Or EPA
~
United States
Environmental Protection
Agency
Marine Annual Sanitary Survey for Recreational Waters
EPA 820-F-20-006
March 2021
PART 1: BASIC INFORMATION
Name of beach:
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):
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:
Beach uses: (circle ail that apply) Swimming Boating Fishing Surfing Windsurfing Diving Other (specify):
Are maps of the beach 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

Weather stations, rain/flow gauges
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

Hydrometric network*
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

Shellfish-growing areas
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

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Or EPA
~
United States
Environmental Protection
Agency
Marine Annual Sanitary Survey for Recreational Waters
EPA 820-F-20-006
March 2021
Erosion/Accretion Measurements (as needed)
Is there erosion/accretion at the beach? 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 at the beach (include relevant studies and their sources, if available):
Beach Materials/Sediments
Beach materials that apply or report beach materials/sediment lab analysis conducted below: (check ail that apply).
~	Sugar sand	~ Coarse sand ~ Sand/Shell mix ~ Pebbles ~ Shell
~	Fine sand	~ Wet sand	~ 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 here:
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 analysis
Describe the results and conclusion of the sediment analysis and potential effects of the sediment distribution at this beach:
2

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VvFPA	W*	EPA 820-F-20-006
w"dC2s	ife Marine Annual Sanitary Survey for Recreational Waters	March 2021
Environmental Protection
Agency
Shellfish Growing Area
Describe any shellfish-growing areas near the beach, including size, distance from the swimming area, condition, issues, and results of any
recent shellfish sanitary surveys (include any relevant data or reports and cite sources):
Photos Taken in the Beach 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 beach: (check ail that apply)
~	Dunes	~ River/Stream ~ Urban/Boardwalk	~ Park
~	Wetlands	~ Forest	~ Protected habitat or reserve ~ Parking
PART 4: WEATHER CONDITIONS AND PHYSICAL CHARACTERISTICS
Weather Conditions
Examine the weather data (at the beach) collected over the prior beach season(s) along with bacteria sampling results. Do the bacteria
concentrations at this beach appear to correlate with any of the following? (circle yes/no and include the rvalue 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:
Other weather condition
yes
no
Describe:
Physical Characteristics
Do the bacteria concentrations at this beach ap
oear to correlate with any Of the following? (circle yes/no and include the rvalue if calculated)
Wave height or intensity
yes
no
Describe:
Tide stage
yes
no
Describe:
Longshore current
yes
no
Describe:
Other physical characteristics
yes
no
Describe:
Have any statistical analyses been done to calculate the degree of correlation? yes no If yes, describe:
Average air temperature during beach season
C or F
Averaqe water temperature durinq beach season: C or F
Average air temperature in the following
seasons (for beaches open more than 3-4 months):
Spring CorF
Summer C or F
Fall C or F
Winter C or F
Average water temperature in the following
seasons (for beaches open more than 3-4 months):
Spring CorF
Summer C or F
Fall C or F
Winter orF
Averaqe wind speed durina beach season (mch or km/h):
Averaqe wind direction durinq beach season:
3

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Or EPA
~
United States
Environmental Protection
Agency
Marine Annual Sanitary Survey for Recreational Waters
EPA 820-F-20-006
March 2021
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

Average rainfall for all beach seasons (in/cm):
Number of significant rain events during beach season:
What constitutes "significant?" (significant may include intensity and duration; e.g., 1 inch in 6 or fewer hours):
Significant Events: Describe any tropical storms or hurricanes that occurred (dates, magnitude, storm surge height, proximity to beach) and their effects
on the beach:
Trend Analysis: Describe any analyses done and any trends or correlations found (add lines if needed to describe in detail):
What is the prevailing wind speed (mph or km/hr):	 What is the prevailing wind direction:.
How does the prevailing wind blow (circle one): from beach to water from water to beach across beach-sand interface (sideways)
Describe any effects the prevailing winds have on bacteria concentrations at the beach:
Describe the typical wave conditions during the beach season and how those conditions affect bacteria concentrations:
Tides
Tidal extent: Mean high:
Mean low:
How does tidal flow manifest itself?
Do the tides create a cross-current?
Do tidal rivers or streams discharge near the beach? yes
swimming area, and so forth?
no If yes, describe flow, tidal influence, salinity, proximity to
Describe the relationship of tidal flow to known point or nonpoint pollution sources:
Tidal Pools
Describe the type of tide pools, if found, at this beach:
Are tide pools common at this beach?
yes no

