nla unk noteEN trT
ET TN
yes no nla unk noteETT NtrIEX TT
trE DT
ET TT
FINANCIAL CAPACITY
1. ls the PWS current with the payment of drinking water fees?
2. ls the user charged for drinking water?
lf no, identify why in the notes.
3. Has an independent financial audit of the PWS been conducted, or has
the SMART Financial Tool been completed? (Recommended)
MANAGERIAL CAPACITY
4. Does this PWS have a governing body or board of directors?
5. Does the board meet routinely? Frequency:
6. Review the following where applicable:
! System Classification Worksheet (C & NTNC)
f nWS Inventory Information
E Sampte Schedules
E Sample History $CR and Non-TCR) - Past 5 Years
pl Sample Siting Plan(s)I nrcn ! eecu ! oae ! eou
! Chlorine Residual History - Past 5 years I ruln
! Violation History - Past 5 years
! euOtic Notification - ongoing/currently required
f Compliance Schedules - pending and overdue
E Monthly Operating Reports (MORs)
f Cross Connection Control Plan
! Special RTCR Monitoring Evaluation (CFR 141.854 (c)(2))
Cunent RTCR schedule: f Monthly ! quarterly
Change frequency to: I Monthly f] euarterly I t',to Change
RECORDS MANAGEMENT
7. Do all sample siting plan(s) meet the minimum requirements?
8. Are samples being taken in accordance with the sample siting plan(s)?
9. Are records retained onsite or nearby for the minimum time required?
(TC-Syr; chem/rad-10yr; violation conective actions-3yr; sanitary surueys-llyr;
waiver, variance, or exemption determinations-1yr; PNs issued-3yr;
daily fre e ch lorine re sid u al s-l yr)
'10. ls there a customer complaint system and ongoing public information program?
(Recommended)
MANAGERIAL PLANS
11. ls there a recognized organizational structure and management of the PWS?
(Recommended)
12. ls there an overall operation and maintenance manual for the PWS?
(including equipment manuals, as-builts, SOPs, manufacturers' literature, etc)
13. Does the PWS have an Asset Management Plan? (Recommended)
14. Does the PWS have an Emergency Response Plan? (Community PWSs >3300)
OPERATOR SAFETY
15. Are all operators trained in safety procedures and equipment?
1 6. Does a safety concern exist for personnel and/or visitors?
(PPE, handrails/ guardrails, ladders, non-slip treads, etc.)
17. ls there a potential shock hazard because the electrical wiring appears to be
inadequately protected?
18. Are protocols followed for any confined space enlry? (Recommended)
Fee
I
Etr TtrEtrI TT
Notes:
(Please indicate question number)
#3: An independent financial
audit of the public water
system should be completed
every 3 to 5 years for small
systems.
Page 7 Of 7
IDEQ - Sanitary Survey - 1/1/20 Financial/ Managerial Capacity
Photog raph ic Documentation
lnspection Date(s): Friday, May 13, 2022
Facility lDz lD7 220081-
Name of Facility: Henry's Lake Station and Caf6
lnspector(s): Kelsey Carter
Purpose of lnspection: Sanitary Survey
State of ldaho
Department of Environmental Quality
ldaho Department of Environmental Quality
Photographic Documentation For: Henry's Lake Station and Caf6 - |D722OO8L
Table of Photographs:
Photograph L: Pump house and surrounding area. Lock in place on the entrance........................3
Photograph 2: Overallview of the inside of the pump house. Overall good condition no signs of
excessive heat or moisture. Well cap is not vented ..................3
Photograph 3: Well casing extending 10 inches above floor level. .............4
Photograph 4: Accessible check valve covered with insulation and portable heater to prevent
com ponents from freezing.
Photograph 5: Pressure gauge reading 50 psi
Photograph 6: New pressure tank specifications........
Photograph 7: New pressure tank installation date and settings..................
Photograph 8: Frost-free hydrant located behind the pump house meeting the required
setbacks
2
Photograph 1: Pump house and surrounding area. Lock in place on the entrance
Photograph 2: Overall view of the inside of the pump house. Overall good condition no signs of excessive
heat or moisture. Well cap is not vented
ldaho Department of Environmental Quality
Photographic Documentation For: Henry's Lake Station and Caf6 - lD7z2OOgt
Photograph 3: Well casing extending 10 inches above floor level
Photograph 4: Accessible check valve covered with insulation and portable heater to prevent components
from freezing.
4
ldaho Department of Environmental Quality
Photographic Documentation For: Henry's Lake Station and Caf6 - lD722OO8t
Photograph 5: Pressure gauge reading 50 psi
Photograph 6: New pressure tank specifications
5
ldaho Department of Environmental Quality
Photographic Documentation For: Henry's Lake Station and Cafd - lD722OOgL
Photograph 7: New pressure tank installation date and settings
Photograph 8: Frost-free hydrant located behind the pump house meeting the required setbacks
6
USE TYPEWRITE
BALL POINT o.o*,,r.",t1?ti,toill,nistration
WELL DRILLER'S REPORT
-,
Location Corrected by IDWR To:
TISN R43E Sec.13 SENWNW
By: segbert 20'12-04-18
ii
^J]
State law requires that this report b6 fi led with the Director, Dopartment ol Wrter
after the completion or abandonment of the well
7. WATER LEVEL
ot \rYatet Admimdiil
Static water laiol
Flowing? E Yes &1 No .M. flowTemperature. "F. Ouallty_
Artesian closed-in
Controlled by O Valve C Cap tr Plug
Arldress 3161 Nr- yel.lows-tone-Ave. ldEho Fa-1lq. Id
Owner's Permit No,
-
1. WELLOWNER
Name Van Gas Company
8, WELLTESTDATA
E Pump E Bailer E Other
DashNt Dnw Dourn HUE Funpad
2. NATUREOFWORK
E Now well fl Deepened E Replacement
E Abandoned {describe method of abandoningl
O. LITHOLOGIC LOG
Orerh Wltrr|lole
Dlem.From To Ys!NoMltsid
3. PROPOSED USE
B Domestic D lrrigstion
O Municipal 0 lndustrial
B T6st
tr Stock
(6 o Orrwa] and l1'l or'
5 2\
25 30 Gravel end Ssnd
30 9\
4. METHOD DRILLED
6 crut" E Rotory El Dus El Other
95 IL5 Sandr [.lav- and Sme Gravb]l x
6 IL5 155 x
Was a packer or seal used? tr Yes tt NoPerforated? D Yee tt No
How perforated? E Factory D Knife E Torch
Sizeof perforation _ inchesby_ inchesNrmbcr Faon Toperforatlons feet --- fuetperforatlons feet --._ feetperforations feet _ fe€t
Well screen installsd? tr yes fl No
Manufacturer's name
--Diameter_slot size_ Set from_feet to-- fgstDiameter_ Slot size_ S6t from.--_ feet to-'- feet
Gravelpacked? tr Yes € No Slzeofgrarel_*_-
Placed from_---- feet to-.-'--- feet
E No Towhatdepth 20 fEgt
EltCemanr grout B Puddling clay
T
5. WELL CONSTHUCTION
..6
Totaldepth l(q -feetE Concrete
Fron To
Oiameter of hole _-6_ inches
Casingschedule: ESteel
Thid(ffi Ditmett,210_inches
irrfes
inches
inches
inches
Surface seal? S! Yes
Miterial used in seal
Model No. _-.-.-
inches { 1
inches
inches
inches
inchec
feet
feet
leet
feet
teet
..ll ,55 leet
-
feet
_-- feet
_-__ feer
-
feet
10.
Workstarteo JulJr 2lr, 1972 finishedAugust 7, ]9?2.
6, LOCATION OF WELL
Sketch map location mu$ agiee with written location.
NE % r't1L7r Scc, 1 ? . , T. ^]L NA, R. 43 E
w EG\\
-]
County n
This well was drilled under my supsrv
trua to the best of my knowledge,
and this report iE
or
1268
Contractots
1 1. DRILLER'S CERT'FICATION
us€IOilAL SHEETS IF NECESSARY FORWARD THE WHITE,BLUE, AND PINK OOPIES TO THE OEPARTMENT
Buchanan Well Drilling
Formerly Andrew Well Drilling
P.O. Box 3176
Idaho Falls, ID 83403
[phone]
December 19, 2022
Kelsey Carter
Drinking Water Analyst
900 N Skyline, Suite B
Idaho Falls, ID 83402
208-528-2650
Subject: Corrections to Significant Deficiencies Shotgun North (ID7220065)
General Questions
Question #2: Submit plans and specs to DEQ.
Planned Completion Date: 06/30/2023
Wells
Savage Well (E0006531)
Question #9: Install sanitary well cap.
Planned Completion Date: 06/30/2023
Browning Well (E0006532)
Question #12: Install pressure gauge.
Planned Completion Date: 06/30/2023
Distribution Systems (T7220065DS1)
Question #14: Repair leak to main water line caused by installation of fiber optic lines. Disinfect
water system.
Planned Completion Date: 06/30/2023
Exhibit G

Pumps
Question #4: Install check valve on the discharge line before the shut-off valve.
Planned Completion Date: 06/30/2023
Question #6: Install pressure gauge.
Planned Completion Date: 06/30/2023
Question #7: Install flow meter.
Planned Completion Date: 06/30/2023
Question #11: Clean out debris and unused parts.
Planned Completion Date: 06/30/2023
Question #12: Install locks on pump houses.
Planned Completion Date: 06/30/2023
Question #14: Install appropriate backflow prevention on threaded taps and hose bibs.
Planned Completion Date: 06/30/2023
Question #15: Provide proper ventilation.
Planned Completion Date: 06/30/2023
Question #16: Install heaters.
Planned Completion Date: 06/30/2023
Question #17: Install drain and/or sump pump.
Planned Completion Date: 06/30/2023

Financial/managerial Capacity
Question #28: Design a sample siting plan with system owner.
Planned Completion Date: 06/30/2023
Question #29: After sample siting plan is designed put it into action.
Planned Completion Date: 06/30/2023
Question #37: Assess and correct any exposed wiring. Remove damaged ladder. Provide
ladders for access to pump house.
Planned Completion Date: 06/30/2023
Question #38: Assess and correct any exposed wiring.
Planned Completion Date: 06/30/2023

Roger Buchanan

Buchanan Well Drilling
208-681-3517
[e-mail]

Buchanan Well Drilling
Formerly Andrew Well Drilling
P.O. Box 3176
Idaho Falls, ID 83403
[phone]

December 19, 2022

Kelsey Carter
Drinking Water Analyst
900 N Skyline, Suite B
Idaho Falls, ID 83402
208-528-2650

Subject: Corrections to Significant Deficiencies Shotgun Cherokee Subdivision 5 (ID7220063)
General Questions
Question #2: Submit plans and specs to DEQ.
Planned Completion Date: 06/30/2023

Wells
Choctaw Well (E0006910)
Question #8: Install new vented well cap with 24 mesh screen vent.
Planned Completion Date: 06/30/2023
Cherokee Well (E0006911)
Question #8: Install new vented well cap with 24 mesh screen vent.
Planned Completion Date: 06/30/2023

Hydropneumatic Tanks
Question #2: Install locks to prevent unauthorized entry. Install drain and/or grade surface away
from structure.
Planned Completion Date: 06/30/2023
Question #3: Install isolation valves when replacing pressure tanks.
Planned Completion Date: 06/30/2023
Question #4: Pump water out of vault and inspect tank, repair/replace if appropriate.
Planned Completion Date: 06/30/2023

Pumps
Question #4: Install check valve on the discharge line between pump and the shut-off valve.
Planned Completion Date: 06/30/2023
Question #11: Install sump pump in Choctaw vault. Inspect wall in Cherokee vault, repair as
needed.
Planned Completion Date: 06/30/2023
Question #12: Install Locks to prevent unauthorized entry.
Planned Completion Date: 06/30/2023
Question #14: Install appropriate backflow preventers on all threaded taps and hose bibs.
Planned Completion Date: 06/30/2023
Question #15: Provide proper ventilation.
Planned Completion Date: 06/30/2023
Question #17: Install drain and/or sump pump.
Planned Completion Date: 06/30/2023

Financial/Managerial Capacity
Question #28: Design a sample siting plan with system owner.
Planned Completion Date: 06/30/2023
Question #29: After sample siting plan is designed put it into action.
Planned Completion Date: 06/30/2023

Roger Buchanan

Buchanan Well Drilling
208-681-3517
[e-mail]

Buchanan Well Drilling
Formerly Andrew Well Drilling
P.O. Box 3176
Idaho Falls, ID 83403
[phone]

December 19, 2022

Kelsey Carter
Drinking Water Analyst
900 N Skyline, Suite B
Idaho Falls, ID 83402
208-528-2650

Subject: Corrections to Significant Deficiencies Shotgun South Stevens Lane (ID7220066)
Hydro pneumatic Tanks
Question #2: Install locks to prevent unauthorized entry. Install drain and/or grade surface away
from structure.
Planned Completion Date: 06/30/2023

Distribution System (T7220066DS1)
Question #10: Reset the pressure switch so it cycles at a higher pressure.
Planned Completion Date: 06/30/2023

Pumps
Question #12: Install lock and secure pump house to unauthorized entry and animals.
Planned Completion Date: 06/30/2023
Question #14: Install appropriate backflow device on all threaded taps and hose bibs.
Planned Completion Date: 06/30/2023

Financial/Managerial Capacity
Question #28: Design a sample siting plan with system owner.
Planned Completion Date: 06/30/2023
Question #29: After sample siting plan is designed put it into action.
Planned Completion Date: 06/30/2023

Roger Buchanan

Buchanan Well Drilling
208-681-3517
[e-mail]

Buchanan Well Drilling
Formerly Andrew Well Drilling
P.O. Box 3176
Idaho Falls, ID 83403
[phone]

December 19, 2022

Kelsey Carter
Drinking Water Analyst
900 N Skyline, Suite B
Idaho Falls, ID 83402
208-528-2650

Subject: Corrections to Significant Deficiencies Shotgun Kickapoo Subdivision 6 (ID7220064)
Hydropneumtaic Tanks
Question #2: Install locks to prevent unauthorized entry. Install drain and/or grade surface away
from structure. When pressure tank fails replace with an above ground tank.
Planned Completion Date: 06/30/2023

Pumps
Question #12: Install locks to prevent unauthorized entry.
Planned Completion Date: 06/30/2023
Question #14: Install appropriate backflow preventers on all threaded taps and hose bibs.
Planned Completion Date: 06/30/2023
Question #15: Provide proper ventilation.
Planned Completion Date: 06/30/2023
Questions #17: Install drain and/or sump pump.
Planned Completion Date: 06/30/2023

Financial/Managerial Capacity
Question #28: Design a sample siting plan with system owner.
Planned Completion Date: 06/30/2023
Question #29: After sample siting plan is designed put it into action.
Planned Completion Date: 06/30/2023

Roger Buchanan

Buchanan Well Drilling
208-681-3517
[e-mail]

Buchanan Well Drilling
Formerly Andrew Well Drilling
P.O. Box 3176
Idaho Falls, ID 83403
[phone]

December 19, 2022

Kelsey Carter
Drinking Water Analyst
500 N Skyline, Suite B
Idaho Falls, ID 83402
208-528-2650

Subject: Corrections to Significant Deficiencies Aspen Ridge Subdivision (ID7220007)
Wells
East Well (E0006523)
Question #8: Install new vented well cap with 24 mesh screen vent.
Planned Completion Date: 06/30/2023
Question #9: Install new sanitary seal. Secure cap by tightening bolts or replacing as needed.
Planned Completion Date: 06/30/2023
West Well (E0009068)
Question #8: Install new vented cap with 24 mesh screen vent.
Planned Completion Date: 06/30/2023
Question #9: Install new sanitary well. Secure cap by tightening bolts or replacing as needed.
Planned Completion Date: 06/30/2023
Questions #13: Replace the isolation valve.
Planned Completion Date: 06/30/2023

Hydropneumatic Tanks
Question #2: Install locks to prevent unauthorized entry. When pressure tank fails replace with
above-ground tank.
Planned Completion Date: 06/30/2023
Question #3: Install isolation valves.
Planned Completion Date: 06/30/2023

Distribution System (T7220007DS1)
Question #14: Locate and repair leak in main line. Disinfect after repair.
Planned Completion Date: 06/30/2023

Pumps
Question #1: This could be due to the leak. Finding and repairing the leak should solve this
problem.
Planned Completion Date: 06/30/2023
Question #2: Pumps are new and are in good repair, will inspect on-site.
Planned Completion Date: 06/30/2023
Question #4: Install check valve on the discharge line between pump and the shut-off valve.
Planned Completion Date: 06/30/2023
Question #12: Install locks to prevent unauthorized entry.
Planned Completion Date: 06/30/2023
Question #14: Install appropriate backflow preventers on all threaded taps and hose bibs.
Planned Completion Date: 06/30/2023
Question #15: Provide proper ventilation.
Planned Completion Date: 06/30/2023

Financial/Managerial Capacity
Question #28: Design a sample siting plan with system owner.
Planned Completion Date: 06/30/2023
Question #29: After sample siting plan is designed put it into action.
Planned Completion Date: 06/30/2023

Roger Buchanan

Buchanan Well Drilling
208-681-3517
[e-mail]

Buchanan Well Drilling
Formerly Andrew Well Drilling
P.O. Box 3176
Idaho Falls, ID 83403
[phone]

December 19, 2022

Kelsey Carter
Drinking Water Analyst
500 N Skyline, Suite B
Idaho Falls, ID 83402
208-528-2650

Subject: Corrections to Significant Deficiencies Goose Bay Estates (ID7220030)
Wells
Goose Bay Well (E0006535)
Question #9: Tighten or replace bolts as needed.
Planned Completion Date: 06/30/2023
Question #12: Install pressure gauge.
Planned Completion Date: 06/30/2023
Question #13: Install an isolation valve to allow pump to waste.
Planned Completion Date: 06/30/2023
Trumpeter Well (E0006538)
Question #8: Install new vented well cap with 24 mesh screen vent.
Planned Completion Date: 06/30/2023
Question #9: Install approved cap.
Planned Completion Date: 06/30/2023

Hydropneumatic Tanks
Question #2: Install locks to prevent unauthorized entry. Install drain and/or grade surface away
from structure.
Planned Completion Date: 06/30/2023

Distribution System (T7220030DS1)
Question #10: Reset the pressure switch so it cycles at a higher pressure.
Planned Completion Date: 06/30/2023

Pumps
Question #4: Install check valve on the discharge line between pump and the shut-off valve.
Planned Completion Date: 06/30/2023
Question #6: Install pressure gauge at both wells.
Planned Completion Date: 06/30/2023
Question #12: Install locks to prevent unauthorized entry.
Planned Completion Date: 06/30/2023
Question #14: Install appropriate backflow preventers on all threaded taps and hose bibs.
Planned Completion Date: 06/30/2023
Question #17: Install drain and/or sump pump. Grade surface area away from structure.
Planned Completion Date: 06/30/2023

Financial/Managerial Capacity
Question #28: Design a sample siting plan with system owner.
Planned Completion Date: 06/30/2023
Question #29: After sample siting plan is designed put it into action.
Planned Completion Date: 06/30/2023

Roger Buchanan

Buchanan Well Drilling
208-681-3517
[e-mail]

Buchanan Well Drilling
Formerly Andrew Well Drilling
P.O. Box 3176
Idaho Falls, ID 83403
[phone]

December 19, 2022

Kelsey Carter
Drinking Water Analyst
900 N Skyline, Suite B
Idaho Falls, ID 83402
208-528-2650

Subject: Corrections to Significant Deficiencies Valley View Subdivision (ID7220156)
Wells
West Well (000000015839)
Question #7: Extend casing to a total height of 18 inches above ground.
Planned Completion Date: 06/30/2023
Question #8: Install new vented well cap with 24 mesh screen vent.
Planned Completion Date: 06/30/2023
Question #9: Secure cap to casing with new bolts.
Planned Completion Date: 06/30/2023
Question #13: Install non-corrodible screen, install cap at the end
Planned Completion Date: 06/30/2023

East Well (000000016014)
Question #8: Install new vented well cap with 24 mesh screen vent.
Planned Completion Date: 06/30/2023
Question #2: Install locks to prevent unauthorized entry. When pressure tank fails replace with
above-ground tank.
Planned Completion Date: 06/30/2023
Question #4: Inspect tank for acceptable surface conditions, repair as necessary
Planned Completion Date: 06/30/2023

Distribution (000000015841)
Question #10: Possibly caused by leak in distribution system noted in question 14. Repair of the
leak should rectify pressure issue.
Planned Completion Date: 06/30/2023
Question #14: Locate and repair leak in water main. Disinfect after repair.
Planned Completion Date: 06/30/2023

Pumps
Question #4: Install check valve on the discharge line between pump and the shut-off valve.
Planned Completion Date: 06/30/2023
Question #16: Clean pump house and take preventative measures to repel mice.
Planned Completion Date: 06/30/2023
Question #12: Install locks to prevent unauthorized entry.
Planned Completion Date: 06/30/2023
Question #14: Install appropriate backflow preventers on all threaded taps and hose bibs.
Planned Completion Date: 06/30/2023
Question #15: Provide proper ventilation.
Planned Completion Date: 06/30/2023
Question #16: Install heaters.
Planned Completion Date: 06/30/2023
Question #17: Install drain and/or sump pump.
Planned Completion Date: 06/30/2023

Financial/Managerial Capacity
Question #28: Design a sample siting plan with system owner.
Planned Completion Date: 06/30/2023
Question #29: After sample siting plan is designed put it into action.
Planned Completion Date: 06/30/2023
Question #38: Assess and protect any wiring that is exposed.
Planned Completion Date: 06/30/2023

Roger Buchanan

Buchanan Well Drilling
208-681-3517
[e-mail]

Exhibit GG
4024 Choctaw Road
1QT2020
WELL LOT
2QT2020
3QT2020
4QT2021
2QT2022
3QT2022
4QT2022
WELL LOT
4QT2020
1QT2021
3QT2021
2QT2021
1QT2022
Exhibit H

4041 Kickapoo Lane
(Proposed Location #1)
DOES NOT EXIST
(Proposed Location #2)
(Proposed Location #3)
(Proposed Location #4)
1QT2020
2QT2020
3QT2020
4QT2020
2QT2022
1QT2021
2QT2021
3QT2021
4QT2021
1QT2022
3QT2022
4QT2022
WELL LOT

4082 Yale Creek Road
1QT2020
(Proposed Location #3)
2QT2020
2QT2022
3QT2020
1QT2022
(Proposed Location #8)

WELL LOT
4QT2020
1QT2021
DOES NOT EXIST
2QT2021
3QT2021
3QT2022
DOES NOT EXIST
4QT2021
DOES NOT EXIST
(Proposed Location #1)
DOES NOT EXIST
(Proposed Location #5)
DOES NOT EXIST
(Proposed Location #2)
EMPTY LOT
(Proposed Location #6)
DOES NOT EXIST
(Proposed Location #7)
(Proposed Location #4)

