Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Resolutions - 2005.11.10 - 27956
MISCELLANEOUS RESOLUTION #05268 November 10, 2005 BY: General Government Committee, William R. Patterson, Chairperson IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION - FISCAL YEAR 2005/2006 MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY (MDEQ) REIMBURSEMENT AGREEMENT ACCEPTANCE To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS for Fiscal Year 2005/2006, 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, Campground Inspection, and Drinking Water Supply; and WHEREAS the services referenced above are ongoing; and WHEREAS the Fiscal Year 2004/2005 MDEQ Reimbursement Agreement reflected a total funding amount of $1,276,625; and WHEREAS the Fiscal Year 2005/2006 MDEQ Reimbursement Agreement reflects a total funding amount of $1,261,631, which is a $14,994 (1.17 96) decrease 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 $1,261,631, beginning October 1, 2005 through September 30, 2006. 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 General Government Committee Vote: Motion carried on a roll call vote with Long, Hatchett and Molnar absent. Tom Fockler From: Greg Givens [givensg@co.oakland.rni.us] Sent: Friday, October 21, 2005 4:08 PM To: Doyle, Larry; Fockler, Tom; Pearson, Linda Cc: Frederick, Candace; Smith, Laverne; Mitchell, Sheryl; Pardee, Mary; Hanger, Helen; Wenzel, Nancy; Johnston, Brenthy; Worthington, Pam Subject: GRANT REVIEW — Health Division / MDEQ GRANT REVIEW - Health Division / MDEQ •n••111•MIMMI GRANT NAME: FY 05-06 MDEQ - Local Health Department Agreement FUNDING AGENCY: Michigan Department of Environmental Quality DEPARTMENT CONTACT PERSON: Tom Fockler 2-2151 STATUS: Acceptance DATE: October 21, 2005 Pursuant to Misc. Resolution #01320, please be advised the captioned grant materials have completed internal grant 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 (10/7/2005) Department of Human Resources: Approved. - Nancy Scarlet (10/17/2005) Risk Management and Safety: Approved By Risk Management - Julie Secontine (10/11/2005) Corporation Counsel: I reviewed this Agreement and proposed a revised Addendum A which MDEQ accepted. With that revision in place I approve this Agreement for signature. - John Ross (10/21/2005) 1 AGREEMENT BETWEEN STATE OF MICHIGAN, DEPARTMENT OF ENVIRONMENTAL QUALITY AND OAKLAND COUNTY HEALTH DIVISION FOR THE PERIOD OCTOBER 1, 2005 THROUGH SEPTEMBER 30, 2006 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, 2005 through September 30, 2006. Whereas the State desires to engage the Local Entity to render certain technical services related to Noncommunity Water Supply, Drinking Water Long-Term Monitoring, Beach Monitoring, Public Swimming Pools, Septage, On-site Sewage Treatment Management, Drinking Water Supply, and Campground Requirements as described in Appendices A, B, C, D, E, F, G, and H, 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, G, H 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, G and H; 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, 2005, and shall remain in force until September 30, 2006, 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, 0, E, F, G, and H. Payment shall be made in accordance with Appendices A, B, C, D, E, F, G, and H, 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, G, and H. 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. III. 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. If such changes cause an increase or decrease in the Local Entity's cost or time required to perform any services under this agreement, an 2 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: 1. 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. 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 funded in part by EPA grant(s) and is therefore subject to OMB Circular A-133, "Audits of States, Local Governments, and Non- Profit Organizations", which reads in part, "Non-Federal entities that expend $500,000 or more in a year in Federal awards shall have a single audit conducted ..." . The State shall have access to all records pertinent to the program(s) identified in the agreement, as provided by federal law or 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. 3 VI. SUBCONTRACT 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 all 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 origin, ancestry, age, sex, height, weight, marital status, or physical or mental disability unrelated to the individual's ability to perform the duties of the particular job or position. 5 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 Amendment Act of 1988. Therefore, if the Local Entity awards a contract under this agreement, it will utilize the following affirmative steps relative to Small Business in Rural Areas (SBRAs): 6 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 authorized under existing law." 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 41853; Allocation amount $155,038 Funding Source: State Restricted 2. Operator Certification - PCA 79054; Allocation amount $75,600 Funding Source: EPA Grant to Reimburse Operators of Small Water Systems for Training and Certification Costs, CFDA 66.471 3. Arsenic Rule Implementation — PCA 41867; Allocation amount $36,375 Funding Source: EPA Cap Grant for the Drinking Water Revolving Fund, CFDA 66.468 4. Capacity Development — PCA 41868; 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 Funding Source: State Restricted 8 Appendices C — Beach Monitoring: Allocation amount $0; and Funding Source: EPA Beach Monitoring and Notification Program Grant, CFDA 66.427, 1000 percent federal Appendices D - Public Swimming Pool Requirements: Index 37408 PCA 79083; Allocation amount $29,715 Funding Source: State Restricted Appendices E Septage Requirements: Index 37410 PCA 44106, Allocation amount $3,600 Funding Source: State Restricted Appendices F On-site Sewage Treatment Management 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 Appendices H Campground Requirements: Index 37409 PCA 44502; Allocation amount $575 Funding Source: State Restricted 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, 2005 THROUGH SEPTEMBER 30, 2006 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, 2005 THROUGH SEPTEMBER 30, 2005" as follows: • Article VIII LIABILITY shall read: (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. (b) In the event that liability to third parties, loss, or damage arises as a result of activities conducted jointly buy the Local Entity and the Department in fulfillment of their responsibilities under this Agreement, such liability, loss, or damage shall be borne by the Local Entity and the Department in relation to each party's responsibilities under these joint activities, provided that nothing herein shall be construed as a waiver of any governmental immunity by the Local Entity, the State, its agencies (the Department) or their employees, respectively, as provided by statute or court decisions. Article XX COMPLIANCE shall read: The Local Entity will comply with applicable Federal and State laws, and lawfully enacted administrative rules or regulations, in carrying out the terms of this Agreement. Article )OCII Agreement Exceptions and Limitations Notwithstanding any other term or condition in this Agreement including, gbut not limited to, and provision related to any services as described in the Annual Action Plan, and Local Entity (Oakland County) services provided pursuant to this Agreement, or any limitations upon any Department funding obligations herein , the Parties specifically intend and agree that the Local Entity may discontinue, without any penalty or liability whatsoever, and Local Entity services or performance obligations under this Agreement when and if it becomes apparent that the State of Department funds for any such services will be no longer available. Notwithstanding any other term or condition in this Agreement, the Parties specifically understand and agree that no provision in this Agreement shall operate as a waiver, bar or limitation of any kind, on any legal claim or right the Local Entity may have at any time under any Michigan constitutional provision or other legal basis (e.g. any Headlee Amendment limitations) to challenge any State or Department program funding obligations; and, the Parties further agree that no term or condition in this Agreement is intended and no such provision shall be argued to state or imply that the Local Entity voluntarily assumed or undertook to provide any services as described in the Annual Action Plan, and thereby, waived any rights the Local Entity may have had under any legal theory, in law or equity, without regard to whether or not the Local Entity continued to perform any services herein after any State or Department funding ends. 