National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
National
Health
Protection
Survey
of
Beaches
 
2002
Swimming
Season
SURVEY
FORM





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






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

















National
Health
Protection
Survey
of
Beaches
2003
Swimming
Season
Please
complete
this
questionnaire
at
your
earliest
possible
convenience.

Deadline:
January
31,
2004
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx





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


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

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
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
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

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

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







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







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

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
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
Please
review
the
enclosed
survey
forms.
They
contain
the
answers
you've
submitted
in
the
past
concerning
°
Your
beach
program
(
Section
1
 
yellow
sheets)
°
Each
beach
under
your
jurisdiction
(
Section
2A
 
blue
sheets)
Using
the
enclosed
red
pen,
correct
and
update
your
information
as
needed.
Also,
please
try
to
answer
any
questions
that
are
blank.






 








 
!
!
"































#

$


















Complete
Section
2B
(
pink
sheets)
for
every
beach
under
your
jurisdiction.
Note
that
these
forms
are
blank
and
do
not
contain
data
you
submitted
last
year.
The
purpose
of
these
forms
is
to
collect
information
about
advisories/
closings
that
occurred
in
calendar
year
2003.
Please
fill
out
a
pink
sheet
for
each
of
your
beaches,
even
if
there
were
no
advisories
or
closings
for
a
particular
beach.






"




$





	










































If
you
need
to
add
beaches,
please
fill
out
Sections
2A
and
2B
for
each
new
beach.
Blank
"
master"
forms
(
white
sheets)
are
enclosed
for
this
purpose.






%



	






	



















&


	





"



 
!
!
%
You
have
a
choice
of
two
ways
to
submit
your
questionnaire
to
EPA.

°
By
mail.
Place
updated
Section
1
and
Section
2A
(
yellow
and
blue)
forms
and
all
Section
2B
(
pink)
forms
in
the
enclosed
envelope
and
mail
them
to:
BEACH
Survey,
c/
o
Tetra
Tech,
Inc.,
10306
Eaton
Place,
Suite
340,
Fairfax,
VA
22030.
°
Electronically,
using
a
Web­
based
electronic
survey
form.
Log
into
your
electronic
survey
form
at
http://
xxxxxxx.
Then
enter
your
user
name
and
password
For
assistance,
click
on
the
Directions:
Previous
Participants
link
on
the
left
side
of
the
Web
page.
Navigate
to
Sections
1,
2A,
and
2B
and
complete
the
forms.
You
don't
need
to
mail
anything
back
to
EPA.

