2024 LeadTesting Well Plumbing.pdf

USDA – FOREST SERVICE – OTTAWA NATIONAL FOREST

2024 KENTON RANGER DISTRICT ADMIN SITE – LEAD TESTING + WELL PLUMBING PROJECT

I. Project: 2024 Kenton Ranger District Admin Site – Lead Testing + Well Plumbing Project

II. Requesting Forest: Ottawa National Forest

E6248 US-2

Ironwood, MI 49938

Phone: 1-906-932-1330 Fax: 1-906-932-0122 Website: https://www.fs.usda.gov/ottawa

III. Government Project Leader: Eric R. Johnson, Civil / Facilities Engineer

E6248 US-2

Ironwood, MI 49938 Phone: 1-906-285-6898 Fax: 1-906-932-0122 E-mail: eric.r.johnson@usda.gov

IV. Description of Services:

The Ottawa National Forest is soliciting a request for and completing the following:

A. A State of Michigan certified and licensed well driller to:

a. Mobilize to the Kenton Ranger District Administrative Site in Kenton, Michigan 49967.

b. Turn the power to well / well pump on and off as needed to safely perform the tasks below.

i. Follow all applicable and salient OSHA requirements.

c. Remove the existing drop-pipe, check-valve and well pump from the well,

d. Temporarily install contractor furnished peristaltic pump into the drinking water well as deep as the approximate pump depth (or deeper if able) for water samples acquisition by Forest Service (FS) personnel:

i. A contract authorized Forest Service staff person(s) will acquire the well water samples via the contractor installed peristaltic pump with aid from the contractor (i.e. for operating the peristaltic pump to acquire the water samples, etc.).

e. Remove the temporarily installed peristaltic pump from the well.

f. Reinstall the existing well pump, drop-pipe, check-valve.

g. Flush the well for 30-minutes (to waste).

h. Remove the existing drop-pipe, check-valve and well pump from the well,

i. Temporarily reinstall contractor furnished peristaltic pump into the drinking water well as deep as the approximate pump depth (or deeper if able) for water samples acquisition:

i. A contract authorized Forest Service staff person(s) will acquire the well water samples via the contractor installed peristaltic pump with aid from the contractor (i.e. for operating the peristaltic pump to acquire the water samples, etc.).

j. Remove the temporarily installed peristaltic pump from the well.

k. Replace the drop-pipe (and associated fittings) with schedule 80 PVC drop-pipe (including fittings and other appurtenances) for a complete job.

https://www.fs.usda.gov/ottawa mailto:eric.r.johnson@usda.gov

i. Comply with NSF 61 standards as applicable and salient.

l. Replace the check-valve with certified “no Lead” check-valve that meets or exceeds the other qualities (i.e. pressures, flow, etc.) of the existing check-valve.

i. Comply with NSF 61 standards as applicable and salient.

m. Replace the existing well pump with a new Myers submersible well pump matching the quality (when the existing well pump was newly purchased & installed) and characteristics (i.e. flow rate, inlet size, maximum head, horsepower, type, etc.) of the existing well pump:

i. F.E. Myers

ii. Model: J1525P-13 (or J1525P-B)

iii. 25-GPM

iv. 1.5HP

v. Discharge Height same as existing

vi. Verify actual in-field

vii. Depth same as existing

viii. Verify actual in-field

ix. Outlet size (probably 1.25” diameter drop-pipe)

1) Verify before installing new.

x. Be prepared for installing larger or smaller schedule 80 PVC drop-pipe diameters, fittings, and associated plumbing appurtenances (i.e. check-valve, etc.).

n. It isn’t anticipated that the FS will salvage any of the materials, supplies or equipment, and thus becomes the property of the contractor.

i. Remove from FS property, and, if disposing, do so in accordance with the laws, regulations, standards, and codes of jurisdictions having authority (for Lead, etc.).

o. Upon completion of working within the “Well”, as necessary, applicable and salient, properly chlorinate (as required by standards, regulations, and codes) and flush the “Well” to comply with all requirements (code, standards, laws, regulations).

p. Excavate (in grass / non-paved locations only; do not disturb or damage paved areas) down to the existing water service lines for the Administrative Office building, and the Warehouse garage to verify (and document; i.e. photos, etc.) the materials of the existing water service lines.

i. A contract authorized Forest Service staff person will determine the excavation locations.

ii. After verification and documentation of pipe materials, backfill with sand near / around pipes (pipe bedding), compact, backfill excavated materials (excluding rocks over 1” diameter), and restore surface to slope, drainage, elevation, and surface turf appearance (“the way it looked”) prior to beginning excavation.

iii. Don’t drive on or damage paved areas with excavating equipment or any heavy equipment used for working on the well, excavating, etc.

V. Location:

The Kenton RD Ad Office Site and associated facilities are located at the following:

4810 E. M28 Kenton, MI 49967

VI. Supplemental Information:

A. See supplemental information (below) titled “19960918-WSSN2007431-KentonRDadSite- WUPDHD-SanSurvey-1.pdf” for information about the well, well casing, depth(s), pump, well seal / cap, check valve, distribution system, different casing diameters at different depths, etc. on pages #5 and #6 below.

