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HomeMy WebLinkAboutResolutions - 2004.11.18 - 27617MISCELLANEOUS RESOLUTION 104318 November 18, 2004 BY: General Government Committee, William R. Patterson, Chairperson IN RE: DEPARTMENT OF HUMAN SERVICES/HEALTH DIVISION - FISCAL YEAR 2004/2005 MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY (MDEQ) REIMBURSEMENT AGREEMENT ACCEPTANCE To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS for Fiscal Year 2004/2005, the Michigan Department of Environmental Quality (MDEQ) has awarded a reimbursement agreement to the Oakland County Health Division for services related to Non-Community (Type II) Water Supply, Long-Term Drinking Water Monitoring, Radon, Public Swimming Pool Inspections, Septage, On-Site Sewage, and Drinking Water Programs; and WHEREAS the services referenced above are on-going; and WHEREAS the Fiscal Year 2003/2004 MDEQ Reimbursement Agreement reflected a total funding amount of $$1,206,582; and WHEREAS the Fiscal Year 2004/2005 MDEQ Reimbursement Agreement reflects a total funding amount of $1,276,625, Which is a $70,043 (5.8-W) increase over the previous agreement; and WHEREAS no personnel changes have been requested for the reimbursement programs at this time; and WHEREAS this Reimbursement Agreement has been submitted through the County Executive's Contract Review Process. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners accepts the Michigan Department of Environmental Quality Reimbursement Agreement in the total amount of $1,276,625, beginning October 1, 2004 through September 30, 2005. BE IT FURTHER RESOLVED that the Oakland County Board of Commissioners approval of the above-referenced contract is specifically conditioned and premised upon the Department's concurrence in the terms and conditions contained in Addendum A of the Agreement, as added by the County. BE IT FURTHER RESOLVED that the Oakland County Board of Commissioners authorizes its Chairperson to execute this Agreement subject to the following additional condition: That the County's approval for entering into this Agreement is specifically conditioned and premised upon the acceptance, approval and execution of the Agreement containing Addendum A, by the Michigan Department of Environmental Quality, and that the failure of the Michigan Department of Environmental Quality to execute the Agreement as specified shall, without any further act of the Oakland County Board of Commissioners, automatically negate and void the County's approval and/or acceptance of this agreement as provided for in this resolution. BE IT FURTHER RESOLVED that the Board Chairperson is authorized to execute the Reimbursement Agreement and approve changes and extensions not to exceed fifteen percent (15 96), which is consistent with the agreement as originally approved. Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing resolution. GENERAL GOVERNMENT COMMITTEE 1 / LA_ )•1 /1•4‘' PtX-44471/ General Government Committee Vote: Motion carried on a roll call vote with Hatchett absent. Tom Fockler From: Sent: To: Cc: Subject: Greg Givens [givensg©co.oakland.mi.us] Monday, November 01, 2004 12:04 PM Doyle, Larry; Fockler, Tom Pearson, Linda; Smith, Laverne; Frederick, Candace; Worthington, Pam; Pardee, Mary; Hanger, Helen CONTRACT REVIEW — Health Division CONTRACT REVIEW - Health Division GRANT NAME: FY 04-05 MDEQ - Local Health Department Agreement FUNDING AGENCY: Michigan Department of Environmental Quality DEPARTMENT CONTACT PERSON: Tom Fockler / 22151 STATUS: Acceptance DATE: November 1, 2004 Pursuant to Misc. Resolution #01320, please be advised the captioned grant materials have completed internal contract review. Below are the comments returned by review departments. The captioned grant materials and grant acceptance package (which should include the Board of Commissioners' Liaison Committee Resolution, the grant agreement/contract, Finance Committee Fiscal Note, and this email containing grant review comments) may be requested to be placed on the appropriate Board of Commissioners' committee(s) for grant acceptance by Board resolution. Department of Management and Budget: Approved.- Laurie Van Pelt (10/29/2004) Department of Human Resources: Approved. - Ed Poisson (10/26/2004) Risk Management and Safety: Approved by Risk Management. - Julie Secontine (10/27/2004) Corporation Counsel: I have review the above referenced MDEQ Grant Agreement, and with the inclusion of the updated Addendum A as provided by Tom Fockler, approve it for acceptance and signature. - John Ross (11/1/2004) 1 RECEIVED SEP 22 2004 AGREEMENT BETWEEN STATE OF MICHIGAN, DEPARTMENT OF ENVIRONMENTAL QUALITY AND OAKLAND COUNTY HEALTH DIVISION FOR THE PERIOD OCTOBER 1, 2004 THROUGH SEPTEMBER 30, 2005 I. STATEMENT OF PURPOSE This agreement is entered into by and between the Oakland County Health Division, hereinafter known as the Local Entity, and the Michigan Department of Environmental Quality (MDEQ), hereinafter known as the State, for the period October 1, 2004 through September 30, 2005. Whereas the State desires to engage the Local Entity to render certain technical services related to Noncommunity Water Supply, Drinking Water Long-Term Monitoring, Radon Activities, Public Swimming Pools, Septage, On-Site Sewage, and Drinking Water Supply as described in Appendices A, B, C, D, E, F, and G, respectively, the Local Entity and the State agree to the following conditions: II. GENERAL CONDITIONS A. The Local Entity shall perform the services as described in Appendices A, B, C, D, E, F, and G attached hereto and made part of this agreement. B. This agreement is funded in part by a grant from the United States Environmental Protection Agency (EPA). Neither the United States nor any of its departments, agencies, or employees is a party to this agreement. This agreement is subject to the regulations contained in Title 40 of the Code of Federal Regulations (CFR), Part 31, in effect on the date of execution of this agreement. C. The Local Entity shall secure the necessary personnel to perform the services as described in Appendices A, B, C, D, E, F, and G; and all personnel shall be employees or shall be under the direct supervision of the Local Entity. The Local Entity shall accept responsibility for and make payments as required by law for workers' compensation insurance, social security, income tax deductions, unemployment compensation, and any other taxes or payroll deductions as required by law for its employees. The above shall be the responsibility of any firm or individual employed under a subcontract. All personnel, employees, or subcontractors working • under this agreement shall be professionally qualified to perform the duties required. D. This agreement becomes effective October 1, 2004, and shall remain in force until September 30, 2005, unless extended by mutual written agreement. E. This is an agreement for services to be performed as they are described in Appendices A, B, C, D, E, F, and G. Payment shall be made in accordance with Appendices A, B, C, D, E, F, and G, respectively. F. The Local Entity's representative for this agreement is George Miller. The representative may appoint other personnel to act in his/her behalf in the completion of services to be performed under this agreement only with approval of the State. The representative or his/her approved appointee shall perform the duties of coordinator of the services described in Appendices A, B, C, D, E, F, and G. G. The State's representative for this agreement is Richard A. Powers, Chief, Water Bureau, MDEQ. The State's representative may appoint other personnel to act on his behalf. H. The State and the Local Entity agree that the following provision shall apply to the work to be performed under this agreement: The rights and remedies of the parties provided for in these clauses are in addition to any other rights and remedies provided by law or under this agreement. Title to equipment or other nonexpendable personal property supported in whole or in part by the State with categorical funding and having a unit acquisition cost of less than $5,000 shall vest with the Local Entity upon acquisition. The State reserves the right to retain or transfer the title to all items of equipment and nonexpendable personal property having a unit acquisition cost of $5,000 or more to the extent that it is determined that the State's proportionate interest in such equipment and personal property supports such retention or transfer of title. J. The Local Entity shall comply with the local public health accreditation standards and follow the accreditation process and schedule established by the Michigan Department of Community Health (MDCH) to achieve full accreditation status. A Local Entity designated as "not accredited" may have their State allocations reduced for costs incurred in the assurance of service delivery. Ill. CHANGES A. Either the State or the Local Entity may, following consultation with and upon the written consent by the other party, make changes within the general scope of this agreement in the services or work to be performed. tf such changes seriusc an increase s'r dscrscasc.‘ in thc Lscai cntilys cost 2 or time required to perform any services under this agreement, an equitable adjustment may be negotiated, and agreements shall be put in writing. B. No services for additional compensation will be charged by the Local Entity without written authorization of the State. IV. CANCELLATION A. This agreement may be terminated by the State for any of the following reasons: I. The Local Entity fails to fulfill its obligations under this agreement. 