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: BILL BULLARD, CHAIRPERSON OAKLAND COUNTY BOARD OF COMMISSIONERS DATE For the State: RICHARD A. POWERS, CHIEF DATE WATER BUREAU 2 MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX A OCTOBER 1, 2005 THROUGH SEPTEMBER 30, 2006 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 water wells for which a permit has been issued. Final inspection and authorization for use of the noncommunity public water supply by the public shall be accomplished in accordance with Act 399 and procedures established 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 classified as providing D or F level treatment. Operator Certification 2 Service based Continuing (b) Email DEQ DEQ participant Education Training provided by roster, evaluation forms and local entity, $75 per 5 level request for payment. certified operator completing a DEQ approved course I Capacity Development , Service based, $150 per Submit WaterTrack report for I completed assessment for new completed capacity assessment 1 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 4th quarter. a. 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 Water-Track Treatment Report (*or other DEQ approved report) for NTNCWS that exceed the arsenic standard to request payment for those services. b. 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 Gohlke, who can be reached at 517-241-1362 or by e-mail at gohlkeh@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 shali 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 2006 9/1412005 LOCAL HEALTH TN NT TN STANDARD OPER. ARSENIC CONTRACT PER QUARTER OPER. CERT. ITEMIZED r .1 DEPARTMENT D or F CERT #1 #1 STD AMOUNT STD PAYMENT 2 MAX 1 , . MAX TOTAL kLLEGAN 224 39 1 $ 42 328 $8000 $ 1,463 $ 51,791 $ 12,948 $6,000 1,500 $1,750 $ 9,250 3ARRY-EATON 231 34 3 $41,335 $7,400 $1,275 $ 50,010 $ 12,503 $5,550 $1,350 $700 $ 7,600 3-AY - 10 1 0 $1,614 $200 $38 $ 1,851 $ 463 $0 $150 $0 $ 150 3 -Ef$-ZIE-LEELANAU 179 28 16 $32,646 $8,800 $1,050 $ -4.2,496 $ 10,624 1:1 $1,050 _ $0 $ 1,050 364-RIC-N.- 154 26 0 $28,798 $5,200 $975 $ 34,973 $ 8,743 $0 $1,050 $1,400 $ 2,450 3-RA-N-61-71-HILLS-ST.JOE 192 51 0 $42,825 $10,200 $1,913 $ 5-4,937 $ 13,734 $7,650 $1,950 $2,860 $ 12,400 .3ALHOUN 107 43 1 $29,295 $8,800 $1,613 $ 39,707 $ 9,927 $6,600 $1,650 $700 $ 8,950 $ENTRAL MICH. 524 64 0 $88,877 $12,800 $2,400 $ 104,077 $ 26,019 $9,600 $2,400 $3,150 $ 15,150 $H1PPEWA 135 6 0 $18,992 $1,200 $225 $ 20,417 $ 5,104 $0 $300 $0 $ 300 ?TA-MENOMINEE 89 17 1 $17,378 $3,600 $638 $ 21,616 $ 5,404 $3,000 $600 $350 $ 3,950 DETROIT $0 6 . $ - DICKINSON-IRON 59 6 0 $9,558 $1,200 $225 $ 10,983 $ 2,746 $900 $300 $0 $ 1,200 DISTRICT 42 337 38 0 $55,983 $7,600 $1,425 $ 65,008 $ 16,252 $5.700 $1,500 $3,500 $ 10,706 3ISTRICT #4 297 28 0 $47,294 $5,600 $1,050 $ 53,944 $ 13,486 $4,200 $1,050 $700 $ 5,950 DISTRIC-1 $10 951 106 2 $157,521 $21,600 $3,975 $ 183,096 $ 45,774 $16,200 $,f,050 $1,750 $ 22,0-00 3ENESEE 405 88 1 $83,043 $17,800 $3,300 $ 104,143 $ 26,036 $0 $3,300 $22,750 $ 26,050 $RAND TRAVERSE 155 29 0 $30,039 $5,800 $1,088 36,927 $ 9,232 $0 $1,050 $0 $ 1,050 1OLLAND $0 $ -IURON 95 15 3 $17,378 $3,600 $563 21,541 $ 5,385 $0 $600 $1,750 $ 2,350 NGHAM 69 20 0 816,013 $4,000 $750 $ 20,763 $ 5,191 $0 $750 $350 $ 1,100 ONIA 90 18 0 $17,875 $3,600 $675 $ 22,150 $ 5,537 $0 . $750 $700 $ 1,450 JACKSON 206 49 1 $43,818 $10,000 $1,838 55,655 $ 13,914 $7,500 $1,800 $1,400 $ 10,700 KALAMAZOO 139 26 0 $26,936, $5,200 $975 $ 33,111 $ 8,278 $0 $1,050 $1,050 $ _ 2,100 -CENT 322 45 2 $56,727 $9,400 $1,688 $ 67,815 $ 16,954 _ $7,050 $1,650 $1,050 $ 9,750 _APEER 25=1 39 L $45,680 $7,800 $1,453 $ 549425 13,736 ____ $0 $1,500 $8,400 $ 9,900 ENAVVEE 144 25 $27,184 $5,200 $938 $ 33,322 8,330 $0 $900 $0 $ 900 IVINGSTON 249 119 1 $75,223 $24,000 $4,463 $ 103,685 25,921 $18,000 $4,500 $8,750 $ 31,250 MAS 293 16 0 $42,328 $3,200 $600 $ 46,128 $ 11,532 $0 $800 $0 $ 600 MACOMB 79 29 1 $20,606 $6,000 $1,088 $ 27,693 $ 6,923 $4,500 $1,050 $2,100 $ 7,650 MARQUETTE 49 6 1 $8,317 $1,400 $225 $ 9,942 $ 2,485 $0 $300 $0 $ 300 MIDLAND 31 12 0 $8,317 $2,400 $450 $ 11,167 2,792 $0 $450 $350 $ 800 AD-MICHIGAN 241 58 0 $51,514 $11,600 $2,175 $ 65,289 16,322 $0 $2,250 $2,800 $ 5,050 MONROE 112 17 4 $20,233 $4,200 $638 $ 25,071 $ 6,268 $3,150 $600 $0 $ 3,750 MUSKEGON 187 26 1 $32,894 $5,400 $975 $ 39,269 9,817 $4,050 $1,050 $350 $ 5,450 NORTHWEST 389 69 0 $73,951 $13,800 $2,588 $ 90,369 22,592_ ._ $10,350 $2,550 $0 $ 12,900 OAKLAND 607 214 2 $155,038 $43,200 $8,025 $ 206,263 51,566 $32,400 $8,100 $28,35-6 $ 68,850 OTTAWA 177 42 0 $37,611 $8,406 $1,575 $ 47,586 11,897 $0 $1,650 $1,050 -$ 2,7-61T SP-ZINAW 46 14 1 $10,923 $3,000 $525 $ 14,448 $ 3,612 _ $0 $600 $700 $ 1,300 SAINT CLAIR 91 6 0 $13,530 $1,200 $225 $ 14,955 $ 3,739 $0 $300 $350 $ 650 SAN I LAC 76 9 3 $12,785 $2,400 $338 15,523 $ 3,881 $0 $300 $700 $ 1,000 SHIAWASSEE 129 30 1 $27,184 $6,200 $1,125 5 34,509 $ 8,627 $4,650 $1,200 $1,750 $ 7,600 TUSCOLA 91 10 1 $15,020 $2,200 $375 17,595 $ 4,399 $8,175 $450 $1,400 $ 10,025 VAN BUREN /CASS 207 27 0 $35,749 $5,400 $1,013 $ 42,162 $ _10,540 $0 $1,050 $350 $ 1,400 WASHTENAW 153 55 1 $39,473 $11,200 $2,063 $ 52,736 $ 13,184 88,400 $2,100 $2,800 $ 13,300 WAYNE 111 2 0 $2,110 $400 $75 $ 2,585 646 $0 $150 $0 $ 150 WESTERN U.P. 132 4 0 $17,875 $800 $150 $ 18,825 $ 4,706 $0 -$150 $0 $ 1b-I-5-- CONTRACT TOTAI S R715 1fin dP S1.679.1351 S331 rum SAO 275 57 071 rrn S517 TRPT S171 R7K tn.' A511 tinn ngn tgiti 11g APPENDIX A - NONCOMMUNITY PROGRAM ALLOCATION SCHEDULE FY 2006 9/1412005 1= TRANSIENT NONCOMMUNITY SYSTEM J D or F = PROVIDING-7-1=1E-41TH RELATED WATER TREATMENT CLASSIFIED AS D or F LEVEL - = N-6-NTRANSIENT NOtTICOMMUNITY SYSTEM 1 )URCE -OF DATA IS ACTIVE SYSTEMS IN WATERTRACK AS OF: 8123/2005 VENTORY TOTAL = 8715 TN + 1606 NT + 92 AG LABOR CAMPS (91 TN + 1 NT? 10413 TOTAL ACTIVE 1 I F _ _ - A N D A R D REPORTING ALLOCATION: Requires standard request for payment each quarter )T—A-L =-114+ (3xNT) x $124.137 1 I 1 jERATOR CERTIFICATION 1: TOTAL = NT AND TN WITH D OR F LEVEL TREATMENT) x $200 ZSENIC 1: TOTAL = NT X $37.50 _ F-7 EMIZED REPORTING : Payment will be based on documented services reported up to maximum lER-ATD-R CERTIFICATION 2: $75 @ 5 LEVEL OPERATOR TRAINED BY DELEGATED LHD 4X1MUM AMOUNT: NT x_2(MAY BE INCREASED WITH CONTRACT AMENDMENT)1 )te: Delta-Menomonee & Tuscola maximum amount based on prior year traimn9 numbers -1 j 1 - --1-- 1 _1 \PACITY DEVELOPMENT: $150 @ COMPLETED ASSESSMENT ON EACH NEW NT 4XIMUM AMOUNT: NT x 25°,4)(_MINIMUM OF 1)__(MAY BE INCREASED WITH CONTRACT AMENDMENT) _ f r T- SENIC 2: $350 FOR TECHNICAL ASSISTANCE TO NT THAT EXCEED 10 PPB STANDARD 1 k--XIMIJM AMOUNT: 1 BASED ON // OF NT SYSTEMS WITH ELEVATED ARSENIC ANALYSIS IN 2005 -- IMP SUM PA-WENT FOLLOWING 4TH QUART-ER ( MAY BE IN-CREASED -n-/Wri-i -d-oNTRACT AMENDMENT) APPENDIX A - ALLOCATION SCHEDULL NONCOMMUNITY (TYPE II) WATER SUPPLY FY 2005-2006 LHD NONCOMMUNITY (TYPE II) WATER SUPPLY Local Health Department No. of Counties Allocation Lagan 1 $61,041 l_y-Eaton District $57,610 Iv 1 $2,001 Benzie-Leelanau District 2 $43,546 Berrien 1 $37,423 Branch-Hillsdale-St. Joseph District $67,337 Calhoun 1 $48,657 Central Michigan District 6 $119,227 2 L i ppewa 1 $20,717 -4 Delta-Menominee District 2 $25,566 Detroit, City of 0 $0 Dickinson-Iron District 2 $12,183 District #2 4 $75,708 District #4 4 $59,894 District #10 10 $205,096 Genesee 1 $130,193 Grand Traverse 1 $37,977 _ [Holland City of 0 $0 Huron 1 $23,891 In. ham 1 $21,863 $23,600 Jackson 1 $66,355 Kalamazoo 1 $35,211 Kent 1 $77,565 • $64,842 Livin.ston 4 er-Schooicraft District 4 $46,728 Macomb 1 $35,343 Mar s uette 0 Midland 1 $11.967 $28,821 Muskegon 1 $44,719 Northwest Michigan Community Health Agency 4 $103,269 Oakland 1 $275,113 Ottawa $50,286 Saginaw 1 $15,748 Saint Clair 1 $15,605 Sanilac 1 $16,523 Shiawassee $42,109 Tuscola 1 $27,620 Van Buren/Cass District $43,562 Washtenaw 1 $66,036 Wayne 1 $2,735 Western Upper Peninsula District 5 $18,975 I Totals 83 ( 2 Cities) I $2,412,400 MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX B OCTOBER 1, 2005 THROUGH SEPTEMBER 30, 2006 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 6 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. 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 COLLECTIC 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. (Ali 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. 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 30273, 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 (90) days prior to required usage, to afford the Local Entity an opportunity 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 APPENDIX B - ALLOCATION SCHEDULE DRINKING WATER LONG-TERM MONITORING FY 2005-2006 LHD LONG-TERM MONITORING Local Health Department No. of Counties Allocation Ele9an 1 $10,344 Barry-Eaton District 2 $4,520 Ba 1 $500 Benzie-Leelanau District 2 $3,380 Berrien 1 $7,748 F3rAnr-h-Hilisdale-St Joseah District 3 $18,820 Calhoun 1 $2,844 r,antral Michioan District 6 $6,500 Chinnewa 1 $630 .litillirligiagiaaggi•g= 2 $1,280 ,netroit. City of 0 $0 Dickinson-Iron District 2 $1,350 District #2 4 $1,650 District....