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Drinking Water Source Protection Checklists (This Serves As a PWS's Drinking Water Source Protection Plan) (As of May 26, 2020)

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Drinking Water Source Protection Checklists (This Serves As a PWS's Drinking Water Source Protection Plan) (As of May 26, 2020) Drinking Water Source Protection Checklists (This serves as a PWS's drinking water source protection plan) (as of May 26, 2020) Ohio EPA Population Date Protection County Public Water System Name PWS ID Served Plan Endorsed ALLEN OH0200712 INDIAN VILLAGE MOBILE HOME PARK 480 2/15/2019 ALLEN OH0231512 BLUFFTON GOLF CLUB 77 12/4/2017 ALLEN OH0232312 LIMA RESCUE MISSION/CAMP ROBERTS 44 2/28/2005 ALLEN OH0232812 CARTER LUMBER STORE 65-8 50 9/9/2019 ALLEN OH0233312 LAFAYETTE CONGREGATIONAL CHRISTIAN CH 70 9/16/2019 ALLEN OH0235412 ALLEN EAST COMMUNITY CENTER 190 2/28/2005 ALLEN OH0239312 SALEM MENNONITE CHURCH - ELIDA 80 6/5/2007 ALLEN OH0241812 LANDECK TAVERN 65 3/29/2005 ALLEN OH0242012 UNION CHAPEL MISSIONARY CHURCH 225 10/10/2014 ALLEN OH0243012 WINONA LAKE SWIM AND TENNIS CLUB 180 1/30/2020 ALLEN OH0244312 RUSH TRUCK CENTER - LIMA 40 9/23/2019 ALLEN OH0247812 ODOT REST AREA 1-31 EB 1000 2/21/2019 ALLEN OH0247912 ODOT REST AREA 1-32 WB 1000 2/21/2019 ALLEN OH0248212 PIKE MENNONITE CHURCH 60 9/10/2019 ALLEN OH0251112 EBENEZER MENNONITE CHURCH 421 11/5/2019 ALLEN OH0251312 PLEASANT VIEW CHURCH OF BRETHREN 86 9/22/2017 ALLEN OH0251912 ELIDA MENNONITE SCHOOL 66 10/26/2017 ALLEN OH0252212 SUN VALLEY FAMILY CAMPGROUND 482 4/27/2005 ALLEN OH0254712 ST MATTHEW LUTHERAN CHURCH 134 10/16/2019 ALLEN OH0254912 SAFY OF AMERICA HEADQUARTERS 55 4/3/2019 ALLEN OH0254913 SYCAMORE LAKE WINE CO 60 10/15/2014 ALLEN OH0254914 MORRIS CHIROPRACTIC CLINIC 41 1/31/2018 ALLEN OH0254916 COUNTY LINE CHURCH OF THE BRETHREN 158 11/8/2019 ASHLAND OH0300212 ASHLAND COUNTY SERVICE CENTER 62 4/24/2013 ASHLAND OH0300512 GREEN ACRES MHP 80 6/11/2004 ASHLAND OH0301512 AQUA OHIO - SOUTHWOOD 51 3/31/2015 ASHLAND OH0332612 PERKINS RESTAURANT 360 3/25/2019 ASHLAND OH0333112 AMERICAN AUGERS 247 1/18/2005 ASHLAND OH0334612 ASHLAND CO WEST HOLMES CAREER CENTER 400 1/5/2005 ASHLAND OH0335712 ODNR-DIV OF FORESTRY/SHRINE AREA 100 1/20/2006 ASHLAND OH0336012 ODNR-MOHICAN STATE FOREST/GROUP CAMP 56 1/20/2006 ASHLAND OH0336612 RIVER RUN FAMILY CAMPGROUND 1 PWS 150 1/18/2006 ASHLAND OH0336912 HICKORY LAKE CAMPGROUND D-AREA 52 1/20/2006 ASHLAND OH0337012 HICKORY LAKE CAMPGROUND B-AREA 50 