WELL LOT

4076 Aspen
Ridge Road
2QT21
Ridge Road
2QT22
C 2QT22
C 3QT22
C 3QT22
WELL LOT
WELL LOT
4790 Balsom Road
C 3QT22

4092 Aspen Ridge Road
4QT22
3QT22 C 3QT22 2QT21
1QT2021
4QT21 2QT2020 4QT2020
Does Not Exist
1QT2022
3QT2021 3QT2020 Ridge Road Does Not Exist 1QT2020
Exhibit HH
SystemName:
Inspection Date:
Inspector:
Sanitary Survey
Inspection Findings Form
Closing Conference Begins:
PWS #:
Time Closing Conference Ends:
Phone #2
Email:
-2
Name)
tv\IA,u"&a/e-Facility Representative :Title
ame
Facility Representative Email:
(Signature
Note: Your signature indicates you have received this document, but does not imply agreement with thefindings
Significant Deficiencies noted during inspection:
In accordance with IDAPA 58.01.08.008.02., the health hazards identified below must be mitigated as required by the
Department and corrected within a time schedule established by the Department.Correction Time Frame
0
saI
)
Urgent Action
Required
Specify in Conective
Action Plan
days/hrs.n
days/hrs.
days/hrs.
4.
5
6
Additional items attached
rnI
nq)
J.
4.
Additional items attached
Free Technical Assistance (Third Party Service Provider): Yes n
Financial: a) rate reviews, b) budgeting, c) finding loans and
Trainins: a) operator, b) board/council, c) asset management,d) developing policies and procedures
Technical Assistance: a) leak detection, b) line location, c) distribution,d) treatment, e) other
System Operation: a) best practices guidance, b) emergency response, c) vulnerability assessment
Source Water Protection: a) plaruring b) implementation
PWS ContactName:Phone
N"X
grant6, d) capital improvement planning
Original - Inspector for registration in TRIM Copy - Public Water System Owner/Operator Updated: l2/r/2020
Exhibit I
Sanitarv Survev
Instructions for Selectins e Correction Time Frame
E Urgent action required
These items pose an Imminent Threat to Public Health and must be remedied as soon as possible to decrease
exposure to dangerous or potentially dangerous contamination or circumstances. The inspector should specify a
timeframe based on severity of the deficiency and time needed to correct or mitigate theihreat. The conective
action taken for these items needs to be in the corrective action plan. @ is anticipaied that relativelyfew items, and only
those of the highest priority, will require remedy within this Correction Time Frame.)
E Specified in corrective action nlan
A report describing the complete survey results will be provided within thirty days. After receipt of this report,
the owner/ogerator has 30 (if a groundwater system) or 45 (if a surface water system/GWUDI system) days to consult
with the regrllatory agenc)r regarding a schedule for completing any required corrective actions and develop and
submit a corrective action plan.
(The maiority of items identffied during the inspection will require corrective action within 1 20 days foltowing the inspection. Factors
considered when selecting this time frame would be overall risk or potential risk to public health, expertise necessary to ffictively
make the modiJication (plumbing, electrical, engineering) and expense of the modification (arge capital improvement vs. replacement
of item from operating budget.)
DISCLAIMER: This document is a Preliminary Inspection Findings Form. It does not constitute a final
determination of compliance status with any laws administered by the Idaho Department of Environmental
Quality, including, but not limited to, the Idaho Environmental Protection and Health Act, Idaho Code $ 39-
101, et seq., the Idaho Rules for Public Drinking Water Systems, IDAPA 58.01.08, and adoptions of Federal
Regulations thereunder, Idaho Code $ 50-1326 et seq., Idaho Code $ 54-240I et seq., or any rules promulgated,
permits issued, or consent or judicial orders entered into under authority of these acts. The Idaho Department of
Environmental Quality reserves the right to supplement this document with additional compliance
determinations and amend, change, or otherwise modifu any determination stated in this document. This
document does not restrict or preclude the State of Idaho or the Department of Environmental Quality from
taking action available under law to address past, present, or future violations of laws administered by the
agency.
Original - Inspector for registration in TRIM Copy - Public Water System Owner/Operator Updated: rz/t/2020
Sanitary Survey
Preliminary Inspection Findings Form
SystemName:
Inspection
Inspector:
Inspector:
Facility Representative :
Closing Conference Begins:
Name)
(Signature)
PWS #
Phone 0
Closing ConferenceEnds: llt
(g-
arrter@deo d
Title:
nmait: ll)q@idd,,n*Facility Representative
Note: Your signature indicates you received this but does not imply agreement with thefindings
Significant Deficiencies noted during inspection:
In accordance with IDAPA 58.01.08.008.02., the health hazards identified below must be mitigated as required by the
Department and corrected within a time schedule established by the Department. Correction Time Frame
2
I
0
Urgent Action
Required
Speciff in Corrective
Action Plan
n
days/lrs.
days/hrs.
5
6.
l_l Additional items attached
Deficiencies Review:
I
2
-t-
Additional items attached
X'ree Technical Assistance (Third Party Service Provider): Yes n No Mn Financial: a) rate reviews, b) budgeting, c) finding loans and gantf,d) capital improvement planning
n Training: a) operator, b) board/council, c) asset management, d) developing policies and procedures-n Technical Assistance: a) leak detection, b) line location, c) dishibutiotr, A; reatm"nt, e) othern System Operation: a) best practices guidance, b) emergency response, c) vulnerability assessmentn Source Water Protection: a) plaruring b) implementation
PWS Contact Name:Phone #:
Original - Inspector for registration in TRIM Copy - Public Water System Owner/Operator updated: t2n/2020
Sanitarv Survev
Instructions for Selecting the Correction Time Frame
E Urgent action required
These items pose an Imminent Threat to Public Health and must be remedied as soon as possible to decrease
exposure to dangerous or potentially dangerous contamination or circumstances. The inspector should specify a
timeframe based on severity of the deficiency and time needed to correct or mitigate the threat. The.corrective
action taken for these items needs to be in the corrective action plan. @ is anticipated that relativelyfew items, and only
those of the highest priority, will require remedy within this Correction Time Frame.)
E Specified in corrective action plan
A report describing the complete surv'ey results will be provided within thirty days. After rebeipt of this report,
the owner/operator has 30 (if a groundwater system) or 45 (if a surface water system/GWUDI system) days to consult
with the regulatory agency regarding a schedule for completing any required corrective actions and develop and
submit a corrective action plan.
(The majority of items identified during the inspection will require corrective action within I 20 days following the inspection. Factors
considered when selecting this timeframe would be overall risk or potential risk to public health, expertise necessary to effictively
make the modification (plumbing, electrical, engineering) and expense of the modification (large capital improvement vs. replacement
of itemfrom operating budget.)
DISCLAIMER: This document is a Preliminary Inspection Findings Form. It does not constitute a final
determination of compliance status with any laws administered by the Idaho Department of Environmental
Quality, including, but not limited to, the Idaho Environmental Protection and Health Act, Idaho Code $ 39-
101, et seq., the Idaho Rules for Public Drinking Water Systems, IDAPA 58.01.08, and adoptions of Federal
Regulations thereunder, Idaho Code $ 50-1326 et seq., Idaho Code $ 54-240I et seq., or any rules promulgated,
permits issued, or consent or judicial orders entered into under authority of these acts. The Idaho Department of
Environmental Quality reserves the right to supplement this document with additional compliance
determinations and amend, change, or otherwise modify any determination stated in this document. This
document does not restrict or preclude the State of Idaho or the Department of Environmental Quality from
taking action available under law to address past, present, or future violations of laws administered by the
agency.
Original - Inspector for regishation in TRIM Copy - Public Water System Owner/Operator updated: t2/t/2020
SystemName:
Inspection
Inspector:
Inspector:
Facility
Facility Representative :
Time
Sanitary Survey
Preliminary Insp ection Findings Form
egt 5 PWS#:17200
@rintName)
(
0
Conference Begins: Time Closing Conference Ends:
Phone #:5t
Email
Title:
Email: ll
k e
ne{t
Note: Your signature indicates you received this but does not imply agreement with thefindings
Significant Deficiencies noted during inspection:
In accordance with IDAPA 58.01.08.008.02., the health hazards identified below must be mitigated as required by the
Department and corrected within a time schedule established by the Department. Correction Time Frame
hdi
2 0ru
,th redded Iaps
Urgent Action
Required
Speciff in Corrective
Action Plan
n
days/hrs.n
days/hrs.
days/hrs.
days/hrs.
4.
5
Additional items attached
Deficienciesgl.
)
4.
Additional items attached
Free Technical Assistance (Third Party Service Provider): Yes n No n
n Financial: a) rate reviews, b) budgeting, c) finding loans and grants, d) capital improvement planning
n Training: a) operator, b) board/council, c) asset management, d) developing policies and procedures
n Technical Assistance: a) leak detection, b) line location, c) distribution, d) treatment, e) other
n System Operation: a) best practices guidance, b) emergency response, c) vulnerability assessment
n Source Water Protection: a) plaruring b) implementation
PWS ContactName:Phone #:
Original - Inspector for registration in TRIM Copy - Public Water System Owner/Operator Updated: 12/112020
Sanitarv Survev
fnstructions for Selectins e Correction Time tr'rame
E Urgent action required
These items pose an Imminent Threat to Public Health and must be remedied as soon as possible to decrease
exposure to dangerous or potentially dangerous contamination or circumstances. The insqector should specify a
timeftame based on severity of the deficiency and time needed to correct or mitigate the threat. The corrective
action taken for these items needs to be in the corrective action plan. @ is anticipated that relativelyfew items, and only
those of the highest priority, will require remedy within this Conection Time Frame.)
E Specified in corrective action plan
A report describing the complete survey results will be provided within thirty days. After receipt of this report,
the owner/operator has 30 (if a groundwater system) or 45 (if a surface water system/GWUDI system) days to consult
with the,regulatory agency regarding a schedule for completing any required corrective actions and develop and
submit a corrective action plan.
the majority of items identffied during the inspection will require corrective action within 120 days following the inspection. Factors
considered when selecting this timeframe would be overall risk or potential risk to public health, expertise necessary to effectively
make the modffication (plumbing, electrical, engineering) and expense of the modification (large capital improvement vs. replacement
of itemfrom operating budget.)
DISCLAIMER: This document is a Preliminary Inspection Findings Form. It does not constitute a final
determination of compliance status with any laws administered by the Idaho Department of Environmental
Quality, including, but not limited to, the Idaho F.nvironmental Protection and Health Act, Idaho Code $ 39-
101, et seq., the Idaho Rules for Public Drinking l4rater Systems, IDAPA 58.01.08, and adoptions of Federal
Regulations thereunder, Idaho Code $ 50-1326 et seq., Idaho Code $ 54-2401et seq., or any rules promulgated,
permits issued, or consent or judicial orders entered into under authority of these acts. The Idaho Department of
Environmental Quality reserves the right to supplement this document with additional compliance
determinations and amend, change, or otherwise modi$r any determination stated in this document. This
document does not restrict or preclude the State of Idaho or the Department of Environmental Quality from
taking action available under law to address past, present, or future violations of laws administered by the
agency.
Original - Inspector for registration in TRIM Copy - Public Water System Owner/Operator Updated: I2/l/2020
Sanitary Survey
Preliminary Findings Form
SystemName:V V 6 v PWS #:0
Time Closing Conference Begins:Time Closing Conference Ends:
Inspector:Phone
(PrintName)
(Sigrature)
Facility Title:
@rint
Facility Representative :Email:
Note: Your signature indicates you have received this document,does not imply agreement with thefindings
Significant Deficiencies noted during inspection:
In"accordance with IDAPA 58.01.08.008.02., the health hazatds identified below
Department and corrected within a time schedule established by the Department.
)
lo
car ef@d{d.
dn,n
must be mitigated as required by the
Correction Time Frame
I
2 rcsded q
, rni e ih pu ? vautt ( eogt)
Urgent Action
Required
Speci$ in Corrective
Action Plan
days/hrs n
tr
days/lrs
tr
4.EG
5.
6
Additional items attached
Potential Deficiencies
0
9c cq
Review:
l.
2.
J.
4.
t1 b V
C
o e-
Additional items attached
Free Technical Assistance (third Party Service Provider): Yes n No !
tr Financial: a) rate reviews, b) budgeting, c) finding loans and grants, d) capital improvement planning
- Ila$j"gr a) operator, b) board/council, c) asset management, d) developing policies and procedures
- T".hrri"-ul A*rirtun"": a) leak detection, b) line location, c) distribution, d) treatment, e) other
- Sl"t.- Oo"iutioo: a) best practices guidance, b) emergency response, c) vulnerability assessment
n Source Water Protection: a) planning b) implementation
PWS ContactName:Phone
Original - Inspector for registration in TRIM Copy - Public Water System Owner/Operator Updated: l2lrl2020
Sanitarv Survev
Instructions for Selecting the Correction Time Frame
E Urgent action required
These items pose an Imminent Threat to Public Health and must be remedied as soon as possible to decrease
exposure to dangerous or potentially dangerous contamination or circumstances. The inspector should specify a
timeframe based on severity of the deficiency and time needed to correct or mitigate the threat. The corrective
action taken for these items needs to be in the corrective action pIan. (It is anticipated that relativelyfew items, and only
those of the highest priority, will require remedy within this Correction Time Frame.)
E Specified in corrective action plan
A *^-^-+,{^-^*iLi-^+L^^^*-l^*an,,*,a.,-^^,,1+^.-,:1lL^*-^..:l^l--,:+L:-+L:r-, 1^-,^ Ac+^--^^^:^t^cLL:^
^ rvlJvru uvJvrrurrrS nrv v\[rrPrvLL Jurv9J r\rDllrLJ wrlr. r-rv PruvrLrvu wrLlrrll uurrty Lt4yD. fl,ltgl ltiteglPt uI utrb IE;IJUIt,
the owner/operator has 30 (if a groundwater system) or 45 (if a surface water system/GWUDI system) days to consult
with the r6gulatory agency regarding a schedule for completing any required corrective actions and develop and
submit a corrective action plan.
Qhe majority of items identified during the inspection will require conective action within 120 days following the inspection. Factors
considered when selecting this timeframe would be overall risk or potential risk to public health, expertise necessary to ffictively
make the modification (plumbing, electrical, engineering) and expense of the modification (large capital improvement vs. replacement
of itemfrom operating budget.)
DISCLAIMER: This document is a Preliminary Inspection Findings Form. It does not constitute a final
determination of compliance status with any laws administered by the Idaho Department of Environmental
Quality, including, but not limited to, the Idaho Environmental Protection and Health Act, Idaho Code $ 39-
101, et seq., the Idaho Rules for Public Drinking Water Systems, IDAPA 58.01.08, and adoptions of Federal
Regulations thereunder, Idaho Code $ 50-1326 et seq., Idaho Code $ 54-2401et seq., or any rules promulgated,
permits issued, or consent or judicial orders entered into under authority of these acts. The Idaho Department of
Environmental Quality reseryes the right to supplement this document with additional compliance
determinations and amend, change, or otherwise modi$ any determination stated in this document. This
document does not restrict or preclude the State of Idaho or the Department of Environmental Quality from
taking action available under law to address past, present, or future violations of laws administered by the
agency.
Original - Inspector for regishation in TRIM Copy - Public Water System Owner/Operator Updated: 12/|2020
SystemName
Inspection
Inspector:
Inspector:
Facility Representative :
Sanitary Survey
Preliminary Inspection Findings Form
Time Closing Conference Begins:
Name)
Email:
Title
PWS #:2
Time Closing Conference Ends:
Phone r,(2W\528"2U50
'&,nr?
l ho
0vq
)
Facility Representative Email:
Note: Your signature indicates You received this but does not imply agreement with thefindings.
Significant Deficiencies noted during inspection:
Inlccordance with IDAPA 58.01.08.008.02., the health hazards identified below must be mitigated as required by the
Department and corrected within a time schedule established by the Department.Correction Time Frame
, lo oEe, bo on both well caPqIts
2.we,lt vmr nqe
, thre ade tqPg n?Qd bar*{l 0w dturc
Urgent Action
Required
Specifr in Corrective
Action Plan
n
days/hrs n
days/hrs.
4.v C n V
5
6.
I edditional items attached
Potential Deficiencies Pending Review:
v
v
v 0
w ?.J.
4.
items
Free Technical Assistance (Third Party Service Provider): Yes No
Financial: a) rate reviews, b)budgeting, c) finding loans and grants, d) capital improvement planning
Training: a) operator, b) board/council,c) asset management, d) developing policies and procedures
Technical Assistance: a) leak detection, b) line location, c) distribution,
System Operation: a) bestpractices guidance, b) emergencyresponse, c
Source Water Protection: a) planning b) implementation
d) treatment, e) other
) vulnerability assessment
PWS ContactName:Phone #:
Original - Inspector for registration in TRIM Copy - Public Water System Owner/Operator Updated: l2/r/2020
Sanitarv Survey
Instructions for Seleqtins the Correction Time Frame
E Urgent action required
These items pose an Imminent Thtpat-to Public Health and must be remedied as soon as possible to decreasee.xpolure to dangerous or potentially dangerous conlamination or circumstances. The insiector should specify atimeframe based on severity of the deficiency and time needed to correct or mitigate the ihreat. The correctiveaction taken for these items needs to be in the corrective action plan. (t is anticipated that relativelyfew items, and only
th,os.e of the highest priority, will require remedy within this Correction Time Frame.)
E Specified in corrective action nlan
A report describing the complete survey results will be provided within thirty days. After receipt of this report,
the owner/operator has 30 (if a groundwater system) or 45 (if a surface water system/GWUDI system) days to consultwith the regulatory agency regarding a schedule for completing any required corrective urtiotrr.und develop and
submit a corrective action plan.
the maiority of items identified during the inspection will require corrective action within 120 days following the inspection. Factorsconsidered when selecting this timeframe would be overall risk or potential risk to public health, expertise nJ""rrory to effectively
make the modification (llumbing, electrical, engineering) and expense of the modffication (arge capital improvemint vs. replacimentof ilemfrom operating budget.)
DISCLAIMER: This document is a Preliminary Inspection Findings Form. It does not constitute a final
determination of compliance status with any laws administered by the Idaho Department of Environmental
Quality, including, but not limited to, the Idaho Environmental Protection and Health Act, Idaho Code $ 39-
101, et seq., the Idaho Rules for Public Drinking Water Systems, IDAPA 58.01.08, and adoptions of Federal
Regulations thereunder, Idaho Code $ 50-1326 et seq., Idaho Code $ 54-2401et seq., or at y rules promulgated,
permits issued, or consent or judicial orders entered into under authority of these acis. The iduho Departmint ofEnvironmental Quality reserves the right to supplement this document with additional compliance
determinations and amend, change, or otherwise modify any determination stated in this document. This
document does not restrict or preclude the State of Idaho or the Department of Environmental Quality from
taking action available under law to address past, present, or future violations of laws administeied by the
agency.
Original - Inspector for registration in TRIM Copy - Public Water System Owner/Operator Up dated:12/t/2020
@rintName)
Email:
(s
Facility Representati Title: tfYlnlnoCP
(
Facility Representative Email:
Note: Your signature indicates you received this but does not imply agreement with thefindings
Significant Deficiencies noted during inspection:
In accordance with IDAPA 58.01.08.008.02., the health hazards identified below must be mitigated as required by the
Department and corrected within a time schedule established by the Department. Correction Time Frame
SystemName:
Inspection
2 PfeqEu
Sanitary Survey
Preliminary Inspection Findings Form
rs e9
2 Time Closing Conference Begins:
0v
PWS#: 12200.)o
Time Closing Conference Ends:
Phone 0 2 ^2
i
t0
r e gouge nOt wOr Kinq
Urgent Action
Required
Specifu in Conective
Action Plan
t
days/hrs.
days/hrs.tr
days/hrs.5
6.
Ll Additional items attached
Potential Deficiencies Pending Review:
o 0h ve
J e
4.
t NK
2.
u
l_l Additional items attached
Free Technical Assistance (Third Party Service Provider): Yes ! No n
Financial: a) rate reviews, b) budgeting, c) finding loans and grants, d) capital improvement planning
Training: a) operator, b) board/council, c) asset management, d) developing policies and procedures
Technical Assistance: a) leak detection, b) line location, c) dishibution, d) treatment, e) other
System Operation: a) best practices guidance, b) emergency response, c) vulnerability assessment
Source Water Protection: a) planning b) implementation
PWS Contact Name:Phone #:
Original - Inspector for registration in TRIM Copy - Public Water System Owner/Operator Updated: t2/t/2020
Sanitarv Survev
Instructions for Selecting the Correction Time, Frame
E Urgent action required
These items pose an Imminent Threat to Public Health and must be remedied as soon as possible to decrease
exposure to dangerous or potentially dangerous contamination or circumstances. The insliector should specify a
timeframe based on severity of the deficiency and time needed to correct or mitigate the ihreat. The coneotive
action taken for these items needs to be in the corrective action pIan. (t is anticipaied that relativelyfew items, and only
those.of the highest priority, will require remedy within this Correction Time Frame.)
E Specified in corrective action plan
A report describing the complete survey results will be provided within thirty days. After receipt of this report,
the owner/operator has 30 (if a.groundwater system) or 45 (if a surface water system/GWUDI system) days to consult
with the regulatory agency regarding a schedule for completing any required corrective actions and develop and
submit a corrective action plan.
(The maiority of items identified during the inspection will require corrective action within 120 days fottowing the inspection. Factors
considered when selecting this time frame would be overall risk or potential risk to public heqlth, expertise necessqry to ffictivelymake the modification (plumbing, electrical, engineering) and expense of the modiJication Qarge capital improveme,nt vs.- replaciment
of itemfrom operating budget.)
DISCLAIMER: This document is a Preliminary Inspection Findings Form. It does not constitute a final
determination of compliance status with any laws administered by the Idaho Department of Environmental
Quality, including, but not limited to, the Idaho Environmental Protection and Health Act, Idaho Code $ 39-
101, et seq., the Idaho Rules for Public Drinking Water Systems, IDAPA 58.01.08, and adoptions of Federal
Regulations thereunder, Idaho Code $ 50-1326 et seq., Idaho Code $ 54-2401et seq., or any rules promulgated,
permits issued, or consent or judicial orders entered into under authority of these acts. The Idaho Department of
Environmental Quality reserves the right to supplement this document with additional compliance
determinations and amend, change, or otherwise modiSr any determination stated in this document. This
document does not restrict or preclude the State of Idaho or the Department of Environmental Quality from
taking action available under law to address past, present, or future violations of laws administered by the
agency.
Original - Inspector for regishation in TRIM Copy - Public Water System Owner/Operator updated: t2/t/2020
Sanitarv Survev
Instructions for Selecting the Correction Time Frame
E Urgent action required
These items pose an Imminent Threat to Public Health and must be remedied as soon as possible to decrease
exposure to dangerous- or potentially dangerous contamination or circumstances. The insqector should specify a
timeframe based on severity of the deficiency and time needed to correct or mitigate the threat. The corrective
action taken for these items needs to be in the corrective action plan. Qt is anticipated that relativelyfew items, and only
those of the highest priority, will require remedy within this Correction Time Frame.)
E Specified in corrective action nlan
A report describing the complete survey results witrl be provided within thirty days. After receipt of this report,
the owner/operator has 30 (if a groundwater system) or 45 (if a surface lvater system/GWUDI system) days to consult
with the regulatory agency regarding a schedule for completing any required corrective actions and develop and
submit a corrective action plan.
(Ihe majority of items identified during the inspection will require corrective action within 120 days following the inspection. Factors
considered when selecting this time frame would be overall risk or potential risk to public health, expertise necessary to effectively
make the modification (plumbing, electrical, engineering) and expense of the modification (arge capital improvement vs. replacement
of item.from operating budget.)
DISCLAIMER: This document is a Preliminary Inspection Findings Form. It does not constitute a final
determination of compliance status with any laws administered by the Idaho Department of Environmental
Quality, including, but not limited to, the Idaho Environmental Protection and Health Act, Idaho Code $ 39-
101, ei seq., the Idaho Rules for Public Drinking Water Systems, IDAPA 58.01.08, and adoptions of Federal
Regulations thereunder, Idaho Code $ 50-1326 et seq., Idaho Code $ 54-240I et seq., or any rules promulgated,
permits issued, or consent or judicial orders entered into under authority of these acts. The Idaho Department of
Environmental Quality reserves the right to supplerirent this document with additional compliance
determinations and amend, change, or otherwise modiff any determination stated in this document. This
document does not restrict or preclude the State of Idaho or the Department of Environmental Quality from
taking action available under law to address past, present, or future violations of laws administered by the
agency.
Original - Inspector for registration in TRIM Copy - Public Water System Owner/Operator Updated: I2ltl2020
Sanitary Survey
Inspection Findings Form
SystemName
Inspection
Inspector:
Inspector:
Facility Representative
Facility Representative
0r
Time Closing Conference Begins
(PrintName)
(Signature)
PWS #: 12
Time Closing Conference Ends:
52t-
0
Phone #:0
Emai,:Kel9qY.Cqfrc/@ dECI.td
'.?Title:
Email:
)
Note: Your signature indicates you received this but does not imply agreement with thefindings.
Significant Deficiencies noted during inspection:
In accordance with IDAPA 58.01.08.008.02., the health hazards identified below must be mitigated as required by the
Department and corrected within a time schedule established by the Department. Correction Time Frame
1 DW
,.Q
,ECYl8n6 0n 1pLn 0Mpg
Urgent Action
Required
Specit' in Corrective
Action Plan
n
[_days/hrs.n
4.
5.
I
Additional items attached
Potential Pending Review:
Q
2.
4
items attached
Free Technical Assistance (Third Party Service Provider): Yes I No n
n Financial: a) rate reviews, b) budgeting, c) finding loans and grants, d) capital improvement planning
n Training: a) operator, b) board/council, c) asset management, d) developing policies and procedures
n Technical Assistance: a) leak detection, b) line location, c) distribution, d) treatment, e) other
n System Operation: a) bestpractices guidance, b) emergencyresponse, c) vulnerability assessment
n Source Water Protection: a) planning b) implementation
PWS ContactName:Phone #:
Qg U
Original - Inspector for registration in TRIM Copy - Public Water System Owner/Operator Updated: 12/112020
Ir
Exhibit II
ldaho Department of Environmental Quality
PflntForm
TotalColiform Sample Siting Plan Form
Total Coliform Sample Siting Plan
for $mall Systems
ii ,, t.."- ;+-,: i ,., rli--, :... ,i ',i,_ tl .{, ,! . - l" \it '\ i* 1*"" {*: I / t-: l. /
JAt'0 g 0 Z0Z3
Part 1. General System Information
PWSID:72200156 PWS Nanre Valley View Subdivision
Mailing Address 455 Constitutions Way, ldaho Falls, lD 83402
PWS Contact Name ISLAND PARK WATER COMPANY, INC
E-rnail [e-mail] Phone:[phone]
Emergency Contact Name:
Manifold: List sources that
combine belbre distribution
DOROTHY McCARTY
E-mail:[e-mail] Phone:
PWS Type: I Community (CWS) [ Nontransient nonsonmrurrity (I{TNC) [ Nonconrmunity transient (NCT)
208-521-2369
Noncommunity Seasonal System: I No 6rr. Ifyes, season open:05.15.00
* Seasonal systelns arc lequired to perfornr annual start-up procedures prior to opening for the season nnless exempted in writing.
Sources of Water:
Identi$ sources of
drinking water and
attach additional
sheets aE necessaly
4-log virus inactivationr source watcr nronitoring thc Grorurd Water a
total colifonn positive sample ts required when a system using ground rvater does not ltave 4-log virus
inactivation for all ground watcl sources.
Not applicable
Disinfection Treatmcnt Installed/Using: l__l None lJ Chlorine fJ Chloramination 1_J Chlorine dioxide u Ozone
(check all that apply)
Owner/Operator 208-521-2369
Signature Janua 10
Phone:
Date:
09/30/00
Source/Facility tD
Namc ofdrinking water sourcc(s): rvell tag #,
nanrc, spring nanrc. inltkc sourcc
Source Type
GW*grouud rvatcr, SP--spring,
SW-strrfacc rvatcr, GU--ground
rvatcr under the influencc of SW,
l'--purchasc rvatcr fronl other syslcrn
Usagc
P--pcnnfl ncnt (littl/timc),
E-cmcrgurcy (rrot plnnncd
for usc), I-intcriDr to n)cct
peak dcnrnnd
4-log Virus
Inactivation*
Source hru continuous
disinfcclion to providc
4Jog virus inaclivation
f Yes rra6ll. E0009996530 G.W.P
CYes CNo2
3 f Yes f No
4.C Ybs CNo
Dorothy McCarty, Owner
Version 1.0
ame:
Page 1 of 4
Exhibit J
ldaho Department of Environmental QualiW
.,, _t',,M!!Ji9!EI_., i
TotalColiform Sample Siting Plan Form
a
E
Part 2. Sampling Location Information
lst
See page 414 Paragraph One. "Most public water system owners or operators are not required to
submit total coliform sample siting plans. The following circumstances require submittal and approval of
your sample siting plan by your local field office."
lsland Park Water does not wish to propose alternative fixed sample sites or criteria for selecting sites
based upon situational information.
lsland Park Water has on file with D,E.Q. and Teton Microbiology Lab a consistent history of
compliance with quarterly testing.
lsland Park Water Company is not in violation of quarterly water testing. For the PWS.
lsland Park PWS systems are remote, seasonal occupancy and due to circumstances, Due to both
weather, lack of set access to a specific property and time constraints as to take water and turn into
Teton Micro-biology lab, it is beyond reason to provide specific locations. The conveyance systems are
circulatory, and samples are taking wherever it is possible to access on the day tests are taken. *(Many
connections are only to hydrants; cabins are either privately rented out and not available to access; or
owners are randomly on site, The only way lsland Park Water can take samples is randomly choose
based upon availability on the day of travel,
Based upon the fact that lsland Park Water is not subject to the conditions stated on this form, lsland
Park Water company respectfully protests the requirement to submit such sampling site plan as it is not
applicable, and no proof has been provided to lsland Park Water company that their samplings are out
of compliance. DEQ retains records of the water sampling and has not provided any evidence of none
compliance that would justify this request or signify a deficiency in water testing.
As a gesture of good faith, lsland Park Water Company does submit the following addresses are
possible sampling sites for the following subdivisions, but with no guarantee that any specific location
will be used for any specific quarter, as winter access is extremely limited and difficult at best as not all
access roads are plowed.
Submittal of the attached addresses does not convey or imply that lsland Park Water Company is
wanting to propose alternative or fixed locations for quarterly sampling. lsland Park Water Company
does not have a mapping system, however DEQ does have the Recorded Subdivision Plats on file for
each of these PWS with Street names, which is also all lsland Park Water has. Please refer to the
Plats on file with DEQ.
o
Valley View Sub
] frtn ,&riryff0#$g'inP i ::; H:::YJ/
q. gfn plJ lot 6VYv(J [gfflrm )' sttz Varrev Dr
division::.
5163 Lake View
5L62 Lake vtew 1/
5128 Lake View
T5177 Valley Drive y'
tt.
6.
lg.
1.
Routine Sample Location
1.
Page2of 4
PnntForm
ldaho rtment of Environmental Qual TotalColiform siti Plan Form
Total Coliform Sample Siting Plan
r !.a
. dr,J olnr r rH--r*"i_"iLor:lj
for $mall $ystems JAN 3 A 2023
DHQ.IDAIiO FA r t_s
This lbrrn is intended to assist public water systerrr (PWS) owners and operators with developing a total colitbrm
santple siting plan. This form is desigued fi:r systerns taking three sarnples each montlt or eaclt quarter (serving <3
people). Using this form is optional. I-Iowever, all public water system are required to have a written sample siting
in accordance with the "Idaho Rules for Public Water Systenrs" (IDAPA 58.01,08.100.01).
,300plan
Part 1. General System Information
PWSID 7220065 PWS Name:Shotgun North
Mailiug Address:455 Constitutions Way, ldaho Falls, lD 83402
PWS Contact Nanre:
E-rnail:[e-mail]
ISLAND PARK WATER COMPANY, INC
Phone [phone]
Emelgency Contact Name
E-mail:[e-mail]
Sources of Water:
Identiff sources of
drinking water and
attach additional
sheets as necessaly
DOROTHY McCARTY
source water nronitoring for thc
208-521-2369
ater nga
Phone:
PWS Type: flCommurrity (CWS) f]Nontransient noncommunity (NTNC) [ Noncomrnunity transient (NCT)
Norrconmrunity Seasonal System: ffio f, Yes* If yes, scason open:close;
* Seasonal systelns are required to perfonn annual start-up procedures priol to opening for the season unless exemllted in writing.
SourcclFacility tD
Namc of<lrinking water sourcc(s): rvcll tag #,
nanrc, spring nantc, intakc sourcc
Source Type
GW-grouud rvatcr, SP--spring,
SW-surfncc rvatcr, GU--gr<lund
watcr under the iufluencc of SW,
P--purchasc rvatcr from olhcr systclil
Usage
P-pcrmancnl (fttll/tims),
E-cmcrgcncy (not planncd
fo| usc), I-iutcriur to nrcet
pcak dcnrnnd
4-log Virus
Inactivation*
Sorrrcc hus conliuuous
disinlbclion to providc
4Jog virus inactivation
l. E0006532 G.W P f Yes Olfo
z eoooosst 4u;.2 C Yes G-Dl.o
3 f Yes CNo
4.C Yes CNo
nac a
M*nifold: List sources that
combine betbre distlibr.rtion
total colifonn positive sarnple is required when a systern using ground water does not have 4-log virus
iuactivation for all ground water sources.
Not applicable
Disinfection Treatment Installed/Using: [J None [_J Chlorine l_l Chloranrination -l Chlorine dioxide l] Ozone
(check all that apply)
Owner/Operator 208-521-2369
Signature:January 10.2023
Phone:
Date:
Dorothy McCarty, Owner
Vers on 0 1o'f4
ldaho Department of Environmental Qualitv
..,.,. _H[!D!,h9IU!,1,. ."
TotalColiform Sample Siting Plan Form
Part 2. Sampling Location Information
lst
See page 414 Paragraph One, "Most public water system owners or operators are not required to
submit total coliform sample siting plans. The following circumstances require submittal and approval of
your sample siting plan by your localfield office,"
lsland Park Water does not wish to propose alternative fixed sample sites or criteria for selecting sites
based upon situational information.
lsland Park Water has on file with D.E.Q, and Teton Microbiology Lab a consistent history of
compliance with quarterly testing.
lsland Park Water Company is not in violation of quarterly water testing. For the PWS.
lsland Park PWS systems are remote, seasonal occupancy and due to circumstances. Due to both
weather, lack of set access to a specific property and time constraints as to take water and turn into
Teton Micro-biology lab, it is beyond reason to provide specific locations. The conveyance systems are
circulatory, and samples are taking wherever it is possible to access on the day tests are taken. .(Many
connections are only to hydrants; cabins are either privately rented out and not available to access; or
owners are randomly on site. The only way lsland Park Water can take samples is randomly choose
based upon availability on the day of travel.
Based upon the fact that lsland Park Water is not subject to the conditions stated on this form, lsland
Park Water company respectfully protests the requirement to submit such sampling site plan as it is not
applicable, and no proof has been provided to lsland Park Water company that their samplings are out
of compliance. DEQ retains records of the water sampling and has not provided any evidence of none
compliance that would justify this request or signify a deficiency in water testing,
As a gesture of good faith, lsland Park Water Company does submit the following addresses are
possible sampling sites for the following subdivisions, but with no guarantee that any specific location
will be used for any specific quarter, as winter access is extremely limited and difficult at best as not all
access roads are plowed.
Submittal of the attached addresses does not convey or imply that lsland Park Water Company is
wanting to propose alternative or fixed locations for quarterly sampling, lsland Park Water Company
does not have a mapping system, however DEQ does have the Recorded Subdivision Plats on file for
each of these PWS with Street names, which is also all lsland Park Water has. Please refer to the
Plats on file with DEQ.
SHOTGUN NORTH
Thank you, lsland Park_Water Company
r. hot o vdld qdd feqs
2.hof qvqtdddltgg
\.d
l.o-0,1"::::fiff 5s,
EG)t(,
Oo
l. +oszYale creek
Lf. +ool Yate creek
p:sss Browning
(g*oasYale creek
I no++winchester
Q,rurosavage
u
Rd
Routine Sample Location
Ig.
1.
Page2
dre55
4
E.no1 qvI trd qd dtess not qv4td dd
HnntForm I
ldaho Department of Environmental Quality Total Coliform Sample Siting Plan Form
ffi11:, Goliform sample sitins plan
--fif;T',H=*
Wfor Small $ystems
. DFt jr;1iio FA!_t_$This tbnn is intended to assist public water system (PWS) ownels and operators with developing a total colilbnn
sanrplc siting plan. This form is designed lor systems taking three sarnples each month or each quailer (serving 53,300
people). Using this fomr is optional. I-Iowever, all public water system are required to have a written sample sitirrg plan
iu accordance with the "ldaho Rr.rles for Public Water Systenrs" (IDAPA 58.01.08.100.01).
Part 1. General System Information
PWSID:7220007 PWS Name Aspen Ridge
Mailing Address 455 Constitutions Way, ldaho Falls, lD 83402
PWS Contact Namc:ISLAND PARK WATER COMPANY, INC
E-mail [e-mail] Phone:[phone]
Emergency Contact Name:DOROTHY McCARTY
Phonc:
PWS Type: I Community (CWS) [ Nontransient noncommudty (NTNC) [ Noncomrnunity transient (NCT)
Noncomnunity Seasonal System: #*o I Yes* If yes, season open close:
* Seasonal systelns are required to perfomr annual start-up procedures prior to opening fol the season unless exempted in writing.
E-mail:[e-mail]
Sources of Water:
identif, sources of
drinking water and
attach additional
sheets as necessaly
Manifold: List sources that
cornbine befbre clistribution
Signature;
208-521-?369
Janua 10 2023
Source/Facility ID
Namc of drinking watcr source(s): rvell tag #,
nanrc, spring nlrnc, intttkc sourcc
Source Type
GIV*ground rvntcr, SP--spring,
$W-surfncc rvatcr, GU--ground
rvatcr under the irrfluence of SW,
P--purchasc rvatcr fronr other systcttt
Usage
P-pcrnancnt (fulUti mq),
E-cmcrgency (rrot planncd
lol usc), I-intcrinr lo mcct
pcak dcmnud
4-log Virus
Inactivation*
Sourse hos conlinuous
disinl'cction to provide
4Jog virus inactivation
l. E0006523 G.W P f Yes t?<(6
z rooogoog G.w.?C Yes Q}rtr
flYes f No
4 C Yes CNo
asourco watcr ng for thc Ground
total colifolm positivc sarnple is required when a systeln using ground water does uot have 4-log virus
inactivation for all ground watel sourccs.
Not applicable.
Disinfection Treatment Installed/Using: lJ Nole [J Chlorine lJ Chloramination l] Chlorine dioxide l*lOzone
(check all that apply)
Owner/Operator Name 208-521-2369Phone
Date:
Dorothy McCarty, Owner
n .0 ol4
ldaho Depaftment of Environmental Quality
,,,. *tl.flXllte[D:.-,':, I
TotalColiform Sample Siting Plan Form
Part 2. Sampling Location Information
This section identifies sampling locations for routine and repeat total coliform (TC) samples. This form is designed for
systems taking up to 3 routine TC samples per month. Please identiff the sample sites by address or dedicated sample
point name and location type when applicable (i.e., kitchen faucet). Three repeat samples are required for each routine
TC positive result. One repeat is to bb taken at the routine location that was TC positive, one repeat is to be taken within
5 connections upsteam of ttre routine TC positive location, and one repeat is to be taken within 5 connections
downsteam of the routine TC positive location. Seasonal systems on quarterly monitoring must identiff the month of
highest use or the most vulnerable month in each quartsr (such as the month with the most rainfall),
lst
2nd
a
See page 414 Paragraph One, "Most public water system owners or operators are not required tosubmit total coliform sample siting plans, The following circumstances require submittal and approval ofyour sample siting plan by your localfield office."
lsland Park Water does not wish to propose alternative fixed sample sites or criteria for selecting sites
based upon situational information.
lsland Park Water has on file with D.E.Q. and Teton Microbiology Lab a consistent history of
compliance with quarterly testing.
lsland Park Water Company is not in violation of quarterly water testing, For the PWS.
lsland Park PWS systems are remote, seasonal occupancy and due to circumstances. Due to both
weather, lack of set access to a specific property and time constraints as to take water and turn into
Teton Micro-biology lab, it is beyond reason to provide specific locations. The conveyance systems are
circulatory, and samples are taking wherever it is possible to access on the day tests-are tak6n. .(Many
connections are only to hydrants; cabins are either privately rented out and not available to access;or-
owners are randomly on site. The only way lsland Park Water can take samples is randomly choose
based upon availability on the day of travel.
Based upon the fact that lsland Park Water is not subject to the conditions stated on this form, lsland
Park Water company respectfully protests the requirement to submit such sampling site plan as it is not
applicable, and no proof has been provided to lsland Park Water company that their samplings are out
of compliance. DEQ retains records of the water sampling and has not provided any evidenCe of none
compliance that would justify this request or signify a deficiency in water testing.
As a gesture of good faith, lsland Park Water Company does submit the following addresses arepossible sampling sites for the following subdivisions, but with no guarantee thatLny specific location
will be used for any specific quarter, as.wilter access is extremelv limited and difficult at best asnot all - t
a ccess road s a re ffi ; "Ali "
hddfggfilS
" d| i', i' n'"i E e dl 6ii
.0f
iilhl.Submittal of the attached addresses does not conve! or imply that lsland Park Watbr Company is
wanting to propose alternative or fixed locations for quarterly sampling. lsland Park Water'Company
does not have a mapping system, however DEQ does have the Recorded Subdivision Plats on file for
each of these PWS with Street names, which is also all lsland Park Water has. Please refer to the
Plats on file with DEQ. , -
F.n0f avdlid tdd(esE
Thank you, lsland Park Water Company Aspen Ridge
a791 Balsam y/
4790 Balsam
/
he,xt dor i {. +oza AsPen Ridge
$.+zsr ett
lQ,+tesoeer y/L
Routine Sample Location
Version
cam-}l,iu ].ooruAspen Ridsey/
Page?ol4
ldaho Department of Environmental Quality
PnntForm
Total Coliform Sample Siting Plan Form
Total Goliform Sample Siting Plan $ti{{lffiEV[::[)
for Small $ystems JAhl n CI 2023
This tbnn is intenclecl to assist public water system (PWS) ownels and operators with developing aliiffi6bdmb\&+,CI F"Al-L'ii
sample siting plan. This form is designed frrr systems taking three samples each month or each quarter (serving 53,300
people). Using this fomr is optional. I-Iowever, all public water system are required to have a written sample siting plan
in accordance with the "Idaho Rules for Public Watcr Systems" (IDAPA 58.0i.08.100.01).
Part L. General System Information
PWSID:7220064 PWS Nanre:S un
Mailing Address:455 Constitutions Way, ldaho Falls, lD 83402
PWS Contact Namc:ISLAND PARK WATER COMPANY, INC
E-mail WATE IDA.NET Phone:[phone]
Emergency Contact Name:DOROTHY McCARTY
E-mail:[e-mail] Phonc:
PWS Type: I Community (CWS) f, Nontransient noncommunity (I{TNC) [ Noncommurtity transient (NCT)
Noncommunity Seasonal Systeru 6t, f, Yes* lf yes, season open:
* Seasoual systelns are required to perfomr annual start-up procedures prior to opening for the season unless exenrpted in writing.
Sources of Water:
Identi$ sources of
dritrking rvater and
attach additional
sheets as necessaly
source watcr for thc atcr
total coliform positive sanrple IS required when a systern using ground rvuter does not har,e 4-log virus
inactivation for all ground watcl sources.
Not applicable
Disinfection Treatment Installcd/Using: [_J Nole [_JChlorine LJ Chloramination ]l Chlorine dioxide f]Ozone
(check all that apply)
Owner/Operator 208^521-2369
Signature:Ja
Manifold: List sources tliat
combine befbre distribution
Phone:
Date:
4-log Virus
Inactivation*
Sourcc hus contirtuous
disirrfcction to providc
4-log virus inactivation
Usage
P-pcrmarrcnt (fitll/time),
E-emcrgcncy (rtot plauncd
for usc), I-iDtcrirn to mcet
pcak dcmand
SourcelFacility ID
Name of drinking water sourcc(s): rvell tag #,
nanrc. spring nirntc, intnkc sourcc
Source Type
GW*grouud rvnter, SP-spring,
SW*surf.acc tvatcr, GU-,grOuud
rvatcr under the influencc ofSlV,
P--purchasc rvatcr from other syslcnl
f Y.r rPa(f,1. 000000015839 G.W.P
C Yes CNo2
f yes CNoJ
C Yes CNo4.
Dorothy McCarty, Owner
Version
Name:
Page 1 of4
ldaho Department of Environmental Quality
..,... _l'-,.fl 0l"h9[,[!i -., .,
TotalColiform Sample Siting Plan Form
P art 2. Sampling Location Information
lst
See page 414 Paragraph One. "Most public water system owners or operators are not required to
submit total coliform sample siting plans. The following circumstances require submittal and approval of
your sample siting plan by your local field office."
lsland Park Water does not wish to propose alternative fixed sample sites or criteria for selecting sites
based upon situational information.
lsland Park Water has on file with D.E.Q. and Teton Microbiology Lab a consistent history of
compliance with quarterly testing.
lsland Park Water Company is not in violation of quarterly water testing. For the PWS.
lsland Park PWS systems are remote, seasonal occupancy and due to circumstances. Due to both
weather, lack of set access to a specific property and time constraints as to take water and turn into
Teton Micro-biology lab, it is beyond reason to provide specific locations, The conveyance systems are
circulatory, and samples are taking wherever it is possible to access on the day tests are taken. "(Many
connections are only to hydrants; cabins are either privately rented out and not available to access; or
owners are randomly on site. The only way lsland Park Water can take samples is randomly choose
based upon availability on the day of travel.
Based upon the fact that lsland Park Water is not subject to the conditions stated on this form, lsland
Park Water company respectfully protests the requirement to submit such sampling site plan as it is not
applicable, and no proof has been provided to lsland Park Water company that their samplings are out
of compliance. DEQ retains records of the water sampling and has not provided any evidence of none
compliance that would justify this request or signify a deficiency in water testing.
As a gesture of good faith, lsland Park Water Company does submit the following addresses are
possible sampling sites for the followingsubdivisions, but with no guarantee that any specific location
will be used for any specific quarter, a{ winter access is extremely limited and difficult at best as not all
access roads are plowed. !
Submittal of the attached addresse, dt", not convey or imply that lsland Park Water Company is
wanting to propose alternative or fixed locations for quarteriy sampling. lsland Park Water.Company
does not have a mapping system, however DEQ does have the Recorded Subdivision Plats on file for
each of these PWS with Street names, which is also all lsland Park Water has. Please refer to the
Plats on file with DEQ.
Thank you, lsland Park Water Company. \ttL!
Shotgun South KickaPoo
4041 Kickap oo r/
4o6o Kickap." flot v cllid dddfeSs
4o56Kickap *\/ AcyosE woll LOt
4051 Kickapoo / acrcss w^ll LOl
4043 KickaP"" gff\ fiJ Utf-"g"%ra
Routine Sample Location
ldaho Department of Environmental Quality
PnRtForm
TotalColiform Sample Siting Plan Form
$;il:C"hiVt:iliTotal Coliform Sample Siting Plan rAh{ s0 2023for Small $ystems Drr-.1 i*r\ric FA'L*
This ibnn is intended to assist public water system (PWS) ownels and operators with developing a total colilbnn
samplc siting plan. This fnmr is designed for systems taking three sarlples each month or each quarter (serving <3,300
people). Using this fomr is optional. Llowever, all public water system are required to have a written sample siting plan
in accordance with the "Idaho Rules for Public Water Systems" (IDAPA 58.01.08.100.01).
Parf 1. General System Information
PWSID:7220030 Goose EstatesPWS Name:
Mailing Address:455 Constitutions Way, ldaho Falls, lD 83402
PWS Contast Name ISLAND PARK WATER COMPANY, INC
E-mail:[e-mail] Phone:298-s21-2369
Emergency Contact Name:
E-mail:WATER@TDA,NET
Sourccs of Water:
Identi$ sources of
drinking watcr and
attach additional
sheets as necessaly
Manifold: List sources that
contbine bel'ore distribution
Signature:
DOROTHY McCARTY
Phonc:208-521-2369
PWS Type: I Conmrurrity (CWS) [ Norrtransient noncommunity (NTNC) f Noncomrmurify transient (NCT)
Nonconmunity Seasonal Systern: I No I Yes* If yes, soason open olose:
+ Seasonal systeurs are required to perfomr annual start-up procedures prior to opening for the season unless exenrpted in writing.
SourcelFacility lD
Nanrc ofdrinking water source(s): rvell tag #,
nanrc, spring narrrc, intakc sourcc
Source Type
GiY-grouud water, SP*spring,
SW-surfncc watcr, GU--ground
rvlter under the hrfluencc of SW,
P--purchasc rvatcr from other sysletrt
Usage
P--pcrmancnt (littl/tim{:),
E-emcrgcncy (not planncd
for usc), l-interinr to rncct
peak dcmnud
4-log Virus
Inactivation*
Sourcc hos contiuuous
disinfcclion to providc
4-log virus inactivation
l. E0006535 G.W P f ves ffi'
2 E0006538 e,w.P.C Yes Sa(i
3.f Yes f No
4,C Yes CNo
t^1'l*vlrus source watcr ng ng a routlne
total colifonn positive sarnple ts required when a systeln using ground water does not have 4-log vlrus
inactivation for all ground water sourccs
Not applicable.
Disinfection Treatment Installed/Using: [J Nole u Chlorinc LJ Chloraminatiorr J Chlorine dioxide l_] Ozone
(check all that apply)
Owner/Operator 208-521-2369
Janua 1
Phone:
Date:
Dorothy McCarty, Owner
Version 1.0
Name:
Page 1 of4
ldaho Department of Environmental Quality
_r,flnIEe[nnj.-,.:
TotalColiform Sample Siting Plan Form
P art 2. Sampling Location Information
lst
See page 414 Paragraph One. "Most public water system owners or operators are not required to
submit total coliform sample siting plans. The following circumstances require submittal and approval of
your sample siting plan by your local field office."
lsland Park Water does not wish to propose alternative fixed sample sites or criteria for selecting sites
based upon situational information.
lsland Park Water has on file with D.E.Q.and Teton Microbiology Lab a consistent history of
compliance with quarterly testing,
lsland Park Water Company is not in violation of quarterly water testing, For the PWS.
lsland Park PWS systems are remote, seasonal occupancy and due to circumstances, Due to both
weather, lack of set access to a specific property and time constraints as to take water and turn into
Teton Micro-biology lab, it is beyond reason to provide specific loeations. The conveyance systems are
circulatory, and samples are taking wherevor it is possible to access on the day te.sts are taken. .(Many
connections are only to hydrants; cabins are either privately rented out and not available to access; or
owners are randomly on site. The only way lsland Park Water can take samples is randomly choose
based upon availability on the day of travel,
Based upon the fact that lsland Park Water is not subject to the conditions stated on this form, lsland
Park Water company respectfully protests the requirement to submit such sampling site plan as it is not
applicable, and no proof has been provided to lsland Park Water company that their samplings are out
of compliance. DEQ retains records of the water sampling and has not provided any evidence of none
compliance that would justify this request or signify a deficiency in water testing,
As a gesture of good faith, lsland Park.Water Company does submit the following addresses are
possible sampling sites for the following subdivisions, but with no guarantee that any specific location
will be used for any specific quarter, as winter access is extremely limited and difficult at best as not all
access roads are plowed.
Submittal of the attached addresses does not convey or imply that lsland Park Water Company is
wanting to propose alternative or fixed locations for quarterly sampling, lsland Park Water Company
does not have a mapping system, however DEQ does have the Recorded Subdivision Plats on file for
Bffi :l'aff;,il%?H:'frii, ffT H8ds[ UilV HfftfiUffi, tcoose eaJy
''l
Thank you, lslqnd Par[ Vlater Company. "'U-ggz+ Goose Bav \/
fi ffiti$ f,WW 2:H:::,:,:i ii::::".':"'"'/
J,soar Goose Bav fgJsotN Goose e^v J
2nd
a
),
n0t
not
Routine Sample Location
Page2 4
ldaho Department of Environmental Quality
Hflnlrorm
TotalColiform Sample Siting Plan Form
Part 1. General System Information
PWSiD 7220066 SHOTGUN STEVENS LANEPWS Name:
Mailing Address:455 Constitutions Way, ldaho Falls, lD 83402
PWS Contact Nanre:
E-mail:WATE DA.NET
ISLAND PARK WATER COMPANY, INC
Phone:[phone]
Emergency Contact Name:
E-mail:[e-mail]
Sourccs of Water:
ldenti$, sources of
drinking water and
attach additional
sheets as necessal'y
Mnnifold: List sources that
combine belbre clislribution
DOROTHY McCARTY
Phone:
PWS Type: fl Community (CWS) fl Nontransient noncommunity (NTNC) f] Noncomrnunity transient (NCT)
Noncomnrunity Seasonal Systern: U(o I Yes* Ifyes, season open:close;
* Seasorral systerns are lequired to perfomr annual start-up procedures prior to opening for the season unless exempted in writing.
208-521-2369
Source/Facility ID
Nanrc of drinking water sourcc(s); rvell tag #,
naruc. spring narnc, irrlakc sourcc
Source Type
GW--grouud watcr, SP--sprirg,
SW-surfacc rvatcr, GU-ground
rvater under (he inllueucc of SW,
l'--purchasc rvalcr tiom olhcr syslcnl
Usage
P--pcrmancnl (lull/time),
E-enrcrgcncy (not planncd
for usc), I-intet'iul to lnect
pcak dcrnnud
4-Iog Virus
Inactivation*
Sourcc has conlitluous
disiufcction to providc
4Jog virus inactivation
t. E0009996530 G.W.P f ves Pr{6-
2 CYes CNo
f Yes CNo
4.C Yes CNo
a*4-log virus source watsr monltonng
total coliform positive sample is required when a systern using ground water does not have 4-log virus
inactivation for all ground water soru'ces.
Not applicable
Disinfection Treatnrent lnstalled/Using: [J Nole [_] Chlorine u Chloramination .J Chlorine dioxide fl Ozone
(check all that apply)
Owner/Opcrator 208-521-2369
Signature:Januarv 10.2023
Phone:
Date:
Dorothy McCarty, Owner
1.0
Name:
Page 1
ldaho Department of Environmental Qualitv
_1.,.r!n-r.hglxru-..l
TotalColiform Sample Siting Plan Form
Part 2, Sampling Location Information
lst
See page 414 Paragraph One. "Most public water system owners or operators are not required to
submit total coliform sample siting plans, The following circumstances require submittal and approval of
your sample siting plan by your localfield office."
lsland Park Water does not wish to propose alternative fixed sample sites or criteria for selecting sites
based upon situational information.
lsland Park Water has on file with D.E,Q, and Teton Microbiology Lab a consistent history of
compliance with quarterly testing,
lsland Park Water Company is not in violation of quarterly water testing, For the PWS.
lsland Park PWS systems are remote, seasonal occupancy and due to circumstances. Due to both
weather, lack of set access to a specific property and time constraints as to take water and turn into
Teton Micro-biology lab, it is beyond reason to provide specific locations. The conveyance systems are
circulatory, and samples are taking wherever it is possible to access on the day tests are taken. .(Many
connections are only to hydrants; cabins are either privately rented out and not available to access; or
owners are randomly on site. The only way lsland Park Water can take samples is randomly choose
based upon availability on the day of travel.
Based upon the fact that lsland Park Water is not subject to the conditions stated on this form, lsland
Park Water company respectfully protests the requirement to submit such sampling site plan as it is not
applicable, and no proof has been provided to lsland Park Water company that their samplings are out
of compliance. DEQ retains records of the water sampling and has not provided any evidence of none
compliance that would justify this request or signify a deficiency in water testing.
As a gesture of good faith, lsland Park Water Company does submit the following addresses are
possible sampling sites for the following subdivisions, but with no guarantee that any specific location
will be used for any specific quarter, as winter access is extremely limited and difficult at best as not all
access roads are plowed.
Submittal of the attached addresses does not convey or imply that lsland Park Water Company is
wanting to propose alternative or fixed locations for quarterly sampling. lsland Park Water Company
does not have a mapping system, however DEQ does have the Rocorded Subdivision Plats on file for
each of these PWS with Street names, which is also all lsland Park Water has. Please refer to the ,Patsonf ewth DEQ *thCI4ght lhe,rewg(e Only 3 ronl{Crt
Shotgun South Stevens
Thank you, lsland Park Water Company.
u
R
t.
2.
7-
J
d Atl nsxt to 1gachot*t
[ . rsa+ Yate-Kilgore
I- srszYate-Kitgore
3, ttto Yale-Kitgore
Efl
Rd
3:-
Routine Sample Location
u""'onJio. Wott Lot-hotodned by tPWg
Lf r asao stevens L Qng ragefffi
I
ldaho Department of Environmental Quality
Hnnlrorm
Total Coliform Spr4pte $$qg fl"an"fg,rgnqs,L"*:tVi;Ii
Total Goliform Sample Siting Plan JAN l0 ?02t
for $mall $ystems DEe-rDAF.{o FAL.;*
This fbun is intended to assist public water system (PWS) owners and operators with developing a total colifbrm
samplc sitirrg plan. This fomr is designed for systerns taking three samples each n:ontlt or each quarter (serving <3,300
people). Using this form is optional. Flowever, all public water system are required to have a written sample sitirrg plan
in accotdance with the "Idaho Rules for Public Water Systeuts" (IDAPA 58.01,08.100.01).
Part 1. General System Information
PWSID 7220A63 PWS Nanre Shotgun Cherokee
Mailing Address:455 Constitutions Way, ldaho Falls, lD 83402
PWS Contact Name:ISLAND PARK WATER COMPANY, INC
E-rnail:[e-mail] Phone:[phone]
Ernelgency Contact Name:
E-mail:[e-mail]
Sources of Water:
Identi$ sources of
drinking rvatcr and
attach additional
sheets as necessaly
Manifold: List sources tliat
combine betbre distribution
DOROTHY McCARTY
Phone:
PWS Type: f] Coninunity (CWS) flNontransient noncommunity (NTNC) [ Noncommunity transient (NCT)
Noncommuniry Seasonal Systom: X No f, Yes* lf yes, season opelr:close:
s Seasonal systelns are required to perfornr annual start-up proceduresprior to opening for the season unless exeml:ted in writing.
208-521-2i69
Source/F'acility ID
Name of drinking water source(s); rvcll tag #,
nanrc, spring nanrc, intakc sourcc
Source Type
GW*grouud rvatcr, SP--spring,
SW-surfacc rvatcr, GLI-ground
rvatcr undcr the influcncs of SW,
P--pilrchasc watcr froni other syslcnl
Usage
P--pcrmnncnt (fitll/time),
E-cnrcrgcncy (uot planncd
fol usc), I-intcrim to rncct
pcak dcmald
4-log Virus
Inactivation*
Source has conlirtuous
disinlbction to providc
4-log virus inactivation
1. E0006910 G.W P fl.Yes Qlo-
2 rooooott A,uJ.P r^ Yes CIa(b
J Cyes CNo
4.C Yes CNo
nnnfirrq finn "l'riocprar source watcr a
total coliform positive sarnple is required when a systeln using ground water does not have 4-log virus
inactivation for all grourd watel'sources.
Not applicable.
Disinfection Treatment lnstalled/Using: [J Nole [:JChiorine LJ Chloramination J Chlorine dioxide l-] Ozone
(check all that apply)
208-521-2369
Signature:January 10.2023
Phonc:
Date:
Dorothy McCarty, Owner
ers 0
ame:
Page 1
ldaho Department of Environmental Quality
. ' :HflntForm: ': l
TotalColiform Sample Siting Plan Form
E
3rd
a
U
A
R
Routine Sample Location
See page 414 Paragraph One. "Most public water system owners or operators are not required to
submit [otal coliform sample siting plans. The following circumstances require submittal and
approval of your sample siting plan by your local field office."
lsland Park Water does not wish to propose alternative fixed sample sites or criteria for selecting
sites based upon situational information.
lsland Park Water has on file with D,E,Q, and Teton Microbiology Lab a consistent history of .
compliance with quarterly testing.
lsland Park Water Company is not in violation of quarterly water testing, For the PWS.
lsland Park PWS systems are remote, seasonal occupancy and due to circumstances. Due to
both weather, lack of set access to a specific property and time constralnts as to take water and
turn into Teton Micro-biology lab, it ls beyond reason to provide speciflc locations. The
conveyance systems are circulatory, and samples are taklng wherever it ls possible to access on
the day test's ire taken. .(Many connections are only to hydrants; cabins are either privately
rented out and not available to access; or owners are randomly on site, The only way lsland Park
Water can take samples is randomly choose based upon availability on the day of travel.
Based upon the fact that lsland Park Water is not subject to the conditions stated on this form,
lsland Park Water company respectfully protests the requirement to submit such sampling site
plan as it is not applica'ble,'and no proof has been provided to lsland Park Water company that
lheir samplings are out of compliance, DEQ retains records of the water sampling and has not
provided anytvidence of none complianc6 that would justify this request or signify a deficiency in
water testing
As a gesture of good faith, lsland Park Water Company does submit the following addresses are
possi6le sampling sites for the following subdivisions, but with no guarantee that any specific
iocation will be uied for any specific quarter, as winter access is extremely limited and difficult at
best as not all access roads are plowed.
Submittal of the attached addresses does not convey or imply that lsland Park Water Company is
wanting to propose alternative or fixed locations for quarterly sampling. lsland Park.Water
Company doe! not have a mapping system, however DEQ does have the Recorded Subdivision
Plats on iile for each of these PWS with Street names, which is also all lsland Park Water has.
Please refer to the Plats on file with DEQ.
R
Thank you, lsland Park Water Company,
Shotgun Cherokee
I oo* Ponca Pftv?,
)- +ottKiowa ROqd
Z oorrn.*n..80qd
L[ oo* Pawnee ROnd
\ tJ(]2b Paficq Dfi(e p
7
l+
q}n pqwkee
q0at
Version 1.0
plwh0e
Rood'
Rmd Eq
Page 3of4
February 24, 2023
Name
Address
City, State Zip
RE: BOIL ADVISORY DUE TO A LOSS OF TOTAL PRESSURE IN VALLEY VIEW SUBDIVISION – PWS #ID7220156
Dear Name,
It has been brought to the attention of the Department of Environmental Quality (DEQ) that not all homeowners had received
notification of the boil order in place for Valley View Subdivision. This letter is being provided on behalf of Island Park Water
Company (IPWC) by DEQ to inform the community and protect public health.
DEQ became aware of a total loss of pressure event in Valley View Subdivision on Wednesday, December 28, 2022, when
notified by members of the community. It is our understanding that some homeowners regained water Thursday, January 5,
2023, with low pressure. DEQ immediately issued a boil order for the subdivision giving IPWC twenty-four (24) hours to notify
all users of the water system and any person affected during the period of loss of pressure. During unplanned or emergency
situations, when water pressure within the system is known to have fallen below twenty (20) psi, the water supplier must
notify the Department and provide Tier 1 Public Notification per Idaho Rules for Public Drinking Water Systems, IDAPA
58.01.08.552.01.b.ii.1. Appropriate violations have been issued for IPWC regarding this matter.
During a partial or complete loss of pressure event conditions are created that could allow for contamination to enter the
distribution through backflow, backpressure, or back-siphonage. At this time there is no known contamination, however,
compliance samples have not been collected for the month of February. There has been one construction sample collected
(not for compliance as required by DEQ) from a location above a known main line break, that returned absent for bacteria on
February 07, 2023. Bacteria samples have not been collected from below the main line break where contamination may enter
the distribution system. Homeowners are welcome to come by DEQ’s Idaho Falls Office and pick up a free bacteria sample
bottle. Arrangements are being made for DEQ staff to collect samples in the subdivision when weather permits.
Valley View Subdivision PWS# ID7220156 will remain on a Boil Advisory until the pressure has been
fully restores, disinfected, and adequate samples have been collected showing the system is free of
contaminants. IPWC must receive written notification from DEQ in order to remove the Boil
Advisory. All homeowners will also be provided with a letter from DEQ.
If you have you any questions, concerns, or need assistance please contact me at [phone] or at
[e-mail]. I would also like to thank the members of the community for taking the time to complete
the survey sent out to help us gather vital information about this subdivision.
Sincerely,
Kelsey Carter, Drinking Water Analyst – DEQ IFRO
Exhibit JJ

DRINKING WATER WARNING 
Este informe contiene información muy importante sobre su agua potable. 
Tradúzcalo o hable con alguien que lo entienda bien. 