Your
user
name
is:
xxx
xxx
Your
password
is:
xxxxxxxxxx
Burden
Statement
The
public
reporting
and
recordkeeping
burden
for
this
collection
of
information
is
estimated
to
average
2.4
hours
per
response
annually.
Burden
means
total
time,
effort,
or
financial
resources
expended
by
persons
to
generate,
maintain,
retain,
or
disclose
or
provide
information
to
or
for
a
Federal
agency.
This
includes
the
time
needed
to
review
instructions;
develop,
acquire,
install,
and
utilize
technology
and
systems
for
the
purposes
of
collecting,
validating,
and
verifying
information,
processing
and
maintaining
information,
and
disclosing
and
providing
information;
adjust
the
existing
ways
to
comply
with
any
previously
applicable
instructions
and
requirements;
train
personnel
to
be
able
to
respond
to
a
collection
of
information;
search
data
sources;
complete
and
review
the
collection
of
information;
and
transmit
or
otherwise
disclose
the
information.
For
this
survey,
the
burden
includes
time
needed
to
review
instructions,
make
copies
of
the
beach­
specific
questions
and
Answer
Table
for
each
beach,
gather
the
information
needed
to
complete
the
questionnaire,
fill
in
the
answers,
and
mail
the
questionnaire
back
to
EPA.
An
agency
may
not
conduct
or
sponsor,
and
a
person
is
not
required
to
respond
to,
a
collection
of
information
unless
it
displays
a
currently
valid
OMB
control
number.
The
OMB
control
numbers
for
EPA's
regulations
are
listed
in
40
CFR
Part
9
and
48
CFR
Chapter
15.
To
comment
on
the
Agency's
need
for
this
information,
the
accuracy
of
the
provided
burden
estimates,
and
any
suggested
methods
for
minimizing
respondent
burden,
including
the
use
of
automated
collection
techniques,
EPA
has
established
a
public
docket
for
this
ICR
under
Docket
ID
No.
OW­
2002­
0047
,
which
is
available
for
public
viewing
at
the
OW
Docket
in
the
EPA
Docket
Center
(
EPA/
DC),
EPA
West,
Room
B102,
1301
Constitution
Ave.,
NW,
Washington,
DC.
The
EPA
Docket
Center
Public
Reading
Room
is
open
from
8:
30
a.
m.
to
4:
30
p.
m.,
Monday
through
Friday,
excluding
legal
holidays.
The
telephone
number
for
the
Reading
Room
is
(
202)
566­
1744,
and
the
telephone
number
for
the
OW
Docket
is
(
202)
566­
2426).
An
electronic
version
of
the
public
docket
is
available
through
EPA
Dockets
(
EDOCKET)
at
http://
www.
epa.
gov/
edocket.
Use
EDOCKET
to
submit
or
view
public
comments,
access
the
index
listing
of
the
contents
of
the
public
docket,
and
to
access
those
documents
in
the
public
docket
that
are
available
electronically.
Once
in
the
system,
select
"
search,"
then
key
in
the
docket
ID
number
identified
above.
Also,
you
can
send
comments
to
the
Office
of
Information
and
Regulatory
Affairs,
Office
of
Management
and
Budget,
725
17th
Street,
NW,
Washington,
DC
20503,
Attention:
Desk
Office
for
EPA.
Please
include
the
EPA
Docket
ID
No.
(
OW­
2002­
0047)
and
OMB
control
number
(
2040­
0189)
in
any
correspondence.
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
Sec.
1
 
Pg.
1
1
Overall
Responsibility
A.
What
agency
has
overall
responsibility
for
the
swimming
beaches?

Full
name
of
agency
(
No
abbreviations
please):
______________________________________________________

_____________________________________________________________________________________________
Section
1
Program
Information
General
3
Technical
and
Public
Information
Contacts
A.
Are
you
the
person
to
contact
for
technical
information
(
e.
g.,
standards,
monitoring,
advisories/
closings)?


Yes
(
If
"
Yes,"
please
continue
on
with
the
survey)


No
(
If
"
No,"
please
provide
us
with
contact
information
below
and
either
(
1)
return
the
survey
to
us
or
(
2)
forward
the
survey
to
the
technical
contact
for
completion).

B.
Are
you
the
person
the
public
should
contact
for
information
about
the
beach
program?


Yes

No
(
If
"
No,"
please
provide
us
with
contact
information
below.)
B.
What
type
of
agency
is
it?
(
Please
check
one
answer)


Federal

City/
Town/
Village

State

Other
(
please
describe):

Region/
District

County
2
Respondent
Please
provide
the
following
information
about
yourself.

First
Name:
____________________
Last
Name:
________________________
Title:
_______________________

Agency:
_____________________________________________________________________________________

Address:
_____________________________________________________________________________________

City:
____________________________
State:
_________________________
ZIP
Code:
____________________

Phone:
__________________________
Fax:
__________________________
E­
mail
address:
________________

C.
Is
there
a
website
people
can
go
to
learn
about
your
beach
program?
First
Name:
____________________
Last
Name:
________________________
Title:
_______________________

Agency:
_______________________________________________________
Phone:
_______________________

First
Name:
____________________
Last
Name:
________________________
Title:
_______________________

Agency:
_______________________________________________________
Phone:
_______________________

If
"
Yes,"
please
provide
us
with
the
web
address:
C.
Did
this
agency
have
any
designated
swimming
beaches
in
2002?


