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Local Water Supply Plan Template —December 8, 2015 <br />Unique Well <br />Number or Well ID <br />Aquifer Name <br />Seasonal Variation <br />(Feet) <br />Long-term Trend in <br />water level data <br />Water level <br />measured during <br />well/pumping <br />maintenance <br />722629 <br />Prairie du Chien <br />10 ft <br />• Falling <br />See Appendix 3 <br />u Stable <br />• Rising <br />767887 <br />Prairie du Chien <br />N/A — new well <br />• Falling <br />See Appendix 3 <br />L!' Stable <br />• Rising <br />243469 <br />Quaternary Water <br />Table Aquifer <br />1 ft <br />• Falling <br />See Appendix 3 <br />0 Stable <br />• Rising <br />785579 <br />Mt. Simon <br />Sandstone <br />14 ft <br />Falling <br />See Appendix 3 <br />• Stable <br />• Rising <br />208573 <br />Jordan <br />10 ft <br />n Falling <br />See Appendix 3 <br />• Stable <br />• Rising <br />Potential Water Supply Issues & Natural Resource Impacts — Key DNR & Metropolitan Council <br />Benchmark <br />Complete Table 10 by listing the types of natural resources that are or could be impacted by permitted <br />water withdrawals. If known, provide the name of specific resources that may be impacted. Identify <br />what the greatest risks to the resource are and how the risks are being assessed. Identify any resource <br />protection thresholds — formal or informal — that have been established to identify when actions should <br />be taken to mitigate impacts. Provide information about the potential mitigation actions that may be <br />taken, if a resource protection threshold is crossed. Add additional rows to the table as needed. See the <br />glossary at the end of the template for definitions. <br />Some of this baseline data should have been in your earlier water supply plans or county comprehensive <br />water plans. When filling out this table, think of what are the water supply risks, identify the resources, <br />determine the threshold and then determine what your community will do to mitigate the impacts. <br />Your DNR area hydrologist is available to assist with this table. <br />For communities in the seven -county Twin Cities metropolitan area, the Master Water Supply Plan <br />Appendix 1 (Water Supply Profiles, provides information about potential water supply issues and natural <br />resource impacts for your community. <br />17 <br />