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HomeMy WebLinkAboutDDW-2024-010286Utah Department Of Environmental Quality Division Of Drinking Water Sanitary Survey Sanitary Survey General System Information Exception Granted: 309-550-7(1) | Minimum separation, vertical and horizontal, between culinary water and sanitary sewer pipelines. Site Visit Date Surveyor Name 08/08/2024 David Heaton EUREKA TOWN PWS ID: UTAH12004 Rating: Approved 10/02/2019 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: GREG *Last Name: EVANS *Organization: *Address: Redacted *City: EUREKA *State: UT *Zip: 84628 *Email: greg@eurekautah.org *Phone: 801-608-4518 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: EUREKA TOWN *Address: PO BOX 156 *City: EUREKA *State: UT *Zip: 84628 *Email: eureka15@cut.net *Phone: 435-433-6915 Emergency Phone: 435-610-6126 DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 1 of 42 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: EUREKA TOWN *Address: PO BOX 156 *City: EUREKA *State: UT *Zip: 84628 *Email: eureka15@cut.net *Phone: 435-433-6915 Emergency Phone: 435-610-6126 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: JOE P *Last Name: CARPENTER *Organization: *Address: Po Box 217 *City: EUREKA *State: UT *Zip: 84628 *Email: joe@eurekautah.org *Phone: 435-433-6915 Emergency Phone: 801-381-5065 5 Does the system serve a Residential population?Y 5A Population - Residential 760 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.) N 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.) N 8 Population - Wholesale :70 (Notes: Residents of Mammoth, UT purchase water from this system wholesale.) 9 Residential Connections:345 10 Commercial Connections:28 11 Industrial Connections:0 DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 2 of 42 Site Visit Info Management and Operations 12 Agricultural Connections:1 13 Date of Survey (First Day of Field Work)08/08/2024 14 Date of Survey (Last Day of Field Work) ** this should match the Date of Survey in the header ** 08/08/2024 15 Date final report sent to system (questionnaire, deficiency report and capacity spreadsheet) 08/21/2024 16 Water system representative present during the survey:Joe Carpenter 17 How much time was spent to prepare survey documents prior to field survey? (Round up to nearest quarter hour) 1 hour. 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) 6 hours 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) 2 hours 20 How much time did it take to finish the Survey Report? (Round up to nearest quarter hour) 3 hours. 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. C 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 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 DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 3 of 42 Cross Connection and Operator Certification 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. C 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? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. Y 31A Does your Emergency Response Plan include cybersecurity? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. Y 31B 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 31C Does your water system use any computer systems in regular business operations such as accounting, billing, payroll, human resources, or management? Y 32 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). C 33 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. C 34 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. C DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 4 of 42 General Maintenance and Environment Distribution 35 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 36 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. C 37 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 38 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 39 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 40 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 41 Are air release/vacuum valves in the distribution system? ... if yes, answer the following question(s) Y DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 5 of 42 41A Open end of vent line covered with #14 mesh screen SIG | 25pts | DS | D004 | 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. C 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. SIG | 25pts | DS | D006 | 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. C 41C Chamber has drain to daylight, gravel-filled adsorption pit if not subject to flooding, or sump pump. SIG | 25pts | DS | D007 | R309-550-6(6)(b) and (7)(b) | Rule states chambers shall be provided with a drain to daylight, if possible. Where this is not possible, underground gravel-filled absorption pits may be used if the site is not subject to flooding and conditions will assure adequate drainage. Sump pumps may also be considered if a drain to daylight or absorption pit is not feasible. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 41D Open end of vent line down-turned. SIG | 25pts | DS | D006 | 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. C 42 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 43 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 44 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 45 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 DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 6 of 42 General Disinfection WS001 - BLUE ROCK WELL - Active 46 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 47 Was the water system constructed or new portions added after January 1, 2007? ... if yes, answer the following question(s) Y 47A 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 48 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 49 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 50 Is this facility Active or Inactive?I 50A Explain why this facility is Inactive (Is this facility in stand-by mode?)Facility is not connected to distribution system. No plans to reconnect. 51 Operating Period (Start Date)01/01 52 Operating Period (Ending Date)12/31 53 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. NA (Notes: Facility is inactive.) DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 7 of 42 54 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. NA (Notes: Facility is inactive.) 55 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 NA (Notes: Facility is inactive.) 56 Is the well casing vented? ... if yes, answer the following question(s)N 57 Does the well have a pump to waste line? ... if yes, answer the following question(s)N 58 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. NA (Notes: Facility is inactive.) 59 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. NA (Notes: Facility is inactive.) 