1/20/2006 ASHLAND OH0337312 ASHLAND DICKEY CHURCH OF THE BRETHREN 80 3/27/2018 ASHLAND OH0338412 COBURN 53 1/10/2004 ASHLAND OH0339712 MOHICAN HILLS GOLF CLUB 180 7/8/2005 ASHLAND OH0340312 PARADISE HILLS GOLF COURSE 75 9/14/2017 ASHLAND OH0340512 PARADISE HILL UNITED METHODIST CHURCH 55 7/25/2019 ASHLAND OH0341812 VFW POST 8586-ROBERT L FRANK 160 10/14/2016 ASHLAND OH0343112 LDS CHURCH ASHLAND 100 7/8/2005 ASHLAND OH0343912 VALLEY TRANSPORTATION INC 114 1/20/2010 ASHLAND OH0344612 RIVER RUN FAMILY CAMPGROUND 2 PWS 205 1/18/2006 ASHLAND OH0345012 TRINITY UNITED METHODIST CHURCH PWS 26 3/6/2006 ASHLAND OH0345112 CAMP NUHOP 150 8/27/2019 ASHLAND OH0345212 COWEN TRUCK LINES 88 7/8/2005 ASHLAND OH0345312 RIVER RUN FAMILY CAMPGROUND 3 PWS 150 1/18/2006 ASHTABULA OH0401212 WHISPERING WILLOW MHP PWS 217 2/25/2005 ASHTABULA OH0431612 CAMP BEAUMONT, BSA CAMP A PWS 50 6/17/2005 ASHTABULA OH0431712 CAMP BEAUMONT, BSA CAMP C PWS 200 6/17/2005 ASHTABULA OH0431812 CAMP BEAUMONT, DEEP WOODS PWS 30 6/17/2005 ASHTABULA OH0432012 CAMP BEAUMONT, BSA HEALTH CENTER PWS 100 6/17/2005 ASHTABULA OH0432212 CAMP BEAUMONT, BSA CUB SCOUT WORLD PWS 50 6/17/2005 ASHTABULA OH0432312 CAMP BEAUMONT, BSA BEAUMONT VILLAGE 26 6/17/2005 ASHTABULA OH0432412 CAMP BEAUMONT, BSA CAMP B PWS 50 6/17/2005 Page 1 of 31 Drinking Water Source Protection Checklists (This serves as a PWS's drinking water source protection plan) (as of May 26, 2020) Ohio EPA Population Date Protection County Public Water System Name PWS ID Served Plan Endorsed ASHTABULA OH0432912 CAMP BEAUMONT, WHISPERING LEAVES PWS 50 6/17/2005 ASHTABULA OH0433412 CAMP KOINONIA - MAIN CAMP PWS 100 10/31/2011 ASHTABULA OH0433612 CAMP WHITEWOOD 180 9/3/2014 ASHTABULA OH0434412 WINDY HILL GOLF-CLUBHOUSE 30 3/4/2005 ASHTABULA OH0435412 WAGON TRAILS RES - NORTH WELL 40 9/29/2017 ASHTABULA OH0435512 WAGON TRAILS RES - SOUTH WELL 120 9/29/2017 ASHTABULA OH0436212 HARTSGROVE TAVERN 25 3/4/2005 ASHTABULA OH0436712 HICKORY GROVE GOLF COURSE 70 10/31/2011 ASHTABULA OH0438912 WRIGHT BUILDING 200 10/31/2014 ASHTABULA OH0439112 PINE LAKES CAMP - BATH HOUSE PWS 100 3/4/2005 ASHTABULA OH0439212 PINE LAKES CAMP - PUMP 3 PWS 50 3/4/2005 ASHTABULA OH0439812 PYMATUNING VALLEY RESORT 3 PWS 300 3/4/2005 ASHTABULA OH0443111 ODNR - PYMATUNING STATE PARK 2381 7/2/2019 ASHTABULA OH0444312 WINDY HILL GOLF-CAMP A 49 3/4/2005 ASHTABULA OH0444712 PYMATUNING VALLEY RESORT 1 PWS 75 3/27/2019 ASHTABULA OH0444812 PYMATUNING VALLEY RESORT 2 PWS 75 10/3/2018 ASHTABULA OH0445312 WINDY HILL GOLF - CAMP B 49 3/4/2005 