Yes
(
If
"
Yes,"
please
complete
Questions
1­
25)

No
(
If
"
No,"
please
complete
Questions
1
and
2
only)
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
Sec.
1
 
Pg.
2
Cost
4
Annual
Cost
What
is
the
annual
cost
of
your
beach
program?
(
Please
fill
in
answers
in
only
one
box)

Monitoring
Advisory/
Closing
Program
Program
$__________
Actual
amount
$__________

Estimated
amount

Less
than
$
2,500
per
year


$
2,500
 
$
9,999
per
year


$
10,000
 
$
49,999
per
year


$
50,000
 
$
99,999
per
year


$
100,000
 
$
250,000
per
year


More
than
$
250,000
per
year


Don't
know


Not
available

Costs
by
Component
Use
this
box
if
your
program
cost
can
be
separated
into
monitoring
and
advisory/
closing
components.
If
you
know
the
actual
amount
please
enter
it.
If
you
don't
know,
select
a
range
and
mark
the
appropriate
box.


Less
than
$
2,500
per
year

$
2,500
 
$
9,999
per
year

$
10,000
 
$
49,999
per
year

$
50,000
 
$
99,999
per
year

$
100,000
 
$
250,000
per
year

More
than
$
250,000
per
year

Don't
know

Not
available
Total
Costs
Use
this
box
only
if
your
program
costs
cannot
be
separated
into
monitoring
and
advisory/
closing
components.
If
you
know
the
actual
amount
please
enter
it.
If
you
don't
know,
select
a
range
and
mark
the
appropriate
box.

5
Establishment
of
Standards
A.
Have
recreational
water
quality
standards
for
bacteria
or
other
pathogens
been
established
in
this
area?


Yes

No
(
If
"
No,"
please
go
to
Question
7)

B.
Does
your
agency
base
its
recreational
water
quality
standards
on
formal
guidance,
either
internally
developed
or
issued
by
some
other
authority?
If
yes
,
what
is
the
title
and
issuing
agency?


Yes

No
Title:
________________________________________________________________________________________

Issued
by:
___________________________________________________________________________
Standards
6
Standards
Information
Agencies
typically
use
different
types
of
recreational
water
quality
standards
(
e.
g.,
bacterial
standards
based
on
several
samples,
bacterial
instantaneous
standards,
or
preemptive
standards
that
incorporate
rainfall
or
flow
statistics).
These
standards
may
vary
depending
on
whether
they
pertain
to
freshwater
or
marine
water.

Please
complete
the
tables
on
the
following
pages
for
the
recreational
water
quality
standards
used
by
your
agency.

For
freshwater
standards
go
to
page
3.

For
marine
water
standards
go
to
page
4.
Actual
amount
$__________

Estimated
amount
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
Sec.
1
 
Pg.
3
Density
of
indicator,
based
on
several
samples
collected
during
a
specific
period,
above
which
risk
to
human
health
may
be
considered
unacceptable.

Total
coliforms
Fecal
coliforms
E.
coli
Enterococci
Other
(
please
specify
below):

Density
of
indicator,
for
any
single
sample,
above
which
risk
to
human
health
may
be
considered
unacceptable.

Total
coliforms
Fecal
coliforms
E.
coli
Enterococci
Other
(
please
specify
below):
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Indicator
Density
per
100
mL
Based
on
what
statistical
measure?
(
e.
g.,
geometric
mean)
Based
on
how
many
samples?
(
must
be
>
1)
Taken
within
what
time
period?
(
e.
g.,
30
days)

Preemptive
Standard
 
Rainfall
(
Please
describe;
include
depth
and
duration
if
applicable):

Preemptive
Standard
 
Other
(
Please
describe):
Freshwater
Standard
Based
on
Averaging
Period:

Instantaneous
Standard:
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
Sec.
1
 
Pg.
4
Density
of
indicator,
based
on
several
samples
collected
during
a
specific
period,
above
which
risk
to
human
health
may
be
considered
unacceptable.

Total
coliforms
Fecal
coliforms
E.
coli
Enterococci
Other
(
please
specify
below):

Density
of
indicator,
for
any
single
sample,
above
which
risk
to
human
health
may
be
considered
unacceptable.

