Mass DEP WS37 Permit Application.pdf

Massachusetts Department of Environmental Protection Bureau of Resource Protection – Drinking Water Program BRP WS 37 Approval of Transient Non-Community Source

Less than 7 Gallons per Minute Instructions and Supporting Materials ws37ins • 9/2022 BRP WS 37 Introduction • Page 1 of 1

Table of Contents

• introduction

• permit fact sheet

• completeness checklist

Introduction

MassDEP Instructions & Support Materials are available for download from the MassDEP Web site at www.mass.gov/dep in two file formats: Microsoft Word and Adobe Acrobat PDF. Either format allows documents to be printed.

Instructions & Support Materials provide guidance on how to prepare a permit application.

The supporting documents for these permit applications, and the fee payment (if applicable) must now be submitted through the ePLACE Portal. See ePLACE step-by-step instructions on the mass.gov page for this application.

https://www.mass.gov/dep https://eplace.eea.mass.gov/citizenaccess/Default.aspx

Permit Fact Sheet ws37ins • 9/2022 BRP WS 37 Permit Fact Sheet • Page 1 of 2

1. What is the purpose of this approval?

This is an approval for the development of a transient non-community public water supply source for which an approved withdrawal rate of less than 7 gallons per minute (10,000 gallons per day) is being sought. The necessary components for a transient non-community source with an approved rate of less than 7 gallons per minute are described in the Drinking Water Program’s Guidelines and Policies for Public Water Systems (available at the State House Bookstore). The Drinking Water Regulations, in particular 310 CMR 22.21, govern all aspects of the source development process.

This permit streamlines the source development process by reducing the required permits from two to one. It also reduces the required information for approval of the source and allows, in addition to Registered Professional Engineers and geologists skilled in water supply development, Massachusetts Registered Well Drillers to submit permit applications.

2. Who must apply?

Any individual or company that intends to develop a source of public water with a yield of less than 7 gallons per minute and meets the definition of a transient non-community water system.

3. What other requirements should be considered when applying for this approval?

• A Request for Determination of Applicability (Form No. 1-310 CMR 10.99) as required under the Wetlands Protection Act MGL c. 131 s. 40 and the regulations at 310 CMR 10.00 must be filed with the local conservation commission if work is proposed within 100 feet of a wetland.

• Before applying for this approval, consideration should be given to the ability to own the Zone I; and

• How surrounding development and history may influence water quality and how the site lends itself to development.

4. What is the application fee?

The application fee is $810.

5. Where should the application be sent?

The application must be submitted through ePLACE, located here: https://eplace.eea.mass.gov/citizenaccess

Additional visual ePLACE step-by-step instructions to assist in submitting your application are available at:

https://www.mass.gov/how-to/ws-37-approval-of-transient-non-community-source-less-than-7-gallons-per-minute

• Log into the ePLACE Portal at: https://eplace.eea.mass.gov/citizenaccess and create an account.

• Once logged in, click on the large blue button on the right, “File an Online Application”.

• Read and agree to the disclaimer. Click “Continue”.

• To find this application, click on “Apply for DEP Authorization – Drinking Water (DW)”, and check on

WS 37, and click “Continue Application”.

• Follow instructions on each screen and click “Continue Application” to move to the next step. The WS

37 supporting forms are to be attached in the Documents section. Any documents being submitted that do not fit in with one of the dropdown categories, should be submitted under “other”.

• Note that you can return to an application provided you select “Save and Return Later”. Once you submit an application you can no longer upload documents without approval from MassDEP personnel.

• At the end of the application steps, the ePLACE system will take you directly to a screen where you can pay the fee, if applicable. Complete payment information in ePLACE.

https://eplace.eea.mass.gov/citizenaccess https://www.mass.gov/how-to/ws-37-approval-of-transient-non-community-source-less-than-7-gallons-per-minute https://www.mass.gov/how-to/ws-37-approval-of-transient-non-community-source-less-than-7-gallons-per-minute https://eplace.eea.mass.gov/citizenaccess

Permit Fact Sheet ws37ins • 9/2022 BRP WS 37 Permit Fact Sheet • Page 2 of 2

• Once an application has been submitted, you will receive an email that will provide you the record number.

• From the “My Records” button, you will be able to view the status of your application through the review and approval processes.

Important Contacts For technical assistance regarding online filing, contact the ePLACE Help Desk Team at 844-733-7522 or ePLACE_helpdesk@mass.gov.

To see a copy of your application after submittal, also see:

https://eeaonline.eea.state.ma.us/EEA/PublicApp.

