Three_Rivers_DSSP_Attachment.pdf

TITLE PAGE

DRINKING WATER DISTRIBUTION SYSTEM

SAMPLING PLAN (DSSP) FOR:

THREE RIVERS CAMPGROUND

WA fER SYSTEM

New Mexico Water Supply System ID# Three Rivers Campground

Lincoln County

Three Rivers Campground Water System Sampling Plan 1

Original Plan Prepared By:

Preparer's Contact Info:

Date Prepared:

Date Submitted to NMED DWB:

Signature: ------------

Reviewed by DWB SWIG Tech Services Coordinator Name:

Date Recommended for Approval:

Signature: ------------

Three Rivers Campground Water System Sampling Plan 2

Revision Tracking

Original Plan Prepared By: ....:.::-------- Date Prepared:________ _

1st Revision By:

1st Revision Date:

Date Submitted to NMED:

Date Approved by NMED: _______________ _

2nd Revision By:

nd Revision Date:

Date Submitted to NMED:

Date Approved by NMED:

Three Rivers Campground Water System Sampling Plan 3

Section 1: System Description and Contact Information

The Three Rivers Campground water system serves a population that ranges from zero to 75 people at any one time at this year round campground. It consists of a well, chlorinator, storage tanks, and distribution. The well capacity is monitored with a flow meter. The water storage tank is a HPDE

2,500 gallon capacity tank. The storage tank is plumbed directly to the distribution system. The distribution network consists of galvanized steel and

HDPE piping. Solar energy is responsible for powering the well pump. No sampling spigot is available at the well house. Also, there are four (4) frost free hydrants on the distribution line.

Our current sample schedule from Drinking Water Watch is provided in Appendix A.

Administrative Contact:

Certified Operator:

NMED-DWB Contact:

Three Rivers Campground Water System Sampling Plan 5

a) Do not rinse out the sample bottle before collecting the sample. Do not remove any pills, powder, or liquid from the sample bottle. The sample bottle contains a small amount of sodium thiosulfate to neutralize any chlorine in the water.

b) Do not touch the rrm or mouth of the sample bottle during collection of the sample.

c) Do not overfill the sample bottle. Fill the sample bottle to within ½" to l" of the top or to the indicator line on the sample bottle.

8) Immediately recap the sample bottle tightly.

9) If there is any question as to whether a sample has become contaminated during collection, It must be discarded and a new one collected in a new sample bottle.

10) Deliver the sample to the laboratory as soon as possible.

11) Samples should be kept cool after collection and during transport to the laboratory. The laboratory must receive the sample so that analysis can be initiated within 30 hours after collection. Allow the laboratory adequate time to analyze the sample. Certified laboratories will not test samples greater than 30 hours old because the results will be invalid.

Additional information

• A bacteriological sample report form is supplied with each sample bottle. The top half of the form is to be filled out in a legible manner using an indelible pen, rubber stamp, or typewriter. Do not use a fountain pen or other pens having water soluble ink.

• Samples must be collected in sample bottles supplied by the certified laboratory.

• Bacteriological sample report forms that have not been properly completed, including the name of the water system, PWS ID#, address, date and time of collection, sample type and location (specific tap) and signature of collector will not be accepted for bacteriological examination.

Sampling Requirements New Mexico Regulations require that a certified sampler or certified operator collect the RTCR samples. Because of this requirement, our certified operator will be required to collect our bacteriological samples. Once collected, our operator will submit the samples and their Chain-of-Custody (CoC) forms to the following certified laboratory within 24 hours of the sample being collected:

Three Rivers Campground Water System Samp9ing Ptan 10

APPENDIX A

System Sample Schedule from Drinking Water Watch

Drinking Water Branch

Sample Schedules

Water System No. , Water System Name :

Federal Type ;

THREE RIVERS CMIPGROU1'1) t.n-:COLN USFS SI.Ille Type :

NC

�-c

Principal County Served : LINCOLN Prlmery Source : OW Status: A Actlvltv Date :

TCR Schedules

S,mpl< s,mplc S>lllpl• . . . Sto,onol Su1on2l End T F Effttll\t B,g1n 0,1c Effrctll'< End D•le S "'!IDD • �!IDD . .\n•h1t Codt An•hte :,;.,,,. Count ype t"tqutnc�· r.:1r1 .u .. , .•L� · -

--���--��IIIIIIIrnJIIIII�

Total JSumber o!R«onb Fctdacd • l

Frguent Field Sample Schedules

""itl'r S, sl1nn . Saw pits . . .

F .1. S · , _ \ht,r S\3ttm . .\nohtc , _ , ,. D»Ho .\lontlor R . d E!Tt<tl\t Brgm Eff,ctn e End Scmru>f)·

I.Cl Jh' t:itt -u"'D • • .. -u.,!lntr- ."llll[ijl! " irqu1n ·

ID

O Facilit, :',•me Code ptr month d D>I< D,te T,-pe • per �l ·

Total l'iamb<r o!Reconls Fnd,td • 0

Non-TCR Group Schedules

\\".:t.tfr Svstrm . Anih1e . St.uoo:al Sr.:uon:il Facilir,, ·st,te \ht<_rSy�t•m Gro�p . .\.nil)_" Group Somplc Sample Sau,pl< Efl<cch, B,gin Effectl\e End Stort End

A ,g�

ID

F,ctltr, :'\>me Cod, :S•ru• Count T�-p• Frcqu,ncr Dote D>te :\L'LDD :\U1/DD

Total JSumbcr o!R«ords Fttdatd • O

Tora! JSumb<r o!Reconls Fndcd -1

System Sampling Schedule

Site Number Address Months Sampled From This Address 1 Host Site January, May, September 2 Grouo Site February, June, October 3 Trailhead March, Julv, November 4 Horse Corrals Aoril. Auaust, December

Three Rivers Campground Water System Sampling Plan 15

Spreadsheet Submittal Acknowledgement Form f?._ R,ply � RcP"tAII g FOM,rd

1 am In rea!lpl of your 2 >pread,hoels and map> for both 5mokey Bear Ranger Slallon & Three Riven Camp1round.

Howevor, both are mlSslngthe Drinking Water Distribution System SamplinJ Plans (OSSP).

The lnstrudlons and template are locatod on o,,r websne underRTCR, wnh the template >tarting on paae 38.

{https,//www.env.nm.roy/dwb{RTCR.htm)

Aho, since Smokey Sear Is a NTNC PW!i, ploa,e lnwde an s.mpling requirements aaordin910 their ••mpling >Chedule, aho on our Dnnklng Wat or Watch (DWW) page.

If you have any further questions, ploase Joi me know .

Three Rivers Campground Water System Sampling Plan 17