Technical Reviewers: Kathy Dictor, Donald R. Delorme and William E. Walls (Virginia Department of Agriculture and Consusmer Services, Richmond, Virginia).
Publication Number 442-907, June 1996
*Overview of the Virginia Farm Assessment System
Read Fact Sheet No. 7
How will this worksheet help you protect your drinking water?
Follow the directions below. Focus on the well or spring that provides drinking water for your home or farm. If you have more than one drinking water supply on your farmstead, take the time to fill out a worksheet for each one.
| LOW RISK (rank 4) | LOW-MOD RISK (rank 3) | MOD-HIGH RISK (rank 2) | HIGH RISK (rank 1) | RANK NUMBER | |
|---|---|---|---|---|---|
| Amount Stored For More Than One Season | No pesticides stored. | Less than 1 gallon or less than 10 pounds of each pesticide. | More than 1 gallon or more than 10 pounds of each pesticide. | More than 55 gallons or more than 550 pounds of each pesticide. | _______ |
| Amount Stored For Less Than One Season | No pesticides stored. | Less than 10 gallons or less than 100 pounds of each pesticide. | More than 10 gallons or more than 100 pounds of each pesticide. | More than 55 gallons or more than 550 pounds of each pesticide. | _______ |
| Types stored: Leachability* | No pesticides stored. | Low leaching potential. | Medium leaching potential. | High leaching potential or leachability unknown. | _______ |
| Liquid or dry formulation | No liquid. All dry. | Some liquid. Mostly dry. | Mostly liquid. Some dry. | All liquid. No dry. | _______ |
| Spill or leak control in storage area | Impermeable surface (such as concrete) does not allow spills to soak into soil. Curb installed on floor to contain leaks and spills. | Impermeable surface with curb installed has some cracks, allowing spills to get to soil or impermeable surface without cracks has no curb installed. | Permeable surface (wooden floor) has some cracks. Spills could contaminate wood or soil. | Permeable surface (gravel or dirt floor). Spills could contaminate a floor. | _______ |
| Containers | Original containers clearly labeled. No holes, tears or weld seems. | Original containers old. Labels partially missing or hard to read. | Containers old, but patched. Metal containers show signs of rusting. | Containers have holes or tears that allow chemicals to leak. No labels. | _______ |
| Security | Fenced or locked area separate from all other activities. | Fenced area separate from most other activities. | Open to activities that could damage containers or spill chemicals. | Open access to theft, vandalism and children. | _______ |
See Pesticide Leachability Table ( Fact Sheet No. 7, Appendix A)
| LOW RISK (rank 4) | LOW-MOD RISK (rank 3) | MOD-HIGH RISK (rank 2) | HIGH RISK (rank 1) | RANK NUMBER | |
|---|---|---|---|---|---|
| Location of well or spring in relation to mixing/loading | 100 or more feet downslope from well. | 50 to 100 feet downslope from well. | 10 to 50 feet downslope, or 100 to 500 feet upslope from well. | Within 10 feet downslope or within 100 feet upslope from well. | _______ |
| Mixing and loading pad (spill containment) | Concrete pad with curb keeps spills contained. Sump allows collection and transfer to storage. | Concrete pad with curb keeps spills contained. Sump allows collection and transfer to storage. | Concrete pad with some cracks keeps some spills contained. No curb or sump. | Mixing/loading done on permeable soil (sand). Spills soak into ground. | _______ |
| Water source | Separate water tank (nurse tank). | Separate water tank (nurse tank). | Hydrant 50-100 feet from well or spring. | Obtained directly at well or spring. | _______ |
| Backflow prevention on water supply | Anti-backflow device installed or 6-inch air gap maintained above sprayer tank. | Anti-backflow device installed or 6-inch air gap maintained above sprayer tank. | Anti-backflow device installed or 6-inch air gap maintained above sprayer tank. | Anti-backflow device installed or 6-inch air gap maintained above sprayer tank. | _______ |
| Filling supervision | Constant. | Frequent. | Seldom. | Seldom. | _______ |
| Handling system | Closed systems for all liquid product transfers. | Closed system for most liquids. Some liquids hand poured. Sprayer fill port easy to reach. | All liquids hand poured. Sprayer fill port easy to reach. | All liquids hand poured. Sprayer fill port easy to reach | _______ |
| LOW RISK (rank 4) | LOW-MOD RISK (rank 3) | MOD-HIGH RISK (rank 2) | HIGH RISK (rank 1) | RANK NUMBER | |
|---|---|---|---|---|---|
| Sprayer cleaning and rinsate (rinse water) disposal | Sprayer washed out in field away from water source. Rinsate used in next load and applied to crop. | Sprayer washed out on pad. Rinsate used in next load and applied to crop. | Sprayer washed out at farmstead. Rinsate sprayed less than 100 feet from well. | Sprayer washed out at farmstead. Rinsate dumped on farmstead or in nearby field. | _______ |
| LOW RISK (rank 4) | LOW-MOD RISK (rank 3) | MOD-HIGH RISK (rank 2) | HIGH RISK (rank 1) | RANK NUMBER | |
|---|---|---|---|---|---|
| Unwanted or Banned Pesticides | Participation in EPA cancelled (banned) pesticide buy-back program if available. Unused pesticides returned to dealer or retailer. Waste pesticide collection, hazardous waste collection service or approved incinerator is used. | Pesticides sold for restricted or general purposes, used up or taken to a licensed landfill. | Disposal of unused pesticides at a non-licensed landfill. | Disposal of unused pesticides on the farmstead. | _______ |
| Pesticide Container (Plastic, Metal or Bag) disposal | Returnable containers or refillable mini-bulks are returned to the dealer. Triple-rinsed un-refillable containers are offered for recycling, or taken to licensed landfill. Rinsate applied to appropiate crop. Bags taken to a licensed landfill. | Un-rinsed coontainers or empty bags sent to a non-licensed landfill, municipal incinerator or dump. | Disposal of rinsed or un-rinsed containers, or empty bags on the farmstead. | Disposal of partially filled containers on the farmstead. | _______ |
| LOW RISK (rank 4) | LOW-MOD RISK (rank 3) | MOD-HIGH RISK (rank 2) | HIGH RISK (rank 1) | RANK NUMBER | |
|---|---|---|---|---|---|
| Pest management | Pest management plan, e.g., IPM, is followed. | -- | -- | Pest management plan not established. | _______ |
| Use this total to calculate risk rank: | Rank Number Total | _______ |
|---|
| Rank Number Total _______ | divided by | No. of categories ranked _______ | equals | Risk Rank _______ |
3.6-4.0 = low risk
2.6-3.5 = low to moderate risk
1.6-2.5 = moderate to high risk
1.0-1.5 = high risk
This ranking gives you an idea of how your well or spring management practices as a whole might be affecting your drinking water. Later you will combine this risk ranking with other farmstead management rankings in Worksheet No. 13, "Overall Risk Assessment." This ranking should serve only as a very general guide, not a definitive indicator of contamination. Because it represents an averaging of many individual rankings, it can mask any individual rankings (such as 1's or 2's) that should be of concern (see Step 2.).
Any individual rankings of "1" require immediate attention. Some concerns you can take care of right away; others could be a major-or costly-project, requiring planning and prioritizing before you take action. Note the activities that you identified as 1's to be listed later under "High-Risk Activities" in Worksheet No. 13.
Return to Fact Sheet No. 7
View a list of the Virginia Farmstead Assessment System publications