Or EPA United States Environmental Protection Agency m ~ EPA 820-F-20-005 Freshwater Annual Sanitary Survey for Recreational Waters March 2021 PART 1: BASIC INFORMATION Name of beach (if applicable): Date(s) of survey: Beach ID: Time(s) of survey: City/County/State: Name of waterbody: Sampling station(s)/ID: Number of routine surveys used: WQX organizational ID: Name(s) of surveyor(s): Waterbody type: Surveyor affiliation: Sampling location Latitude: Longitude: Dates of swim season Start: End: PART 2: QUALITY ASSURANCE I the data collected use an approved Quality Assurance Project Plan (QAPP)? yes no PART 3: DESCRIPTION OF LAND USE IN THE WATERSHED Current Land Use in the Watershed Type Residential Industrial Commercial Agricultural Other (specify): Percentage % Impervious Development % Undeveloped: Describe: % Developed: Describe: How was land use measured: Waterbody uses: (circle ail that apply) Boating Fishing Surfing Windsurfing Diving Other (specify): Are maps of the swimming area attached? yes no Are maps of the watershed attached? yes no List maps and their sources: Do the maps include locations of the following key features: (circle yes/no). We recommend taking photographs to document structures. Sample points yes no Describe Hydrometric network* yes no Describe Pollutant sources yes no Describe Boat traffic yes no Describe Marinas yes no Describe Boat dockage yes no Describe Fishing yes no Describe Bathing/swimming yes no Describe Do the maps include locations of the following bounding structures (circle yes/no): Jetty yes no Describe Groin yes no Describe Seawall/bulkhead yes no Describe Other bounding structure yes no Describe Sanitary facilities yes no Describe Restaurants/bars yes no Describe Playgrounds yes no Describe Parking lots yes no Describe Other relevant locations yes no Describe 'This is a network of monitoring stations that collect data such as rainfall and stream flow 1 ------- Or EPA United States Environmental Protection Agency m ~ EPA 820-F-20-005 Freshwater Annual Sanitary Survey for Recreational Waters March 2021 Erosion/Accretion Measurements (as needed) Is there erosion/accretion at the shoreline? yes no Are the high watermark location measurements needed? yes no High Watermark Location Identification Fixed Object Description (e.g., tree, building) GPS Reading Distance from Fixed Object to High Watermark (ft/m) Distance between High Watermark Locations (ft/m) A A~B: B B<->C: C C<->D: D (optional) D~E: E (optional) Are there shoreline hardening and circulation control structures? yes no If yes, describe below: Structure Number Description or Comment (include linear extent and width) Jetty Groin Seawall Natural formation Pier Other (specify): Discuss whether shoreline hardening or circulation control structures are likely to affect water quality circulation and thus bacteria concentrations in the water (list relevant studies and their sources, if available): Beach materials that apply or report beach materials/sediment lab analysis conducted below: (check ail that apply) ~ Sandy ~ Mucky ~ Rocky ~ Other (specify): Additional description of beach materials/sediment, if needed: OR Beach Materials/Sediments Lab Analysis (use a map or photographs to document plot locations) Were beach materials/sediments sampled and analyzed? yes no If yes, detail in this section Name of lab used: Date of sample collection: Plot ID Mean Grain Size Diameter** (mm/in) Uniformity Coefficient Description of Plot Location Average Total number of samples: "Report results from the lab Describe the results and conclusion of the sediment analysis and potential effects of the sediment distribution at this beach: 2 ------- Or EPA United States Environmental Protection Agency m ~ EPA 820-F-20-005 Freshwater Annual Sanitary Survey for Recreational Waters March 2021 Photos Taken in the Swimming Area or Surrounding Watershed (attach copies of photos) Image Number Date/Time File Name Description of Photo (e.g., Land Use, High Watermark, Fixed Objects, Pollution Sources, Tide Pools) Habitat around the swim area: (check ail that apply) ~ Dunes ~ River/Stream ~ Urban/Boardwalk ~ Park ~ Other (specify): ~ Wetlands ~ Forest ~ Protected habitat or reserve ~ Parking PART 4: WEATHER CONDITIONS AND PHYSICAL CHARACTERISTICS Weather Conditions and Physical Characteristics Examine the weather data collected over the prior swim season(s) along with bacteria sampling results. Do the bacteria concentrations at this swimming location appear to correlate with any of the following? (circle yes/no and include the r value if calculated) Rainfall yes no Describe Air temperature yes no Describe Water temperature yes no Describe Cloud cover yes no Describe Wind speed yes no Describe Wind direction yes no Describe Wave direction yes no Describe Wave height or intensity yes no Describe Stream flow yes no Describe Other weather yes no Describe Have any statistical analyses been done to calcu ate the degree of correlation? yes no If yes, describe: Average air temperature during swim season °C or °F Averaqe water temperature durinq swim season: °C or °F Average wind speed during swim season: (mph or km/h) Averaqe wind direction durinq swim season: Typical weather condition (circle one): Total rainfall (in/cm) Spring: Sunny Mostly Sunny Partly Cloudy Mostly Cloudy Overcast Rainy Summer: Sunny Mostly Sunny Partly Cloudy Mostly Cloudy Overcast Rainy Fall: Sunny Mostly Sunny Partly Cloudy Mostly Cloudy Overcast Rainy Winter: Sunny Mostly Sunny Partly Cloudy Mostly Cloudy Overcast Rainy Total rainfall for the swim season: in/cm) Does rainfall intensity correlate with bacteria sample results? yes no Averaqe rainfall for the swim season: (in/cm) If yes, explain: Number of significant rain events during swim season: What constitutes "significant?" (significant may include intensity and duration; e.g., 1 inch in 6 or fewer hours): Additional comments/observations: 3 ------- Or EPA United States Environmental Protection Agency Freshwater Annual Sanitary Survey for Recreational Waters EPA 820-F-20-005 March 2021 PART 5: BEACH/SHORELINE DIMENSIONS Draw and annotate a printed map to detail beach/shoreline dimensions and key structures. Beach/shoreline length or dimensions (indicate Z1, Z2, and Z3 on a map for each beach area) Total beach/shoreline length (ft/m): Average beach/shoreline width (average setback, ft/m): Width Z1 (ft/m): Width Z2 (ft/m): Width Z3 (ft/m): Local water level variation: ftorm Hydrographic influence (e.g., seiches): Characterize any longshore or nearshore currents and their potential effects based on bacteria sampling results: Approximate beach/shoreline slope at the swimming area (%): Describe the splash zone at the beach/shoreline (include sediment makeup, rate of erosion, presence of seaweed wrack): Description and date Of last beach/shoreline rehabilitation (examples: new sand, nourishment, dredging; physical structures will be described in Parts 13 and 14): Additional comments or observations: PART 6: People Is the number of people measured? yes no If yes, describe how number of people are calculated (e.g., turnstile, counting at noon, photographs): Numbers and Activities Location of People Number of People Per Day Using the Swim Area (Daily use) Peak Use for the Season Seasonal Average Holiday Average Weekend Average Weekday Average Off-Season Average (if applicable) Total people in the water Total people out of water Total people Breakdown Of Activities (if activities were broken down on the Routine-Onsite Sanitary Survey, summarize them here) Activ ty 1 Activ ty 2 Activ ty 3 Activ ty 4 Activ ty 5 Activ ty 6 Frequency of measurements (e.g., daily, weekly, monthly): Examine people data along with sampling results for the past swim season(s). Look at each sampling point or different area of the beach or shoreline (light use versus heavy use). Does the number of people appear to correlate with bacteria concentrations at any of these areas? Does the number of people in the water or out of the water correlate with bacteria concentrations? Describe statistical analysis that has been done, (add additional pages as needed, or attach a separate report if available): Take any relevant photographs and provide additional comments or observations: 4 ------- _e,FRA EPA 820-F-20-005 v,¦, ^ ife Freshwater Annual Sanitary Survey