Forms & Permits - Village of Dousman

2024 CCR REPORT: 2024 Consumer Confidence Report DataDOUSMAN WATER UTILITY, PWS ID: 26801973 Este informe contiene información importante acerca de su agua potable. Haga que alguien lo traduzca para usted, o hable con alguien que lo entienda. Dlaim ntawv tshaabzu nuav muaj lug tseemceeb heev nyob rua huv kws has txug cov dlej mej haus. Kuas ib tug paab txhais rua koj, los nrug ib tug kws paub lug thaam. Water System Information If you would like to know more about the information contained in this report, please contact Joe Kitelinger at (262) 965-3302. Opportunity for input on decisions affecting your water quality 6 PM, 2nd Monday of every Month Health Information Drinking water, including bottled water, may reasonably be expected to contain at least small amounts of some contaminants. The presence of contaminants does not necessarily indicate that water poses a health risk. More information about contaminants and potential health effects can be obtained by calling the Environmental Protection Agency's safe drinking water hotline (800-426-4791). Some people may be more vulnerable to contaminants in drinking water than the general population. Immuno-compromised persons such as persons with cancer undergoing chemotherapy, persons who have undergone organ transplants, people with HIV/AIDS or other immune systems disorders, some elderly, and infants can be particularly at risk from infections. These people should seek advice about drinking water from their health care providers. EPA/CDC guidelines on appropriate means to lessen the risk of infection by cryptosporidium and other microbial contaminants are available from the Environmental Protection Agency's safe drinking water hotline (800-426-4791). Source(s) of Water Source ID Source Depth (in feet) Status 1 Groundwater 1125 Active 2 Groundwater 1094 Active To obtain a summary of the source water assessment please contact, Joe Kitelinger at (262) 965-3302. Educational Information The sources of drinking water, both tap water and bottled water, include rivers, lakes, streams, ponds, reservoirs, springs and wells. As water travels over the surface of the land or through the ground, it dissolves naturally occurring minerals and, in some cases, radioactive material, and can pick up substances resulting from the presence of animals or from human activity. Contaminants that may be present in source water include: Microbial contaminants, such as viruses and bacteria, which may come from sewage treatment plants, septic systems, agricultural livestock operations and wildlife. Inorganic contaminants, such as salts and metals, which can be naturally- occurring or result from urban stormwater runoff, industrial or domestic wastewater discharges, oil and gas production, mining or farming. Pesticides and herbicides, which may come from a variety of sources such as agriculture, urban stormwater runoff and residential uses. Organic chemical contaminants, including synthetic and volatile organic chemicals, which are by-products of industrial processes and petroleum production, and can also come from gas stations, urban stormwater runoff and septic systems. Radioactive contaminants, which can be naturally occurring or be the result of oil and gas production and mining activities. In order to ensure that tap water is safe to drink, EPA prescribes regulations that limit the amount of certain contaminants in water provided by public water systems. FDA regulations establish limits for contaminants in bottled water, which shall provide the same protection for public health. Definitions Term Definition AL Action Level: The concentration of a contaminant which, if exceeded, triggers treatment or other requirements which a water system must follow. HA and HAL HA: Health Advisory. An estimate of acceptable drinking water levels for a chemical substance based on health effects information. HAL: Health Advisory Level is a concentration of a contaminant which, if exceeded, poses a health risk and may require a system to post a public notice. Health Advisories are determined by US EPA. HI HI: Hazard Index: A Hazard Index is used to assess the potential health impacts associated with mixtures of contaminants. Hazard Index guidance for a class of contaminants or mixture of contaminants may be determined by the US EPA or Wisconsin Department of Health Services. If a Health Index is exceeded a system may be required to post a public notice. Level 1 Assessment A Level 1 assessment is a study of the water system to identify potential problems and determine, if possible, why total coliform bacteria have been found in our water system. Level 2 Assessment A Level 2 assessment is a very detailed study of the water system to identify potential problems and determine, if possible, why an E. coli MCL violation has occurred or why total coliform bacteria have been found in our water system, or both, on multiple occasions. MCL Maximum Contaminant Level: The highest level of a contaminant that is allowed in drinking water. MCLs are set as close to the MCLGs as feasible using the best available treatment