Total
coliforms
Fecal
coliforms
E.
coli
Enterococci
Other
(
please
specify
below):
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Indicator
Density
per
100
mL
Based
on
what
statistical
measure?
(
e.
g.,
geometric
mean)
Based
on
how
many
samples?
(
must
be
>
1)
Taken
within
what
time
period?
(
e.
g.,
30
days)

Preemptive
Standard
 
Rainfall
(
Please
describe;
include
depth
and
duration
if
applicable):

Preemptive
Standard
 
Other
(
Please
describe):
Marine
water
Standard
Based
on
Averaging
Period:

Instantaneous
Standard:
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
Monitoring
9
Targeted
Monitoring
Are
beaches
with
a
history
of
contamination
problems
or
high­
use
beaches
that
are
suspected
of
contamination
monitored
more
or
less
frequently
than
others?


More

Less

About
the
same

Not
applicable

Provide
results
to
internal
agency
staff
for
evaluation

Provide
results
to
different
agency
staff
for
evaluation

Notify
owner/
manager/
operator/
lifeguards
of
results

Post
results
at
beach

Provide
results
on
hotline/
water
quality
information/
results
phone
line

Have
results
announced
on
local
radio
station

Have
results
announced
on
local
TV
station

Publish
results
in
local
newspaper

Post
results
on
the
Internet

Provide
results
to
anyone
on
request

Other
(
Please
specify):
_____________________________________________________________________
What
is
the
procedure
for
reporting
the
results
of
beach
water
quality
monitoring
tests?

Please
check
all
the
apply
8
Monitoring
Procedures
7
Monitoring
Program
A.
Has
a
program
of
beach
water
quality
monitoring
for
bacteria
been
established?



Yes

No
(
If
"
No,"
please
go
to
Question
10.)

B.
Does
your
agency
base
its
monitoring
program
on
formal
guidance,
either
internally
developed
or
issued
by
some
other
authority?
If
yes,
what
is
the
title
and
issuing
agency?


Yes

No
Title:
________________________________________________________________________________________

Issued
by:
___________________________________________________________________________

Sec.
1
 
Pg.
5
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
12
Advisory/
Closing
Determination
Procedures
What
is
the
procedure
for
making
an
advisory/
closing
determination?

Please
check
all
that
apply



Compare
bacterial
concentrations
with
water
quality
standards
to
determine
whether
standards
are
exceeded



Perform
water
quality
modeling



Assess
risks
to
potential
swimmers



Discuss
situation
with
other
agencies



Assess
number
of
complaints
of
sickness



Perform
a
precautionary
closing
in
response
to
hazardous
discharges



Compare
conditions
to
preemptive
closing
criteria



Other
(
Please
specify
below)
Combined
or
Separate
Advisory
Only
Closing
Only
Advisories/
Closings
10
Advisory/
Closing
Program
A.
Are
the
beaches
in
this
area
covered
by
an
advisory/
closing
program?


Yes

No
(
If
"
No,"
please
go
to
Section
2.)

B.
Are
the
advisory
and
closing
programs
separate
or
combined?


Combined
(
Please
answer
Questions
11
 
17
where
"
Combined"
is
indicated.)


Separate
(
Please
answer
Questions
11
 
17
where
"
Advisory
Only"
and
"
Closing
Only"
are
indicated.)

11
Determining
an
Advisory/
Closing
What
agency
has
the
authority
to
determine
when
a
beach
advisory
or
closing
is
needed?

_
_
Combined
Advisory/
Closing
or
Advisory
Only
Agency:_____________________________________________________________________

First
Name:
______________________
Last
Name:
________________________________

Title:
___________________________
Phone:
___________________________________

_
_
Closing
Only
Agency:_____________________________________________________________________

First
Name:
______________________
Last
Name:
________________________________

Title:
___________________________
Phone:
___________________________________

Combined
or
Advisory
Only
___________________________________________________________

Closing
Only
___________________________________________________________

Sec.
1
 
Pg.
6
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
13
Issuing
an
Advisory/
Closing
Is
the
agency
that
issues
an
advisory/
closing
the
same
agency
that
makes
the
determination?


