DHEC Form 2606 "Surveillance, Emergency Notification, and Action Plan for South Carolina Regulated Dams" - South Carolina

What Is DHEC Form 2606?

This is a legal form that was released by the South Carolina Department of Health and Environmental Control - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2012;
  • The latest edition provided by the South Carolina Department of Health and Environmental Control;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DHEC Form 2606 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Environmental Control.

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Surveillance, Emergency Notification, and Action Plan for
South Carolina Regulated Dams
Dams and Reservoirs Safety Act Regulations 72-1 through 72-9
SC Inventory Number D__________
Note: This form is for use on dams regulated by the Department of Health and Environmental Control in the State of South Carolina.
The purpose of this form is to provide a plan that will help to minimize loss of life and property damage from dam failures. To accomplish
its purpose: potential emergency conditions are identified; preplanned actions that can be implemented during events are specified; and
emergency notification procedures to aid in warnings and evacuations are documented. The dam owner should perform inundation mapping
as appropriate to determine the downstream hazards and provide the maps as an addendum to this plan.
Dam Owner Roles and Responsibilities
The dam owner is responsible for: safe maintenance and operation of the dam and reservoir; implementing the Surveillance and
Emergency Notification and Action Plan; and frequent visual inspections to detect changes that may endanger the dam. The dam owner
will ensure that any evidence of seepage is monitored to detect any increasing flow or movement of soil particles. The owner must
ensure that monitoring of the dam is performed in the event that a hurricane or flooding is forecast. The owner of the dam has the
responsibility to take the appropriate actions to save the dam and make appropriate notifications.
As soon as an event is observed or reported the dam owner must immediately determine the severity of the situation. Table 1
provided on page 2 may be used to assist with the severity determination. Once the situation is classified as either Non-emergency,
Potential failure, or Imminent failure the dam owner is responsible for making the notifications prescribed on the appropriate notification
flow chat below (See figures A, B, & C). Simultaneously, the owner of the dam must ensure that appropriate actions are made to
ensure the safety and welfare of the public. As the event unfolds, the dam owner shall provide updates of the situation to Emergency
Management Services or the Police Dispatcher to assist them in making timely and accurate decisions regarding warning, evacuations,
and event termination. See the “Five Step Plan Overview” below for additional clarification.
The Dam owner must provide leadership to assure this plan is reviewed and updated as needed and copies of the plan are
distributed as necessary. At a minimum, copies of this plan should be distributed to all individuals responsible for its implementation and
those listed in the notification flow charts. It is the dam owner’s responsibility to coordinate with the appropriate emergency
management agency to determine the suitability of this plan.
Five Step Plan Overview
Step 1:
Event Detection
Detect Event
Assess situation and determine the event’s
severity using table 1 below.
Step 2:
Severity Determination
Non-emergency
Potential Failure
Imminent Failure
Follow
Step 3:
Follow
Follow
notification flow
Notification and
notification flow
notification flow
chart on figure C
Communication
chart on figure A
chart on figure B
Monitor and
Take actions to save
Take appropriate
Step 4:
Report Changes
dam from failure
actions to
Expected Actions
evacuate people
Step 5:
Follow-up and event termination
Follow-up and
Termination
I. Signatures and Certifications: DO NOT SIGN IN BLACK INK!
Per my signature below, I hereby agree to the roles and responsibilities assigned to me by this plan. I am aware that there are
significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
_______________________________________
____________________________________
__________________
Printed Name of Dam Owner
Signature of Dam Owner
Date of Signature
Pg. 1
DHEC 2606 (11/2012)
Surveillance, Emergency Notification, and Action Plan for
South Carolina Regulated Dams
Dams and Reservoirs Safety Act Regulations 72-1 through 72-9
SC Inventory Number D__________
Note: This form is for use on dams regulated by the Department of Health and Environmental Control in the State of South Carolina.
The purpose of this form is to provide a plan that will help to minimize loss of life and property damage from dam failures. To accomplish
its purpose: potential emergency conditions are identified; preplanned actions that can be implemented during events are specified; and
emergency notification procedures to aid in warnings and evacuations are documented. The dam owner should perform inundation mapping
as appropriate to determine the downstream hazards and provide the maps as an addendum to this plan.
Dam Owner Roles and Responsibilities
The dam owner is responsible for: safe maintenance and operation of the dam and reservoir; implementing the Surveillance and
Emergency Notification and Action Plan; and frequent visual inspections to detect changes that may endanger the dam. The dam owner
will ensure that any evidence of seepage is monitored to detect any increasing flow or movement of soil particles. The owner must
ensure that monitoring of the dam is performed in the event that a hurricane or flooding is forecast. The owner of the dam has the
responsibility to take the appropriate actions to save the dam and make appropriate notifications.