technology. MCLG Maximum Contaminant Level Goal: The level of a contaminant in drinking water below which there is no known or expected risk to health. MCLGs allow for a margin of safety. MFL million fibers per liter MRDL Maximum residual disinfectant level: The highest level of a disinfectant allowed in drinking water. There is convincing evidence that addition of a disinfectant is necessary for control of microbial contaminants. MRDLG Maximum residual disinfectant level goal: The level of a drinking water disinfectant below which there is no known or expected risk to health. MRDLGs do not reflect the benefits of the use of disinfectants to control microbial contaminants. mrem/year millirems per year (a measure of radiation absorbed by the body) NTU Nephelometric Turbidity Units pCi/l picocuries per liter (a measure of radioactivity) ppm parts per million, or milligrams per liter (mg/l) ppb parts per billion, or micrograms per liter (ug/l) ppt parts per trillion, or nanograms per liter ppq parts per quadrillion, or picograms per liter PHGS PHGS: Public Health Groundwater Standards are found in NR 140 Groundwater Quality. The concentration of a contaminant which, if exceeded, poses a health risk and may require a system to post a public notice. RPHGS RPHGS: Recommended Public Health Groundwater Standards: Groundwater standards proposed by the Wisconsin Department of Health Services. The concentration of a contaminant which, if exceeded, poses a health risk and may require a system to post a public notice. SMCL Secondary drinking water standards or Secondary Maximum Contaminant Levels for contaminants that affect taste, odor, or appearance of the drinking water. The SMCLs do not represent health standards. TCR Total Coliform Rule TT Treatment Technique: A required process intended to reduce the level of a contaminant in drinking water. Detected Contaminants Your water was tested for many contaminants last year. We are allowed to monitor for some contaminants less frequently than once a year. The following tables list only those contaminants which were detected in your water. If a contaminant was detected last year, it will appear in the following tables without a sample date. If the contaminant was not monitored last year, but was detected within the last 5 years, it will appear in the tables below along with the sample date. Disinfection Byproducts Contaminant (units) Site MCL MCLG Level Found Range Sample Date (if prior to 2024) Violation Typical Source of Contaminant HAA5 (ppb) DBP1 60 60 0 0 No By-product of drinking water chlorination TTHM (ppb) DBP2 80 0 0.2 0.2 No By-product of drinking water chlorination Inorganic Contaminants Contaminant (units) Site MCL MCLG Level Found Range Sample Date (if prior to 2024) Violation Typical Source of Contaminant ARSENIC (ppb) 10 n/a 4 2 - 4 3/22/2023 No Erosion of natural deposits; Runoff from orchards; Runoff from glass and electronics production wastes BARIUM (ppm) 2 2 0.099 0.073 - 0.099 3/22/2023 No Discharge of drilling wastes; Discharge from metal refineries; Erosion of natural deposits FLUORIDE (ppm) 4 4 0.2 0.2 - 0.2 3/22/2023 No Erosion of natural deposits; Water additive which promotes strong teeth; Discharge from fertilizer and aluminum factories NICKEL (ppb) 100 2.1000 0.0000 - 2.1000 3/22/2023 No Nickel occurs naturally in soils, ground water and surface waters and is often used in electroplating, stainless steel and alloy products. SODIUM (ppm) n/a n/a 13.00 3.40 - 13.00 3/22/2023 No n/a Contaminant (units) Action Level MCLG 90th Percentile Level Found Range # of Results Sample Date (if prior to 2024) Violation Typical Source of Contaminant COPPER (ppm) AL=1.3 1.3 0.7600 0.1000 - 1.0000 0 of 10 results were above the action level. 9/20/2023 No Corrosion of household plumbing systems; Erosion of natural deposits; Leaching from wood preservatives LEAD (ppb) AL=15 0 2.30 0.00 - 3.80 0 of 10 results were above the action level. 9/20/2023 No Corrosion of household plumbing systems; Erosion of natural deposits PFAS Contaminants with a Recommended Health Advisory Level Perfluoroalkyl and polyfluoroalkyl substances (PFAS) are a large group of human-made chemicals that have been used in industry and consumer products worldwide since the 1950. The following table list PFAS contaminants which were detected in your water and that have a Recommended Public Health Groundwater Standard (RPHGS) or Health Advisory Level (HAL). There are no violations for detections of contaminants that exceed the RPHGS or HAL. The RPHGS are levels at which concentrations of the contaminant present a health risk and are based on guidance provided by the Wisconsin Department of Health Services. Note: The recommended health-based levels in the table below were in effect in 2024. These levels were revised by WDHS in 2025. They can be found here https://www.dhs.wisconsin.gov/water/gws.htm. Typical Source of Contaminant Drinking water is one way that people can be exposed to PFAS. In Wisconsin, two-thirds of people use groundwater as their drinking water source. PFAS can get in groundwater from places that make or use PFAS and release