Yes

No
(
If
"
No,"
please
fill
in
the
appropriate
information
below)

Sec.
1
 
Pg.
7
Combined
Advisory/
Closing
or
Advisory
Only
Agency:
________________________________________

First
Name:
___________
Last
Name:
_______________

Title:_________________
Phone:
___________________
Closing
Only
Agency:
________________________________________

First
Name:
___________
Last
Name:
_______________

Title:_________________
Phone:
___________________

14
Advisory/
Closing
Issuance
Procedures
What
is
the
procedure
for
issuing
an
advisory/
closing?
(
Please
check
all
that
apply)




Provide
announcement
to
internal
agency
staff



Provide
announcement
to
other
government
agency(
ies)




Notify
owner/
manager/
operator/
lifeguards
of
results



Post
advisory
or
closing
at
the
beach



Provide
results
on
hotline/
water
quality
information/
result
phone
line



Have
advisory
or
closing
announced
on
local
radio
station



Have
advisory
or
closing
announced
on
local
TV
station



Publish
advisory
or
closing
in
local
newspaper



Post
advisory
or
closing
on
the
Internet



Physically
isolate
contaminated
area
(
e.
g.,
block
access,
fence
off
area)




Other
(
Please
specify
below)
Combined
or
Separate
Advisory
Only
Closing
Only
Combined
or
Advisory
Only
___________________________________________________________

Closing
Only
___________________________________________________________

15
Advisory/
Closing
Notification
How
quickly
is
the
public
notified
after
test
results
are
obtained
and
an
advisory
or
closing
issued?




Within
1
hour



Generally
within
24
hours



Generally
within
24
 
72
hours



More
than
72
hours
later



Variable
Combined
or
Separate
Advisory
Only
Closing
Only
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
Sec.
1
 
Pg.
8
17
Advisory/
Closing
Reopening
Procedures



Resample
and
compare
bacterial
concentrations
with
water
quality
standards
to
determine
whether
levels
are
below
standards



Assess
risks
to
potential
swimmers



Discuss
situation
with
other
agencies



Assess
number
of
complaints
of
sickness



Reopen
after
a
set
number
of
days
following
rainfall



Provide
announcement
to
agency
staff



Provide
announcement
to
local
government
staff



Notify
owner/
manager/
operator/
lifeguards
of
results



Post
announcement
at
the
beach



Provide
results
on
hotline/
water
quality
information/
result
phone
line



Have
reopening
announced
on
local
radio
station



Have
reopening
announced
on
local
TV
station



Publish
reopening
in
local
newspaper



Post
reopening
on
the
Internet



Remove
physical
barriers
set
when
closed



Other
(
Please
specify
below)
Combined
or
Separate
Advisory
Only
Closing
Only
What
is
the
procedure
for
reopening
a
closed
beach
or
lifting
an
advisory?
(
Please
check
all
that
apply)

Combined
or
Advisory
Only
___________________________________________________________

Closing
Only
___________________________________________________________
16
Reopening
After
an
Advisory/
Closing
Is
the
agency
that
reopens
the
beach
after
an
advisory/
closing
the
same
agency
that
makes
the
advisory/
closing
determination?


Yes

No
(
If
"
No,"
please
fill
in
the
appropriate
information
below)

Combined
Advisory/
Closing
or
Advisory
Only
Agency:
________________________________________

First
Name:
___________
Last
Name:
_______________

Title:_________________
Phone:
___________________
Closing
Only
Agency:
________________________________________

First
Name:
___________
Last
Name:
_______________

Title:_________________
Phone:
___________________
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
I.
Is
this
beach
public
or
private?
G.
What
is
the
total
length
of
the
beach?
VERY
IMPORTANT
­
You
must
complete
a
set
of
Section
2A
and
2B
forms
for
each
beach
(
Make
as
many
copies
of
these
forms
as
necessary)