2. An Executive Order or legislative reduction or federal funding creates shortfalls in the current fiscal year's funding level. B. This agreement may be terminated by the Local Entity upon a 30-day written notification to the State of its desire to terminate the agreement. V. AUDIT; ACCESS TO RECORDS A. The Local Entity will be required to maintain all pertinent financial and accounting records and evidence in accordance with generally accepted accounting principles and other procedures specified by the State. The State or any of its duly authorized repreSentatives shall have access, upon reasonable notice, to such books, records, documents, and other evidence for the purpose of inspection, audit, and copying. The Local Entity will provide proper facilities for such access and inspection. All records shall be maintained for a minimum of five (5) years after agreement termination or completion. B. This agreement is partially funded by EPA grants. The State shall have access to all records pertinent to the program(s) identified in the agreement, as provided by federal law or Office of Management and Budget (OMB) Circular A-102, "Grants and Cooperative Agreements with State and Local Governments." This right of access clause applies to financial records pertaining to all subcontracts (except formally advertised, competitively awarded, fixed price subcontracts), all subcontract change orders regardless of the type, and all subcontract amendments regardless of the type. The Local Entity shall have access to all State records pertinent to the program identified in this contract, as provided by law. This clause shall be included in all subcontracts. ir 3 VI. SUBCONTRACTS Subcontractors and outside associates or consultants required by the Local Entity in connection with services covered by this agreement will be limited to such individuals or firms as were specifically identified and agreed to during negotiations or as are specifically authorized in writing by the State during the performance of this agreement. Any substitutions in or additions to such subcontractors, associates, or consultants will be subject to the prior written approval of the State. All subcontractors are subject to the provisions of this agreement and are directly responsible to the Local Entity. The State reserves the option to approve ali subcontracts. VII. ASSIGNABILITY Neither party shall assign any interest in this agreement and/or transfer any interest in the same (whether by assignment or novation) without the prior written consent of the other party. However, claims for money due or to become due to the Local Entity from the State under this agreement may be assigned to a bank, trust company, or other financial institution without such approval. Notice of any such assignment or transfer shall be furnished promptly to the State. VIII. LIABILITY A. All liability, loss, or damage as "a result of claims, demands, costs, or judgments arising out of activities to be carried out pursuant to the obligations of the Local Entity under this agreement shall be the responsibility of the Local Entity, and not the responsibility of the State, if the liability, loss, or damage is caused by, or arises out of, the action or failure to act on the part of the Local Entity, any subcontractor, or anyone directly or indirectly employed by the Local Entity, provided that nothing herein shall be construed as a waiver of any governmental immunity the Local Entity may have as provided by statute or modified by court decisions. B. All liability, loss, or damage as a result of claims, demands, costs, or judgments arising out of activities to be carried out pursuant to the obligations of the State under this agreement shall be the responsibility of the State and not the responsibility of the Local Entity if the liability, loss, or damage is caused by, or arises out of, the action or failure to act on the part of any State employee or agent, provided that nothing herein shall be construed as a waiver of any governmental immunity the State, its agencies, or employees has as provided by statute or modified by court decisions. 4 IX. LIABILITY INSURANCE A. The Local Entity shall maintain such insurance as will protect them from claims that may arise out of or result from the Local Entity's operations under this agreement, whether such operations be by themselves or by any subcontractor or by anyone directly or indirectly employed by any of them, or anyone for whose acts any of them may be liable. The Local Entity may be self-insured. B. The Local Entity agrees to comply with the insurance and workers' compensation laws of the state of Michigan while engaging in all activities authorized under this agreement. X. FAIR SHARE In accordance with the EPA's Program for Utilization of Small, Minority and Women's Business Enterprises (MBE/WBE) in procurement under assistance programs, the Local Entity agrees to: A. Accept the applicable Fiscal Year 2003-2004 "fair share" goals negotiated with the EPA by the State at a combined rate of 3 percent MBE and 5 percent WBE. B. Ensure to the fullest extent possible that at least the applicable "fair share" objective of federal funds for prime contracts or subcontracts for supplies, construction, equipment, or services are made available to organizations owned or controlled by socially and economically disadvantaged individuals, women, and historically black colleges and universities. C. Include in its bid documents applicable "fair share" documents and require all of its prime contractors to include in their bid documents for subcontracts the negotiated "fair share" percentages. D. Follow the six affirmative steps stated in 40 CFR 31.36(e). E. Notify the State in advance of any race and/or gender conscious action it plans to take to more closely achieve the "fair share" objective, in the event race and/or gender neutral efforts prove to be inadequate to achieve a "fair share" objective for MBE/WBE. Xl. NONDISCRIMINATION The Local Entity shall not discriminate against an employee or applicant for employment with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment, because of race, color, religion, national hcqght,,Aimight, rn.nr!t! ct=t1 IC, or phyQir21 or mental disability 5 unrelated to the individual's ability to perform the duties of the particular job or position. The Local Entity further agrees that any subcontract shall contain a nondiscrimination provision identical to this provision and binding upon any and all subcontractors. This covenant is required pursuant to the Elliott-Larsen Civil Rights Act, 1976 PA 453, as amended, MCL 37.2201, et seq., and the Persons with Disabilities Civil Rights Act, 1976 PA 220, as amended, MCL 37.1101, et seq. Any breach thereof may be regarded as a material breach of the contract or purchase order. XII. UNFAIR LABOR PRACTICES Pursuant to the State Contracts With Certain Employers Prohibited Act, 1980 PA 278, as amended, MCL 423.231, et seq. (Act 278), the State shall not award a contract or subcontract to an employer whose name appears in the current register of employers failing to correct an unfair labor practice compiled pursuant to Section 2 of Act 278. A Local Entity shall not enter into a contract with a subcontractor, manufacturer, or supplier whose name appears in this register. Pursuant to Section 4 of Act 278, the State may void any contract if, subsequent to award of the contract, the name of the Local Entity as an employer, or the name of the subcontractor, manufacturer, or supplier of the Local Entity appears in this register. XIII. PATENTS, COPYRIGHTS, AND RIGHTS IN DATA If this agreement involves research, development, experimental, or demonstration work and any discovery or invention arises or is developed in the course of or under this agreement, the State shall retain sole authority to patent or license. The Local Entity agrees that any plans, drawings, specifications, computer programs, technical reports, operating manuals, and other work submitted or that are specified to be delivered under this agreement or that are developed or produced and paid for under this agreement are subject to the rights of the state of Michigan. The State shall retain an irrevocable license to reproduce, publish, and use, in whole or in part, and to authorize others to do so. Any presentation, educational or promotional materials, training materials, or publications such as brochures, fact sheets, posters, information articles, audio-visual materials, or research papers developed by the Local Entity as part of this agreement shall include the following statement: "Funding for this project was made available through a grant from the Michigan Department of Environmental Quality (or use the name of the federal funding source, if applicable)," XIV. SMALL BUSINESS IN RURAL AREAS By accepting this agreement, the Local Entity agrees to comply with Section 129 of Public Law 100-599, the Small Business Administration Reauthorization and c Amendment Act of 1988. Therefore, if. the Local Entity awards a contract under this 6 agreement, it will utilize the following affirmative steps relative to Small Business in Rural Areas (SBRAs): A. Placing SBRAs on solicitation lists; B. Ensuring that SBRAs are solicited whenever they are potential sources; C. Dividing total requirements, when economically feasible, into small tasks or quantities to permit maximum participation by SBRAs; D. Establishing delivery schedules, where the requirements of work will permit, that would encourage participation by SBRAs; E. Using the services of the Small Business Administration and the Minority Business Development Agency of the United States Department of Commerce, as appropriate; and F. Requiring the contractor, if it awards subcontracts, to take the affirmative steps in subparagraphs A through E of this condition. XV. HOTEL AND MOTEL FIRE SAFETY ACT OF 1990 The Local Entity agrees to ensure that all conference, meeting, convention, or training space, funded in whole or in part with federal funds, complies with the Hotel and Motel Fire Safety Act of 1990. XVI. RECYCLED PAPER Pursuant to EPA Order 1000.25, dated January 24, 1990, the Local Entity agrees to use recycled paper for all reports that are prepared as a part of this agreement and delivered to the State. This requirement does not apply to reports that are prepared on forms supplied by the State. This requirement applies even when the cost of recycled paper is higher than that of virgin paper. XVII. LOBBYING/LITIGATION In accordance with OMB Circular A-21, A-87, or A-122, as appropriate, the Local Entity agrees that it will not use project funds, including the federal and nonfederal share, to engage in lobbying the federal government or in litigation against the United States. The Local Entity also agrees to provide the information mandated by the EPA's annual appropriations acts that require the following: "A chief executive officer of any entity receiving funds under this Act shall certify that none of these funds have been used to engage in the lobbying of the federal Government or in litigation against the United States unless author'acd virrlor . 