— 4 $800 11111=10 10 $7,944 Genesee 1 $546 Traverse 1 tlaaauA,Say,.2j Cn !g__ Huron 1 $1,512 jnaham 1 $898 j2nia 1 $1 ,012 Jackson 1 $7,186 Kalamazoo 1 $5,114 Kent 1 $3,478 Lapeer 1 $400 Lenawee 1 $2,274 Livingston 1 $14,880 Luce-Mackinac-Alger-Schoolcraft District 4 $1 770 Macomb 1 $1,100 Marauette 1 $1,872 Mid-Michigan District 3 $5,840 Midland 1 $800 Monroe 1 $520 Muskeaon 1 $3,279 porthwest Michigan Community Health Agency 4 $1,600 Oakland 1 $71 ,736 Ottawa 1 $5,040 Saainaw 1 $500 Saint Clair 1 $1,092 .anilac 1 $504 Shiawassee 1 $2,504 Tuscola 1 $756 Van Buren/Cass District 2 $13,014 yVashtenaw 1 $7,640 Wayne 1 $332 Western Upper Peninsula District 5 $450 Totals 83 ( 2 Cities) $228,109 MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX C NOVEMBER 1, 2005 THROUGH SEPTEMBER 30, 2006 GREAT LAKES BEACH MONITORING 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 Great Lakes Beach Monitoring Program (Program) services required under the Beaches Environmental Assessment and Coastal Health Act (BEACH Act), the Public Health Code, 1978 PA 368, as amended, and Part 4 Water Quality Standards, promulgated under Part 31, Water Resources Protection, 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 up to the allocated amount. The allocated amount is based on a formula that includes an allocation per health department and an allocation per beach. The Local Entity must use funds to monitor beaches listed in the attached table. The allocated amounts will vary from year to year depending on available funding. The State will reimburse the Local Entity on a quarterly basis for all reasonable costs associated with monitoring beaches according to the Quality Assurance Project Plan (QAPP). All requests for payment must be submitted by October 6 to allow time for processing before the State's year-end closing. C. Local Entity Requirements The Local Entity shall perform the following services for beaches located along the Great Lakes that are used by the public for recreational use: 1. Obtain user id and password from the beach monitoring program manager (Shannon Briggs). Identify and update organization information on the MDEQ beach monitoring web site at htto://www.deo.state.mi.us/beach/. 2. Identify beaches or similar points of access located along the Great Lakes that are used by the public for recreation. Report location information on the MDEQ beach monitoring web site; information includes location name, location description, waterbody name, waterbody type, site type, if located in a state park, coordinates for latitude and longitude in decimal degrees for the endpoints and center point of each location, an 8-digit hydrological unit code, reach length in meters, the county and township location, facilities available, and optional description of amenities. 3. Notify the city, village, or township in which the beach or point of access is located prior to conducting monitoring activities. Report the current monitoring plan for each location on the MDEQ beach monitoring web site. Each monitoring plan will include the start and end dates for the swimming season, and the monitoring season and the frequency that the location will be monitored. Locations can be updated individually or in groups by county. 4. Submit a QAPP to the beach monitoring program manager (Shannon Briggs) prior to monitoring beaches. The QAPP must be consistent with requirements in the Public Health Code, the Part 4 Water Quality Standards, and the BEACH Act, and must be approved by the State prior to initiation of monitoring. 5. Conduct a sanitary survey for each location that will be monitored. Guidance for conducting a sanitary survey at a beach is available in Appendix G of the National Beach Guidance and Required Performance Criteria for Grants (823-B-02-004) can be found at http://www.epa.qov/waterscience/beaches/grants/guidance/all.pdf It is recommended that a sanitary survey also be conducted at nonmonitored locations when possible. The sanitary survey will indicate whether beach owners have posted signs that indicate whether the site is monitored or not and where the results can be found if the site is monitored. The Local Entity may purchase signs with grant funds that will be posted as described in the Public Health Code for publicly owned beaches. Open stretches of beach or beaches at road ends that are not advertised or posted as public bathing beaches do not need to have signs posted. Notify the beach monitoring program manager (Shannon Briggs), the city, village, or township in which the site is located, and the owner or operator of the beach of the results or findings of the sanitary survey. 6. Monitor beaches according to approved QAPP. 7. Report location of at least three monitoring points per site on the MDEQ beach monitoring web site prior to reporting monitoring data. Report monitoring results for E. coil and status of beach (open/closed/advisory) within 36 hours of the test or evaluation to the MDEQ via the web site, the city, village, or township in which the site is located, and the owner or operator. 2 8. Beaches will be monitored according to R 323.1062 of the Part 4. Water Quality Standards (WQS) promulgated under Part 31, Water Resources Protection, of the Natural Resources and Environmental Protection Act, 1994 PA 451, as amended. Subrule 62(1) of the WQS states, "All waters of the state protected for total body contact recreation shall not contain more than 130 Escherichia coli (E. cob) per 100 milliliters (m1), as a 30-day geometric mean. Compliance shall be based on the geometric mean of all individual samples taken during 5 or more sampling events representatively spread over a 30-day period. Each sampling event shall consist of three or more samples taken at representative locations within a defined sampling area. At no time shall the waters of the state protected for total body contact recreation contain more than a maximum of 300 E. coli per 100 ml. Compliance shall be based on the geometric mean of three or more samples taken during the same sampling event at representative locations within a defined sampling area." This rule is consistent with the requirements of the BEACH Act. 9. Provide training for staff involved in the Program as necessary to maintain knowledge of current regulations and internal policies and procedures to keep staff informed of technological improvement and advancements as approved by the state. 10. Submit a final report to the beach monitoring program manager (Shannon Briggs). The final report shall include a list of monitored beaches, a summary of monitoring results, and a description of the public notification plan, outreach activities, public education effort, and effort to receive public comment about beach monitoring activities. 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 and final programmatic reports shall be sent to: Surface Water Assessment Section, Water Bureau, MDEQ, P.O. Box 30273, Lansing, Michigan 48909-7773. The contact person is Shannon Briggs, who can be reached at 517-335-1214 or by email at briggssImichigan.gov . 2. The final September payment will be made by the State upon receipt of a Financial Status Report (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 3 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. 4 Local Entity County Beach/ Location Name Megan County Allegan Oval Beach Allegan County Allegan West Side County Park Beach Allegan County Allegan Douglas Beach Allegan County Allegan Pier Cove Beach Bay County Bay Boat Launch on Kawkawlin River Ba County Bay Wenona Beach Bey Count Bay Bay City State Recreation Area Ba County Bay Brissette Beach Township Park Bay County Bay South Linwood Beach Township Park Bay County Bay Pinconning Park Berrien County Berrien Michiana Village — Berrien County Berrien Grand Beach Berrien County Berrien Harbert Beach Berrien County Berrien Warren Dunes Berrien Count Berrien Weko Beach Berrien County - Berrien Lions Park Berrien Count - Berrien - Tiscornia Park - Berrien Count Berrien Hagar Township Park Berrien Count Berrien Rocky Gap - Berrien County Berrien New Buffalo City Berrien County Berrien Cherry Beach Berrien County Berrien Lincoln Township Park Berrien County Berrien - -- Silver Beach Berrien County - Berrien Jean Klock Park Central Ml -- Arenac Foster Rd. Beach Central Mi_Arenac Hammel Beach Rd. Access _ Central Ml Arenac Twining Rd. Beach -- Central Ml - - Arenac Singing Bridge Beach Central Ml Arenac Dyer Rd. Beach Central MI Arenac Arenac County Park Central MI Arenac Whites Beach Chippewa County Chippewa Four Mile Beach Chippewa County Chippewa Sugar island Township Park Chippewa County Chippewa Bayview Campground Chippewa County Chippewa Big Pines Beach 'Chippewa County Chippewa Sherman Park Chippewa County Chippewa Brimley State Park 'Chippewa County Chippewa Detour Albany Beach Chippewa County Chippewa Big Shoal Cove Beach Chippewa County Chippewa Drummono Island Township Park Delta/ Menominee Delta Escanaba Bathing Beach Delta/ Menominee Delta Gladstone Bathing Beach/Van Cleve Park Delta- Menominee Menominee Memorial Beach Delta- Menominee Menominee Hanes Park DHD # 10 Manistee Orchard Beach State Park DHD # 10 Manistee Magoon Creek DHD # 10 Manistee Sundling Park DHD # 10 Manistee First Street Beach DE-ID # 10 Manistee Fifth Avenue Beach DHD # 10 Manistee Bar Lake Outlet DHD # 10 Manistee Onekama DHD # 10 Manistee Pierport DHD # 10 Manistee Arcadia Park DHD # 10 Mason South Summit Beach DHD #_10 Mason Bass Lake Outlet Beach DHD # 10 Mason Summit Township Beach DHD # 10 Mason Buttersville