Valley View Subdivision PWS ID#: 7220156 

BOIL WATER ADVISORY 
‐ Hierva su agua antes de usaria – 

This boil water advisory is not in response to the COVID‐19 pandemic. 

Due to Loss of Pressure 

Island Park Water Company is required to routinely monitor the conditions in the drinking water distribution 
system. On 12/28/2022 DEQ became aware Valley View Subdivision experienced a drop in water pressure 
below 20 psi/loss of pressure due to an open pump to waste valve, a broken main line, and potential other 
causes. A drop in/loss of water pressure creates conditions that could allow contamination to enter the 
distribution system through backflow, by backpressure, or back‐siphonage. As a result, there is an increased 
chance that the drinking water may contain disease‐causing organisms. 

 DO NOT DRINK THE WATER WITHOUT BOILING IT FIRST. Bring all water to a boil. Let it boil for a 
minimum of one minute and let it cool before using, or use bottled water. Boiled or bottled water should 
be used for drinking, making ice, brushing teeth, washing dishes, and food preparation UNTIL FURTHER 
NOTICE. Boiling kills bacteria and other organisms in the water. 
 You may continue to use your water to wash your hands using antibacterial soap and water for at least 20 
seconds 
 Inadequately treated water may contain disease‐causing organisms. These organisms include bacteria, 
viruses, and parasites, which can cause nausea, cramps, diarrhea, and associated headaches. 
 The symptoms above are caused by many types of organisms. If you experience any of these symptoms and 
they persist, you may want to seek medical advice. People at increased risk should seek advice about 
drinking water from their health care providers. 

The pump to waste valve on Well #1 has been turned off as of January 23, 2023 potentially restoring some pressure 
to the system. There have been no provided pressure readings in Valley View Subdivision verifying pressure is above 
40 psi, as required by Idaho Rules for Public Drinking Water Systems. A pressure study will be conducted by DEQ 
when weather permits if homeowners would like to volunteer. There is at least one broken main line that must be 
repaired by IPWC no later than June 30, 2023. Engineering plans and specification to make material modifications 
are required to be submitted to DEQ prior and must receive approval.  

IPWC and DEQ will inform you when you no longer need to boil your water. Island Park Water Company has a 
deadline of repairing the significant deficiencies in the water system by June 30, 2023. 

For more information, please contact Island Park Water Company at (208)521‐2369 or [e-mail]. 
You may also reach out to Kelsey Carter with DEQ at (208)528‐2650 or [e-mail]. 
Homeowners may also reach out to the Public Utilities Commission at (208)334‐0300 
Please share this information with all the other people who drink this water, especially those who may 
not have received this notice directly (for example, people in apartments, nursing homes, schools, and 
businesses). You can do this by posting this notice in a public place or distributing copies by hand or 
mail. 

This notice is being sent to you by Idaho Department of Environmental Quality on February 24, 2023. 

Exhibit K
From:Kelsey Carter
To:Roger Buchanan; [e-mail]
Cc:Cassandra Lemmons; Jami Delmore; Matthew McGlynn; Troy Saffle; Jason Fales; Travis Culbertson; Jon Kruck;
Chris Hecht; Chris McEwan; Curtis Thaden; Jolene Bossard
Subject:RE: PWS Valley View Subdivision ( ID7220156 )
Date:Thursday, March 2, 2023 8:43:00 AM
Attachments:Sampling Plan Valley View.pdf
Dear Roger and Dorothy,
Thank you for submitting photographs DEQ requested in January of the pump to waste valve being
turned off. The only corrected significant deficiency documented in your letter is the installation of a
cap on the end of the pump to waste line.
Attached to this email is the site sampling plan submitted by Island Park Water Company Monday,
February 27, 2023. The sample siting plan does not meet the requirements of Valley View
Subdivision. On page one Island Park Water Company marked the system as seasonal from May 15
-0 September 30, this is incorrect. Island Park Water Company has been repeatedly told Valley View
is a year-round public water system. This is not up for argument; residents live in the subdivision all
12 months of the year, and Island Park Water Company is required to supply residents 12 months
out of the year. There is no documentation backing up Island Park Water Company’s claim of
seasonal use or seasonal design. That may have been the intent but that is not how the operation
has been conducted. As previously, stated Island Park Water Company does not get to issue its own
clause to follow the sample siting plan. Sample siting plans are required by the Federal Code of
Regulations part 141 and the rule is very clear and has been explained to Island Park Water Company
multiple times. Island Park Water Company is required to take two samples in Valley View monthly,
one from each distribution. This is not identified in the submitted plan. DEQ will not be involved in
the ownership of Well #3. Island Park Water Company claimed ownership and documentation shows
ownership of the well lot. It is now Island Park Water Company’s responsibility to correctly monitor
and sample the well. DEQ is aware of multiple service connections on Well #3, information which
you have been provided.
Unfortunately, the pump to waste line that continued to waste water onto the ground for weeks
between December 2022 and January 2023 is not the main line break that is referenced in the
sanitary survey. The main line break documented in the sanitary survey on October 20, 2022, is
located approximately 100 feet south of Well #1, shown in photograph 8 of the sanitary survey
report. This break was reported by Island Park Water Company to have been caused by a truck that
flipped off the road in late September. Water reaching the surface was clearly visible with pooling
during the sanitary survey. Island Park Water Company has stated several times the main was not
repaired before snowfall. The main line break is still present in Valley View Subdivision and has not
been repaired. This significant deficiency has not been corrected.
In regard to the pressure in Valley View, the rule states pressure of 40 psi must be maintained at all
service connections. DEQ is still receiving reports of low pressure or no water at several locations.
The pressure issue in Valley View has not been addressed. The pressure reading taken on October
20, 2022, in the distribution was 32 psi, shown in photograph 17 of the sanitary survey report. At the
time of this pressure reading the pump to waste valve was not the cause of the pressure problem.
Exhibit KK
This public water system is required to maintain 40 psi during peak demand. The reading at the well
vault does not indicate pressure in the distribution. During the sanitary survey, the pressure gauge in
Well #1 displayed 59 psi, while the distribution was only at 32 psi. Island Park Water Company has
made no attempt to document pressure at any of its service locations. Instead, Island Park Water
Company continues to make excuses and blame water users. Island Park Water Company needs to
take responsibility and accountability for the water system in Valley View Subdivision. Many water
users remain without water in their homes over two months after initial reports, this is unacceptable
and shows Island Park Water Company is negligent in their care of the water system and providing
customers with safe drinking water.

The Boil Order in Valley View Subdivision is STILL in place. The Boil Order will remain in place until
further notice and written notification is provided by DEQ stating the pressure issue in Valley View
has been resolved. Island Park Water Company has not met the required pressure at all service
connections and has not collected the required samples to remove the Boil Order. Further, Island
Park Water Company does not have the authority to lift the Boil Order that was issued by DEQ on
January 5, 2023. This was not a voluntary Boil Advisory. It is irresponsible and unacceptable that
Island Park Water Company would inform water users the water “is safe for human consumption” as
stated in the cover letter sent to Valley View homeowners with the most recent Tier 1 public
notification of a Boil Order. A pressure problem had previously been documented in the sanitary
survey of Valley View. Homeowners not having water is sufficient evidence of pressure loss. Island
Park Water Company must stop using “proof” as a defense. As the water system purveyor, it is Island
Park Water Company’s responsibility to demonstrate to DEQ that adequate pressure is being
maintained at all service connections.

DEQ has issued a public notification on behalf of Island Park Water Company to all homeowners in
Valley View Subdivision stating the correct information. It has been decided at this time Island Park
Water Company has not met the requirements of Tier 1 public notification due to the attached cover
letter sent to homeowners providing false, misleading, and counterintuitive information. DEQ is
currently evaluating other violations that may be associated with Island Park Water Company issuing
this letter to homeowners including disapproval of the water system due to the recalcitrant behavior
of Island Park Water Company. It is recommended Island Park Water Company issue an immediate
new letter to homeowners retracting all incorrect information, including but not limited to; the
water being safe for human consumption, that there was no pressure loss event, vandalism as the
cause of the pump to waste valve being turned on, the design of the system for seasonal use, and
accusing homeowners of providing false information to DEQ. DEQ’s purpose is to protect the public
health of the community by ensuring their drinking water is safe and provided at adequate pressure.
Island Park Water Company is not meeting those requirements and any homeowner is capable of
contacting and reporting information to DEQ without Island Park Water Company’s retaliation.

Valley View Subdivision still has eighteen significant deficiencies that must be addressed prior to June
30, 2023. At this time engineering plans and specifications have not been submitted to DEQ to make
material modifications to the system as stated throughout the sanitary survey report. The
photograph submitted clearly show the pump vaults are not watertight, with visible water on the
walls and puddling on the bottom, which must be corrected as a source of potential contamination.

Island Park Water Company will be receiving a violation for failure to monitor for the month of
February. Island Park Water Company must take responsibility for Valley View Subdivision’s public
water system. It is not the responsibility of Valley View homeowners, other operators, or DEQ to
take the required compliance samples for Island Park Water Company. A reminder was sent to Island
Park Water Company on February 17, 2023, that compliance samples had not been taken. This
reminder was already an extension of DEQ assistance as we do not do that for all water systems.
Additional reminders were also sent via DEQ auto-dialer system, Island Park Water Company
received a phone call and email about the upcoming compliance deadline.

If you have any additional questions or concerns about this matter please reach out to me or Jason
Fales. As your Drinking Water Compliance Officer information and communications about the water
system must be sent directly to me.

From: Roger Buchanan <[e-mail]>
Sent: Wednesday, March 1, 2023 9:16 AM
To: Kelsey Carter <[e-mail]>; [e-mail]
Cc: Cassandra Lemmons <[e-mail]>; Jami Delmore
<[e-mail]>; Matthew McGlynn <[e-mail]>; Troy
Saffle <[e-mail]>; Jason Fales <[e-mail]>; Travis Culbertson
<[e-mail]>; Jon Kruck <[e-mail]>; Chris Hecht
<[e-mail]>; Chris McEwan <[e-mail]>; Curtis Thaden
<[e-mail]>; Jolene Bossard <[e-mail]>
Subject: RE: PWS Valley View Subdivision ( ID7220156 )

CAUTION: This email originated outside the State of Idaho network. Verify links and attachments BEFORE youclick or open, even if you recognize and/or trust the sender. Contact your agency service desk with anyconcerns.

Kelsey,
Here is the letter showing what actions were taken by Buchanan Well Drilling for Island Park Water
Company (IPWC). I am also using this e-mail to inform you that a routine water samples for Valley
View PWS were not taken for the month of February 2023 due to weather conditions and lack of
support from the water users. I understand that this does not excuse IPWC from the requirement of
taking the two samples. We are hoping that the samples maybe able to be taken this month. I hope
the pictures show what we found and if you have any questions, please let me know. Both IPWC and
Buchanan Well Drilling are doing their due diligence to meet the requirements to the best of our
ability.
Have a nice day,
Roger

Roger Buchanan
Buchanan Well Drilling Inc
Formerly Andrew Well Drilling
3435 N 15 E
Idaho Falls, ID 83401
[phone]
Cell [phone]
[e-mail]
www.andrewwelldrill.com

ISLAND PARK WATER COMPANY, INC
455 CONSTITUTION WAY
IDAHO FALLS, ID 83402
WATER@r DA,NET 208-521.-2369
Ftffiilffii\"r,;::)
FEB I 7 2023
DTQ-iDAi.JO FA!.LS
D.E,Q.
ldaho Falls Regional Office
900 N SKYLINE DRIVE suite B
IDAHO FALLS, ID 83402
February 17,2023
ATTENTION : Carlin Feisthamel
Dear Carlin,
Per our conversation regarding Site Plan Sampling I am submitting the following list of addresses we serve for each
of the PWS and have included Plat Maps that pertain to each of the PWS'
Aswediscussed,notall ofthelistedlocationshavehomes,ratherhydrants. Ourpreferenceistosamplefromthe
homes when we can have access to them.
We will rotate taking samples in quadrants of each of the subdivisions, to the best of our ability to do so.
Depending on weather and access will determine which will be sampled per quarter - as we discussed'
I am submitting with this letter the following PWS. With a list of addresses/Plats.
Valley View Ranch PWS lD 7220156 Shotgun North PWS lD 7220065
Goose Bay Estates PWS lD 7220030 Shotgun Cherokee PWS lD 7220063
Aspen Ridge Estates PWS lD 722OOO7 *Shotgun Stevens Lane PWS 1D7220O66
Shotgun Kickapoo PWS lD 7220064
* Note : This should actually not be a PWS, given there are not enough connections, only two homes occupied
year round (with one person in one home and two people in the other) the only other cabin is rarely occupied
except on occasional weekends. The others are hydrants. This means there are only two sites to same without
using hydrants. The rest of the lots either have private wells or are unable to build upon due to the wetlands'
Thank you for working with us to resolve this. lt is appreciated.
Sincerely,
Do rty
lsland Park Water Company, lnc
Exhibit L
PWS tD 7220065
SHOTGUN NORTH
3535 Browning
3537 Browning Lot 4
3539 Browning Lot 5
3541 Browning Rd
3543 Browning RD
3545 Browning Rd.
3548 Browning Rd. 2 Lots
3544 BROWNING RD
3542 Browning Rd.
3540 Browning
4094 Browning
4090 Winchester Rd
4088 Winchester
4086 Winchester
4084 Winchester Rd.
3532 Browning
4093 Winchester Rd.
4091 Winchester
4089 Winchester Rd.
4088 Yale Creek Rd.
4086 Yale Creek
4084 Yale Creel Rd
4083 Winchester
4082 Yale Creek Rd.
4081 Winchester
4080 Yale Creek Rd.
4079 Winchester Rd.
3509 Remington Dr 2 lots
4099 Yale Creek Rd.
3525 Browning Rd.
3523 Browning Rd.
3521 Browning Rd.
3519 Browning Rd.
3517 Browning Rd.
3515 Browning Rd.
3513 Browning Rd.
351 1 Browning Rd.
4093 Yale Creek
3526 Browning Rd.
3525 Remington Dr.
3523 Remington Dr,
3522 Browning
FRECH$Vi-Ii
FEB I 7 2023
DEQ.,ID,{I.iO FAI.LS
sv-02-06-003
sv-02-06-004
sv-o2-06-005
sv-02-06-006
sv-02-06-007
sv-02-06-008
sv-02-06-013 -014
sv-02-06-015
sv-02-06-01 6
sv-02-06-019
sv-02-06-020
sv-02-06-022
sv-02-06-023
sv-02-06-024
sv-02-06-025
sv-02-07-002
sv-02-07-004
sv-02-07-006
sv-02-07-008
sv-02-07-009
sv-02-07-011
sv-02-07-013
sv-02-07-014
sv-02-07-015
sv-02-07-016
sv-02-07-017
sv-02-07-018
sv-03-07-004 -5
sv-03-08-001
sv-03-08-002
sv-03-08-003
sv-03-08-004
sv-03-08-005
sv-03-08-006
sv-03-08-007
sv-o3-08-008
sv-o3-08-009
sv-o3-09-002
sv-03-09-003
sv-03-09-004
sv-o3-09-006
sv-03-09-007
?a"3 ftCA t">(p
3520 Browning Rd
3519 Remington Dr.
3518 Browning Rd. 2 lots
3514 Browning Rd.
3514 Remington Dr.
3518 Remington Dr.
3524 Remington Dr.
3522 Remington
3520 Remington Dr.
3517 Savage Dr.
4085 Yale-Kilgore Rd.
4081 YALE CREEK RD
3524 Savage Dr
3522 Savage Dr
3517 N. Fox Circle
3521 N Fox Circle
4077 Yale Creek Rd
4077 Colt Rd,
Colt Rd Lot 2
Colt Rd lot 3
Marlin & Savage corner lot 4
4080 Marlin lot 5
4076 Marlin lot 6
4083 Marlin Rd
4095 Savage Drive
3512 Remington Dr
3528 Patterson Rd. 2 Lots
3530 Patterson Rd.
4067 Winchester (2 lots)
3532 PATTERSON RD
4063 Winchester Dr.
3533 Yale-Kilgore Rd.
3529 YALE-KILGORE RD
3527 Yale Kilgore
4078 Winchester Rd. double 2 lots
4076 Winchester Rd
4072 winchester
4070 Winchester Rd
4068 Winchester Rd.
4066 Winchester
3539 Yale-Kilgore Rd.
4078 Yale Creek
4077 Winchester
4073 Winchesler lol22
4073 Winchesler Lol24
4072Yale Creek Rd.
3531 Patterson
sv-o3-09-009
sv-03-09-010
sv-03-09-011 - 012
sv-03-09-014
sv-03-1 0-001
sv-03-10-002
sv-o3-1't-002
sv-o3-1 1 -003
sv-03-1 1-004
sv-03-1 1-006
sv-03-1 1-009
sv-o3-12-001
sv-03-12-002
sv-03-"12-003
sv-03-'12-004 -005
sv-o3-1 2-006
sv-03-12-007
sv-03-16-001
sv-03-16-002
Sv-03-16-003
sv-03-16-004
sv-03-16-005
sv-03-16-006
sv-03-'17-001
sv-03-1 7-002
sv-03-17-003
sv-04-05-002
sv-04-05-003
sv-04-05-005 & 004
sv-04-05-005 & 004 **2
sv-04-05-006
sv-04-05-007
sv-04-05-009
sv-04-05-01 0
sv-04-06-028
sv-04-06-029
sv-04-06-031
sv-04-06-032
sv-04-06-033
sv-04-06-034
sv-04-06-035
sv-04-07-01 I
sv-04-07-020
sv-04-07-022
sv-04-07-024
sv-04-07-025
sv-04-07-027
3529 Patterson
4070 Yale Creek Rd
3527 Yale Creek Rd.
3524 N. Fox Circle
3522 N. Fox Circle
3520 N. Fox Circle
3518 N. Fox Circle
4074 Colt
4070 Colt Rd.
4068 Colt Rd.
3521 S Fox Cir
3523 S. Fox Circle
4075 Fox Circle
3519 Yale-Kilgore Rd 5 No 1
35'19 Yale-Kilgore Rd No 3
3519 Yale-Kilgore Rd No 4
3519 Yale-Kilgore Rd No 5
3519 Yale-Kilgore Rd 5 No 2
3523 Yale-Kilgore Rd.
3525 Yale-Kilgore Rd
4063 Yale Creek Rd.
4063 YALE CREEK RD
4063 Yale Creek Rd.
4069 Yale Creek
3522 S. Fox Circle
3516 S Fox
4069 Fox Girole
3510 N Fox Circle
3510 N Fox Lot 5
4068 Fox Gircle
sv-04-07-028
sv-04-07-029
sv-04-07-030
sv-04-13-001
sv-04-13-002
sv-04-13-003
sv-04-13-004
sv-04-13-005
sv-04-13-006
sv-04-13-007NW8
sv-04-13-009
sv-04-13-010
sv-04-1 4-0-1 8-1 I
sv-04-14-ool -002 TAX21 58 .5CU-01
sv-04-14-001 -002 TM21 58 *5CU'03
sv-04-14-OO1 -002 TAX2'l 58 *5CU-04
sv-04-1 4-001 -002 TAX21 58 -5CU'05
sv-04-14-OO1 -002 TM21 58 "sCU'02
sv-04-14-002
sv-04-14-003
sv-04-14-004
sv-04-14-005
sv-04-14-006
sv-04-14-007
sv-04-14-009
sv-04-14-010
sv-04-14-01 5
sv-04-15-004
sv-04-15-005
sv-04-15-01 -2 -3
r
:
E
a
E
PWS 1D7220063
SHOTGUN CHEROKEE
3513 Ponca Dr. SV-05-20-001 4017 Cherokee Rd.
3511 Ponca Dr. SV-05-20-002 3461 Chickasaw
3509 Ponca Dr SV-05-20-003 3505 Chickasaw Dr', lD
3507 Ponca Dr. SV-05-20-004 4029 Kiowa
3505 Ponca Dr. SV-05-20-005 4027 Kiowa
3503 Ponca Dr. SV-05-20-006 4025 Kiowa Rd.
4045 Choctaw Rd. SV-05-20-008 4025 Kiowa Rd.
4043 Choctaw Rd. SV-05-20-009 3521 Montauk Circle
4041 Choctaw Rd SV-05-20-010 4027 Montauk
4039 Choctaw SV-05-20-011 4026 Kiowa Rd.
4037 Choctaw Rd. SV-05-20-012 4025 Montauk
4035 Choctaw Rd. SV-05-20-013 4024 Kiowa Rd.
4033 Choctaw Rd. SV-05-20-014 3529 Chickasaw Dr'
4031 Choctaw Rd. SV-05-20-015 3525 Ckickasaw
4027 Choctaw Rd. SV-05-20-017 3524 Montauk Drive
4023 Choctaw Rd. SV-05-20-019 -20 W 152.6 3523 Chickasaw
3506 Montauk Dr. SV'05-20-020 -21 -22 3522 Montauk
3512 Montauk Dr. SV-05-20-024 3520 Montauk Dr.
401 I Chickasaw Cir SV-05-20-031 3518 Montauk
4018 Chickasaw Circle SV'05-20-03'1 3517 Chickasaw Dr'
4020 Chickasaw Cir SV'05-20-032 3526 Montauk Dr'
4021 Chickasaw Cir SV-05-20-033 3527 Chickasaw
4047 Pawnee Rd. SV-05-21-001&3 3529 Chickasaw
4046 Choctaw Rd. SV-05-21-002 3518 Ponca Dr
4044 Chocktaw Rd SV-05-21-004 4043 Kiowa Rd
4043 Pawnee Rd. SV-05-21-005 4041 Kiowa Rd.
4042 Choctaw Rd SV-05-21-006 4039 Kiowa Rd.
4041 Pawnee Rd. SV-05-21-007 4036 Kiowa Rd
4040 Choctaw SV-05-21-008 4033 Kiowa Rd'
4039 Pawnee SV-05-21-009 4031 Kiowa Rd
4038 Choctaw Rd. SV-05-21-010 4031 Kiowa
4037 Pawnee Rd. SV-05-21-011 3522PoncaDr
4036 Choctaw Rd SV-05-21-012 3520 Ponca
4035 Pawnee SV-05-21-013 4043 Chickasaw Dr'
4034 Choctaw Rd SV-05-21-014 4040 Kiowa Rd.
4033 Pawnee Rd SV-05-21-015 4035 Chickasaw Dr'
4032 Choctaw Rd SV-05-21-016 4033 Montauk Cir.
4032 Choctaw Garage Gue SV-05-21 -016b 4032 Kiowa Rd'
4030 Choctaw Rd. SV-05-21-018 4032 Kiowa
4029 Pawnee Rd. SV-05-21-019 4031 Montauk Cir'
4028 Choctaw Rd. SV-05-21-020 4030 Kiowa Rd.
4027 Pawnee Rd. SV-05-21-021 4029 Montauk Cir
4026 Choctaw Rd. SV-05-21-022 4028 Kiowa Rd.
sv-o7-20-026
sv-07-20-028
sv-o7-20-030
sv-07-23-01 7
sv-07-23-01 I
sv-07-23-021
sv-07-23-021
sv-07-24-014A
sv-o7-24-021
sv-07-24-022
sv-07-24-023
sv-07-24-024
sv-07-25- LTA -LT02C
sv-07-25-003
sv-07-25-004
sv-07-25-005
sv-07-25-006
sv-07-25-008
sv-07-25-010
sv-07-25-011 & 13
sv-07-25-024
sv-07-25-02B
sv-o7-25-Lt 001
sv-08-23-001
sv-o8-23-003
sv-o8-23-005
sv-08-23-007 & 009
sv-08-23-009 S. 1i2 & 011
sv-08-23-01 3
sv-08-23-01 5
sv-08-23-01 5
sv-o8-24-001
sv-08-24-002
sv-08-24-005
sv-o8-24-006
sv-o8-24-013
sv-08-24-015
sv-08-24-016
sv-08-24-01 6
sv-08-24-01 7
sv-o8-24-018
sv-o8-24-019
sv-o8-24-020
202 3ll"{-:& tPz f
4025 Pawnee Rd. SV-05-21-023
4024 Choctaw Rd. SV-05-21-024
4047 Cherokee Rd. SV-05'22-001
4046 Pawnee Rd SV-05'22-002
4055 Cherokee LOT 3 SV-05-22-003
4044 Pawnee Rd. SV-05-22-004
4045 Cherokee Lt 5 SV-05-22-005
4042 Pawnee Rd. SV'05'22-006
4041 Cherokee SV-05-22-007
4041 Cherokee SV-05'22-007
4040 Pawnee SV-05-22-008
4039 Cherokee Rd. SV-05'22-009
4037 Cherokee Rd. SV-05-22-01 1
4035 Cherokee Rd. SV-05-22-013 -14
4031 Cherokee Rd. SV-05-22-015
4029 Cherokee SV-05-22-017
4027 Cherokee Rd. SV-05-22-019 & 020
4025 Cherokee Rd. SV-05-22-021
4026 Pawnee Rd SV-05-22-022
3509 Montauk Rd. SV-05-22-023
3507 Montauk Dr SV-05-22-024
4042 Cherokee Rd. SV'05-23-004
4040 Cherokee Rd. SV-05-23-006
4038 Cherokee Rd. SV-05-23-008&10
4034 Cherokee Rd. SV-05-23'012
4030 Cherokee RD SV-05-23-016
4026 Cherokee Rd. SV-05-23-018&20
4024 Cherokee Rd. SV'05-23-022
4020 Cherokee SV'05-25'012
4046 Cherokee Rd. SV-05-26-001
3545 Chickasaw Dr. SV-06'26-015
3547 Chickasaw Dr SV-06-26'016
3549 N Chickasaw Dr SV'06-26-017
3551 N Chicakasaw Drive SV'06-26-018
4036 Kiowa Rd.
3529 Chickasaw Dr.
3537 Chickasaw lot 9
3533 N. Ckickasaw lot 11
3535 Chickasaw Lot 12
3539 N. Chickasaw Dr.
sv-08-24-08-010
sv-08-26-008
sv-08-26-009
sv-o8-26-011
sv-o8-26-012
sv-o8-26-013
E
PWS 1D7220066 *rHls DoEs Nor QUALIFY FoR A Pws
SHOTGUN STEVENS LANE WATER SYSTEM
4062 Stevens Lane
4058 Stevens Ln.
3527 Stevens Ln.
3534 Yale-Kilgore Rd
3530 Yale-Kilgore Rd
3538 Yale-Kilgore Rd
3514 Yale-Kilgore Rd
sv-o1-0'l-004
sv-o1-01-005
sv-01 -02-006
sv-o1-02-007
sv-01-02-009
sv-01-02-001
sv-o1 -03-002
hydrant
hydrant
*
*
t<
a fewweekends a Year
1 person
2 person
hydrant
hydrant
PWS aD7220067
SHTOGUN SOUT STEVENS LANE WATER SYSTEM
DOES NOT QUALIFY AS A PUBLIC WATER SYSTEM. PRIVATE WELLS ON THE OTHER LOTS
*Only homes available to samPle
Total combined occuPants 3
=
?-os-s ftcth r tzl
FF
3552 Yale-Kilgore Rd.
4061 Kickdpoo Ln.
4059 Kickapoo Ln.
4057 Kickapoo Ln,
4055 Kickapoo Ln,
4051 Kickapoo Ln.
4049 Kickapoo Lane
4045 Kickapoo
4043 Kickapoo Ln.
4041 Kickapoo Ln.
4054 Kickapoo Ln.
4052 Kickapoo
4950 Kickapoo
4048 Kickapoo Ln.
4044 Kickapoo Circle2 lots
4040 Kickapoo
4038 Kickapoo Cir
4030 Klckapoo Ln. & 4034
PWS tD 7220064
SHOTGUN KICKAPOO
RECillis',i: i
FEB I 7 2023
DEQ" I DA!- iO l::\ t_t_.ilsv-06-50-001
sv-06-50-002
sv-06-50-003
sv-06-50-004
sv-06-50-005
sv-06-50-007
sv-06-50-008
sv-06-50-010
sv-06-50-01 1
sv-06-50-012
sv-06-51-00'l
sv-06-51-002
sv-o6-51-003
sv-06-51-004
sv-06-51-006
sv-06-51-008
sv-06-51-009
sv-06-51-012
)Afi Ncft t223
a
!
a
PWS 7220007
Aspen Ridge
4793 Balsam
4781 Balsam
4781 Balsam B
4779 Balsam
4778 Birch A
4778 Birch B
4782 Birch Street
4784 Bich
4791 Balsam
4789 Birch
4787 Birch
4792Cedar
4783 Cedar
4779 Cedat
4789 Juniper
4783 Juniper
4778 Larch
4784 Larch
4786 Larch
4790 Larch (2 lots)
4791 Larch
4785 Larch
4783 Larch St
4781 Larch
4777 Larch St
4780 Lodgepole St,
4782 Lodgepole St
4784 Lodgepole St.
4786 Lodgepole St.
4788 Lodgepole St.
4792 Lodgepole St.
4785 Lodgepole St.
4783 Lodgepole St. (2 seperte Connections
4783 Lodgepole St. (2 seperte Connections
4781 Oak Drive
4786 Pine
4788 Pine
4790 Pine
4790 Pine
4779 Pinon Street
4788 Fir
4786 Fir
4769 Deer Dr.
4773 Garibou
F{ECHtrVl::1.;
FEB I 7 2023
DEQ.!DAIIO TALL.1
AR-o1-01-102
AR-01-01-1084
AR-o1-01-1088
AR-o1-01-109
AR-01-01-1 12A
AR-o1-01-1128
AR-01-01-1 14
AR-01-01-115
AR-01-01-118
AR-01-01-124
AR-o1-01-125
AR-01-01-139
AR-01-01-147
AR-01-01-149
AR-o1-01-164
AR-o1-01-167
AR-01-01-172
AR-o1-01-175
AR-01-01-176
AR-o1 -01-1 77-1 78
AR-02-02-003
AR-02-02-006
AR-02-02-007
AR-02-02-008
AR-02-02-01 1
AR-02-02-013
AR-02-02-014
AR-02-02-015
AR-02-02-016
AR-02-02-017
AR-02-02-019-20
AR-02-02-026
AR-02-02-027
AR-02-02-428
AR-02-02-048
AR-02-02-055
AR-02-02-056
AR-02-02-057
AR-02-02-058
AR-03-02-089
AR-03-02-104
AR-03-02-105
AR-04-04-347
AR-04-05-338
)-oz=t+cA t )"2>
t
E
=
:
4770 Deer
4070 Aspen Ridge Dr
4767 Deet
4768 Caribou Lot 332
4772 Caribou Lot 334
4767 ElkDr.
4769 Elk
4768 Caribou Dr. (2 lots)
4771 ElkDr.
4078 Aspen Ridge
4768 Caribou Lot 332
4772Qaribou
4076 Aspen Ridge
4775 Moose Dr.
4768 Elk Dr.
4772ElkDt
4771 AnteloPe
4770 Moose Dr.
4086 Aspen Ridge Dr.
4092 Aspen Ridge Dr
4092 Aspen Ridge Dr (b)
4095 Aspen Ridge Dr
4776 Balsom
4778 Balsam Street
4782 Balsom
4786 Balsam
4788 Balsam
4790 Balsam B
4790 Balsam (Lodge B)
4790 Balsam
AR-04-05-343
AR-04-05-345
AR-04-05-346
AR-04-06-0332
AR-04-06-0334
AR-04-06-326&331
AR-04-06-327A
AR-04-06-3278 & 332
AR-04-06-328
AR-04-06-329
AR-04-06-332
Ar-04-06-334
AR-04-06-335
AR-04-07-320
AR-04-07-322
AR-04-07-324
AR-04-08-308
AR-04-08-313
AR-04-08-314, W 3/4 315
AR-04-09-351A
AR-04-09-351B
AR-04-10-352E
AR-04-10-352W
AR-04-10-353
AR-04-10-355
AR-04-10-357
AR-04-10-358
AR-04-10-359 -B
AR-04-10-359 -B
AR-04-10-359 A
PWS # 1D7220030
GOOSE BAY ESTATES
3897 N. Goose BaY Dr. FH-3897-GB
3898 S. Goose BaY Dr, GB-01-01-001
3896 S. Goose BaY Dr, GB-01-01-002
3878 S Goose BaY Dr GB-01'01-01 1
3894 S. Goose Bay Dr. (2lts) GB-01-01'03 - 04
3890 S & 3888 Goose Bay Dr. (2 GB-01'01 -05 & 06
3882 S Goose Bay Dr GB-01'01-Tax 1599 of Lt 9 & 10
3SB0SGooseBayDr GB-01'01-Tax3535 ofLt9&10
3884 S Goose Bay Drive GB-01-01-Tax1598 0f lt 7
5098 E Goose BaY Dr GB-01-02'001
5094 E. Goose BaY Dr. GB-01-02-003
5092 E. Goose BaY Dr. GB-01'02-004
5O9O E. Goose BaY Dr. GB-0'l-02-005
5088 E Goose Bay Dr 2 Lots GB-01'02-006'007
5082 E Goose BaY Dr GB-01-02-009 & 8
5O8O E. Goose BaY Dr. GB-01'02-010
5078 E Goose BaY Dr GB-01'02-011
5074 E. Goose Bay Dr. GB-01-02-013 less S 30'
5072E. Goose Bay Dr. GB-01-02'014
3896 N. Goose BaY Dr, GB-01-03-001
5095 E Goose BaY GB-01-03-003
5093 E GoosebaY Dr GB'01-03-004
5091 E GoosebaY Dr GB-01-03-005
5083 E GOOSE BAY DR GB-01.03-OO9
5081 E. Goose Bay Dr. 2 Lots V\l GB-01-03-010
5081 E. Goose Bay Dr. 2 Lots W GB-01-03-01 1
5077 E. Goose BaY Dr. GB-01-03-012
5075 E. Goose BaY Dr. GB-01-03-013
3BS7 S. Goose BaY Dr, GB-01-03-014
5076 Mallard Rd. GB-01-03-015
5080 Mallard Rd. GB-01-03-017-018
5086 Mallard Rd. GB-01-03-020
5088 Mallard Rd. Ce-Ot-OS-OZt
5094 Mallard Rd. GB-01-03-024
3892 N Goose BaY Dr GB'01-04-001
5097 Mallard GB'01-04-002
5091 Mallard Rd. GB-01-04-005
5091 Mallard Rd. Lot 6 GB-01-04-006
5087 Mallard Rd. GB-01-04-007
5085 Mallard Rd. GB-01-04-008
5083 Mallard GB-01-04=009
3874 S. Goose BaY Dr. GB-02-01-013
3870 S. Goose Bay Dr. GB-02-01-015 & 016 E 75'
.',:--"', (Y *i:-\F-nti-.'"1,'',',t
FEB t 7 ?023
D FQ't DA!._t 0 FA!-t_,il
=
ke3ftCftt9*r
3868 S Goosebay Dr
3866 S. Goose Bay Dr.
3864 S. Goose Bay Dr.
3860 S. Goose Bay Dr.
3846 & 3850 S. Goose Bay Dr
3852 S Goose Bay Drive
3863 N. Goose Bay Dr.
3865 N. Goose Bay Dr.
3867 N. Goose Bay Dr.
3875 N. Goose Bay Dr.
5082 Trumpeter Dr
5084 Trumpeter Rd.
5086 Trumpeter Drive
5088 Trumpeter Rd 2 Lots
5096 Trumpeter Rd.
5098 Trumpeter Rd.
5087 Trumpeter Rd.
5085 Trumpeter Rd
882 S Goose Bay Dr.
3851 S. Goose Bay Dr.
3849 S Goose Bay Dr
3847 S Goose Bay Drive
3874 N. Goose Bay Dr.
3876 N. Goose Bay Dr
3886 N. Goose Bay Dr.
3895 N Goose Bay Dr
3891 N Goose Bay Dr
3886 S GOOSE BAY DR
3886 S Goose Bay Drive
GB-02-01-016 less part 01 5
GB-02-01-017 Less NW 75'; SE 25' 1 8
GB-02-01-017 NW 1/2 & 0'18 NW 75,
GB-02-01-020 E 100'
GB-02-01-024 NW 25' & 025 NW 75', & 026 SE 1t2
GB-02-01-024 SE 75' & 025 SE 75'
G8-02-01-028
GB-02-01-029
GB-02-01-030
GB-02-01 -033-034
G8-02-04-011
GB-02-04-012
G8-02-04-013
GB-02-04-014 - 015
GB-02-04-018
GB-02-04-019
GB-02-05-005
GB-02-05-007
GB-02-05-012 -013 - 014
GB-02-05-015
GB-02-05-016
GB-02-05-017
GB-02-05-018
GB-02-05-019
GB-02-05-024
GB-Tax 5304
GB-TAX 5305 Sec 16 T'15 R 43
GB Tax 1660- 008
GB Tax 1660-007
5172 Valley Drive
5170 valley Drive Lot 7
5171 Valley Dr.
5154 Jones Dr
5150 Jones Dr.
5,l62 Jones Dr
5163 Lakeview Dr
5162 Lakeview Drive
5177 VALLEY DR
5156 Lakeview Dr.
5140 LAKE VIEW DR
5,I51 VALLEY DR
5136 Lake View
5138 E LAKEVIEW DR
w-01-01-004
w-01-01-007
w-01-01-017018
w-01-02-009-9A
w-01-02-014
w-01-02-019
w-01-02-020
w-01-03-002
w-01-03-00A
w-01-03-01A
w-01-03-084
w-01-03-089
w-01-09-076
w-01-09-082AB
PWS tD7220Ls6
VALTEY VIEW RANCH PUBLIC WATER SYSTEM RHGHtrVi;M
FEB I 7 2023
DEQ-IDAHO FA!-L-q
2a23 kcft / 3?"a
900 N. Skyline Drive, Suite B
Idaho Falls, ID 83402 • (208) 528-Jess Byrne, Director
February 23, 2023
Dorothy M cCarty
Island Park Water Company
455 Constitution Way
Idaho F alls, Idaho 83402
[e-mail]
RE: FAILURE TO SUBMIT OPERATION AND MAINTENANCE MANUAL FOR VALLEY VIEW
SUBDIVISION - PWS #7220156
Dear Dorothy,
This letter is to notify you that our r ecords indicate that your public water system is in
violation of Idaho Rules for Drink Water Systems, IDAPA 58.01.08.501.12 Facility and
Design Standards: G eneral Requirements f or Public D rinking Water Systems. This
violation is for failure to provide an operation a nd maintenance manual (O&M)
following the total pressure l oss event i n Valley V iew Subdivision i n December of 2022.
The deadline for s ubmittal w as Monday, February 13, 2023.
IDAPA 58.01.08.501.12: A new or updated operation and maintenance manual
that addresses all water system facilities shall be submitted to the Department for
review and approval prior to start-up of the new or materially modified public
water system unless the same system components are already covered in an
existing operation and maintenance manual. For existing systems with continual
operational problems as determined by the Department, the Department may
require that an operation and maintenance manual be submitted to the
Department for review and approval. The operator shall ensure that the system is
operated in accordance with the approved operation and maintenance manual.
In order to rectify this violation an Operation and Maintenance Manual must be
submitted and approved by the Department. Additional violations of the Idaho Rules for
Public Drinking Water Systems may result in disapproval of the water system and formal
enforcement action by this Department.
If you have any questions, need clarification, or assistance, please feel free to
contact me Monday-Friday 7:30 am -4:30 pm at [e-mail] or
[phone].
Exhibit LL
Sincerely,
Kelsey Carter
Drinking Water Analyst
Idaho Falls Regional Office
C: Cassandra Lemmons, Drinking Water Compliance and Enforcement Supervisor, DEQ
Jami Delmore, Drinking Water Analyst, DEQ
Matthew McGlynn, Drinking Water Analyst, DEQ
Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEQ-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEQ-IFRO
Travis Culbertson, Idaho Public Utilities Commission, [e-mail]
Jon Kruck, Idaho Public Utilities Commission, [e-mail]
Chris Hecht, Idaho Public Utilities Commission, [e-mail]
Chris McEwan, Idaho Public Utilities Commission, [e-mail]
Curtis Thaden, Idaho Public Utilities Commission, [e-mail]
Jolene Bossard, Idaho Public Utilities Commission, [e-mail]
Roger Buchanan, Buchanan Well Drilling Inc., [e-mail]
900 N. Skyline Drive, Suite B Idaho Falls, ID 83402 • [phone] Jess Byrne, Director
February 24, 2023
Dorothy McCarty
Island Park Water Company
455 Constitution Way
Idaho Falls, Idaho 83402
[e-mail]
RE: FAILURE TO SUBMIT OPERATIONS PLAN FOR DEPRESSURIZATION EVENTS FOR VALLEY
VIEW SUBDIVISION - PWS #7220156
Dear Dorothy,
This letter is to notify you that our records indicate that your public water system is in violation
of Idaho Rules for Drink Water Systems, IDAPA 58.01.08.501.12 Facility and Design Standards:
General Requirements for Public Drinking Water Systems. This violation is for failure to provide
an Operation Plan for Depressurization Events following the total pressure loss event in Valley
View Subdivision in December of 2022. The deadline for submittal was Monday, February 13,
2023.
The Operations Plan is part of an Operation and Maintenance manual. A project specific
operation and maintenance manual must be provided as required in Subsection 501.12. See
definition of Operation and Maintenance Manual in Section 003 for the typical contents of an
operation and maintenance manual and the included operations plan.
During unplanned or emergency situations, when water pressure within the system is known to
have fallen below twenty {20) psi, the water supplier must notify the Department, provide
public notice to the affected customers within twenty-four (24) hours, and disinfect or flush the
system as appropriate. When sampling and corrective procedures have been conducted and
after determination by the Department that the water is safe, the water supplier may re-notify
the affected customers that the water is safe for consumption. The water supplier must notify
the affected customers if the water is not safe for consumption. During planned maintenance or
repair situations, when water pressure within the system is expected to fall below twenty (20)
psi, the water supplier must provide public notice to the affected customers prior to the
planned maintenance or repair activity and must ensure that the water is safe for consumption.
If an initial investigation by the water supplier fails to discover the causes of inadequate or
excessive pressure, the Department may require the water supplier to conduct a local pressure
monitoring study to diagnose and correct pressure problems. Valley View Subdivision's public
water systems must maintain a minimum pressure of forty (40) psi throughout the distribution
system
In order to rectify this violation an Operations Plan for depressurization events in Valley View
Subdivision must be submitted and approved by the Department. Additional violations of the
Idaho Rules for Public Drinking Water Systems may result in disapproval of the water system
and formal enforcement action by this Department.
If you have any questions, need clarification, or assistance, please feel free to contact
me Monday-Friday 8:00 am -4:30 pm at [e-mail] or (208)528-
2650.
Sincerely,
Kelsey Carter
Drinking Water Analyst
Idaho Falls Regional Office
C: Cassandra Lemmons, Drinking Water Compliance and Enforcement Supervisor, DEQ
Jami Delmore, Drinking Water Analyst, DEQ
Matthew McGlynn, Drinking Water Analyst, DEQ
Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEQ-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEQ-IFRO
Travis Culbertson, Idaho Public Utilities Commission, [e-mail]
Jon Kruck, Idaho Public Utilities Commission, [e-mail]
Chris Hecht, Idaho Public Utilities Commission, [e-mail]
Chris McEwan, Idaho Public Utilities Commission, [e-mail]
Curtis Thaden, Idaho Public Utilities Commission, [e-mail]
Jolene Bossard, Idaho Public Utilities Commission, [e-mail]
Roger Buchanan, Buchanan Well Drilling Inc., [e-mail]
From:Kelsey Carter
To:[e-mail]
Cc:Jason Fales
Subject:Site Sampling Plans
Date:Friday, February 17, 2023 4:25:00 PM
Attachments:rtcr-sample-siting-plan-small-systems-pdf-0520[1] (2).pdf
Dorothy,
The information you provided DEQ does not suffice as a Sampling Site Plan. Attached is the required
document that must be used for submitting a sample siting plan. Addresses must be provided for
each quarter and include two back up locations identified as upstream and downstream. Valley View
Subdivision will require two Sampling Site Plans, one for each distribution with the same
requirements. You cannot provide a list of all the addresses in the neighborhood. Please see the
included Federal Code Regulation on the document sent earlier today with links provided.
If you have questions or need assistance please reach out to myself or Jason Fales, the Drinking
Water Compliance Staff.
Exhibit M
From:Kelsey Carter
To:[e-mail]
Cc:[e-mail]; Jon Kruck; Chris McEwan; Travis Culbertson
Bcc:Nancy Rumsey
Subject:Certified Letter Received 03/22/2023
Date:Wednesday, March 22, 2023 12:29:00 PM
Attachments:Certified Letter 03-22-23.pdf
Site Sampling Plans IPWC 3-22-23.pdf
2023ACA1203 ID7220156 VALLEY VIEW SUBDIVISION - ID7220156 - Island Park Company Pending Compliance
Requirements, 02 17 2023.pdf
O&M Manual Example 3.pdf
rtcr-sample-siting-plan-small-systems-pdf-0520[1] (5).pdf
Dear Dorothy,
In response to the certified letter that was received by DEQ today, March 22, 2023, I would refer you
to read the letter I have attached dated February 17, 2023. This letter outlines the requirements
with the specific rules for a site sampling plan. An outline for a correct site sampling plan has been
given to you multiple times. Flexibility was granted in the form of quadrants but addresses still need
to be provided. As stated in your letter this was already not followed, I will refer you to read 40 CFR
141.853(a)(1), “systems must collect total coliform samples according to the written sample siting
plan”. A corrected site sampling plan has not been submitted for Valley View Subdivision
distinguishing the two distributions. Meaning, Island Park Water Company would be in violation of
failing to collect compliance samples in accordance with a written sample siting plan, and violation
letters will be issued at the end of the month. As you requested today, the highlights site sampling
plans that were last submitted have been attached to this email. Also noted in the provided sample
siting plans Island Park Water Company attempted to list the systems as seasonal, which is
unacceptable and has been corrected by DEQ on numerous occasions.
Island Park Water Company has been told several times they do not have the authority to issue its
own clause into the site sampling plan, it is in the Code of Federal Regulation and is not up for
debate. The rule requires you to identify specific locations and if they are not accessible multiple
backup locations are provided. Island Park Water Company has been instructed many times to
complete the proper sampling site document, which still has not been completed for any of the
seven systems. As stated in the Site sampling page document “Owners and operators who wish to
propose alternative fixed sample sites or criteria for selecting sites based on situational information.
This information needs to be written into a standard operating procedure as part of the plan.” Island
Park Water Company has failed to submit an operation and maintenance manual. This deadline has
been documented in several communications including the attached letter that no deadline would
be granted past February 13, 2023. The submitted procedure for depressurization events does not
meet the requirements and according to you was mailed on March 09, 2023, but DEQ never
received or approved this document. I will again attach a copy of a plan that has been approved.
These documents are usually stamped and signed by an Idaho-licensed engineer.
I can ensure Carlin did not promise public notification would not be required as it is part of the Safe
Water Drinking Act. The rule ensures that consumers will know if there is a problem with their
drinking water. These notices alert consumers if there is a risk to public health. It was stated DEQ
was willing to “waive the violation for public notice”, this would occur once public notice had been
provided to all customers and proper site sampling plans were submitted, not that public notification
Exhibit MM
was not required. Island Park Water Company failed to complete the significant deficiencies outlines
in the sanitary survey being required to be submitted by December 31, 2022. This is still a valid
violation and Island Park Water Company is required to inform all customers.