60 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. NA (Notes: Facility is inactive.) 61 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. NA (Notes: Facility is inactive.) 62 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. NA (Notes: Facility is inactive.) DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 8 of 42 WS002 - EUREKA HILL WELL - Active 63 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: Facility is inactive.) 64 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. NA (Notes: Facility is inactive.) 65 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. NA (Notes: Facility is inactive.) 66 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. NA (Notes: Facility is inactive.) 67 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. NA (Notes: Facility is inactive.) 68 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N 69 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. NA (Notes: Facility is inactive.) 70 Does well require oil-lubrication?N 71 Is this facility Active or Inactive?I 71A Explain why this facility is Inactive (Is this facility in stand-by mode?)Facility is not connected to distribution system. No plans to reconnect. 72 Operating Period (Start Date)01/01 73 Operating Period (Ending Date)12/31 DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 9 of 42 74 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. NA (Notes: Facility is inactive.) 75 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. NA (Notes: Facility is inactive.) 76 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 NA (Notes: Facility is inactive.) 77 Is the well casing vented? ... if yes, answer the following question(s)N 78 Does the well have a pump to waste line? ... if yes, answer the following question(s)N 79 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. NA (Notes: Facility is inactive.) 80 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. NA (Notes: Facility is inactive.) 81 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. NA (Notes: Facility is inactive.) DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 10 of 42 WS003 - VULCAN WELL - Active 82 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. NA (Notes: Facility is inactive.) 83 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. NA (Notes: Facility is inactive.) 84 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: Facility is inactive.) 85 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. NA (Notes: Facility is inactive.) 86 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. NA (Notes: Facility is inactive.) 87 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. NA (Notes: Facility is inactive.) 88 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. NA (Notes: Facility is inactive.) 89 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N 90 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. NA (Notes: Facility is inactive.) 91 Does well require oil-lubrication?N 92 Is this facility Active or Inactive?A DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 11 of 42 93 Operating Period (Start Date)01/01 94 Operating Period (Ending Date)12/31 95 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 96 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 97 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 D (Notes: Wellhead gasket needs to be replaced.) 98 Is the well casing vented? ... if yes, answer the following question(s)Y 98A 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 98B 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 98C 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 99 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y 99A 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: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 12 of 42 99B 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 99C 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 100 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 101 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 102 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 103 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 104 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 105 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) C DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 13 of 42 WS004 - DOLINER WELL #3 - 106 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 107 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 108 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 109 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 110 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N 111 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 112 Does well require oil-lubrication?N 113 Is this facility Active or Inactive?I 113A Explain why this facility is Inactive (Is this facility in stand-by mode?)Facility is not connected to distribution system. No plans to reconnect. 114 Operating Period (Start Date)01/01 115 Operating Period (Ending Date)12/31 116 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. NA (Notes: Facility is inactive.) DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 14 of 42 117 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. NA (Notes: Facility is inactive.) 118 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 NA (Notes: Facility is inactive.) 119 Is the well casing vented? ... if yes, answer the following question(s)N 120 Does the well have a pump to waste line? ... if yes, answer the following question(s)N 121 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. NA (Notes: Facility is inactive.) 122 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. NA (Notes: Facility is inactive.) 123 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. NA (Notes: Facility is inactive.) 124 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. NA (Notes: Facility is inactive.) 125 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. NA (Notes: Facility is inactive.) DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 15 of 42 WS005 - EAGLE WELL - Active 126 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: Facility is inactive.) 127 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. NA (Notes: Facility is inactive.) 128 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. NA (Notes: Facility is inactive.) 129 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. NA (Notes: Facility is inactive.) 130 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. NA (Notes: Facility is inactive.) 131 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N 132 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. NA (Notes: Facility is inactive.) 