Park Beach DHD # 10 Mason South Pier Beach DHD # 10 Mason Sterns Park Beach DHD # 10 Mason Ludington State Park DHD # 10 Oceana Claybanks Township Park DHD # 10 Oceana Whiskey Creek DHD # 10 Oceana Stony Lake Channel DHD # 10 ' Oceana Lighthouse Beach at Silver Lake State Park DHD # 10 Oceana Silver Creek Channel DHD # 10 Oceana Mears State Park DHD # 2 Alcona Harrisville State Park DHD # 2 losco Alabaster Township DHD # 2 losco AuSable Township Park DHD # 2 losco Tawas Point State Park - Day Use area DHD # 2 losco MDOT Roadside Park DHD # 2 losco Tawas Point State Park campground DHD # 2 losco 'Tawas City Park DHD # 2 losco East Tawas City Park DHD # 2 losco Oscoda Township Beach DHD_# 4 Alpena Ossineke Beach DHD # 4 Alpena • Michekewis Beach DHD # 4 Alpena Starlite Beach DHD # 4 Alpena Blair Street Park DHD # 4 Alpena Thompson Park DHD #4 Cheboygan Cheboygan State Park DHD # 4 Cheboygan Cheboygan City Park DHD # 4 Cheboygan Wawatam City Park DHD # 4 , Cheboygan Mackinaw City Lighthouse Park DHD # 4 Cheboygan Ditta Park DHD # 4 _ Cheboygan Mill Creek public access DI-ID # 4 Presque Isle Lakeside Park(Rogers City) DHD # 4 Presque Isle Hoeft State Park DHD # 4 Presque Isle Presque Ilse Harbor Beach Huron County Huron Harbor Beach City Park Huron County Huron Caseville County Park Huron County Huron Sleeper State Park Huron County Huron Thompson Park Huron County Huron Philip County Park Huron County Huron Oak Beach County Park Huron County Huron Port Crescent State Park - Day Use Huron County Huron McGraw County Park Huron County Huron Port Crescent State Park - Camping Area Huron County ,Huron Jenks County Park Huron County Huron Lighthouse County Park Huron County Huron Bird Creek County Park Luce-Mackinac-Schoolcraft-Alger Alger Rogers Beach Luce-Mackinac-Schoolcraft-A •er Alger Mzii29ue Town Beach Alger Roadside Park Beach Luce-Mackinac-Schoolcraft-Al .er Alger Manistique Township Park Luce-Mackinac-Schoolcraft-Alger Alger Michigan Shores Road End Luce-Mackinac-Schoolcraft-Al•er ,Alger Miners Beach Luce-Mackinac-Schoolcraft-Alger Alger Au Train Beach Alger Twelvemile Beach Luce-Mackinac-Schoolcrafl-Alser Alger Hurricane Campground Beach • • Luce-Mackinac-Schoolcraft-Alger Luce Roadside Park Luce-Mackinac-Schoolcraft-Alger Luce Ba Furnace Recreation Area Beach Luce-Mackinac-Schoolcraft-Alger Luce Christmas Beach - • ILBeach -- Luce-Mackinac-Schoolcraft-Alger Schoolcraft Sand Point Schoolcraft Lake Superior Campground Beach Schoolcraft Muskallonge Lake State Park Beach Schoolcraft Mouth of the Two Hearted River Campground Schoolcraft Kiwanis Beach Macomb County Macomb SOS Blossom Heath Beach Macomb County Macomb St. Clair Shores Memorial Park Beach Macomb Count - Macomb HCMA - Metropolitan Beach Metropark 'Macomb County Macomb New Baltimore Park Beach Marquette County Marquette North of Picnic Rocks Marquette County Marquette North Beach Marquette County Marquette Picnic Rocks Marquette County Marquette McCartys Cove Marquette County Marquette Marquette South Beach Monroe County Monroe Luna Pier City Beach Monroe County Monroe Sterling State Park Muskegon County Muskegon PJ Hoffmaster State Park - Campground Muskegon County Muskegon Old Channel Beach Muskegon County Muskegon PJ Hoffmaster State Park - Public Beach Area Muskegon County Muskegon Lake Harbor Park Muskegon County Muskegon Bronson/Kruse Park Muskegon County Muskegon Pere Marquette Park Muskegon County Muskegon Muskegon State Park Muskegon County Muskegon Duck Lake Channel Beach Muskegon County Muskegon Lighthouse/Sylvan Beach Muskegon County Muskegon Medbury Park Beach Muskegon County Muskegon Meinert County Park Muskegon County Muskegon Pioneer County Park Northwest Antrim Elk Rapids County Park Northwest Antrim Barnes Park Northwest Antrim Banks Twp. Park Northwest Charlevoix Norwood Park .Northwest Charlevoix Fisherman's Island State Park Northwest Charlevoix Lake Michigan Beach Northwest Charlevoix Mt. McSauba Beach Northwest Emmet Petoskey State Park Northwest Emmet Magnus Park Northwest Emmet Harbor Springs Beach Northwest Emmet Middle Village Park Northwest Emmet Cross Village Beach Northwest Emmet Wilderness State Park — Northwest Emmet Mackinaw City Beach #2 Northwest Emmet Mackinaw City Beach #1 Northwest Emmet Readrnond Township Beach Northwest Emmet Zoll Street Beach Northwest Emmet Thorne Swift Preserve Ottawa County Ottawa Kouw Park — Ottawa County Ottawa Windsnest Park Ottawa County Ottawa Rosy Mound Recreation Area Ottawa County Ottawa Holland State Park Ottawa County Ottawa Tunnel Park Ottawa County Ottawa Kirk Park Ottawa County Ottawa Grand Haven City Beach Ottawa County Ottawa Grand Haven State Park Ottawa County Ottawa North Beach Park Sanilac County Sani:ac Lexington County Park Sanilac County Sanilac Lexington Beach Sanilac County San ilac Port San lac Park Sanilao County San ilac Forester County Park ‘St. Clair County St. Clair !Marine City Diving Area St. Clair County St. Clair Marine City Beach - St. Clair County St. Clair Chrysler Park Beach St. Clair County St. Clair Conger-Lighthouse Beach St. Clair County St. Clair Holland Road Beach St. Clair County St. Clair Lakeside Beach St. Clair County St. Clair Krafft Road Beach St Clair County St. Clair Keewadhin Road Beach St. Clair County St. Clair Metcalf Road Beach St. Clair County St. Clair Lakeport State Park St. Clair County St. Clair Washington Street Park St. Clair County St. Clair Lakeport State Campground St. Clair County St. Clair Burtchville Township Park St. Clair County St. Clair Jeddo Road Beach Van Buren- Case Van Buren South Haven South Beach Van Buren- Case Van Buren South Haven North Beach Wayne County Wayne Pier Park Wayne County Wayne Belle Isle Beach Watershed Center Grand Traverse Bay Benzie Frankfort Watershed Center Grand Traverse Bay Leelanau Lake Michigan (near Empire) Watershed Center Grand Traverse Bay Leelanau Suttons Bay Park Watershed Center Grand Traverse Bay Leelanau Northport Bay Watershed Center Grand Traverse Bay Grand Traverse East Bay Beach at Traverse City State Park Watershed Center Grand Traverse Bay Grand Traverse Milliken Watershed Center Grand Traverse Bay Grand Traverse Clinch Park Watershed Center Grand Traverse Bay Grand Traverse Bryant Park Beach Watershed Center Grand Traverse Bay Grand Traverse West End Beach Western UP Baraga LAnse Waterfront Park _ Western UP Gogebic Little Girls Point Park Western UP Houghton Agate Beach • - Western UP Houghton ChasseII Beach Western UP Houghton Dollar Bay Beach Western UP Houghton , Houghton City Beach _ Western UP Houghton Hancock City Beach Western UP Houghton Lake Linden Campground Beach Western UP Houghton McLain State Park Beach Western UP Keweenaw Eagle Harbor Beach 'Western UP Ontonagon Porcupine Mountains State Park Western UP Ontonagon Ontonagon Township Park and Campground APPENDIX C -ALLOCATION SCHEDULE GREAT LAKES BEACH MONITORING PROGRAM FY 2006 LHD GREAT LAKES BEACHES BEACH Act funding available is $227,058 Allocation Number of Reported Local Health Department 2006 High Priority Beaches Allegan $5,760 4 "Barry-Eaton District $0 0 Bay $7,389 6 Berrien $13,909 14 Branch-Hillsdale-St. Joseph District $0 0 Calhoun $0 0 Central Michigan District $9,019 8 Chippewa $9.834 9 Delta-Menominee District $5.760 4 Detroit, City of $0 0 Dickinson-Iron District $0 0 District #2 $9,834 9 District #4 $13,909 14 District #10 $20,428 22 Genesee $0 0 Holland, City of $0 0 Huron $12,279 12 Ingham $0 Ionia $0 0 Jackson $0 , Kalamazoo $0 . _ Kent $0 0 Lapeer $0 -Lenawee $0 0 Livingston $0 0 Luce-Mackinac-Alger-Schoolcraft District $10,649 10 (new program) Macomb $5,760 4 Marquette (city of Marquette) $6,575 5 ,Mid-Michigan District $0 Midland $0 0 , Monroe $4,130 2 Muskegon $12,279 12 Northwest Michigan Community Health Agency $17,168 18 Oakland $0 0 _ --Ottawa $9,834 9 Saginaw $0 0 Saint Clair $13,909 14 Sanilac _ $5,760 4 . Shiawassee $0 0 Tuscola $0 0 Van Buren/Cass District $4,130 2 VVashtenaw $0 0 Wayne $4,130 2 Watershed Center (Grand Traverse & Benzie-Leelanau) $12,334 9 Western Upper Peninsula District $12.279 12 Total $227,058 205 APPENDIX C - ALLOCATION SCHEDULE GREAT LAKES BEACH MONITORING FY 2005-2006 GREAT LAKES BEACH MONITORING Local Health Department No. of Counties Allocation Allegan 1 $5,760 Barry-Eaton District 2 $0 Bay 1 $7,389 Benzie-Leelanau District 2 $0 Berrien 1 $13,909 . Branch-Hillsdale-St. Joseph District 3 $0 Calhoun 1 $0 Central Michigan District 6 $9,019 Chippewa 1 $9,834 Delta-Menominee District 2 $5,760 , Detroit, City of 0 $0 Dickinson-Iron District 2 $0 District #2 4 $9,834 District #4 4 $13,909 District #10 10 $20,428 Genesee 1 $0 Grand Traverse 1 $0 Holland, City of 0 $0 Huron 1 $12,279 Ingham 1 $0 Ionia 1 $0 Jackson 1 $0 Kalamazoo 1 $0 Kent 1 $0 Lapeer 1 $0 . Lenawee 1 $0 Livingston 1 $0 Luce-Mackinac-Alger-Schoolcraft District 4 $10,649 , Macomb 1 $5,760 Marquette 1 $0 Marquette, City of 1 $6,575 Mid-Michigan District 1 $0 Midland 3 $0 Monroe 1 $4,130 Muskegon 1 $12,279 Northwest Michigan Community Health Agency _ 4 $17,168 Oakland 1— $0 Ottawa 1 $9.834 Saginaw 1 $0 Saint Clair 1 $13,909 Sanilao _ 1 $5,760 Shiawassee 1 $0 Tuscola 1 $0 Van Buren/Cass District 2 $4,130 , Washtenaw 1 $0 Watershed