- Use a pencil. You may want to make changes.
- For each category listed on the left that is appropriate to your farmstead, read across to the right and circle the statement that best describes conditions on your farmstead. (Skip and leave blank any categories that don't apply to your farmstead.)
- Then look above the description you circled to find your "rank number" (4, 3, 2 or 1) and enter that number in the blank under "your rank."
- Directions on overall scoring appear at the end of the worksheet.
- Allow about 15 minutes to 30 minutes to complete the worksheet and figure out your risk ranking for well-management practices.
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Low risk, rank 4 |
Low to moderate risk, rank 3 |
Moderate o high risk, rank 2 |
High risk, rank 1 |
Your rank |
| Location (all tanks) |
| Position of tank in relation to drinking-water well |
Tank downslope more than 300 feet from well in medium- or fine-textured soils (silt loam, loam, clay loams, silty clay) with low permeability.1 |
Tank at grade or up-slope 100 to 300 feet from well in medium- or fine-textured soils (silt loam, loam, clay loams, silty clay) with low permeability.1,2 |
Tank downslope 50 to 100 feet from well3 in coarse-textured soil (sands, sandy loam) with high permeability .1,2 |
Tank at grade or up-slope less than 50 feet from well3 in coarse-textured soil (sand, sandy loams) with high permeability.1,2 |
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| Tank and local land use (leakage potential) |
Well-drained soils. Water table always beneath tank. Above-ground tank more than 50 feet from buildings. |
Moderately well-drained soils. Only occasionally high water table. |
Located more than 50 feet from buildings. Medium- or fine-textured soils (silt loams, loam, clay loams, silty clay) saturated seasonally. |
Located near buildings and in area with fine-textured soils (clay loams, silty clay) often saturated. |
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| Design and installation (all tanks) |
| Type and age of tank/corrosion protection |
Synthetic tank or new tank protected from rust by cathodic protection and coating. |
Steel tank less than 15 years old and coated. |
Coated steel tank 15 or more years old. OR bare steel tank less than 15 years old. |
Bare steel tank 15 or more years old. |
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| Spill and tank overfill protection |
Impermeable catch basin plus automatic shut-off. |
Impermeable catch basin plus overfill alarm. |
Impermeable catch basin or concrete catch pad. |
No protection. |
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| Piping |
Piping protected from rust by cathodic protection and isolated from tank, sloped back to tank. Check valve at pump (not at tank). |
Piping galvanized but not isolated from tank. Pipe drains back to tank. Check valve at pump. |
Piping galvanized, not isolated or bare. Piping sloped back to tank, but check valve is located at tank (foot valve). |
Pipe tank isolated and of dissimilar materials. Un-isolated pipe bare, cannot drain freely to the tank. All pressure pipe systems. |
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| Tank installation |
Installed to Missouri DNR specifications. |
Installed according to recommendations provided with new tank by seller. |
No information on installation. |
Installed without without backfill, setback, secondary containment , anchors and other protections or by untrained individual. |
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| Design and installation (above-ground tanks only) |
| Tank enclosure |
Tank surrounded by 6-foot-tall noncombustible fence with lock and well-ventilated. Fire wall in place if setbacks do not conform to code. |
Tank surrounded by low fence with lock. Fire wall in place if setbacks do not conform to code. |
Tank surrounded by low fence. No lock. No fire wall. |
No enclosure. |
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| Secondary containment |
Tank placed within concrete dike with pad able to hold 125 percent of tank capacity. |
Tank placed within dike and pad made of low-permeability soils,1 able to hold 125 percent of tank capacity. |
Tank placed on pad. |
No secondary containment. |
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| Emergency venting and overfill protection |
Protected with emergency venting and pressure/vacuum venting discharging upwardly 12 feet above grade plusautomatic overfill shut-off. |
Protected with emergency venting and atmospheric vent discharging upwardly. Plus overfill alarm. |
Protected with emergency venting and normal venting discharging down toward tank. |
No emergency venting. |
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| Piping |
Piping protected from rust by cathodic protection and isolated from tank solenoid valve at tank outlet. |
Piping galvanized but not isolated from tank. Solenoid valve at tank outlet. |
Pipe galvanized, not isolated or bare. Manual valve is located at tank. No solenoid valve. |
Piping and tank isolated and of dissimilar materials. Unisolated bare, cannot drain freely to the tank. All pressure pipe systems. No solenoid valve. |
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| Tank installation |
Installed to Missouri Department of Agriculture specifications. |
Installed according to recommendations provided with new tank by seller. |
No information on installation. |
Installed without backfill, setback, secondary containment, anchors and other protections, or by untrained individual. |
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| Monitoring (all tanks) |
| Tank-integrity testing and leak-detection monitoring |
Regular (monthly) leak monitoring. |
Daily inventory control and annual tank-tightness testing. |
Occasional inventory control and annual tank-tightness testing. |
No inventory control, testing or monitoring. |
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| Tank closure (underground tanks) |
| Unused tank |
Tank taken from ground. Excavation checked for evidence of contamination. |
Tank filled with inert material and excavation checked for evidence of leaking. |
Tank removed or filled with inert material. Excavation not checked for contamination. |
Tank left in ground (illegal after 12 months). |
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| Use this total to calculate risk ranking in Equation 1. |
Total |
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