VII. Supplemental “Well” photos:

See pages #7, #8, and #9 of 11 pages.

VIII. Supplemental “Site Utilities” map (locations are approximated):

See page #10 of 11 pages.

IX. Supplemental 10/15/1968 Well Log / Record:

See page #11 of 11 pages.

X. Questions regarding this contract should be directed to:

Eric R. Johnson, Civil / Facilities Engineer, – 906-675-9840 or eric.r.johnson@usda.gov mailto:eric.r.johnson@usda.gov

XI. Deliverable(s):

A. For all products, materials, equipment, supplies, and verifications:

i. data sheets / cut-sheets

ii. manuals

iii. instructions

iv. as-builts

v. warranties

vi. certificates

vii. reports (including photos)

B. All documents shall be prepared and submitted using English Units.

XII. End

I. Basic Inlormation

Suppy Namo LUSES Keaton Admuais traon 3:k Supply Address

Counly Hauighha Contact Person

Owner /SDA

Perlod of Operation

Llcense Type:

II. Well

Type of Establishment fice + Maatenane Total Pop. Serod Z5 No. of Employees2O _No. Service Connectlons

Casing,Diamelor

Owner Mailing AddressP.).

Recols ndicete

M-28

Other

X Not Llcensed

(Source of information:

Tolal No., of Wells

Casing Terminatlon:

I|I. Well Installation - Approved:

DavidP:ckford

IV. Well lsolalion - Approved:

Distance to Nearest Sewer

Brand Name:

Focest Service Box /48

Locatlon:

TownshipDJacn Town 47_s Range37_E

(sçhool, reslaur�qt, elc.)

V. Pump Installatlon - Approved:

Type: Shallow Well Jet

Approved Well SeaWCap: X Yes No

Well .D. 70544 " Hboueyrond below ess

Distance to Polential Contaminatlion

X 12 Month

VIl. Distibutlon Syslem

Malerlal:

VIlI, Trealment NA

Distance to Major Source of Coniamination

() Dislance to Underground Slorage Tanks (2)A bwe ground tnks

Pump Salting/Drop Pipe Longth

Meyers

Pitless Adaplor

Yes

Check Valve on Pump Dlscharge LIne:

VI. Slorage Tank Inslallalion - Approved:

Type: Galvanlzed

Approved Sampling Tap Provldad:

Copper

Type:J Sohener

Yes

>75

Well Well House

NONCOMMUNITY PUBLIC WATER SUPPLY

SANITARY SURVEY REPORT

l1 Sewer ls within Isolation Area, is Malerial and Installalion Approved:

Tank Localon: Offue Blda ot hee Tank #1-Brand Name: ell -X- trol

Garaye Tank i2-Brand Name: Jle|l-X trul

Food

Owner

Yes

Year Installed

No

No

Deep Well Jet

>75

No

Chlodnallon

Yes

Title

Galvanlzod

12 In. Above Grade or Floor: X

MakaModal # Meartor

Bladder/Dlaphram

Yos

Seasonal

Measured

Foresty Tech. Type: O la

Campground

DSee Comments page 2

Type of Sewer

Dilling Mthod

No

Source

Source wsSN Z0074 3/ Phone 52-3500

Ciy Keoton _Zip 4443

Depth 83

Well Drilr Johason b See Comments page 2

Well House

Fllrallon

Ciy Keato

Wall log)

No

Slze ol lanks3000

DNo

Burted

I1 Seasonal : From

Plastlc (ype

Phone

O Yes

DSS Facility

Basement Oflset

Yes D No

See Commenls page 2

Turbine

Prolocted Sucllon Line:

DNo

Sedion No. |

852-.3SOo

Phosphale

X Submersible Hand Pump Other

Model No. JTI525P -3Hp2 Pump Capacily Adequale:

Basoment P# (Gravily Draln): DYes No

SlateMI

Check Valve Locallon Approved:

See Comments page 2

Bulk Slorage D other

Operallng Range 20_ 30 psl

Modol # J)X 262_or Capaciy sal or Halgh/engih

Other

Pit (Gravity Drain):

Approved Vent Provided:

(storm, building, sanitary) Type of malerial

Yes

(ile field, surlace water)

(landlill, chemical wasle, sewage lagoon) gallons Compound in Tank

Secud Centamnt

Well or Well Sile Subject to Flooding:

Casing Depth 83

Nontranslent

Pump insialer Sitola 1s5s)

Cast lron

Iron Aomoval

1/4 te

No

Other

Zip 4943_

D other, 1/4

Yes

Yes

(uel oil, gas, etc.)

+ desel

Yes

U+:l:ty siák fauiet near pressure tnk.

Yes No

1/4

Number of Tanks

X Dlameler

XNol Applicable DNo

X Dlameter

Yes XNo

No

USFS Tuly Is, 1482 ope-ehon Maipkn anc e Plen indcaks (2) buried seraye tks o-Ste. Concli tien' sie. locu F cn vnknown.

s37

Dother.