133 Does well require oil-lubrication?N 134 Is this facility Active or Inactive?I 134A Explain why this facility is Inactive (Is this facility in stand-by mode?)Facility is not connected to distribution system. No plans to reconnect. 135 Operating Period (Start Date)01/01 136 Operating Period (Ending Date)12/31 DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 16 of 42 137 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. NA (Notes: Facility is inactive.) 138 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. NA (Notes: Facility is inactive.) 139 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 NA (Notes: Facility is inactive.) 140 Is the well casing vented? ... if yes, answer the following question(s)N 141 Does the well have a pump to waste line? ... if yes, answer the following question(s)N 142 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. NA (Notes: Facility is inactive.) 143 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. NA (Notes: Facility is inactive.) 144 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. NA (Notes: Facility is inactive.) DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 17 of 42 WS006 - EUREKA HILL REP WELL - 145 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. NA (Notes: Facility is inactive.) 146 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. NA (Notes: Facility is inactive.) 147 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: Facility is inactive.) 148 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. NA (Notes: Facility is inactive.) 149 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. NA (Notes: Facility is inactive.) 150 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. NA (Notes: Facility is inactive.) 151 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. NA (Notes: Facility is inactive.) 152 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N 153 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. NA (Notes: Facility is inactive.) 154 Does well require oil-lubrication?N 155 Is this facility Active or Inactive?I DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 18 of 42 155A Explain why this facility is Inactive (Is this facility in stand-by mode?)Facility is not connected to distribution system. No plans to reconnect. 156 Operating Period (Start Date)01/01 157 Operating Period (Ending Date)12/31 158 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. NA (Notes: Facility is inactive.) 159 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. NA (Notes: Facility is inactive.) 160 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 NA (Notes: Facility is inactive.) 161 Is the well casing vented? ... if yes, answer the following question(s)N 162 Does the well have a pump to waste line? ... if yes, answer the following question(s)N 163 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. NA (Notes: Facility is inactive.) 164 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. NA (Notes: Facility is inactive.) DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 19 of 42 165 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. NA (Notes: Facility is inactive.) 166 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. NA (Notes: Facility is inactive.) 167 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. NA (Notes: Facility is inactive.) 168 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: Facility is inactive.) 169 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. NA (Notes: Facility is inactive.) 170 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. NA (Notes: Facility is inactive.) 171 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. NA (Notes: Facility is inactive.) 172 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. NA (Notes: Facility is inactive.) 173 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 20 of 42 WS007 - TINTIC JUNCTION WELL 1 - 174 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. NA (Notes: Facility is inactive.) 175 Does well require oil-lubrication?N 176 Is this facility Active or Inactive?A 177 Operating Period (Start Date)01/01 178 Operating Period (Ending Date)12/31 179 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 180 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 181 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 182 Is the well casing vented? ... if yes, answer the following question(s)Y 182A 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: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 21 of 42 182B 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 182C 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 183 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y 183A 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 183B 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 183C 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 184 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 185 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. D (Notes: Wellhead is out in the open next to a public access dirt road. It is not inside of the wellhouse or fenced.) 186 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: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 22 of 42 WS008 - TINTIC JUNCTION WELL 2 - Active 187 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 188 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 189 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) C 190 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 191 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 192 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 193 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 194 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N 195 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 196 Does well require oil-lubrication?N 197 Is this facility Active or Inactive?A DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 23 of 42 198 Operating Period (Start Date)01/01 199 Operating Period (Ending Date)12/31 200 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 201 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 202 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 203 Is the well casing vented? ... if yes, answer the following question(s)Y 203A 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 203B 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 203C 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 204 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y 204A 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: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 24 of 42 204B 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 204C 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 205 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 206 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 207 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 208 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 209 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 210 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) C DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 25 of 42 WS009 - TINTIC JUNCTION WELL #3 - Active 211 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 212 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 213 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 214 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 215 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N 216 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 217 Does well require oil-lubrication?N 218 Is this facility Active or Inactive?I 218A Explain why this facility is Inactive (Is this facility in stand-by mode?)Operator believes this well does not exist, as there are only two Tintic Junction wells. 