Center Grand Traverse Bay, The 3 $12,334 Wayne 1 $4,130 Western U per Peninsula District 5 $12,279 83 (+2 Cities and Totals +3 Universities) $227,058 . MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX D OCTOBER 1, 2005 THROUGH SEPTEMBER 30, 2006 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 license and renewal license 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 license for a public swimming pool/spa* $100 Initial license for each additional public swimming pool/spa of the same design, constructed at the same site, and at the same time License renewal prior to December 31 $30 License renewal after December 31 $45 License renewal after lapse beyond April 30 without a license $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 Requirements 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 license in place should be inspected. All indoor pools should be inspected during the months of January, February, and March 2005, with the exception of public swimming pools located at schools. It is acceptable to inspect pools at school during September and October 2005. All outdoor pools should be inspected during May, June, and July 2005. In no case should inspections be $50 completed later than December 31, 2005. Completed inspection reports should be forwarded to the MDEQ within two to four weeks following the inspection, but in no case later than January 1, 2006. 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, 2006, the State will provide the Local Entity with a list of public swimming pools from that jurisdiction that have been issued a license. 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 license 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, 2005, 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 2005-2006 LHD PUBLIC SWIMMING POOLS Local Health Department No. of Counties Allocation Allegan 1 $2,190 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 $1,275 Delta-Menominee District 2 $630 Detroit, City of 0 $5,270 Dickinson-Iron District 2 $975 District #2 4 $1,065 District #4 4 $3,725 District #10 10 $4,700 Genesee 1 $6,545 Grand Traverse 1 $3,265 Holland, City of 0 $1,200 Huron 1 $860 Ingham 1 $5,895 Ionia 1 $390 Jackson 1 $2,060 Kalamazoo 1 $5,550 . Kent 1 $12,815 Lapeer 1 $775 Lenawee 1 $1,055 Livingston 1 $1,835 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 $1,695 Midland 3 $1,275 Monroe 1 $2,780 Muskegon 1 $2,845 Northwest Michigan Community Health Agency 4 $5,640 Oakland 1 $29,715 Ottawa 1 $4,200 Saginaw 1 $3,200 Saint Clair 1 $2,210 Sanilac 1 $150 Shiawassee 1 $600 Tuscola 1 $255 University of Michigan 0 $180 Van Buren/Cass District 2 $2,565 Washtenaw 1 $9,000 Wayne 1 $19,935 Western Upper Peninsula District 5 $1,275 Wayne State University 0 $90 83 (4-2 Cities and 'Totals +3 Universities) $181,650 I num,' lIkapull 1..•=r-tArx I wimp&I vr vircunivitN I AL t../UALI Y WATER BUREAU APPENDIX E OCTOBER 1, 2005 THROUGH SEPTEMBER 30, 2006 SEPTAGE PROGRAM A. Budget and Agreement Requirements 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 451, as amended. The Department of Environmental Quality (DEQ) 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 $500.00 site) Annual authorized land disposal site inspection (per $430.00 site) Annual inspection of septage vehicles (per vehicle) $50.00 Receiving facility inspection $100.00 The annual payment for land disposal sites will be made for one inspection of each site. Please note that each site may contain more than one disposal location. Annual payment for septage vehicle inspections will be based on the number of vehicles inspected. B. Local Entity Requirements 1. The Local Entity shall investigate complaints and conduct meetings and/or conferences relative to compliance issues. The Local Entity will provide a timely and appropriate response to all violations in a manner described in the DEQ Compliance and Enforcement guidance document. 2. The Local Entity shall conduct inspections of new and all permitted septage waste land disposal sites and septage waste motor vehicles on an annual basis in accordance with part 117 and established department requirements. The Local Entity shall use checklists and other septage program forms provided by the DEQ. 3. The Local Entity shall conduct annual inspections of all receiving facilities in their jurisdiction using DEQ checklists developed. 1 MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU C. DEQ Requirements The DEQ has a current list of permitted land disposal sites by jurisdiction available at http://www.michigan.govideq (select Water, Surface Water, Septage) and clicking on septage haulers directory". Application materials are also available on the above link and can be found under "downloads". The DEQ will review all septage firm applications to ensure administrative completeness before forwarding them to the local entity for inspection. Inspection checklists are provided by the DEQ and are available online. The checklists include; Land Application Site/Location Inspection (EQP 5900), Septage Program Vehicle Inspection Checklists (EQP 5901) and Receiving Station Checklist (EQP 5911). The DEQ will provide technical assistance, training, and program support. D. Payment Schedule and Reporting Requirements Reimbursement will be based upon the remittance of standardized information in a spreadsheet format (see attached example) providing information summarizing inspections performed and the remittance of the appropriate checklists referenced above (EQP 5900, EQP 5901, and EQP 5911). 1. Quarterly spreadsheet submissions should be sent to: Drinking Water and Environmental Health Section, Water Bureau, P.O. Box 30273, Lansing, MI 48909-7773. The contact person is Mr. Matthew Campbell, who can be reached at 517-334-4178 or by e-mail at campbelm@michigan.gov 2. The annual payment will be made by the State upon receipt of a reimbursement request from the Local Entity and based upon the Local Entity's fulfillment of its responsibilities under this agreement. The reimbursement requests are due by October 10. The reimbursement request shall be sent to: Administration Section, Water Bureau, MDEQ, P.O. Box 30273, Lansing, MI 48909-7773. E. Accountability The Local Entity shall maintain adequate accounting and employee activity records to reflect that all fund 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. 2 ALLOCATION SCHEDULE SEPTAGE PROGRAM I FY 2006 LHD SEPTAGE INSPEC 1 IONS No. of Existing Land Disposal Rec. Facility Local Health Department Name County 10# Counties Disposal Sites x $430.00 Sites x $500.00 Vehicles x $50.00 Inspection x $100.00 Total Allocation Allegan County 3 1 13 $ 5,590.00 $ - 18 $ 900.00 0 $ $ 6,490.00 Barry-Eaton District 2 $ - $ - $ - $ - $ 6 360 00 Barry County a 4 $ 1,720.00 - 10 $ 500.00 3 $ 300.00 $ 2520.00 Eaton County 23 $ 3,440 00 $ - 6 $ 300.00 1 $ 100.00 $ 3,840.00 'Bay 9 $ - $ $ - $ - $ ' Benzie-Leelanau District Health Department 2 $ - $ $ $ - $ 1 3,320,00 Benzia County 10 8 $ 3,440 00 $ - 6 $ 300.00 1 $ 100.00 $ 3,840.00 Leelanau County 45 21 $ 9,030,00 $ 9 450.00 0 5- .- . $ 9480.00 Berrien County HD 11 1 1 5 430.00 $ $ - 3 $ 300.00 $ 730.00 Branch-Hillsdale-St. Joseph District $ - $ - $ $ - $ 14,980.00 Branch County 12 15 $ 6,450.00 - 9 $ 450.00 1 $ 100.00 $ 7,000.00 Hillsdale County 30 7 $ 3,010.00 5 - 4 $ 200.00 $ - $ 3,210.00 St. Joseph County 75 9 $ 3,870.00 16 800.00 f $ 100.00 $ 4,770.00 *Calhoun County 13 $ - $ $ - $ _ $ - Central Michigan District Health Department 6 $ - $ $ - - $ 16,750 00 Arenac County 6 4 $ 1,720.00 $ - 4 200.00 0 $ - $ 1,920.00 ....._ : Clare County 18 13 $ 5,590.00 $ - 6 $ 300.00 0 $ - $ Gladwin County 26 3 $ ,290.00 $ 6 $ 300.00 1 $ 100.00 $ 351,,2689910001.0005700 sabella County 37 n 7 $ 3,010.00 $ - 4 $ 200 00 0 $ $ Osceola County 67 5 $ 2,150.00 $ - 5 $ 250.00 0 $ - $ 2,400.00 Roscommon County 72 3 $ 1,290.00 $ - 7 $ 350.00 0 $ - $ 1,640.00 Chippewa County HD 17 1 7 $ 3,010.00 - 8 400.00 1 $ 100.00 $ 3,510.00 Delta-Menominee District Health Department 2 $ - $ $ - $ - $ 8,590.00 ---I Jetta County 21 7 $ 3,010.00 $ 10 $ 500.00 $ - $ 3,510.00 Menominee County 55 1 $ 4,730.00 - 5 $ 250.00 1 $ 100.00 $ 5,080.00 Dickinson-Iron District 2 $ .. - $ - $ - $ 830.00 Dickinson County 22 1 $ 430.00 $ - 1 50.00 1 $ 100.00 $ 580 00 Fon County 36 0 $ $ - 3 150.00 1 $ 100.00 $ 250.00 District Health Department No.2 4 $ - $ - $ - $ 12,910.00 Norma 5 $ 2,150.00 $ 3 $ 150.00 0 $ - $ 2,30000 osco 35 a $ 3,440.00 $ 11 $ 550.00 1 $ 100.00 $ 4,090.00 Dgernaw 65 8 $ 3,440.00 $ 6 $ 300.00 o $ - $ 3,740.00 Dscoda 68 6 $ 2,580.00 - 4 $ 200.00 0 $ - $ 2.780.00 District Health Department No. 4 $ - - $ - $ - $ 9,270.00 eklpena 4 7 $ 3,010.00 10 $ 500.00 0 $ - S 3,510.00 0heboygan 16 7 $ 3,010.00 $ - 7 $ 350.00 0 $ - $ 3,360.00 Montmorency 60 2 $ 860.00 $ _ 3 5 150.00 0 $ $ 1,010.00 Dresque Isle 71 3 $ 1,290.00 $ 100.00 0 $ 1,390.00 District Health Department No. 10 10 $ $ - $_ $ - $ 20,810.00_ -2.rawford 20 5 $ 2,150.00 1 $ 50.00 0 $ - $ 2,200.00 {alkaska 40 6 $ 2,580.00 $ 8 $ 400.00 0 $ - $ 2,980.00 _ake 43 1 $ 430.00 $ 0 $ 1 $ 100.00 $ 530.00 Manistee 51 9 $ 3,870.00 $ 8 $ 400.00 o $ - $ 4,270.00 Mason 53 o $ - $ - 4 $ 200.00 0 $ - - $ 200.00 Vecosta 54 5 $ 2,150.00 $ 6 $ 300.00 0 $ - $ 2.450.00 Tissaukee 67 6 $ 2,580.00 $ 4 200.00 0 $ $ 2,780.00 gewaygo 62 2 $ 860.00 $ 12 $ 600.00 0 $ - $ 1,460.00 Dcearia 64 6 $ 2,580.00 $ - 7 $ 350.00 0 $ - $ 2,930.00 Nexford 83 2 $ 860.00 $ - 3 $ 150.00 o - $ 1,010.00 Genesee County Health Department 25 1 $ - $ - $ - 2 $ 200.00 $ 200.00 3rand Traverse County Health Department 28 1 5 $ 2,150.00 - 12 600.00 1 $ 100.00 $ 2,850.00 Huron County HD 32 1 9 $ 3,870.00 - 11 550.00 1 $ 100.00 $ 4,520.00 *Ingham County HD 33 $ - - $- $ - $ - Ionia County HD 34 1 14 $ 6,020.00 - 4 $ 200.00 1 $ 100.00 $ 6,320.00 Jackson County HD 33 1 0 - $ - 20 1,000.00 1 $ 100.00 $ 1,100.00 *Kalamazoo County HO 39 $ - $ _ $- $ - $ Kent County HD 41 - $ - $- $ - $ - Lapeer County HD 44 1 6 $ 2,580.00 29 $ 1,450.00 0 $ - $ 4,030.00 Lenawee 46 1 4 $ 1,720.00 $ - 9 $ 450.00 0 $ - $ 2,170.00 Livingston 47 1 18 $ 7,740.00 . 