for Recreational Waters March 2021 United States Environmental Protection Agency PART 7: BEACH/SHORELINE CLEANING Description Of Cleanup Activities (circle activities that were done, specify frequency and equipment used) Activity Frequency Equipment Used Activity Frequency Equipment Used Leveling sand Removing trash Removing debris Other: Trimming or removing vegetation Construct/Maintain a temporary pathway directly to open water How often are floatables found in the water? (circle one) Never Sometimes Frequently Very frequently Describe known sources of floatables: Select all types of floatables found: (check all that apply) ~ Street litter (e.g., cigarette filters) ~ Food-related litter (e.g., packaging/containers) ~ Medical items (e.g., syringes) ~ Sewage-related (e.g., tampons, condoms) ~ Building materials (e.g., wood/siding) ~ Fishing-related (e.g., fishing line, nets, lures) ~ Household waste (e.g., household trash, plastic bags) ~ Other: How often is beach debris/litter found on the beach or shoreline? (circle one) Never Sometimes Frequently Very Frequently Describe known sources of debris: Select all types of debris found: (check all that apply) ~ Street litter (e.g., cigarette filters) ~ Food-related litter (e.g., packaging/containers) ~ Medical items (e.g., syringes) ~ Sewage-related (e.g., tampons, condoms) ~ Natural debris (e.g., driftwood, algae) ~ Building materials (e.g., wood/siding) Additional comments or observations: ~ Fishing-related (e.g., fishing line, nets, lures) ~ Household waste (e.g., household trash, plastic bags) ~ Tar/Oil (e.g., tar balls) ~ Oil/Grease (e.g., oil slick) ~ Other: PART 8: INFORMATION ON SAMPLING LOCATION Description of Sample Points (include points for recreational area water & potential pollution sources. We recommend taking photos to document location): Sample Point Name/ID Location (include lat/long) Sample Point Description Sample Frequency (daily, weekly, monthly) Time of Day of Sample Collection Tidal Stage During Sample Collection Is the sampling tide dependent? yes no Are any of the sample locations near a possible pollution source? yes no If yes, describe: 5 ------- _e,FRA EPA 820-F-20-005 v,¦, ^ ife Freshwater Annual Sanitary Survey for Recreational Waters March 2021 United States Environmental Protection Agency Description Of hydrometric network (note that this is a network of monitoring stations that collect data such as rainfall and stream flow): Additional comments or observations: PART 9: WATER QUALITY SAMPLING Name of laboratory: Distance to laboratory:. mi km (circle one) Sample travel time: minutes (What is the time between sample collection and sample arrival at the lab?) Is there a sampling and analysis plan? yes no Is it adequate? yes no If no, explain Are the sampling staff property trained on sampling techniques, equipment maintenance, and calibration procedures? yes no Were invasive/nonnative species present? yes no If yes, take photographs to document presence List any infectious snails that were found: List any dangerous aquatic organisms that were found: Have algae been observed on the beach or shoreline? yes no If yes, take photographs to document algae presence Percent of swim season when macroalgae were present in significant amounts in the nearshore water: (circle one) None Low (1 %—20%) Moderate (21 %-50%) High (> 50%) Percent of swim season where macroalgae was present in significant amounts on the beach or shoreline: (circle one) None Low (1 %—20%) Moderate (21 %-50%) High (> 50%) Identify the types of algae found: (check all that apply) ~ Periphyton (attached to rocks, stringy) ~ Globular (blobs of floating material) ~ Free floating (no obvious mass of materials) ~ Other: Algae colors: (circle ail that apply) Light Green Bright Green Dark Green Yellow Brown Other: Are microalgae commonly found at this location? yes no If yes, describe occurrences: Harmful Algae Blooms Harmful Algal Bloom 0 oservations (include water and potential pollution sources): HABs Date HABs Duration (in days, weeks, etc) HABs Species Effects Take photos and provide any additional descriptions: Presence of Wildlife and Domestic Animals Type Degree