Early Action Plan Comment Form

Select Section: —Please choose an option—1.1 Regulatory Requirements1.2 Community Outreach to Develop Early Action Plan1.3 Early Action Plan Implementation

Select Section: —Please choose an option—2.1 Groundwater Nitrate Assessment2.2 Potentially Impacted Public Water Supply Wells2.3 Potentially Impacted Public Water Systems2.4 Potentially Impacted Domestic Wells and Local Small Water Systems

Select Section: —Please choose an option—3.1 Process to Identify Affected Residents3.2 Process for Non-Compliant Public Water Systems

Select Section: —Please choose an option—4.1 Information Sharing4.2 Community Outreach Activities4.3 Coordination with Non-Dischargers

Select Section: —Please choose an option—5.1 Interim Replacement Water Program Options5.2 Participation in Bottled Water or POU System Programs5.3 Residential Well Testing Program5.4 Coordination with Other Related Safe Drinking Water Programs

Select Section: —Please choose an option—6.1 Schedule/Milestones6.2 Early Action Plan Funding Mechanism6.3 EAP Program Evaluation

Select Section: —Please choose an option—Appendix B: Early Action Plan Communications & Outreach Plan