7 XVIII. OFFICIALS NOT TO BENEFIT No member of or delegate to the state Legislature, Congress, resident county commissioner, or any other municipal official, except as otherwise provided for under this agreement, shall be admitted to any share or part of this agreement or to any benefit that may arise therefrom. XIX. VALIDITY If any clause is deemed invalid, the remainder of this agreement shall not be invalidated thereby, provided the invalid clause does not substantially alter this agreement or make execution impractical. XX. COMPLIANCE The Local Entity will comply with applicable federal and state laws, guidelines, rules and regulations in carrying out the terms of this agreement XXI. APPLICABLE APPENDICES - The Local Entity acknowledges that the following appendices, allocation schedules, and budgets (where applicable) are part of this agreement: Appendices A - Noncommunity (Type II): Index 37338 1. Water Supply Requirements —PCA 41852; Allocation amount $158,394 Funding Source: State Restricted 2. Operator Certification - PCA 41813; Allocation amount $76,450 Funding Source: EPA Grant to Reimburse Operators of Small Water Systems for Training and Certification Costs, CFDA 66.471 3. Arsenic Rule Implementation — PCA 41838; Allocation amount $34,663 Funding Source: EPA Cap Grant for the Drinking Water Revolving Fund, CFDA 66.468 4. Capacity Development— PCA 41827; Allocation amount $8,100 Funding Source: EPA Cap Grant for the Drinking Water Revolving Fund, CFDA 66.468 Appendices B - Long-Term Monitoring: Index 37307 PCA 30744; Allocation amount $71,736 C P ;IMO" •••n • 11 I US I•4 fa +.." tra i S tat./ Rastr'...-1:6--d 8 Appendices C - Radon Requirements: Allocation amount $15,000; and Funding Source: EPA Indoor Radon Grant, CFDA 66.032, 50 percent federal and 50 percent State General Fund Appendices D - Public Swimming Pool Requirements: Index 37408 PCA 44405; Allocation amount $29,715 Funding Source: State Restricted Appendices E - Septage Requirements: Index 37410 PCA 44106, Allocation amount $1,675 Funding Source: State Restricted Appendices F - On-Site Sewage Requirements: Index 37407 PCA 44306; Allocation amount $369,975 Funding Source: Interdepartmental Grant from MDCH Appendices G - Drinking Water Supply Requirements: Index 37306 PCA 42013; Allocation amount $510,917 Funding Source: Interdepartmental Grant from MDCH 9 FOR THE LOCAL ENTITY: Remittance Address: Federal ID Number Typed Name and Title Telephone Number Signature Date FOR THE STATE: Richard A. Powers, Chief, Water Bureau Date 10 ADDENDUM A to CONTRACT BETWEEN - STATE OF MICHIGAN, DEPARTMENT OF ENVIRONMENTAL QUALITY AND OAKLAND COUNTY HEALTH DIVISION FOR THE PERIOD OF OCTOBER 1, 2004 THROUGH SEPTEMBER 30, 2005 This Addendum modifies the intergovernmental agreement entitled, "CONTRACT BETWEEN STATE OF MICHIGAN, DEPARTMENT OF ENVIRONMENTAL QUALITY AND OAKLAND COUNTY HEALTH DIVISION FOR THE PERIOD OF OCTOBER 1, 2004 THROUGH SEPTEMBER 30, 2005" as follows: • Article VIII UABIUTY. (a) All liability, loss, or damage as a result of claims, demands, costs, or judgments arising out of activities to be carried out pursuant to the obligations of the Local Entity under this Agreement/Contract shall be the responsibility of the Local Entity, and not the responsibility of the State, if the liability, loss, or damage is caused by, or arises out of, the actions or failure to act on the part of the Local Entity, anyone directly employed by the Local Entity, provided that nothing herein shall be construed as a waiver of any governmental immunity the Local Entity is provided by statue or modified by Court decisions. • Appendix C In all instances where the term "grantee" appears, it shall be amended to read local entity". The individual or officer signing this Agreement and Addendum certifies by his or her signature that he or she is authorized to sign the Agreement and Addendum on behalf of the responsible governing board or agency. For the Local Entity: THOMAS A. LAW. , CHAIRPERSON OAKLAND COUNTY BOARD OF COMMISSIONERS For the State: ir STFVFN E CHESTER; DIRECTOR DEPARTMENT OF ENVIRONMENTAL QUALITY DATE DATE 1 MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX A OCTOBER 1, 2004 THROUGH SEPTEMBER 30, 2005 NONCOMMUNITY (TYPE II) WATER SUPPLY REQUIREMENTS A. Statement of Purpose This agreement is intended to establish responsibilities for both the Local Entity and the State in the conduct of complete noncommunity water supply program services required under the Safe Drinking Water Act, 1976 PA 399, as amended, and the Administrative Rules, hereinafter referred to as "Act 399." B. Local Entity Requirements The Local Entity shall perform the following services including but not limited to: 1. Conduct sanitary surveys, issue well permits, and have inspections for compliance or enforcement purposes performed by qualified individuals classified as sanitarians or equivalent. 2. Assign one individual to be responsible for operational training and reporting aspects of this agreement and to coordinate communication with the assigned State staff. 3. Maintain a current inventory of all noncommunity public water supplies within its jurisdiction using the WaterTrack Data System. 4. Provide program oversight for required water quality monitoring and reporting at noncommunity public water supplies in accordance with Act 399. The water supply owner shall be advised of the applicable monitoring requirements at the time of completion of a sanitary survey or final approval of a well permit or the effective date of the requirement. Notices of violation of required monitoring, maximum contaminant level (MCL) violations, or the occurrence of unregulated compounds shall be provided to the owner and the State in a timely manner. Notices of violation shall include the contaminant, public health effects information, specific precautionary measures, and public notice requirements where applicable, as required in Act 399. 5. Insure that repeat samples are collected promptly where initial sample results indicate a potential violation of state drinking water standards or where the sample analyses are unreliable due to overgrowth, excessive transit time, or where the presence of organic chemical contamination is indicated. 6. Complete sanitary surveys on a minimum of 20 percent of the number of noncommunity public water supplies on the contract inventory so that each supply is surveyed every five years. 7. Conduct sanitary survey inspections by performing an on-site evaluation of noncommunity public water supplies at regular intervals in accordance with procedures established by the State. An accurate and complete sanitary survey form, water well record where available, and transmittal letter to the owner regarding compliance status and monitoring requirements shall be considered a completed sanitary survey as required in Act 399. 8. Provide a notification to the owners of a noncommunity public water• supply found to be in noncompliance that includes the deficient items, outlines corrective action, establishes a specific time schedule for making corrections, and establishes an appropriate monitoring schedule, interim precautionary measures, or public notice requirements, where applicable. 9. Conduct a reinspection within ten days of the expiration date of the compliance schedule to ensure that all violations have been corrected and provide documentation of the results of the reinspection to the owner. If compliance has not been achieved, initiate enforcement in accordance with procedures established by the State. 10. Consult with the State in situations where the noncommunity public water supply provides treatment for public health purposes, utilizes a surface water source, or is found to be providing water that exceeds a MCL or contains unregulated organic compounds. 11. Take prompt action to protect the public health and pursue compliance with applicable construction, public notice, and water quality standards when an inspection establishes that sewage, surface water, chemicals, or other serious contamination can gain entrance into the noncommunity public water supply or there is a confirmed MCL violation. 12. Review permit applications and issue permits prior to the construction of . any new or altered noncommunity water well as required in Act 399 and in accordance with procedures established by the State. Noncommunity well permits shall be issued on forms provided by the State. .. 13. Complete a review of the Capacity Development Application to determine if each new nontransient noncommunity water system demonstrates adequate technical, managerial, and financial capacity in accordance with procedures established by the State prior to authorizing construction of the water system. Withhold the construction permit if the owner does not demonstrate adequate capacity in accordance with procedures established by the State. 14. Perform at least one post-construction inspection of all new noncommunity wAtAr %AMOR fnr whir411 pArmit h?R hppri !qQ1 !art Piri! inApPrtinri Rnri authorization for use of the noncommunity public water supply by the public shall be accomplished in accordance with Act 399 and procedures establish0 by the State. 2 15. Provide the well owner with notification of the results of the final inspection report and status of compliance and establish the appropriate future monitoring schedule as required in Act 399. 16. Obtain requests for deviations from suppliers of water where necessary and evaluate and approve or deny deviations prior to the construction in accordance with procedures established by the State and as required in Act 399. 17. Provide technical assistance to noncommunity owners and certified operators for noncommunity systems and program oversight for noncommunity owners to maintain compliance with operator certification requirements where applicable. 18. Local entities designated to provide continuing education for certified operators shall: Attend train the trainer workshop for each module to be presented. Provide adequate training, facilities, mailing, copying, etc., as needed at no charge to the operator. Schedule and train level 5 operators as needed. Use the prepared material to sufficiently cover each module's subject matter in approximately 3 to 4 hour sessions. Distribute, and collect evaluation forms at each session. Use the "Program Participant Roster" program provided by the DEQ to electronically send the participant list created by this program to the DEQ via email. 19. Maintain appropriate noncommunity program records, including sanitary surveys, well permits, records of water sampling, and correspondence as required in Act 399. Maintain individual noncommunity public water supply files indexed according to water supply serial number for each inventoried noncommunity water supply. 20. Maintain records for reporting water quality monitoring violations, sanitary survey inspections and compliance status, issuance of well permits, MCL violations, and issuance of public notice. Requests for payment shall be submitted upon completion of violation determinations and required WaterTrack data entry no later than 15 days following the end of the quarter. 