6. Where can I get a copy of the timelines?

The timelines are available on the MassDEP Website: https://www.mass.gov/lists/massdep-fees-timelines

7. What is the annual compliance fee?

There is no annual compliance assurance fee for this approval.

8. How long is this approval valid?

The approval is valid for five years.

9. How can I avoid the most common mistakes made in applying for this approval?

a. Communicate with MassDEP concerning the materials necessary for an approval submission. A pre-submittal meeting is required.

b. Be sure all items on the Application Completeness Checklist are completed and included in submitted application in ePLACE.

c. Review the Drinking Water Program’s Drinking Water Regulations 310 CMR 22.21 and the Drinking Water Program’s Guidelines and Policies for Public Water Systems regarding what is evaluated when obtaining approval for a transient non-community water system with an approved rate under 7 gallons per minute.

d. Submit the documents required for this application and pay fee (if applicable) through ePLACE, https://eplace.eea.mass.gov/citizenaccess.

10. What are the regulations that apply to this approval and where can I get copies?

These regulations include, but are not limited to:

a. Drinking Water Regulations, 310 CMR 22.00.

b. The Timely Action and Fee Provisions, 310 CMR 4.00.

c. The Administrative Penalty Regulations, 310 CMR 5.00.

They may be purchased at:

State House Bookstore State House West Bookstore Room 116 436 Dwight Street Boston, MA 02133 Springfield, MA 01103 617-727-2834 413-784-1376 https://eeaonline.eea.state.ma.us/EEA/PublicApp https://www.mass.gov/lists/massdep-fees-timelines

Application Completeness Checklist ws37ins • 9/2022 BRP WS 37 Application Completeness Checklist

The following is required as part of the pre-submittal:

A pre-submittal meeting with the appropriate MassDEP regional office has occurred prior to submitting this application. Information required at the time of the pre-submittal meeting includes an appropriately scaled map of the proposed site that includes:

a. the approximate new source location;

b. the Zone I boundary, the size of which is determined by the requested approval rate;

c. the identity of the Zone I landowners;

d. characterization of land uses within the Interim Wellhead Protection Area (IWPA);

e. approved water withdrawals, registered or permitted by MassDEP and any other private, commercial, or industrial wells within the IWPA;

f. existing and potential sources of contamination within the IWPA; and,

g. water quality results if the well currently exists.

The following documents should be submitted through ePLACE:

WS Certification Form (A Massachusetts Registered Professional Engineer, geologist skilled in water supply development, or a Massachusetts Registered Well Driller has prepared, signed, and stamped the form.)

Constructions Plans and Specifications/Cut Sheets

Pumping Test Report, including:

a. map with pre-submittal meeting map information as well as surveyed site plan including the Zone I boundary and well location and elevation;

b. copies of field and laboratory water quality analyses for all samples collected before and during the test;

c. precipitation and/or recharge events;

d. selection of the pumping rate;

e. approvable yield requested;

f. stabilization criteria and pumping test data;

g. well recovery data;

h. copies of, or reference to, all relevant correspondence, if any;

i. copies of lithologic log (s) for the well(s);

j. graphs showing time-drawdown and time-recovery for the well(s); and,

k. well and treatment plans and specifications;

l. evidence of Zone I ownership or control of the Zone I per a MassDEP approved method.

Surveyed Site Plans

The following documents may need (if applicable) to be submitted through ePLACE:

Letter of Authorization: A letter of authorization has been completed if signature of the design engineer or other agent is being used on the application.

Note: Any documents being submitted that do not fit in with one of the dropdown categories in the ePLACE system, should be submitted under “other”. If you have concerns about any specific documents displaying on the ePLACE Public Access Portal, please contact regional staff for alternative delivery.

To submit the application package:

Submit the application and documents listed above through ePLACE, Application Completeness Checklist ws37ins • 9/2022 BRP WS 37 Application Completeness Checklist

Pay fee: $810 (if applicable)

You can pay online in ePLACE or pay by mail in the form of a check or money order made payable to Commonwealth of Massachusetts (please follow email instructions provided to you once your application is submitted).

wscert.doc • rev. 4/2022 BRP WS Application • Page 1 of 1

WS Certification Form For Drinking Water Program (Water Supply) Permits or Approvals

Certification Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key.

“I certify, under penalty of law, that this application and all attachments were prepared under my supervision, in accordance with a system designed to ensure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information submitted in this application, the information submitted is, to the best of my knowledge and belief, true, accurate and complete.”

Authorized Signature

Date

Print Name

Position/Title

Professional Engineer (if applicable)

P.E. License Number

WS Certification.pdf