of Presence (high medium low) Does this presence appear to correlate with bacterial results? (yes/no) Do people feed waterfowl? Is there any management of pet waste? Are fecal droppings frequently seen? Are there ways to reduce the presence or effects of these wild and domestic animals? Geese Gulls Dogs Other (specify) 6 ------- _e,FRA EPA 820-F-20-005 v,¦, ^ ife Freshwater Annual Sanitary Survey for Recreational Waters March 2021 United States Environmental Protection Agency Were significant numbers of dead birds found on the beach or shoreline during swim season? yes no If yes, describe types, numbers found, and possible causes (take photos): Were significant numbers of dead fish found on the beach or shoreline during swim season? yes no If yes, describe types, numbers found, and possible causes (take photos): Bacteria Samples Collected Sampling collector (job title, agency): Sampling frequency (daily, weekly, monthly): Sampling time: What year did you begin monitoring: Did you test for: (circle yes/no) Enterococcus ? yes no Analytical method used: Escherichia coli ? yes no Analytical method used: Fecal coliform? yes no Analytical method used: Additional bacteria? yes no List names and analytical method used: Do you composite any bacteria samples? yes no If yes, explain: How do this past season's bacteria results compare to those of previous years? Do the bacterial results correlate to other parameters, such as water quality, weather flow, people load, algae, or wildlife? yes no Describe in detail analyses that were performed on the water quality data (add additional lines/pages as needed or reference a separate report): , . . ~ Temperature ~ Rainfall ~ Conductivity Check all that are measured regularly .. T ,.... ~ pH ~Turbidity ~ Other (specify): Describe where water quality measurements are taken: How does the water quality data compare to data from previous years? Do any data correlate to bacteria sample results? yes no Examine the water quality data collected over the prior swim season. Do the bacteria concentrations at this swim location appear to correlate with any Of the following? (circle yes/no and include the rvalue if calculated.) Temperature yes no Describe pH yes no Describe Rainfall yes no Describe Turbidity yes no Describe Conductivity yes no Describe Other: yes no Describe What factor (from the list above appears to have the greatest effect on bacteria levels in the water? Describe effect, (add lines or pages as needed or attach a separate report if available) What is the trend in water quality? (circle one) Improving Deteriorating About the same 7 ------- _e,FRA EPA 820-F-20-005 v,¦, ^ ife Freshwater Annual Sanitary Survey for Recreational Waters March 2021 United States Environmental Protection Agency Were there any unusual results, such as extremely high or low values detected, or unusual trends? yes no If yes, explain what was found and any potential causes: Can you link to any water quality annual trend? yes no If yes, provide a link to the data: Do you sample during adverse (e.g., wet-weather) conditions? yes no Additional comments or observations: PART 10: MODELING AND OTHER STUDIES Are models being used? yes no If yes, list types of models being used and briefly describe the models: Have you tested for stormwater cross-connections in the sanitary sewer? yes no If yes, describe results: Have you tested for human sources of contamination? yes no If yes, describe the results: Have you performed visual screening to isolate discharge areas during dry and wet weather? yes no If yes, describe the results: Has microbial source tracking been done at this location? yes no If yes, describe the results and cite any reports: Additional comments or observations: PART 11: ADVISORIES/CLOSINGS List any advisories and closings that occurred, whether bacteria levels were high, and any possible reasons for the advisory or closing or high bacteria level, such as stormwater runoff, sewage spill, or wildlife. Advisory or Closing (specify one) Start and End Dates Length of Advisory or Closing (Days) Did Bacteria Concentrations Exceed Statistical Threshold Value or Beach Action Value? Reason for