from consumer products in landfills. Contaminant (units) Site RPHGS or HAL (PPT) Level Found Range Sample Date (if prior to 2024) PFBS (ppt) 450000 0.37 0.00 - 0.37 4/12/2023 PFHXS (ppt) 40 0.60 0.00 - 0.60 4/12/2023 Radioactive Contaminants Contaminant (units) Site MCL MCLG Level Found Range Sample Date (if prior to 2024) Violation Typical Source of Contaminant GROSS ALPHA, EXCL. R & U (pCi/l) 15 0 9.4 3.7 - 15.5 No Erosion of natural deposits RADIUM, (226 + 228) (pCi/l) 5 0 4.8 4.3 - 5.3 No Erosion of natural deposits GROSS ALPHA, INCL. R & U (n/a) n/a n/a 9.5 3.8 - 15.6 No Erosion of natural deposits COMBINED URANIUM (ug/l) 30 0 0.3 0.2 - 0.3 No Erosion of natural deposits Additional Health Information Lead can cause serious health effects in people of all ages, especially pregnant people, infants (both formula-fed and breastfed), and young children. Lead in drinking water is primarily from materials and parts used in service lines and in home plumbing. Dousman Water Utility is responsible for providing high quality drinking water and removing lead pipes but cannot control the variety of materials used in the plumbing in your home. Because lead levels may vary over time, lead exposure is possible even when your tap sampling results do not detect lead at one point in time. You can help protect yourself and your family by identifying and removing lead materials within your home plumbing and taking steps to reduce your family's risk. Using a filter, certified by an American National Standards Institute accredited certifier to reduce lead, is effective in reducing lead exposures. Follow the instructions provided with the filter to ensure the filter is used properly. Use only cold water for drinking, cooking, and making baby formula. Boiling water does not remove lead from water. Before using tap water for drinking, cooking, or making baby formula, flush your pipes for several minutes. You can do this by running your tap, taking a shower, doing laundry or a load of dishes. If you have a lead service line or galvanized requiring replacement service line, you may need to flush your pipes for a longer period. If you are concerned about lead in your water and wish to have your water tested, contact Dousman Water Utility (Joe Kitelinger at (262) 965-3302). Information on lead in drinking water, testing methods, and steps you can take to minimize exposure is available at https://www.epa.gov/safewater/lead. Additional Information on Service Line Materials We are required to develop an initial inventory of service lines connected to our distribution system by October 16, 2024 and to make the inventory publicly accessible. You can access the service line inventory here/by: www.villageofdousman.com, Village message board or message board at post office Other Compliance Other Drinking Water Regulations Violations Description of Violation Date of Violation Date Violation Resolved Failed to develop an initial inventory for service line materials that meets federal requirements and failed to make initial lead service line inventory publicly accessible 10/17/2024 6/5/2025 Actions Taken We did have lot of the leg work done with the lead line inventory and it was mostly due to improperly submitting not knowing the correct process for submitting it correctly, also our system contains less than 4% lead lines Exposure to lead in drinking water can cause serious health effects in all age groups. Infants and children can have decreases in IQ and attention span. Lead exposure can lead to new learning and behavior problems or exacerbate existing learning and behavior problems. The children of women who are exposed to lead before or during pregnancy can have increased risk of these adverse health effects. Adults can have increased risks of heart disease, high blood pressure, kidney or nervous system problems. Copper is an essential nutrient, but some people who drink water containing copper in excess of the action level over a relatively short amount of time could experience gastrointestinal distress. Some people who drink water containing copper in excess of the action level over many years could suffer liver or kidney damage. People with Wilsons Disease should consult their personal doctor. We failed to develop an inventory that meets all federal requirements and/or to make the inventory publicly accessible.

Forms & Permits

Feel free to fill out these applications electronically and print them out.

Permits may be dropped off at the Dousman Municipal Building

WI REGISTRATION FOR NEW ONE & TWO-FAMILY DWELLINGS

The Online Building Permit Application is available by going to :

https://esla.wi.gov/apex/customer_portal_intro_page

Permit Requirements2024

2025 DOG LICENSE APPLICATION

Municipal Lease Agreement

Site Plan Plan of Operations

Municipal Lease Agreement

PARK RENTAL AGREEMENT FORMS FOR VILLAGE OF DOUSMAN RESIDENTS

ParkRentalAgreementResidentKITCHEN

ParkRentalAgreementResidentCANOPYONLY

PARK RENTAL AGREEMENT FORMS FOR NON RESIDENTS

ParkRentalAgreementNON-ResidentKITCHEN

ParkRentalAgreementNON-ResidentCANOPYONLY

SewerUSageChargeAdjustment

RightofWayPermit