How many pools are typically seen?
Enter the average size of the tide pool:
ft/m

Duration pools remained filled:
units:
Are samples collected from tide pools?
yes
no
If yes, describe:

Do children frequently play in the tide pools? yes no If yes, describe:
What is the highest speed of longshore or nearshore currents? (mph or km/hr)
What is the typical direction of longshore or nearshore currents (circle one)? N NE E SE S SW W NW
4

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_e,FRA	Wy.	EPA 820-F-20-006
w"dC2s	ife Marine Annual Sanitary Survey for Recreational Waters	March 2021
Environmental Protection
Agency
Do currents change with tidal phases? yes no Describe:
Do the currents carry effluents from wastewater treatment plants, combined sewer overflows, or other dischargers? yes no
Provide any additional characterization of longshore or nearshore currents, including modeling results if available (cite any relevant reports):
We recommend documenting conditions with photographs wherever possible.
Additional comments or observations about weather conditions & physical characteristics:
PART 5: BEACH DIMENSIONS
Beach length or dimensions (indicate Z1, Z2, and Z3 on a map for each beach area)
Total beach length (ft/m):
Average beach width (average setback, my.
Width Z1 {my.
Width Z2 (ft/m):
Width Z3 (ft/m):
Which direction does the beach face (circle one)? N NE E SE S SW W NW
Describe the splash zone at the beach (include sediment makeup, rate of erosion, presence of seaweed wrack):
Description and date Of last beach rehabilitation (example: new sand, nourishment, dredging, etc. physical structures will be described in Parts 13 and 14)
Additional comments or observations:
PART 6: PEOPLE (number of beach users)	
Is the number of people measured? yes no If yes, describe how beachgoer numbers are calculated (e.g., turnstile, counting at noon, photographs):
Beach Use
Beachgoer Category
Number of People Per Day Using the Beach (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 the 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):
5

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_e,FRA	Wy.	EPA 820-F-20-006
w"dC2s	ife Marine Annual Sanitary Survey for Recreational Waters	March 2021
Environmental Protection
Agency
Examine people data along with sampling results for the past beach season(s). Look at each sampling point or different area of the beach
(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):
We recommend taking photographs and provide descriptions
Additional comments or observations:
PART 7: BEACH 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 ail that apply)
~	Street litter (e.g., cigarette filters)	~ Building materials (e.g., wood/siding)
~	Food-related litter (e.g., packaging/containers)	~ Fishing-related (e.g., fishing line, nets, lures)
~	Medical items (e.g., syringes)	~ Household waste (e.g., household trash, plastic bags)
~	Sewage-related (e.g., tampons, condoms)	~ Other:		
How often is beach debris/litter found on the beach? (circle one) Never Sometimes Frequently Very Frequently
Describe known sources of debris:
Select all types of debris found: (check ail 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: 	
6

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Or EPA
~
United States
Environmental Protection
Agency
Marine Annual Sanitary Survey for Recreational Waters
EPA 820-F-20-006
March 2021
PART 8: INFORMATION ON SAMPLING LOCATION
Description Of Sample Points (include beach water and potential pollution sources and take photos when possible):
Sample Point
Name/ID
Location
(include lat/long)
Description
Sample
Frequency
(daily, weekly,
monthly)
Time of Day of
Sample
Collection
Tidal Stage during
Sample Collection
(high, ebb, low, flood, etc)










































Are any of the sample locations near a possible pollution source? yes no If yes, describe:
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
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
Algae
Have algae been observed on the beach? yes no If yes, take photographs to document algae presence.
Percent of beach 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 beach season where macroalgae was present in significant amounts on the beach: (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 beach? yes
no
If yes, describe occurrences:
Harmful Algae Blooms
Harmful Algal Bloom O
Dservations (include beach water and potential pollution sources and take photographs to document HABS):
HABs Date
HABs Duration
(in days, weeks, etc.)
HABs Species
Effects




















7

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_e,FRA	Wy.	EPA 820-F-20-006
w"dC2s	ife Marine Annual Sanitary Survey for Recreational Waters	March 2021
Environmental Protection
Agency
Were any dangerous aquatic organisms found at the beach? yes no If yes, describe:
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



Shorebirds



Ducks



Pigeons



Turtles



Dogs



Horses



Rodents (specify)



Other (specify)