______
miles
18
Beach
Location
A.
What
is
the
name
of
the
beach?

B.
What
city
or
town
is
nearest
to
the
beach?

C.
In
what
county
and
state
is
the
beach
located?

D.
What
is
the
name
of
the
beach
waterbody?

E.
Please
categorize
the
general
location/
type
of
this
waterbody.
(
Please
check
only
one
answer)


Atlantic
Ocean
­
Open
Coast

Great
Lakes
­
Open
Coast

Atlantic
Ocean
­
Sound,
Bay,
or
Inlet

Great
Lakes
­
Sound,
Bay,
or
Inlet

Pacific
Ocean
­
Open
Coast

Inland
Waterbody
­
Still
water
(
e.
g..,
lake,
pond)


Pacific
Ocean
­
Sound,
Bay,
or
Inlet

Inland
Waterbody
­
Flowing
water
(
e.
g.,
river)


Gulf
of
Mexico
­
Open
Coast

Other
(
please
describe):


Gulf
of
Mexico
­
Sound,
Bay,
or
Inlet
F.
What
is
the
type
of
water?


Public

Private

Both
Public
and
Private
H.
What
is
the
latitude
and
longitude
of
the
beach?
Latitude
_____
°
_
____
´
_
___
´
´
N
or
_____
.
_____
°
N
Longitude
_____
°
_
____
´
_
___
´
´
W
or
_____
.
_____
°
W


Latitude
and
longitude
is
unknown

Freshwater

Estuarine



Saltwater
19
Beach
Use
A.
How
many
months
is
the
swimming
season?

B.
Approximately
how
many
people
use
this
beach
per
day?
Check
only
one
box
per
row.

C.
What
percentage
of
people
who
use
this
beach
go
into
the
water
(
e.
g.,
swimming,
sportfishing)?

Percent
that
go
into
the
water






Unknown
Sec.
2A
 
Pg.
1
Section
2A
Individual
Beach
Information
months
Less
than
Between
Between
Between
More
than
Don't
Type
of
Day
100
100
 
499
500
 
999
1,000
 
9,999
10,000
know
Weekday
­
peak
season






Weekday
­
other
seasons






Weekend
day
­
peak
season






Weekend
day
­
other
seasons






Holiday
Day
­
peak
season






Holiday
Day
­
other
seasons






National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
Please
check
all
that
apply

Combined
sewer
overflow
(
CSO)

Boat
discharges

Sanitary
sewer
overflow
(
SSO)

Storm
water
runoff

Publicly
owned
treatment
works
(
POTW)

Wildlife

Septic
systems

Unknown

Sewer
line
blockage/
break

Other
(
Please
specify)
23
B.
What
sources
of
pollution
might
affect
the
beach?
20
Beach
Pollution
A.
Are
there
any
sources
of
pollution
that
are
in
the
vicinity
of
this
beach
or
might
affect
the
beach?



Yes


No


Unknown
(
If
the
answer
is
"
No"
or
"
Unknown,"
please
go
to
Question
21)

21
Water
Quality
Monitoring
A.
Is
water
quality
monitoring
for
bacteria
or
other
pathogens
performed
at
this
beach?


Yes

No
(
If
the
answer
is
"
No"
please
go
to
Question
24)

22
Advisories/
Closings
Based
on
Bacterial
Testing
A.
If
the
bacterial
testing
results
indicate
that
one
or
more
applicable
bacterial
standards
are
exceeded,
is
the
beach
closed
or
an
advisory
issued?

Yes

No

Usually

Sometimes,
depending
on
the
circumstances
(
Please
specify)

Sec.
2A
 
Pg.
2
C.
Who
performs
the
water
quality
monitoring
for
this
beach?

Please
check
one

This
agency

Another
agency

Contractor
for
this
agency

Outside
laboratory

Citizens

Other
If
response
is
not
"
This
agency,"
please
enter
the
name,
agency,
and
address
of
who
performs
the
monitoring
B.
How
many
miles
of
beach
are
monitored?
_________
miles
Please
check
one

Daily

Once
every
two
weeks

Three
or
more
times
a
week

Once
a
month

Twice
a
week

Once
a
year

Once
a
week

Other
(
Please
specify)
D.
How
frequently
are
samples
collected
for
analysis
of
bacterial
densities
during
the
swimming
season?
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
Please
check
one

Daily

Once
every
two
weeks

Three
or
more
times
a
week

Once
a
month

Twice
a
week

Once
a
year

Once
a
week

Other
(
Please
specify)
B.
If
"
Yes,"
what
is
the
frequency
of
monitoring?