As soon as an event is observed or reported the dam owner must immediately determine the severity of the situation. Table 1
provided on page 2 may be used to assist with the severity determination. Once the situation is classified as either Non-emergency,
Potential failure, or Imminent failure the dam owner is responsible for making the notifications prescribed on the appropriate notification
flow chat below (See figures A, B, & C). Simultaneously, the owner of the dam must ensure that appropriate actions are made to
ensure the safety and welfare of the public. As the event unfolds, the dam owner shall provide updates of the situation to Emergency
Management Services or the Police Dispatcher to assist them in making timely and accurate decisions regarding warning, evacuations,
and event termination. See the “Five Step Plan Overview” below for additional clarification.
The Dam owner must provide leadership to assure this plan is reviewed and updated as needed and copies of the plan are
distributed as necessary. At a minimum, copies of this plan should be distributed to all individuals responsible for its implementation and
those listed in the notification flow charts. It is the dam owner’s responsibility to coordinate with the appropriate emergency
management agency to determine the suitability of this plan.
Five Step Plan Overview
Step 1:
Event Detection
Detect Event
Assess situation and determine the event’s
severity using table 1 below.
Step 2:
Severity Determination
Non-emergency
Potential Failure
Imminent Failure
Follow
Step 3:
Follow
Follow
notification flow
Notification and
notification flow
notification flow
chart on figure C
Communication
chart on figure A
chart on figure B
Monitor and
Take actions to save
Take appropriate
Step 4:
Report Changes
dam from failure
actions to
Expected Actions
evacuate people
Step 5:
Follow-up and event termination
Follow-up and
Termination
I. Signatures and Certifications: DO NOT SIGN IN BLACK INK!
Per my signature below, I hereby agree to the roles and responsibilities assigned to me by this plan. I am aware that there are
significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
_______________________________________
____________________________________
__________________
Printed Name of Dam Owner
Signature of Dam Owner
Date of Signature
Pg. 1
DHEC 2606 (11/2012)
Table 1: Determination Guide for Situational Severity
Event
Situation
Severity level*
Reservoir water surface elevation at auxiliary spillway crest or spillway is flowing with no active
Non-emergency
erosion
Spillway flowing with active gully erosion
Potential Failure
Earth spillway flow
Spillway flow that could result in flooding of people downstream if the reservoir level continues
Potential Failure
to rise
Spillway flowing with an advancing headcut that is threatening the control section
Imminent Failure
Spillway flow that is flooding people downstream
Imminent Failure
Embankment
Reservoir level is 1 foot below the top of the dam
Potential Failure
overtopping
Water from the reservoir is flowing over the top of the dam
Imminent Failure
New seepage areas in or near the dam
Non-emergency
Seepage
New seepage areas with cloudy discharge or increasing flow rate
Potential Failure
Seepage with discharge greater than 10 gallons per minute
Imminent Failure
Observation of new sinkhole in reservoir area or on embankment
Potential Failure
Sinkholes
Rapidly enlarging sinkhole
Imminent Failure
Embankment
New cracks in the embankment greater than ¼-inch wide without seepage
Non-emergency
cracking
Cracks in the embankment with seepage
Potential Failure
Embankment
Visual movement/slippage of the embankment slope
Non-emergency
movement
Sudden or rapidly proceeding slides of the embankment slopes
Imminent Failure
Instruments
Instrumentation readings beyond predetermined values
Non-emergency
Measurable earthquake felt or reported on or within 50 miles of the dam
Non-emergency
Earthquake
Earthquake resulting in visible damage to the dam or appurtenances
Potential Failure
Earthquake resulting in uncontrolled release of water from the dam
Imminent Failure
Verified bomb threat that, if carried out, could result in damage to the dam
Potential Failure
Security threat
Detonated bomb that has resulted in damage to the dam or appurtenances
Imminent Failure
Damage to dam or appurtenance with no impacts to the functioning of the dam
Non-emergency
Modification to the dam or appurtenances that could adversely impact the functioning of the
Sabotage/
Non-emergency
dam
vandalism
Damage to dam or appurtenances that has resulted in seepage flow
Potential Failure
Damage to dam or appurtenances that has resulted in uncontrolled water release
Imminent Failure
II. Communication
Non-emergency:
The dam owner should contact DHEC Regional Office and Dam Safety Program; describe the situation and request technical
assistance on next steps to take.