20 $ 1,000.00 0 $ - $ 8,740 00 - Luce-Mackinac-Alger-Schoolcraft District HO 4 $- $ - $ $ - $ 5,680.00 ANer 2 3 $ 1,290.00 $ - 3 $ 150.00 1 $ 100.00 $ 1,540.00 Luce 48 2 $ 860.00 $ 5 $ 250.00 1 $ 100.00 $ 1,211100 Mackinac 49 4 $ 1,720.00 $- 4 200.00 1 $ 100.00 $ 2,020.00 SchooIcraft 77 2 $ 860.00 $- 1 $ 50.00 0 $ - $ 910.00 Macomb County Health Department 50 1 0 $ - 24 $ 1,200.00 1 $ 100.00 $ 1,300.00 Marquette 52 1 5 $ 2,150.00 $ - 7 $ 350.00 2 $ 200.00 $ 2,700.00 Mid Michigan District Heatlh Department 3 $ - $ $- $ - $ 11,740.00 Clinton 19 6 $ 2,580.00 $ - 14 $ 700.00 0 $ $ 3,280.00 Gratiot 29 4 $ 1,720.00 $ - 8 400.00 0 $ - $ 2,120.00 Montcalm 59 13 $ 5.590.00 , $ 15 $ 750.00 0 $ - $ 6,340.00 Midland County Health Department 56 1 $ 2,580.00 $ - 12 . $ 600.00 1 $ 100.00 $ 3,280.00 Monroe County Health Department 58 1 0 $ - 33 $ 1,650.00 2 $ 200.00 $ 1,850.00 Muskegon County Health Department 61 1 - 30 , $ 1,500.00 1 $ 100.00 $ 1,600.00 Northwest Michigan Community Health Agency 4 $ - _ $- $ - $ 16,850.00 Antrim 5 10 $ 4,300.00 - 9 $ 450.00 0 $ - $ 4,750.00 Charlevoix 15 4 $ 1.720.00 $ _ 10 , $ 500.00 „ 0 $ 2,220.00 Emmet 24 15 $ 6.450.00 $ - 9 $ 450.00 0 $ - $ 6,900.00 Otsego 69 6 $ 2,580.00 $ 8 $ 400.00 0 $ - $ 2,980.00 Oakland County Health Department 63 1 0 - $ - 66 $ 3,300.00 3 300.00 $ 3,600.00 Ottawa County Health Department 70 1 2 $ 860.00 $ - 11 $ 550.00 0 $ - $ 1,410.00 Saginaw County Health Department 73 1 2 $ 860.00 22 $ 1,100.00 2 $ 200.00 $ 2,160.00 St. Clair County Health Department 74 1 1 $ 430.00 10 5 500.00 1 $ 100.00. $ 1,030.00 1 *Sanilac 76 _ . - $ $ - $ - Shiawassee County Health Department 78 1 6 $ 2 580 00 $ 10 500.00 0 $ - $ 3,080.00 Tuscola County Health Department 79 1 12 $ 5 160 00 $- 3 $ 150.00 1 $ 100.00 $ 5,410.00 ' Van Buren/Cass Distric t $ $ $ - $ 7,900.00 Cass 14 $ 3440.00 $ 14 $ 700.00 0 $ - 4,140.00 Van Buren 80 7 $ 3,010.00 $- 15 $ 750.00 0 $ - $ 3,760.00 Washtenaw County Health Department 81 1 3 $ 1,290.00 - 9 $ 450.00 2 $ 200.00 $ 1,940.00 Wayne County Health Department 82 1 0 $ - - - $ $ 100.00 $ 100.00 Western Upper Peninsula District - $ $ - $ - $ - $ 1,660.00 Barasa 7 $ $ 1 $ 50.00 0 $ - 5(100 Gogebic 27 0 $- $ - 3 $ 150.00 1 $ 100.00 $ 25a00 Houghton 31 1 $ 430.00 $ - 4 $ 200.00 1 $ 100.00 $ 730.00 Keweena 42 0 $ $ . 0 $ 0 $ - $ - Ontonagon 66 $ 430.00 $ $ 100.00 1 $ 100.00 1$ 630.00 General (anticipated new land sites) 30 15,000.00 $ $ - Totals 77 414 $ 178,020.00 30 $ 15,000.00 755 $ 37,750.00 46 APPENDIX E - ALLOCATION SCHEDULE SEPTAGE FY 2005-2006 LHD SEPTAGE Local Health Department No. of Counties Allocation Allegan 1 $6,490 Bar -Eaton District 2 $6,360 Ba 1 $0 Benzie-Leelanau District 2 $13,320 Berrien 1 $730 Branch-Hillsdale-St. Joseph District 3 $14,980 Calhoun 1 $0 Central Michigan District 6 $16,750 Chipgewa 1 $3,510 Delta-Menominee District 2 $8,590 Detroit, Cit of 0 $0 Dickinson-Iron District 2 $830 District #2 4 $12,910 District #4 4 $9,270 District #10 10 $20,810 Genesee 1 $200 Grand Traverse -- - 1 $2,850 0 $0 Huron 1 $4,520 9 $0 $6,320 Jackson 1 $1,100 Kalamazoo $0 [IL $0 $4,030 Lena= 1 $2,170 ..1 $8,740 41r.f., Mackinac it\lper S $5,680 14 *fie $1,300 1.. • 1 $2,700 1•- I 1 0.1 If 3 $11,740 is a. 1 $3.280 Ail 1 $1,850 A . ••• 1 $1,600 .11,- 4 ig 1 ommunit Health Aienc 4 $16,850 • I. 1 $3,600 Ql.tatiz 1 $1,410 1 $2,160 Saint Qlair 1 $1,030 1 $0 1 $3,080 • - 1 $5,410 $7,900 . . -.... 1 $1,940 .. -1 1 District 5 $1,660 • Totals 83 (+ 2 Cities) $217,770 Site/Location Inspection Fqrm DE-'5 Department of Environmental Quality Water Bureau Septage Program Land Application Site/Location Inspection Printed by authority of Part 117 of Act 451, Public Acts of 1994, as amended Site Location: County Two. Sec. Owner Business: Name City License No. SitelLocation ID No. Type of Inspection: ) Regular/Annual ( ) New Site ( ) Follow up to: ( ) Complaint _ Septage Waste Disposal Site/Location Inspection Yes No NA 1. Is this site/location actively used for septage disposal? 2. Are isolation distances being met? (Sec. 11710.[c][i — ix]) iniection Surface Distance to nearest residence or business: feet 150 ft 800 ft Distance to nearest drinking water well: feet 150 ft 800 ft Distance to nearest surface water (lake, stream, pond, drainage ditch, etc.) feet 150 ft 500 ft Distance to roads or property lines: feet 150 ft 200 ft Please be aware that there are isolation distances for public water supplies. 3. Are the site/location slope limitations beim, met? Sec. 11711 b] 4. Are the soils suitable for septage waste disposal at this site/location? 5. Is the water table 30 inches or deeper from the surface? (Sec. 11710.11) 6. Does the hauler have soil sample analysis data for this site/location? (Sec. 11709.[e]) 7. The Agronomic Application Rate for this site is: gallons/acre 8. - Are the annual application limits exceeded? (Sec. 11710 [a]) 9. Is the septage volume/application/disposal log book available and corn•lete? 10. Does the septage firm have an up-to-date cropping plan? (Sec. 11710.[i I i ' 11. Are the corners of the disposal location clearly marked? 12. Is the septage waste being disposed at the location authorized by the DEQ? 13. Is public access restricted to this site? (Sec. 11710.[g]) I EQP 5900 (Rev. 8/2005) 1 Site/Location Inspection Form Septage Waste Disposal Site/Location Inspection Yes No NA 14. Are farm animals allowed to graze on the site? (Sec. 11710.[g][6]) 15. If yes, are they meant for human consumption? (Sec. 11710.[h]) 16. Is the septage surface applied? _ 17. Is the domestic septage incorporated within 6 hours of application? (Sec. 11710.[g]) 18. Is the septage allowed to pond or run off of the site? (Sec. 11711.[a]) 19. Is the septage evenly spread? (Splash plate in use?) (Sec. 11710.[a]) 20. Is the septage screened? (Sec. 11710.[I]) Required beginning 10/12/06. 21. If yes, are the mesh/slats 1/2 inch or less? 22. Is the domestic septage subsurface injected? 23. If by injection, is any septage present on the soil surface? 24. Are odors evident at the disposal site? Frozen Soil Disposal 25. Is the site approved by the DEQ for use when the soil is frozen? (Sec. 11711) 26. Are the frozen soil application limits exceeded? (Sec. 11711.F1) 27. Is the septage waste pH alkali adjusted? (Sec. 11711Jc]) 28. Is an accurate pH log kept? Miscellaneous Items , 29. Is food establishment septage (FES) disposed on this site/location? , 30. Is the FES mixed with domestic septage at a 1:3 ratio? (Sec. 11710.[j]) , 31. Is a separate log kept by the septage firm to track the land application of FES? 32. Does the septage storage facility exist? If so, what is the capacity of the tank (in gallons): 33. Is the tank above ground? 34. Is there evidence that the septage storage facility is leaking? EQP 5900 (Rev. 8/2005) 2 Site/Location Inspection Form _ Miscellaneous Items Yes No NA 35. Are groundwater monitorin g wells used to detect leaks? 36. Are odors evident? Action Recommended ( ) ( ) ( ) ( ) ( ) ( ) No Action Needed Warnin g Letter and/or Phone Call Referral to DEQ Water Bureau Re-inspect for Compliance Site Visit with Septa ge Firm Owner Other Action (Explain on back) Inspected by: Name of HD: Date of Inspection: Please note that winter disposal on land is still authorized tinder Part 117 pendin g Health Department inspection and DEQ approval. A ban on septa g e waste disposal on frozen soil and a requirement to screen septa ge waste before appl ying it to land takes effect on October 12, 2006. EQP 5900 (Rev. 8/2005) 3 Yes No fl Li LI LI LI LI 1 _1 LI LJGIJOI LII II IL WI II IV Water Bureau Septage Program Vehicle Inspection Checklist Printed by authority of Part 117 of Act 451, Public Acts of 1994, as amended Business Name: Owner Name: DEQ License No.: Make of Vehicle: License Plate No.: VIN No.: Septage Seal Number: Date of Expiration: Date Inspected: Inspector: Health Department: Check list 1. Does the operator have a septage waste vehicle license? (Sec.11704.[2]) 2. Is the vehicle exterior and accessory equipment in good condition? (Sec. 11705) 3. Any noticeable odors or leaks? (Sec. 11705) 4. Vehicle Identification Number (VIN) matches the one on the DEQ septage waste vehicle license? 5. The words "licensed septage hauler" and the septage license number is on both sides of the vehicle and in 2-inch lettering or larger? (Sec.11707) 6. *Are the daily volume records available? 