21. Notify noncommunity public water supply owners regarding monitoring requirements that includes language clearly stating that they may use any certified drinking water laboratory including the Michigan Department of Environmental Quality (MDEQ) laboratory for compliance• monitoring. 22. Provide nontransient water supply owners notification of arsenic monitoring, rule requirements, assessment of sample results, and general technical assistance. 3 23. Provide technical assistance to nontransient water supply owners exceeding the maximum contamination level of arsenic including - completing compliance monitoring, assessing compliance alternatives, and assessment of treatment design, installation, and operation. C. State Requirements The State shall perform the following services including but not limited to: 1. Provide noncommunity public water supply data and WaterTrack Data System information upon request of the Local Entity. 2. Provide designated local entities with slide presentations and master copies of materials to be used for certified operator continuing education. Provide train the trainer workshops and ongoing assistance as needed. Notify operators of the local entities that are continuing education providers. Provide local entities with operator lists upon request. Provide additional training opportunities if needed to insure statewide coverage. 3. Provide training and guidance to the Local Entity in the form of procedural manuals, rules, policies, handouts, training meetings, joint inspections, and consultations. 4. Provide necessary forms or a data management program for sanitary survey reports, well permits, operator certification, capacity development, water quality monitoring, reporting of violations, and maintaining survey frequencies. 5. Provide program consultation and direct staff assistance where necessary in pursuing compliance with applicable construction, monitoring, treatment, public notice, and water quality standards. 6. Provide administrative oversight of the Local Entity's noncommunity program to determine whether the work performed is satisfactory according to the terms and conditions of the agreement. 7. Assess the status of the Local Entity's noncommunity program relative to meeting the agreement requirements and overall program goals and provide a report outlining the assessment with an opportunity for Local Entity input. 8. Provide for the analyses of water samples at the MDEQ Laboratory. Payment of laboratory fees for the analyses of water samples required through the provisions of this agreement will be the responsibility of the water supply owner. 9. Provide a listing of all laboratories certified to perform drinking water analyses in Michigan. 4 D. Payment Schedule Program Activity Allocation Basis Payment Request Standard Inventory based on active (A) Email request for payment to transient and nontransient DEQ-WaterTrack©Michigan.gov . noncommunity water supplies Subject to DEQ verification. (TNCWS & NTNCWS) minus Ag. labor camps Operator Certification 1 Inventory based new rule Payment is included with verified implementation $200 per active WaterTrack email request per NTNCWS and active Transient (A).No additional report required. systems with classified as providing D or F level treatment. Operator Certification 2 Service based Continuing (B) Email DEQ Education & Education Training, $75 per Training Program Participant 5 level certified operator Roster, evaluation forms, and completing a DEQ approved request for payment. course provided by local entity Capacity Development Service based, $150 per Submit WaterTrack report for completed assessment for new completed capacity assessment NTNCWS and email request per (A). Arsenic 1 Inventory based new rule Payment included with verified implementation $37.50 per WaterTrack email request per NTNCWS (A). No additional report required. Arsenic 2 Service based technical Submit WaterTrack Treatment* assistance $350 for each report for services provided to NTNCWS exceeding arsenic systems exceeding standard with standard e-mail request (A) following gh quarter, 1. E-mail request for payment to DEQ-WaterTrack@Michigan.gov within 15 days after the end of each quarter. Operator certification 1 implementation and Arsenic 1 implementation reimbursement are inventory based and will be included with the standard payment allocation. Attach WaterTrack Capacity Development reports to the WaterTrack email to request payment for Capacity Development Assessments completed. For Arsenic 2 payment; following the 4 th quarter, attach WaterTrack Treatment Report (*or other DEQ approved report) for NTNCWS that exceed the arsenic standard to request payment for those services. 2. Designated local entities providing continuing education services for certified • operators email the "Education and Training Program Participant Roster" for each training session and send copies of course evaluation forms within 15 days of the end of each quarter to: Noncommunity Unit, Lansing Operations Division, Water Bureau, MDEQ, P.O. Box 30273, Lansing, Michigan 48909-7773. The contact person is Ms. Holly Mercer, who can be reached at 517-241-1362 or by e-mail at mercerh@michigan.gov . 5 The final September payment will be made by the State upon receipt of a Financial Status Report, Form EQP 2069 (FSR), from the Local Entity and based upon the Local Entity's fulfillment of its responsibilities under this agreement. The final FSR is due by October 31. A blank copy of the FSR is attached. The FSR should be sent to: Administration Section, Water Bureau, MDEQ, P.O. Box 30273, Lansing, Michigan 48909-7773. The contact person is Ms. Kara Benjamin, who can be reached at 517-335-3357 or by e-mail at benjamink@michigan.gov . E. Accountability The Local Entity shall maintain adequate accounting and employee activity records to reflect that all funds granted under this contract have been expended for the program activities as approved by the State. These records shall be made available upon request for audit by the State. Records will be retained by the Local Entity until an audit has been completed by the State or permission has been granted by the State to dispose of the records. 6 APPENDIX A - NONCOMMUNITY PROGRAM ALLOCATION SCHEDULE FY 2005 9/1512004 LOCAL HEALTH TN NT TN STANDARD OPER. ARSENIC CONTRACT PER QUARTER OPER. CERT. I ITEMIZED . _ DEPARTMIIEN- T CI or F CERT #1 #1 STD AMOUNT STD PAYMENT #2 MAX i ,;- • e MAX TOTAL ALLEGAN 219 42 0 $43,028 $8,400 $1,575 $ 53,003 $ 13,251 $6,300 $1,650 $2,800 $ 10,750 BA-R-RY-EATOI'l . 321 52 2 $59,491 $11,600 $1,950 $ 73,041 $ 18,260 $0 $1,950 $3,1-50-i- 5,100 BAY - - - - 10 1 0 $1,621 $20/4___ $38 $ 1,859 $ 465 $0 $150' $350 $ 500' _ BENZIE-LEELA NAU _ 182 32 0 $34,672 $6,400 $1,200 $ 42,272 $ 10,568 $0 $1,200 $1,400 $ 2,600 BERRIEN 157 30 0 $30,806 $6,000 $1,125 $ 37,931 $ • 9,483 $0 $1,200 $2,100 $ 3,300 BRANCH-HILLS-ST.JOE 193 54 0 $44,276 $10,800 $2,025 $ 57,101 $ 14,275 $4,425 $2,100 $4,900 $ 11,425 CALHOUN 109 43 1 $29,683 $9,200 $1,613 $ 40,496 , $ 10,124 $3,525 $1,650 $2,100 $ 7,275 CENTRAL MICA, 550 65 0 $92,916 $13,000 $2,438 $ 108,354 $ 27,088 $9,750 $2,400 $65O $ 18,800 CHIPPEWA 137 7 0 $19,706 $1,400 $263 $ 21,368 $ 5,342 $0 $300 $350 $ 650 DELTA-MENOMINEE 88 18 0 $17,710 $3,600 $675 $ 21,985 $ 5,496 $1,500 $750 $700 $ 2,950 DETROIT $ - DICKINSON-IRON 60 5 0 $9,354 $1,000 $188 $ 10,542 $ 2,635 $450 $150 $350 $ 950 DISTRICT #2 331 39 0 $55,875 $7,800 $1,463 $ 65,137 $ 16,284 $3,225 $1,500 $3,500 $ 8,225 DISTRICT #4 297 23 0 $45,648 $4,600 $863 $ 51,110 $ 12,778 $1,875 $900 $1 050 $ 3,825 DISTRICT #10 976 116 2 $165,129 $24,400 $4,350 $ 193,879 $ 48,470 $9,600 $4,350 $5,250 $ 19,200 GENESEE 420 93 1 $87,179 $19,200 $3,488 $ 109,867 $ 27,467 $0 $3,450 $9,100 $ 12,550 GRAND TRAVERSE 161 30 0 $31,305 $6,000 $1,125 $ 38,430 $ 9,607 $2,475 $1,200 $1,050 $ 4,725 HOLLAND $ - HURON 96 15 2 $17,586 $4,200 $563 $ 22,348 $ 5,587 $1,275 $600 $1,750 $ 3,625 INGHAM 66 19 0 $15,341 $3,800 $713 $ 19,853 $ 4,963 $0 $750 $1,050 $ 1,800 .__ IONIA $ - JACKSON 212 52 1 $45,897 $11,000 $1,950 $ 58,847 $ 14,712 $4,275 $1,950 $3,150 $ 9,375 KALAMAZOO 145 27 0 $28,187 $5,400 $1,013 $ 34,599 $ 8,650 $0 $1,050 $1,050$ 2,100 KENT 332 49 2 $59,741 $11,000 $1,838 $ 72,578 $ 18,145 $4 ,050 $1,800 $3,150 $ 9,000 LAPEER 241 38 0 $44,276 $7,600 $1,425 $ 53,301 $ 13,325 $0 $1,500 $10,500 $ 12,000 LENAWEE 139 20 1 $24,819 $4,600 $750 $ 30,169 $ 7,542 $0 $750 $1,050 $ 1,800 LIVINGSTON 248 117 1 $74,707 $24,000 $4,388 $ 103,095 $ 25,774 $9,675 $4,350 $12,250 $ 26,275 LMAS 294 15 0 $42,280 $3,000 $563 $ 45,843 $ • 11,461 $0 $600 $700 $ 1,300 MACOMB 80 28 1 $20,454 $6,200 $1,050 $ 27,704 $ 6,926 $0 $1,050 $3,150 $ 4,200 MARQUETTE 50 7 1 $8,855 $2 000 $263 $ 11,118 , $ 2,779 $0 $300 $350 $ 650 MIDLAND 34 17 0 $10,601 $3,400 $638 $ 14,639 $ 3,660 $0 $600 $1,400 $ 2,000 MID-MICHIG-a 238 63 0 $53,255 $12,600 $2,363 $ 68,218 $ 17,054 $0 $2,400 $4,200 $ 6,600 _ MONROE 114 18 1 $20,953 $4,200 $675 $ 25,828 $ 6,457 . $0 $750 $700 $ 1,450 MUSKEGON 190 23 1 $32,302 $5,200 $863 $ 38,365 $ 9,591 $1,875 $900 $1,050 $ 3,825 NORTHWEST 389 74 0 $76,204 $14,800 $2,775 $ 93,779 $ 23,445 $11,100 $2,850 $2,800 $ 16,75-0 OAKLAND 625 215 2 $158,394 $44,200 $8,063 $ 210,657 $ 52,664 $32,250 $8,100 $26,600 $ 66,950 OTTAWA 172 43 0 $37,541 $8,600 $1,613 $ 47,753 $ 11,938 $0 $1,650 $2,800 $ 4,450 SAGINAW 43 14 1 $10,601 $3,400 $525 $ 14,526 $ 3,632 $0 $600 $70-6 $ 1,300 SAINT CLAIR 91 6 0 $13,594 $1,200 $225 $ 15,019 $ 3,755 $0 $300 $350 $ 650 SANILAC 86 10 4 $14,468 $4,400 $375 $ 19,243 $ 4,811 $0 $450 $1,050 $ 1,500 SHLAWASSEE 132 30 0 $27,688 $6,000 $1,125 $ 34,813 $ 8,703 $2,475 $1,200 $2,100 $ 5,775 TUSCOLA 92 10 2 $15,216 $3,200 $375 $ 18,791 $ 4,698 $1,500 $450 $1,400 $ 3,350 VAN BUREN /CASS 211 30 0 $37,541 $6,000 $1,125 $ 4,666 $ 11,166 $0 $1,200 $1,400 $ 2,600 _._ WASHTENAW 156 55 1 $40,035 $11,600 $2,063 $ 53,698 $ 13,424 $4, 425 $2,100 $3,500 $ 10,025 _ _ . WAYtkiE - 15 2 0 $2,619 $400 $75 $ 3,094 $ 774 $0- $150: $350 $ 500 , , WESTERN UP 127 3 0 $16,962 $600 $113 $ 17,674 $ 4,419 $0 $150 $350 $ 500 CONTRACT TVTALS 8829 1650 27 $1,718,517 $346,200 $81,875 $2,126,592 $531,B48f $116,025 $63,450 $133,700 $313,175, APPENDIX A - NONCOMMUNITY PROGRAM ALLOCATION SCHEDULE FY 2005 9/15/2004 KEY: i TN = TRANSIENT NONCOMMUNITY SYSTEM TN D or F = PROVIDING HEALTH RELATED WATER TREATMENT CLASSIFIED AS D or F LEVEL NT = NONTRANSIENT NONCOMMUNITY SYSTEM I I _ SOURCE OF DATA IS ACTIVE SYSTEMS IN WATERTRACK AS OF: 8/23/2004 INVENTORY TOTAL = 8829 TN + 1650 NT + 102 AG LABOR CAMPS (TN)= 10581 TOTAL ACTIVE _ STANDARD REPORTING ALLOCATION : Prequires standard request for payment each quarter TOTAL =TN 4 (3xNT) x $124.72 [ I 1 I J I OPERATOR CERTIFICATION 1: TOTAL = NT AND TN WITH D OR F LEVEL TREATMENT) x $200 ARSENIC 1: TOTAL = NT X $37.50 I I ITEMIZED REPORTING: Payment will be based on documented services reported up to maximum OPERATOR CERTIFICATION 2: $75 @5 LEVEL OPERATOR TRAINED BY DELEGATED LHD MAXIMUM AMOUNT: NT x 2 (MAY BE INCREASED WITH CONTRACT AMENDMENT CAPACITY DINELOPMENT: $150 @ COMPLETED ASSESSMENT ON EACH NEW NT MAXIMUM AMOUNT: NT x 25%( MINIMUM OF 1) MAY BE INCREASED WITH CONTRACT AMENDMENT) ARSENIC 2: 1,350 FOR TECHNICAL ASSISTANCE TO NT THAT EXCEED 10 PPB STANDARD MAXIMUM AMOUNT: [ BASED ON # OF NT SYSTEMS (+10%) VVITH HISTORIC ELEVATED ARSENIC ANALYSIS BY DEQ LAB LUMP SUM P 4YMENT FOLLOWING 4TH QUARTER ( MAY BE INCREASED WITH CONTRACT AMENDMENT) ir APPENDIX A - ALLOCATION SCHEDULE NONCOMMUNITY (TYPE II) WATER SUPPLY FY 2004-2005 LHD NONCOMMUNITY (TYPE II) WATER SUPPLY Local Health Department No. of Counties ' Allocation Allegan 1 $63,753 Barry-Eaton District 2 $78,141 Bay 1 $2,359 Benzie-Leelanau District 2 $44,872 Berrien 1 $41,231 Branch-Hillsdale-St. Joseph District $68,526 Calhoun 1 $47,771 Central Michigan District 6 $127,154 - Chippewa 1 $22,018 Delta-Menominee District $24,935 Detroit, City of 0 $0 Dickinson-Iron District 2 $11,492 District #2 4 $73,362 District #4 4 $54,935 District #10 10 $213,079 Genesee 1 $122,417 Grand Traverse 1 $43,155 Holland, City of 0 $0 Huron 1 $25,973 Ingham 1 $21,653 - Ionia 1 $0 Jackson 1 $68,222 Kalamazoo 1 $36,699 Kent 1 $81,578 Lapeer $65,301 Lenawee 1 $31,969 Livingston 1 $129,370 Luce-Mackinac-Alger-Schoolcraft District 4 $47,143 Macomb 1 $31,904 Marquette 1 $11,768 Mid-Michigan District 3 $74,818 Midland 1 $16,639 Monroe 1 $27,278 Muskegon 1 $42,190 Northwest Michigan Community Health Agency 4 $110,529 Oakland 1 $277,607 Ottawa 1 $52,203 Saginaw 1 $15,826 ' Saint Clair 1 $15,669 Sanilac 1 $20,743 Shiawassee 1 $40,588 Tuscola 1 $22,141 Van Buren/Cass District 2 _ $47,266 Washtenaw 1 $63,723 vvnyne 1 tf• ,1 GA A .4.1•J,,JV*1' !Western Upper Peninsula District 5 $18,174 Totals 83 (+ 2 Cities) $2,439,768 ir MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX B OCTOBER 1, 2004 THROUGH SEPTEMBER 30, 2005 DRINKING WATER LONG-TERM MONITORING PROGRAM A. Statement of Purpose This agreement is intended to establish responsibilities for both the Local Entity and the State in the conduct of completing work for drinking water long-term monitoring. Funding is approved under Part 201, Environmental Remediation, of the Natural Resources and Environmental Protection Act, 1994 PA 451, as amended. B. Budget and Agreement Requirements The Local Entity will be paid on a quarterly basis at a rate of $40 for each well sampled/sample event and associated work. The State will also reimburse the Local Entity on a quarterly basis for all reasonable costs associated with transmitting the water samples/forms to the laboratory. All requests for payment must be submitted to the Michigan Department of Environmental Quality (MDEQ) by October 7 to allow time for processing before the State's year-end closing. C. Local Entity Requirements The Local Entity shall perform the following services, including but not limited to: 1. Provide qualified staff for completion of all of the required activities. 2. Collect samples from drinking water supplies identified by the State. The samples must be collected according to appropriate sampling protocol within the sample collection period prescribed by the State while maintaining a minimum time period between collections. The minimum time periods between collections are as follows: MONITORING PERIOD MINIMUM TIME BETWEEN COLLECTIONS Quarterly (3 months) 1 month Triannual (4 months) 2 months Semiannual (6 months) 3 months Annual (1 year) 6 months Biennial (2 years) 12 months 3. Complete MDEQ Laboratory's Request for Chemical Analysis forms or the analysis forms for other laboratories designated by the State. • 4. Transmit water samples and completed forms to the MDEQ Laboratory or other laboratory designated by the State. (All laboratory costs will be the responsibility of the State). Use appropriate preservation and handling techniques for transmittal of sample. 5. Generate and send health advisory letters after each sampling event to the well owner and to the well users, if the property is being rented. The letters will meet form and content criteria acceptable to the State. Advisory letters are to be sent within six weeks of receipt of all sample results for a specific site monitoring event. A copy of each health advisory letter must be sent to the designated MDEQ, Water Bureau, representative. A copy of each health advisory letter and sample result must be sent to the respective MDEQ, Remediation and Redevelopment Division district office. D. State Requirements The State shall perform the following services, including but not limited to: 1. Provide the Local Entity with the names and addresses of supply owner to be monitored and the sample collection frequency for each address. 2. Provide assistance to the Local Entity in drafting health advisory letters. 3. Provide instruction on sample collection protocol to Local Entity staff when requested. 4. Provide the Local Entity with changes in the site monitoring program. Documented notification of changes, such as additions and deletions of sites or sample locations within a site, and changes to sample collection frequency will be made by mail, fax, or electronic mail. 5. Provide payment in accordance with the terms and conditions of this agreement based upon appropriate reports, records, and documentation maintained by the Local Entity. Required reports and documentation shall be sent to: Drinking Water and Environmental Health Section, Water Bureau, MDEQ, P.O. Box 30278, Lansing, Michigan 48909-7773. Payment will be made on a quarterly basis after the State receives the letter(s) specified in Local Entity Requirement No. 5. The contact person is Mr. James Lahti, who can be reached at 517-241-1392 or by e-mail at Lahtij©michigan.gov. 6. Provide any report forms and reporting formats required by the State at the effective date of this agreement, and with any new report forms and reporting formats proposed for issuance thereafter, at least ninety kov) n-ray IJI ILA LI., 10%144110U LICIVW, Ili 01101U UlLUUGI LIIUL II UJJUI LU IIt I for review and comment. 2 7. Assure that all terms of the agreement will be appropriately adhered to and that records and detailed documentation for the project or program identified in this agreement will be maintained for a period of not less than ten (10) years from the date of termination, the date of submission of the final expenditure report, or until audit findings have been resolved. 3 gr- APPENDIX B - ALLOCATION SCHEDULE DRINKING WATER LONG-TERM MONITORING FY 2004-2005 LHD LONG-TERM MONITORING 'Local Health Department No. of Counties Allocation, Allegan 1 $10,344 Barry-Eaton District 2 $4,520 Bay 1 $500 Benzie-Leelanau District 2 $3,380 Berrien 1 $7,748 Branch-Hillsdale-St. Joseph District 3 $18,820 Calhoun 1 $2,844 Central Michigan District 6 $4,500 Chippewa 1 $630 Delta-Menominee District 2 $1,280 Detroit, City of 0 $0 Dickinson-Iron District 2 $1,200 District #2 4 $1,650 District #4 4 $800 District #10 10 $7,944 Genesee 1 $546 Grand Traverse 1 $2,150 Holland, City of 0 $0 Huron 1 $1,512 Ingham 1 $898 Ionia 1 $1,012 , Jackson 1 $7,186 Kalamazoo 1 $5,114 Kent 1 $3,478 Lapeer 1 $400 Lenawee 1 $2,274 , Livingston 1 $11,880 Luce-Mackinac-Alger-Schoolcraft District 4 $1,770 Macomb 1 $1,000 Marquette 1 $1,872 Mid-Michigan District 3 $5,840 Midland 1 $800 Monroe 1 $520 Muskegon 1 $3,279 Northwest Michigan Community Health Agency 4 $1,6643 Oakland 1 $71,736 Ottawa 1 $5,040 Saginaw 1 $500 Saint Clair 1 $1,092 San ilac 1 $504 . Shiawassee 1 $2,504 Tuscola 1 $756 Van Buren/Cass District 2 $6,814 Washtenaw 1 $7,640 Wayne 1 $332 Western Upper Peninsula District 5 $360 'Totals 83 (+ 2 Cities) I $216,569 ir MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX C OCTOBER 1, 2004 THROUGH SEPTEMBER 30, 2005 RADON REQUIREMENTS A. Budget and Agreement Requirements Radon program funding will be provided for time and/or resources associated with answering public inquiries, selling/distributing radon test kits, making presentations, issuing press releases, or conducting other radon-related activities. Please note that activities that include actual sampling, data entry, or reporting of data (including mapping of radon test results) may require a Quality Assurance Plan. The Grantee need not prepare a detailed budget for radon program activities, but should notify the State Radon Program if it does not intend to collect the entire amount shown on the attached Radon Minigrant Allocation Table. Documentation of program activities is required for reimbursement and shall be submitted as noted below. B. Grantee Requirements The Grantee shall, by September 30, 2005, contribute staff time and/or resources as noted above, and provide a brief written statement documenting how the funding was used/applied. Please note that use of the "direct service rate" is not acceptable; costs must be broken down by line item (i.e., actual or averaged salary, fringe, supplies, travel, indirect). Documentation should include a list of events or activities conducted throughout the year, along with the time and costs associated with those activities. The documentation should also include a TOTAL of all radon program expenditures, even those in excess of the award amount, though payment will not exceed the amount shown on the attached Radon Minigrant Allocation Table. The documentation shall be sent directly to Ms. Sue Hendershott at Michigan Department of Environmental Quality, Waste & Hazardous Materials Division, Radon Program, 815 Terminal Road, Lansing, Ml 48906, telephone 800-723-6642 or 517-335-8194. C. State Requirements The State will provide the Grantee with radon outreach materials and radon test kits for distribution, as requested by the Grantee; offer training for staff responding to public inquiries; and provide telephone consultation to assist the Grantee with problems as they arise. All of these items/Services will be provided at no cost to the Grantee. The State shall reimburse the Grantee for radon program services up to, but not exceeding, the amount on the attached Radon iviinigrani Aliocaiion Table. Note: For administrative purposes, this radon funding is included in the Water Bureau contracts with Local Health Departments. However, the Radon Program is actually administered by the Waste and Hazardous Materials Division, and all programmatic questions should be referred to Radon