DDW-2024-008326

Sanitary Survey - Deficiency Report
PWS Number:UTAH08024 Deficiency Points:150 Survey Date:05/24/2024
Survey Name:GOBLIN VALLEY STATE
PARK
Surveyor:David Kruse
Sanitary Survey Category: DS
SDWIS Severity Code: Significant Deficiency
Distribution | DS001 | UTAH08024 DISTRIBUTION SYSTEM
40. No unprotected connection between the distribution system and a source of contamination. (If there is an unprotected connection, describe
the location in detail.)
Rule: R309-550-5(11)R309-550-5(11)
Notes:A 3way connection under a single vacuum breaker is in place at one of the spickets in the
ranger residence. If two hoses are connected to a single spicket, each hose needs an
individual vacuum breaker.
Deficiency Points: 50
Days until points become effective on IPS: 120
SDWIS Deficiency Description: D009 WATER MAINS SUSCEPTIBLE TO NEARBY CONTAMINATION SOURCES
Sanitary Survey Category: DS
SDWIS Severity Code: Significant Deficiency
Distribution | DS001 | UTAH08024 DISTRIBUTION SYSTEM
41B. For a valve in a chamber, open end of vent pipe is at least 12 inches above grade or one foot above distribution line in a chamber that does
not flood.
Rule: R309-550-6(6)(b)Rule states the open end of the air relief vent pipe from automatic valves shall be
provided with a #14 mesh, non-corrodible screen and a downward elbow, and where
possible, be extended to at least one foot above grade. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Notes:Air release valve in the campground contained in buried chamber (not likely subject to
flooding) less than 12 inches above the distribution line. Not downturned.
Deficiency Points: 25
Days until points become effective on IPS: 120
SDWIS Deficiency Description: D006 AIR RELIEF VALVE PIPE NOT DOWNTURNED
Sanitary Survey Category: DS
SDWIS Severity Code: Significant Deficiency
Distribution | DS001 | UTAH08024 DISTRIBUTION SYSTEM
41D. Open end of vent line down-turned.
Rule: R309-550-6(6)(b)Rule states the open end of the air relief vent pipe from automatic valves shall be
provided with a #14 mesh, non-corrodible screen and a downward elbow, and where
possible, be extended to at least one foot above grade. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Notes:Air release valve in the campground contained in buried chamber (not likely subject to
flooding) less than 12 inches above the distribution line. Not downturned.
Deficiency Points: 25
Days until points become effective on IPS: 120
SDWIS Deficiency Description: D006 AIR RELIEF VALVE PIPE NOT DOWNTURNED
Sanitary Survey Category: FW
SDWIS Severity Code: Significant Deficiency
Storage Tanks | ST002 | STORAGE FACILITY ST002
93C. Access opening lid properly gasketed
Rule: R309-545-14(2)Rule requires the access opening to a tank to be furnished with a gasket between the lid
and frame. This significant deficiency must be corrected within 120 days of notification
or have a corrective action plan approved by DDW.
Notes:Gasket needs replacing on both lids.
Deficiency Points: 25
Days until points become effective on IPS: 120
SDWIS Deficiency Description: V009 STORAGE TANK LID LACKS A FUNCTIONING GASKET BETWEEN THE LID AND
FRAME
Sanitary Survey Category: FW
SDWIS Severity Code: Significant Deficiency
Storage Tanks | ST002 | STORAGE FACILITY ST002
99B. Overflow line covered with #4 mesh non-corrodible screen
Rule: R309-545-13(3)Rule requires overflow pipes to be screened with #4 mesh non-corrodible screens
installed at a location least susceptible to damage by vandalism. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
Notes:Screen needs replacing on the northern overflow line.
Deficiency Points: 25
Days until points become effective on IPS: 120
SDWIS Deficiency Description: V012 END OF STORAGE TANK OVERFLOW PIPE LACKS NO. 4 SCREEN