7. Does the tank hold a vacuum? (Check pressure gauge) 8. What is the capacity of the tank in gallons? 9. Are site gauges or other devices used to measure in gallons what is pumped from a septic tank? Please describe. *The volume record shall include the date, address of the tank pumped, volume pumped, where disposed. If disposed on land, vector/pathogen controls and the EPA certification statement shall be included on the volume form. EQP 5901 (6/2005) Septage Program Septage Receiving Facility Inspection Completion of this form is voluntary RECEIVING STATION CHECKLIST RECEIVING .FACILITY INFORMATION (please print or RECEIVING FACILITY OWNER ADDRESS MAINTAINER OF THE RECEIVING FACILITY CITY STATE ZIP HOURS OF OPERATION PLEASE COMPLETE -OFTHE:FOLLOWING INFORMATION: — 1. Are individual septage firm accounts established and tracked? YES fl NO 0 N/A 2. Are individual septage firms tracked on a per discharge basis? E YES E NO E N/A This would include the volume discharged on a per visit basis. 3. Are firms and septage waste volumes tracked separately for all users E YES E NO E N/A disposing septage waste at this facility? Please attach a copy of the list of septage haulers using the facility and the number of gallons of septage disposed at the plant per hauler. 4. Are the volumes totaled for each firm on a daily, weekly, monthly and yearly YES E NO LII N/A basis? _ 5. How many gallons of septage waste are received annually at this facility? gallons 6. Does the design of the receiving facility readily accommodate the septage E YES 0 NO N/A hauler? If not, please explain. 7. Is the dump station ramp sloped resulting in the complete drainage of the LIYES E NO • N/A septage waste vehicle? 8. Is the dump station maintained on a regular schedule? EYES 0 NO E N/A 9. Is staffing adequate to maintain the receiving facility? EYES E NO 0 N/A 10. Is the receiving facility/dump station free of noxious odors? EYES U NO • N/A 11. Are odor control measures in place? EYES U NO 0 N/A 12. Describe how the screenings are managed and where they are disposed. _ 13. Can the receiving facility be gated and locked to limit access? U YES U NO E N/A 14. Are there any safety issues? If so, please describe. EYES E NO 7 N/A Please send a copy after inspection is complete to: Department of Environmental Quality Water Bureau, Septage Program Constitution Hall, 2nd Floor, North P.O. Box 30273 Lansing, MI 48909-7773 No enforcement action is to be taken by the health department. Please use the back or attach sheets as necessary for additional inspection comments. E0P5911 Name of Health Department , Septage Program , FY - 2006 _ - Septage Truck Land Applicaton Sites County Lic. No. Inspected (Include State Date of Septage Business Name Name Inspected site and field ID #) Name of Inspector Inspection Amount _ Total Please note that the land application site ID can be found on the septage hauler directory located on the Septage Program Website www.deq.state.mi.usishri. An approved site may have more than 'I field or location that is used. The septage firm will typically identify those fields as A, B, C, or 1,2,3 on a particular site. MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX F OCTOBER 1, 2005 THROUGH SEPTEMBER 30, 2006 ON-SITE SEWAGE TREATMENT MANAGEMENT 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 Treatment Management 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. 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). 9. Utilize the State's "Michigan Criteria for Subsurface Sewage Disposal" (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 retrievable fife and assembled in an annual report summarizing the overall 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. 4 APPENDIX F ALLOCATION SCHEDULE ON-SITE SEWAGE TREATMENT MANAGEMENT FY 2005-2006 LHD ON-SITE SEWAGE TREATMENT MANAGEMENT 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 1 $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-Schooicraft District 4 $68,523 Macomb 1 $294,454 Marquette 1 $64,893 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 - $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 VVashtenaw 1 $344,546 Wayne 1 $69,528, Western Upper Peninsula District 5 $52,561 Totals 83 (+ 2 Cities) $5,678,252 DE,. • Michigan Department of Environmental Quality , Water Bureau Drinking Water and Environmental Health Section Authorized by 1978 PA 365, 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 1 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 1St Quarter = October/November/December 2 Quarter = January/February/March 3' 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) • Michigan Department of Environmental Quality , Water Bureau Drinking Water and Environmental Health Section Authorized by 1978 PA 358, 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 4th h Number of Parcels Evaluated I Number of On-Site Sewage Disposal Permits Issued f 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 i-- _ I Number of Complaints Received _ Number of Complaints Investigated DE Quarter = October/November/December 2 Quarter = January/February/March 3' Quarter April/May/June 4th Quarter July/August/September Please return completed report to: VVB - 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, 2005 THROUGH SEPTEMBER 30, 2006 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, predriliing 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 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, 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 We!logic access for review of electronic water well record data. 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 2005-2006 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 2005-2006 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 1 $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 $93,209 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 Wayne County 1 $8,593 Western Upper Peninsula District 5 $0. Totals 83 (+ 2 Cities) $4,231,397 I Agency: Reporting Period: DE.111 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. Person submitting report: 1st , 2nd 3rd 4th 1. Number of Well Permits Issued 2. Number of Predrilling Site Reviews Completed _ 3 Number of Final Inspections of Newly Completed Water Well Systems _ 4. Number of Final Inspections with Construction Code Violations Observed _ . . 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 (Prosecution or Civil Fines) 1 st Quarter = October/November/December 2nd Quarter = January/February/March 3rd Quarter = April/May/June 49' Quarter = July/August/September Please return completed report to: WB — DRINKING WATER & ENVIRONMENTAL HEALTH SECTION MI DEPT OF ENVIRONMENTAL QUALITY PO BOX 30273 LANSING MI 48909-7773 Completed forms may be submitted by FAX to 517-241-1328 EQP 2057(3) (9/2004) MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY WATER BUREAU APPENDIX H OCTOBER 1, 2005 THROUGH SEPTEMBER 30, 2006 CAMPGROUND REQUIREMENTS A. Budget and Agreement Requirements This agreement is intended to establish an inspection payment schedule to the Grantee for the renewal of an annual license when fees are collected from the respective Grantee's jurisdiction in accordance with Section 12510 of the Public Health Code, 1978 PA 368, as amended. This agreement is also intended to establish a reimbursement schedule to the State for the issuance of a temporary license when fees are collected by the Grantee in accordance with Section 12510 of the Public Health Code, 1978 PA 368, as amended. The State will reimburse the Grantee on a lump sum basis at $25 for each annually license campground inspection. The Grantee will reimburse the State on a lump sum basis all but $25 of the fee for each temporary license. Annual payments will be made for those campgrounds which have all fees paid in full and an inspection report has been submitted. B. Grantee Requirements The Grantee will collect license fees for temporary campgrounds within its jurisdiction in accordance with Section 12506a of the Public Health Code, 1978 PA 368, as amended, issue or deny the temporary campground licenses, and provide a copy of the approved or denied license to the Drinking Water and Environmental Health Section (DWEHS), Lansing Operations Division (LOD), Water Bureau (WB), MDEQ. The Grantee will conduct an inspection of all campgrounds under its jurisdiction, investigate complaints, conduct meetings and/or conferences relative to compliance issues, and complete a Campground Inspection Report (Form EQP 1715) as provided by the Drinking Water and Environmental Health Section (DWEHS), Lansing Operations Division (LOD), Water Bureau (WB), MDEQ, or other report form approved by the MDEQ. Only campgrounds that have a valid license in place should be inspected. All campgrounds should be inspected during the months of May, June, July, August, and September 2006. Completed inspection reports should be forwarded to the MDEQ within two to four weeks following the inspection, but in no case later than September 30, 2006. Reports should be sent to: MDEQ, WB, LOD, DWEHS, 525 West Allegan, P.O. Box 30273, Lansing, Michigan 48909. The contact person is Ms. Nancy Allen who can be reached at 517-241-1340. C. State Requirements For annual campground licenses, the State will provide the Grantee with a list of campgrounds from that jurisdiction that have submitted the appropriate fee and annual license application. The State will furnish periodic status reports to each Grantee indicating the number of annual license applications, fees, and inspection reports received. The State will reimburse the Grantee $25 for each of those campgrounds inspected during the year ending September 30, 2006, by the Grantee's staff or designated representative. The payment shall be on a lump sum basis. The State will provide technical assistance when requested and periodic oversight. For temporary campground licenses, the State will provide the Grantee with a list of temporary campground license applications received from the Grantee's jurisdiction and an invoice for the appropriate lump sum charge in accordance with Section 12506a of the Public Health Code, 1978 PA 368, as amended, less the $25 portion of the fee intended for the Grantee in accordance with Section 12510. 