314 CMR 16.09
Public Health Warnings
(1) Boards of health or health departments in municipalities directly impacted by the discharge
or overflow shall issue a public health warning to impacted residents of the municipality upon
receipt of a public advisory notification if any of the following circumstances applies:
(a) For CSO, partially treated, and blended wastewater discharges, if the discharge has a
duration longer than two hours;
(b) For CSO, partially treated, and blended wastewater discharges, if the board of health or
health department determines that a public health warning is necessary to protect public
health, regardless of the duration of the discharge; or
(c) For any SSO that requires notification pursuant to 314 CMR 16.03(1)(c) through (e).
(2) Boards of health and health departments shall issue the public health warning using existing
emergency notification systems, including if available, a reverse 911 emergency call system.
(3) When more than one discharge or overflow can occur on a waterbody, the boards of health
or health departments shall determine whether the first public health warning is sufficient or
whether additional public health warnings are required.
(4) At a minimum, the public health warning shall identify receiving waters affected and shall
include:
(a) The location, date, and time of the discharge or overflow;
(b) A recommendation that the public avoid contact with affected water bodies for at least
48 hours after a sewage discharge or overflow, and during rainstorms and for 48 hours after
rainstorms end, due to increased health risks from bacteria or other pollutants associated with
urban stormwater runoff and discharges of untreated or partially treated wastewater;
(c) Information on where to find the closure or advisory status of shellfish growing areas,
beaches, or other water resource areas potentially affected by the discharge or overflow; and
(d) Access to translations of the warning, as appropriate for neighborhoods identified as
environmental justice populations due to lacking English language proficiency, in the
language(s) most appropriate for those neighborhoods.
(5) When boards of health or health departments issue a public health warning, they shall also
post or cause to be posted a temporary sign or use a permanent sign, at conspicuous locations
affording public access to the waterbody, as identified by the board of health or health
department, in municipalities directly impacted by the discharge or overflow. Temporary
signage is not required at permitted bathing beaches or shellfish growing areas that are monitored
and posted pursuant to Department of Public Health or Division of Marine Fisheries
requirements. Permanent signs installed and maintained by permittees in accordance with
314 CMR 16.05(3) may be used for this purpose.
(a) If a temporary sign is used, the sign shall read: “WARNING! AVOID CONTACT
WITH WATER – MAY CAUSE ILLNESS" and display an infographic showing no fishing,
boating, or swimming. In neighborhoods identified as environmental justice populations due
to lacking English language proficiency, the sign shall include translation of the text above
and provide access to translations of the following information in the language(s) most
appropriate for those neighborhoods: text stating that the reason for the warning is inform
people about the potential for sewage in surface waters; the requirements specified in
310 CMR 16.04(10)(b); information on where to determine the closure or advisory status of
shellfish growing areas, beaches, or other water resource areas potentially affected by the
discharge or overflow; and contact information for the board of health or health department.
(b) The local board of health or health department, the permittee as specified in 314 CMR
16.05(3), or any other person may install a permanent sign. If used, such a sign must convey
the information required by 314 CMR 16.09(5)(a) and must be updated with such
information in a timely manner.