Program staff at 1-800-723-6642 or 517-335-8037. APPENDIX C - ALLOCATION SCHEDULE RADON MINI-GRANTS FY 2004-2005 LHD RADON MINI-GRANTS Local Health Department No. of Counties Allocation Allegan 1 $100 Barry-Eaton District 2 $4,600 Bay 1 a§00- Benzie-Leelanau District 2 $1,800 Berrien 1 $1,000 Branch-Hillsdale-St. Joseph District 3 $5,200 Calhoun 1 $15,000 Central Michigan District 6 $12,300 Chippewa 1 $3,000, Delta-Menominee District 2 $3,600 Detroit, City of 0 $3,500 Dickinson-Iron District 2 $4,700, District #2 4 $5,000 District #4 4 $4300 District #10 10 $13,000 Genesee 1 $7,500 Grand Traverse 1 $3,000 Holland, City of 0 $500 Huron 1 $1,000 Ingham 1 $7,500 Ionia 1 $2,300 - ' Jackson 1 $5,200 1 Kalamazoo 1 $1,5001 Kent 1 $4,800 1...apeer 1 $1,800 Lenawee 1 $3,600 Livingston 1 $8,000. Luce-Mackinac-Alger-Schoolcraft District 4 $5,600 Macomb 1 $5,500 Marquette 1 $13,500 Mid-Michigan District 3 $2,800, Midland 1 Si 5nn Monroe 1 $4,000 Muskegon 1 $1,000 Northwest Michigan Community Health Agency 4 $5,000. Oakland 1 $15,000 Ottawa 1 $1,800, Saginaw 1 $2000 Saint Clair 1 $3,600 Sanilac 1 $500 ,Shiawassee 1 $2,000 _ Tuscola 1 $1,000 Van Buren/Cass District 2 $3,606 Washtenaw 1 $16,690 Wayne 1 $1,700 Western Upper Peninsula District 5 $5,200 MSU Extension - Cass County 0 $500 mqi 1 Py.t.nefrin _ Hifl.ri.p. ("no Int" 0 ez• A , 111.1 I W e ..,,,,,I MSU Extension - St. Joseph County 0 _. $1,500 Totals 83 (+ 2 Cities) $220,190 0 MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX D OCTOBER 1, 2004 THROUGH SEPTEMBER 30, 2005 PUBLIC SWIMMING POOL REQUIREMENTS A. Budget and Agreement Requirements This agreement is intended to establish a payment schedule to the Local Entity for an initial operation permit and renewal operation permit when fees are collected from the respective Local Entity's jurisdiction in accordance with Section 12532 of the Public Health Code, 1978 PA 368, as amended. The State will reimburse the Local Entity on a lump sum basis according to the following criteria: Initial operation permit for a public swimming pool/spa* $100 Initial operation permit for each additional public swimming pool/spa of the same design, constructed at the same site, and at the same time $50 Operation permit renewal prior to March 31 $30 Operation permit renewal after March 31 $45 Operation permit renewal after lapse of one licensure year without an operation permit $70 *Applies only to those local jurisdictions that are certified by the Michigan Department of Environmental Quality (MDEQ) to conduct out initial inspections. Payment for inspections will be made for those public swimming pools/spas that have all fees paid in full. B. Local Entity Reouirements The Local Entity will conduct an inspection of all public swimming pools/spas under its jurisdiction, investigate complaints, conduct meetings and/or conferences relative to compliance issues, and complete a Public Swimming Pool Inspection Report (Form EQP 1735), as provided by the State, or other report form approved by the State. Only public swimming pools that have a valid operation permit in place should be inspected. All indoor pools should be inspected during the months of January, February, and _ March 2004, with the exception of public swimming pools located at schools. It is acceptable to inspect pools at school during September and October 2004. All outdoor pools st.lould bv illopuuted during May, June, and July 2004. ln no casa should inspections be completed later than December 31, 2004. Completed inspection reports should be forwarded to the MDEQ within two to four weeks following the inspection, but in no case later than January 10, 2005. Reports should be sent to: Drinking Water and Environmental Health Section, Water Bureau, MDEQ, P.O. Box 30273 Lansing, Michigan 48909-7773. The contact person is Mr. Paul Sisson, who can be reached at 517-241-1350 or by e-mail at sissonp@michigan.gov . C. State Requirements By January 31, 2005, the State will provide the Local Entity with a list of public swimming pools from that jurisdiction that have been issued an operation permit. If the list needs modification, the State will provide the Local Entity a 30-day period to request any adjustments. The State will furnish periodic status reports to each Local Entity indicating the number of operation permit applications, fees, and inspection reports received. The State will reimburse the Local Entity according to the operation permit criteria listed in paragraph A for those public swimming pools inspected during the year ending December 31, 2004, by the Local Entity's staff or designated representative. The State will provide technical assistance, when requested, and periodic oversight. 2 APPENDIX D - ALLOCATION SCHEDULE PUBLIC SWIMMING POOLS FY 2004-2005 LHD PUBLIC SWIMMING POOLS Local Health Department No. of Counties Allocation Allegan 1 $1,965 Barry-Eaton District 2 $2,175 Bay 1 $1,745 Benzie-Leelanau District 2 $930 Berrien 1 $4,055 , Branch-Hillsdale-St. Joseph District 3 $1,250 Calhoun 1 $3,095 Central Michigan District 6 $3,430 , Chippewa 1 $1,125 Delta-Menominee District 2 $630 Detroit, City of 0 $5,270 Dickinson-Iron District 2 $660 District #2 4 $975 District #4 4 $3,180 District #10 10 $4,425 Genesee 1 $6,545 Grand Traverse 1 $3,265 Holland, City of 0 $1,165 Huron 1 $860 Ingham 1 $5,730 Ionia 1 $300 Jackson 1 $1,785 Kalamazoo 1 $5,440 Kent 1 $12,815 Lapeer 1 $775 Lenawee 1 $1,055 Livingston 1 $1,700 Luce-Mackinac-Alger-Schoolcraft District 4 $2,620 Macomb 1 $11,375 Marquette 1 $1,170 Michigan State University 0 $120 Mid-Michigan District 1 $1,425 Midland 3 $1,180 Monroe 1 $2,760 Muskegon 1 $2,675 Northwest Michigan Community Health Agency 4 $5,475 Oakland 1 $29,715 Ottawa 1 $4,200 Saginaw 1 $3,100 Saint Clair 1 $2,210 Sanilac 1 $150 Shiawassee 1 $520 Tuscola 1 $255 University of Michigan 0 $180 Van Buren/Cass District 2 $2,565 Washtenaw 1 ._. $8,070 Wayne 1 $19,935 vgpctorn I Inner Ppninillm Ilistrint 5 $1 275 , 83 (+2 Cities and Totals +2 Universities) $177,340 ir MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX E OCTOBER 1, 2004 THROUGH SEPTEMBER 30, 2005 SEPTAGE PROGRAM REQUIREMENTS A. Budoet and AoreementA_ _eRe uirements This agreement is intended to establish a payment schedule to the Local Entity for an initial septage land disposal site inspection, annual land disposal site inspection and septage vehicle inspection in accordance with Section 324.11716 of Part 117, Septage Waste Servicers, of the Natural Resources and Environmental Protection Act, 1994 PA 461, as amended. The State will reimburse the Local Entity on an annual lump sum basis according to the following criteria: Initial inspection of a septage land disposal site (per site) $100.00 Annual authorized land disposal site inspection (per site) $100.00 Triennial inspection of septage vehicles (per vehicle) $75.00 Annual payment for land disposal sites will be made for a one time inspection of each site . Annual payment for septage vehicle inspections will be based on the number of vehicles inspected. Vehicle inspections are only required every 3 years, typically when the septage waste servicers license is renewed. B. Local Entity Requirements The Local Entity will conduct an inspection of all septage land disposal sites on an annual basis and septage waste motor vehicles will be inspected when the business license is renewed. The Local Entity will also investigate complaints, conduct meetings and/or conferences relative to compliance issues, and complete a Septage Waste Servicers Inspection Report, as provided by the State, or other report form approved by the State. Only septage waste servicers that have a valid operation permit in place or are new to the business should be inspected. Septage land disposal sites shall be inspected when the site is active. In no case should inspections be completed later than September 30, 2005. Results of inspections 'shall be recorded on forms provided by the State. Completed inspection reports shall be forwarded to the State within four weeks following the inspection, but in no case later than October 15, 2005. Reports shall be sent to: Drinking Water and Environmental Health Section, Water Bureau, MDEQ, P.O Box 30273, Lansing, Michigan 48909-7773. The contact person is Mr. Matthew Campbell, who can be reached at 517-335-4178 or by e-mail at campbelm@michigan.gov. C. State Requirements The State will provide the Local Entity with a current list of permitted land disposal sites from that jurisdiction and will promptly provide application materials for proposed new land disposal sites. The State will promptly provide copies of application materials for septage waste motor vehicle licenses. The State will reimburse the Local Entity in accordance with this contract for those land disposal sites and septage waste motor vehicles inspected by the Local Entity's staff or designated representative during the term of this agreement which ends September 30, 2005. The State will provide technical assistance, when requested, and program oversight. 2 APPENDIX E - ALLOCATION SCHEDULE SEPTAGE FY 2004-2005 LHD SEPTAGE Local Health Department No. of Counties Allocation Allegan 1 $1,850 ,Barry-Eaton District 2 $1,350 Bay 1 $6- ,Benzie-Leelanau District _ 2 $3,800 Berrien 1 $650 Branch-Hillsdale-St. Joseph District 3 $4,300. Calhoun 1 $1,525 Central Michigan District 6 $3,400, Chippewa 1 $800 Delta-Menominee District , $2,375- Detroit, City of 0 $0 Dickinson-Iron District 2 $325 District #2 4 $2,425, District #4 4 $2,100 District #10 10 $5,225 Genesee 1 $300 Grand Traverse 1 $1,200 Holland, City of 0 $0 Huron 1 $0 Ingham 1 $0- Ionia 1 Jackson 1 $725 , Kalamazoo 1 $525. Kent 1 $0 Lapeer 1 $0 Lenawee 1 $500 Livingston 1 $2,050 -l. uce-Mackinac-Alger-Schoolcraft District 4 $1,475 Macomb 1 $0 Marquette 1 $650 Mid-Michigan District 3 $2,950 Midland 1 $650, Monroe 1 $775 Muskegon 1 $850 Northwest Michigan Community Health Agency 4 $4,550 Oakland 1 $1,675 Ottawa 1 $600 Saginaw 1 $950 Saint Clair 1 $0 Sanilac 1 $0 Shiawassee 1 $700 Tuscola 1 $0 Van Buren/Cass District 2 $0 Washtenaw 1 $500 _ lArminc, I 6515 [ -,. Western Upper Peninsula District 5 $975 Totals 83 (+ 2 Cities) $53,350 ." MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX F OCTOBER 1, 2004 THROUGH SEPTEMBER 30, 2005 ON-SITE SEWAGE PROGRAM REQUIREMENTS A. Statement of Purpose This agreement is intended to establish responsibilities for both the Local Entity and the State in the conduct of the On-site Sewage Program (Program) services required under the Public Health Code, 1978 PA 368, as amended, and the Administrative Rules. B. Local Entity Requirements The Local Entity shall perform the following services for private single- and two-family homes and other establishments that generate less than 10,000 gallons per day of sanitary sewage: 1. Maintain an up-to-date regulation for on-site sewage treatment and disposal systems (Systems). The regulation shall be supplemented by established internal policies and procedures. Technical guidance for staff that defines site suitability requirements, the basis for permit approval and/or denial, and issues not specifically addressed by the regulation shall be provided. 