219 Operating Period (Start Date)01/01 220 Operating Period (Ending Date)12/31 221 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. NA (Notes: Facility does not exist, or is inactive.) DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 26 of 42 222 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. NA (Notes: Facility does not exist, or is inactive.) 223 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 NA (Notes: Facility does not exist, or is inactive.) 224 Is the well casing vented? ... if yes, answer the following question(s)N 225 Does the well have a pump to waste line? ... if yes, answer the following question(s)N 226 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. NA (Notes: Facility does not exist, or is inactive.) 227 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. NA (Notes: Facility does not exist, or is inactive.) 228 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. NA (Notes: Facility does not exist, or is inactive.) 229 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. NA (Notes: Facility does not exist, or is inactive.) 230 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. NA (Notes: Facility does not exist, or is inactive.) DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 27 of 42 ST001 - STORAGE FACILITY ST001 - Active 231 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: Facility does not exist, or is inactive.) 232 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. NA (Notes: Facility does not exist, or is inactive.) 233 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. NA (Notes: Facility does not exist, or is inactive.) 234 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. NA (Notes: Facility does not exist, or is inactive.) 235 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. NA (Notes: Facility does not exist, or is inactive.) 236 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N 237 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. NA (Notes: Facility does not exist, or is inactive.) 238 Does well require oil-lubrication?N 239 Is this facility Active or Inactive?A 240 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 500000 DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 28 of 42 241 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 242 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 243 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 244 Are air vents present? ... if yes, answer the following question(s)Y 244A 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 244B 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 244C 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 244D 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 DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 29 of 42 245 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 245A 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 245B 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 245C 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. D (Notes: Gasket needs to be replaced.) 246 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 247 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 248 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 249 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 250 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 30 of 42 ST002 - SOUTH TANK - Active 251 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 251A 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 251B 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 251C 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 252 Are the drain line and overflow combined?Y 253 Is this facility Active or Inactive?A 254 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 317238 255 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 256 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 DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 31 of 42 257 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 258 Are air vents present? ... if yes, answer the following question(s)Y 258A 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 258B 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 258C 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 258D 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 259 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 259A 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 259B 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 DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 32 of 42 259C 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 260 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 261 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 262 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 263 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 264 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 265 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 265A 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 265B 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 DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 33 of 42 PF002 - SOUTH TANK BOOSTER STATION -- Pump Stations - Active 265C 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 266 Are the drain line and overflow combined?Y 267 Is this facility Active or Inactive?A 268 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. D (Notes: There are two active pump stations. The South Tank/Beck Street pump station (this one) and the Tintic pump station.) 