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WELLHEAD PROTECTIONPHASE II FIVE YEAR UPDATE SURVEY State Form 53796 (1111) INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENTName of Public Water Supply: PW SID Number: Name of WHO Contact Person: Title:
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How to fill out wellhead protection - s

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How to fill out wellhead protection

01
Identify the wellhead location: Determine the exact location of the wellhead that needs protection.
02
Assess the potential sources of contamination: Identify any potential sources of contamination in the surrounding area, such as nearby chemical storage facilities, septic systems, or agricultural activities.
03
Create a protection zone: Establish a protection zone around the wellhead, typically a radius of 400-500 feet. This zone will be monitored and managed to prevent contamination.
04
Implement best management practices: Develop and implement best management practices to prevent or minimize potential sources of contamination. This may include proper storage and handling of chemicals, regular maintenance of septic systems, and managing nearby land use activities.
05
Establish monitoring and emergency response measures: Develop a monitoring plan to regularly test the water quality from the well. Additionally, establish an emergency response plan to address any potential contamination incidents.
06
Educate stakeholders: Educate the well users, nearby residents, and other stakeholders about the importance of wellhead protection and ways they can contribute to its success.
07
Regularly review and update the protection program: Periodically review and update the wellhead protection program to incorporate new knowledge, technologies, and regulatory requirements.

Who needs wellhead protection?

01
Anyone who relies on groundwater from private or public wells for drinking water and other purposes needs wellhead protection. This includes homeowners, municipalities, industries, and agricultural operations.

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Wellhead protection is a strategy to prevent contamination of a drinking water source by managing potential sources of pollution in the area surrounding the well.
Well owners, operators, and local government agencies are typically required to file wellhead protection plans.
Wellhead protection plans are typically filled out by identifying potential sources of contamination, implementing best management practices, and monitoring water quality regularly.
The purpose of wellhead protection is to safeguard drinking water sources from pollution and ensure the long-term viability of the water supply.
Information such as the location of the well, potential sources of contamination, best management practices, and water quality monitoring results must be reported on wellhead protection plans.
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