Yes

No
23
Full
Year
Closings
A.
Was
this
beach
closed
for
the
entire
calender
year
of
2002
as
a
result
of
pollution?

C.
Was
this
beach
closed
for
the
entire
calender
year
of
2002
as
a
result
of
high
water,
insufficient
funds,
or
other
reason(
s)?


Yes

No
If
"
Yes,"
please
specify
D.
What
programs
are
under
way
to
improve
conditions
at
the
beach
?

Please
describe

Yes

No
24
Advisories/
Closings
Based
on
Violation
of
Water
Quality
Standards
A.
Based
on
the
water
quality
standards
for
this
beach,
how
many
times
were
criteria
exceeded
during
the
2002
swimming
season?

B.
Were
there
any
advisories
or
closings
issued
for
this
beach
in
2002?
times
If
"
Yes,"
please
continue
to
Question
27.

If
"
No,"
you
are
done
with
Section
2B
questions
for
this
beach.

Sec.
2B
 
Pg.
1
Section
2B
2003
Advisory/
Closing
Information
VERY
IMPORTANT
­
You
must
complete
a
set
of
Section
2A
and
2B
forms
for
each
beach
(
Make
as
many
copies
of
these
forms
as
necessary)

Beach
Name:
________________________________
National
Health
Protection
Survey
of
Beaches
 
2003
Swimming
Season
OMB
Control
No.
xxxx­
xxxx.
Approval
expires
xx/
xx/
20xx
Sec.
2B
 
Pg.
2
Note:
If
you
need
to
add
more
advisories/
closings
for
this
beach,
please
photocopy
this
page.
Advisory
(
Posting)
or
Closing
Start
Date
(
mm/
dd/
yyyy)
End
Date
(
mm/
dd/
yyyy)
Total
number
of
days
posted
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

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
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
Percent
of
this
beach
affected
Answer
Table
25
Advisories/
Closings
Reporting
Please
enter
information
about
the
advisories/
closing
for
this
beach
in
the
table
below.
An
example
is
entered
for
your
reference.
Please
use
the
following
keys
to
fill
out
the
last
three
columns.

Use
these
numbers
for
the
"
Reason(
s)"
why
the
advisories
or
closings
were
implemented.
(
Select
all
that
apply.)

(
1)
Monitoring
that
revealed
elevated
bacteria
levels
(
2)
Preemptive
 
Rainfall
(
3)
Preemptive
 
Sewage
discharge
or
spill
(
4)
Preemptive
 
Chemical
or
oil
discharge/
spill
(
5)
Other
(
Please
specify)
Use
these
numbers
for
the
"
Sources(
s)"
that
resulted
in
advisories
or
closings.
(
Select
all
that
apply.)

(
1)
CSO
(
2)
SSO
(
3)
POTW
(
4)
Septic
systems
(
5)
Sewer
line/
blockage/
break
(
6)
Boat
discharge
(
7)
Storm
water
runoff
(
8)
Wildlife
(
9)
Unknown
(
10)
Other
(
Please
specify)
Use
these
numbers
for
the
"
Indicator
type(
s)"
used
to
close
a
beach
or
issue
an
advisory.
(
Select
all
that
apply.)

(
1)
Preemptive
(
2)
Enterococci
(
3)
Total
coliform
(
4)
Fecal
coliform
(
5)
E.
coli
(
6)
Total/
Fecal
ratio
(
7)
Other
(
Please
specify)

Is
this
part
of
a
general
or
area­
wide
advisory
or
closing?
(
yes
or
no)
Indicator
type(
s)
used
to
close
or
issue
an
advisory
use
numbers
from
KEY
3
above
Source(
s)
use
numbers
from
KEY
2
above
Reason(
s)
use
numbers
from
KEY
1
above
KEY
1
KEY
2
KEY
3
KEY
1
KEY
2
KEY
3