Advisory or Closing or Possible Contributing Factors 8 ------- EPA 820-F-20-005 Sanitary Survey for Recreational Waters March 2021 Total number of days under an advisory: Total number of days swim area was closed: Criteria used to issue advisory or close swim area: Additional comments or observations: PART 12: POTENTIAL POLLUTION SOURCES (take photographs to document pollution) Type of Source Level of Concern (H,M,L, or NA) Distance to Swim Area (mi or km) Latitude/ Longitude* Does this source directly affect water quality (Y or N)? Describe how this source might contribute to water pollution & frequency of contribution Wastewater discharges Sewage overflows Septic systems Subsurface sewage disposal Stormwater outfalls Natural outfalls CAFOsorAFOs Wildlife Agriculture runoff Urban runoff, industrial waste Marinas/Harbors Mooring boats Domestic animals Unsewered areas Erosion-prone areas Landfills/Open dumps Groundwater seepage Drains and pipes nearby Stream or Wetland drainage Vacant areas Homeless encampment Other (specify): Other (specify): Other (specify): *lf latitude and longitude are unknown, show the location on the detailed map and describe in the additional comments or observations section below. Have potential pollution sources identified above been included on the detailed map? yes no If yes, describe: Given your understanding of the swimming location, which fecal pollution sources are most likely to affect the levels of bacteria in the water? If you have specific concerns about any of the fecal pollution sources as sources of specific pathogens, please describe: Has this swim area been associated with the following? (check ail that apply) ~ Cases of swimmer's itch ~ Outbreaks of diarrheal diseases ~ High incidence of skin infection ~ Other adverse health outcomes ~ Other: If any are checked above, please describe: £rFPA United States Freshwater Annual Environmental Protection Agency Total number of closings issued: _ Total number of advisories issued: 9 ------- Or EPA United States Environmental Protection Agency m ~ EPA 820-F-20-005 Freshwater Annual Sanitary Survey for Recreational Waters March 2021 Has a TMDL for bacteria been done on this waterbody or on any that discharge to it? yes no If yes, summarize the results and attach report: Did you collect bacteria samples from any potential pollution sources such as streams or outfalls? yes no Are there any discharge reports available for dischargers near this swim area? yes no If yes, attach report or pertinent sections and summarize here, including permit limits for bacteria: Have any sources been remediated or have steps been taken to remediate sources? yes no If yes, describe: Additional comments or observations: PART 13: DESCRIPTION OF SANITARY FACILITIES Bathhouses and Bathrooms Total number of bathhouses and por table sanitation units (PSUs) at the swim area: Number or ID Type (bathhouse or PSU) Location Condition (good, fair, poor) Distance from Waterline (tt/m) Frequency of Cleaning (Daily, weekly, monthly) How are the sanitary wastes handled? (check ail that apply) ~ Public sewers ~ On-site treatment ~ Septic field ~ Pump-out ~ Other: Detail the number of toilets, showers, sinks, etc., and whether these facilities are adequate to support recreational use: Trash Cans Total number of trash cans at the swim area: Bin Number or ID Location Condition (good, fair, or poor) Distance from Waterline (ft/m) Frequency of Emptying (daily, weekly, monthly) Describe further, including whether number and location of trash cans are adequate to support recreational use: 10 ------- Or EPA United States Environmental Protection Agency m ~ EPA 820-F-20-005 Freshwater Annual Sanitary Survey for Recreational Waters March 2021 PART 14: DESCRIPTION OF OTHER FACILITIES List and, if possible, photograph, facilities in the nearby area, such as marinas, restaurants, bars, playgrounds, parking lots, etc.: Facility Name/Type Location Condition (good, fair, poor) Distance from Swim Area (ft/m) How might this facility contribute to water quality problems? Are there boat pump-outs nearby? yes no If yes, describe: Additional comments or observations: 11 ------- |