And again, it is not the homeowners’ responsibility to collect water samples for Island Park Water
Company, it is Island Park Water Company’s responsibility to collect the samples. Island Park Water
Company needs to make the arrangements and rent snowmobiles if necessary to collect the
samples. As a water purveyor, this is your responsibility, and we have many systems that are capable
of meeting their sampling requirements with much more difficulty. It is our understanding that
homeowners do not have trouble accessing their properties and that several are year-round
residents, or rented year round. At this point, Island Park Water Company has been identified as
being recalcitrant when dealing with DEQ. This has led to DEQ being concerned about the health of
residents using Island Park Water Company’s public water systems and ultimately disapproval. In
particular, the operating procedures for all seven Public Water Systems constitute a health hazard.
Disapproval in no way relieves the obligation to comply with all other applicable state and federal
drinking water standards, rules, regulations, or orders, but will not be done with DEQ’s technical
assistance.

Sincerely,
Kelsey Carter

ldaho ?-ere{r errt of Qualitv
PWS]D:
Mailirrg Ackjlcss;455 Constitutions
PWS Conlact Nlnre:ISLAND PARI( WA
Il-rnail;
WA NET
linrclgency Contact Nante:HY
for.lrr a
Way, ldaho Falls, ID ffi402
P\4/S Narrrc:Aspen Ridgo
TER COMPANY ,INC
E-ruail:WATER@tDA,NET
PWS Type: I Colrnrurrif.y (CWS) [*J Nontlansierr f lorrcornnru nity
fi Scas<lrrnl sysicrlls alc lcqrrirerl lo pcr.
Noncolrnrunjry Seasonal Systcnr {*,lll Ycsn lfyc,s, scason open;closttrrLral stalt-up prtrccdures pr.ior, to openitrg l.irr. thc scason rrrrlc.ss c.tcrrrple<l in rvr.iting.
Plrouc 298-521_2369
Phonc
(N',r'NC) []Noncortrrnunily f i.alrsieu I (Ncr)
CYeseNo
4-log
TY
Sour.ccs of Watcl.;
idcrrf ify .sc,trr.ccs of
dlirrl<irrg r.r,atcr and
Soulr:c/Flrcility ll)*"'.,:j,::.',:l1l{ rvrrcr sorrrculs;; rvcil rilg //,0iil)tc. sprjlA ililI)c, iDlrrko soucr,
IottJ colilbr.nr llosilnnctivirtiorr lor all
Srrurcc Typc
rvnlor', .SlL,spt irr6,-srlrfnse \viltutl Gll,.gruurx/
ilr)(lcr tltc irrilrrcncc olSWrchnscrvrtcr liorrt othcr syslcrrr
G,W
l0ll;
tivc surrple rctlrrircd rvhcrr u
soillcc tvatcr
systcur rrsirrg g|r.[|:tl rvat
llIOll
el (locs txlt h[\,e
ntcr'g|oufld rvitto|$clUf0cs.
Not applicable
affach adcfifional
sheots as neoos.saty
4
Ivlarrifold; Lif,t soru,co$ thittconlbiuc bc{brc rlist|ibutiou
Ilisitrfcctiorr Tr.crr tlrrcu t I rrslctieclc all rhat apply)
Or.vner./Opcnt
Si*errahrre ;
tol Namc:
tallcrl/U.sirrg: [J Norc [_J Cjrlorirrc l_J Clrlolarrrirration J Chlor,i nc dioxide LJ Ozone
McC arty, Owner
Pirouc:
Datc;
208-521-2369
February 24,2023
_*_+!-page i-of +
7220007
2
E0006523
E0009068
Usngc Viru4-log
P-qtr:nnrtttcnt (lir I Itraclltinc),tivlrtiolr *
(Io{0ilfcosplrrncrl Jtns u0ltliuilolt$I-inrcr.irrrusc),n)cCl disirrl'cclloll lo pror.idcdcrtrrrrrd!trus-lqr,
P ('Yes ffi
C Yes
f yes f No
ua n
1.0
Exhibit N
I
I
j
ll
I
i
I
I
ISLAND PARK WATER COMPANY PWS ID 722OOO7 ASPCN Ridgc EStAtC S DiV. 1.,2,3,4Source /Facility E0006523 and E0009068
fi:ff:frotocol
should be fo'owed during quarterrv sampring and repeat sampring.
addresses *,rh,;"'ion
for the PWs quarterly,total.coliforrn samples shall be taken routinely from differentrhe quadrant;;;,i:ff:iilt i#:,iiJind the o",,,""p,.","nlation orthe distributionconsider varving sampre site iocarons'-
understood the intent lf nrcn rr;;il;r;;J:,,t fI illr:tinilt"distribution ,yri'"r. Keeping in ,n,nl ,"r,toughout
the year to better .r'trru.turi.J rrt", qruritv throughout thelocations of dead-end lines, loops uno o,,'ont'
customers or locaI
rt is understo", ,r"::;:::::-: inl "'n"'reatures "t'n" .","JiI.:':l]ffi:sistent water use' in'r'oins- '-
;;ry*: x [ :;"##ilil:',ffi iiTi:: l; il,Til: luf :
u' u" .' B a s e d u p' n
;{i,'ffi ,i'l'lil',#{ill*#ffi t*,l=il.*'f tffi i,}il;.
understood rn", r,tn'n
the quadrant o"oJilil_rroon o..uor;;;':#ftTil1J1ff*::lrffi:;*fJ;'
onry then ,,r ;;;;ffi i:i::: :]il:li,J:u: o""ibre due ," ii::1,:,,."n.",., o,. o.i*,n* or vacancies, andrnative source for the sampling.within a quarterry r.rTOlint site rocation, a different rocation shourdistribution svstem is buirt and o.rr"or'* the system, ,o* or"rrrluort:jl';Xn""ting in mind how the
rf a totar coriform sample comes back with a positive resurt, three rr
,[::i;'"THffi [li:il;',",t'rH*i:::1,':1",il;:;.,*:il.:1T:ff .:i1,""#ilJ,:H",1fi,J1,*
lt'LT'lTili;?fi ::ii:",#H,,,#;.#j,tttru**ffi '#**#,ili:[*:,ffi
,1"#l fil, l;:' *n " " *
" ", "' o ffiffi "'I fi'# ;ffi ff ; f $ H #: il H ;,# T: ?Hff
lf a total coliform sample on a dead_end main
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collect 3 repeat samples for each Tc+ routine sample, even if a Level 1 or Lever 2 Assr
'.,l?ilff :1ff : iTj T ;l llT :'HI:;: ,,i:,"
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It is highly recommendr
requiremenb ,,"'in""^1H',ffi""t4ff5;:TTtri;;:il,ff;jlemserves with the proper sampre taking
;ffi;1.",;:";::,;:_." "
samples on a single day if they .r" ,J"" ?,lnlr"nt tocations.
ISTAND PARK WATER COMPANY SAMPI'Ng SitC PIAN SEE ATTACHED MAPS.The water samples will continue to be taken quarterly.
Per discussion and
circumstanc., oroot"uious
approval by carlin Feisthamel, DEQ ldaho Falls, it was agreed that given theaccess it is not o"rr,[,'J,Tiiff;8,fli1tt" area ," "oi. .l.h quarter. o,r", 0r."," weather and
:fi :il,:il: r n e o i i r' u svste m il ;;": ff '"f.Htril'j r:'#il; ;i ilfl*l*:* I n;;' ;
:ffi1'*1Ttr^iIHll'".','fi:lf;;:.,'"i,. prease note, Not ar orthese connections are tomake everv uno,t to take a sampre -";;::',T,fl::Jffi:rfiff:::lJ:;:T:i:y:nitl,is dependent upon having access' ci*n rlrno park is; ;:;;;;;""ararea and a roiof the cabins are
rented out to tourists' it is challeng**' o*n"r, are not fut time residents with a few exceptions, often
in the past it takes upwards of ro o'ioru'.a,",npts in any giu"n diuirion to find someone home.Thus if you look at the attached maps you can see that each subdivision can be divided into 4 sections byiSli;.TlJl3,:';::ilii,:::,y#;;i,,"., ,srand park water wi, sampre rrom within each orthe
This meets the requirements to obtain a sample from within a broader range of the conveyance systemwhich is our understanding of the "intent of Site Sampli ng Plans',
generally speaking the samples wil
lsland park Water will continue to sampl
lbe completed in one day or two of ea
e Quarterly. Given it is a 200 miles round trip to take sam
ch quarter
ples,
L't QuarterJanuary L to March 31 each D',1),ft),.,year,
2nd Quarter April 1 to June 3L each year
,4th Quarter October 1 to December 3L each year
ln the event a monthly sample is required, the saevery cabin has a hydra nt.
Thank you
lsland park Water Company
Diu f,Ja )
, Diu f0d a\.
mple site will be determined by availability given not
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.l!e!p,!_rury!ry1lgl Environmental Qualily To(al Coliform Sample $iting Plan Form
l-o'[aff Golfifon"nm -$arnpIe t fi'tttmS [pllffim
for $rTlaflfl $ym{:en'ms
in accolrlancc wittr tire "ldaho I{ulcs J:or.prrblic Watersy$tenls,'(tnRnR 59.01 08,100.01),
Pnrt 1, Gcnernl System lnfor,urntion
PWSID:72200156 P\\/S Narnc:YelleJ View Subdlvision
N4ailing Arldless;455 Consiitutions Way, ldaho Falls, lD 83402
FWS Conlnct Nanrc:I qsL4gg enRK wArER coMpA!.ry, rryc_ _
[-rnail [e-mail] Phono:2SB-521-2369
[-rnail wATER@IDA,NET
PWS 1'ypc: I CournlrniLy (CIWS) f] Nontlausicnl noucol)lnr.urity (NTNC) fJ Nouconinrunity tLansient fi{CT)
Enelgcncy Corrtact Name;DOROTHY McCARTY
.$orr rr:c/ltncility l.l)
Nlnre ol'rlrirrkirrg wfllcfsoutrc(.$); \vcll tilg /1,
rrnlro, sltring rurnrc, irtlnkc lcut'cc
Pltonc: l-rt""r.d -l
Nortconrmurriry Seasonal S5,stenr: tr rrro ffi{r* if yes, soasou open:05.15.00 olose 09/30/00
Sourccs of Watct'l
Identily sorrrces of
dLirtl<irrg \ystcl' ond
attirch additional
shccts as ltcoossilry
l. E0009996530
Usagc
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sorrfce lvalof c
ittnetivation lbr nll glountl watcr r]0urces.
Mnuifol<l: List soulccs flrat
cornllinc bclble distlibution Not applicalrle
.Disinflecfiotr'J)'caturenf Instrtllcd/Usirrg: lj Norrc L.J Clrlorine | | Clrlorlrrrirurti<-rn ._l Llhlolinc tlioxide fl Ozone
(chcch all that apply)
Owncry'Opelarol lrhone:208-521-2365
Signatulc Janu
February 24,2023
CYcs e No
Sout'cc'I'1'Pe
.13ttutrtrl tvalrrr, Sl)--sprittg,
S\lL.rrrfircu rvirtr:r', Cll.-grourd
tttrlcr tlrc irr lltrurrcs of S W
l'-J)urclrtrsc wilter lioll ollrcr $yslcrI
G.W
Verslorr 1
lilci Dorothy McCarty, Owner
Dnte
Page 'l ot 4.
ISLAND PARK WATER COMPANY PWS ID 722OO1.56VAIICY V'CW RANCh DiV. NO. 1
Source /Facility E0009996530
The following protocor shourd be fo'owed during quarterry sampring and repeat sampring.
Pertinent information for the PWS quarterly total coliform samples shall be taken routinely from differentaddresses within a quadrant keeping in mind the best representation of the distribution system and usage areas.The quadrant will vary each quarter' lt is understood the intent of RTCR sampring instructions is pwss shourdconsider varying sample site locations throughout the year to better characterize water quarity throughout thedistribution system' Keeping in mind '",ronJl customers or rocations with inconsistent water use, incrudinglocations of dead-end rines, roops ano ottrer ieatures of the conveyance system.
It is understood that the system is a circular distribution conveyance system. Based upon past sampring at sites,every effort will be made to sample at different locations within one qrrorunt for each quarter, varying thequadrantsanddeterminedbythetimeofyear. Thespecificsampresite,duetothenatureoftherecreationar
site,will be determined at the time of on site ano oepencing on access to cabins. consideration wi, be given that thesite location is approximately 100 miles away from ldaho Falrs and 200 miles travel time, it will be necessary toadjust locations within the quadrant uepenoing upon occupancy and accessibirity at the time of sampring. rt isunderstood that access to a cabin is not always.possible due to privacy of renters or occupants or vacancies, andonly then wit a hydrant be used as the arternative source for the sampring.
within a quarterly sampling site locations, a different location should be utilized keeping in mind how thedistribution system is buirt and demands on the system, row pressure areas or d
lf a total coliform sample comes back with a Positive result, three repeat samples will be taken within 24 hrs. ofthe Present result (unless an extension is granted by the primacy agency) of notification of a total coliform_positive(TC or next available time to be able to tuln into the rab, which i, o-p"n Mondays thru Thursday from 9:30 to 5 pmin ldaho Falls' Due to the Labs' availability to accept samples no sampres wiil be taken on a Friday or saturday. onesample will be taken at the original location the Present sampte *a, tuk"n from. one sampre within 5 connectionslr"#;,:i::Llf,t tn" Present sample location and one sampre within 5 connections upstream rrom the present
lf a total coliform sample on a dead-end main comes back with a present resurt, three repeat sampres wi, be takenwithin 24 hrs' of receiving the results' one sample at the originar rocation of the present sampre rocation. onesample is 5 locations upstream of the present sample location. +
collect 3 repeat samples for each TC+ routine sample, even if a Level 1or Level 2 Assessment is triggered.Continue collecting a set of 3 repeat samples until either TC is not detected in one complete set or thesystem triggers a Level 1 or Level 2 Assessment.
It is hiShly recommended that people taking water sampres famiriarize themselves with the proper sampre takingrequirements from the RTCR ldaho DEQ anJ the us EpA (40 cFR part l4lSubpart y14r..853, 141..854).
lsland Park water system PWS uses only ground water and has less than 4,g00 people or fewer and may takesamples on a single day if they are taken at different locations.
ISLAND PARK WATER COMPANY SAMPIiNg SitC PIAN SEE ATTACHED MAPS.
The water samples will continue to be taken quarterly,
ff:.l,liil'i::: 3?lo,.t,"us
approvat by carlin Feisthamet, DEe rdaho Falts, it was agreed that given rhe
a cce ss t s n o t o ",,,3,l lrff ,/,T;H,;1!T n::il l[i:**:j: ff :]: ,' il: : ::"J"17ffi:T:il:ring of the svstem ,n. .uror., wirr be taken in J quadrant of N.E,s.w range of the
Attached is a map with addresses of connections. please note, Not ar of these connections are tocabins' some are hydrants' Given it is our preference to sample from cabins, lsland park water willmake every effort to take a sample from *re caoin vs, a hydrant. The hydrant being the last choice. Thisis dependent upon having access' civen tsland park is, ,^u.rur,ionararea and a lot of the cabins arerented out to tourists' it is challenging' owners are not fulr time residents with a few exceptions. oftenin the past it takes upwards of Lo or more attempts in anygiven division to find someone home.Thus if you look at the attached maps you can see that each subdivision can be divided into 4 sections by
i5li;,,TlJl3,:';::ilil:i:,1,",','.::nerar area' rsrand park water wir sampre rrom w*hin each o*he
This meets the requirements to obtain a sample from within a broader range of the conveyance systemwhich is our understanding of the "intent of Site sampring prans,,
lsland park Water willcontinue to sam ple Quarterly , Given it is a 200 miles round trip to take samples,generally speaking the samples will be completed in one day or two of each qua rter
3'd Quarter July 1. to September 30 each year
4th Quarter October 1. to December 3L each year
ffT.tJo1lt;ffi:'Hlmple is required, the sample site will be ctetermined by availability given nor
Thank you
lsland Park Water Company,
ft.w tdan{ sa4/r,tJs/U- 4rJ Ea .z
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ldaho Department of Environmental Qualitv Totai Colifornt et Plan Form
Totail Colifornm Sam'rple Siting Flanl
'ffor $rnall Systenrns
itt accot'dnnce rvith the "ldaho Rules lor Public Watcr Systenrs" (IDAPA 58.01.08,100,01).
Part 1, Gcneral Systern Infomration
PWSiI)722A030 PWS Nanre;Goose Bay Estates
Mniliug Aclclt'ess: | _ aSS Constilutions Way,.ldaho Falls, lD 83402
PWS Cor:tact Nanrc:ISLAND PARK WATER COMPANY, INC
E-^rail: l-- -- - wAIEI!€?lp*s,lLEJ
Soulcciltnr:llity l.l)
Nunrl ol'rh'irtkiug \virtcr $outce(!i); rvcll tng /1,
rrontc, spring oitnrc, ittlrrkc sorrrcc
Soutccs of S/atcr:t. E0006535
Idcrrtily seurccs of
dtiukirrg water aud
attach additional
s[reots as necessiu'y
4
___t
Plrorrc:298-521-2369
Eurelgcricy Contact Name DOROTHY McCARTY
Il-nrail:[e-mail] Plionc
I'WS Type: fl Comnruniry (CWS) flNontlansient rronconrmurrity (bl'INC) l] Nottconttnttttity tt'ausiettt (NCT)
Nonconrmrrnity lieasonal Systcnr: fl No {'l Yes+ lf 1,es, sicasou opeu:closc
P
4"log Vlrus
Irr nctivtttio tt *
Sortrcu llrs uotrlitlltoils
rlisiulbction to ;trolido
4-log virus innctivntiou
nga
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2 rooooseg &,w.
g vilus urtcl t0[ggtlr rrl soutce walor uronilorirrg l'crr tltc tound ct'
lolal c<rlitirrrn positivc stnrplc is r'cquired
inirutjvatiort lbL all glouncl \r'atgr sourccs.
,,vlrctr u sysiern rrsing grountl rvitler iloes not ltave ,l-log vtnrs
Disiufoction 'f rcttfurcnt Instnllcd/Usitrg: l_l Nolc LJ Cjlrlorinc 1"..1 Chlolrrlintrtion *J Cliloljne dioxide ll Ozonc
(clreck rrll tlrat apply)
Orvttcry'Operator Narrrc
Mnnifold: List soulcqs tlrili
contbinc belbre d islli bution
Signatrrrc;
Not applicable,
,_l rt'n,'',,
Date:
?oB-521-2369
February 24,2023
tiltl lll
C Yes ('No
I Yes f'No
f Yes Pflf;;.",'r-
Soulcc'lypc
C\Y-.gronrul wn(cr, lll'--iil)r i,lg,
lV-srrrlllcu *,tttr:r, Gl/.-grourtd
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l)-lrurchusc w[lct lioll 0rllcr syslcrl
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l"ol usc), l*intcr';nt lo rlccl
(rrot plnrrncrl
Usrtgc
P-1)elrnlulcrtl (hti l/llnrc),
Version i.0
Dorothy McCarty, Owrrer
Page i of 4
v
ISLAND PARK WATER COMPANY Goose Bay PWS lD722OO3O
Source /Facility E0006535 and E0006538
The following protocol should be followed during quarterly sampling and repeat sampling'
pertinent information for the PWS quarterly total coliform samples shall be taken routinely from different
addresses within a quadrant keeping in mind the best representation of the distribution system and usage areas'
The quadrant will vary each quarter. lt is understood the intent of RTCR sampling instructions is PWSs should
consider varying sample site locations throughout the year to better characterize water quality throughout the
distribution system. Keeping in mind seasonal customers or locations with inconsistent water use, including
locations of dead-end lines, loops and other features of the conveyance system'
It is understood that the system is a circular distribution conveyance system. Based upon past sampling at sites,
every effort will be made to sample at different locations within one quadrant for each quarter, varying the
quadrantsanddeterminedbythetimeofyear, Thespecificsamplesite,duetothenatureoftherecreational site,
will be determined at the time of on site and depending on access to cabins. consideration will be given that the
site location is approximately 100 miles away from ldaho Falls and 200 miles travel time, it will be necessary to
adjust locations within the quadrant depending upon occupancy and accessibility atthe time of sampling' lt is
understood that access to a cabin is not always possible due to privacy of renters or occupants or vacancies, and
only then will a hydrant be used as the alternative source for the sampling.
Within a quarterly sampling site location, a different location should be utilized keeping in mind how the
distribution system is built and demands on the system, low pressure areas or d
lf a total Coliform sample comes back with a Positive result, three repeat samples will be taken within 24 hrs' of
the present result (unless an extension is granted by the primacy agency) of notification of a total coliform-positive
(TC or next available time to be able to turn into the lab, which is open Mondays thru Thursday from 9:30 to 5 pm
in ldaho Falls. Due to the Labs'availability to accept samples no samples will be taken on a Friday or Saturday' One
sample will be taken at the original location the Present sample was taken from. one sample within 5 connections
downstream from the present sample location and one sample within 5 connections upstream from the Present
sample location,
lf a total coliform sample on a dead-end main comes back with a Present result, three repeat samples will be taken
within 24 hrs. Of receiving the results. One sample at the original location of the Present sample location' One
sample is 5 locations upstream of the Present sample location' +
Collect 3 repeat samples for each TC+ routine sample, even if a Level 1 or Level 2 Assessment is triggered'
Continue collecting a set of 3 repeat samples until either TC is not detected in one complete set or the
system triggers a Level L or Level 2 Assessment'
It is highly recommended that people taking water samples familiarize themselves with the proper sample taking
requirements from the RTCR ldaho DEQ and the US EPA (40 CFR Part l4lSubpart Y141.853, 1"41'854)'
lsland Park water system PWS uses only ground water and has less than 4,900 people or fewer and may take
samples on a single day if they are taken at different locations'
I'
ISLAND PARK WATER COMPANY Sampling Site Plan SEE ATTACHED MAPS.
The water samples will continue to be taken quarterly.
Per discussion and previous approval by Carlin Feisthamel, DEQ ldaho Falls, it was agreed that given the
circumstances DEQ will accept a "guardant" area to sample each quarter. Also, due to weather and
access it is not possible to identifyetwo exact and alternating locations each month. Rather to get a
better sampling of the system the samples will be taken in a quadrant of N.E.S.W range of the
subdivision.
Attached is a map with addresses of connections. Please note, Not all of these connections are to
cabins, Some are hydrants. Given it is our preference to sample from cabins, lsland Park Water will
make every effort to take a sample from the cabin vs. a hydrant, The hydrant being the last choice. This
is dependent upon having access. Given lsland Park is a recreational area and a lot of the cabins are
rented out to tourists, it is challenging. Owners are not full time residents with a few exceptions. Often
in the past it takes upwards of 10 or more attempts in any given division to find someone home.
Thus if you look at the attached maps you can see that each subdivision can be divided into 4 sections by
sight. North, East, South and West generalarea. lsland Park Water willsample from within each of the
quadrants. One per quarter as stated,
This meets the requirements to obtain a sample from within a broader range of the conveyance system
which is our understanding of the "intent of Site Sampling Plans"
lsland Park Water will continue to sample Quarterly , Given it is a 200 miles round trip to take samples,
generally speaking the samples will be completed in one day or two of each quarter.
1't Quarter january L to March 3L each year,
2nd Quarter April L to iune 3L each year
3'd Quarter July L to September 30 each year
4th Quarter October L to December 3L each year
ln the event a monthly sample is required, the sample site will be determined by availability given not
every cabin has a hydrant.
Thank You,
lsland Park Water Company
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ACKNAWLEDGMENT
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COL}NTY APPROVA,L AND ACCEPTANCEfni' ir:acz--.-,!J- Jr7 .:r1-S*r-=, .{ 4 Comanss-.*/r/5.J1).\ \2-,,3/!12.,+A
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ldaho Department of Environmental Quality Total Coliform Samole Sitina Plan Form
"['ota[ Coliforrn Sarmple Silting Plan
for $mafll $ystems
itt rt(rcorrlitucc with tltr: "ltlnho ltulct {trl Puhlir: WntcI Sy,\tonls" (ll)r\PA iti.0I .0R. 100.0 l).
Palt 1. Ceneral Systeut Infot'mation
PWSID 7220066 PWS Nanrc:
Mailing Addlessr 455 Constitutions Way, ldaho Falls, lD 83402
SHOTGUN STEVENS LANE
PWS Coutnct Nnnre ISLAND PARK WATER COMPANY, INC
E-mail:WATEIi(OIDA.NET
Etrrelgency Cor:tact Nanie:DOROTHY McCARTY
E-rnail:[e-mail]
Phone;298-521-2369
Phonc:F-p.._-.-..
PWS'l'ype: I Comnruuity (CWS) [ Nontrausient noucomn]utriry (NTNC) fJ Noncottttitunity transieu( (NCT)
Nonoonrmunity Sensonal Systenr: p/No L.] Yes* ll'yes, season open:close:
Sourcc'I'ypc Usngc 44og ir us
P--pcrrnnlcttl (titll/(iulrt),Iililctivfttiotl *
rvrk:r, 5I'-.lprirtJ3,,
s,alct. Gll^-srouttrl (uot plrructl Sotrtcs ltas cott{illuotts
208-521-236s
Sources ol'Watcrl
Identi$ soulccs of
dtinking s,atcL and
atlach addilional
shects as ncoessal'y
Muifold: List sourccs tlrnt
conrbiuc belbre <lis{r'ibution
S igrratule;
Not applicable
rrrulcr tlre irrflucrcu ol S\V,for'rrsu), l-irttcr'irn to trtccl tlisirrlbctiorr trt pror'idc
l'.-putellrsc walcr llotn 0lhcr $yslcrll dcntrt:rd og vinrs ilnclivatiort
G.W r fl ves (pN6'
CYes CNo
CYes CNo
C Ycs f^ No
lotal colit'urm positivc slrlplc lcquiretl rvltott a systcnt using glounrl rvittcr tltlcs uot hnve 4'log
rh rl[ a rorlt
v ilLrs
soulce wator nonitttlirtg lbt tltc tortrxl
inirctiv|tion ltrr irll g|ouucl wiltor soilrc0s.
Disinfcction Tt'ctttntcnt lnstnllcd/Ushrg: [J Nouc l_] Chlorino lJ Chlorarlirration ] Cltloline dioxidc fJ Ozotre
(clrcck atl that apply)
Owner'/Opernlor Nanic:l)horro:
Datc:tffi
FEbruary 24,2023
4
t. E0009996530
3
2
Sourcc/Itlrcility lJ)
Nnrrrc ol'tlrirkiug rvator sourcu(s): wcll l{g /1,
nnnro, sprilg nirutc, iulnkc sotrrcc
Version 1.0
Dorothy McCarty, Owner
Patge 1 of 4
TSLAND PARK WATER COMPANY PWS lD 7220066 Shotgun Stevens *Request this be reclassified as it
doesn't rise to the standards required to be a PWS'
Source /Facility E000996530
The following protocol should be followed during quarterly sampling and repeat sampling.
pertinent information for the pWS quarterly total coliform samples shall be taken routinely from different
addresses within a quadrant keeping in mind the best representation of the distribution system and usage areas'
The quadrant will vary each quarter. lt is understood that the intent of RTCR sampling instructions is PWSs should
consider varying sample site locations throughout the year to better characterize water quality throughout the
distribution system. Keeping in mind seasonal customers or locations with inconsistent water use, including
locations of dead-end lines, loops and other features of the conveyance system.
It is understood that the system is not a circular distribution conveyance system, Based upon past sampling at
sites, every effort will be made to sample at different locations within one quadrant for each quarter, varying the
quadrants and determined by the time of year, The specific sample site, due to the nature of the recreational site,
will be determined at the time of on site and depending on access to cabins. Consideration will be given that the
site location is approximately 100 miles away from ldaho Falls and 200 miles travel time, it will be necessary to
adjust locations within the quadrant depending upon occupancy and accessibility at the time of sampling' lt is
understood that access to a cabin is not always possible due to privacy of renters or occupants orvacancies, and
only then will a hydrant be used as the alternative source for the sampling.
Within a quarterly sampling site location, a different location should be utilized keeping in mind how the
distribution system is built and demands on the system, low pressure areas or d
lf a total Coliform sample comes back with a Positive result, three repeat samples will be taken within 24 hrs' of
the present result (unless an extension is granted by the primacy agency) of notification of a total coliform-positive
(TC or next available time to be able to turn into the lab, which is open Mondays thru Thursday from 9:30 to 5 pm
in ldaho Falls. Due to the Labs' availability to accept samples no samples will be taken on a Friday or Saturday' one
sample will be taken at the original location the Present sample was taken from. One sample within 5 connections
downstream from the Present sample location and One sample within 5 connections upstream from the Present
sample location.
lf a total coliform sample on a dead-end main comes back with a Present result, three repeat samples will be taken
within 24 hrs. of receiving the results. one sample at the original location of the Present sample location. one
sample is 5 locations upstream of the Present sample location' +
Collect 3 repeat samples for each TC+ routine sample, even if a Level L or Level 2 Assessment is triggered.
Continue collecting a set of 3 repeat samples until either TC is not detected in one complete set or the
system triggers a Level 1 or Level 2 Assessment'
It is highly recommended that people taking water samples familiarize themselves with the proper sample taking
requirements from the RTCR ldaho DEQ and the US EPA (40 CFR Part l4lSubpart Y141'853, L4t.854).
lsland park water system PWS uses only ground water and has less than 4,900 people or fewer and may take
samples on a single day if they are taken at different locations'
ISLAND PARK WATER COMPANY Sampling Site Plan SEE ATTACHED MAPS.
The water samples will continue to be taken quarterly,
Per discussion and previous approval by Carlin Feisthamel, DEQ ldaho Falls, it was agreed that given the
circumstancesDEQwill accepta"6pardant"areatosampleeachquarter. Also,duetoweatherand
access it is not possible to identify two exact and alternating locations each month. Rather to get a
better sampling of the system the samples will be taken in a quadrant of N.E.S.W range of the
subdivision.
Attached is a map with addresses of connections, Please note, Not all of these connections are to
cabins. Some are hydrants. Given it is our preference to sample from cabins, lsland Park Water will
make every effort to take a sample from the cabin vs, a hydrant. The hydrant being the last choice. This
is dependent upon having access. Given lsland Park is a recreationalarea and a lot of the cabins are
rented out to tourists, it is challenging. Owners are not full time residents with a few exceptions. Often
in the past it takes upwards of L0 or more attempts in any given division to find someone home.
Thus if you look at the attached maps you can see that each subdivision can be divided into 4 sections by
sight, North, East, South and West general area. lsland Park Water will sample from within each of the
quadrants, One per quarter as stated.
This meets the requirements to obtain a sample from within a broader range of the conveyance system
which is our understanding of the "intent of Site Sampling plans"
lsland Park Water will continue to sample Quarterly . Given it is a 200 miles round trip to take samples,
generally speaking the samples will be completed in one day or two of each quarter.
1st Quarter January L to March 31 each year.
2nd Quarter April 1 to June 31 each year
3'd Quarter July 1 to September 30 each year
4th Quarter October L to December 31 each year
ln the event a monthly sample is required, the sample site will be determined by availability given not
every cabin has a hydrant.
Thank You.
lsland Park Water Company
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ldalro Department of Envlronmental euality Total Coliform Sample Siling Plan Form
-fl"otail Coflifornn $am'lple Siting Fflan
for Snrafll $ystenrrs
itt nocrot'danco rvitlr thc "lclnltir I{ulcs for Prrblii Wiiri:r, I'jyslcnrs,, (tnrinn Ss,of ,OS.f OO,btl,
Pnrt 1, General $ystem hrfonuntion
PWSID 7220064 P\1/S Nanre:Sltoigun l(iokErJ.roo
455 Constitutions Way, ldaho Falls, lD 83402Mniling Acltiress;
I
PWS Contaot Nanrc:ISLAND PARK WATER COMPANY, INC
E-rnail:WA IDA.NET Phone:2SB-521-2369
Enrelgcncy Coutact Name:DOROTHY McCARTY
E-ntaill wATER@tDA,N Phoncl -2369
PWS Type: l-lC)ourrlrrnil.y (CWS) l-l Nontlansiutt llotloon1l'nlntity (NTNC) fJ Notrcolrrurrnity tlansieut (NCT)
ET
Nortconrtnrutiry Sensonal Systcrn: E(u n ,.rr' If yes, searon open ckise;
Sourec,s of Wutar,:
Idcntily soulces of
dritrkirrg rvatcr arrd
attach additiolal
shcots ns necessaty
Mnnlfold: List sourccs that
contbi nc betbrc rlistlibuti on
So u t.ce/Itlr clli f y LI)
Nnore ol dr irrkirrg tyn(cr sout'cL(s)j wcll titg ll,
ttnrttc, sprirrLl narlc, ittllkc sutrcc
ill
Soulcc'lypc
6W'-gtoutrtl rvrtler, SlL.spr irrg,
Usngc
P-1;rrnarrcll (litlli{imo),
4-log Virus
Inuc{ivntio rt *
Sorrtcc hrr uenlittttott$
rlisiirlbction to prot,idc
4-log vinis innc{i
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rvrtur', CU..grorrrrd (rol
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$olltce watcr nloll l:otl at0l'
lofitl colifbrnr positivc sturplc is rcqrrircrl rvhcrr ir systcrn using ground rvutol rloes not have 4-log virrrs
ittnotivntion loL all grouucl v/arcr seul.(.)(.))i.
Not applicable.
Disirtlcctiort Tt'cttttttcnf Irr.stallcd/Usitrg; l_l None fl ClhloLine lJ Chiorarnilnfion J Chlor.ine <lioxide l_J Ozonc(chech all lhat npply)
Owncr'/Operaiol Nnnre:Phonc 208-521-2369
Sigrrnlurc:
Febluary 24,2023
C'Yes CNo
Cves CNo
f Ycs CNo
f Yes rP+q'o-l, 000000015839
4
1
)
Version 1,0
Doroth McCarty, Owner
Date:
Poge 1 of4
TSLAND PARK WATER COMPANY PWS lD 7220064 Shotgun Village Estates Kickapoo
Source /Facility lD 000000015839
The following protocol should be followed during quarterly sampling and repeat sampling.
Pertinent information for the PWS quarterly total coliform samples shall be taken routinely from
different addresses within a quadrant keeping in mind the best representation of the distribution
system and usage areas. The quadrant will vary each quarter. lt is understood that the intent of RTCR
sampling instructions is PWSs should consider varying sample site locations throughout the year to
better characterize water quality throughout the distribution system. Keeping in mind seasonal
customers or locations with inconsistent water use, including locations of dead end lines, loops and
other features of the conveyance system.
It is understood that the system is not a circular distribution conveyance system. Based upon past
sampling at sites, every effort will be made to sample at different locations within one quadrant for each
quarter, varying the quadrants and determined by the time of year. The specific sample site, due to the
nature of the recreationalsite, will be determined at the time of on site and depending on access to
cabins. Consideration will be given that the site location is approximately 100 miles away from ldaho
Falls and 200 miles travel time, it will be necessary to adjust locations within the quadrant depending
upon occupancy and accessibility at the time of sampling. lt is understood that access to a cabin is not
always possible due to privacy of renters or occupants or vacancies, and only then will a hydrant be used
as the alternative source for the sampling.
Within a quarterly sampling site locations, a different location should be utilized keeping in mind how
the distribution system is built and demands on the system, low pressure areas or d
lf a totalColiform sample comes back with a Positive result, three repeat samples will be taken within 24
hrs. of the Present result (unless an extension is granted by the primacy agency) of notification of a total
coliform-positive (TC or next available time to be able to turn into the lab, which is open Mondays thru
Thursday from 9:30 to 5 pm in ldaho Falls. Due to the Labs' availability to accept samples no samples will
be taken on a Friday or Saturday. One sample will be taken at the original location the Present sample
was taken from, One sample within 5 connections downstream from the Present sample location and
One sample within 5 connections upstream from the Present sample location.
lf a totalcoliform sample on a dead-end main comes back with a Present result, three repeatsamples
will be taken within 24 hrs. Of receiving the results. One sample at the original location of the Present
sample location. One sample is 5 locations upstream of the Present sample location. +
Collect 3 repeat samples for each TC+ routine sample, even if a Level 1 or Level 2 Assessment is
triggered.
I
Continue collecting a set of 3 repeat samples until either TC is not detected in one complete set
or the system triggers a Level 1 or Level 2 Assessment.
It is highly recommended that people taking water samples familiarize themselves with the proper
sample taking requirements from the RTCR ldaho DEQ and the US EPA (40 CFR Part l4lSubpart
Y1"41.853, L4I.854).lsland Park water system PWS uses only ground water and has less than 4,900
people or fewer and may take samples on a single day if they are taken at different locations.
ISLAND PARK WATER COMPANY Sampling Site Plan SEE ATTACHED MAPS.
The water samples will continue to be taken quarterly.
Per discussion and previous approval by Carlin Feisthamel, DEQ ldaho Falls, it was agreed that given the
circumstances DEQ will accept a 'tuardant" area to sample each quarter. Also, due to weather and
access it is not possible to identify two exact and alternating locations each month. Rather to get a
better sampling of the system the samples will be taken in a quadrant of N.E.S.W range of the
subdivision.
Attached is a map with addresses of connections. Please note, Not all of these connections are to
cabins. Some are hydrants. Given it is our preference to sample from cabins, lsland Park Water will
make every effort to take a sample from the cabin vs. a hydrant. The hydrant being the last choice. This
is dependent upon having access. Given lsland Park is a recreationalarea and a lot of the cabins are
rented out to tourists, it is challenging. Owners are not full time residents with a few exceptions. Often
in the past it takes upwards of 10 or more attempts in any given division to find someone home,
Thus if you look at the attached maps you can see that each subdivision can be divided into 4 sections by
sight. North, East, South and West general area. lsland Park Water will sample from within each of the
quadrants. One per quarter as stated.
This meets the requirements to obtain a sample from within a broader range of the conveyance system
which is our understanding of the "intent of Site Sampling Plans"
lsland Park Water will continue to sample Quarterly . Given it is a 200 miles round trip to take samples,
generally speaking the samples will be completed in one day or two of each quarter.
?nd Quarter April 1 to June 31 each year t
r
ln the event a monthly sample is required, the sample site will be determined by availability given not
every cabin has a hydrant.
Thank You.
lsland Park Water Company
