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HomeMy WebLinkAboutDDW-2024-009149Utah Department Of Environmental Quality Division Of Drinking Water Sanitary Survey Sanitary Survey General System Information Exception Granted: R309-550-7(1) | Water line crossed 18-inches below existing sewer line at wo locations serving the Indoor Arena. STA 32+60 and STA 33+10 Site Visit Date Surveyor Name 07/11/2024 Julie Cobleigh BLUE SKY RANCH AND RESORT PWS ID: UTAH22143 Rating: Approved 05/22/2019 Active 1 Admin Contact (AC) [ eMail address is REQUIRED ] MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be designated as the owner of the system and name, address and phone number of such be supplied to the Division. *First Name: BRANDON G *Last Name: MASON *Organization: *Address: Redacted *City: HEBER CITY *State: UT *Zip: 84032 *Email: bmason@blueskyutah.com *Phone: 435-901-8478 2 Legal Contact (LC) [ if no eMail address is available, enter NoeMail@utah.gov ] MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be designated as the owner of the system and name, address and phone number of such be supplied to the Division. *First Name: *Last Name: *Organization: BLUE SKY RANCH LLC *Address: 2701 STATE RD 32 *City: WANSHIP *State: UT *Zip: 84017 *Email: bmason@blueskyutah.com *Phone: 435-336-2646 DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 1 of 21 3 Owner Contact (OW) [ if no eMail address is available, enter NoeMail@utah.gov ] MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be designated as the owner of the system and name, address and phone number of such be supplied to the Division. *First Name: *Last Name: *Organization: BLUE SKY RANCH LLC *Address: 2701 STATE RD 32 *City: WANSHIP *State: UT *Zip: 84017 *Email: *Phone: 435-336-2646 4 Direct Operator in Charge (DO) [ if no eMail address is available, enter NoeMail@utah.gov ] MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be designated as the owner of the system and name, address and phone number of such be supplied to the Division. *First Name: BRANDON G *Last Name: MASON *Organization: *Address: 147 S 400 W *City: HEBER CITY *State: UT *Zip: 84032 *Email: bmason@blueskyutah.com *Phone: 435-901-8478 5 Does the system serve a Residential population?Y 5A Population - Residential 5 5B Operating Period (Start Date) - Residential 01/01 5C Operating Period (End Date) - Residential 12/31 6 Does the system serve a Transient population? (A transient population is a rotating population that is served by a water system that does not remain in the jurisdiction of the water system for long periods of time. Examples of a transient population include, but are not limited to, campers at a campground, users of a highway rest stop, skiers at a ski resort, guests at a hotel, or patrons of a restaurant or a shopping center.) Y 6A Population - Transient 100 6B Operating Period (Start Date) - Transient 01/01 6C Operating Period (End Date) - Transient 12/31 7 Does the system serve a Non-Transient population? (A non-transient population is a population served by a water system that is the same population being served by the system for at least six months of the year, but is not a resident in the system. Examples of a non-transient population include, but are not limited to, employees of a restaurant, shop, or ski resort; teachers and students at a school, day-care center, or church; doctors, nurses, and other employees at a hospital or healthcare clinic.) Y 7A Population - Non-Transient 70 7B Operating Period (Start Date) - Non-Transient 01/01 7C Operating Period (End Date) - Non-Transient 12/31 DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 2 of 21 Site Visit Info Management and Operations 8 Population - Wholesale :0 9 Residential Connections:1 10 Commercial Connections:6 11 Industrial Connections:0 12 Agricultural Connections:2 13 Date of Survey (First Day of Field Work)07/11/2024 14 Date of Survey (Last Day of Field Work) ** this should match the Date of Survey in the header ** 07/11/2024 15 Date final report sent to system (questionnaire, deficiency report and capacity spreadsheet) 07/18/2024 16 Water system representative present during the survey:Brandon Mason 17 How much time was spent to prepare survey documents prior to field survey? (Round up to nearest quarter hour) 2 18 How much time was spent to complete the field survey (arrival to completion; include travel time between water system facilities)? (Round up to nearest quarter hour) 3 19 How much time was spent traveling from the office to system and back again at the end of the field survey? (Round up to nearest quarter hour) 1 20 How much time did it take to finish the Survey Report? (Round up to nearest quarter hour) 4 21 Did you survey multiple water systems in one trip? ... if yes, answer the following question(s) N 22 For a community water system with water sources that require power to produce sufficient flow, system is equipped with standby power option. SIG | 25pts | SO | S033 | R309-515-6(2)(a) | Rule requires a community water system without naturally flowing water sources, such as springs or flowing wells, to have one or more of the system's sources equipped for operation during power outages. To ensure continuous service when the primary power has been interrupted, a redundant power supply is required. A redundant power supply may include a transfer switch for auxiliary power such as a generator or a power supply service with coverage from two independent substations. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. NA (Notes: transient system) 23 There are no undocumented drinking water facilities (i.e. tanks, pump stations, treatment facilities, etc.) or recent modifications that have not gone through or in process of DDW review [LIST UNDOCUMENTED FACILITIES OR DESCRIBE MODIFICATIONS, IF APPLICABLE] [undocumented sources are covered in a different question] SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2) and (3) | Rule requires complete plans & specification for all public drinking water projects to be approved in writing by the Director. Any facility found that has not started DDW review shall be considered unapproved. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 3 of 21 Cross Connection and Operator Certification 24 Are there any individual home booster pumps installed in the distribution system (not for fire suppression)? SIG | 50pts | SM | M008 | R309-550-11(3) | R309-550-11(3) C 25 Does the system haul water?N 26 For a community system serving 100 or more connections, at least 2 water sources are available. SIG | 50pts | SO | TGR7 | R309-515-4(3) | Rule requires Community Water Systems serving more than 100 connections to have a minimum of two sources except where served by a water treatment plant. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. NA (Notes: transient non community.) 27 Does system have a consecutive connection to another water system not listed in the SOURCE section of Waterlink Report? If yes, answer the following question(s) N 28 Does the system have a deficiency meeting the required source capacity? (USE SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS "NO." N 29 Does the system have a deficiency meeting the required storage capacity DUE SOLELY TO FIRE SUPPRESSION NEEDS? (USE SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS "NO." N 30 Does the system have a deficiency meeting the required equalization storage capacity for indoor/outdoor demands (but not because of fire suppression needs)? (USE SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS "NO." N 31 Does your water system have an Emergency Response Plan? REC | 0pts | SM | M001 | R309-105-18 | All suppliers are advised to develop contingency plans to cope with possible emergency situations. In many areas of the state the possibility of earthquake damage shall be realistically considered. Y 32 Does your Emergency Response Plan address cybersecurity? (required for systems over 3,300 population) MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. NA (Notes: under 3,300) 33 Does your water system use any computers, laptops, phones, tablets, or any other computer systems to manage, operate, or maintain the PWS (SCADA or Industrial Control Systems)? This includes any water sources, treatment, distribution or any process related to operation function Y 34 Does your water system use any computer systems in regular business operations such as accounting, billing, payroll, human resources, or management? Y 35 Legally adopted authority statement MIN | 15pts | SM | M003 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes a legally adopted and functional local authority to enforce the program (i.e., ordinance, bylaw, or policy). D (Notes: not available or does not have) 36 Documentation of annual public awareness and/or employee training MIN | 15pts | SM | M004 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes providing public education or awareness material or presentations. D (Notes: no documentation) DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 4 of 21 General Maintenance and Environment Distribution 37 Documentation of personnel trained to manage the program (COMMUNITY WATER SYSTEMS POPULATION 500 AND ABOVE REQUIRE A DDW CERTIFIED CCC PROGRAM ADMINISTRATOR. ALL OTHER WATER SYSTEMS REQUIRE AT A MINIMUM BACKFLOW 101 OR EQUIVALENT/ GREATER CCC TRAINING) MIN | 15pts | SM | M005 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes an operator with adequate training in the area of cross connection control or backflow prevention. D (Notes: system needs a person with backflow 101 certification) 38 Does the water system have detailed records of cross connection control activities? (inventories of backflow assemblies, devices, and air gaps installed within the system) MIN | 15pts | SM | M006 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes written records of cross connection control activities. C 39 Does the water system have records of on-going enforcement activities? (test history, enforcement activities, hazard assessments) MIN | 15pts | SM | M007 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes test history and documentation of on-going enforcement activities. D (Notes: no records) 40 Operator meets required level of certification for water system. ( IF NO CERTIFIED OPERATOR IS REQUIRED MARK COMPLIANT ) SIG | 50pts | OC | C001 | R309-105-11, R309-300-5(3) | Rule requires every community and NTNC water system and public water systems that utilize treatment/filtration to have at least one operator certified at the classified grade of the water system. Certification must be appropriate for the type of system operated (treatment and/or distribution). This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 41 Certified operator is within 1 hour travel time of water system. ( IF NO CERTIFIED OPERATOR IS REQUIRED MARK COMPLIANT ) MIN | 0pts | OC | C002 | R309-300-5(14) | Rule requires the operator to be within 1 hour travel time, under normal work and home conditions, of each drinking water system for which he is considered in direct responsible charge. C 42 Are there any visual indications of unsanitary conditions? SIG | 50pts | SM | M017 | R309-200-6, R309-105-18, R309-215-4(3) | R309-200-6 The Secondary Maximum Contaminant Levels for public water systems deals with substances which affect the aesthetic quality of drinking water. They are presented here as recommended limits or ranges and are not grounds for rejection. The taste of water may be unpleasant and the usefulness of the water may be impaired if these standards are significantly exceeded. R309-105-18 The Director or the local health department shall be informed by telephone by a water supplier of any "emergency situation". The term "emergency situation... R309-215-4(3) If the water fails to meet minimum standards, then certain public notification procedures shall be carried out, as outlined in R309-220. Water suppliers shall also keep analytical records in their possession, for a required length of time, as outlined in R309-105-17. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 5 of 21 General Disinfection 43 No unprotected connection between the distribution system and a source of contamination. (If there is an unprotected connection, describe the location in detail.) SIG | 50pts | DS | D009 | R309-550-5(11) | R309-550-5(11) C 44 Are air release/vacuum valves in the distribution system? ... if yes, answer the following question(s) N 45 Water system has a program to maintain, operate, or control the use of fire hydrants. REC | 0pts | DS | D012 | N/A | Fire hydrants provide a direct access to the water in the distribution system. In order to protect the quality and integrity of the water, fire hydrant access should be controlled. C 46 Blow offs or air release valves are not directly connected to a sanitary sewer line. SIG | 50pts | DS | D013 | R309-550-6(5)(a), R309-550-6(6)(c) and (7)(a) | Rule states blow-offs or air relief valves shall not be connected directly to a sewer. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 47 Blow offs or air release valves do not discharge below flood level in ditches or streams. SIG | 50pts | DS | D016 | R309-550-9(1) and (2), R309-550-13(2) | R309-550-9(1 & 3) C 48 All water mains installed after 1995 that provide fire flow are at least 8 inches in diameter. MIN | 15pts | DS | D019 | R309-550-5(4) & (5) | Rule states that the minimum line size serving a fire hydrant lateral shall be 8-inch diameter unless a hydraulic analysis indicates that required flow and pressures can be maintained by 6-inch lines. C 49 Distribution system capable of providing minimum pressure of 20 psi at all service connections. SIG | 50pts | DS | D003 | R309-105-9, R309-550-5(1) | Rule states the distribution system shall maintain minimum pressures as required by R309-105-9 at all points of connection under all flow conditions. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 50 Was the water system constructed or new portions added after January 1, 2007? ... if yes, answer the following question(s) Y 50A Distribution system capable of maintaining the following pressures at all service connections: (a) 20 psi during fire flow and fire demand during peak day demand; (b) 30 psi during peak instantaneous demand; and (c) 40 psi during peak day demand. SIG | 50pts | DS | D010 | R309-105-9, R309-550-5(1) | Rule states that unless otherwise specifically approved by the Director, public water systems constructed after January 1, 2007, shall be designed and shall meet the following minimum water pressures at points of connection: (a) 20 psi during conditions of fire flow and fire demand experienced during peak day demand; (b) 30 psi during peak instantaneous demand; and (c) 40 psi during peak day demand. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 6 of 21 WS003 - FARM WELL - Proposed Source WS001 - BLUE SKY RANCH WELL - Active 51 Water system follows AWWA disinfection procedures for new, repaired, or seasonal water mains and tanks. SIG | 25pts | MR | D018 | R309-550-8(10) | All new and repaired water mains and appurtenances shall be disinfected in accordance with AWWA Standard C651. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 52 How often do you periodically disinfect any or all parts of your water system (i.e. batch disinfection) other than for repairs or maintenance? SIG | 50pts | SM | G006 | R309-105-6(1)(a), R309-500-6 | R309-105-6(1) Approval of Engineering Plans and Specifications R309-500-6 Plan Approval Procedure. C 53 Is this source in operation without an Operating Permit? SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) | R309-105-6(1) requires plans and specifications for all public drinking water projects to be approved in writing by the Director prior to the commencement of construction. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. N 53A When is the anticipated date to request an Operating Permit? Explain in comments...no sure 54 Is this facility Active or Inactive?I 54A Explain why this facility is Inactive (Is this facility in stand-by mode?)WS003 replaced this well and is now in service however, this well has not been officially abandoned 55 Operating Period (Start Date)01/01 56 Operating Period (Ending Date)12/31 57 Undocumented sources shall not be physically connected to the drinking water system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT") SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) | R309-105-6(1) requires plans and specifications for all public drinking water projects to be approved in writing by the Director prior to the commencement of construction. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 58 Well casing is at least 18 inches above finished ground surface and 12 inches above well house floor. SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515- 6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above the final ground surface and 12 inches above the pump house floor; at sites subject to flooding, the top of the casing must terminate at least 3 feet above the 100-year flood level or highest known flood elevation, whichever is higher. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 7 of 21 59 Wellhead is sealed to prevent contamination. SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515- 6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and discharge piping. This significant deficiency should be corrected within 120 days of notification or have a corrective action plan approved by C 60 Is the well casing vented? ... if yes, answer the following question(s)Y 60A Vent screened with #14 mesh screen SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309- 550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen. C 60B Vent down-turned SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309- 550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of surface water or rainwater. C 60C Vent has adequate clearance to prevent contamination from entering the well SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309- 550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap. C 61 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y 61A Pump to waste line discharges with a minimum of 12-inch clearance to flood rim SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood rim. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 61B Pump to waste line equipped with #4 non-corrodible mesh screen SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to- waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 61C Pump to waste line downturned if it discharges to sewer/storm drain or allowing complete drainage if not downturned SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to- waste line shall be downturned. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 62 Provisions available to periodically measure water levels MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires provisions be made to permit periodic measurement of water levels in the completed well. C 63 Wellhead secured to protect quality water SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 8 of 21 64 Well head or well house and equipment protected from flooding SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515- 6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or 12” above well house floor and for sites that flood at least 3’ above 100-year flood level or highest known flood elevation. Well casing terminating in underground vault shall have a drain to daylight and surface runoff directed away from vault access. Well house floor shall be sloped for drainage, and have a drain to daylight unless highly impractical. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 65 There are no unprotected cross-connections in well discharge piping. SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the well discharge piping to be protected against the entrance of contamination. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 66 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well house or near well head? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 67 Well discharge line has a smooth-nosed sampling tap, which samples the well water before any chemical injection. (first item from the wellhead). MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the first item from the well head and the shut-off valve as the last item) NA (Notes: the sample tap is after the check valve but this is addressed as a deficiency under WS003 since this is the well that is now in service using this discharge line.) 68 Well discharge line has a check valve. MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 69 Well discharge line has a pressure gauge. MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 70 Well discharge line has a means to measure flow. MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 71 Well discharge line has a shut-off valve (last item from the well head). MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 72 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 9 of 21 WS002 - OYSTER RIDGE WELL - Active 73 Wells that pump directly into a distribution system have means to release trapped air from pump discharge piping (for example, pumps directly to a tank, has an air release valve or pump to waste line) MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps directly into the distribution system be equipped with an air release/vacuum relief valve located upstream of the check valve, unless the wellhead valve and piping provide for pumping to waste all trapped air before water is introduced into the distribution system. C 74 Does well require oil-lubrication?N 75 Is this facility Active or Inactive?A 76 Operating Period (Start Date)01/01 77 Operating Period (Ending Date)12/31 78 Undocumented sources shall not be physically connected to the drinking water system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT") SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) | R309-105-6(1) requires plans and specifications for all public drinking water projects to be approved in writing by the Director prior to the commencement of construction. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 79 Well casing is at least 18 inches above finished ground surface and 12 inches above well house floor. SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515- 6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above the final ground surface and 12 inches above the pump house floor; at sites subject to flooding, the top of the casing must terminate at least 3 feet above the 100-year flood level or highest known flood elevation, whichever is higher. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 80 Wellhead is sealed to prevent contamination. SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515- 6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and discharge piping. This significant deficiency should be corrected within 120 days of notification or have a corrective action plan approved by C 81 Is the well casing vented? ... if yes, answer the following question(s)Y 81A Vent screened with #14 mesh screen SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309- 550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 10 of 21 81B Vent down-turned SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309- 550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of surface water or rainwater. C 81C Vent has adequate clearance to prevent contamination from entering the well SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309- 550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap. C 82 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y 82A Pump to waste line discharges with a minimum of 12-inch clearance to flood rim SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood rim. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 82B Pump to waste line equipped with #4 non-corrodible mesh screen SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to- waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 82C Pump to waste line downturned if it discharges to sewer/storm drain or allowing complete drainage if not downturned SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to- waste line shall be downturned. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 83 Provisions available to periodically measure water levels MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires provisions be made to permit periodic measurement of water levels in the completed well. C 84 Wellhead secured to protect quality water SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 85 Well head or well house and equipment protected from flooding SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515- 6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or 12” above well house floor and for sites that flood at least 3’ above 100-year flood level or highest known flood elevation. Well casing terminating in underground vault shall have a drain to daylight and surface runoff directed away from vault access. Well house floor shall be sloped for drainage, and have a drain to daylight unless highly impractical. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 11 of 21 WS004 - BLUE SKY RANCH WELL REPL-1 - Active 86 There are no unprotected cross-connections in well discharge piping. SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the well discharge piping to be protected against the entrance of contamination. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 87 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well house or near well head? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 88 Well discharge line has a smooth-nosed sampling tap, which samples the well water before any chemical injection. (first item from the wellhead). MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the first item from the well head and the shut-off valve as the last item) D (Notes: sample tap is after the check valve on combined line going to iron removal filters) 89 Well discharge line has a check valve. MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 90 Well discharge line has a pressure gauge. MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 91 Well discharge line has a means to measure flow. MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 92 Well discharge line has a shut-off valve (last item from the well head). MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 93 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N 94 Wells that pump directly into a distribution system have means to release trapped air from pump discharge piping (for example, pumps directly to a tank, has an air release valve or pump to waste line) MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps directly into the distribution system be equipped with an air release/vacuum relief valve located upstream of the check valve, unless the wellhead valve and piping provide for pumping to waste all trapped air before water is introduced into the distribution system. C 95 Does well require oil-lubrication?N 96 Is this facility Active or Inactive?A DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 12 of 21 97 Operating Period (Start Date)01/01 98 Operating Period (Ending Date)12/31 99 Undocumented sources shall not be physically connected to the drinking water system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT") SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) | R309-105-6(1) requires plans and specifications for all public drinking water projects to be approved in writing by the Director prior to the commencement of construction. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. D (Notes: No Operating Permit) 100 Well casing is at least 18 inches above finished ground surface and 12 inches above well house floor. SIG | 25pts | SO | S003 | R309-515-6(6)(b)(vi), R309-515-6(12)(c)(ii), R309-515- 6(13)(a) | Rule requires the permanent well casing to project at least 18 inches above the final ground surface and 12 inches above the pump house floor; at sites subject to flooding, the top of the casing must terminate at least 3 feet above the 100-year flood level or highest known flood elevation, whichever is higher. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 101 Wellhead is sealed to prevent contamination. SIG | 50pts | SO | S013 | R309-515-6(6)(i) | R309-515-6(6)(i) and R309-515- 6(12)(b,c,d)require a sanitary seal be installed and maintained at the wellhead and discharge piping. This significant deficiency should be corrected within 120 days of notification or have a corrective action plan approved by C 102 Is the well casing vented? ... if yes, answer the following question(s)Y 102A Vent screened with #14 mesh screen SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309- 550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen. C 102B Vent down-turned SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309- 550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of surface water or rainwater. C 102C Vent has adequate clearance to prevent contamination from entering the well SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309- 550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap. C 103 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y 103A Pump to waste line discharges with a minimum of 12-inch clearance to flood rim SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood rim. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 13 of 21 103B Pump to waste line equipped with #4 non-corrodible mesh screen SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to- waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 103C Pump to waste line downturned if it discharges to sewer/storm drain or allowing complete drainage if not downturned SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to- waste line shall be downturned. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 104 Provisions available to periodically measure water levels MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires provisions be made to permit periodic measurement of water levels in the completed well. C 105 Wellhead secured to protect quality water SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 106 Well head or well house and equipment protected from flooding SIG | 25pts | SO | S020 | R309-515-6(6)(b)(vi), R309-515-6(12)(d)(iii), R309-515- 6(13)(a) to (d) | Top of well casing shall terminate at least 18” above ground level or 12” above well house floor and for sites that flood at least 3’ above 100-year flood level or highest known flood elevation. Well casing terminating in underground vault shall have a drain to daylight and surface runoff directed away from vault access. Well house floor shall be sloped for drainage, and have a drain to daylight unless highly impractical. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 107 There are no unprotected cross-connections in well discharge piping. SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the well discharge piping to be protected against the entrance of contamination. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 108 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well house or near well head? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 109 Well discharge line has a smooth-nosed sampling tap, which samples the well water before any chemical injection. (first item from the wellhead). MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the first item from the well head and the shut-off valve as the last item) D (Notes: sample tap is located after the check valve on the shared line with Oyster Well upstream of the iron removal filters) DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 14 of 21 ST001 - BLUE SKY RANCH TANK - Active 110 Well discharge line has a check valve. MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 111 Well discharge line has a pressure gauge. MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 112 Well discharge line has a means to measure flow. MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 113 Well discharge line has a shut-off valve (last item from the well head). MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to be equipped with (in order of placement from the wellhead) a smooth nosed sampling tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve. C 114 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N 115 Wells that pump directly into a distribution system have means to release trapped air from pump discharge piping (for example, pumps directly to a tank, has an air release valve or pump to waste line) MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps directly into the distribution system be equipped with an air release/vacuum relief valve located upstream of the check valve, unless the wellhead valve and piping provide for pumping to waste all trapped air before water is introduced into the distribution system. C 116 Does well require oil-lubrication?N 117 Is this facility Active or Inactive?A 118 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 400000 119 There are no undocumented drinking water facilities (i.e. tanks, pump stations, treatment facilities, etc.) or recent modifications that have not gone through DDW review SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2) and (3) | Rule requires complete plans & specification for all public drinking water projects to be approved in writing by the Director. Any facility found that has not started DDW review shall be considered unapproved. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 15 of 21 120 Ladders, ladder guards, platform railings, or safely located entrance hatches are provided. MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards, platform railings, and safely located entrance hatches where applicable for water storage tanks and requires safety practices to conform to pertinent laws and regulations of the Utah Occupational Safety and Health Division. C 121 Tank is vented. SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to be vented. Overflows cannot be considered or used as vents. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 122 Are air vents present? ... if yes, answer the following question(s)Y 122A Vent is either down-turned or shielded from contaminants (at least 2 inches below the bottom of the opening) SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water storage tanks to be down-turned a minimum of 2 inches below any opening and shielded to prevent the entrance of contaminants. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 122B End of vent terminates at least 24 inches above earthen cover (buried tank) and is located and sized to avoid blockage during winter. MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the end of the vent discharge to be a minimum of 24 inches above the earthen covering. C 122C Vent covered with #14 or finer non-corrodible mesh screen. SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in diameter to be fitted with additional heavy gauge screen or substantial covering to protect the #14 mesh screen from vandalism or damage. This significant deficiency must be corrected within 120 days of notification or have a compliance action plan approved by DDW. C 122D Vent 6-inch diameter and larger protected with additional heavy-gauge screen or substantial covering. MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter or greater to be fitted with additional heavy gauge screen or substantial covering, which will protect the No. 14 mesh screen against vandalism or damage. C 123 Are access openings present? ... if yes, answer the following question(s) MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water storage tanks to be designed with reasonably convenient access to the interior for cleaning and maintenance. Y 123A Access opening framed at least 4 inches above roof surface or 18 inches above earthen cover. MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be framed at least 4 inches above the surface of the roof, or on a buried tank, to be at least 18 inches above any earthen cover over the tank. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 16 of 21 123B Access opening shoe box type with at least 2 inches of overlap SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access opening to be provided with a close fitting solid shoebox type cover which extends down around the frame at least two inches and is furnished with a gasket(s) 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. C 123C Access opening lid properly gasketed SIG | 25pts | FW | V009 | 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. C 124 Access opening locked SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access opening to have a locking device. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 125 Roof or wall penetrations sealed SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a storage tank roof or top, designed to accommodate control apparatus or pump columns, to be welded, gasketed, or curbed and sleeved and to have additional proper shielding to prevent vandalism. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 126 Area surrounding ground-level or buried storage tank is graded to prevent surface water from standing within 50 feet. SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a ground-level or buried water storage tank be graded in a manner to prevent surface water from standing within 50 feet of the tank. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 127 Storage tank roof is sloped to prevent ponding MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs to eliminate water ponding. C 128 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 129 Is a tank overflow present? ... if yes, answer the following question(s) SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided with an overflow that discharges at an an elevation between 12 and 24 inches above the ground surface or the rim of the receiving basin. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. Y 129A Overflow line discharges at least 12 inches above ground or the flood rim of receiving basin? SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be provided with an overflow that discharges at an elevation between 12 and 24 inches above the ground surface or the rim of the receiving basin. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 17 of 21 TP001 - IRON REMOVAL FILTERS -- Treatment General - Active 129B Overflow line covered with #4 mesh non-corrodible screen SIG | 25pts | FW | V012 | 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. C 129C Overflow line connected or discharges to a sanitary sewer drain? SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from connecting to, or discharging into, a sanitary sewer system. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 130 Are the drain line and overflow combined?Y 131 Is this facility Active or Inactive?A 132 There are no undocumented drinking water facilities (i.e. tanks, pump stations, treatment facilities, etc.) or recent modifications that have not gone through DDW review SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2) and (3) | Rule requires complete plans & specification for all public drinking water projects to be approved in writing by the Director. Any facility found that has not started DDW review shall be considered unapproved. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 133 Operating Period (Start Date)01/01 134 Operating Period (Ending Date)12/31 135 What is the objective of the treatment process and how do you know it is working? (e.g., surface water treatment, disinfection, arsenic removal, TDS removal etc.) Iron removal 136 Walk me through the different process steps of your treatment plant. What is the purpose of each step? Show me how you determine you are meeting your Treatment Requirements. water flows through media. Samples taken post filters for compliance 137 What Chemicals are used? Why?no chemicals 138 How is the chemical dose adjusted with flow and water quality? Prompts: What flow rate is used for the adjustment (influent, effluent, CFE)? What water quality parameters would make you change dose rate? n/a 139 Does influent flow rate vary?Y 139A If yes, why does influent flow rate vary?VFDs 139B If yes, does chemical dose rate adjust to remain compliant at different flow conditions?NA 140 Process control testing is consistent with the specific treatment process MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 18 of 21 141 There is a means to accurately measure the quantities of chemicals used. SIG | 25pts | TR | TD99 | R309-525-11(7)(d)(iv) | Provisions shall be made for measuring the quantities of chemicals used. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. NA (Notes: No chemicals used) 142 Treatment plant properly secured to protect the quality of the treated water, R309-520- 7(2)(f) SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the directive, the Director may assess 25 to 200 points to the water system. Points shall be assessed based upon the severity of the non-compliance, the threat to public health and the underlying basis for the original directive. C 143 Are liquid chemicals used? ... if yes, answer the following question(s)N 144 Treatment chemicals meet ANSI/NSF 60. SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to drinking water, including chlorine, chloramines and chemicals used to generate hypochlorite solutions and chlorine dioxide, shall be certified as complying with ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. NA (Notes: No chemicals) 145 Are all chemical feeders properly verified for accuracy? SIG | 25pts | TR | TG21 | R309-525-11(7)(a)(i) | Feeders shall supply, at all times, the necessary amounts of chemicals at an accurately controlled rate, throughout the anticipated range of feed. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. NA (Notes: No chemicals) 146 Spare parts are available for all chemical feeders MIN | 15pts | TR | TX09 | R309-525-11(7)(b)(i) and (ii) | R308-525-11(8)(b)(i) states that a means consistent with the nature of the chemical solution shall be provided in a solution tank to maintain a uniform strength of solution. Continuous agitation shall be provided to maintain slurries in suspension. 2 dem NA (Notes: No chemical feeders) 147 Incompatible chemicals stored separately SIG | 25pts | TR | TG19 | R309-525-11(7)(a)(iv) | Rule prohibits chemicals that are incompatible from being fed, stored, or handled together. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. NA (Notes: No chemicals) 148 Daily operating records reflect chemical dosages and total quantities used SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using chemical addition or specialized equipment for the treatment of drinking water to regularly complete operational reports. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. NA (Notes: No chemicals) 149 Raw water compliance samples are collected before any treatment. R309-215-4(4) SIG | 25pts | TR | T006 | R309-525-15(10)(a)(i) | R309-525-15(10)(a)(i) Y 149A If yes, was location shown?well dishcarge line 150 Where are finished water quality monitoring samples collected?post filters DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 19 of 21 TP001 - IRON REMOVAL FILTERS -- Filtration - General 151 Does water system have a DEQ/DWQ (UPDES permit) discharge permit for the proper disposal of treatment plant waste to land or water? MIN | 15pts | SM | TGR3 | R309-105-6 | R309-105-6 NA (Notes: Iron not regualted by DWQ for release not to a water of the state) 152 Which parameters are watched when running treatment plant?flow 153 What type of alarm system is used?SCADA on wells 154 Does treatment plant have a SCADA system?Y 154A Can operators respond to all alarms in a normal day, or do they have to silence legitimate alarms? yes 154B How are alarm set points adjusted and how are changes recorded?NA 155 Proper lab equipment on site to support required operations & maintenance of the plant? SIG | 25pts | TR | T019 | R309-525-17(1) | Sufficient laboratory equipment shall be provided to assure proper operation and monitoring of the water plant. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. NA (Notes: No chemicals) 156 Instrumentation and controls for the process are operational, and in service SIG | 25pts | TR | T021 | R309-100 - R309-600 | All instrumentation needed to verify that treatment processes are sufficient shall be properly calibrated and maintained. At a minimum, this shall include turbidimeters. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 157 Is turbidity monitoring required? ... if yes, answer the following question(s)N (Notes: monthly samples taken) 158 What is the maximum filtration rate throughout the year (in gpm/sf)?with both wells flow rate is 74 gpm 159 What criteria are used to determine when a filter backwash is needed?H 160 What criteria are used to determine filtration is functioning properly? (PSI, Turbidity, Headloss, Flow rate, water quality parameter) headloss 161 Criteria is used to determine filter loading rate meets the manufacturers recommendations? R309-525-15(2) Explain in comments... MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 162 What criteria are used to determine if filter media needs to be replaced?compliance samples along with manufacture recommendation 163 Is backwash flow rate verified to determine it meets minimum requirements? MIN | 15pts | TR | T076 | R309-525-15(7) | Rule requires that backwash systems be designed and operated to provide for adequate backwash with minimum media loss. C DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 20 of 21 164 If system filters by Direct Filtration, the plant is configured to shut down automatically when a source water exceeds 20 NTU for longer than 3 hours, or when the source water turbidity exceeds 30 NTU at any time? R309-530-5(3)(g) SIG | 25pts | TR | T021 | R309-100 - R309-600 | All instrumentation needed to verify that treatment processes are sufficient shall be properly calibrated and maintained. At a minimum, this shall include turbidimeters. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. NA (Notes: Iron filtration) DEQ | Drinking Water Run Date: 07/22/2024 12:24:19 | Rating: Approved UTAH22143 BLUE SKY RANCH AND RESORT page 21 of 21