Document LZmZRZZmn8gBRboRLNG946N3

UNITED STATES Water Facilities Inventory ENVIRONMENTAL PROTECTIONSaturday, February 20, 2021 AGENCYEPTAri baRl eDgriinkoinng Wa1te0r Program Instructions All existing tribal public water systems in EPA Region 10 should review this report and make corrections at least annually. Water systems changing treatment, installing new sources or expanding the distribution system should complete this form prior to bringing the new facilities on - line. If corrections are needed, write them on this form, photo - copy for your records. Send the signed original (whether updates are needed or not) to EPA Region 10. New tribal public water systems and water systems changing treatment or installing new sources should complete this form prior to serving water to the public. Non - Transient Non - Community systems (such as schools, restaurants, or individual businesses) serving less than 1000 people per day can request the Water System Inventory Short Form. Send completed forms to: EPA Region 10 Tribal Public Water System Supervision Program 1200 Sixth Ave, Suite 155 (MS: 19-H16) Seattle, Washington 98101 EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 1 of 26 Water System PWSID: 105300014 NAME: NISQUALLY - LESCHI & WEST NISQUALLY Activity Status: Active (A)Type: Community (C) Primary Source Groundwater (GW) County: THURSTON Owner Type: Native American Government (N) Responsible Government Agencies Native American Governemnt: Nisqually Indian Tribe Federal or State Agency: NA Technical Assistance: Indian Health Service, Local Health: NA Monthly Population TypeJan | Feb | Mar | Apr | May June July Aug Sept | Oct | Nov | Dec Residential 300 300 300 300 300 300 300 300 300 300 300 300 Non Transient 2900 2900 2900 2900 2900 2900 2900 2900 2900 2900 2900 2900 Transient 0 0 0 0 0 0 0 0 0 0 0 0 WTohtaol l* esale 1906 1905 1906 1906 1905 1906 1905 1906 190 200 2900 3900 EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014NISQUALLY - LESCHI & WEST NISQUALLYPage 2 of 26 Total does not include wholesale population. Service Connections Type Connections Meter Type * Residential 75 Unknown Agricultura Unknown Commercial Unknown 0000 Combined Unknown Industrial Unknown Power Production 0 Unknown Total 75 * Meter types include: Metered, Metered and Unmetered, Unmetered, or Unknown. EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 3 of 26 Service Areas Primary Service Area Residential Area Residential Service Areas: (check all that apply) Homeowners AssociationResidential * Mobile Home ParkSanitary Improvement District (secondary residence) Subdivision Mobile Home Park (primary residence) Other Municipality Non - Transient Service Areas: (check all that apply) Day Care Center *Medical Facility * Industrial / AgriculturalSchool * InstitutionOther Non - Transient Transient Service Areas: (check all that apply) Hotel / MotelSummer Camp * Highway Rest AreaSecondary Residences Recreation AreaService Station Retail EmployeesOther ** (Casino) Restaurant Other Service Areas: (check all that apply) Water Wholesale *Water Bottler EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 4 of 26 Water DispenserOther Interstate Carrier (such as airport, train station, boats, etc) Six service areas must be reported to EPA: residential, day care centers, medical facilities, schools, summer camps, and wholesale connections to other public water systems. ** Casinos should be reported as " Transient Service Areas - Other " plus report any other service that is provided by the casino, such as: day care centers, hotel / motels, restaurants, or retail employees. Sources Source Well Date ID # Name Tag Status Treated Use Constructed Capacity Well Sources WL-01WELL # 1Inactive:Unknown PermanentUnknownUnknown 8/1/2012 WL-02WELL # 2Inactive:Unknown PermanentUnknownUnknown 8/1/2012 EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 5 of 26 WL-03LESCHI WELL AGP496Active:TreatedPermanentUnknownUnknown # 11/27/1981 WL-04LESCHI WELL AKM877Active:TreatedPermanentUnknownUnknown # 2 1/27/1981 WL-05 WEST WELL # 3Active:UnknownPermanentUnknownUnknown 1/1/2013 Treatment Plants Plant ID: TP-01Name: NISQUALLY PUMP HOUSE Activity Status: Inactive since 8/1/2012 Constructed Date: Unknown Availability: Permanent Plant Capacity: Unknown Sources Treated by Treatment Plant TP-01 Source TypeSource IDSource Name EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 6 of 26 WellWL-01WELL # 1 WellWL-02WELL # 2 Treatment Units Sampling Sites in Treatment Plant TP-01 TypeSite IDSite Name / DescriptionActive Entry Point NN-15.0 FINISHED WATER TAP COMBINED Entry Point NN-15.1 WELL # 1 FINISHED Entry Point NN-15.2 WELL # 2 FINISHED Raw Water NN-16 RAW WATER TAP COMBINED Source Water NN-16.1WELL # 1 RAW Source Water NN-16.2WELL # 2 RAW EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 7 of 26 Plant ID: TP-02Name: LESCHI PUMP HOUSE Activity Status: Active since 1/27/1981 Constructed Date: Unknown Availability: Permanent Plant Capacity: Unknown Sources Treated by Treatment Plant TP-02 Source TypeSource IDSource Name WellWL-03LESCHI WELL # 1 WellWL-04LESCHI WELL # 2 Treatment Units Sampling Sites in Treatment Plant TP-02 Site IDSite Name / DescriptionActive Source Water NN-22LESHI WELL # 1 RAW Source Water NN-23LESHI WELL # 2 RAW Entry Point NN-24 LESHI FINISHED COMBINED Entry Point NN-24.1 LESHI WELL # 1 FINISHED EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 8 of 26 Entry Point NN-24.2 LESHI WELL # 2 FINISHED Plant ID: TP-03Name: WELL # 3 WEST PUMPHOUSENo Known Sources Activity Status: Active since 1/1/2013 Constructed Date: Unknown Availability: Permanent Plant Capacity: Unknown Sources Treated by Treatment Plant TP-03 Source Type Source IDSource Name No Known Sources Treatment Units Sampling Sites in Treatment Plant TP-03 TypeSite IDSite Name / DescriptionActive Raw Water WNN-29 WELL # 3 WEST RAW TAP Entry Point WNN-30 WELL # 3 WEST FINISHED TAP EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 9 of 26 Pump Facilities Pump Facility ID:Name: No Known Pump Facilities Activity Status: Unknown Constructed Date: Unknown Availability: Unknown Pump Capacity: Unknown Sources Supplying this Pump Facility Source Type Source IDSource Name Unknown Sampling Sites in Pump Facility Site IDSite Name / DescriptionActive UnknownNo Known Sample Sites Storage EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 10 of 26 Storage ID: ST-01Name: TANK # 1 Activity Status: Inactive since 8/1/2012 Constructed Date: UnknownAvailability: Permanent Storage Capacity: 84,500 GALStorage Type: Standpipe Material Type: SteelCoating Type: Unknown Comments: Facilities Supplying Storage Facility ST-01 Source Type Source IDSource Name DistributionDS-01NISQUALLY DISTRIBUTION System / Zone * storage tanks with no seperate inlet and outlet will have the distribution system as the only supplying facility. Sampling Sites at Storage Facility ST-01 Site IDSite Name / DescriptionActive No Known Sites EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 11 of 26 Storage ID: ST-02Name: TANK # 2 LESCHI Activity Status: Active since 1/27/1981 Constructed Date: UnknownAvailability: Permanent Storage Capacity: 500,000 GALStorage Type: Standpipe Material Type: SteelCoating Type: Unknown Comments: Facilities Supplying Storage Facility ST-02 Source Type Source IDSource Name DistributionDS-01NISQUALLY DISTRIBUTION System / Zone * storage tanks with no seperate inlet and outlet will have the distribution system as the only supplying facility. Sampling Sites at Storage Facility ST-02 Site IDSite Name / DescriptionActive No Known Sites EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 12 of 26 Storage ID: ST-03 Name: STORAGE TANK WEST Activity Status: Active since 1/1/2013 Constructed Date: UnknownAvailability: Permanent Storage Capacity: 180,000 GALStorage Type: Unknown Material Type: UnknownCoating Type: Unknown Comments: Facilities Supplying Storage Facility ST-03 Source Type Source IDSource Name Unknown * storage tanks with no seperate inlet and