Describe any wildlife management areas near the beach:
Were significant numbers of dead birds found on the beach during beach season? yes no
Describe types, numbers found, and possible causes (take photos):
Were significant numbers of dead fish found on the beach during beach season? yes no
Describe types, numbers found, and possible causes (take photos):
Beach Samples Collected
Sampling collector (job title, agency):
Sampling frequency (daily, weekly, monthly):
Sampling time:
Is the sampling time tide-dependent? yes no
What year did you begin monitoring:
Explain:
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 bacteria results correlate to other parameters, such as water quality, weather, flow, tidal stage, wind, longshore currents,
people load, or algae? yes no	
Describe in detail analyses that were performed on the water quality data (add additional lines/pages as needed or attach separate report):
Did you collect bacteria samples from any potential pollution sources (streams or outfalls?) yes no
8

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Or EPA
~
United States
Environmental Protection
Agency
Marine Annual Sanitary Survey for Recreational Waters
EPA 820-F-20-006
March 2021
Water Quality
Check all that are measured regularly
~	Temperature
~	pH	
~	Rainfall
~	Turbidity
~	Conductivity
~	Salinity
~	TSS
~	DO
~ Other (specify):
Describe where water quality measurements are taken:
What is the trend in water quality dataimproving, deteriorating, or about the same?
Examine the water quality data collected over the prior beach season. Do the bacteria concentrations at this beach appear to correlate with
any Of the following? (Circle yes/no and include the r value if calculated)
Temperature yes no
Describe

pH yes no
Describe

Rainfall yes no
Describe

Turbidity yes no
Describe

Conductivity yes no
Describe

Salinity yes no
Describe

DO yes no
Describe

TSS yes no
Describe

Other: yes no
Describe

What factor (from 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)
Are there any unusual results such as extremely high or low values detected, or unusual trends? yes no
If yes, explain:	
Are water quality annual trend data attached? yes no
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 beach? yes no
If yes, describe the results and cite any reports:
Additional comments or observations:
9

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VvFPA	W*	EPA 820-F-20-006
w"dC2s	ife Marine Annual Sanitary Survey for Recreational Waters	March 2021
Environmental Protection
Agency
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 (STV) or Beach Action
Value (BAV)?
Reason for Advisory or Closing or
Possible Contributing Factors




























































Total number of days under an advisory:
Total number of days beach was closed:
Criteria used to issue advisory or close beach:
Additional comments or observations:
Total number of closings issued: _
Total number of advisories issued:
PART 12: POTENTIAL POLLUTION SOU
RCES (take photographs to document pollution sources)
Type of Source
Level of
Concern
(H,M,L, or NA)
Distance
to Beach
(mi or km)
Latitude/
Longitude*
Does this source
directly affect beach
water quality (Y or N)?
Describe how this source might contribute to
water pollution and frequency of contribution
Wastewater discharges





POTW outfalls





Overboard discharges





Other:





Other:





Sewage overflows





Septic systems





Cesspools





Stormwater outfalls





Drains and pipes nearby





Stream or wetland drainage





Urban runoff, industrial waste





Natural outfalls





CAFOsorAFOs





Wildlife (general)





Wildlife (significant areas)





10

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VvFPA	W	.	EPA 820-F-20-006
United States	Marine Annual Sanitary Survey for Recreational Waters	March 2021
Environmental Protection
Agency
table continued
Type of Source
Level of
Concern
(H,M,L, or NA)
Distance
to Beach
(mi or km)
Latitude/
Longitude*
Does this source
directly affect beach
water quality (Y or N)?
Describe how this source might contribute to
beach pollution and frequency of contribution
Agriculture runoff





Land application of biosolids
and manure





Marinas/Harbors





Mooring boats





Domestic animals





Unsewered areas





Erosion-prone areas





Landfills/Open dumps





Groundwater seepage





Bathhouse leakage





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 beach, 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 beach 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:
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:
Are there any discharge reports available for dischargers near this beach? 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:
11

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Or EPA
~
United States
Environmental Protection
Agency
Marine Annual Sanitary Survey for Recreational Waters
EPA 820-F-20-006
March 2021
PART 13: DESCRIPTION OF SANITARY FACILITIES
Bathhouses and Bathrooms
Total number of bathhouses and portable sanitation units (PSUs) at the beach:
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 beach use.
Total number of trash cans at the beach:
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 beach use:
PART 14: DESCRIPTION OF OTHER FACILITIES
List and, if possible, photograph facilities in the beach area, such as marinas, restaurants, bars, playgrounds, parking lots, and dog parks:
Facility Name/Type
Location
Condition
(good, fair, poor)
Distance from
Beach (ft/m)
What is the sewage disposal
method used (if applicable)?
How might this facility contribute to
water quality problems?




































Are there boat pump-outs nearby? yes no If yes, describe:
Additional comments or observations:
12

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