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ldalto Depattrttetrt of Environmental Quality Total Coliform Sample $iting Plan Form
'T'otal Co[iforn.m $anmpf,e Sitimg Filan
for $mall $ystems
This tbLnt is intenclecl to a.ssist public watcl sy$tenr (i)WS) owuei's aud operatols with dcvclopirtg a total colitblm
iu itccolrlaricc rr'iLlr tlrc'rlrlalto l{itles Jlor Pulilic WntelSystcrrs" (IDAPA 58.01,08,100,01).
Pat't 1, General Systern Infonnation
PWSID:7220065 PWS Nanrc:Shotgr-rn Nortlr
Mailiug Addlcss:455 Constitutions Way, ldaho Falls, lD 83402
PWS Conl.act Nnurc:ISLAND PARK WATER COMPANY, INC
Ii-*rait; . _ __ _l lt,nu,,298-521-2369
Eruelgency Couf aci Narrrc:DOROTHY McCARTY
E-rnail:[e-mail] Phonc: [*"r*Ur-]
PWS 1'ype: f] Contnruni[y (CWS) l-l Nonriansient rlonconlll)unity (NTNC) f]J Nonconttlrrnity transiettt (NCT)
Noncorrrmulrily Sersonal System: EilNt I yes* lf yes, scasou opeu clo$c;
Sourccllhcillty [l)
Nnnrc ofdrirrking \vrlcr $oorcu(A)i \vcll tilg /1,
nlnru, spring ttilttc, ittlrku surrrcc
l. E0006532
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3
-log t'us irrnctivirtion:
total colitbr'rn positivc snrrrplc is lcqrr
soulcc watcr nronitoLing fbr tltc
ircd rvhtln a sy$runl ttsing grourttl
rrnrl atcl l{t
rvuler does ttot lrave 4-log
4-log Virus
lrurctivutiort*
Sortrcc hls cotttiltttotts
rlisirtl'ccliotr to pnrvido
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C Yes f N<r
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rvatsr, GLI--SrQttlcl
rv[tcrllr(lcr tlic irr0rrcnr:u oISW,
l).-prrchil$c wntcr lionl 0llrer syslctl)
G,WSourccs ol'Wrrfcr':
klcntily soulces 0f
rlLirtkiug u,alcl ilrrd
attacli additional
sheets as necessaty
(:
innctivntion t'ol nll glound wfltcr sourccs.
Disinfec{ion'Ircatntcnt Iustnllcd/Using: fJ Nonc lJ Chlorito [-.1 Clrloranrination *] Chlorinc dioxicJc [J Ozonc
(check all that apply)
l4nnifold: List soulccs that
conibiuc belblc d istlibution
Orvrrcry'Olreln
S ignu[r1l'e;
Not applicable.
ror Plronc:208-521-2369
Janua 10
February 24,2023
f Yes f No
C Ycs C.-Dlo
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Usagc
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lor ilso), l-iulcrilll lo lllcel
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(lirl l/tilrc),
Version .0
tol'
L
Dorothy McCarty, Owner
Date;
Page 1 of 4
ISLAND PARK WATER COMPANY PWS lD 7220065 Shotgun North
Source /Facility E0006532 and E0006531
The following protocol should be followed during quarterly sampling and repeat sampling.
Pertinent information for the PWS quarterly total coliform samples shall be taken routinely from different
addresses within a quadrant keeping in mind the best representation of the distribution system and usage areas
The quadrant will vary each quarter. lt is understood the intent of RTCR sampling instructions is PWSs should
consider varying sample site locations throughout the year to better characterize water quality throughout the
distribution system. Keeping in mind seasonal customers or locations with inconsistent water use, including
locations of dead-end lines, loops and other features of the conveyance system.
It is understood that the system is a circular distribution conveyance system. Based upon past sampling at sites,
every effort will be made to sample at different locations within one quadrant for each quarter, varying the
quadrantsanddeterminedbythetimeofyear. Thespecificsamplesite,duetothenatureoftherecreational site,
will be determined at the time of on site and depending on access to cabins. Consideration will be given that the
site location is approximately 100 miles away from ldaho Falls and 200 miles travel time, it will be necessary to
adjust locations within the quadrant depending upon occupancy and accessibility at the time of sampling. lt is
understood that access to a cabin is not always possible due to privacy of renters or occupants or vacancies, and
only then will a hydrant be used as the alternative source for the sampling,
Within a quarterly sampling site locations, a different location should be utilized keeping in mind how the
distribution system is built and demands on the system, low pressure areas or d
lf a total Coliform sample comes back with a Positive result, three repeat samples will be taken within 24 hrs. of
the Present result (unless an extension is granted by the primacy agency) of notification of a total coliform-positive
(TC or next available time to be able to turn into the lab, which is open Mondays thru Thursday from 9:30 to 5 pm
in ldaho Falls. Due to the Labs' availability to accept samples no samples will be taken on a Friday or Saturday. One
sample will be taken at the original location the Present sample was taken from. One sample within 5 connections
downstream from the Present sample location and One sample within 5 connections upstream from the Present
sample location.
lf a total coliform sample on a dead-end main comes back with a Present result, three repeat samples will be taken
within 24 hrs. Of receiving the results. One sample at the original location of the Present sample location. One
sample is 5 locations upstream of the Present sample location. +
Collect 3 repeat samples for each TC+ routine sample, even if a Level 1or Level 2 Assessment is triggered.
Continue collecting a set of 3 repeat samples until either TC is not detected in one complete set or the
system triggers a Level 1 or Level 2 Assessment.
It is highly recommended that people taking water samples familiarize themselves with the proper sample taking
requirements from the RTCR ldaho DEQ and the US EPA (40 CFR Part l4lSubpart Y141.853, 141,.854).
lsland Park water system PWS uses only ground water and has less than 4,900 people or fewer and may take
samples on a single day if they are taken at different locations.
ISLAND PARK WATER COMPANY Sampling Site plan SEE ATfACHED MAPS,
The water samples will continue to be taken quarterly.
Per discussion and previous approval by Carlin Feisthamel, DEe ldaho Falls, it was agreed that given the
circumstances DEQ will accept a 'guardant" area to samplg each quarter. Also, due to weather and
access it is not possible to identifr/two exact and alternatirig locations each month. Rather to get a
better sampling of the system the samples will be taken inia quadrant of N.E.S.W range of the
subdivision.
Attached is a map with addresses of connections. Please note, Not all of these connections are to
cabins. Some are hydrants. Given it is our preference to sample from cabins, lsland Park Water will
make every effort to take a sample from the cabin vs. a hy$rant. The hydrant being the last choice. This
isdependentuponhavingaccess. GivenlslandParkisaretreationalareaandalotofthecabinsare
rented out to tourists, it is challenging. Owners are not full time residents with a few exceptions. Often
in the past it takes upwards of l-0 or more attempts in any given division to find someone home.
Thus if you look at the attached maps you can see that each subdivision can be divided into 4 sections by
sight. North, East South and West general area. lsland Park Water will sample from within each of the
quadrants. One per quarter as stated.
This meets the requirements to obtain a sample from within a broader range of the conveyance system
which is our understanding of the "intent of Site Sampling plans"
lsland Park Water will continue to sample Quarterly . Given it is a 200 miles round trip to take samples,
generally speaking the samples will be completed in one day or two of each quarter.
r.
2nd Quarter April 1 to June 3L each year
3rd Quarter July 1 to September 30 each year
., "tt
ln the event a monthly sample is required, the sample site will be determined by availability given not
every cabin has a hydrant.
Thank You.
lsland Park Water Company
I
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OSEO OF OEDICATIO,IJ
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I of Environrnental Quali
722006s
Total Coliforrn SampXe Siting Flan
for Small Systems
in itccorditrlcc u'itlr thc "Iclalro [{ulcs {or I'ulrlic \\r:rtcl Systcnrs" (1Dr\PA 5S.01 .0fi. I0(),() l).
Prrrt 1. Gcneral Systcrn [nfot'mntion
PWS Naure: I ShotgL'n Cherokee -
Mnilirrg Adch'ess:455 Constitutions Way, ldaho Falls, lD 83402
PWS Coutact Nanrc ISLAND PARK WATER COMPANY, INC
E-ruail WATEIItruIDA.NET PIrone:298-521-2369
llrnergency Contact Namc:DOROTHY McCARTY
E-nrail:WATER@IDA,NET Plrouc;
PWS 'lype: I CournruniLy (tlWS) ! Nontr:ansicr]t notlconrnlunity (NTNC) l] Nonconrnrtrnity transienl (NCT)
Nonconununiry Seasorial Systenr: f] No [J Ycs* lf yes, ijeason ol]en:close;
Sourccs o1'Watel';
Identi$ sourcer,^ o1'
drirrking rvatcl and
atfach ndditional
shsets as neocssilry
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Nanru ol'rlrirrking \vr(cr $ource(s)i rvcll tag ll,
rr;rnrc, spring nlnrc, illilkc s0urcc
l, E0006910
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4-log Virus
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disirrlbcliorr to ptovidc
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Marrifold: List soulccs tlrat
coutbine be lble clistribution
S ignatru e
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total colilblni lrositivc> sunryrlc is rcclrtired rvlten a syslcnr trsing groun<l rvutct rlocs tt<.rt hnve 4-log vittrs
irrlctivatir:rr [br all groun<i watcr' sourccs
Not applicable
Disinfcctiorr Trcatrttcnt Insiallcrl/Usirrg: l-_] Nonc l_] Chlorinc [*l Clrloiarrrination *J Cltlolinc dioxidc l-J Ozone
(chcck all that npply)
Phorrc
l)ate:
208-521-2369
an 't0 2
February 24,2023
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Dorothy McCarty, Owner
Version 1.0
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Page 'l of 4
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ISLAND PARK WATER COMPANY PWS lD 7220A$ Shotgun Cherokee
Source /Facility E0006910 and E0006011
The following protocol should be followed during quarterly sampling and repeat sampling.
Pertinent information for the PWS quarterly total coliform samples shall be taken routinely from different
addresses within a quadrant keeping in mind the best representation of the distribution system and usage areas.
The quadrant will vary each quarter. It is understood the intent of RTCR sampling instructions is PWSs should
consider varying sample site locations throughout the year to better characterize water quality throughout the
distribution system. Keeping in mind seasonal customers or locations with inconsistent water use, including
locations of dead-end lines, loops and other features of the conveyance system.
It is understood that the system is a circular distribution conveyance system. Based upon past sampling at sites,
every effort will be made to sample at different locations within one quadrant for each quarter, varying the
quadrantsanddeterminedbythetimeofyear. Thespecificsamplesite,duetothenatureoftherecreational site,
will be determined at the time of on site and depending on access to cabins, Consideration will be given that the
site location is approximately 100 miles away from ldaho Falls and 200 miles travel time, it will be necessary to
adjust locations within the quadrant depending upon occupancy and accessibility at the time of sampling' lt is
understood that access to a cabin is not always possible due to privacy of renters or occupants or vacancies, and
only then will a hydrant be used as the alternative source for the sampling.
Within a quarterly sampling site locations, a different location should be utilized keeping in mind how the
distribution system is built and demands on the system, low pressure areas or d
lf a total Coliform sample comes back with a Positive result, three repeat samples will be taken within 24 hrs, of
the present result (unless an extension is granted by the primacy agency) of notification of a total coliform-positive
(TC or next available time to be able to turn into the lab, which is open Mondays thru Thursday from 9:30 to 5 pm
in ldaho Falls. Due to the Labs'availability to accept samples no samples will be taken on a Friday or Saturday. One
sample will be taken at the original location the Present sample was taken from, One sample within 5 connections
downstream from the Present sample location and One sample within 5 connections upstream from the Present
sample location.
lf a total coliform sample on a dead-end main comes back with a Present result, three repeat samples will be taken
within 24 hrs. Of receiving the results. One sample at the original location of the Present sample location. One
sample is 5 locations upstream of the Present sample location. +
Collect 3 repeat samples for each TC+ routine sample, even if a Level 1 or Level 2 Assessment is triggered'
Continue collecting a set of 3 repeat samples until either TC is not detected in one complete set or the
system triggers a Level 1 or Level 2 Assessment'
It is highly recommended that people taking water samples familiarize themselves with the proper sample taking
requirements from the RTCR ldaho DEQ and the US EPA (40 CFR Part l4lSubpart Y141.853, 141-'854).
lsland Park water system PWS uses only ground water and has less than 4,900 people or fewer and may take
samples on a single day if they are taken at different locations.
ISLAND PARK WATER COMPANY Sampling Site Plan SEE ATTACHED MAPS,
The water samples will continue to be taken quarterly.
Per discussion and previous approval by Carlin Feisthamel, DEQ ldaho. Falls, it was agreed that given the
circumstances DEQ will accept a'$uardanl" area to sampl$ each quarter, Also, due to weather and
access it is not possible to identify two exact and alternatirig locations each month. Ratherto get a
better sampling of the system the samples will be taken in a quadrant of N.E.S.W range of the
subdivision.
Attached is a map with addresses of connections. Please note, Not all of these connections are to
cabins, Some are hydrants. Given it is our preference to sample from cabins, lsland Park Water will
make every effort to take a sample from the cabin vs, a hyflrant. The hydrant being the last choice. This
is dependent upon having access. Given lsland Park is a rebreational area and a lot of the cabins are
rented out to tourists, it is challenging. Owners are not full time residents with a few exceptions. Often
in the past it takes upwards of 1"0 or more attempts in any given division to find someone home,
Thus if you look at the attached maps you can see that each subdivision can be divided into 4 sections by
sight. North, East, South and West general area. lsland Park Water will sample from within each of the
quadrants. One per quarter as stated,
This meets the requirements to obtain a sample from within a broader range of the conveyance system
which is our understanding of the "intent of Site Sampling Plans"
lsland Park Water will continue to sample Quarterly , Given it is a 200 miles round trip to take samples ,
generally speaking the samples will be completed in one day or two of each quarter,
1st Quarter january L to March 31 each year.
@q,trarfie*A@ed..S$g,,1,gne 3,1 Fo.ch gg gg
r
4th Quarter October l to.December 31 each year
ln the event a monthly sample is required, the sample site will be determined by availability given not
every cabin has a hydrant.
Thank You.
lsland Park Water Company
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lsland Park Water Company, lnc.
455 Constitution Way
ldaho Falls, lD 83402
RECEIVED
MAR 2 2 2023
DEQ.IDAHO FALLS
D.E.Q.
900 North Skyline Drive
ldaho Falls, lD 83402-t7t8
March 20,2023
Attention: Kelsey Carter, Carlin Feisthamel
Attached is a COPY of the Letter and Operations Plan for Depressurization Events that was mailed March
9,2023 to the above address.
You have stated in the past that it is not necessary to send via certified mail, however, no mail was
returned to us. This is being sent out (Again) by certified mail to make certain it is received and
properly logged into DEQ records.
I personally mailed this, as I was going to be out of the office for a couple of days dealing with a family
medical emergency, otherwise, I would have driven this over, had I known it would not be
acknowledged as being delivered.
Hopefully this clears this up.
Also, as a Heads-up water samples were taken at 5 of our sites and turned in today. After multiple
attempts and given so many roads had not been plowed out, no one home and hydrants buried, the
samples were taken in different quadrants than designated for the L't Quarter. This was agreed that this
could be done if necessary. I anticipate the remaining two samples will be taken either tomorrow, or
later this weekend, when someone has a snowmachine to get into their cabin. The reasons were noted
on the papers turned into Teton Micro-Biology Lab. The snow is so deep, many roads not plowed out,
hydrantsnotvisibleevenifyoucangetin,andpeoplearenotintheircabins. Alltheissuesthatwere
discussed previously.
Thank you in advance and have a great day
Sincerely,
Dorot rty
lsland Park Water Company lnc
Exhibit NN
ISLAND PARK WATER COMPANY, INC
455 CONSTITUTION WAY
IDAHO FALLS, ID 83402
March 9,2023
Department of Environmental Quality
900 North Skyline, Suite B
ldaho Falls, lD 83402-t7tg
copl,
sent via :US Mail. March 9,2023
Attention: Kelsey Carter, Water Analyst
1,. Attached is lsland Park Water Company, lnc. "Operations Plan for Depressurization Events"
which you told us was due March 3I,2023. This is the same Plan that has always been followed
by lsland ParkWaterCompany. lt is noted as reviewed again this past February2023.
2. This Operations Plan for Depressurization Events is being submitted for the following PWS.
a. Valley View PWS \D722OL56
b. Aspen Ridge PWS 1D7220007
c. Goose Bay PWS \D722OO3O
d. Shotgun Kickapoo PWS 1D7220064
e. Shotgun North PWS 1D7220065
f. Shotgun Cherokee PWS 1D7220063
g, Shotgun Stevens PWS lD 7220066 *should not be a PWS PLEASE SEND NECESSARY
FORM NEEDED TO SUBMIT CHANGES AS you keep saying it is. lt does NOT meet the
requirements to be a PWS. lt will never meet those requirements. All the lots that can
have water do, either by private well, or connection to our system. Which you can see
does not meet the requirements. There is further restrictions from future development
as a few lots are in 'wetlands" and no water assessable, now or in the future. Thanks.
3. Kelsey, lamalsorequestingatimeextension forthedeadlineof March3'J.,2023forsubmittal
of the to be able The O&M manual. The manual is in process but not yet completed,
lam requesting this because I have a vision 'medical handicap" issue, which restricts the time I
can use a computer screen, as I suffer with Wet Macular Degeneration. I am receiving two
injections every 4 weeks in both eyes ( this will continue for the rest of my Iife, in order to
preserve my vision.) My Doctor, a highly trained Retinal Specialist has restricted my using
computer for more than 3 hrs or less each day, as he continues to monitor the progress and
thus I have to limit screen time. Blindness could occur if I am not careful. Unfortunately there
is no one else who can complete this O&M Manual, thus I am humbling requesting you please
have some consideration and work with me going forward.
As a reminder, February 3,2023, when Roger Buchanan and I met with Carlin Feisthameland Jason Fales
at the DEQ office, Carlin agreed that he would work with me as to the site sampling plans , and promised
he would waive any Tier 2 Notice being required to be sent out, The final Site Sampling plans were
submitted, Roger and I reviewed the final plans with Carlin while we were in the office. FYI:* | verified
Carlin's commitment with Roger, who absolutely agrees, this is what Carlin promised. Carlin also
agreed that if it was not possible to gain access for sampling the first quarter, in the designated
quadrant, another quadrant could be used. Thus going forward, there would still be a rotation (meeting
the intent of site sampling plans). I was not certain this commitment was relayed back to you. The
snow and access is horrific right now in lsland Park.
I will be out of the office for a couple of days as I have a fa mily emergency. I am ava ilable by phone
208-521-2369.
Thank you and have a great day
Sincerely,
/^^
Dorothy McCarty
lsland Park Water Company copy
n cc$*\'
lsland Park Water Company, lnc.
455 Constitution Way
ldaho Falls, lD 82402
water@ ida, net 208-521^2369 Updated February 2023
ISLAND PARK WATER COMPANY POLICY AND PROCEEDURE FOR AN
UNEXPECTED DEPRESSURIZATION oF THE WATER SYSTEM, SHOUID lT DROP BEIOW 20ps.
AND OR FOR PLANNED MAINTENANCE AND REPAIR OF THE SYSTEM.
lsland Park Water Policy will follow the guidance of D.E.Q, reference Depressurization event:
This document presents Policy for lsland Park Water Company when an unplanned depressurization
happens which causes a loses of pressure unexpectedly or anticipates a possible loss of pressure
during maintenance or repair activities.
lnfiltration into the system is a concern whenever water pressure drops below 20 pounds per square
inch (psi). Such a pressure drop can occur for many reasons, including broken mains, loss of power,
loss of sources of supply, booster pump failure, and other system component failures.
ldaho Rules for Public Drinking Water Systems ("Rules"), IDAPA 58,01.08 Section 552,01.b.
**This section of the Rules addresses actions to be taken in response to low to no pressure
events/ which are defined in the Rules as below 20 pounds per square inch (psi). Section 552.01.b. of the
Rules states (emphasis added): i. Any public water system shall be capable of providing sufficient water
during maximum day demand conditions, including fire flow where provided, to maintain a minimum
pressure of twenty (20) psi throughout the distribution system, at ground level, as measured at the
service connection or along the property line adjacent to the consumer's premises. ISLAND PARK
WATER COMPANY DOES NOT PROVIDE FIRE FLOW TO ANY OF THE SYSTEMS.
*xUnplanned or Emergency Situation Depressurization Unplanned depressurization events include
water main breaks, power or pump failures, or other situations. ln the event of unplanned or emergency
depressurization, the Rules require the system owner or operator take the following actions:
7, Notify DEQ, as described in 1,1.1". 3 2.2. Provide public notice to the affected customers within 24 hours, as described in 1,.1.2.3.
Disinfect (or flush) the system, as desribed in l.t.3, 3,4. Collect and analyze samples, as described in 1.1.4.5, lf the cause of depressurization
cannot be determined, a pressure monitoring study may be required, as described in 1.1.5.
Actions required or recommended following depressurization (emphasis added)t
Public Notification
L, During unplanned or emergency situations, when water pressure within the system is known
to have fallen below twenty (20) psi, the water supplier must notify the Department, provide public
notice to the affected customers within twenty-four (24) hours, and disinfect the system.
I n cc:
lsland Park Water Company shall notify the affected customers if the water is not safe for
consumption,
NOTIIFICATION needs to be done by two of the following methods for both Planned and Unplanned
Depressurization Events.
a. Post A BOIL WATER SIGN at the entrances to the subdivision.
b. Post NOTICE of Boil Water on social media or local Newspaper or Public
An nouncement if available
c, Text or email customers that have provided their information to the company a
copy of the BOIL WATER NOTICE.(Ma|| out a Notice to each of the customers that
are impacted, Ref to form required by DEQ,
2 Planned Maintenance or Repair Situation Depressurization When depressurization is expected due to
planned maintenance or repairs, the system must provide public notice to the affected customers
beforehand in accordance with IDAPA 58.01.08 Section 552,01.b.ii(2). DEQ recommends including at
least the following in this public notice: r Details about work to be done, including the dates and the
expected duration of the work, o lnformation on actions users need to take during and afterthe loss of
pressure, r Contact information for water system staff who can answer questions, along with contact
information for the DEQ regional office or local public health district. Following depressurization, the
system must take such actions as necessary to ensure that the water is safe for consumption. DEQ
recommends disinfecting, flushing, and taking samples as described in sections 1.1,3 and 1.1,4 of this
guidance. References EPA IUS Environmental Protection Agency]. 20L3. Emergency Disinfection of
Drinking Water. Accessed 9/25/2013 at
http;//water.epa.gov/drink/emerprep/emergencydisinfection.cfm. EPA IUS EnvironmentalProtection
Agencyl, 2012.40 CFR 141, National Primary Drinking Water Regulations. Accessed 7/2L/2Ot4at
http://www.gpo.gov/fdsys/pkg/CFR-2012-title40-vol24/xml/CFR2012-title40-vol24-part141,xml. IDAPA
58.01,08. 2013. ldaho Rules for Public Drinking Water Systems. Accessed 6/U/20L4 at
http ://a d m inrules. ida ho,gov/rules/current/58/0108.pdf .
During planned maintenance or repair situations, when water pressure within the system is expected
to fall below twenty (20) psi, the water supplier must provide public notice to the affected customers
prior to the planned maintenance or repair activity and shall ensure that the water is safe for
consumption.
**Planned mointenance or repdir should be done on a Tuesday, Wednesday, or Thursday,
ovoiding the week prior to a major holiday, the week of a major haliday and the week ofter o maior
holiday. An exception will be dllowed depending on the repair issue as determined by the company.
A Public Notice must be posted at the entrances to the subdivision 48 hrs. prior to shutting off the
woter system. The Notice should include the Time estimated the wdter will be shut down, the
estimated time ol repair ond restoring the Wqter and Must include a BOIL WATER NOTICE,
The responsibility to post this BOIL WATER Notlce is required to be posted ond contoct mdde
to the customers by the person requesting the water be shut down for repair and or their contrqctor,
The company will provide guidance ds to how to tqke the water sqmple, provide the woter bottles and
require the sample be conveyed to a Stote Authorized lob to process this. When the lab results are
n cc.il
Absent the Customer/contractor may then remove the BoitWoter Notice and provide Notice to all
customers the water is safe, lf the lab results show a positive result the customer/contractor must
take 3 more samples. One sample dt the site or repair, one sample 5 connections upstream from the
repoir and one sample 5 connections downstream Jrom the repair. This process must continue until
the results show the somple is absent. The cost for this is the responsibility of the customer
requesting the system be shut down.
lsland Park Water Company will also foltow the above protocol if doing a repair to a broken line, or
repairs of any kind that cduse the system to be depressurized,
NOTICE PROTOCOL
This needs to be done by two of the following methods.
d. Post A BOIL WATER SIGN at the entrances to the subdivision.e. Post on Social Media, Local Newspaper or by distributing a notice to each of the
persons effected
f. Text or email customers that have provided their information to the company.
C. Mail outaNoticetoeachofthecustomersthatareimpacted. Reftoformrequired
by DEe.
Sampling and Analysis for Unplanned or Emergency Depressurization Following an unplanned or
emergency situation in which system pressure has fallen below 20 psi, the rules require total coliform
sampling and analysis to verify the absence of coliform bacteria. These actions should include the
following: r Sampling for total coliform bacteria is required. The samples need to be taken after the
system has been disinfected and/or flushed and the disinfectant residuals have returned to their normal
operating level. The sampling conducted following a depressurization event is not part of the drinking
water system's routine bacteriological sampling for compliance purposes. Samples are marked as
"special" or "construction" and are not used to determine compliance with the total coliform rule, lf
sample analysis confirms the continued presence of bacterial contaminants, additional disinfection and
flushing is required in affected system components. DEQ or the public health district will typically allow
a system owner to lift a boil advisory following two days of total coliform absent sample results. r lf the
system is vulnerable to other contaminants, samples for these should be collected as well. DEQ or the
health district will need the following information to determine whether the water is safe: r Disinfectant
residual concentration prior to total coliform sampling. r Sampling results, after flushing, at each total
coliform bacteria sampling site, lnclude disinfectant residual level for each total coliform sample. o Other
pertinent data as may be necessary to confirm water safety.
*UNEXPLAINED PRESSURE DROP PROTOCOT
Reference: Copies of pressure monitoring study reports required under Subsection 552.01.b,iii. detailing
study results and any resulting corrective actions planned or performed by the public water system shall
be submitted to the Department in accordance with these rules. This guidance is focused on actions to
be taken following depressurization but does not address how to correct pressure related problems.
Addressing pressure related problems are specific to the situation.
The intent of Section 552.07,b of the Rules is to ensure that water system customers ore aware of
these situations through public notification and to ensure puhlic water system owners dnd operators
ncc "J
take odequate medsures to ensure the water is safe ond retiabte for their customers, The Rutes deline
two situations lor depressurization requirements: o tJnplanned or emergency situations o Planned
maintenance or repoir situations The dctions required for each of these situations are described in the
following sections, 7.1 lJnplanned or Emergency Situation Depressurization lJnplanned
depressurization events include water main breaks, power or pump failures, or other situattons, tn the
event of unplanned or emergency depressurization, the Rules require the system owner or operator to
toke the following actions: 7. Notify DEQ, ss described in 7.7.7, 3 2. Provide public notice to the
offected customers within 24 hours, as described in 1,7,2. 3. Disinfect (or flush) the system, as
described in 7.7,3,4, Collect ond analyze samples, as described in J,l,A. S. tf the cause of
depressurizotion connot be determined, d pressure monitoring study mdy be reguired, as described in
1,1,5. Guidonce regarding implementing these requirements is set forth below, 7,1,1 DEQ Notification
for Unplanned or Emergency Depressurization Although the rules require notifying DEQ of each
depressurlzation event, there is no time requirement qssociated with this requirement. DEQ
recommends notifylng your drinking water representative at the DEQ regional office or the local public
health department office as soon ds possible: o Boise Region [phone], toll-Iree: [phone]
c Centrol District Health (2OB) 375-5277 oldaho Falls Region PAq 528-2650, toll-free: (8001 82- ffi5 c
Eostern ldaho Public Health Dlstrict (208) 522-031
Definitions The following definitlons apply to this guidance: o Depressurizatlon Event. Any instance
where distribution system pressure lalls below 20 psi in a publlc water system. o Pressure Monitoring
Study. The systematic examination of distribution system pressure dt one or more monitoring
locations over a defined period, o Pressure Monitoring Study Report, The presentation of dato from o
pressure monitoring study, including description ol the prohlem, scope of investigotion, study
methods, results, conclusions, and recommenddtions,
From:Kelsey Carter
To:[e-mail]
Cc:[e-mail]; Jon Kruck; Chris McEwan; Travis Culbertson
Bcc:Nancy Rumsey
Subject:Certified Letter Received 03/22/2023
Date:Wednesday, March 22, 2023 12:29:00 PM
Attachments:Certified Letter 03-22-23.pdf
Site Sampling Plans IPWC 3-22-23.pdf
2023ACA1203 ID7220156 VALLEY VIEW SUBDIVISION - ID7220156 - Island Park Company Pending Compliance
Requirements, 02 17 2023.pdf
O&M Manual Example 3.pdf
rtcr-sample-siting-plan-small-systems-pdf-0520[1] (5).pdf
Dear Dorothy,

In response to the certified letter that was received by DEQ today, March 22, 2023, I would refer you
to read the letter I have attached dated February 17, 2023. This letter outlines the requirements
with the specific rules for a site sampling plan. An outline for a correct site sampling plan has been
given to you multiple times. Flexibility was granted in the form of quadrants but addresses still need
to be provided. As stated in your letter this was already not followed, I will refer you to read 40 CFR
141.853(a)(1), “systems must collect total coliform samples according to the written sample siting
plan”. A corrected site sampling plan has not been submitted for Valley View Subdivision
distinguishing the two distributions. Meaning, Island Park Water Company would be in violation of
failing to collect compliance samples in accordance with a written sample siting plan, and violation
letters will be issued at the end of the month. As you requested today, the highlights site sampling
plans that were last submitted have been attached to this email. Also noted in the provided sample
siting plans Island Park Water Company attempted to list the systems as seasonal, which is
unacceptable and has been corrected by DEQ on numerous occasions.

Island Park Water Company has been told several times they do not have the authority to issue its
own clause into the site sampling plan, it is in the Code of Federal Regulation and is not up for
debate. The rule requires you to identify specific locations and if they are not accessible multiple
backup locations are provided. Island Park Water Company has been instructed many times to
complete the proper sampling site document, which still has not been completed for any of the
seven systems. As stated in the Site sampling page document “Owners and operators who wish to
propose alternative fixed sample sites or criteria for selecting sites based on situational information.
This information needs to be written into a standard operating procedure as part of the plan.” Island
Park Water Company has failed to submit an operation and maintenance manual. This deadline has
been documented in several communications including the attached letter that no deadline would
be granted past February 13, 2023. The submitted procedure for depressurization events does not
meet the requirements and according to you was mailed on March 09, 2023, but DEQ never
received or approved this document. I will again attach a copy of a plan that has been approved.
These documents are usually stamped and signed by an Idaho-licensed engineer.

I can ensure Carlin did not promise public notification would not be required as it is part of the Safe
Water Drinking Act. The rule ensures that consumers will know if there is a problem with their
drinking water. These notices alert consumers if there is a risk to public health. It was stated DEQ
was willing to “waive the violation for public notice”, this would occur once public notice had been
provided to all customers and proper site sampling plans were submitted, not that public notification
was not required. Island Park Water Company failed to complete the significant deficiencies outlines
in the sanitary survey being required to be submitted by December 31, 2022. This is still a valid
violation and Island Park Water Company is required to inform all customers.

And again, it is not the homeowners’ responsibility to collect water samples for Island Park Water
Company, it is Island Park Water Company’s responsibility to collect the samples. Island Park Water
Company needs to make the arrangements and rent snowmobiles if necessary to collect the
samples. As a water purveyor, this is your responsibility, and we have many systems that are capable
of meeting their sampling requirements with much more difficulty. It is our understanding that
homeowners do not have trouble accessing their properties and that several are year-round
residents, or rented year round. At this point, Island Park Water Company has been identified as
being recalcitrant when dealing with DEQ. This has led to DEQ being concerned about the health of
residents using Island Park Water Company’s public water systems and ultimately disapproval. In
particular, the operating procedures for all seven Public Water Systems constitute a health hazard.
Disapproval in no way relieves the obligation to comply with all other applicable state and federal
drinking water standards, rules, regulations, or orders, but will not be done with DEQ’s technical
assistance.