Potential failure:
The following message may be used to help describe the emergency situation to the emergency management personnel:
“This is _____Identify yourself; name, position)_________. We have an emergency condition at dam D SC Inventory No. We have
activated the Emergency Notification and Action Plan and are currently having a potential failure event. We are implementing
predetermined actions to respond to a situation that could result in dam failure in order to save the dam. Please prepare to evacuate the
low-lying area below the dam. Reference the inundation map in your copy of the Plan. We will advise you when the situation is resolved
or if the situation gets worse.” Note- Additionally, you should provide the dispatcher with your contact information.
Imminent failure:
The emergency responders should be contacted immediately and the area evacuated (see Inundation Map). The following actions
should be taken:
1.Call the dispatch center. Be sure to say, “This is an emergency.” They will call other authorities and the media and begin the
evacuation. The following message may be used to help describe the emergency situation to the emergency management personnel:
(See next page)
DHEC 2606 (11/2012)
Pg. 2
“This is an emergency. This is _____Identify yourself; name, position)_________. We have an emergency condition at dam D SC
Inventory No and the dam is failing. The downstream area must be evacuated immediately. Repeat, dam D SC Inventory No, is
failing; evacuate the low-lying area below the dam. We have activated the Emergency Notification and Action Plan for this dam
and are currently under an Imminent failure situation. I can be contacted at the numbers provided for the dam owner in the plan.
Note- Additionally, you should provide the dispatcher with your contact information.
2. Do whatever is necessary to bring people in immediate danger (anyone on the dam, downstream from the dam, boating on the
reservoir, or evacuees) to safety if directed by the emergency management personnel.
3. Keep in frequent contact with the emergency services to keep them up-to-date on the condition of the dam. They will tell you how you
can help handle the emergency.
4. If all means of communication are lost: (1) try to find out why, (2) try to get to another radio or telephone that works, or (3) get
someone else to try to re-establish communications. If these means fail, handle the immediate problems as well as you can, and
periodically try to re-establish contact with the emergency services.
III. Dam Owner and Site Information
SC Inventory Number D__________ Dam Name: ___________________________________ County: _________________________
A. Dam Owner Information
Owner (Company or person): ___________________________________________________________________________________
Contact Person: _____________________________________________________________________________________________
Phone: ________________________________________________ Fax: ________________________________________________
Alternate Phone: _________________________________________ Cell: _______________________________________________
Mailing Address: _____________________________________________________________________________________________
City: _________________________________________________ State: ________________________ Zip: ____________________
Email address: ______________________________________________________________________________________________
B. Site Information
Site Location (street address, nearest intersection, etc.): ______________________________________________________________
Nearest City/ Town: __________________________________ Latitude: __________’_____” N Longitude: -__________’_____” W
Tax map # (list all): ____________________________________________________________________________________________
IV. Potentially Inundated Properties (See Inundation Map For Additional Information)
1) Name: ___________________________________________________ Phone: _________________________________________
Address: ___________________________________________________________________________________________________
2) Name: ___________________________________________________ Phone: _________________________________________
Address: ___________________________________________________________________________________________________
3) Name: ___________________________________________________ Phone: _________________________________________
Address: ___________________________________________________________________________________________________
4) Name: ___________________________________________________ Phone: _________________________________________
Address: ___________________________________________________________________________________________________
5) Name: ___________________________________________________ Phone: _________________________________________
Address: ___________________________________________________________________________________________________
6) Name: ___________________________________________________ Phone: _________________________________________
Address: ___________________________________________________________________________________________________
7) Name: ___________________________________________________ Phone: _________________________________________
Address: ___________________________________________________________________________________________________
8) Name: ___________________________________________________ Phone: _________________________________________
Address: ___________________________________________________________________________________________________
Pg. 3
DHEC 2606 (11/2012)
V. Notification Flow Charts
Figure A: Non-Emergency Notification Flow Chart
Dam Owner
[1]
[2]
SCDHEC Regional Office
DHEC Dams and Reservoirs
Safety Program
Phone: _______________
Notes:
or 24 hrs: 1-888-481-0125
[1] Denotes Call Sequence
Phone: _803-898-4300__
or 24 hrs: 1-888-481-0125
Legend:
Calls By Owner
Figure B: Potential Failure Notification Flow Chart
Dam Owner
[1]
[2]
DHEC Dams and Reservoirs
County or Local Emergency
Safety Program
Management Services
Phone: _803-898-4300__
Phone: ______________
or 24 hrs: 1-888-481-0125
or 24 hrs: 911
and SC EMD: (803) 737-8500
[2a]
SCDHEC Regional Office
Notes:
Phone: _______________
[1] Denotes Call Sequence
or 24 hrs: 1-888-481-0125
Legend:
Calls By Owner
Secondary Level Calls
Figure C: Imminent Failure Notification Flow Chart
[1]
Dam Owner
[3]
County or Local Emergency
Management Services
DHEC Dams and Reservoirs
[2]
Safety Program
Phone: ______________
or 24 hrs: 911
Phone: _803-898-4300__
and SC EMD: (803) 737-8500
or 24 hrs: 1-888-481-0125
[3a]
Notes:
Potentially inundated properties
SCDHEC Regional Office
[1] Denotes Call Sequence
located below the dam where
local authorities will not be able
Phone: _______________
to issue a timely warning. See
or 24 hrs: 1-888-481-0125
Legend:
list on page 3 of this plan.