269 Pump Type (Centrifugal, Hand pump, Jet, Positive Displacement, Screw, Submersible, Vertical turbine) Submersible 270 If the pump station is used to pressurize the distribution system, does it have at least two functioning pumping units? ... if yes, answer the following question(s) SIG | 25pts | PU | PS18 | R309-540-5(4)(b) | Rule states inline booster pumps, withdrawing water directly from distribution lines without storage and feeding water directly into distribution lines, shall have at least two pumping units. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. Y 270A Demand is met by remaining pump(s) when largest pumping unit out of service SIG | 25pts | PU | PS19 | R309-540-3(a) | Inline booster pumps shall have at least two pumping units (such that with any one pump out of service, the remaining pump or pumps shall be capable of providing the peak day demand of the specific portion of the system serviced). This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 271 Pump station building and equipment are protected from flooding. MIN | 15pts | PU | PS13 | R309-540-5(1)(a)(ii), R309-540-5(2)(a)(iii) | Pump station access shall be 6" above surrounding ground and located at least 3’ above 100-year flood elevation or highest recorded flood elevation; station is accessible at all times unless it can be taken out of service when inaccessible. C 272 There are no unprotected cross-connections in the pump station. SIG | 50pts | PU | PS15 | R309-105-12(1) | Cross connections are not allowed unless controlled by an approved and properly operating backflow prevention assembly or device. 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: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 34 of 42 TP001 - TINTIC WELL GAS CHLORINATOR -- Treatment - Chlorination General - Active 273 Discharge piping has a pressure gauge. MIN | 15pts | PU | PS03 | R309-540-5 (6)(c)(i) | Rule requires that a standard pressure gauge be installed on the pump discharge line. C 274 Does the pumping facility have an air relief valve located on the discharge piping? ... if yes, answer the following question(s) Y 274A End of air relief piping downturned SIG | 25pts | PU | PS12 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air relief vent pipe from automatic valves shall be provided with a downward elbow. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 274B End of air relief piping covered with #14 mesh screen SIG | 25pts | PU | PS10 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air relief vent pipe from automatic valves shall be provided with a #14 mesh, non- corrodible screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 274C End of air relief piping terminates at least 6 inches above floor SIG | 25pts | PU | PS11 | R309-550-6(6)(b), R309-540-6(2) | Rule requires that an air release valve discharge line terminate a minimum of 6 inches above the floor. C 275 Pump station properly secured MIN | 15pts | PU | PS33 | R309-540-5(1)(a)(v) | The pump station is protected to prevent vandalism and entrance by animals or unauthorized persons. C 276 Is this facility Active or Inactive?A 277 Is system required to provide primary disinfection? Prompt - If system knows they are required to chlorinate based on water quality issues and/or knows they are required to provide a minimum CT then follow-up by DDW is needed. N 278 When chlorination is required, disinfection has operated uninterrupted during the past year while supplying drinking water. SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of groundwater sources that do not consistently meet bacteriological quality standards, all surface water sources, and groundwater sources under the direct influence of surface water. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 279 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to generate chlorine solutions and chlorine dioxide 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. C DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 35 of 42 280 If chemical dilution or dissolution is needed, cross-connection control is provided on water lines feeding solution tanks. SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross connection control shall be provided on make-up water lines feeding solution tanks. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 281 Water flow rate is measured to control chemical feed? SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) | Chemical feed rates shall be proportional to flows and a means to measure water flow rate shall be provided. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 282 Solution tanks and tank refilling line entry points are properly labeled to identify the chemicals MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly labeled to designate the chemical contained. C 283 Free chlorine residual test equipment on-site or available? MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test equipment available capable of measuring residuals to the nearest 0.1 mg/l in the range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the nearest 0.5 mg/l above 1.0 mg/l. D (Notes: Operator keeps test equipment on his truck, but does not have equipment at each chlorinator.) 284 Spare parts are available to replace parts subject to wear and breakage MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September 2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all chlorinators to repair parts subject to wear and breakage. C 285 Is chlorine chemical dose rate adjusted due to different water demand flow rates and/or changing water quality? Y 285A If yes, which water flow rate is used? e.g. influent flow, effluent flow, filter flow.Influent flow. 286 Is there a designated chlorine Point of Entry (POE) sample location? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 287 POE is before first connection/customer? SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) D (Notes: There are five homes that receive their water before chlorination.) 288 Chlorine residual records are maintained and available... if yes answer following SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) Y 288A System is sampling distribution residuals throughout entire distribution system MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 288B Distribution chlorine residuals meet minimum concentration requirement SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 288C "What is the maximum free chlorine residual measure? This value never exceeds 4.0 mg/L? " 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: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 36 of 42 TP003 - VULCAN WELL CHLORINATOR -- Treatment - Chlorination General - Active 288D System collects at least three distribution chlorine residual samples a week? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 288E System is sampling distribution residuals in accordance with monitoring schedule MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 289 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 (Notes: Housing and protection from direct sunlight and excessive heat provided for chlorination equipment.) 