ASHTABULA OH0446612 EMERINE ESTATES WINERY PWS 50 10/30/2017 ASHTABULA OH0447013 BYLERS COMMUNITY KITCHEN PWS 180 6/30/2014 ASHTABULA OH0447016 DOLLAR GENERAL 19942 - WILLIAMSFIELD PWS 227 8/14/2019 AUGLAIZE OH0600312 LAKESIDE ESTATES MHP 45 4/8/2011 AUGLAIZE OH0632912 THIEMAN QUALITY METAL FAB COMPANY 95 1/18/2018 AUGLAIZE OH0633012 TRINITY EVANGELICAL LUTHERAN CH-MOULTON 100 11/25/2019 AUGLAIZE OH0633112 BUCKLAND UNITED CHURCH OF CHRIST 52 4/18/2019 AUGLAIZE OH0634412 BETHLEHEM CHRISTIAN UNION CH - WAP 100 5/23/2005 AUGLAIZE OH0634912 GLACIER HILL LAKES CAMPGROUND 210 1/23/2006 AUGLAIZE OH0635112 ST JOHN CATHOLIC CHURCH-FRYBURG 75 1/23/2006 AUGLAIZE OH0637012 MIDWEST ELECTRIC 31 2/7/2005 AUGLAIZE OH0637612 DADS DRIVE-IN 60 8/29/2016 BELMONT OH0735012 4-H CAMP PIEDMONT PWS 25 1/16/2009 BELMONT OH0735022 4-H CAMP PIEDMONT WELL 2 PWS 25 1/16/2009 BUTLER OH0938912 OHIO BUSINESS COLLEGE-MIDDLETOWN 25 12/28/2017 BUTLER OH0939612 ADVANCED DRAINAGE SYSTEMS- BUTLER 171 1/2/2008 CARROLL OH1000412 GREEN ACRES MOBILE ESTATES 50 2/18/2005 CARROLL OH1000512 PRIDE VALLEY MHP 104 11/30/2009 CARROLL OH1000612 ROCKWOOD PARK 200 11/29/2011 CARROLL OH1030712 CAMP ROOSEVELT-FIREBIRD PWS 80 3/29/2017 CARROLL OH1035012 NEOSA SALVATION ARMY CAMP 300 11/30/2015 CARROLL OH1035712 CAMP WAKONDA 95 11/3/2010 CARROLL OH1036812 GREAT TRAIL GOLF 50 7/27/2008 CARROLL OH1037312 MWCD DELLROY MARINA A-7 50 1/27/2006 CARROLL OH1037912 MWCD LEESVILLE N FORK L-9 100 1/27/2006 CARROLL OH1038012 MWCD LEESVILLE N FORK L-5 25 1/27/2006 CARROLL OH1038112 MWCD LEESVILLE S FORK L-7 100 1/27/2006 CARROLL OH1038612 DEBS FAMILY RESTAURANT 64 11/25/2019 CARROLL OH1039212 SEVEN RANGES SCOUT RESERVATION 842 5/30/2017 CARROLL OH1040012 SHERRODSVILLE LIONS CLUB 27 4/22/2005 CARROLL OH1041012 HARSH MEMORIAL UNITED METHODIST CHURCH 80 6/17/2005 CARROLL OH1041112 ST. MARY OF MORGES CHURCH 100 6/17/2005 CARROLL OH1041512 CHURCH OF THE NAZARENE 40 10/31/2014 CARROLL OH1041812 CHRIST COMMUNITY CHURCH 150 5/30/2017 CARROLL OH1042112 CATHYS KITCHEN PWS 25 9/26/2005 CARROLL OH1042312 PRIDE VALLEY CAMPGROUND 100 11/30/2009 CARROLL OH1042412 J AND B CAFE PWS 35 4/22/2005 CARROLL OH1042512 HARLEM SPRINGS DAIRY DREAM PWS 35 5/27/2010 Page 2 of 31 Drinking Water Source Protection Checklists (This serves as a PWS's drinking water source protection plan) (as of May 26, 2020) Ohio EPA Population Date Protection County Public Water System Name PWS ID Served Plan Endorsed CARROLL OH1043212 CARROLL HILLS INDUSTRIES PWS 46 5/5/2009 CARROLL OH1043316 HARRISON HILLS CAMP 