Field Activity - 80943

Beyonder Getaway At Sleepy Hollow - 310639533

JCT I-80 HWY 109-EXIT 230 Oxford, IA 523220000

Johnson County

FO 6

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Attached Files/Reports

Document Name	Type	File Date	Note
Sleepy Hollow Campgpound - Web Links for Water Supply and Sampling Plan Templates - 05-12-2021.pdf	Inspection Report (public)	05/06/2021	Web Links for Water Supply and Sampling Plan Templates
Sleepy Hollow Campgpound - Email A - Regarding Distribution System - 05-12-2021.pdf	Inspection Report (public)	05/06/2021	Email A - Regarding Distribution System
Sleepy Hollow Campgpound - Email B - Regarding Distribution System - 05-12-2021.pdf	Inspection Report (public)	05/06/2021	Email B - Regarding Distribution System
Sleepy Hollow - Nitrogen Field Evaluation Form - 05-06-2021.pdf	Inspection Report (public)	05/06/2021	Nitrogen Field Evaluation Form
Sleepy Hollow - Manganese Sample Data Form - 05-06-2021.pdf	Inspection Report (public)	05/06/2021	Manganese Sample Data Form
Sleepy Hollow Campgpound - Lab Report for Manganese - 05-13-2021.pdf	Inspection Report (public)	05/06/2021	Lab Report for Manganese
Sleepy Hollow - Sanitary Survey - 05-25-2021.pdf	Inspection Report (public)	05/06/2021	Sanitary Survey
Sleepy Hollow Campgpound - Sanitary Survey Emailed to Facility - 05-25-2021.pdf	Inspection Report (public)	05/06/2021	Sanitary Survey Emailed to Facility
Sleepy Hollow Campgpound - Sanitary Survey Documents Emailed to Water Supply - 05-25-2021.pdf	Inspection Report (public)	05/06/2021	Sanitary Survey Documents Emailed to Water Supply
Sleepy Hollow Campgpound - Email Regarding Written Response - 06-23-2021.pdf	Inspection Report (public)	05/06/2021	Email Regarding Written Response
Sleepy Hollow Campgpound - Email Regarding New Owner - 07-15-2021.pdf	Inspection Report (public)	05/06/2021	Email Regarding New Owner

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
7/15/2021	On 07/15/2021 at ~0844 Aaron Pickens forwarded an email that Sleepy Hollow Campground was under new management. Per the sanitary survey on 05/06/2021, the following deficiencies were noted: Summary of Minor Deficiencies - 1. Develop a lead and copper sampling plan indicating where tap water samples are to be taken and the correct number to be taken during each monitoring period. 2. Ensure chlorine residuals are monitored and recorded daily for both distribution systems (950 & 951), as outlined in the operation permit, and that the samples are rotated among different locations throughout the distribution system. [567 IAC 42.4(3)"a"(2)5 and 43.6(1)"c"(2)1]. Summary of Requirements - 1. Complete and submit the enclosed Operation & Maintenance Plan by June 30, 2021. [567 IAC 81.16(455B)] Per a discussion with Aaron Pickens, it was determined that due to a change in owners, the deficiencies would be closed out in ESS, and addressed with the new owner.	MARK HEIDERSCHEIT
5/11/2021	Picture File Name: Sleepy Hollow - 05-06-2021 - 1 through 18	MARK HEIDERSCHEIT

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Field Office Compliance - Field Activity - 80943

Beyonder Getaway At Sleepy Hollow - 310639533

JCT I-80 HWY 109-EXIT 230 Oxford, IA 523220000

Johnson County

FO 6

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