Sincerely,
Kelsey Carter

From:Kelsey Carter
To:Roger Buchanan; [e-mail]
Cc:Cassandra Lemmons; Jami Delmore; Matthew McGlynn; Troy Saffle; Jason Fales; Travis Culbertson; Jon Kruck;
Chris Hecht; Chris McEwan; Curtis Thaden; Jolene Bossard
Subject:RE: PWS Valley View Subdivision ( ID7220156 )
Date:Thursday, March 2, 2023 8:43:00 AM
Attachments:Sampling Plan Valley View.pdf
Dear Roger and Dorothy,
Thank you for submitting photographs DEQ requested in January of the pump to waste valve being
turned off. The only corrected significant deficiency documented in your letter is the installation of a
cap on the end of the pump to waste line.
Attached to this email is the site sampling plan submitted by Island Park Water Company Monday,
February 27, 2023. The sample siting plan does not meet the requirements of Valley View
Subdivision. On page one Island Park Water Company marked the system as seasonal from May 15
-0 September 30, this is incorrect. Island Park Water Company has been repeatedly told Valley View
is a year-round public water system. This is not up for argument; residents live in the subdivision all
12 months of the year, and Island Park Water Company is required to supply residents 12 months
out of the year. There is no documentation backing up Island Park Water Company’s claim of
seasonal use or seasonal design. That may have been the intent but that is not how the operation
has been conducted. As previously, stated Island Park Water Company does not get to issue its own
clause to follow the sample siting plan. Sample siting plans are required by the Federal Code of
Regulations part 141 and the rule is very clear and has been explained to Island Park Water Company
multiple times. Island Park Water Company is required to take two samples in Valley View monthly,
one from each distribution. This is not identified in the submitted plan. DEQ will not be involved in
the ownership of Well #3. Island Park Water Company claimed ownership and documentation shows
ownership of the well lot. It is now Island Park Water Company’s responsibility to correctly monitor
and sample the well. DEQ is aware of multiple service connections on Well #3, information which
you have been provided.
Unfortunately, the pump to waste line that continued to waste water onto the ground for weeks
between December 2022 and January 2023 is not the main line break that is referenced in the
sanitary survey. The main line break documented in the sanitary survey on October 20, 2022, is
located approximately 100 feet south of Well #1, shown in photograph 8 of the sanitary survey
report. This break was reported by Island Park Water Company to have been caused by a truck that
flipped off the road in late September. Water reaching the surface was clearly visible with pooling
during the sanitary survey. Island Park Water Company has stated several times the main was not
repaired before snowfall. The main line break is still present in Valley View Subdivision and has not
been repaired. This significant deficiency has not been corrected.
In regard to the pressure in Valley View, the rule states pressure of 40 psi must be maintained at all
service connections. DEQ is still receiving reports of low pressure or no water at several locations.
The pressure issue in Valley View has not been addressed. The pressure reading taken on October
20, 2022, in the distribution was 32 psi, shown in photograph 17 of the sanitary survey report. At the
time of this pressure reading the pump to waste valve was not the cause of the pressure problem.
Exhibit O
This public water system is required to maintain 40 psi during peak demand. The reading at the well
vault does not indicate pressure in the distribution. During the sanitary survey, the pressure gauge in
Well #1 displayed 59 psi, while the distribution was only at 32 psi. Island Park Water Company has
made no attempt to document pressure at any of its service locations. Instead, Island Park Water
Company continues to make excuses and blame water users. Island Park Water Company needs to
take responsibility and accountability for the water system in Valley View Subdivision. Many water
users remain without water in their homes over two months after initial reports, this is unacceptable
and shows Island Park Water Company is negligent in their care of the water system and providing
customers with safe drinking water.

The Boil Order in Valley View Subdivision is STILL in place. The Boil Order will remain in place until
further notice and written notification is provided by DEQ stating the pressure issue in Valley View
has been resolved. Island Park Water Company has not met the required pressure at all service
connections and has not collected the required samples to remove the Boil Order. Further, Island
Park Water Company does not have the authority to lift the Boil Order that was issued by DEQ on
January 5, 2023. This was not a voluntary Boil Advisory. It is irresponsible and unacceptable that
Island Park Water Company would inform water users the water “is safe for human consumption” as
stated in the cover letter sent to Valley View homeowners with the most recent Tier 1 public
notification of a Boil Order. A pressure problem had previously been documented in the sanitary
survey of Valley View. Homeowners not having water is sufficient evidence of pressure loss. Island
Park Water Company must stop using “proof” as a defense. As the water system purveyor, it is Island
Park Water Company’s responsibility to demonstrate to DEQ that adequate pressure is being
maintained at all service connections.

DEQ has issued a public notification on behalf of Island Park Water Company to all homeowners in
Valley View Subdivision stating the correct information. It has been decided at this time Island Park
Water Company has not met the requirements of Tier 1 public notification due to the attached cover
letter sent to homeowners providing false, misleading, and counterintuitive information. DEQ is
currently evaluating other violations that may be associated with Island Park Water Company issuing
this letter to homeowners including disapproval of the water system due to the recalcitrant behavior
of Island Park Water Company. It is recommended Island Park Water Company issue an immediate
new letter to homeowners retracting all incorrect information, including but not limited to; the
water being safe for human consumption, that there was no pressure loss event, vandalism as the
cause of the pump to waste valve being turned on, the design of the system for seasonal use, and
accusing homeowners of providing false information to DEQ. DEQ’s purpose is to protect the public
health of the community by ensuring their drinking water is safe and provided at adequate pressure.
Island Park Water Company is not meeting those requirements and any homeowner is capable of
contacting and reporting information to DEQ without Island Park Water Company’s retaliation.

Valley View Subdivision still has eighteen significant deficiencies that must be addressed prior to June
30, 2023. At this time engineering plans and specifications have not been submitted to DEQ to make
material modifications to the system as stated throughout the sanitary survey report. The
photograph submitted clearly show the pump vaults are not watertight, with visible water on the
walls and puddling on the bottom, which must be corrected as a source of potential contamination.

Island Park Water Company will be receiving a violation for failure to monitor for the month of
February. Island Park Water Company must take responsibility for Valley View Subdivision’s public
water system. It is not the responsibility of Valley View homeowners, other operators, or DEQ to
take the required compliance samples for Island Park Water Company. A reminder was sent to Island
Park Water Company on February 17, 2023, that compliance samples had not been taken. This
reminder was already an extension of DEQ assistance as we do not do that for all water systems.
Additional reminders were also sent via DEQ auto-dialer system, Island Park Water Company
received a phone call and email about the upcoming compliance deadline.

If you have any additional questions or concerns about this matter please reach out to me or Jason
Fales. As your Drinking Water Compliance Officer information and communications about the water
system must be sent directly to me.

From: Roger Buchanan <[e-mail]>
Sent: Wednesday, March 1, 2023 9:16 AM
To: Kelsey Carter <[e-mail]>; [e-mail]
Cc: Cassandra Lemmons <[e-mail]>; Jami Delmore
<[e-mail]>; Matthew McGlynn <[e-mail]>; Troy
Saffle <[e-mail]>; Jason Fales <[e-mail]>; Travis Culbertson
<[e-mail]>; Jon Kruck <[e-mail]>; Chris Hecht
<[e-mail]>; Chris McEwan <[e-mail]>; Curtis Thaden
<[e-mail]>; Jolene Bossard <[e-mail]>
Subject: RE: PWS Valley View Subdivision ( ID7220156 )

CAUTION: This email originated outside the State of Idaho network. Verify links and attachments BEFORE youclick or open, even if you recognize and/or trust the sender. Contact your agency service desk with anyconcerns.

Kelsey,
Here is the letter showing what actions were taken by Buchanan Well Drilling for Island Park Water
Company (IPWC). I am also using this e-mail to inform you that a routine water samples for Valley
View PWS were not taken for the month of February 2023 due to weather conditions and lack of
support from the water users. I understand that this does not excuse IPWC from the requirement of
taking the two samples. We are hoping that the samples maybe able to be taken this month. I hope
the pictures show what we found and if you have any questions, please let me know. Both IPWC and
Buchanan Well Drilling are doing their due diligence to meet the requirements to the best of our
ability.
Have a nice day,
Roger

Roger Buchanan
Buchanan Well Drilling Inc
Formerly Andrew Well Drilling
3435 N 15 E
Idaho Falls, ID 83401
[phone]
Cell [phone]
[e-mail]
www.andrewwelldrill.com

900 N. Skyline Drive, Suite B
tdaho Falls, lD 83402 . [phone]
Brad Little, Governor
Jess Byrne, Director
April7,2023
Dorothy McCarty
lsland Park Water Company
455 Constitution Way
ldaho Falls, ldaho 83402
[e-mail]
RE: Failure to Monitor Violation for Routine Total Coliform Goose Bay Estates - PWS#
1D7220030
Dear Mrs. McCarty,
This letter is to notify lsland Park Water Company that a review of the Department of
Environmental Quality (DEQ) records indicates that Goose Bay Estates public water system is in
violation of the ldaho Rules of Public Drinking Water Systems, IDAPA 58.01.08.100.01 for the
failure to collect or report the required routine total coliform samples for the First Quarter of
2023 (January 1 - March 31). A notice was sent to lsland Park Water Company of pending
compliance dates February t7, 2023.
Goose Bay Estates will remain out of compliance until DEQ receives the next required routine
sample collected in accordance with the submitted sample siting plan. As a reminder, Goose
Bay Estates serves water to the public year-round and is required to monitor all four (4)
quarters of the year. One (1) routine total coliform sample must be collected each quarter from
different locations within the distribution to get an adequate representation of the water being
served to the public.
Due to this violation, lsland Park Water Company is required to provide Tier 3 public
notification (PN) to all water users as soon as practical, but no later than one year from this
notification in accordance with the ldaho Rules for Public Drinking Water Systems, IDAPA
58.01.08.L50.02. PN templates can be found on DECYs Public Water System Switchboard at:
htto://www.deq.idaho .sov/ows-switchboard. I have attached a copy of the required public
notification with mandatory language to this letter
A copy of the PN is required to be retained for a minimum of three (3)years from the date
issued (IDAPA 58.01.08.150.03). lsland Park Water Company must send a copy of the provided
notice and a signed certification form that you have met all the public notification requirements
to the Department of Environmental Quality within ten days after posting the public
notification.
Exhibit OO
lf you have any questions or need clarification, contact me Monday-Friday 7:30 am -4:30 pm at
[e-mail] or [phone].
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
C: Cassandra Lemmons, Drinking Water Compliance and Enforcement Supervisor, DEQ
Jami Delmore, Drinking Water Analyst, DEQ
Matthew McGlynn, Drinking Water Analyst, DEQ
Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEQ-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEQ-IFRO
Travis Culbertson, ldaho Public Utilities Commission,Travis Culbertson @ouc.ida ho.sov
Jon Kruck, ldaho Public Utilities Commission,Jon. Kruck@puc. idaho.sov
Chris Hecht, ldaho Public Utilities Ccimmission, [e-mail]
Chris McEwan, ldaho Public Utilities Commission, [e-mail]
Curtis Thaden, ldaho Public Utilities Commission,Curtis.Thaden@ puc.idaho.gov
Jolene Bossard, ldaho Public Utilities Commission, [e-mail]
Roger Buchanan, Buchanan Well Drilling lnc., [e-mail]
Kansas Buchanan, Buchanan Well Drilling lnc., [e-mail]
Revised Total Coliform Rule (RTCR) Failure to Collect or Report Routine Total
Coliform Sample to the State
IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER
Collection and Reporting Requirement(s) Not Met for Goose Bay Estates
lsland park Water Company is required to collect and report the results of monitoring of your drinking water for specific
contaminants on a regular basis. Results of regular monitoring are an indicator of whether or not your drinking water meets
health standards. During the first quarter of 2O23 (January 1- March 31) lsland Park Water Company did not collect, or
report, the required routine total coliform sample to the State for Goose Bay Estates.
lsland park Water Company failed to notify the state drinking water program as required by March 3I,2023. Although we do
not believe public health was impacted, as our customers, you have a right to know what happened and what we are going to
do to correct the situation.
What should t do?
There is nothing you need to do at this time. You do not need to boil your water or take other actions.
Homeowners may have their water tested at their own expense at any state certified laboratory.
What is being done?
At this time corrective action has not been taken. Goose Bay Estates remains out of compliance until the second quarter
(April 1 - June 30) bacteria sample is collected in accordance to the submitted sample siting plan.
For more information, please contact lsland Park Water Company at (208)52L-2369 or [e-mail]
*pleose shore this informotion with oll the other people who drink this woter, especiolly those who moy not
hove received this notice directty (for example, peopte in aportments, nursing homes, schools, ond
businesses). You can do this by posting this notice in a public ptace or distributing copies by hand or mail'*
This notice is being sent to you by [water system name]. State Water System lD#7220030.
Date distributed:
7RTCR P u blic N otification Te m plates
900 N. Skyline Drive, Suite B
ldaho Falls, lD 83402 . [phone]
Brad Little, Governor
Jess Byrne, Director
April7,2023
Dorothy McCarty
lsland Park Water Company
455 Constitution Way
ldaho Falls, ldaho 83402
[e-mail]
RE: Failure to Monitor Violation for Routine Total Coliform Aspen Ridge Subdivision - PWS#
,D7220007
Dear Mrs. McCarty,
This letter is to notify lsland Park Water Company that a review of the Department of
Environmental Quality (DEQ) records indicates that Aspen Ridge Subdivision public water
system is in violation of the ldaho Rules of Public Drinking Water Systems, IDAPA
58.01.08.L00.01 for the failure to collect the required routine total coliform samples for the
First Quarter of 2023 (January 1- March 31)in accordance with the submitted sample siting
plan. A notice was sent to lsland Park Water Company of pending compliance dates February
17,2023.
DEQ staff permitted the use of sampling within quadrants of the subdivision to allow for
flexibility with transient homeowners instead of a specific address as required in IDAPA
58.01.08.005. A sample was not collected from within the first quarter quadrant as lsland Park
Water Company had been directed. Please see the attached sample siting plan indicatingthe
locations. The sample collected March tg,2023 from 477L Elk is in the quadrant identified for
samples in the third quarter (July 1 - September) 30 each year. The yellow highlighted area is
where the first quarter sample must be taken. There are over 90 lots on the provided map
where a sample could have been taken.
Aspen Ridge Subdivision will remain out of compliance until DEQ receives the next required
routine sample collected in accordance with the submitted sample siting plan. Due to recent a
pressure loss event, Aspen Ridge Subdivision is required to monitor alltwelve (12) months of
the year as water is served to the public year-round. One (1) routine total coliform sample must
be collected each month from different locations within the distribution to get an adequate
representation of the water being served to the public.
Due to this violation, lsland Park Water Company is required to provide Tier 3 public
notification (PN) to all water users as soon as practical, but no later than one year from this
notification in accordance with the ldaho Rules for Public Drinking Water Systems, IDAPA
58.01.08.150.02. PN templates can be found on DECIs Public Water System Switchboard at:
http://www.deq.idaho.sov/pws-switchboard. I have attached a copy of the required public
notification with mandatory language to this letter.
A copy of the PN is required to be retained for a minimum of three (3) years from the date
issued (IDAPA 58.01.08.L50.03). lsland Park Water Company must send a copy of the provided
notice and a signed certification form that you have met all the public notification requirements
to the Department of Environmental Quality within ten days after posting the public
notification.
lf you have any questions or need clarification, contact me Monday-Friday 7:30 am -4:30 pm at
Ke lsev.ca rter@ d eq. i d a ho.sov or (208)528 -2650.
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
Cassandra Lemmons, Drinking Water Compliance and Enforcement.supervisor, DEQ
Jami Delmore, Drinking Water Analyst, DEQ
Matthew McGlynn, Drinking Water Analyst, DEQ
Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEQ-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEQ-IFRO
Travis Culbertson, ldaho Public Utilities Commission,Travis.Cu @ouc.idaho.sov
Jon Kruck, ldaho Public Utilities Commission, [e-mail]
chris Hecht, ldaho Public utilities commission, [e-mail]
Chris McEwan, ldaho Public Utilities Commission,Chris.Mcewan@ puc.idaho.eov
Curtis Thaden, ldaho Public Utilities Commission, [e-mail]
Jolene Bossard, ldaho Public Utilities Commission,Jolene.Bossard ouc.idaho.sov
Roger Buchanan, Buchanan Well Drilling Inc., [e-mail]
Kansas Buchanan, Buchanan Well Drilling lnc.,kansas@and lldrill.com
c
lstAND pARK WATER coMPANY sampling sire pran sEE ATTACHED rvAps.
The water samples will continue to be taken quarterly,
:ilrTilT::: and pre.vious approvat by ca.rlin Feisthamel, DEe tdaho Fals, ir was agreed rhar siven the
a cces s, s n.,, ":i,!l tr!::
| #trjTi!: ;!l
ji
;;; l,;1:* .**H: if;ri *: : ::.J;:'iff:T,:il:ling or the svstem ;; ;;;' wir be raken in u'o,oorun, or N.E.s.w range or the
Attached is a map with addresses of connections. please note, Not all of these connections are tocabins' Some are hydrants' Given it iu ou' pr.r*rence to ,r*g"t , cabins, rsrand park water wilrmake everv effort to take a samptu r'om itru cabin vs, ";;;;;:rhe hydranr being the rasr choice. Thisis depencrent upon having r..*;;. ;;n rrrunrr park is , ,;;;;;;,;"ar area and a ror of rhe cahins arerented out to tourists' it is crrattenging'
'owners
are not frr, time residents with a few exceptions. oftenin the past it takes upwards of r0 or rior. utt"rpts in any given drvision to find someone home,Thus if you look at the attached maps you can see that each subdivision can be divided into 4 sections byiilli;,ilit3#;::ilji:::,L".',:ffnu"'u,..,' rsrand park water wir sampre rrom withi' each orthe
ffi ffi 'J ::il:H:il il: n:T[ :fi ffj: :';fr ily;H f,:o
u 0",. ra nge o r t h e co nve ya n ce syste m
lsland Park water will continrte to sample euarterry . Given it is a 200-mires round trip to take sampres,generaty speaking the sampres wi, be .orlt*,.0 in one day ori*o or "r.t, quarrer.tst euarter January 1 to March 3L each year. D,, U,f)r. I2rdeuarterApril L roJone31eachyear DrU ilJO ZSt*qtraser.l&lhrilrro€cpseluUoraq€flcb1yEelr.
}iU fUa }t#rt e,ua.nler gefp5,sr J Jq &.e c"eg&gJ tt q g+.ypar,. D r tl,J f 4
:liT.-#li:ffi:'Hlmple is required, the sampte site win be derermined by avairabirity given not
fhank you.
lsland park Water Company
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Revised Total Coliform Rule (RTCR) Failure to Collect or Report Routine Total
Coliform SamPle to the State
IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER
Collection and Reporting Requirement(s) Not Met for Aspen Ridge Subdivision
lsland park Water Company is required to collect and report the results of monitoring of your drinking water for specific
contaminants on a regular basis. Results of regular monitoring are an indicator of whether or not your drinking water meets
health standards. During the first quarter of 2023 (January 1- March 31), lsland Park Water Company collected a routine
bacteria sample that was rejected by the State for improper location, not representing the distribution.
lsland park Water Company failed to notify the state drinking water program as required by March 31,2023.
What should I do?
Aspen Ridge Subdivision remains under a boil water advisory. Samples have not been collected in a manner to indicate
contamination is not present in the water system.
Homeowners may have their water tested at their own expense at any state certified laboratory.
What is being done?
At this time corrective action has not been taken. Aspen Ridge Subdivision remains out of compliance and has been
disapproved by the Department of Environmental euality (DEQ). The boil water advisory will remain in place until pressure
has been fully restored throughout the distribution and compliance samples have been collected and analyzed'
For more information, please contact lsland Park Water Company al (208)52!-2369 or [e-mail]
*please shore this informotion with otl the other peopte who drink this woter, especially those who may not
have received this notice directty (for exomple, peopte in oportments, nursing homes, schools, and
businesses). you can do this by posting this notice in a public ptace or distributing copies by hond or moil.*
This notice is being sent to you by lsland Park Water Company. State Water System lD# 7220007.
Date distributed:
7RTCR P u bl ic Notificatio n Te m plotes
900 N. Skyline Drive, Suite B
tdaho Falls, tD 83402 . [phone]
Brad Little, Governor
Jess Byrne, Director
April7,2O23
Dorothy McCarty
lsland Park Water Company
455 Constitution Way
ldaho Falls, ldaho 83402
[e-mail]
RE: Failure to Monitor Violation for Routine Total Coliform Valley View Subdivision - PWS#
tD7220L56
Dear Mrs. McCarty,
This letter is to notify lsland Park Water Company that a review of the Department of
Environmental Quality (DEa) records indicates that Valley View Subdivision public water system is
in violation of the ldaho Rules of Public Drinking Water Systems, IDAPA 58.01.08.100.01 for the
failure to collect or report the required routine total coliform samples for March 2023. A notice was
sent to lsland Park Water Company of pending compliance dates Febru ary L7,2023. This letter
specifically stated routine samples will need to be taken from two different locations, and not from
5j-36 Lakeview Drive. A sample was collected March 2I,2023, from 5136 Lakeview Drive, for this
reason the sample has been rejected by the State for not effectively representing the distribution'
Valley View Subdivision will remain out of compliance until DEQ receives the next required routine
sample collected in accordance with a submitted sample siting plan. As a reminder, Valley View
Subdivision serves water to the public year-round and is required to monitor all twelve (12) months
of the year. Two (2) routine total coliform samples must be collected each month from different
locations within the two distributions to get an adequate representation of the water being served
to the public. A sample siting plan has not been submitted to DEQ that meets the ldaho Rules of
Public Drinking Water Systems, IDAPA 58.01.08.006.
Due to this violation, lsland Park Water Company is required to provide Tier 3 public notification
(PN) to all water users as soon as practical, but no later than one year from this notification in
accordance with the ldaho Rules for Public Drinking Water Systems, IDAPA 58.0L.08.150.02. PN
templates can be found on DEQs Public Water System Switchboard at:
http://www.deq.idaho.gov/pws-switchboard. I have attached a copy of the required public
notification with mandatory language to this letter.
A copy of the PN is required to be retained for a minimum of three (3) years from the date issued
(tDAPA 58.01.08.150.03). lsland Park Water Company must send a copy of the provided notice and
a signed certification form that you have met all the public notification requirements to the
Department of Environmental Quality within ten days after posting the public notification.
Valley View Subdivision remains under a boil advisory. Samples have not been collected in a manner
that indicates contamination is not present.
lf you have any questions or need clarification, contact me Monday-Friday 7:30 am -4:30 pm at
[e-mail] or [phone].
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
C:Cassandra Lemmons, Drinking Water Compliance and Enforcement Supervisor, DEQ
Jami Delmore, Drinking Water Analyst, DEQ
Matthew McGlynn, Drinking Water Analyst, DEQ
Troy Saffle, Regiona I Ad m in istrator, DEQ-l FRO
Carlin Feisthamel, Regional Engineering Manager, DEQ-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEQ-IFRO
Travis Culbertson, ldaho Public Utilities Commission,Travis.Cul @ouc.idaho.sov
Jon Kruck, ldaho Public Utilities Commission,Jon.Kruck@ .idaho.eov
Chris Hecht, ldaho Public Utilities Commission, [e-mail]
chris McEwan, ldaho Public utilities commission, [e-mail]
Curtis Thaden, ldaho Public Utilities Commission, [e-mail]
Jolene Bossard, ldaho Public Utilities Commission, [e-mail]
Roger Buchanan, Buchanan Well Drilling I nc., [e-mail]
Kansas Buchanan, Buchanan Well Drilling lnc., [e-mail]
Revised Total Coliform Rule (RTCR) Failure to Collect or Report Routine Total
Coliform Sample to the State
IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER
Collection and Reporting Requirement(s) Not Met for Valley View Subdivision
lsland park Water Company is required to collect and report the results of monitoring of your drinking water for specific
contaminants on a regular basis. Results of regular monitoring are an indicator of whether or not your drinking water meets
health standards. During the month of March, lsland Park Water Company collected a routine bacteria sample that was
rejected by the State for improper location, not representing the distribution.
lsland Park Water Company failed to notify the state drinking water program as required by March 3L,2023.
What should I do?
Valley View Subdivision remains under a boil water advisory. Samples have not been collected in a manner to indicate
contamination is not present in the water system.
Homeowners may have their water tested at their own expense at any state certified laboratory.
What is being done?
At this time corrective action has not been taken. Valley View Subdivision remains out of compliance and has been
disapproved by the Department of Environmental Quality (DEQ). The boil water advisory will remain in place until pressure
has been fully restored throughout the distribution and compliance samples have been collected and analyzed.
A sample siting plan has not been submitted to DEQ meeting the requirements of the ldaho Rules for Public Drinking Water
Systems.
For more information, please contact lsland Park Water Company at [phone] or [e-mail]
*please share this informotion with att the other people who drink this woter, especially those who moy not
hove received this notice directly (for example, people in oportments, nursing homes, schools, and
businesses). You con do this by posting this notice in o public ptace or distributing copies by hand or mail'*
This notice is being sent to you by [water system name]. State Water System lD# 722Ot56.
Date distributed:
7RTCR P u blic N otificatio n Te m plates
900 N. Skyline Drive, Suite B
ldaho Falls, ID 83402 . [phone]
Brad Little, Governor
Jess Byrne, Director
April7,2023
Dorothy McCarty
lsland Park Water ComPanY
455 Constitution WaY
ldaho Falls, ldaho 83402
[e-mail]
RE: Failure to Monitor Violation for Routine Total Coliform Shotgun South Stevens Lane -
PWS# 1D7220066
Dear Mrs. McCarty,
This letter is to notify lsland Park Water Company that a review of the Department of
Environmental Quality (DEq records indicates that Shotgun South Stevens Lane public water
system is in violation of the ldaho Rules of Public Drinking Water Systems, IDAPA
58.01.08.100.01 for the failure to collect the required routine total coliform samples for the
First euart er of 2O23 (January L - March 31) in accordance with the submitted sample siting
plan. A notice was sent to lsland Park Water Company of pending compliance dates February
L7,2023.
DEe staff permitted the use of sampling within quadrants of the subdivision to allow for
flexibility with transient homeowners instead of a specific address as required in IDAPA
58.01.08.006. The sample submitted for Shotgun South Stevens Lane on March L9,2023 has
the sampling location as 3430 Yale-Kilgore. This is not a valid address and not one of the
provided addresses on Shotgun South Steven Lane. Please see attached documentation. For
this reason, this sample was rejected by the State'
Shotgun South Stevens Lane will remain out of compliance until DEQ receives the next required
routine sample collected in accordance with the submitted sample siting plan. Shotgun South
Stevens Lane is required to monitor all four (4) quarters of the year as water is served to the
public year-round. One (1) routine total coliform sample must be collected each month from
different locations within the distribution to get an adequate representation of the water being
served to the public.
Due to this violation, lsland Park Water Company is required to provide Tier 3 public
notification (PN) to all water users as soon as practical, but no later than one year from this
notification in accordance with the ldaho Rules for Public Drinking Water Systems, IDAPA
58.01.08.150.02. PN templates can be found on DEds Public Water System Switchboard at
http://www.deq.idaho.sov/pws-switchboard. I have attached a copy of the required public
notification with mandatory language to this letter.
A copy of the PN is required to be retained for a minimum of three (3) years from the date
issued (IDAPA 58.01.08.150.03). lsland Park Water Company must send a copy of the provided
notice and a signed certification form that you have met all the public notification requirements
to the Department of Environmental Quality within ten days after posting the public
notification.
lf you have any questions or need clarification, contact me Monday-Friday 7:30 am -4:30 pm at
[e-mail] or [phone].
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
C:Cassandra Lemmons, Drinking Water Compliance and Enforcement Supervisor, DEQ
Jami Delmore, Drinking Water Analyst, DEQ
Matthew McGlynn, Drinking Water Analyst, DEe
Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEe-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEe-IFRO
Travis Culbertson, ldaho Public Utilities Commission,Travis.Culb @ouc.idaho.sov
Jon Kruck, ldaho Public utilities commission, [e-mail]
chris Hecht, ldaho Public Utilities commission, [e-mail]
Chris McEwan, ldaho Public Utilities Commission, [e-mail]
Curtis Thaden, ldaho Public Utilities Commission,Curtis.Thaden puc.idaho.sov
Jolene Bossard, ldaho Public Utilities Commission,Jolene.Bossard ouc.idaho.eov
Roger Buchanan, Buchanan Well Drilling lnc., [e-mail]
Kansas Buchanan, Buchanan well Drilling lnc., [e-mail]
SHOTGUN SOUTH STEVENS LANE
Waler Syslem Namc:
Phonc Number:
QA8) s2t-2369
couero,{}$$-
ofTransport:
Collect Date:
I canier I Mail I orher For Lab Use:
Transponing
v
Report Results To:
Island Park Water Co
Attn. Dorothy McCarty
PO Box 2521
Idaho Falls, ID 83403
PwsrDno: XSIWAIIQDt9|-e
1D7220066
[phone]
Far Number:
Idaho Falls, IDf,5 63/a7.,%
Billing Address:
lsland Park Water Corefg
Phone: [phone]
Fax: Q08) 529-9210
Chain-of-Custody Inform ation
DATE/TIME RECEIVED: 3 -t?:
DATE/TIME AN ALYZE:
DATE/TIME READ:
ANALYST:
ttas_j*.e4^SUPERVISOR:
LAB ID #:
Teta* t"ticrobi
Preserved With Sodium Thiosulfate
dublicWater System
tr Private System
TETON MICROBIOLOGY LABORATORy ID: ID00969
300 S, Freeman Ave ldaho Falls, IDAHO 83401
208-529-0077 - Fm: 208-522-3797
REMARKS:Results To:
i'l nee CpEeprH
ID00969
.lDisrT EOrher
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S-Routioe Sample C-Cmstructiory'Spccial lil-Untreated(Source)
E-Enfccemot (Chain of Custody Requircd)
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Lab Sample
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s
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TVpe
Code
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92238-PA
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Total Coliforms
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ISLAND PARI( WATER coMpANY sampting Site ptan sEE ATTACHED MAps.
The water samples will continue to be taken quarterly,
Per discussion and previous approval by Carlin Feisthamel, DEe lclaho Falls, it was agreed that given the
circumstances DEQ will accept a "grardant'r area to sample each quarter. Also, clue to weather and
access it is not possible to iclentify two exact ancl alternating locations each month. Rather to get a
better sampling of the system the samples wlll be taken in a quaclrant of N.E,S.W range of the
subdivision.
Attached is a map with addresses of connections, Please note, Not all of these connections are to
cabins, Some are hydrants. Given it is our preference to sample from cabins, lsland park Water will
make every effort to take a sample from the cabin vs, a hyclrant, The hydrant being the last choice. This
is depenclent upon having access. Given lsland Park is a recreational area and a lot of the cabins are
rented out to tourists, it is challenging, Owners are rrot full time resiclents with a few exceptions, Often
in the past lt takes upwards of L0 or more attempts in any given clivision to find someone home.
Thus if you look at the attached maps yor.t can see that eaclr subclivision can be clivided into 4 sections by
sight. North, East, Sot"tth and West general area, lsland Park Water will sample from within each of the
quatlrants, One per quarter as stated.
This meets the requirements to obtain a sam;:le from within a broacler range of the conveyance system
which is our understandlng of the "intent of Site Sampling plans,,
lsland Park Water will continue to sample Quarterly . Given it is a 200 miles round trip to take sam;:les,
generally speaking the samples will be completed in one day or two of each quarter.
Lrt Quarter January L to March 3L each year,
2nd Quarter April 1 to June 31 each year
3'd Quarter July 1 to September 30 each year
4itt Quarter October I to December 31 each year
ln the event a monthly sample is required, the sarnple site will l:e determined by availa[ility given not
every cabin has a hydrant,
Thank You.
lsland Park Water Conroarrv
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Revised Total Coliform Rule (RTCR) Failure to Collect or Report Routine Total
Coliform SamPle to the State
IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER
Collection and Reporting Requirement(s) Not Met for Shotgun South Stevens Lane
lsland park Water Company is required to collect and report the results of monitoring of your drinking water for specific
contaminants on a regular basis. Results of regular monitoring are an indicator of whether or not your drinking water meets
health standards. During the first quarter of 2023 (January 1- March 31), lsland Park Water Company collected a routine
bacteria sample that was rejected by the State for improper location, not representing the distribution.
lsland park Water Company failed to notify the state drinking water program as required by March 3L' 2023.
What should I do?
There is nothing you need to do at this time. You do not need to boil your water or take other action.
Homeowners may have their water tested at their own expense at any state certified laboratory.
What is being done?
At this time corrective action has not been taken. Shotgun South Stevens Lane remains out of compliance and has been
disapproved by the Department of Environmental Quality (DEQ).
For more information, please contact lsland Park Water Company at (2O8152L-2369 or [e-mail]
*pleose share this information with atl the other peopte who drink this water, especially those who may not
have received this notice directly (for exomple, peopte in oportments, nursing homes, schools, ond
businesses). You con do this by posting this notice in a pubtic place or distributing copies by hond or mail.*
This notice is being sent to you by lsland Park Water Company. State Water System lD# 7220066.
Date distributed:
7RTCR P u bl ic N otificotion Te m plates
900 N. Skyline Drive, Suite B
ldaho Falls, lD 83402 . [phone]
Brad Little, Governor
Jess Byrne, Director
April7,2023
Dorothy McCarty
lsland Park Water Company
455 Constitution Way
ldaho Falls, ldaho 83402
water(Oida.net
RE: Failure to Monitor Violation for Routine Total Coliform Shotgun North - PWS# ID722OO65
Dear Mrs. McCarty,
This letter is to notify lsland Park Water Company that a review of the Department of
Environmental Quality (DEa) records indicates that Shotgun North public water system is in
violation of the ldaho Rules of Public Drinking Water Systems, IDAPA 58.01.08.100.01 for the
failure to collect the required routine total coliform samples for the First Quarter of 2O23
(January L - March 3L) in accordance with the submitted sample siting plan. A notice was sent
to lsland Park Water Company of pending compliance dates February L7 ,2023.
DEQ staff permitted the use of sampling within quadrants of the subdivision to allow for
flexibility with transient homeowners instead of a specific address as required in IDAPA
58.0L.08.006. A sample was not collected from within the first quarter quadrant as lsland Park
Water Company had been directed. Please see the attached sample siting plan indicating the
locations. The sample collected March 28,2023,lrom 3522 S Fox is in the quadrant identified
for samples in the fourth quarter (October 1- December 31) each year. The blue highlighted
area is where the first quarter sample must be taken. There are over 36 lots on the provided
map where a sample could have been taken. For this reason, this sample has been rejected by
the State.
Shotgun North will remain out of compliance until DEQ receives the next required routine
sample collected in accordance with the submitted sample siting plan. Shotgun North is
required to monitor all four (4) quarters of the year as water is served to the public year-round.
One (1) routine total coliform sample must be collected each month from different locations
within the distribution to get an adequate representation of the water being served to the
public.
Due to this violation, lsland Park Water Company is required to provide Tier 3 public
notification (PN) to all water users as soon as practical, but no later than one year from this
notification in accordance with the ldaho Rules for Public Drinking Water Systems, IDAPA
58.01.08.150.02. PN templates can be found on DEds Public Water System Switchboard at:
http://www.deq.idaho.sov/pws-switchboard. I have attached a copy of the required public
notification with mandatory language to this letter.
A copy of the PN is required to be retained for a minimum of three (3) years from the date
issued (IDAPA 58.01.08.150.03). lsland Park Water Company must send a copy of the provided
notice and a signed certification form that you have met all the public notification requirements
to the Department of Environmental Quality within ten days after posting the public
notification.
lf you have any questions or need clarification, contact me Monday-Friday 7:30 am -4:30 pm at
[e-mail] or [phone].
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
Cassandra Lemmons, Drinking Water Compliance and Enforcement Supervisor, DEQ
Jami Delmore, Drinking Water Analyst, DEQ
Matthew McGlynn, Drinking Water Analyst, DEQ
Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEQ-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEQ-IFRO
Travis Culbertson, ldaho Public Utilities Commission,Travis.Cu lbertson @ puc.idaho.sov
Jon Kruck, ldaho Public Utilities Commission,[e-mail]
Chris Hecht, ldaho Public Utilities Commission, [e-mail]
Chris McEwan, ldaho Public Utilities Commission, [e-mail]
Curtis Thaden, ldaho Public Utilities Commission, [e-mail]
Jolene Bossard, ldaho Public Utilities Commission,Jolene.Bossard puc.idaho.eov
Roger Buchanan, Buchanan Well Drilling lnc., Roger@andrewwelldri lling.com
Kansas Buchanan, Buchanan Well Drilling lnc.,kan sas@ a n d rewwel I d ri I l.com
c
ISLAND PAI1K WATER COMPANY Samplirtg Site Plan sEE ATrACHED MAPS,
The water samples will continue to be taken quarterly.
Per discussion and previous approval by Carlin Feisthamel, DEQ ldaho Falls, it was agreed that given the
cfrcumstances DEQ will accept a 'tuarclant" area to sample each quarter, Also, due to weather and
access it is not possible to identif/two exact and alternatirig locations each month. Rather to get a
better sampling of the system the samples will be taken in a quadrant of N.E.S,W range of the
subdivision.
Attached is a map with addresses of connections. Please note, Not all of these connections are to
cabins. Some are hydrants, 6iven it is our preference to sample from cabins, lsland Park Water will
make every effort to take a sample from the cabin vs. a hyclrant, The hydrant being the last choice. This
is dependent upon having access. Given lslancl Park is a relreational area and a lot of the cabins are
rented out to tourists, it is challerrging. Owners are not full time residents with a tew exceptions, Often
in the past it takes upwards of 10 or more attempts in any given division to fincl someone home,
Thus if you look at the attached maps you can see that each subdivision can be divided into 4 sections by
sight. North, East, South and West general area, lsland Park Water will sample frorn within each of the
quadrants, One per quarter as stated.
This meets the requirements to obtain a sample fronr within a broacler range of the conveyance system
which is our understanding of the "intent of Site 5anrpling Plans"
lsland Park Water will continue to sample Quarterly , 6iven it is a 200 miles round trip to tal<e samples,
generally speakirrg the samples will be completed in one day or two of each quarter.
r.
Znd Quarter April 1to June 31 each year
3'd Quarter July I to SeptemberS0 each year
-4ltM ear
ln the event a monthly sample is required, the sample site will be determined by avallability given not
every cabin has a hydrant.
Thank You,
lsland Park Water Company
E
Revised Total Coliform Rule (RTCR) Failure to Collect or Report Routine Total
Coliform Sample to the State
IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER
Collection and Reporting Requirement(s) Not Met for Shotgun North
lsland park Water Company is required to collect and report the results of monitoring of your drinking water for specific
contaminants on a regular basis. Results of regular monitoring are an indicator of whether or not your drinking water meets
health standards. During the first quarter of 2023 (January 1 - March 31), lsland Park Water Company collected a routine
bacteria sample that was rejected by the State for improper location, not representing the distribution.
lsland Park Water Company failed to notify the state drinking water program as required by March 3L' 2023.
What should I do?
There is nothing you need to do at this time. You do not need to boil your water or take other action.
Homeowners may have their water tested at their own expense at any state certified laboratory.
What is being done?
At this time corrective action has not been taken. Shotgun North remains out of compliance and has been disapproved by the
Department of Environmental Quality (DEQ).
For more information, please contact lsland Park Water Company at (208)52L-2369 or [e-mail]
*please share this informotion with otl the other people who drink this woter, especially those who may not
have received this notice directty (for example, peopte in opartments, nursing homes, schools, ond
businesses). you can do this by posting this notice in a pubtic ptoce or distributing copies by hand or mail.*
This notice is being sent to you by lsland Park Water Company. State Water System lD# 7220065'
Date distributed:
7RTCR P u blic N otificatio n Te m plates
900 N. Skyline Drive, Suite B
ldaho Falls, lD 83402 . {208) 528-2650
Brad Little, Governor
Jess Byrne, Director
April7,2O23
Dorothy McCarty
lsland Park Water ComPanY
455 Constitution Way
ldaho Falls, ldaho 83402
[e-mail]
RE: Failure to Monitor Violation for Routine Total Coliform Shotgun Kickapoo Subdivision 6 -
PWS# 1D7220064
Dear Mrs. McCarty,
This letter is to notify lsland Park Water Company that a review of the Department of
Environmental Quality (DEQ) records indicates that Shotgun Kickapoo Subdivision 6 public
water system is in violation of the ldaho Rules of Public Drinking Water Systems, IDAPA
58.01.08.100.01 for the failure to collect the required routine total coliform samples for the
First euart er of 2O2g (January L - March 3L) in accordance with the submitted sample siting
plan. A notice was sent to lsland Park Water Company of pending compliance dates February
17,2023.
DEe staff permitted the use of sampling within quadrants of the subdivision to allow for
flexibility with transient homeowners instead of a specific address as required in IDAPA
58.01.08.005. A sample was not collected from within the first quarter quadrant as lsland Park
Water Company had been directed. Please see the attached sample siting plan indicating the
locations. The sample collected March !9,2023, from 4043 Kickapoo is in the quadrant
identified for samples in the third quarter (July 1- September 30) each year. The orange
highlighted area is where the first quarter sample must be taken. There are over 7 lots on the
provided map where a sample could have been taken. 4043 Kickapoo has been used as the
address to collect seven (7) routine quarterly samples within the last 2year. For this reason,
this sample has been rejected by the State.
Shotgun Kickapoo Subdivision 6 will remain out of compliance until DEQ receives the next
required routine sample collected in accordance with the submitted sample siting plan.
Shotgun Kickapoo Subdivision 6 is required to monitor all four (4) quarters of the year as water
is served to the public year-round. one (1) routine total coliform sample must be collected each
month from different locations within the distribution to get an adequate representation of the
water being served to the Public.
Due to this violation, lsland Park Water Company is required to provide Tier 3 public
notification (PN) to all water users as soon as practical, but no later than one year from this
notification in accordance with the ldaho Rules for Public Drinking Water Systems, IDAPA
58.01.08.150.02. PN templates can be found on DECIs Public Water System Switchboard at:
http://www.deq.idaho.govlpws-switchboard. I have attached a copy of the required public
notification with mandatory language to this letter.
A copy of the PN is required to be retained for a minimum of three (3) years from the date
issued (IDAPA 58.01.08.150.03). lsland Park Water Company must send a copy of the provided
notice and a signed certification form that you have met all the public notification requirements
to the Department of Environmental Quality within ten days after posting the public
notification.
lf you have any questions or need clarification, contact me Monday-Friday 7:30 am -4:30 pm at
Ke lsev.ca rte r@ deq. ida ho. gov or ( 208)528 -2650.
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
C:Cassandra Lemmons, Drinking Water Compliance and Enforcement Supervisor, DEe
Jami Delmore, Drinking Water Analyst, DEe
Matthew McGlynn, Drinking Water Analyst, DEe
Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEe-l FRO
Jason Fales, Drinking Water Compliance Supervisor, DEe-IFRO
Travis Culbertson, ldaho Public Utilities Commission,Travis.Culbertson (o ouc-aho.eov
Jon Kruck, ldaho Public utilities commission, [e-mail]
Chris Hecht, ldaho Public Utilities Commission,Chris.Hect@ idaho.sov
Chris McEwan, ldaho Public Utilities Commission, [e-mail]
Curtis Thaden, ldaho Public Utilities Commission, [e-mail]
Jolene Bossard, ldaho Public Utilities Commission,Jolene. Bossa rd @puc.id aho.gov
Roger Buchanan, Buchanan Well Drilling lnc.,Roser@ andrewwelldril ling.com
Kansas Buchanan, Buchanan Well Drilling lnc.,kansas@and lldrill.com
ISLAND PARI( WATER COMPANY Sarnpling Site Plan SEt ATTACI{ED MAPS.
The water samples will continue to be taken quarterly.
Per discussion ancl prevlous approval by Carlin Feisthamel, DEQ ldaho Falls, it was agreecl that given the
circumstances DEQ will accept a 'tuardant" area to sample each quartet'. Also, clue to weather and
access it is not possible to identifytwo exact and alternating locations each month. Rather to get a
better sampling of the systenr the samples will be taken in a quaclrant of N,[,5.W range of the
subdivision.
Attachecl is a map with aclclresses of connections. Please note, Not all of these connections are to
cal:ins. Some are ftyclrants. Given it is our preference to santple from cabins, lsland Park Water will
make every effort to take a sample from the cabin vs. a hydrant. The hyclrant being the last choice' Thls
is {epenclent upon having access. Given lslarid Park is a recreational area and a lot of the cabins are
renterl out to fourists, it ls challenging. Owners are not ftrll time residerrts witlr a few exceptiolls' Oftell
in the past it tal<es upwards of L0 or more attempts in any given division to find someone honre'
Thus if you lool< at the attached maps you can see that each subdivision can be divided into 4 sections by
sight. North, East, South and West general area. lslancl Parl< Water will sanrlrle from wlthin each of the
quadrants, one per quarter as stated.
This meets the requirements to obtaitl a sample frorn within a broader range of tlte cottveyallce system
which is our understanding of the "intent of Site Sampling Plans"
lslancl park Water will contirrue to sample Quarterly . Given it is a 200 ntiles rouncl trip to tal<e samples,
generally speal<ing the samples will be cornpleted in one day or two of each qtlarter.
'*nMif,Fr Januar'y L to March 31 eachyear'
2nd Quarter April 1 to June 31each year
3'd Quarter July 1 to September 30 each year
affi!€ar
ln the evept a monthly sample is reqLrired, the satnple site will be cletermined by availability given not
every cabin ltas a hydrant.
'fhanl< You.
lslarrcl Park Water ComPattY
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Revised Total Coliform Rule (RTCR) Failure to Collect or Report Routine Total
Coliform Sample to the State
IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER
Collection and Reporting Requirement(s) Not Met for Shotgun Kickapoo Subdivision 6
lsland park Water Company is required to collect and report the results of monitoring of your drinking water for specific
contaminants on a regular basis. Results of regular monitoring are an indicator of whether or not your drinking water meets
health standards. During the first quarter of 2O23 (January t - March 31), lsland Park Water Company collected a routine
bacteria sample that was rejected by the State for improper location, not representing the distribution.
lsland Park Water Company failed to notify the state drinking water program as required by March 31,2023.
What should I do?
There is nothing you need to do at this time. You do not need to boil your water or take other action.
Homeowners may have their water tested at their own expense at any state certified laboratory.
What is being done?
At this time corrective action has not been taken. Shotgun Kickapoo Subdivision 6 remains out of compliance and has been
disapproved by the Department of Environmental Quality (DEQ).
For more information, please contact lsland Park Water Company at (208)52L-2369 or water@ida'net
*pleose share this information with alt the other people who drink this woter, especiolly those who may not
have received this notice directly (for exomple, people in apartments, nursing homes, schools, ond
businesses). You con do this by posting this notice in a public ptace or distributing copies by hand or moil.*
This notice is being sent to you by lsland Park Water Company. State Water System lD#7220064-
Date distributed:
7RTCR Public Notificotion Templotes
900 N. Skyline Drive, Suite B
tdaho Falls, tD 83402 . [phone]
Brad Little, Governor
Jess Byrne, Director
April7,2O23
Dorothy McCarty
lsland Park Water ComPanY
455 Constitution Way
ldaho Falls, ldaho 83402
[e-mail]
RE: Failure to Monitor Violation for Routine Total Coliform Shotgun Cherokee Subdivision 5 -
PWS# 1D7220063
Dear Mrs. McCarty,
This letter is to notify lsland Park Water Company that a review of the Department of
Environmental Quality (DEa) records indicates that Shotgun Cherokee Subdivision 5 public
water system is in violation of the ldaho Rules of Public Drinking Water Systems, IDAPA
58.Oj..08.L00.0L for the failure to collect the required routine total coliform samples for the
First euart er of 2O23 (January 1 - March 31) in accordance with the submitted sample siting
plan. A notice was sent to lsland Park Water Company of pending compliance dates February
17,2023.
DEe staff permitted the use of sampling within quadrants of the subdivision to allow for
flexibility with transient homeowners instead of a specific address as required in IDAPA
58.01.08.006. A sample was not collected from within the first quarter quadrant as lsland Park
Water Company had been directed. Please see the attached sample siting plan indicating the
locations. The sample collected March Lg,2123from 4034 Choctaw is in the quadrant
identified for samples in the second quarter (April L - June 30) each year. The pink highlighted
area is where the first quarter sample must be taken. There are over 31 lots on the provided
map where a sample could have been taken. For this reason this sample has been rejected by
the State.
Shotgun Cherokee Subdivision 5 will remain out of compliance until DEQ receives the next
required routine sample collected in accordance with the submitted sample siting plan.
Shotgun Cherokee Subdivision 5 is required to monitor all four (4) quarters of the year as water
is served to the public year-round. One (1) routine total coliform sample must be collected each
month from different locations within the distribution to get an adequate representation of the
water being served to the Public.
Due to this violation, lsland Park Water Company is required to provide Tier 3 public
notification (PN) to all water users as soon as practical, but no later than one year from this
notification in accordance with the ldaho Rules for Public Drinking Water Systems, IDAPA
58.0L.08.L50.02. PN templates can be found on DECIs Public Water System Switchboard at
http://www.deq.idaho.gov/pws-switchboard. I have attached a copy of the required public
notification with mandatory language to this letter.
A copy of the PN is required to be retained for a minimum of three (3) years from the date
issued (IDAPA 58.01.08.150.03). lsland Park Water Company must send a copy of the provided
notice and a signed certification form that you have met allthe public notification requirements
to the Department of Environmental euality within ten days after posting the public
notification.
lf you have any questions or need clarification, contact me Monday-Friday 7:30 am -4:30 pm at
Kelsev.ca [e-mail] or [phone].
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
Cassandra Lemmons, Drinking Water Compliance and Enforcement Supervisor, DEe
Jami Delmore, Drinking Water Analyst, DEe
Matthew McGlynn, Drinking Water Analyst, DEe
Troy Saffle, Regional Administrator, DEe-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEe-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEe-IFRO
Travis Culbertson, ldaho Public Utilities Commission, [e-mail]
Jon Kruck, ldaho Public utilities commission, [e-mail]
chris Hecht, ldaho Public utilities commission, [e-mail]
Chris McEwan, ldaho Public Utilities Commission,Chris.Mcewan ouc.idaho.sov
Curtis Thaden, ldaho Public Utilities Commission, [e-mail]
Jolene Bossard, ldaho Public Utilities Commission, [e-mail]
Roger Buchanan, Buchanan Well Drilling lnc., [e-mail]
Kansas Buchanan, Buchanan Well Drilling lnc.,kansa andrewwell ll.com
c
ISLAND PARK WATER COMPANY Sampling Site Plan SEE ATTACHED MAPS.
The water samples will continue to be taken quarterly'
Per discussion ancl previous approval by Carlin Feisthamel, DEQ ldaho. Falls, it was agreecl that given the
circurnstancesDEQwill accepta'$uardant"areatosampleeachquarter, Also,duetoweatherand
access it is not possible to iclentify two exact anc{ alternatirig locations each month. Rather to get a
better sanrpling of the system the samples will be tak,en in a quaclrant of N.E.S,W range of the
subdivision.
Attachecl isamapwithaclclressesofconnections, Pleasenote, Notall of theseconnectionsareto
cabins. Some are hydrants. Given it is our preference to sample front cabins, lslancl Park Water will
make every effort to take a sample from the cabirr vs. a hydrant. The hydrant being the last choice, This
is rJependent upon having access. Given lslancl Park is a recreational area and a lot of the cabins at'e
rented olt to tourists, it is challenging. Owners are not full time residents with a few exceptions. Often
in the past it takes upwards of 10 or more attempts in any given division to firrd sollleone ltotne.
Thus if you look attlre attachecl map-s you can see that each subdivision can be diviclecl into 4 sections by
sight. North, East, Sogth anc1 West gerreral area. lsland Park Water will sarnple from witlrin each of the
quadrants. One per qttarter as stated.
This meets. the requirernents to obtain a sample frorrr within a broader range of tlte conveyance systelll
which is our unclerstanding of the "intent of Site Sampling Plans"
lsland park Water wlll continue to sample Quarterly . 6iven it is a 200 nriles routrcl trip to tal(e satnples ,
gerrerally speaking the samples will be completed in one day or two of each quarter'
15t Quarter January 1 to March 31 each year.
@sil$t
gluutlrtg{ar
4rh Quartdr October 1 to December 31 each year
ln the event a montfly sample is required, the sarrple site will be cletertnitred by availability given not
every cabin has a hyclrant.
Tlrank Yor"r.
lsland Park Water ComPanY
PW
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Revised Total Coliform Rule (RTCR) Failure to Collect or Report Routine Total
Coliform Sample to the State
IMPORTANT INFORMATION ABOUT YOUR DRINKING WATER
Coltection and Reporting Requirement(s) Not Met for Shotgun Cherokee Subdivision 5
lsland Park Water Company is required to collect and report the results of monitoring of your drinking water for specific
contaminants on a regular basis. Results of regular monitoring are an indicator of whether or not your drinking water meets
health standards. During the first quarter of 2023 (January 1- March 31), lsland Park Water Company collected a routine
bacteria sample that was rejected by the State for improper location, not representing the distribution.
lsland Park Water Company failed to notify the state drinking water program as required by March 3L,2023.
What should I do?
There is nothing you need to do at this time. You do not need to boil your water or take other action.
Homeowners may have their water tested at their own expense at any state certified laboratory.
What is being done?
At this time corrective action has not been taken. Shotgun Cherokee Subdivision 5 remains out of compliance and has been
disapproved by the Department of Environmental Quality (DEQ).
For more information, please contact lsland Park Water Company at [phone] or [e-mail]
*Please share this information with oll the other people who drink this woter, especially those who may not
have received this notice directly (for example, people in apartments, nursing homes, schools, and
businesses), You can do this by posting this notice in o public place or distributing copies by hand or mail.*
This notice is being sent to you by lsland Park Water Company. State Water System lD# 7220063.
Date distributed:
7RTCR P ublic Notificotion Templates
STATE OF IDAHO
DtiPAtt'l'MllNl' olr
IjN V r R0NMIN'l'Ar- QtJ Al.l'l'Y
900 N. Skyline Dr., Suite B
ldaho Falls, lD. 83402
Brad Little, Governor
Jess Byrne, Director
August 09,2022
lsland Park Water Co.
P.O. Box 2521
ldaho Falls, ldaho 83403
water(Aida.net
RE: Activating Valley View Subdivision as a Public Water System (PWS) lD722Ot56
Dear Dorothy Mccarty,
Based on the information gathered Valley View Subdivision will be activated as a Public Water System
(PWS) as of August08,2022. A public water system is defined as a system with at least fifteen service
connections, regardless of the number of water sources or configuration of the distribution system, or
regularly serves an average of at least twenty-five individuals daily at least sixty days out of the year.
Valley View Subdivision will be classified as a transient noncommunity (TNC) system meaning the system
does not regularly serve at least twenty-five of the same persons over six months per year. The
regulating agency will be the Department of Environmental Quality (DEQ. The PWS number assigned to
Valley View Subdivision is 1D722OI56. This letter outlines the minimum requirements for your water
system to remain in compliance with ldaho Rules for Public Drinking Water'
Distribution System:
Collect one bacteria/total coliform sample per quarter beginning October I,2022
o The system is open year-round, samples must be collected during all quarters
o Samples should be collected from different locations in the distribution to get a
representation of the entire system
Collect one nitrate sample per year beginning January L,2023
Collect one nitrite sample every nine years beginning January L,2023
All samples must be collected by you or a representative of the subdivision. Each water sample needs to
be analyzed at a State Certified Laboratory. A complete list of State Certified Laboratories is available on
DEQ's Public Water Svstem Switchboard. An updated monitoring schedule is available on the
switchboard as well.
As a Public Water System it is your responsibility to ensure the provided drinking water is safe for
consumers. One way this is done is a DEQ conducted sanitary survey of the drinking water system every
five years. The first inspection is scheduled for Ausust 30, 2022. The purpose is to identify any
WellMonitoring
Exhibit P
deficiencies in the water system which may affect the reliable delivery of safe drinking water to the
public. We will need access to the two wells and pump house for the inspection. Please contact our
office to confirm a time on August 30,2022.
lf you need assistance or have any questions please contact me at [phone] or at
Kelsev.Ca rter@deq. ida ho.eov.
Sincerely,
Kelsey rter
Drinking Water Analyst
Carlin Feisthamel, Regional Engineering Manager, IFRO DEe
Troy Saffle, Regional Administrator, IFRO DEQ
c:
TIFIEO MAIL'
STATE OF IDAHO
DEPARTMENT OF
ENVIRONMENTAL QUALITY
900 North Skyline, Suite B
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DOROTHY MCCARTY
P.Q BOX 2521 *,4{rrr:r=r*-. ,
IDAHO FALLS, ID 834N3
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MAILED FROM ZIP CODE 83402
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Exhibit PP
Exhibit Q
April 6, 2023
Dorothy McCarty
Island Park Water Company
455 Constitution Way
Idaho Falls, Idaho 83402
[e-mail]
RE: PUBLIC HEALTH HAZARD AND ONGOING MONITORING AND REPORTING REQUIREMENTS FOR ASPEN RIDGE
SUBDIVISION – PWS# ID7220007
Mrs. McCarty,
This letter is to inform you that the Aspen Ridge Subdivision’s (PWS ID 7220007) frozen water lines, low pressure,
and loss of water to homes, is a public health hazard, per Idaho Rules for Public Drinking Water Systems (IDAPA
58.01.08. 003.60). Ongoing public notification and additional bacteriological monitoring is required until the issue
is resolved. The Idaho Department of Environmental Quality (DEQ) understands that Aspen Ridge Subdivision
notified Island Park Water Company on April 4, 2023, that multiple service connections were not receiving an
adequate water supply.
During the Sanitary Survey conducted October 20, 2022, it was documented that the pump in both the East and
West Well were cycling excessively, not in good repair, and neither had an installed check valve. As of today, April
6, 2023, repairs have not been made to these listed significant deficiencies. There have been no engineering plans
or specifications submitted or approved by DEQ to make material modifications to any of Island Park Water
Company’s public water system.
Island Park Water Company’s knowledge of main line leaks was also documented in the Sanitary Survey conducted
October 20, 2022. Repairs to these main lines have not been completed at this time. It was stated the main line
leaks were unable to be located.
DEQ staff recommended supplying impacted water users with bottled water until Aspen Ridge Subdivision can
meet its obligation of restoring safe drinking water to the public pursuant to Idaho Rules for Public Drinking Water
Systems.
Once pressure has been restored to 40 psi in the distribution, as required by IDAPA 58.01.08.552.01.b.v., a series
of construction samples from the distribution must be collected in order to lift the boil advisory. In order for the
boil advisory to be lifted Aspen Ridge Subdivision must collect two (2) samples for two (2) consecutive days from
the distribution. Sample locations must represent the entire distribution system.
Monitoring
Increased bacteriological monitoring is required to evaluate if the drinking water is safe for the community.
Aspen Ridge Subdivision must collect one (1) monthly compliance sample from the distribution until further
notice. Water lines that are frozen may potentially be cracked from the expansion that occurs with freezing.
When affected lines are no longer frozen, Aspen Ridge Subdivision may experience a depressurization event
Exhibit QQ
due to water loss if any more leaks have developed. Depressurization in distribution presents a health hazard
where the required minimum pressure of 20 psi is not met, per Idaho Rules (IDAPA 58.01.08. 003.60 & 552.01).