2. Evaluate all parcels to determine the suitability of the site for the installation of initial and replacement Systems. These evaluations shall be conducted by a trained sanitarian or equivalent and shall consist of a review of the permit application for the installation of a System and a physical evaluation of the site to determine suitability. 3. Accurately record on the permit to install the initial or replacement System or on an attachment to the permit the site conditions for each parcel evaluated including soil profile data, seasonal high water table, topography, isolation distances, and the available area and location for initial and replacement Systems. 4. Issue a permit for those sites that meet the criteria for the installation of a System. The permit shall include a detailed plan and/or specifications that accurately define the location of the initial or replacement System, System size, other pertinent construction details, and any documented variances. Detailed plans and/or specifications of the initial System shall also define the available area and location for a future replacement System. 5. Provide and keep on file formal written denials, stating the reason for denial, for those applications where site conditions are found to be unsuitable. 6. Conduct a construction inspection prior to covering each System to confirm that the completed System complies with the requirements of the permit that has been issued. In limited circumstances where constraints prohibit staff from completing the required construction inspection in a timely manner, an effective alternate method to confirm the adequacy of the completed System shall be established. The results of all such inspections or an alternate method shall be clearly documented. 7. Maintain an up-to-date functional filing system that includes easily retrievable information regarding all evaluations and permits, issued or denied, and the results of any appeals. 8. Evaluate all parcels within subdivisions, land divisions under one acre in size, and site condominiums for site suitability according to the statutes and Administrative Rules of the Michigan Department of Environmental Quality (MDEQ). Utilize the State's "Michigan Criteria for Subsurface Sewage Disposar (Criteria) for Systems other than private single- and two-family homes that generate less than 10,000 gallons per day. Systems treating less than 1,000 gallons per day may be approved in accordance with the Local Entity's sanitary code. Advise the State prior to issuance of a variance from the Criteria. Variances are only to be issued by the Director of Environmental Health of the Local Entity after consultation with the State. Appeals of any decision of the Local Entity shall be made to the State. 10. Maintain quarterly reports that summarize the total number of parcels evaluated, permits issued, alternative or engineered plans reviewed, number of appeals, number of inspections during construction, number of failed system evaluations, and number of sewage complaints received and investigated. 11. Review all engineered or alternative System plans. Conduct adequate inspections during the various phases of construction to ensure proper installation. 12. Collect data at the time of permit issuance when a System has failed to document the System age, design, site conditions, and other pertinent factors that may have contributed to the failure of the original System. The results of all failed System evaluations shall be maintained in a ir retrievable file and assembled in an annual report summarizing the overall P. 2 results. This report shall be provided on an annual basis to the State no later than 30 days after its completion. 13. Provide training for staff involved in the Program as necessary to maintain knowledge of current regulations and internal policies and procedures and to keep staff informed of technological improvements and advancements in Systems. 14. Establish and maintain an enforcement process that is utilized to resolve violations of the Local Entity and/or State's rules and regulations. 15. Investigate and respond to all complaints related to Systems in a timely manner. Documentation confirming the nature of the complaint and resolution shall be maintained in a retrievable file. C. State Requirements The State shall perform the following services including but not limited to: 1. Provide training and guidance to the Local Entity in the form of procedural manuals; copies of rules; policies; and handouts; training meetings; joint inspections; and consultations. 2. Provide Program consultation and direct staff assistance where necessary in pursuing compliance with the applicable requirements. 3. Provide administrative oversight of the Local Entity's Program to determine whether the work performed is satisfactory according to the terms and conditions of this contract. D. Payment Schedule and Reporting Requirements Reimbursement will be based upon the approved allocation schedule. The Program allocation schedule is attached depicting the funding amount for the services required in this agreement. 1. Quarterly programmatic reports shall be sent to: Drinking Water and Environmental Health Section, Water Bureau, MDEQ, P.O. Box 30273, Lansing, Michigan 48909-7773. The contact person is Mr. Richard Falardeau, who can be reached at 517-241-1345 or by email at falarder@michigan.gov . 2. Based on the Local Entity's satisfactory progress in fulfilling its responsibilities under this agreement, monthly payments will be made by the State beginning in October. 3 3. The final September payment will be made by the State upon receipt of a Financial Status Report, Form EQP 2069 (FSR), from the Local Entity and based upon the Local Entity's fulfillment of its responsibilities under this agreement. The final FSR is due by October 31. A blank copy of the FSR is attached. The FSR shall be sent to: Administration Section, Water Bureau, MDEQ, P.O. Box 30273, Lansing, Michigan 48909-7773. The contact person is Ms. Kara Benjamin, who can be reached at 517-335-3357 or at benjamink@michigan.gov . E. Accountability The Local Entity shall maintain adequate accounting and employee activity records to reflect that all funds granted under this contract have been expended for the Program activities, as approved by the State. These records shall be made available upon request for audit by the State. Records will be retained by the Local Entity until an audit has been completed by the State or permission has been granted by the State to dispose of the records. U. 4 APPENDIX F - ALLOCATION SCHEDULE ON-SITE SEWAGE FY 2004-2005 LHD ON-SITE SEWAGE , Local Health Department No. of Counties Allocation Allegan 1 $92,677 Barry-Eaton District 2 $182,903 Bay 1 _ $66,184 Benzie-Leelanau District 2 $94,176 Berrien 1 _ $57,287 Branch-Hillsdale-St. Joseph District 3 $164,870 Calhoun 1 _ $93,609' Central Michigan District 6 $415,739 Chippewa 1 $61,090 Delta-Menominee District 2 $89,323 Detroit, City of 0 $0 Dickinson-Iron District 2 $62,168 District #2 4 , $107,693 District #4 4 $154,998 District #10 10 $231,447 Genesee I $265,670 Grand Traverse 1 $12,664 Holland, City of 0 $0 Huron 1 $48,222 -Ingham 1 $97,791 Ionia 1 $52,361 Jackson 1 $96,681 Kalamazoo 1 $88,621 Kent 1 , $185,715 Lapeer 1 $0 Lenawee 1 $93,938 'Livingston 1 $161,955 Luce-Mackinac-Alger-Schoolcraft District 4 $68,523 Macomb 1 $294,454 Marquette 1 $64,89 Mid-Michigan District 3 $285,356 Midland 1 $105,919 'Monroe 1 $61,272" 'Muskegon 1 $50,189 Northwest Michigan Community Health Agency 4 $312,193 Oakland 1 $369,975 Ottawa 1 $197,180 Saginaw 1 $108,763 Saint Clair 1 $194,274 Sanilac 1 $29,898 Shiawassee 1 $80,709 Tuscola 1 $0 Van Buren/Cass District 2 $10,237 Washtenaw 1 $344,546 1,11,13 y n . $69,V13 _ Western Upper Peninsula District 5 $52,561 Totals 83 (+ 2 Cities) . $5,678,252 DEC. Michigan Department of Environmental Quality Water Bureau Drinking Water and Environmental Health Section Authorized by 1978 PA 368, as amended Local Health Department Quarterly Report On-Site Sewage Program Residential Information The following data shall be reported to the Michigan Department of Environmental Quality, Water Division, by local health departments on a quarterly basis, within 15 days of the end of each quarter within the fiscal year. In order to receive payment, this data must be reported. Agency: Reporting Period: Person submitting report: 1st 2nd 3rd 4th Number of Parcels Evaluated _ Number of On-Site Sewage Disposal Permits Issued Number of Alternative or Engineered System Plans Approved ' Number of Appeals Processed : Number of Inspections Conducted during and/or after Construction Number of Failed System Evaluations Conducted . Number of Complaints Received Number of Complaints Investigated . . _ 1 st Quarter = October/November/December 2nd Quarter = January/February/March 3rd Quarter = April/May/June 4th Quarter = July/August/September Please return completed report to: WB - DRINKING WATER AND ENVIRONMENTAL HEALTH SECTION MI DEPT OF ENVIRONMENTAL QUALITY PO BOX 30273 LANSING MI 48909-7773 EQP 2057b (9/2004) 4' Dela Michigan Department of Environmental Quality Water Bureau Drinking Water and Environmental Health Section Authorized by 1978 PA 368, as amended Local Health Department Quarterly Report On-Site Sewage Program Non-Residential Information The following data shall be reported to the Michigan Department of Environmental Quality, Water Division, by local health departments on a quarterly basis, within 15 days of the end of each quarter within the fiscal year. In order to receive payment, this data must be reported. Agency: Reporting Period: Person submitting report: 1st 2nd 3rd Hr - Number of Parcels Evaluated Number of On-Site Sewage Disposal Permits Issued - Number of Alternative or Engineered System Plans Approved Number of Appeals Processed Number of Inspections Conducted during and/or after Construction Number of Failed System Evaluations Conducted Number of Complaints Received Number of Complaints Investigated 1 5t Quarter = October/November/December 2nd Quarter = January/February/March 3rd Quarter = April/May/June 4th Quarter = July/August/September Please return completed report to: WS - DRINKING WATER AND ENVIRONMENTAL HEALTH SECTION MI DEPT OF ENVIRONMENTAL QUALITY PO BOX 30273 LANSING MI 48909-7773 EQP 2057a (9/2004) MICHIGAN' DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX G OCTOBER 1, 2004 THROUGH SEPTEMBER 30, 2005 PRIVATE AND TYPE III DRINKING WATER SUPPLY REQUIREMENTS A. Statement of Purpose This agreement is intended to establish responsibilities for both the Local Entity and the State in the conduct of Private and Type III Drinking Water Supply Program services required under Part 127, 1978 PA 368, as amended, and the Administrative Rules, and in accordance with the attached Minimum Program Requirements (MPR). B. Local Entity Requirements The Local Entity shall perform the following services including but not limited to: 1. Perform water well permitting activities, predrilling site reviews and water supply system inspections for code compliance purposes with qualified individuals classified as sanitarians or equivalent. 