2 200 10/15/2019 CARROLL OH1043317 DOLLAR GENERAL #20051 - SHERRODSVILLE 223 12/9/2019 CHAMPAIGN OH1100312 SPRING MEADOWS CARE CENTER 42 1/31/2004 CHAMPAIGN OH1100512 HARVEST SQUARE MOBILE HOME PARK 345 1/31/2004 CHAMPAIGN OH1101012 ROLLING HILLS MOBILE HOME PARK 500 1/31/2004 CHAMPAIGN OH1101312 VALLEY VIEW MOBILE HOME PARK 70 3/9/2020 CHAMPAIGN OH1131812 STUDEBAKER'S COUNTRY RESTAURANT PWS 175 4/5/2005 CHAMPAIGN OH1133012 OHIO CAVERNS 75 8/22/2013 CHAMPAIGN OH1133312 WOODLAND GOLF CLUB 140 3/6/2020 CHAMPAIGN OH1133612 GAME TIME SPORTS CENTER 150 4/5/2005 CHAMPAIGN OH1133912 MICHAEL FARMS 85 12/16/2005 CHAMPAIGN OH1136512 GOSHEN AERIE EAGLES 3974 PWS 50 11/8/2010 CLARK OH1201512 LA HACIENDA APARTMENTS 120 1/31/2004 CLARK OH1202612 HONEYCREEK VILLAGE MHP PWS 225 11/26/2007 CLARK OH1232812 LOCUST HILL GC-CLUBHOUSE PWS 400 5/30/2007 CLARK OH1233412 NORTHEASTERN HIGH SCHOOL 450 1/23/2007 CLARK OH1234112 POSSUM ELEMENTARY SCHOOL SOUTH PWS 300 1/23/2007 CLARK OH1235812 BOONE SALOON 50 12/21/2009 CLARK OH1237912 KAFFENBARGER TRUCK EQUIPMENT 44 2/10/2005 CLARK OH1239612 SWEET MANUFACTURING 58 11/9/2004 CLARK OH1239712 TAVERNETTE INN 50 3/9/2006 CLARK OH1240212 WAYSIDE TAVERN 31 2/8/2018 CLARK OH1241012 SUTPHEN CORPORATION-CHASSIS DIVISION PWS 90 2/9/2007 CLARK OH1245012 STUDEBAKER NURSERY- EMPL. BLDG. PWS 85 11/5/2004 CLARK OH1245712 TRINITY MISSIONARY CHURCH 60 3/6/2020 CLARK OH1247112 SPRINGFIELD MISSIONARY BAPTIST CHURCH 140 3/9/2006 CLARK OH1247412 HERITAGE FELLOWSHIP CHURCH 100 1/23/2007 CLARK OH1247612 POSSUM ELEMENTARY SCHOOL NORTH PWS 300 1/23/2007 CLARK OH1247912 HEART OF COUNTRY INC. PWS 80 1/23/2007 CLARK OH1248912 ROCKY LAKES GOLF COURSE PWS 35 8/23/2013 CLARK OH1249112 HUSTEAD MARATHON PWS 225 1/23/2007 CLARK OH1249212 POTTERS HOUSE CHURCH 100 3/2/2018 CLARK OH1251012 BEATTY FREEWILL BAPTIST PWS 25 8/22/2013 CLARK OH1251312 APOSTOLIC SANCTUARY 30 11/8/2010 CLARK OH1253112 HAFLE WINERY PWS 34 10/14/2014 CLINTON OH1432112 EAST CLINTON HIGH SCHOOL 600 8/22/2013 CLINTON OH1434812 COMMUNITY CHRISTIAN CHURCH 40 1/23/2007 COLUMBIANA OH1500112 DEER RUN MC 100 9/29/2017 COLUMBIANA OH1502612 PREMIER PARK ESTATES LLC 49 4/23/2019 COLUMBIANA OH1502712 AUBURN SKILLED NURSING & REHABILITATION 65 7/3/2012 COLUMBIANA OH1504112 GUILFORD HIGHLANDS MOBILE HOME PARK PWS 83 9/25/2006 COLUMBIANA OH1530812 BETHEL UNITED CHURCH OF CHRIST 58 10/31/2014 COLUMBIANA OH1531412 HARVEST INN - HOMEWORTH 56 9/26/2005 COLUMBIANA OH1532212 MIDDLE SANDY EVANGELICAL PRESBYT.
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