&EPA United States Environmental Protection Agency S^j EPA 820-F-23-006 Freshwater Routine Sanitary Survey for Recreational Waters Apri| 2023 GENERAL INFORMATION Name of beach (if applicable): Date(s) of survey: Beach ID: Time(s) of survey: Name of waterbody: Waterbody type: Sampling station(s)/ID: Surveyor affiliation: WQX organizational ID: Name(s) of surveyor(s): Sampling location Latitude: Longit ude: Dates of swim season Start: End: QUALITY ASSURANCE I the data collected use an approved Quality Assurance Project Plan (QAPP)? yes no PART 1: WEATHER AND GENERAL WATERBODY CONDITIONS Weather Conditions Survey the weather using the method of your choice. You may use the National Weather Service as your source. Air temperature: °Cor°F Method for air temperature: (check one) ~ Liquid-in-glass therm. ~ Electronic thermometer ~ Weather app ~ Weather report: from airport or weather station? ~ Other: Dewpoint: °C or °F Method for dewpoint: (check one) ~ Weather app ~ Weather report: from airport or weather station? ~ Other: Relative Humiditv (%) Method for relative humidity: (check one) ~ Weather app ~ Weather report: from airport or weather station? ~ Other: Barometric Pressure: units: Method for barometric pressure: (check one) ~ Weather app ~ Weather report: from airport or weather station? ~ Other: Wind speed: units: Wind aust speed: units: Method for wind speed: (check ail that apply) ~ Wind vane for direction ~ Weather app ~ Wind sock for direction/speed ~ Anemometer for wind speed ~ Beaufort scale for wind speed ~ Aerovane for wind direction/speed ~ Weather report: from airport or weather station? ~ Other (specify): Wind direction: Is the wind: (check one) ~ Onshore ~ Offshore If you collected wind speed from a local weather station, how far were you from the station: mi or km How recent was the last rain event: (check one) ~ 0-24 hrs ~ 24-48 hrs ~ 48-72 hrs ~ 72+hrs Rain intensity: (check one) ~ Misting ~ Light rain ~ Moderate rain ~ Heavy rain ~ Other: Total measured rainfall: in or cm Distance to the qauqe/station when recordinq rainfall amount: mi or km Method for rainfall: (check one) ~ Rain gauge ~ Weather report ~ Weather app ~ Other (specify): Sky condition/amount of Sunny/ Mostly sunny/ Partly sunny/ Mostly cloudy/ Cloudy/ cloud cover: (circle one) No clouds 1/8 to 2/8 3/8 to 1/2 5/8 to 7/8 Total coverage Method for weather conditions: (check one) ~ Visual observations ~ Weather app ~ Other (specify): Waterbody Conditions Water flow speed: units: Method for water flow speed: (check one) ~ Stick with fishing reel with water balloon on end ~ Ball and tether ~ Other: Direction from which the wave is coming (e.g., N, SW): How tall are the waves: m or ft Is the wave height measured or estimated? (check one) ~ Measured ~ Estimated Method for measuring wave height: (check one) ~ Visual examination of wave height ~ Graduated stick and ranging pole ~ Other (specify): Is the stream bank/shoreline eroding? yes no 1 ------- &EPA United States Environmental Protection Agency S^j EPA 820-F-23-006 Freshwater Routine Sanitary Survey for Recreational Waters Apri| 2023 Width of riparian vegetation on river/stream left (looking downstream) (check one) ~ none ~ 0-25 ft ~ 25-50 ft ~ 50+ft Width of riparian vegetation on river/stream right (looking downstream) (check one) ~ none ~ 0-25 ft ~ 25-50 ft u50+ft Add additional comments for general waterbody conditions. Aquatic Organism Passage Barrier What is the outlet drop (e.g., 3.5ft) Severity of barrier debris, sediment, or rock for the structure with the least amount of debris (None, minor, moderate, severe) Location (lat/long) Description * Minor = <10% open area of structure blocked; Moderate = 10-50% open area of structure blocked; Severe = 50% open area structure blocked Take images to document aquatic organism passage barriers and provide detailed descriptions where possible: PART 2: WATER QUALITY Bacteria List bacteria samples collected