Modal Lak- 252or Capacly Z sal or Halghutangith, ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight

IV. Cross Connections - Protection Provided?

Toilets Urinals Hose Bibs Boilers Kitchen Fixturcs Cooling Water

NONCOMMUNITY PUBLIC WATER SUPPLY SANITARY SURVEY REPORT

X. Comments/Rccommendations

Yes No NJA

D-241 5/89 Authority: Aa 399, P.A. 1976

Water Softeners

) Tastall Vacuwm breaker on hose bibb leLakd ia çacage arouad hoiler bakflow preventec

)Tastal sreened veot fuel olo tuk

Tanks Containing Hazardous Matcrial Imigation Systems Fire Protection Systems Others (explain)

X1. Drawing (include all buildings, drives, roads, wels, storm and sanitary sewers, sewage disposal facilities, chemical storage areas, buried fuel tanks, arrow indicating north, ctc.) or attacha site plan.

Suvyd By Tasers

Adminstrahe

Bu.lding

Geraye

M-23

Dale -18% Dale Last Surveyed, wSSN: 200743/

Yes, No NJA

Weil s5gul. oil sny

)100 _al. fuel tok

White Copy- MDPH Copy

Ieak dete toS

Agency uleskra ve psit Heal th Dept.

Pink Copy - Locul Hcalth Dept. Copy Yellow Copy -Owner's Copy

EXISTING PARKING LOT

STATE HIGHWAY - M28

RANGER DISTRICT OFFICE

GARAGE

CONTAINER BOX

(PAINT BUILDING)

SHED

GAS TANKS

DUMPSTER

TREE LINE

TREE LINE

FENCED AREA

STORAGE SHED

GAS HOUSE

SIGN

SIGN

SIGN

FLAG POLE

CONC. APRON

CP-1

CP-3

CP-2

CATCH BASIN

CATCH BASIN

STORM MH

CONC. APRON

EX STORM PIPE OUTLET

INV = 1164.55

ELECTRIC PEDESTAL

WATER SHUT-OFF

WELL HEAD

ELECTRIC PEDESTAL

CATCH BASIN

SANITARY MH

SANITARY MH

LIFT STATION

PEDESTAL

PROPANE TANK

CP-4 SANITARY MH

MONITORING WELL

MONITORING WELL

WATER SHUT-OFF

PARKING LOT LIGHTING

PARKING LOT LIGHTING

UG ELECTRIC

(VERIFY)

W W W W W W W

W W W W W W

W

W

W

W W

W W

W

UG WATER LINE

(VERIFY)

STORAGE SHED

E E

E E

E

E

E

E

E

E S

S

S

EDGE OF GRAVEL

EDGE OF ASPHALT

ELEC PANEL

GAS VALVE

SEPTIC TANK

(VERIFY LOCATION)

WATER SHUT-OFF WATER SHUT-OFF

MONITORING WELL

A/C UNIT

ELEC PANEL

STORM MH

EXSTMH2

RIM = 1173.17

INV OUT = 1167.17 (NE)

INV IN = 1167.72 (NW)

INV IN = 1167.67 (SW)

EXSTMH1

RIM = 1177.94

INV OUT = 1171.04 (NE)

INV IN = 1171.64 (NW)

INV IN = 1172.44 (SW)

INV IN = 1171.29 (S)

SANITARY LINE

(VERIFY LOCATION)

SANITARY LINE AND FORCE MAIN

(VERIFY LOCATION)

F.FL. EL. = 1188.94

LANDSCAPING

H

AR

R

ISO

N

STR

EET

FEDERAL FOREST HIGHWAY 16

.08 MILES TO THE INTERSECTION

GAS TANKS

MONITORING WELL

S

S

S

S

S

S

S

S

S

S

S

SANITARY MH (FIELD VERIFY LOCATION)

SANITARY LINE AND FORCE MAIN

(VERIFY LOCATION)

SANITARY LINE

(VERIFY LOCATION)

SANITARY MANHOLES. NOT SHOWN

ON PLANS (FIELD VERIFY LOCATION)

CONTROL POINT

NORTHING EASTING

626607.4280 25770439.5860

626815.6540 25770451.0240

626755.9200 25770314.8270

626608.5870 25770586.9040

POINT ELEV.

1180.11 1174.70 1179.54 1180.14

DRAWN

DESIGNER

STAMPS, LOGOS, AND SEALS

PROJECT NAME

DRAWING TITLE

CHECKED

ARCHIVE NO.DATE

PROJECT NO.

DRAWING SHEET NO.

OFSHEET

United States Department of Agriculture Forest Service

/27

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(R09)

EASTERN REGION

KENTON RANGER

DISTRICT

PARKING LOT

PHASE 2

OTTAWA NATIONAL

FOREST

KENTON RANGER DISTRICT

EXISTING SITE PLAN

M. SURPRENANT

M. SURPRENANT

B. HEWITT

Feet 0 20 40

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W E ericjohnson Cross-Out ericjohnson Cross-Out ericjohnson Highlight ericjohnson Highlight ericjohnson Highlight

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