DERR-2024-009344

Utah DEQ Underground Storage Tank
Installation Notification Form
www.undergroundtanks.utah.gov
Facility ID 5000750 New UST Install Upgrade/Repair
Installation Company: Csesco, Inc.
Contact Name: Tracy Boswell Phone: [phone]
Address: 830 West Northpointe Circle, North Salt Lake, Utah 84054
Tank Owner: Maverik, Inc.
Address: 185 South State Street, # 800 - Salt Lake City, Utah 84111
Contact Name: Justin Wood Phone# [phone]
Facility Name: Maverik# 755 - Price
Facility Address: 651 South Carbon Avenue - Price, UT 84501
Installation / Upgrade /Repair Information Est. Date work will commence: 8/8/2024
Tank # 1A 1B 2 3A 3B
Capacity 15,000 10,000 25,000 8,000 9,000
Tank Material FRP DW FRP DW FRP DW FRP DW FRP DW
Piping Material Flexible DW Flexible DW Flexible DW Flexible DW Flexible DW
Substance stored Unleaded Unleaded Diesel Ethanol Free Premium
Check if upgrade or repair only. (Describe details below)
Describe Details of Install/Upgrade/Repair in the box below (Submit a drawing/site map of work to be done)
Install (3) new Xerxes double wall fiberglass UST's (TWO-Multi-Compartment) for a total (5) new regulated tanks/
compartments. Install (11) new polyethylene dispenser sumps. Install new 1 1/2"and 2" OPW Flexworks double
wall flexible product piping inside 4" Access Pipe to the (11) new dispenser sumps. Install (2) Fiberglass Transition
Sumps. Install new Veeder Root TLS-450 Plus ATG with (6) In-Tank Probes, (3) interstital tank sensors, (19) sumps
sensors, and a remote overfill alarm for overfill prevention. Install (6) 2 HP Red Jacket Submersible Pumps with
DPLLD's. Install Single Wall Fiberglass vent lines underground to the vent risers at the new Diesel/ RV canopy
columns. Install (11) new Gilbarco Blender Dispensers and (3) High Flow Diesel Dispensers with DEF.
Mail completed form to:
DEQ/DERR
Box 144840
Salt Lake City, Utah 84114-4840
195 N. 1950 W. 1st Floor
Salt Lake City, Utah
Phone [phone]
Fax [phone]
Ver. 8/1/2016
State Use Only
Permit Required?
Permit # _____________________
Base Fee $ __500
Inspection Fee* $200 x ___ $_ ___
PST Install Fee $200 x ___ $_ ___
Total $__ ___
Date Approved & Paid ___________
*Applies in non-LHD contract areas
Certified Installers/Technicians on project
Name Luke A. Kelso Cert. # TL 0416 Exp. Date February 1, 2026
Name Zane Christensen Cert. # TL0456 Exp. Date February 1, 2026
Name Mitch Hull Cert. # TL0557 Exp. Date March 11, 2026
X
1697-2025-1
5 1,000
5 1,000
2,500