at the beach. Poten ial pollution sources, if applicable, can be recorded in Part 4. Sample Point Sample Number Location (lat/long) Date & Time Parameter (enterococci, E. coli, etc.) Comments General Water Quality Water temperature: °C or °F Water color: (circle one) Clear Blue Brown Green Red Other: Method for water temperature: (check one) ~ IV ultiprobe ~ Electronic meter ~ Graduated thermometer ~ Report from local radio station ~ Report from NOAA weather band radio ~ Other: Has the water color changed since the last visit? yes no don't know If yes, take photographs and describe: Select the best description of the water smell: (circle one) None Septic Algae Sulfur Other: How did you measure turbidity? ~ Observed: (check one) ~ Clear ~ Slightly turbid ~ Opaque (check one) ~ Measured: NTU value: Secchi disc depth: What method was used to measure the turbidity of the water: (check one) ~ Simple visual observation ~ Visual test kit ~ Titrimetric test kit ~ Nephelometer/Turbidimeter ~ Other: 2 ------- AFPA EPA 820-F-23-006 '"-1 n wt3 Freshwater Routine Sanitary Survey for Recreational Waters Apri| 2023 United States Environmental Protection Agency pH:. Method for measuring pH: (check one) ~ Handheld electronic meters (specify), ~ pH strips ~ Field test kits ~ Other: Oxidation Reduction Potential(ORP): units: Method for ORP(specify): Total Dissolved Solids(TDS): units: Method for TDS(specify): Total Suspended Solids(TSS): units: Method for TSS(specify): Dissolved Oxygen(DO): units: Method for DO(specify): Dissolved Organic Carbon(DOC): units: Method for DOC(specify): Salinity: (check one) ~ 0-5 ppt ~ 5-15 ppt ~ 15-40 ppt Conductivity: units: Describe other measurements taken and report values: Additional water quality observations: PART 3: PEOPLE (number of beach users) Are there bathers or recreators (swimmers, boaters, waders, etc.) present at the beach or waterbody? yes no Total people in water: + Total people out of water: = Total people at the beach or waterbody: Total number of boats: Report activities observed at the beach or shoreline and in the water. Quan tify and take photographs, if possible. Activity (swimming, fishing, etc.) Approximate # of people participating Describe notable bather activities that could affect water quality (Example: babies in disposable diapers in the water): Method for numbers of people participating in various activities: (check one) ~ Counting by surveyor ~ Photos ~ Counting by lifeguard ~ Turnstiles ~ Other: PART 4: POTENTIAL POLLUTION SOURCES Identify visible sources of pol utants up to 500 feet from the beach or waterbody boundary. Quantify and photograph sources, if possible. Type of Source Discharge Source Name Discharge Source Amount (H, m, l) Discharge Flow Rate Discharge Volume Discharge Source Characteristics Wetland drainage Outfall/Pipe (stormwater) Leaking pit latrines/septic Runoff (impervious surfaces) Homeless encampments Other (specify): Did you collect samples and complete the Bacteria Samples section in Part 2? yes no If no, describe why not: How did you identify the source of discharge? (check one) ~ Visual observation ~ WWTP notification/report ~ Other: 3 ------- &EPA United States Environmental Protection Agency S^j EPA 820-F-23-006 Freshwater Routine Sanitary Survey for Recreational Waters Apri| 2023 How did you measure flow/velocity or volume? (check one) ~ Mechanical flow meter ~ Electric flow meter ~ USGS gauging station ~ WWTP notification/report ~ Orange (float) and stopwatch ~ Other:_ Floatables and Debris yes no Are floatables present in the water? ~ Street litter (e.g., cigarette filters) ~ Food-related litter (e.g., packaging/containers) ~ Medical items (e.g., syringes) ~ Sewage-related (e.g., tampons, condoms) If yes, select the types found: (check ail that apply) ~ Building materials (e.g., wood/siding) ~ Fishing-related (e.g., fishing line, nets, lures) ~ Household waste (e.g., household trash, plastic bags) ~ Other: Method for determining floatables presence: (check one) ~ Visual observation ~ Cleanup event results ~ Other: Is there debris or litter present on the beach or shoreline? yes no Select the amount (%) of debris/litter on the beach or shoreline: (check one) ~ None ~ Low (1 % - 20%) ~ Moderate (21%- 50%) ~ High (>50%) Select the 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) ~ 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: Method for determining debris presence: (check one) ~ Visual observation ~ Cleanup event results ~ Other: Algae Is algae present in the nearshore water, beach and/or shoreline? yes no don't know If present, document with photographs. Select the amount (%) of algae in nearshore water: (check one) ~ None ~ Low(1%-20%) Moderate (21 %—50%) ~ High (>50%) Select the amount (%) of algae on the beach or shoreline: (check one) ~ None ~ Low(1%-20%) ~ Moderate (21 %-50%) ~ High (>50%) Method for determining amount and color of algae: (check one) ~ Visual observation ~ Other (specify): Circle 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 (specify): Algae Colors: (check ail that apply) ~ Light green ~ Bright green ~ Dark green ~ Yellow ~ Brown ~ Other: Is the nearshore water discolored? yes no don't know If yes, specify the color: (check ail that apply) ~ Clear ~ Green ~ Dark red ~ Brown ~ Yellowish ~ Other: Harmful Algae Blooms Is there presence of harmful algal blooms? yes no If yes, photograph and describe: Method for identifying harmful algae blooms in nearshore water and beach: (check one) ~ Field guide or internet site for taxonomic identification ~ Other: Are there mats or scum in nearshore waters? (check ail that apply) ~ Mats-floating ~ Foam ~ Scum ~ None Are there dead fish or other dead wildlife deaths present with bloom? yes no Have any illnesses (e.g., itchy throat, cough, gastrointestinal) been reported by local or state health departments? yes no If yes, describe: Is algal toxin monitoring conducted? yes no don't know If yes, have algal toxins been detected? Have algal species been identified? yes no don't know If yes, specify the species: 4 ------- &EPA United States Environmental Protection Agency S^j EPA 820-F-23-006 Freshwater Routine Sanitary Survey for Recreational Waters Apri| 2023 Presence of Wildlife and Domestic Animals Are wildlife and domestic animals present? yes no If yes, sped y and document with photographs. Type in Air in Water at Beach Type in Water at Beach Type in Water at Beach Geese Beavers Otters Gulls Deer Raccoons Shorebirds Dogs Rodents Ducks Frogs Snakes Pigeons Horses Toads Other Iguanas Turtles Other Mongooses Other Is scat (animal poop) present? yes no If yes, how many piles? Method for determining presence of wildlife and domestic animals: (check one) ~ Counting using hand-held counter and if necessary, binoculars ~ Other (specify):. Are dead birds found on the Deach? yes no If yes, specify the number and species of ead birds found on t ie beach Type # Dead Type # Dead Type # Dead Type # Dead Common loons Black-crowned night-heron Long-tailed ducks Ospreys Herring gulls Double crested cormorants Horned grebes Common tern Ring-billed gulls White winged scoters Snowy egrets Belted kingfisher Mallard ducks Red-necked grebes Great blue herons Other: Method for determining the number of dead birds: (check one) ~ Counting using hand-held counter and if necessary, binoculars ~ Other(specify): Method for identifying dead birds: (check one) ~ Field guide or internet site for taxonomic identification ~ Other(specify): Are dead fish found in the waterbody, on the beach or along the shoreline? yes no If yes, specify the number of dead fish found on the beach or in/at the waterbody and take photographs: Method for determining the number of dead fish: (check one) ~ Visual observation ~ Other (specify): Additional comments or observations on pollution sources, algae, or animals. Describe any photos taken. 5 ------- |