outlet will have the distribution system as the only supplying facility. Sampling Sites at Storage Facility ST-03 Site IDSite Name / DescriptionActive No Known Sites EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 13 of 26 Distribution Distribution ID: DS-01 Name: NISQUALLY - LESCHI & WEST NISQUALLY DISTRIBUTION Activity Status: Active since 1/27/1981 Is Asbestos Pipe Present: Unknown Distribution Sample Sites *: Site TypeSite IDSite Name / DescriptionActive Distribution SystemNN-01 (b) (6), (b) (7) (F) Distribution SystemNN-02 Distribution SystemNN-03 Distribution SystemNN-04 Distribution SystemNN-05 Distribution SystemNN-06 Distribution SystemNN-07 EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 14 of 26 Distribution SystemNN-08 Distribution SystemNN-09 (b) (7) (F), (b) (6) Distribution SystemNN-10 Distribution SystemNN-11 Distribution SystemNN-12 Distribution SystemNN-13 Distribution SystemNN-14 Distribution SystemNN-17 Distribution SystemNN-18 Distribution SystemNN-19 Distribution SystemNN-20 EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 15 of 26 Distribution SystemNN-21 Distribution SystemNN-25 (b) (7) (F), (b) (6) Distribution SystemNN-26 Distribution SystemNN-27 Distribution SystemNN-28 Distribution SystemNN-32 Distribution SystemNN-35 Distribution SystemNN-35A Distribution SystemNN-36 Distribution SystemNN-38 Distribution SystemWNN-31 EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 16 of 26 Distribution SystemWNN-32 Distribution SystemWNN-33 (b) (7) (F), (b) (6) Distribution SystemWNN-34 * IDSE sites that are also standard monitoring sites are listed twice. Water Purchases Intertie SellerDate ID PWSID Seller Name Constructed Availability Activity No Known PurchasesUnknownUnknown Water Wholesales Intertie PurchaserDate ID PWSID Purchaser Name Constructed Availability Activity No Known WholesalesUnknownUnknown EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 17 of 26 Facility Locations Facility: WL-05 WEST WELL # 3 (b) (9). (b) (7) (F)(b) (9), (b) (7) (F) Latitude:Longitude:Elevation (m): 0 Meters Lat / Long Accuracy (m) +/- 60 MetersElevation Accuracy (m): +/- 0 Meters Lat / Long Data Collection Method: INFO COLLECTED BY: MICHAEL O'SHEA / IHS Meridian Name: No Cadestral Data Available Township:Range:Section: Qtr:QtrQtr:QtrQtrQtr:QtrQtrQtrQtr: EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 18 of 26 Facility: WL-04 LESCHI WELL # 2 (b) (9), (b) (7) (F)(b) (9), (b) (7) (F) Latitude:Longitude:Elevation (m): 0 Meters Lat / Long Accuracy (m) +/- 60 MetersElevation Accuracy (m): +/- 0 Meters Lat / Long Data Collection Method: INFO COLLECTED BY: MICHAEL O'SHEA / IHS Meridian Name: No Cadestral Data Available Township:Range:Section: Qtr:QtrQtr:QtrQtrQtr:QtrQtrQtrQtr: Facility: WL-03 LESCHI WELL # 1 (b) (9), (b) (7) (F)(b) (9), (b) (7) (F) Latitude:Longitude:Elevation (m): 0 Meters Lat / Long Accuracy (m) +/- 60 MetersElevation Accuracy (m): +/- 0 Meters Lat / Long Data Collection Method: INFO COLLECTED BY: MICHAEL O'SHEA / IHS Meridian Name: No Cadestral Data Available Township:Range:Section: Qtr:QtrQtr:QtrQtrQtr:QtrQtrQtrQtr: EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 19 of 26 Facility: WL-02 WELL # 2 Latitude: UnknownLongitude: UnknownElevation (m): Unknown Lat / Long Accuracy (m) UnknownElevation Accuracy (m): Unknown Lat / Long Data Collection Method: Meridian Name: No Cadestral Data Available Township:Range:Section: Qtr:QtrQtr:QtrQtrQtr:QtrQtrQtrQtr: Facility: WL-01 WELL # 1 Latitude: UnknownLongitude: UnknownElevation (m): Unknown Lat / Long Accuracy (m) UnknownElevation Accuracy (m): Unknown Lat / Long Data Collection Method: Meridian Name: No Cadestral Data Available Township:Range:Section: Qtr:QtrQtr:QtrQtrQtr:QtrQtrQtrQtr: EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 20 of 26 Facility: TP-03 WELL # 3 WEST PUMPHOUSE (b) (9). (b) (7) (F)(b) (9), (b) (7) (F) Latitude:Longitude:Elevation (m): 0 Meters Lat / Long Accuracy (m) +/- 60 MetersElevation Accuracy (m): +/- 0 Meters Lat / Long Data Collection Method: INFO COLLECTED BY: MICHAEL O'SHEA / IHS Meridian Name: No Cadestral Data Available Township:Range:Section: Qtr:QtrQtr:QtrQtrQtr:QtrQtrQtrQtr: Facility: TP-02 LESCHI PUMP HOUSE Latitude: UnknownLongitude: UnknownElevation (m): Unknown Lat / Long Accuracy (m) UnknownElevation Accuracy (m): Unknown Lat / Long Data Collection Method: Meridian Name: No Cadestral Data Available Township:Range:Section: Qtr:QtrQtr:QtrQtrQtr:QtrQtrQtrQtr: EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 21 of 26 Facility: TP-01 NISQUALLY PUMP HOUSE Latitude: UnknownLongitude: UnknownElevation (m): Unknown Lat / Long Accuracy (m) UnknownElevation Accuracy (m): Unknown Lat / Long Data Collection Method: Meridian Name: No Cadestral Data Available Township:Range:Section: Qtr:QtrQtr:QtrQtrQtr:QtrQtrQtrQtr: Facility: ST-03 STORAGE TANK WEST Latitude: UnknownLongitude: UnknownElevation (m): Unknown Lat / Long Accuracy (m) UnknownElevation Accuracy (m): Unknown Lat / Long Data Collection Method: Meridian Name: No Cadestral Data Available Township:Range:Section: Qtr:QtrQtr:QtrQtrQtr:QtrQtrQtrQtr: EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 22 of 26 Facility: ST-02 TANK # 2 LESCHI Latitude: UnknownLongitude: UnknownElevation (m): Unknown Lat / Long Accuracy (m) UnknownElevation Accuracy (m): Unknown Lat / Long Data Collection Method: Meridian Name: No Cadestral Data Available Township:Range:Section: Qtr:QtrQtr:QtrQtrQtr:QtrQtrQtrQtr: Facility: ST-01 TANK # 1 Latitude: UnknownLongitude: UnknownElevation (m): Unknown Lat / Long Accuracy (m) UnknownElevation Accuracy (m): Unknown Lat / Long Data Collection Method: Meridian Name: No Cadestral Data Available Township:Range:Section: Qtr:QtrQtr:QtrQtrQtr:QtrQtrQtrQtr: EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 23 of 26 * Only source, storage, treatment and pump facilities are listed. If Lat / Long or Legal location is not known a physical address can be provide in the collection method area. Lat / Long will not be accepted without a description of collection method. Water System Contacts Technical Assistance Contacts No known technical assistance contacts. Name: No Known Technical Assistance Contacts Title: Organization: Address Line 1: Address Line 2: City:State:Zip: Office Phone:Fax:Mobile Phone: Emergency Phone:Email: EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 24 of 26 Water System Contacts Contact Types (check all that apply) ) ) ContactDept. nontribal tribal Contact RIeOnpepraftroCroe noCtlasictnieLco cCnRaotnittoaenc atE npvEtinrgoiin nmeeevnrtRaeHl aGelovteh(r pnm.en t ( BIA Lead EHmeearlgetnhc yL eFgianaln cLieaald O pOewrnaetro r TPrhiybsailca lT rSiabmaplle rT ribal Utility Utility Other Name: No Known Contacts Job Title: Office Phone: Organization:Mobile Phone: Address: Emergency Phone: City, State, Zip: Email: Administrative Contact * * Each water system must have one, and only one,Contact Types (check all that apply) administrative contact that is authorized to approve documents sent to EPA Region 10.) ) Contact Dept. nontribal tribal Contact RIeOnpperafrtCooerno taCscltienLoiccnRa tCitooenn atEnvpctir oiEn mnegvnitRnael eGe roveH(repnam lent th .( BIA Lead EHmeearlgetnhc yL eFginaaln cLieaald O pOewrnaetror TPrhiybsaicla lT rSiabmpalle rT ribal Utility Utility Other EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 25 of 26 Name: Mr. Tony Berkson Job Title: Director Public Wks Office Phone:360-456-5221 x1115 Organization: Nisqually Indian TribeMobile Phone: (b) (6) Address: 4820 SHE-NAH-NUM DR. S.E. - Emergency Phone: City, State, Zip: Olympia, WA 98513Email: berkson.tony@nisqually-nsn.gov Administrative Contact Signature I certify that I have confirmed to the best of my ability that the information in this document is true and accurate and that I am authorized to represent this public water system. Name (print): Signature:Date: EPA Region 10 Water Facilities InventoryFriday, February 19, 2021 105300014-NISQUALLY - LESCHI & WEST NISQUALLYPage 26 of 26