2. Assign one individual to be responsible for quarterly reporting of the data and to coordinate communication with the assigned State staff. Reports shall be submitted no later than fifteen (15) days following the end of the quarter on forms provided by the State. 3. Perform the activities described in items 5 through 8 of the MPR dated October 1, 1996, the associated performance indicators, and use the "Guidance Manual for the Private and Type III Drinking Water Supply Program," October 2002, as furnished by the State to implement the MPR provisions. C. State Reauirements The State shall perform the following services including but not limited to: 1. Provide training and guidance to the Local Entity in the form of procedural manuals, training meetings, joint inspections, consultations, and copies of rules, policies, and handouts. 2. Provide necessary forms for water well records and abandoned well plugging records and Wellogic access for review of electronic water well record data. ,r 3. Provide program consultation and direct staff assistance where necessary in pursuing compliance with applicable construction and water quality standards and in the completion of water quality investigations. D. Payment Schedule Reimbursement will be based upon the approved funding formula applied to the number of predrilling site reviews and final inspections performed, and abandoned wells plugged in the geographical area served by the Local Entity. The 2004-2005 allocation schedule is attached depicting the funding amount for the services required in this agreement. 1. Quarterly programmatic reports shall be sent to: Well Construction Unit, Water Bureau, MDEQ, P.O. Box 30273, Lansing, Michigan 48909-7773. The contact person is Mr. Michael Gaber who can be reached at 517-241-1374 or by e-mail at gaberm©michigan.gov . 2. Based on the Local Entity's satisfactory progress in fulfilling its responsibilities under this agreement, monthly payments will be made by the State beginning in October. 3. The final September payment will be made by the State upon receipt of a financial status report (FSR) (form EQP 2069) from the Local Entity and based upon the Local Entity's fulfillment of its responsibilities under this agreement. The final FSR is due by October 31. A blank copy of the FSR is attached. The FSR should be sent to: Administration Section, Water Bureau, MDEQ, P.O. Box 30273, Lansing, Michigan 48909-7773. The contact person is Ms. Kara Benjamin who can be reached at 517-335-3357 or by e-mail at benjamink@michigan.gov . E. Accountability The Local Entity shall maintain adequate accounting and employee activity records to reflect that all funds granted under this contract have been expended for the program activities as approved by the State. These records shall be made available upon request for audit by the MDEQ. Records will be retained by the Local Entity until an audit has been completed by the MDEQ or permission has been granted by the MDEQ to dispose of the records. 2 APPENDIX G - ALLOCATION SCHEDULE PRIVATE AND TYPE III DRINKING WATER SUPPLY FY 2004-2005 LHD PRIVATE AND TYPE III DRINKING WATER SUPPLY Local Health Department No. of Counties Allocation Allegan 1 $72,817 -Barry-Eaton District 2 $190,369 Bay 1 $18,667 Benzie-Leelanau District 2 $73,995 Berrien I $89,604 Branch-Hillsdale-St. Joseph District 3 $146,206 Calhoun 1 $59,848 Central Michigan District 6 $383,759 Chippewa 1 $35,878 Delta-Menominee District 2 $36,484 Detroit, City of , 0 $0 Dickinson-Iron District 2 $24,176 District #2 4 $68,853 District #4 4 $166,427 District #10 10 $271,698 Genesee 1 $125,021 Grand Traverse 1 $198,408 Holland, City of 0 $0 , Huron 1 $41,078 Ingham 1 _ $48,165 Ionia , 1 $17,453 Jackson 1 $82,358 Kalamazoo 1 $227,882 • Kent 1 $151,949 Lapeer 1 $0 Lenawee 1 $114,813 Livingston 1 $122,177 Luce-Mackinac-Alger-Schoolcraft District 4 $56,064 Macomb 1 $60,310 Marquette 1 $22,800 Mid-Michigan District 3 $90,112 Midland 1 $37,215 Monroe 1 $71,928: Muskegon 1 $93,206 Northwest Michigan Community Health Agency 4 $121,408 'Oakland 1 $510,917 Ottawa 1 $115,804 Saginaw 1 $36,254 Saint Clair 1 $54,795 Sanilac 1 $21,651 Shiawassee 1 $60,886 Tuscola 1 $10,187 Van Buren/Cass District 2 $5,042 Washtenaw 1 $86,137 4 11%0 crin IvVayile County I Western Upper Peninsula District 5 $0 Totals 83 (+ 2 Cities) $4,231,397 DEA Michigan Department of Environmental Quality Water Bureau Drinking Water and Environmental Health Section Authorized by 1978 PA 368 and 1976 PA 399, as amended Local Health Department Quarterly Report Private and Type III Public Ground Water Supply Program The following data shall be reported to the Michigan Department of Environmental Quality, Water Division, by local health departments on a quarterly basis, within 15 days of the end of each quarter within the fiscal year. In order to receive payment, this data must be reported. Agency: Reporting Period: Person submitting report: . - Al f ist 2nd 3rd 4th I 1. Number of Well Permits Issued i 2. Number of Predrilling Site Reviews Completed 3. Number of Final Inspections of Newly Completed Water Well Systems ! i 4. Number of Final Inspections with i i Construction Code Violations Observed i 5. Number of Approvals Issued for Newly Completed Water Well Systems 6. Number of Violation Notices/Correction Orders Issued 7. Number of Corrections Obtained After Violation Notice/Order Letter 8. Number of Abandoned Wells Plugged 9. Number of Escalated Enforcement Actions 1 (Prosecution or Civil Fines) 1' Quarter = October/November/December 2ha Quarter = January/February/March 3nt Quarter = April/May/June 4th Quarter = July/August/September Please return completed report to: VVB — DRINKING WATER & ENVIRONMENTAL HEALTH SECTION MI DEPT OF ENVIRONMENTAL QUALITY PO BOX 30273 LANSING Ml 48909-7773 Completed forms may be submitted by FAX to 517-241-1328 Itnp 70g7(3) (PprUYI) DEC. MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER DIVISION FINANCIAL STATUS REPORT FOR LOCAL HEALTH SERVICES Authorized by 1978 PA 368 and 1976 PA 399, as amended Local Agency Report Period thru Date _Agreement Petiod thru EXPENDITURE CATEGORY Non-Community Water Supply Source Water Assessment On-Site Sewage Drinking Water Supply , 1 Salaries & Wages - 2 Fringe Benefits 3 Cap Exp for Equip & Fac 4 Contractual (Sub-Contracts) 6 Other Expenses: 6 Supplies & Materials 7 Travel 8 Communications 9 County/City Central Services . 10 Space Costs 11 All Others (ADP & Mlac.) • _ 12_ Total Direct Expenditures ' 13 Admin. 0/H Cost Rate #1 % 14 Admin. 0/1-1 Cost Rate #2 - . 15 Total Direct & Adrnin Expenditures - — -. 16 Total Expenditures Net Allowable Expenditures For Local Public Health Operations — 17 Net Allowable Expenditures ----- - - 18 State LPHO 19 Local Funds - Fees 1st & 2nd Party . 20 Local Funds - Other BILLING AND BUDGET STATUS 21 Total Expenditures: Line 18 22 Less Previously Billed 23 Current Amount Due -- 24_ Agreement Amount 25 Less Billed-to-Date: (Line 22 plus Line 23) 25 Agreement Balance CERTIFICATION: I certify that I am authorized to sign on behalf of the local agency and that this is a true and correct statement of expenditures and collections for the report period. Appropriate documentation is available and will be maintained for the required period. , Signature Title Date COMPLETION IS A CONDITION OF REIMBURSEMENT Page Please return completed form to: WATER DIVISION - ADMINISTRATION SECTION MI DEPT OF ENVIRONMENTAL QUALITY 525 W ALLEGAN PO BOX 30630 LANSING MI 48909-8130 EQP 2069 (9/2004) FISCAL NOTE (MISC. /04318) November 18, 2004 BY: FINANCE COMMITTEE, CHUCK MOSS, CHAIRPERSON IN RE: DEPARTMENT OF HUMAN SERVICES/HEALTH DIVISION - FISCAL YEAR 2004/2005 MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY (MDEQ) REIMBURSEMENT AGREEMENT ACCEPTANCE To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: Pursuant to Rule XII-C of this Board, the Finance Committee has reviewed the above-referenced resolution and finds: 1. The Michigan Department of Environmental Quality (MDEQ) has awarded a reimbursement agreement to the Oakland County Health Division for services related to Non-Community (Type II) Water Supply, Long-Term Drinking Water Monitoring, Radon, Public Swimming Pool Inspections, Septage, On-Site Sewage and Drinking Water Programs. 2. The grant award of $1,276,625, which is a $70,043 or 5.8t increase over the previous agreement. 3. The amount of reimbursement is $70,043 higher than the amount included in the FY2005 budget. 4. This reimbursement agreement does not obligate the County to any future commitment. 5. The FY2005 budget should be amended as reflected in the attached schedule A. FINANCE COMMITTEE FINANCE COMMITTEE Motion carried unanimously on a roll call vote. G. William Caddell, County Clerk Resolution #04318 November 18, 2004 Moved by Wilson supported by Hatchett the resolutions on the Consent Agenda be adopted (with accompanying reports being accepted). AYES: Coleman, Crawford, Douglas, Gregory, Hatchett, Jamian, Knollenberg, KowaII, Law, Long, McMillin, Middleton, Moffitt, Moss, Palmer, Patterson, Potter, Rogers, Scott, Suarez, Webster, Wilson, Zack, Bullard. (24) NAYS: None. (0) A sufficient majority having voted therefore, the resolutions on the Consent Agenda were adopted (with accompanying reports being accepted). 001. I NEP RFORNE TIE FOREGOING REMITS STATE OF MICHIGAN) COUNTY OF OAKLAND) I, G. William Caddell, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on November 18th, 2004 with the original record thereof now remaining in my office, In Testimony Whereof, I have hereunto set my hand and affixed the seal of the, County of Oakland at Pontiac, Michigan this 18th day of November, 2004.