A Tier 1 Public Notification must be delivered to all consumers within 24 hours and notification made to DEQ
following a depressurization event.

During times of construction and repairs Aspen Ridge Subdivision must take additional construction samples to ensure contamination has not entered the water system. Construction samples do not count as compliance
samples and do not impact monitoring. Construction samples are used to help water systems become aware of
potential contamination and assure consumers the water is safe for consumption.
Public Notification

All water users must be notified of the public health hazard present in Aspen Ridge Subdivision within 24 hours of
receiving this notification. It is our understanding that this public notification went out to all water users
yesterday. A signed certification form and a copy of the public notification must be submitted to DEQ office within
10 days of posting public notification. The signed certification form and copy of the public notification have not
been received.

If you have any questions or concerns, please do not hesitate to contact me by phone at
(208)528 -2650, or by email at [e-mail].

Sincerely,

Kelsey Carter
Drinking Water Analyst
Idaho Falls Regional Office

c: Tyler Fortunati, Drinking Water Bureau Chief, DEQ
Cassandra Lemmons, Drinking Water Compliance and Enforcement Supervisor, DEQ
Jami Delmore, Drinking Water Analyst, DEQ
Matthew McGlynn, Drinking Water Analyst, DEQ
Troy Saffle, Regional Administrator, DEQ-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEQ-IFRO
Kelsey Carter, Drinking Water Compliance Officer, DEQ-IFRO
Travis Culbertson, Idaho Public Utilities Commission, [e-mail]
Jon Kruck, Idaho Public Utilities Commission, [e-mail]
Chris Hecht, Idaho Public Utilities Commission, [e-mail]
Chris McEwan, Idaho Public Utilities Commission, [e-mail]
Curtis Thaden, Idaho Public Utilities Commission, [e-mail]
Jolene Bossard, Idaho Public Utilities Commission, [e-mail]
Roger Buchanan, Buchanan Well Drilling Inc., [e-mail]
Exhibit R
From:Kelsey Carter
To:Kansas Buchanan; Roger Buchanan; [e-mail]
Cc:Jason Fales; Troy Saffle
Bcc:Jon Kruck; Cassandra Lemmons
Subject:RE: Island Park Water Company
Date:Thursday, April 6, 2023 3:17:00 PM
Attachments:Aspen Ridge Tier 2 Significant Deficiencies.pdf
Goose Bay Tier 2 Significant Deficiencies.pdf
Valley View Tier 2 Significant deficiencies.pdf
Shotgun North Tier 2 Significant Deficiencies.pdf
Shotgun South Tier 2 Significant Deficiencies.pdf
Shotgun Kickapoo Tier 2 Significant Deficiencies.pdf
Shotgun Cherokee Tier 2 Significant Deficiencies.pdf
Dear Island Park Water Company,
The Tier 2 Public Notification for violations attached in your email DOES NOT match the public
notification documents that were supplied to both Dorothy and Roger January 7, 2023 and again
March 28, 2023. This is the second time this has occurred where the public notification was altered.
This is unacceptable. The violation for failing to provide public notification for these 14 significant
deficiencies was sent to IPWC March 6, 2023.
The public notifications sent to water users is not the correct template. The attached documents say
IPWC failed to provide a corrective action plan or consult with the state regarding significant
deficiencies, that is incorrect. IPWC failed to perform the activities required to address the
significant deficiencies. Consultation was the 30-day written action plan that was provided to DEQ
on December 19th.
The required language including the specific significant deficiencies, the failure to collect first
quarter samples according to the sample siting plan, and consultation with a health professional
were not included. This needs to be immediately corrected or additional violations will follow. It is
mandatory that water user receive the correct information on what is happening with their public
water systems. In addition, the public notification provided by IPWC has the PWS numbers incorrect,
and the date distributed is left blank.
I have attached for the third time the correct public notification that must be sent to all water users
of IPWC public water systems. IPWC has until April 10, 2023, to have the correct public notification
to all water users’ letters postmarked and sent. Failing to complete this action will result in
additional violations for failure to provide public notification and DEQ distributing the public
notification on behalf of IPWC. As documented in the March 06, 2023 letter DEQ will bill you for the
expense of issuing this public notification.
Sincerely,
Exhibit RR

From: Kansas Buchanan <[e-mail]>
Sent: Thursday, April 6, 2023 1:11 PM
To: Kelsey Carter <[e-mail]>
Cc: Roger Buchanan <[e-mail]>
Subject: Island Park Water Company

CAUTION: This email originated outside the State of Idaho network. Verify links and attachments BEFORE youclick or open, even if you recognize and/or trust the sender. Contact your agency service desk with anyconcerns.

Hey Kelsey,
Attached is the boil water notice and certification form, as well as the tier 2 notices and
certifications. I’m working on getting some other things done then will give you a call to go over the
other tier 2 notifications that need to go out.
Thank you for all of your help.

Kansas Buchanan
Buchanan Well Drilling Inc
Formerly Andrew Well Drilling
3435 N 15 E
Idaho Falls, ID 83401
[phone]
Cell [phone]
[e-mail]
[e-mail]
www.andrewwelldrill.com

Exhibit S
From:Kelsey Carter
To:Kansas Buchanan
Subject:Re: Island Park Water Company Corrected Tier Notices
Date:Thursday, April 6, 2023 5:11:53 PM
That’s okay you tried your best and that’s all I can ask for. DEQ will send out notification on
behalf of IPWC tomorrow.
Get Outlook for iOS
From: Kansas Buchanan <[e-mail]>
Sent: Thursday, April 6, 2023 5:09:32 PM
To: Kelsey Carter <[e-mail]>
Subject: RE: Island Park Water Company Corrected Tier Notices
CAUTION: This email originated outside the State of Idaho network. Verify links and attachments BEFORE youclick or open, even if you recognize and/or trust the sender. Contact your agency service desk with anyconcerns.
I am trying to check with Dorothy about the emails. I won’t be in the office again until Monday,
Roger will be here in the office and can answer any questions you may have. Sorry I don’t have an
answer for you today.
Have a good weekend.
Kansas Buchanan
Buchanan Well Drilling Inc
Formerly Andrew Well Drilling
3435 N 15 E
Idaho Falls, ID 83401
[phone]
Cell [phone]
[e-mail]
[e-mail]
www.andrewwelldrill.com
From: Kelsey Carter <[e-mail]>
Sent: Thursday, April 6, 2023 4:27 PM
To: Kansas Buchanan <[e-mail]>
Subject: RE: Island Park Water Company Corrected Tier Notices
I confirmed with the individuals I spoke with the IPWC has both their email and phone number. If
Dorothy can show copies of the emails sent to all the homeowners, I can verify the information. The
rule requirement is all water users must be notified within 24 hours.
Exhibit SS

From: Kansas Buchanan <[e-mail]>
Sent: Thursday, April 6, 2023 4:23 PM
To: Kelsey Carter <[e-mail]>
Subject: RE: Island Park Water Company Corrected Tier Notices

CAUTION: This email originated outside the State of Idaho network. Verify links and attachments BEFORE youclick or open, even if you recognize and/or trust the sender. Contact your agency service desk with anyconcerns.

Yes, I was able to talk to Dorothy. She said she didn’t have everyone’s email addresses, the ones she
didn’t have she mailed. She also had it posted at the entrances to the subdivision. Then I sent it to
Ann at Island Park News. Do you have any other ideas on how we could get the information at more
quickly?

Kansas Buchanan
Buchanan Well Drilling Inc
Formerly Andrew Well Drilling
3435 N 15 E
Idaho Falls, ID 83401
[phone]
Cell [phone]
[e-mail]
[e-mail]
www.andrewwelldrill.com

From: Kelsey Carter <[e-mail]>
Sent: Thursday, April 6, 2023 4:15 PM
To: Kansas Buchanan <[e-mail]>
Subject: RE: Island Park Water Company Corrected Tier Notices

Were you able to ask about the Tier 1 public notification for Aspen Ridge?

From: Kansas Buchanan <[e-mail]>
Sent: Thursday, April 6, 2023 4:09 PM
To: Kelsey Carter <[e-mail]>
Subject: Island Park Water Company Corrected Tier Notices

CAUTION: This email originated outside the State of Idaho network. Verify links and attachments BEFORE youclick or open, even if you recognize and/or trust the sender. Contact your agency service desk with anyconcerns.

Hi Kelsey,
Attached are the corrected public notices, thank you for being patient with me. If there is anything
not correct please let me know and I’ll get right on it. I was able to get in touch with Ann from Island
Park News and sent here the corrected ones to post. I also spoke with Dorothy and I am getting the
correct ones to her as well so she can get them sent out.

Kansas Buchanan
Buchanan Well Drilling Inc
Formerly Andrew Well Drilling
3435 N 15 E
Idaho Falls, ID 83401
[phone]
Cell [phone]
[e-mail]
[e-mail]
www.andrewwelldrill.com

Exhibit T
Exhibit TT
This letter is in response to Letter dated January 13, 2023, signed and prepared by Kelsey Carter,DEQ
Drinking Water Analyst, with corresponding documents provided to everyone of us in her email chain.
Island Park Water Company Response:
Upon review of the Kelsey Carter Letter and provided documents in the email, with other professionals,
including engineers, it was pointed out that the demands are impossible and unreasonable and
unsubstantiated.
Last week upon advice of DEQ IPWC submitted a PRR for ALL DEQ documents in their possession
related to Island Park Water Company *( in their possession.) These documents were provided to me
Jan 11, 2023. DEQ provided a copy of ‘As Builts” received by DEQ in 2009. The documents Kelsey
attached in this email chain, obtained from Fremont Co and from Idaho Department of Health and
Welfare were not provided to IPWC by DEQ Jan. 11, 2023 of which DEQ has in their possession.
However, DEQ also has other copies of Water Distribution Plans for Valley View Ranches, which shows
the overall water distribution plans subdivision for Div. 1, 2, 3, 4 was submitted for approval to D.O.E.
in or about 1970, again 1984 and an OVERALL WATER PLAN submitted to D.O.E. in 1987. And marked up
Plats of Div. No. 1 indicating water line’s location. And ‘As Builts” received by DEQ in 2009.
As to Kelsey’s request:
Both The Developer of Valley View Ed Strobel and the Engineer Mr. Strobel hired, David E Benton are
diseased. Ed Strobel’s records were not provided to IPWC. Benton Engineering designed the water
system, but they are not the ‘contractors” that install conveyance systems I frankly have no idea who
the contractor was over 40 years ago, and there is no reference as to whom that would have been. It is
impossible to raise the dead and resurrect documents to provide now to DEQ that not were never in
our possession. Benton Engineering closed their office at the beginning of 2009. Ed Strobel retained his
documents.
Perhaps given DEQ has documents provided” in partial”, that DEQ could dive deeper and see if all
documents and or noted conversations with David Benton, P.E. by Elmer W. “Bill Smith” , P.E. or Henry
Moran DWH-Pocatello or Bill Skinner, District VII Health Department, ST. Anthony actually were all
scanned into the archives. David Benton, P.E. would have followed up, and even in documents provided
in this email chain, it is clear he did so. DEQ received “As Builts” December 2009 which Kelsey did not
include in her letter.
We have in the past requested documents on file with District VII Health Department, St. Anthony and
were told that “Not all documents” were scanned in the past, their archives are not that accurate and
only some are retrievable. The technology at the time obviously is not todays and clearly there is no
definitive proof to substantiate claims being made.
IPWC does not have the ability to recreate to provide items in this request. We do NOT have the means
to provide mapping, identify hydrants, valves or appurtenances. Furthermore, it is unreasonable to
request follow-up documents from 40 years ago and over 30 years ago. This is ‘not a reasonable time
frame” and contrary to DEQ guidelines that if action is not taken in a reasonable time frame there is
implied approval. Again DEQ has ‘as builts” on file.
Exhibit U
Upon careful review of the wording in the “Bill” Smith, P.E. Letter, it appears to state ‘if changes are
made”. Even today I see no changes made to what was proposed for Division No. 1. The supporting
documents also definitely state the system’ was designed to provide water for 4 people per
connection/per unit/ day. It states the Well is ‘operational 12 months”(* which is to preclude any need
to depressurize the system.) It does not state providing water 12 months for year-round occupancy. It
clearly states the opposite. It states the system is ‘seasonal’ beginning 05/15/00 and ending 9/30/00. It
further more states this not once, but twice on both forms, dated 02/27/91 and 06/22/92 . This is noted
as acknowledge also in survey 12/31/99. It further noted that only 1 sample required for the ‘season”.
Had this in any way been interpreted as year-round, the sampling would never have been for 1 sample.
It is obvious upon closer review this water system was in fact designed for ‘summer usage”. It also
states it is ‘recreation/residential.” It does not state it is a year-round system, rather states the
‘seasonal date” as pointed out May 15th each year to September 30th each year. It also states this in not
a Public Utility System.
I understand from Fremont Co that ‘as builds’ were not required, nor recorded by them. Apparently,
DOE or DEQ retains records. I can not go back in time and produce information to which I have no
knowledge of. IPWC again does not have the means to provide mapping and requested information. I
do have knowledge that Benton Engineering when they closed their office in early 2009 provided all of
their original documents of everything, they had possession of, to Fremont Co. (Gregg Newkirk) and
Bonneville County. David E. Benton is deceased. Ed Strobel is deceased. I have no knowledge as to
whom Mr. Strobel hired as a contractor, but in most likely hood he too is deceased.
The copies of documents provided by Kelsey Carter are at best difficult to read. Documents are not
provided in entirety. However, these documents do contradict what is being stated now that it” always
was a year-round system. This is incorrect. See Public Water System Inventory Form provided to the
appropriate agency. The engineering notes reference existing wells. I see no changes. The f9rjsne no
knowledge of or as to where ‘certified letters’ referenced were sent. I do know that when contacted by
Kelsey Carter to schedule a Sanitary Survey She acknowledged that a wrong address was being used in
2022. No follow up copy of any letter was provided to me that references what is being said in the letter
dated Jan. 13, 2023.
Reference DEQ Letter/Elmer. W. “Bill” Smith, P.E. dated August 15, 1991
This letter clearly states that ‘either as built planes OR a letter of certification stating that
the project was installed substantially according to the approved plans.

It is reasonable to presume that this was done, as there is no follow-up letter stating
otherwise and within a “reasonable time period”. See dates on “Public water System
Inventory Form” dates: 02/27/91 and 06/22/92 which substantiates IPWC claim that this
Subdivision was designed for ‘seasonal usage: Begin O5/15/00 and End 09/30/00. *No
changes noted. Also, service area most applicable is X Residential and X Recreational.

Contrary to Kelsey Carter analysis of the engineering report to be able to serve 72 lots,
(*believe this was misread unfortunately) as included in documents provided herein there
are partial pages from reports received stating that there are ONLY 22 lots that can have
water connections in Valley View Ranch Division NO.1 *See combined lots note with listing
of lots that totals 22 LOTS ONLY to be served in the future as these were combined for
reasons stated. Calculations also clearly state that 125 gpd/person for 4 people per unit
maximum.
It is unreasonable to recalculate based upon misunderstanding of the system design to
suggest that suddenly in 2023, now this is interpreted as being required to provide
connections to 72 lots, when clearly that was never stated. This would be a design change
by DEQ not the engineer and not IPWC. Again, this page was simply misread as water
connection would clearly only be allowed for the combined lots (1 connection allowed for
water for 4 people per unit) for total of the 22 lots. This clearly means that even if a buyer
would sell off one of his lots, there would still only be one connection for water available for
the original combined lots. Implying that a private domestic well would need to be drilled to
obtain water. There are many private domestic wells in Valley View Subdivision.
I again reiterate that this water system was approved in 1970 by D.O.E. and follow up in 1987 copies
noted in possession of DOE, the Plat recorded with Fremont Co. in 1976, Valley View Ranch Subdivision
Overall water plan (see attachment) DOE. Notes submitted and supervised Dec 14, 87 copy to D.O.E.
*(obtained referenced copies from DEQ Jan 11, 2023. The system has not substantially changed from
1987.
People have drilled their own private domestic wells within the Valley View Divisions 1-4. We foresee
no future development given the location and lots being sold in blocks. These lots would have to be sold
as Dry Lots, as water was not included for multiple lots sold as a block. At the time of purchase the water
system was disclosed as ‘seasonal”. We cannot go back in time to resurrect documents. We have no
way to provide a map , locate lines, valves, and various items requested. It is extremely odd that in
2023 that DEQ is revisiting subdivisions designed, approved, accepted almost 40 years ago, reapproved
over 30 yrs. ago and clearly states that this subdivision is a ‘seasonal usage begins date each year is
05/15/00 and end date each year is 09/31/00. Sanitary Surveys in the past did not address these issues.
There was no change to the status of Valley View Ranch Div. No 1 until Kelsey Carter or DEQ, changed
this water system to a year round system and notes that she did so without sufficient data from IPWC
to determine that it actually meets such requirements. The reclassification certainly should waited to
include IPWC. This change appears to have been done is a rush with out the facts. IPWC is very willing
to work with Kelsey Carter to resolve issues. IPWC appreciates the help of DEQ and looks forward to
continuing. However, this letter is both incorrect and requests are unreasonable.
The opinion of professional engineers I spoke with is that Valley View Ranches Subdivision Div. No. 1
still does not meet requirements to be reclassified as DEQ has done, to that of a public water system.
There is no documentation provided that by DEQ that a single homeowner, can change the
classification to year-round from Seasonal usage soley based upon this one person obtaining a rental
permit from the City of Island Park, which by the way, is in direct violation of the number of
persons/unit that the water system was designed for. Upon contacting the City of Island Park they said
they rely on square footage to determine number of occupants the City will permit, and the applicant
stating that water is available for this number of daily occupants. No verification is required by the City
of Island Park, nor are they year-round residents of Valley View. Short term nightly rental permits.
We do not have the means to do what is being suggested is required. We have no means to map, locate
etc. to provide what is being requested. DEQ criteria states their approval or disapproval must respond
in a ‘reasonable time” – over 30 years is certainly not a ‘reasonable time frame” and to resurrect
something as old as this. Even if the PUC would allow IPWC to increase rates 10 or 20 times the current
rate of $280, we still would not be financially able to produce the documents requested.
Finally, IPWC takes issue with deficiencies noted in the Valley View Sanitary Survey 2022
1. The wells were not deficient. The PSI meets acceptable ranges.
2. The pressure reading taken from a hydrant is not deficient. The PSI meets acceptable range.
*No proof was provided that the valve was fully opened, nor consideration that it was taken
from an extremely old hydrant. (Note these hydrants were noted back in 1992. Corrosion,
and partially closed valve would need to accounted for.
3. No proof of ‘depressurization of the system” has ever been provided. What we have been
dealing with is ‘hearsay”.
4. The referenced leak is not within 100 feet of the upper well. Measuring distance on GIS
indicates that it is approximately 410 feet away, more or less. There was no indication from
the PSI readings that this leak was causing depressurization.

Please correct the Valley View Sanitary Survey to reflect the above. Also, Kelsey Carter
confirmed to two people that the water sampling for Valley View for each quarter was
submitted and mistakenly not recorded by DEQ, of which she said she corrected.

Included is a letter that was mailed to the customers in Valley View on Friday, prior to receiving this
email. IPWC is most willing to work with customers. Frustration in Valley View Subdivision was a direct
result of ‘tampering of wells”, trespassing and vandalism. No factual proof of pressure drop has been
verified or provided for Valley View.
The number of verifiable connections to Valley View is 14. Each of the 14 do have a primary residence
elsewhere. As such this system should be considered a small recreational community water system in
summer months only, as designed and because it is impossible to access in winter months . Wells have
been kept operational, water has been provided, only so as to not have need to depressurize the
system. The customers are reminded each year the system was designed for summer usage and
precautionary measures to winterize the water lines. The subdivision is not accessible during off season
and precisely why it was designed for summer usage May 15th each year to September 30th each year.
Thank you,
Dorothy McCarty
Island Park Water Company, INC
[e-mail] 208-521-2369
.