Calls By Owner
Secondary Level Calls
DHEC 2606 (11/2012)
Pg. 4
Instructions
This Surveillance Emergency and Emergency Notification and Action Plan form is the emergency alert notification plan on a format sheet
supplied by the Department for use on high and significant hazard state regulated dams in South Carolina. This is required by section 72-4
of the Dams and Reservoirs Safety Act Regulations. Any owner of a state regulated dam that fails to provide an updated copy of this form
during scheduled inspections may be subject to administrative fines. It is important to coordinate with your local and State emergency
responders to insure the actions prescribed in this plan are sufficient for their planning purposes. If you need assistance completing this
form, please contact the Dams and Reservoirs Safety program. Contact information may be obtained from the following website or you
may call 803-898-4300.
http://www.scdhec.gov/environment/water/drsmainpage.htm
Completing the Form:
You must type or print legibly. You must include the original, signed form.
Where to File:
Once you have coordinated with your local and State emergency responders and the form is completed, submit one copy with original
signatures to the address shown below:
SCDHEC – BOW
Dams and Reservoirs Safety
2600 Bull St.
Columbia, SC 29201
Additionally, the emergency dispatch in your area should be provided a copy of this form once it has been accepted by DHEC. You
should retain a copy onsite or near by for use during an emergency. DHEC inspectors will request to view this plan along with any other
Emergency Action Plan (EAP) documentation you may have during scheduled inspections.
I. Signatures and Certifications:
DO NOT SIGN IN BLACK INK! This form must contain original signature. If the dam owner is a company, print the name of the person
who is signing the form for the dam owner. A person with signatory authority for the dam owner must sign the application.
II. Communication
Insert the name and if applicable the position for the individual that is responsible for implementing the Surveillance and Emergency
Notification and Action Plan as well as the dam’s SC Inventory Number into the prescribed messages for potential and imminent failure
events.
III. Dam Owner and Site Information
Enter the SC Inventory Number, Dam Name, and County in which the dam is located. Additional list the SC Inventory Number on page
one in the title block (top right hand side).
A. Dam Owner Information: Enter the official or legal name of the dam owners. If the dam owner is a company, then a contact person
should be listed. This can be someone other than the person that has signatory authority for the company. Please provide all requested
information including the email address.
B. Site Information: Enter a description of the sites location such as a site address or nearest intersection and provide all other
requested information including the latitudinal and longitudinal coordinate information. See the following website for assistance in
obtaining latitude/ longitude coordinates: http://www.epa.gov/tri/report/siting_tool/index.htm. Latitude (from 32 to 35) and longitude
(78 to 83) should be for the center of the dam to the nearest 15”. Minutes (’) should be from 0 to 59, and seconds (”) should be 0, 15,
30, or 45.
IV. Potentially Inundated Properties
Enter the information for properties located in low-lying areas that would likely be inundated in the event of a failure of the dam that
would be inundated. Inundation maps may be required to determine which properties are at risk. If inundation maps are developed,
include them as an addendum to this form. In situations where vast amounts of properties will need to be contacted and evacuated,
coordination with the local emergency responders will be necessary and only properties where local authorities cannot issue
timely warnings should be listed. The following website has valuable information and instructions for developing inundation maps:
http://www.damsafety.org/community/owners/?p=3a95437d-1876-46d6-843b-d65d45beb46a
V. Notification Flow Charts
Enter the primary contact information for the local emergency management service and the SCDHEC Regional Office that serves the
area where the dam is located. The following websites may be used but confirm the use of the number during an emergency with the
county agency:
County Emergency Responders-
http://www.scemd.org/index.php/who-we-are/county-agencies
DHEC Regional Offices-
http://www.scdhec.gov/environment/envserv/regions.htm
Office Mechanics and Filing
This form shall be kept on file until the dam is no longer regulated by DHEC or it is updated. Copies will be stored with the Bureau of
Water and Regional Office serving the county in which the dam is situated.
DHEC 2606 (11/2012)
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