2 APPENDIX H - ALLOCATION SCHEDULE CAMPGROUND REQUIREMENTS FY 2005-2006 LHD INSPECTION OF CAMPGROUNDS WITH AN ANNUAL LICENSE Local Health Department I No. of Counties No. of CGs Allocation Allegan 1 29 $725 Barry-Eaton District 2 34 $850 Bay 1 7 $175 Benzie-Leelanau District 2 27 $675 Berrien 1 17 $425 Branch-Hillsdale-St. Joseph District 3 64 $1,600 Calhoun 1 13 $325 Central Michigan District 6 104 $2,600 Chippewa 1 35 $875 Delta-Menominee District 2 26 $650 Detroit, City of 0 1 $25 Dickinson-Iron District 2 24 $600 District #2 4 59 $1,475 District #4 4 62 $1.550 District #10 10 245 $6,125 Genesee 1 11 $275 Grand Traverse 1 22 $550 Holland, City of 0 1 $25 Huron 1 28 $700 Ingham 1 9 $225 Ionia 1 8 $200 Jackson 1 31 $775 Kalamazoo 1 10 $250 Kent 1 21 $525 Lapeer 1 17 $425 Lenawee 1 20 $500 Livingston 1 9 $225 Luce-Mackinac-Alger-Schoolcraft District 4 77 $1,925 Macomb 1 1 $25 Marquette 1 17 $425 Mid-Michigan District 3 33 $825 Midland 1 9 $225 Monroe 1 17 $425 Muskegon 1 22 $550 Northwest Michigan Community Health Agenm, 4 54 $1,350 Oakland 1 23 $575 Ottawa 1 19 $475 Saginaw 1 9 $225 Saint Clair 1 13 $325 Sanilac 1 8 $200 Shiawassee 1 8 $200 Tuscola 1 7 $175 Van Buren/Cass District 2 63 $1,575 Washtenaw 1 9 $225 Wayne 1 4 $100 Western Upper Peninsula District 5 37 $925 Totals 83 (+ 2 Cities)' 1,364 $34,100 Campground Name: Inspection Date: Location: County: L - MODERN PRIMITIVE TOTAL TOTAL TYPE OF CAMPGROUND Number of Individual Sites Equivalent No. of Group Sites NOTE: Indicates Satisfactory Compliance x Indicates Noncompliance - Indicates Item Does Not Apply a , CAMPGROUND INSPECTION REPORT Issued under authority of Part 125 ot Act 368, PA. 1978. as amended. An annual inspection is required for licensure. Owner's Name and Address: Number of Sites w/ Electrical Service Number of Sites w/ Water Connections Number of Unthreaded Water Outlets Number of Sites w/ Seepage Pits Number of Sites w/ Sewer Connections Sites — General: (Rule 6) License Fee Paid Construction Affidavit, Plumbing & Electrical Approvals for New Facilities or Sites Site Layout Compiles with Approved Plan Sites Numbered Boundaries Designated 4 ft. Unobstructed Path Around RVs No Permanent Structures on Campground Sites Drainage One RV per Site No Unlicensed Sites/Areas Group Sites: (Rule 6b) Area Boundaries Designated Signs Posted Record Kept 4 ft. Path Around RVs Emergency Vehicle Access Maintained Water Supply: (Rule 9) Municipal Type II Type III Well: Proper Construction Adequate Capacity Isolation Properly Maintained & Operated Above-Grade Well House Sample Tap, Pump-to-Waste, Cl Distribution: (Rule 9) Disinfected Before Opening. Last Sampled / / (Date) Result (Coliform/100 ml) No Stop & Waste Valves No Buried Hoses One RV per CG Outlet Proper Operation 8, Maintenance Water Treatment: (Act 399) Type: Certified Operator Montnly Operation Reports Submitted Service Building: (Rule 21) Ventilation Windows Screened Coving Self-Closing Exterior Doors Fixtures in Working Order Lighting Proper Plumbing, No Cross Connections Hot Water 120°F or Less Maintenance Adequate Number of Fixtures No. of Service Building1L1 MALE FEMALE UNISEX Number of Lavatories (Sinks) Number of Toilets Number of Urinals Number of Showers l Privies: (Rules 6a and 16) Adequate Number Properly Constructed Located >50 ft. from Campsites Proper Maintenance Sewage Collection & Treatment System: (Rules 11, 12, and 13) Sewer Risers 2 inches Above-Grade Closed on Vacant Sites 5 ft, or More to Water Riser Sanitary Connection to Recreational Vehicles Septic Tank Properly Maintained, Last Pumped / / (Date) No Buried Storage Tanks (Rule 19) Seepage Pits (Rule 18) Lagoon: (Rules 10 and 14) Berms Maintained Weeds Under Control No Evidence of Muskrats No Dike Erosion Gate & Fence Warning Signs Certified Operator Proper Access Road No Nuisance Conditions Disposal: (Rules 10 and 14) No Evidence of Failed Tile Field, Irrigation Area, Seepage Cells Properly Maintained and Operated Discharge Monitoring arid Flow Reports Submitted Current Discharge Permit or Authorization Sanitary Station: (Rule 26) Required Properly Constructed and Maintained Garbage and Refuse Disposal: (Rule 31) Sufficient Number Emptied as Required Properly Maintained Disposal in Accord With Law Miscellaneous Requirements: Roadways Maintained Vehicle Parking Off Roads (Rule 8) Manager Available Emergency Phone #s Posted (Rule 7) Electrical Installation No Buried Extension Cords (Rule 33) Swimming Pool Bathing Beach (Rule 35) Measures taken to Reduce Mosquito Popu!ation (Rule 31) Service Building. Grounds, Facilities Maintained/Clean (Rule 27) No Changes without LHD/rvIDECi Construction Approvals (Rule 3) RECOMMENDATION REGARDING LICENSURE At the time of inspection, the facilities were found to be in substantial compliance with the law and rules; therefore, a license is recommended. This facility is NOT in substantial compliance, a follow-up inspection will be made on I / . All violations must be corrected at this time. This facility is NOT in substantial compliance and licensure cannot be recommended. Violations are as indicated above; additional comments below: Additional Comments: LHD or MDEQ Rep.: Person Interviewed: NOTE: Use Campground Inspection Report Supplement (Form ECU? 1715-1) for additional remarks. DISTRIBUTION: WHITE — DEQ CANARY — CAMPGROUND OWNER PINK — LOCAL HEALTH DEPARTMENT COP 1715 10612005'; 111111....1-11UAN Utt'All I 11/1C14 I ur =NVIKUPIIVICII I AL %.41./ALI I 4 • WATER DIVISION • FINANCIAL STATUS REPORT FOR LOCAL HEALTH SERVICES Authorized by 1978 PA 3613 and 1976 PA 399. as amended Local Agency Report Period thru Date A eemei • - ... . EXPENDITURE CATEGORY Non-Community Water Supply On-Site Sewage Drinking Water Supply Beach Monitoring Salaries & Wages 2 Fringe Benefits 3 Cap Exp for Equip & Fac 4 Contractual (Sub-Contracts) 5 Other Expenses: 6 Supplies & Materials 7 Travel 8 Communications 9 County/City Central Services 10 Space Costs 11 All Others (ADP & Misc.) ----- 12 Total Direct Expenditures 13 Admin. 0/H Cost Rate #1 14 Admin. 0/H Cost Rate #2 % 15 Total Direct & Admin Expenditures 16 Total Expenditures Net Allowable Expenditures For Local Public Health Operations 17 Net Allowable Expenditures 18 State LI9l-10 19 Local Funds - Fees 1st 8. 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 Baled-to-Date: (Line 22 plus Line 23) 26 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 DE Page Please return completed form to: WATER BUREAU - ADMINISTRATION SECTION MI DEPT OF ENVIRONMENTAL QUALITY 525 W ALLEGAN PO BOX 30273 LANSING MI 48909-7773 EOP 2069 (912004) FISCAL NOTE (MISC. #05268) November 10, 2005 BY: FINANCE COMMITTEE, CHUCK MOSS, CHAIRPERSON IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION - FISCAL YEAR 2005/2006 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, Campground Inspection and Drinking Water Supply. 2. The grant award of $1,261,631 is a $14,994 or (1.17%) decrease over the previous agreement and $14,994 lower than the amount included in the FY 2006 budget. 3. A budget amendment is recommended per the attached Schedule. FINANCE COMMITTEE FINANCE COMMITTEE Motion carried unanimously on a roll call vote with Melton and Jamian absent. Ruth John-son, County Clerk Resolution #05268 November 10, 2005 Moved by Moss supported by Coleman the resolutions on the Consent Agenda, as amended, be adopted (with accompanying reports being accepted). AYES: Coleman, Coulter, Crawford, Douglas, Gershenson, Gregory, Hatchett, Jamian, KowaII, Long, Melton, Middleton, Molnar, Moss, Nash, Palmer, Patterson, Potter, Rogers, Scott, Suarez, Wilson, Woodward, Zack, Bullard. (25) NAYS: None. (0) A sufficient majority having voted in favor, the resolutions on the Consent Agenda, as amended, were adopted (with accompanying reports being accepted). r.mo I Haft APPROVE THE,FOREGOING ROI= STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Ruth Johnson, 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 10, 2005, 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 10th day of November, 2005.