900 N. Skyline Drive, Suite B
tdaho Falls, lD 83402 . [phone]
Brad Little, Governor
Jess Byrne, Director
April7,2023
Dorothy McCarty
lsland Park Water ComPanY
455 Constitution WaY
ldaho Falls, ldaho 83402
[e-mail]
RE: FAILURE TO PROVIDE TIER 1 PUBLIC NOTIFICATION TO ASPEN RIDGE SUBDIVISION'PWS# ID722OOO7
FATLURE TO FOLLOW REPORT|NG REqUTREMENTS FOR APSEN RIDGE SUBDIVISION - PWS# ID722OOO7
Dear Mrs. McCarty,
Documentation maintained by the Department of Environmental Quality (DEQ) indicates lsland Park Water Company is
in violation of the tdaho Rules for Public Drinking Water Systems, IDAPA 58.01.08.1-50.02,for failure to provide Tier 1-
public notification to all water users in Aspen Ridge Subdivision. Specifically, public notification was not provided for
the following violation(s):
o Loss of pressure (IDAPA 58.01.08.552.01.b.v)- The public water system was constructed or modified after
7 /L/tg8S and is not able to maintain a minimum pressure of 40 psi throughout the distribution system during
peak hour demand conditions as measured at the service connection.
o Loss of pressure (lDApA 58.0j..08.552.01.b.i)- The public water system is not able to maintain a minimum
pressure of 20 psi throughout the distribution system as measured at the service connection.
System depressurization creates the opportunity for back-siphoning or backpressure of non-potable water from
domestic, industrial, or institutional sources, which may result in contamination of the drinking water. At low pressures,
it is possible for contaminated groundwater to enter through leaks, which are known to exist in Aspen Ridge
Subdivision. IDAPA 58.01.08.150 ensures that consumers will know if there is a problem with their drinking water.
lsland park Water Company is required to notify customers if the water does not meet drinking water standards. lt is
mandatory for public water systems to notify their customers when they provide drinking water that may pose a risk to
consumer health.
Unfortunately, water quality can sometimes change. Despite the efforts of water suppliers, problems with drinking
water can and do occur. When problems arise, consumers have a right to know what happened, what they need to do,
how the problem is being corrected, and a timeframe. A Tier 1 public notification requires an immediate response from
the water system owner. Any time a situation occurs where there is the potential for human health to be directly
impacted, water system owners have 24 hours to notify individuals that may drink the water about the situation.
ln an effort to protect public health, the Department of Environmental Quality (DEQ) issued a Tier 1 notice in the form
of a press release on behalf of tsland Park Water Company April7,2023. DEQ may bill lsland Park Water Company for
any associated expenses.
This letter also informs lsland Park Water Company of violation for fraudulently providing a signed public notice
certification form. ldaho Rules for Public Drinking Water Systems, IDAPA 58.01.08.150.01 Reporting Requirements,
requires all public water systems within 10 days of completing public notification to submit certification of full
compliance with public notification regulations including delivery, content, and deadlines. A certification form signed by
Exhibit UU
Dorothy McCarty, President of lsland Park Water Company, on April 5,2023, was submitted to DEe Thursday, April 6,
2023. This signature was certification that public notice had been given to all water users and was completed April 5,
2023. This false certification misrepresents that appropriate action was taken by lsland park Water Company as
numerous homeowners were still unaware of the boil advisory as of April 7 ,2023.
lsland Park Water Company did not provide the required notifications, or conduct the required follow-up actions, after
the distribution system depressurized. Any time the distribution system drops below 20 psi, the public water system
owner must notify the Department, provide public notice to affected customers within 24 hours, and disinfect or flush
the system as appropriate (IDAPA 58.01.08.552.01.b.ii).
Aspen Ridge Subdivision will remain on a boil water advisory until adequate pressure can be maintained throughout the
distribution, as required by IDAPA 58.01.08.552.01.b.v, and the water can be deemed safe for human consumption by
this department through disinfecting, flushing, and sampling.
As of March 17,2023, Aspen Ridge Subdivision has been disapproved for violations of the ldaho Rules for public
Drinking Water Systems under IDAPA 58.01.08.007.02. lsland Park Water Company's public water systems were
disapproved for operating procedures constituting a health hazard as defined by IDAPA 58.01.08.003.60. Disapproval in
no way relieves lsland Park Water Company's obligation to comply with all applicable state and federal drinking water
standards, rules, regulations, and orders.
I may be contacted Monday - Friday 7:30 am - 4:30 pm by phone at [phone], or by email at
[e-mail] if you have any questions or need clarification.
Sincerely,
Kelsey Carter
Drinking Water Analyst
ldaho Falls Regional Office
C:Hannah Young, Lead Deputy Attorney General, DEe
Tyler Fortunati, Drinking Water Bureau Chiel DEe
cassandra Lemmons, Drinking water compliance and Enforcement supervisor, DEe
Jami Delmore, Drinking Water Analyst, DEe
Matthew McGlynn, Drinking Water Analyst, DEe
Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEe-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEe-IFRO
Claire Sharp, Deputy Attorney General, claire.sharp(dpuc.idaho.gov
Travis Culbertson, ldaho Public Utilities Commission, [e-mail]
Jon Kruck, ldaho Public Utilities Commission, [e-mail]
Chris Hecht, ldaho Public Utilities Commission,Chris.Hectfo).idaho.sov
chris McEwan, ldaho Public utilities commission, [e-mail]
curtis Thaden, ldaho Public Utilities commission, [e-mail]
Jolene Bossard, ldaho Public Utilities commission, [e-mail]
Roger Buchanan, Buchanan Well Drilling lnc., [e-mail]
Kansas Buchanan, Buchanan well Drilling lnc., [e-mail]
llilhin I0 days of notifying customers,public water system owners and operators are required to send this
cornpleted foim and aiopy ofeach type ofnotice distributed (hand-deiivered notices, press releases' newspaper
articles, etc.) to the appropriat" Depariment of Environmental Quality (DEQ) Regional Office-or local Health
nistrici(Hd) Officeln ac.cordancgwith the ldaho Rules for Public Drinking Water Systems, IDAPA 58'01'08'150'
which incorporates 40 CFR 14 1 .3 I (d).
PUBLIC NOTICE
CERTIFICATION FORM
ldaho DEQ Regional Offices: http:llwww.deq.idaho.gov/regional-offices-issues.aspx
Idaho public Health Districts. httD://healthandwelfare.idaho.eov/FIealth/HealthDislriclsltabid/97lDefault'aspx
Water System Name:PWS ID #:7 00 7
Violation Date
(lfunknorvn, date
Violation(s) Addressed by the Public Notification:
Distribution was complete d on :{ 12 I &29
Check all that apply and attach a copy ofeach type ofnotice:
n Hand delivery
tr Press release (TV, radio, newspaper, etc.)
A posting at Fn.lrarrgz -{"o Jr^bA.Uif i ovt (by DEQIHD approval only)
H other(by DEQ/l-lD approvalonly) drn"A,r I , U 1P5
please note that new billing customers must be notified of any ongoing violations or situations for which
notice has been provided.
/.5'&4
owner ol'Position Date
By signing, I certify that public notice has been given to water users following state requirements for
delivery, content, and deadlines.
I'RINKING WATER WARS{ING
Estc inforneoontione informapi6n muy inporturtc obru suaguapoublo.
Tradfaalo o hable oon elguieo que lo eotienda bien.
S5ntcm Nameand PWSIIIfl: Arnan Rldgesqhdlslrlnn PWS IDEFT0M?
BOIL WATER,AIIVIIIORY
- Hierva sE agm entcs de uroria -
Thls boll witer edvicorg is not h luponca to t&e eo-VUI'l9 pandemtc"
- &ta alorta de hcrvlr el agus !o er cn rcrpuceto a la pandcmlr & COVII)-I9. -
Due to Looc of Prcssurc
We rouinely monitor ths conditions in the drinking urats dis0ihsion systc,Et. On4l4l2t}3weenrpuienced a
dmp in watqr pressure of unknonrn value due to possibte fioaenlline or i€ak A drop Moss of umr prcssure
cl€st€s conditiom that could allow contaminrtion to c,lrtor the disfibudon E1$gm ttrough backflow, by
bacSrosstttt, or baclc*iphonage. As a result, there is sr increased chmcs tirc Ore &ir*ing rmtr mryconuin
diseace-carsing o63rfsms.
Whatrhould ldo?
I ItO NOI IDRINK lEE WATER WTTEOUT EOILING If FIRltT. Bring all uater to a boil. I*t lt
boll for ole uiBute srd lst it cool beforo usin& or rse bottld nnler. Boiled or botled wder should be
used for drinking making ice, bnrshing bedr, washing dishe* and food preparation undl ftrtlter
nodce. Boiling kills bacteria and other organisnrs in the wcer.I You may codnue to ue your water to wash your hands rsing soap md water for d least 20 seconds. (h€de
s€guir tsilizando el agru pra lavane ls manos usando jab6n y ngur por lo mmoe 20 segundos.)' hradequdely freatedwats? ntay corrtah, dtsease+ansingorganisrru. Tlrgse otganlnts btcfude
bacterta, vblzses, and poasltes, whtch can cause ,tausea, oamlv, diarlea, od asoctated
,readaclps.t Thg sJmrptoms above are caused by many 5'pes of organisrns. If you oryerionce any oftheso synrptoms
and they p€rsisg you mry want to seek medical advici. People atincrcased risk drould seek advice
about drtrking water from their hellth oaro providors.
Whst ls being doue?
ftnlco ochnicrans wttt Ue golngroboft
We exPect services to be back on 4-5-23 or 4-623 depsnding on the cauge of the loas of pr€ssuro.
W.o wil! inform you whan you no longer neod to boil yorn water. Ulo antioipate resolving &o problem
within 48 houn.
The advisory will be lifted sfter two consoauiw days of abemt $€!cr tsst r€sults. Sample results tako up
to minimum of24 houn to return. Notices will be posted urd mailed to rssidents afterahe abs€nt rcsulb
arcgiven.
Formorc informatiorl please conaot Island Park watercompany gtrzo&-s2l-2359 orggE@idgngl
Pleass slrare this informcion wifr all thc odrer people who drink this nrsrer, especially those who may
not have rccelved this notice directty (for exanple,psople in apartnents, nursing homes, schools, and
businesses) You can do dris by pocing fiis notice iir aiublic plaoo or distibuting copies by hand or
mail.
This notico is baing sentto
'ou
by Island Parlc WaterCompany.
January 3, 2023
Dorothy McCarty
Island Park Water Company
455 Constitution Way
Idaho Falls, Idaho 83402
[e-mail]
RE: Public Drinking Water Complaint for Valley View Subdivision -- PWS# ID7220156
The Idaho Department of Environmental Quality (DEQ) received a complaint regarding Valley View
Subdivision not having water in the distribution system. The complaint was on Wednesday, December
28, 2022, stating that homes in the subdivision did not have any water, and water was flowing from the
pump to waste of the West Well vault.
DEQ reached out to you Wednesday, December 28, 2022, regarding taking corrective action and
restoring water to the subdivision. Island Park Water Company informed DEQ that Buchanan Well
Drilling Inc. would be restoring water to the neighborhood. The work was not able to be completed on
December 28, 2022 and would be completed in the near future.
Please send updates regarding the status of Valley View Subdivision and notify this office when the
water is restored to the customers. There will be required next steps when water is re-established in the
distribution for proper disinfection and public notification.
Please contact me at [phone] or at [e-mail] to discuss the next steps
needed by this water system.
Sincerely,
Kelsey Carter
Drinking Water Analyst
Idaho Falls Regional Office
c: Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEQ-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEQ-IFRO
Roger Buchanan, Buchanan Well Drilling Inc., [e-mail]
Exhibit V
From:Kelsey Carter
To:water; Kansas Buchanan
Cc:Roger Buchanan; Jason Fales; Cassandra Lemmons; Jami Delmore
Bcc:Jon Kruck
Subject:RE: Aspen Ridge Update Request
Date:Tuesday, April 11, 2023 12:46:00 PM
Please refer to the letter sent to IPWC on April 6, 2023, paragraph five (5),
“Once pressure has been restored to 40 psi in the distribution, as required by IDAPA
58.01.08.552.01.b.v., a series of construction samples from the distribution must be
collected in order to lift the boil advisory. In order for the boil advisory to be lifted
Aspen Ridge Subdivision must collect two (2) samples for two (2) consecutive days
from the distribution. Sample locations must represent the entire distribution system.”
Documentation of the pressure being restored to all service connections in the distribution
has not been provided. When speaking with Roger on Friday he reported 39.95 psi, which
would indicate pressure above 40 psi is not being met at all service locations. The problem
with pressure must be corrected before samples to lift the boil advisory are permitted. You
can continue to take construction samples as often as you would like but until the original
issue is resolved the boil advisory cannot be lifted.
Island Park Water Company is not excluded from the requirements just because the lab is
closed on Friday. This was also explained to Roger when I spoke to him Thursday. Road
conditions do not affect this requirement either when the matter of public health is the issue.
Current conditions in Island Park are sunny and 60°, not horrific. Aspen Ridge is located
directly off the main highway, that has been kept clear all winter. The HOA in Aspen Ridge
maintains the roads in the subdivision as people live there all year round.
I was informed April 5, 2023, by you in text message, that you had completed notification
within 24 hours which was incorrect. Documented in the letter you received April 7, 2023 for
Failure to Provide Tier 1 Public Notification. DEQ issued a press release on behalf of Island Park
Water Company due to this violation of failing to notify your consumers as mandated. I
requested copies of the emails and text messages with time and date stamp sent to customers
which you did not send.
For clarification I will number the questions I need answered:
1. What is the current status of Aspen Ridge Subdivision?
2. How many pressure readings have been collected? Provide documentation.
3. What caused the pressure loss event in Aspen Ridge Subdivision on April 4, 2023?
4. How was that issue corrected?
5. What is the corrective action plan to restore pressure to all connections in Aspen Ridge?
6. Is Island Park Water Company supplying residents with bottled water as recommended
Exhibit VV
by DEQ and EPA?
7. Has Island Park Water Company issued a new Tier 1 public notification since DEQs press
release on April 7, 2023?
8. Why did you sign the public notification certification form that all users had been
notified April 5, 2023, when DEQ was receiving phone calls April 7, 2023, of you calling
homeowners and instructing them to call DEQ that they had been notified April 5, 2023,
of the boil advisory?
9. Roger stated on Friday he spoke to a homeowner when at Aspen Ridge Thursday April 6,
2023, and they were unaware and hadn’t been notified prior to then. Please explain?
10. What is the new timeframe to have the boil advisory lifted for Aspen Ridge?

As a water utility you should be more concerned with the public health risks associated with a
loss of pressure event and taking corrective actions to find a solution instead of making false
accusations.

DEQ will not be supplying you with yet another copy of the certification form. Per IDAPA rule
requirements you should maintain copies of all these certification forms and any notices you
have provided to customers within the last three years. Blank copies of this form are available
on our website.

Part of being disapproved is DEQ does not offer technical or compliance assistance to Island
Park Water Company. I offered my assistance to Kansas this last week, and she was great to
work with. I believe Kansas did everything to her best ability. However, it was not Kansas’s
responsibility, as the owner of Island Park Water Company that falls on you.

From: water <[e-mail]>
Sent: Tuesday, April 11, 2023 11:21 AM
To: Kelsey Carter <[e-mail]>; Kansas Buchanan
<[e-mail]>; [e-mail]
Cc: Roger Buchanan <[e-mail]>; Jason Fales <[e-mail]>
Subject: RE: Aspen Ridge Update Request
Importance: High

CAUTION: This email originated outside the State of Idaho network. Verify links and attachmentsBEFORE you click or open, even if you recognize and/or trust the sender. Contact your agencyservice desk with any concerns.

Kelsey what are you talking about? I am confused.!!!
Water samples have been taken 4 samples on two days. Not consequtive as labs closed.
The road conditions are not conducive to going through out subdivision currently. Two customers
told us roads are horrific and vehicles getting stuck!!

Teton Micro Biology lab did send you results friday and again today referencing what you were sent
last Friday.
I just picked up results from Sunday. You have been also sent a copy.
Channel 8 has been contacted and will again today release. Emails, texts and mailing and notice
were posted and you were informed.
I will stop by DEQ shortly if you are there. Please have the second Certification form available at
front desk!!
Your statements are very confusing kelsey as you know people including myself have been
incontact.
Also since you brought this up kelsey, you did not send out a correction nor appology regarding the
"slanderous claims made regarding Roger and myself"!! Please do that today. Thank you very much,
as you are aware per Kansas.!!!
Thank you
Dorothy

Sent from my Verizon, Samsung Galaxy smartphone

-------- Original message --------
From: Kelsey Carter <[e-mail]>
Date: 4/11/23 8:26 AM (GMT-07:00)
To: Kansas Buchanan <[e-mail]>
Cc: Roger Buchanan <[e-mail]>, [e-mail], Jason Fales
<[e-mail]>
Subject: Aspen Ridge Update Request

Good morning,

I would like a written update on the current situation in Aspen Ridge Subdivision. I have not received
any information since Friday morning from Roger and Kansas. I have not received any
communication from Dorothy other than a text April 5th. Pressure was still not above 40 psi at all
service connections in the distribution. Documentation of multiple pressure readings have no been
provided to DEQ. Have any construction samples been collected? I have not received any results
from Teton Micro as of yet. Is Island Park Water Company supplying bottled water to individuals
living in Aspen Ridge as recommended by DEQ and the EPA? Where is Island Park Water Company
with reissuing a Tier 1 public notification? A press release was done by DEQ on Friday on behalf of
Island Park Water Company for the second time as similar issues happened in Valley View
Subdivision. Island Park Water Company has not provided an explanation for the signed public notice
certification form dated April 5, 2023 and notification of homeowners still not being aware over 48
hours after the pressure loss event on April 7, 2023.

As a reminder, the boil advisory cannot be lifted until corrections have been made to fix the low
pressure in Aspen Ridge. After corrections have been documented and provided then two
consecutive days of two samples can be collected. If all results are absent the boil advisory may be
lifted by DEQ.

Long term we will have a similar plan to the requirements implemented for Valley View Subdivision
which I will send you a letter about by the end of the week. Aspen Ridge remains disapproved by
DEQ for operating procedures constituting a health hazard. This does not excuse the requirements
of drinking water rules. A corrective action plan for reapproval has not been received for any of the
seven public water systems.

A corrective action plan for restoring pressure has not been received by DEQ and is the main priority.
Please provide this information today. We need an updated timeframe as the one provided by Island
Park Water Company has passed.

Thanks,
Kelsey Carter
From:[e-mail]
To:water; Kelsey Carter; Jason Fales
Cc:[e-mail]
Subject:RE: Aspen Ridge Update Request
Date:Tuesday, April 11, 2023 3:40:05 PM
Importance:High
CAUTION: This email originated outside the State of Idaho network. Verify links and attachmentsBEFORE you click or open, even if you recognize and/or trust the sender. Contact your agencyservice desk with any concerns.
Kelsey,
I believe you are misinformed as to condition of Aspen Ridge roads and weather in
Aspen Ridge.
I just reconfirmed with a customer. The temperature is 50 Degrees high, a storm
brewing, and the roads are slush of 8-12 inches and yes they were plowed, but thebottom falling out of the snow base.
The roads are a Minium of 8-12 inches of deep slush. You would have to have large
vehicle with 4 wheel drive with appropriate tires. and still advised you will still mostlikely be stuck in the slush and unable to access the entire subdivision.
Every customer was mailed a letter and hand cancelled with date of 4-5-2023.
Customers have received these.
Text messages and emails were also sent out as they could be located. starting on 4-
5-2023 and continuing thru the wee hours of 4-6-2023.
Yes I asked people to share notice of Boil Advisory.
Yes Boil Advisory was posted.
Yes Media was advised.
Yes again today I requested Channel 8 Re announce. ** I also requested that the
water company telephone be provided again, which was told you did not.
Please provide the list of people you claimed to Roger were calling you saying they
didn't know there was a Boil Advisory.
The only number listed was not DEQ, rather the Company on the Boil Advisory which
you guided Kansas thru preparing.
You requested that the Notice be signed that day and returned to you. I only signedit. Kansas submitted it back to you. per your instructions.
Exhibit VV2
The suggestion of offering Bottled water has been offered to people I have spoken
with. All declined. It is a suggestion.
City of Roberts confirmed to me that this is NOT a requirement. You did NOT require
they provide water. They too offered, but not required.
The water samples taken show no health issue with the water.
I understand you are not willing to accept anything IPWC submits.
Roger conveyed to you what was being done, the wells were up and operating
.
We understand about Pressure readings.
I am headed out to meet up with Kansas as I can't submit anything to you from my
office as the printer and computer is not available.
You can consider this email as an update that we are continuing monitoring the
situation and will continue to keep you informed.
As to our "Plan" obviously the Plan is to get the system back up to 40 psi. Until that issufficiently noted we will continue to try to isolate any issues.
There is at this point, no evidence of a broken water line that has surfaced, which
would be difficult to locate anyways due to the slush on the roads.
I was on site Sunday, (Easter) to pick up samples. The snow melt on roads caused
me to get stuck.
I understand you are googling weather, but people up there disagree with your
assessment of the roads and they live there.
As I said, we will be resubmitting the Certification again.
Interestingly EPA guidelines, suggests that intent is important and should be
considered, as well as reasonably working with water systems is highly
recommended protocol.
You do not like the results of the water samples, but they are what they are. Absent.
I believe it is the company''s right to continue to take samples,
Also, it is IMPOSSIBLE to process the samples except through a certified lab. How is
it you can simply override this, saying it doesn't matter?????

I went to DEQ office before lunch to try to meet with you. I was told you would not be
As to the number of people you claim are living in Aspen Ridge full time, I am advised
that most of these people have private wells. Approximately I am being told that less
than 10-15 people (Same people) live continuously for 6 months or more in Aspen
Ridge. Currently there are very few in Aspen Ridge at the moment.
IPWC has done everything possible to comply with notifying our customers.
Whomever you are calling, please advise us of.
Interestingly it is difficult to imagine how anyone would call you to ask if there was a
boil water notice. on April 5th, given our phone number was posted.
I believe all of your questions have been answered.
Thank you and have a great day,
Island Park Water Company
Dorothy McCarty.

On Tue, 11 Apr 2023 11:20:57 -0600, water <[e-mail]> wrote:
Kelsey what are you talking about? I am confused.!!!
Water samples have been taken 4 samples on two days. Not consequtive as labs
closed. The road conditions are not conducive to going through out subdivision currently.
Two customers told us roads are horrific and vehicles getting stuck!!

Teton Micro Biology lab did send you results friday and again today referencing whatyou were sent last Friday.
I just picked up results from Sunday. You have been also sent a copy.
Channel 8 has been contacted and will again today release. Emails, texts and
mailing and notice were posted and you were informed. I will stop by DEQ shortly if you are there. Please have the second Certification form
available at front desk!!
Your statements are very confusing kelsey as you know people including myself have
been incontact. Also since you brought this up kelsey, you did not send out a correction nor appology
regarding the "slanderous claims made regarding Roger and myself"!! Please do that
today. Thank you very much, as you are aware per Kansas.!!!
Thank you Dorothy

Sent from my Verizon, Samsung Galaxy smartphone

-------- Original message --------
From: Kelsey Carter <[e-mail]>Date: 4/11/23 8:26 AM (GMT-07:00)
To: Kansas Buchanan <[e-mail]>
Cc: Roger Buchanan <[e-mail]>, [e-mail], Jason Fales
<[e-mail]>Subject: Aspen Ridge Update Request

Good morning,
I would like a written update on the current situation in Aspen Ridge Subdivision. I
have not received any information since Friday morning from Roger and Kansas. I
have not received any communication from Dorothy other than a text April 5th.Pressure was still not above 40 psi at all service connections in the distribution.
Documentation of multiple pressure readings have no been provided to DEQ. Have
any construction samples been collected? I have not received any results from Teton
Micro as of yet. Is Island Park Water Company supplying bottled water to individualsliving in Aspen Ridge as recommended by DEQ and the EPA? Where is Island Park
Water Company with reissuing a Tier 1 public notification? A press release was done
by DEQ on Friday on behalf of Island Park Water Company for the second time as
similar issues happened in Valley View Subdivision. Island Park Water Company hasnot provided an explanation for the signed public notice certification form dated April
5, 2023 and notification of homeowners still not being aware over 48 hours after the
pressure loss event on April 7, 2023.
As a reminder, the boil advisory cannot be lifted until corrections have been made to
fix the low pressure in Aspen Ridge. After corrections have been documented and
provided then two consecutive days of two samples can be collected. If all results are
absent the boil advisory may be lifted by DEQ.
Long term we will have a similar plan to the requirements implemented for Valley
View Subdivision which I will send you a letter about by the end of the week. Aspen
Ridge remains disapproved by DEQ for operating procedures constituting a healthhazard. This does not excuse the requirements of drinking water rules. A corrective
action plan for reapproval has not been received for any of the seven public water
systems.
A corrective action plan for restoring pressure has not been received by DEQ and is
the main priority. Please provide this information today. We need an updated
timeframe as the one provided by Island Park Water Company has passed.

Thanks,
Kelsey Carter
STATE OF IDAHO
DEPARTMENT OF ENVIRONMENTAL QUALITY
900 N. Skyline Dr., Suite B Idaho Falls, ID. 83402
January 04, 2023
Dorothy McCarty
Island Park Water Company
455 Constitution Way
Idaho Falls, Idaho 83402
[e-mail]
Brad Little, Governor Jess Byrne, Director
RE: Letter Request for Year-Round Quarterly Monitoring Requirements for Island Park Water
Company
Under the Revised Total Coliform Rule, all Public Water Systems (PWS) must continue to
monitor according to a frequency specific to the PWS and a sample siting plan that is subject to
state review. Site Sampling Plans for all Island Park Water Company were due December 31,
2022, as stated in the sanitary survey reports and blank templates were attached. A site
Sampling Plan has not been submitted for DEQ review for any of Island Park Water Company's
systems as of January 4, 2023.
For groundwater systems serving 1,000 or fewer people, the state must perform a special
monitoring evaluation to review the status of the PWS, including the distribution system, during
each water system's sanitary survey to determine whether the PWS is on the appropriate
monitoring schedule. Sanitary Surveys were conducted on all Island Park Water Company
Systems on October 19th and 20th. These sanitary surveys determined that six out of the seven
Island Park Water Company Systems would remain year-round systems as they supply water to
customers in each quarter of the year. This was not a change for any of the systems as five of
the systems had previously been listed as year-round systems since 1986 and it has been
documented in the last two sanitary surveys. Valley View Subdivision (PWS# ID7220156) was
determined to be year-round during its first sanitary survey that was conducted in 2022, there
are homes in use all months of the year where water is accessible for drinking. This was
documented in the sanitary survey report that was sent out on November 17, 2022, as well as
in the PWS Activation Letter sent out on August 09, 2022. Goose Bay Estates (PWS# ID7220030)
is the only system currently classified as a seasonal system operating from May 1-December
31.
Exhibit W
Systems that use only groundwater and serve 1,000 or fewer people are allowed to be
on reduced (or quarterly) total coliform monitoring.
Non-community Public Water Systems (40 CFR 141.854)
Non-community systems that are not seasonal may remain on quarterly monitoring
unless the following occur:
•A Level 2 Assessment is triggered.•Any treatment technique violation such as the failure to conduct an assessment
or to take corrective actions in the time frame specified.
•Two RTCR total coliform monitoring violations or one RTCR £. coli monitoring
violation and two Level 1 Assessments in a rolling 12-month period.
A seasonal system is defined, by 40 CFR 141.2, as a non-community public water system
that is not operated year-round and starts up and shuts down at the beginning and end
of each operating season. Examples of seasonal systems include campgrounds, ski areas,
resorts, and some schools.
A seasonal system, as stated in 40 CFR 141.2, that uses only groundwater and serves
1,000 or fewer people may qualify for quarterly total coliform monitoring if the system
meets all of the following:
•An approved sample siting plan designates the most vulnerable period to
bacterial contamination (highest use, wettest weather, etc.) and the owner or
operator has collected samples during this period,
•A sanitary survey was completed by DEQ with no significant deficiencies
identified OR a Level 2 Assessment from a qualified party is completed and the
system is free of sanitary defects,
•A clean compliance history for the past 12 months, which means no MCL
violations for E. coli.
Start-up Procedures (40 CFR 141.854)
The RTCR identified that seasonal systems are potentially more vulnerable to
contamination when the system is dewatered during the off-season. Therefore, the rule
requires that seasonal system owner's complete start-up procedures before serving
water to the public, and certification that the procedures were completed must be
turned in to DEQ
In the event, you choose to classify any of Island Park Water Companies Public Water
Systems as a seasonal system the systems would need to be depressurized and drained
no later than September 30th each year in order to not be required to monitor for the 4th
quarter. Systems would need to be returned to pressure and disinfected after April ist
each year in order to not be required to monitor in the ist quarter of the year. This
would also change the monitoring schedule for any of the systems changed to seasonal.
Seasonal systems are required to sample monthly instead of quarterly, and a seasonal
start-up checklist would be required annually. These rules can all be found in the
Revised Total Coliform Rule, 40 CFR 141.588.
Please feel free to contact me at {208) 528-2650 or at [e-mail] if you have
any questions or need assistance. An in-person meeting can be scheduled with this office to
discuss any additional matters related to these Public Water Systems.
Sincerely,
Kelsey Carter
Drinking Water Analyst
Idaho Falls Regional Office
c: Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEQ-IFRO
Jason Fales, Drinking Water Compliance Supervisor, DEQ-IFRO
From:Kelsey Carter
To:[e-mail]
Subject:RE: FW: Public Drinking Water Complaint for Valley View Subdivision -- PWS# ID7220156
Date:Wednesday, January 4, 2023 3:37:00 PM
Dorothy,
Carlin and I tried calling you about 15 minutes ago. Can you please give us a call back. Jason and I
also spoke with Roger for 45 minutes.
From: [e-mail] <[e-mail]>
Sent: Wednesday, January 4, 2023 3:29 PM
To: Kelsey Carter <[e-mail]>
Cc: [e-mail]
Subject: Re: FW: Public Drinking Water Complaint for Valley View Subdivision -- PWS# ID7220156
Importance: High
CAUTION: This email originated outside the State of Idaho network. Verify links and attachmentsBEFORE you click or open, even if you recognize and/or trust the sender. Contact your agencyservice desk with any concerns.
Kelsey,
This is what I received from you. I don't see any attachment that will open.
Roger said he was going to try to contact you regarding questions.
I will try to get back to you soon.
Take care,
Dorothy
On Wed, 4 Jan 2023 15:28:26 +0000, Kelsey Carter <[e-mail]>
wrote:
Resend Email 01/03/2023
Exhibit X

From: Kelsey Carter
Sent: Tuesday, January 3, 2023 4:41 PM
To: [e-mail]
Cc: Troy Saffle <[e-mail]>; Carlin Feisthamel
<[e-mail]>; Jason Fales <[e-mail]>;
Roger Buchanan <[e-mail]>
Subject: Public Drinking Water Complaint for Valley View Subdivision -- PWS#
ID7220156

Please see the attached document regarding Valley View Subdivision. Please contact
me with updates or if there are any questions.

PUBLIC NOTICE
CERTIFICATION FORM
llithin 10 days of nottfying customers, public water system owners and operators are required to send this
completed form and a copy ofeach type ofnotice distributed (hand-delivered notices, press releases, newspaper
articies, etc.) to the appropriate Department of Environmental Quality (DEQ) Regional Office or local Health
District (HD) Office in accordance with the Idaho Rules for Public Drinking Water Systems, IDAPA 58.01.08.150,
which incorporates 40 CFR 141.31(d).
Idaho DEQ Regional Offices: http://www.deq.idaho.sov/regional-offices-issues.aspx
Idaho public Health Districts: http://healthandwelfare.idaho.gov/Health/HealthDistricts/tabid/97lDefault.aspx
Water System Name ID #:
Violation Date:_ l_ l_
(If unknown, date notified of violation by DEQ)
Violation(s) Addressed by the Public Notification:
Distribution was completed on I 4$t I "23
Check all that apply and attach a copy ofeach type ofno]ice:
@- Hand detivery ypilcA fjfrA;JL .
tr Press release (TV, radio, newspaper, etc')
p/Posting at (by DEQ/HD approval only)
E/oilr". (by DEQ/HD approval ""rv) tf ,F[-
Please note that new billing customers must be notified of any ongoing violations or situations for which
notice has been provided.
I
By signing, I certify that public notice has been given to water users following state requirements for
delivery, content, and deadlines
Exhibit Y
Template Instructions for Public Notification Due to Loss of Pressure
Introduction. A drop in water pressure below 20 psi or a complete loss of water pressure, during unplanned events,
emergencies, or planned maintenance or repairs, creates conditions that could allow contamination to enter the
distribution system through backflow, by backpressure, or back- siphonage.
Instructions. During an unplanned or emergency situation provide a Tier I public notice in the form of a precautionary
Informative Notification, a Boil Water Advisory, or a Do Not Drink Advisory (see each below) to persons affected
as soon as possible and not later than 24 hours after you learn of the situation per IDAPA 58.01.08.552.01.b.ii.1. Within
24 hours you must also contact )'our local drinking water compliance office. For planned maintenance or repairs, public
notice must be provided to the affected customers prior to the planned maintenance or repair activity per IDAPA
58.01.08.552.01.b.ii.2. Your public notice should fit the specific situation:
l. Informative Notification must be provided if water pressure has dropped below 20 psi but still maintained
positive pressure and there is low risk of bacteriological contamination.
2. Boil Water Advisory should be issued if there has been a loss of pressure below 20 psi or complete loss of
pressure for a sustained period. A Boil Water Advisory may also be appropriate if cross connections are a
concern, even if positive pressure is still maintained. There are multiple possible scenarios; please work with
your local DEQ or Health District office to identif, if this is the appropriate notice for your situation.
3. Do Not Drink Advisory is required if there is a loss of pressure below 20 psi and you have elevated levels
of chemical contaminants, such as lead, arsenic, nitrate, etc. Boiling water with elevated levels of chemical
contaminants will increase/concentrate the levels, making them more harmful to public health.
In any notice, you must leave the mandatory health effects language in italics unchanged.
Population Served. Your public notice should be designed to reach residential, commercial, industrial, transient, and
non-transient users of the water system affected by the depressurization. To prevent confusion, make sure it is clear who
is served by your water system - you may need to list the areas you serve or provide a map.
Corrective Action (What is being done?). Describe corrective actions you are taking. Listed below are some steps
commonly taken by water systems experiencing low or complete loss of pressure. You can use one or more of the
following actions or develop your own:
. We are determining the cause of the drop in or complete loss of pressure.. We are flushing the lines to reduce the risk of possible contaminants.. We have flushed the system and are now collecting samples to check the quality of thewater.. We are disinfecting the system as a preventative measure.
Delivery. Use one or more of the following forms of delivery:. Appropriate broadcast media such as radio, television, website or social media.. Posting of the notice in conspicuous locations throughout the area served by the watersystem.. Hand delivery of the notice to persons served by the water system.
You may need to use additional methods of delivery (e.g., newspaper, delivery of multiple copies to hospitals, clinics, or
apartment buildings) since notice must be provided in a manner reasonably calculated to reach all affected water users.
The three types of notices included below are appropriate for hand delivery or a newspaper notice. However, you may
wish to modiff it before using it for a radio or TV notice. If you do use this for radio or TV messaging, you must still
include all required elements and leave the mandatory health fficts language in italics unchanged.If you post or hand
deliver notice, it is advised you print your notice on letterhead or some other format that indicates who is providing
notice.
lt is recommended that you notifu health professionals in the area of the situation. People may call their doctors with
questions about how the violation may affect their health, and the doctors should have the information they need to
respond appropriately. In addition, health professionals, including dentists, use tap water during their procedures and
need to know of possible contamination so they can use an alternative source of water.
After Issuing the Notice. Send a copy of the public notice and a certification form stating that you have met all the
public notice requirements to your local DEQ regional office or Health District within 10 days from the time you issue
the notice. The certification form is available the Water
DRINKING WATER WARNING
System Name and PWS ID#: Valley View Subdivision PWS# ID7221056
BOIL WATER ADVISORY
- Hierva su agua antes de usaria -
This boil water advisory is not in response to the COVID-l9 pandemic.
- Esta alerta de hervir el agua no es en respuesta a la pandemia de COVID-l9. -
Due to Loss/Drop in Pressure
We routinely monitor the conditions in the drinking water distribution system . On l2/2812022we experienced a
dllrp j!-wa1q-t pt-ss,iurc_b,e_lqw 20_p:iu'lqqi _i]f pj Ls$_!ti-e due to potential broken or frozen lines. A drop in/loss of
water pressure creates conditions that could allow contamination to enter the distribution system through
backflow, by backpressure, or back-siphonage. As a result, there is an increased chance that the drinking water
may contain disease-causing organisms.
What should I do?
' DO NOT DRINK THE WATER WITHOUT BOILING IT FIRST. Bring all water to a boil. Let it
boil for one minute and let it cool before using, or use bottled water. Boiled or bottled water should be
used for drinking, making ice, brushing teeth, washing dishes, and food preparation until further
notice. Boiling kills bacteria and other organisms in the water.r You may continue to use your water to wash your hands using soap and water for at least 20 seconds. (Puede
seguir utilizando el agua para lavarse las manos usando jab6n y agua por lo menos 20 segundos.)
' Inadequately treated water may contain disease-causing organisms. These organisms include
bacteria, viruses, and parasites, which can cquse nausea, cramps, diaruhea, and associated
headaches.r The symptoms above are caused by many types of organisms. If you experience any of these symptoms
and they persist, you may want to seek medical advice. People at increased risk should seek advice
about drinking water from their health care providers.
What is being done?
Once weather permits we will inspect the well and main lines.
We will fix any repairs that are deemed necessary.
We will inform you when you no longer need to boil your water. We anticipate resolving the problem by
0613012023.
Rental properties will be responsible for giving this notice to all individuals staying within their dwelling.
For more information, please contact l,rlarrr.t !'4rk \!-atsT -!.qmpal) at [phone] or [e-mail]
Please share this information with all the other people who drink this water, especially those who may
not have received this notice directly (for example, people in apartments, nursing homes, schools, and
businesses). You can do this by posting this notice in a public place or distributing copies by hand or
mail.
This notice is being sent to you by Island Park Water Company for Valley View Subdivision.
PWS ID #:7220156. Date distributed: 11612023
900 N. Skyline Drive, Suite B
Idaho Falls, ID 83402 • (208) 528-Jess Byrne, Director
February 24, 2023
Dorothy McCarty
Island Park Water
Company 455 Constitution Way
Idaho Falls, Idaho 83402
[e-mail]
RE: CHANGE OF REGULATORY DETERMINATION FOR VALLEY VIEW SUBDIVISION –
PWS# ID7220156
Dear Dorothy,
Based on population counts, Valley View Subdivision meets the definition of a public
drinking water system as defined in Idaho Rules for Public Drinking Water Systems {IDAPA
58.01.08) currently serving twenty-three (23) connections to at least 25 of the same
persons over six (6) months per year. Effective March 1, 2023 Valley View Subdivision will
be regulated as a non-transient non-community (NTNC) Public Drinking Water System
(PWS) by the Department of Environmental Quality (DEQ).
In accordance with Idaho Rules, water quality sampling is required to ensure the water
meets Maximum Contaminant Levels (MCL). Samples must be analyzed by a laboratory
certified to perform drinking water analysis in Idaho. A list of certified laboratories is
available at: https://healthandwelfare.idaho.gov/providers/idaho-laboratories-and-
testing/drinking-water-testing- and-certification
This letter establishes the criteria Valley View Subdivision's monitoring requirements.
Monitoring criteria and frequency may decrease in the future as water quality trends are
established for the system. The following provides information on monitoring criteria:
Distribution System from Well #1 and Well #2:
Collect 1 sample per month from each distribution starting February 2023:
•Bacteria/Total Coliforms (TCR)/f.co/i
Collect 5 samples per 6 months from each distribution (First 5 samples before
June 30, 2023):
•Lead and Copper
Exhibit Z
Distribution System from Well #3:
Collect 1 sample per month from each distribution starting February 2023:
•Bacteria/Total Coliforms (TCR)/f.co/i
Collect 5 samples per 6 months from each distribution (First 5 samples before
June 30, 2023):
•Lead and Copper
Well #1 Initial Monitoring:
Collect 1 sample per quarter for 4 consecutive quarters beginning the second quarter
of 2023:
•Volatile Organic Chemicals (VOCs)
•Synthetic Chemicals {SOCs)
Additional Monitoring Starting 2023:
•Nitrate - 1 sample per year
•Nitrite -1 sample per 9 years
Collect 1 sample per 3 years starting in 2023:
•Inorganic Chemicals {IOCs) including Fluoride and Sodium
•Arsenic
Collect 1 sample per 6 months (First samples before June 30, 2023)
•Water Quality Parameters
Well #2 Initial Monitoring:
Collect 1 sample per quarter for 4 consecutive quarters beginning the second quarter
of 2023:
•Volatile Organic Chemicals (VOCs)
•Synthetic Chemicals {SOCs)
Additional Monitoring Starting 2023:
•Nitrate - 1 sample per year
•Nitrite - 1 sample per 9 years
Collect 1 sample per 3 years starting in 2023:
•Inorganic Chemicals (IOCs) including Fluoride and Sodium
•Arsenic
Collect 1 sample per 6 months (First samples before June 30, 2023)
•Water Quality Parameters
Well #3 Initial Monitoring:
Collect 1 sample per quarter for 4 consecutive quarters beginning the second quarter
of 2023:
•Volatile Organic Chemicals (VOCs)
•Synthetic Chemicals (SOCs)
Additional Monitoring Starting 2023:
•Nitrate - 1 sample per year
•Nitrite - 1 sample per 9 years
Collect 1 sample per 3 years starting in 2023:
•Inorganic Chemicals (IOCs) including Fluoride and Sodium
•Arsenic
Collect 1 sample per 6 months (First samples before June 30, 2023)
•Water Quality Parameters
Quarterly sampling results will be reviews throughout the first monitoring year.
Monitoring may be reduced after four consecutive monitoring quarters for VOCs and 2
consecutive quarters of SOCs if concentrations are none detect.
An updated monitoring schedule is available at the Public Water System Switchboard for your
review at: http://www2.deo.idaho.eov/water/monitoringschedulereport.
As a NTNC, Valley View Subdivision will be required to have a certified operator. An
operator of a public drinking water system, designated by the system owner, who
holds a valid license at a class equal to or greater than the drinking water system
classification, who is in responsible charge of the public drinking water system. Owners
of NTNC public drinking water systems must place the direct supervision of their
drinking water system, including each treatment facility and distribution system,
under the responsible charge of a properly licensed operator.
Information about certified operators is available at:
https://www.deq.idaho.gov/water- quality/drinking-water/public-water-system-
switchboard/drinking-water-operator-resources/
As a Public Water System, it is your responsibility to ensure the provided drinking
water is safe for consumers. One way this is done is a DEQ conducted sanitary
survey of the drinking water system every three to five years. Based on the
number of significant deficiencies identified in the previous sanitary survey, Valley
View Subdivision will be placed on a three-year schedule. The purpose of a sanitary
survey is to identify any deficiencies in the water system which may affect the
reliable delivery of safe drinking water to the public.
Please feel free to call me at [phone] or at [e-mail] if
you have any questions or need assistance.
Sincerely,
Kelsey Carter
Drinking Water
Analyst Idaho Falls
Regional Office
c: Cassandra Lemmons, Drinking Water Compliance and Enforcement Supervisor, DEQ
Jami Delmore, Drinking Water Analyst, DEQ
Matthew McGlynn, Drinking Water Analyst, DEQ
Troy Saffle, Regional Administrator, DEQ-IFRO
Carlin Feisthamel, Regional Engineering Manager, DEQ-IF RO
Jason Fales, Drinking Water Compliance Su pervisor, DEQ-IF RO
Travis Culbertson, Idaho Public Utilities Commission, [e-mail]
Jon Kruck, Idaho Public Utilities Commission, [e-mail]
Chris Hecht, Idaho Public Utilities Commission, [e-mail]
Chris McEwan, Idaho Public Utilities Commission, [e-mail]
Curtis Thaden, Idaho Public Utilities Commission, [e-mail]
Jolene Bossard, Idaho Public Utilities Commission, Jolene.Bossard@puc .idaho.gov
Roger Buchanan, Buchanan Well Drilling Inc., [e-mail]