290 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. D (Notes: Operator currently using a monthly average for records.) 291 Is this facility Active or Inactive?A 292 Is system required to provide primary disinfection? Prompt - If system knows they are required to chlorinate based on water quality issues and/or knows they are required to provide a minimum CT then follow-up by DDW is needed. N 293 When chlorination is required, disinfection has operated uninterrupted during the past year while supplying drinking water. SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of groundwater sources that do not consistently meet bacteriological quality standards, all surface water sources, and groundwater sources under the direct influence of surface water. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 294 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to generate chlorine solutions and chlorine dioxide 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. C 295 If chemical dilution or dissolution is needed, cross-connection control is provided on water lines feeding solution tanks. SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross connection control shall be provided on make-up water lines feeding solution tanks. 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: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 37 of 42 296 Water flow rate is measured to control chemical feed? SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) | Chemical feed rates shall be proportional to flows and a means to measure water flow rate shall be provided. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 297 Solution tanks and tank refilling line entry points are properly labeled to identify the chemicals MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly labeled to designate the chemical contained. C 298 Free chlorine residual test equipment on-site or available? MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test equipment available capable of measuring residuals to the nearest 0.1 mg/l in the range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the nearest 0.5 mg/l above 1.0 mg/l. D (Notes: Operator keeps test equipment on his truck, but does not have equipment at each chlorinator.) 299 Spare parts are available to replace parts subject to wear and breakage MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September 2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all chlorinators to repair parts subject to wear and breakage. C 300 Is chlorine chemical dose rate adjusted due to different water demand flow rates and/or changing water quality? Y 300A If yes, which water flow rate is used? e.g. influent flow, effluent flow, filter flow.Influent flow. 301 Is there a designated chlorine Point of Entry (POE) sample location? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 302 POE is before first connection/customer? SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C (Notes: There are no connections before this chlorinator.) 303 Chlorine residual records are maintained and available... if yes answer following SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) Y 303A System is sampling distribution residuals throughout entire distribution system MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 303B Distribution chlorine residuals meet minimum concentration requirement SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 303C "What is the maximum free chlorine residual measure? This value never exceeds 4.0 mg/L? " MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 303D System collects at least three distribution chlorine residual samples a week? 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: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 38 of 42 TP001 - TINTIC WELL GAS CHLORINATOR -- Gaseous Chlorination - Active 303E System is sampling distribution residuals in accordance with monitoring schedule MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 304 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 305 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. D (Notes: Operator currently using a monthly average for records.) 306 Is this facility Active or Inactive?A 307 If disinfection is required, standby chlorination equipment of sufficient capacity is available to replace the largest unit. SIG | 25pts | TR | TD22 | R309-520-7(1)(k)(ii) | Where chlorination is required for disinfection of the water supply, the rule requires standby equipment of sufficient capacity to be available to replace the largest unit in the event of its failure. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 308 Is the chlorinator room heated and has the ability to be protected from excessive heat? MIN | 15pts | TR | TD08 | R309-520-7(1)(l) | Rule requires chlorinator buildings to be heated, lighted, and ventilated as necessary to assure proper operation of the equipment and safety of the operators. C 309 If continuous disinfection is needed, automatic switch over of chlorine cylinders is provided. MIN | 15pts | TR | TD01 | R309-520-7(2)(a), R309-520-6(1) | Rule requires automatic switch over of chlorine cylinders be provided if continuous disinfection is required. C 310 Exhaust fan takes suction near the floor as far as practical from the door and air inlet, and discharges outside away from air inlets. MIN | 15pts | TR | TD09 | R309-520-7(2)(d)(iii) | Rule requires a chlorine room exhaust fan to take suction inside the chlorine room near the floor, as far as practical from the door and air inlet, and discharge air outside of the building away from air inlets. C 311 Air inlets are located near the ceiling and fitted with louvers. MIN | 15pts | TR | TD10 | R309-520-7(2)(d)(iv) | Rule requires chlorine room air inlets to be through wall louvers near the ceiling. C DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 39 of 42 312 Chlorine vent line discharges outside and above grade and is screened with #14 mesh screen. SIG | 25pts | TR | TD13 | R309-520-7(2)(e) | Rule requires the chlorine vent line to discharge outside, above grade, at a point least susceptible to vandalism, and to have the end covered with a #14 mesh non-corrodible screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 313 Separate switches for chlorine room fans and lights are located near the entrance to the room (or are located outside the chlorine room if housed in a water treatment plant). MIN | 15pts | TR | TD12 | R309-520-7(2)(d)(v) | Rule requires separate switches for the chlorine room fans and lights to be located near the entrance to the room and to be protected from vandalism. The switches are required to be located outside the chlorine room if housed in a water treatment plant. C 314 Chlorine cylinder is restrained in position to prevent upset. SIG | 25pts | TR | TD15 | R309-520-7(2)(h) | Rule requires chlorine cylinders to be restrained in position to prevent upset. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 315 Chlorine cylinder is not stored in direct sunlight or exposed to excessive heat. SIG | 25pts | TR | TD17 | R309-520-7(2)(f)(ii) | Rule prohibits chlorine cylinders from being stored in direct sunlight or exposed to excessive heat. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 316 Weight scale is provided for weighing chlorine gas cylinders/containers. SIG | 25pts | TR | TD02 | R309-520-7(2)(i) | Rule requires scales to be provided for determining chlorine cylinder weight. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 317 Is the chlorine cylinder 150 pounds in capacity? ... if yes, answer the following question(s) Y 317A Leak response/repair plan available MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 317B Bottle of ammonium hydroxide (56 % ammonia solution) is available for chlorine leak detection MIN | 15pts | TR | TD14 | R309-520-7(2)(l)(i) | Rule requires a bottle of ammonium hydroxide (56% ammonia solution) to be available for leak detection. C 317C Immediate access to NIOSH respirator available SIG | 25pts | TR | TD04 | R309-520-7(2)(k)(ii) | Where 150 pound chlorine cylinders are used, a respirator recommended the National Institute of Occupational Safety and Health must be available. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 318 Is the chlorine cylinder 1 ton in capacity? ... if yes, answer the following question(s)N DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 40 of 42 TP003 - VULCAN WELL CHLORINATOR -- Gaseous Chlorination - Active 319 Is the (daily) scale weight or volume data recorded? Explain where in the comments... SIG | 25pts | TR | TD02 | R309-520-7(2)(i) | Rule requires scales to be provided for determining chlorine cylinder weight. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C (Notes: Records in operator Joe Carpenter's office.) 320 Is this facility Active or Inactive?A 321 If disinfection is required, standby chlorination equipment of sufficient capacity is available to replace the largest unit. SIG | 25pts | TR | TD22 | R309-520-7(1)(k)(ii) | Where chlorination is required for disinfection of the water supply, the rule requires standby equipment of sufficient capacity to be available to replace the largest unit in the event of its failure. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 322 Is the chlorinator room heated and has the ability to be protected from excessive heat? MIN | 15pts | TR | TD08 | R309-520-7(1)(l) | Rule requires chlorinator buildings to be heated, lighted, and ventilated as necessary to assure proper operation of the equipment and safety of the operators. C 323 If continuous disinfection is needed, automatic switch over of chlorine cylinders is provided. MIN | 15pts | TR | TD01 | R309-520-7(2)(a), R309-520-6(1) | Rule requires automatic switch over of chlorine cylinders be provided if continuous disinfection is required. C 324 Exhaust fan takes suction near the floor as far as practical from the door and air inlet, and discharges outside away from air inlets. MIN | 15pts | TR | TD09 | R309-520-7(2)(d)(iii) | Rule requires a chlorine room exhaust fan to take suction inside the chlorine room near the floor, as far as practical from the door and air inlet, and discharge air outside of the building away from air inlets. C 325 Air inlets are located near the ceiling and fitted with louvers. MIN | 15pts | TR | TD10 | R309-520-7(2)(d)(iv) | Rule requires chlorine room air inlets to be through wall louvers near the ceiling. C 326 Chlorine vent line discharges outside and above grade and is screened with #14 mesh screen. SIG | 25pts | TR | TD13 | R309-520-7(2)(e) | Rule requires the chlorine vent line to discharge outside, above grade, at a point least susceptible to vandalism, and to have the end covered with a #14 mesh non-corrodible screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 327 Separate switches for chlorine room fans and lights are located near the entrance to the room (or are located outside the chlorine room if housed in a water treatment plant). MIN | 15pts | TR | TD12 | R309-520-7(2)(d)(v) | Rule requires separate switches for the chlorine room fans and lights to be located near the entrance to the room and to be protected from vandalism. The switches are required to be located outside the chlorine room if housed in a water treatment plant. C DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 41 of 42 328 Chlorine cylinder is restrained in position to prevent upset. SIG | 25pts | TR | TD15 | R309-520-7(2)(h) | Rule requires chlorine cylinders to be restrained in position to prevent upset. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 329 Chlorine cylinder is not stored in direct sunlight or exposed to excessive heat. SIG | 25pts | TR | TD17 | R309-520-7(2)(f)(ii) | Rule prohibits chlorine cylinders from being stored in direct sunlight or exposed to excessive heat. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 330 Weight scale is provided for weighing chlorine gas cylinders/containers. SIG | 25pts | TR | TD02 | R309-520-7(2)(i) | Rule requires scales to be provided for determining chlorine cylinder weight. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 331 Is the chlorine cylinder 150 pounds in capacity? ... if yes, answer the following question(s) Y 331A Leak response/repair plan available MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 331B Bottle of ammonium hydroxide (56 % ammonia solution) is available for chlorine leak detection MIN | 15pts | TR | TD14 | R309-520-7(2)(l)(i) | Rule requires a bottle of ammonium hydroxide (56% ammonia solution) to be available for leak detection. C 331C Immediate access to NIOSH respirator available SIG | 25pts | TR | TD04 | R309-520-7(2)(k)(ii) | Where 150 pound chlorine cylinders are used, a respirator recommended the National Institute of Occupational Safety and Health must be available. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 332 Is the chlorine cylinder 1 ton in capacity? ... if yes, answer the following question(s)N 333 Is the (daily) scale weight or volume data recorded? Explain where in the comments... SIG | 25pts | TR | TD02 | R309-520-7(2)(i) | Rule requires scales to be provided for determining chlorine cylinder weight. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C (Notes: Records in operator Joe Carpenter's office.) DEQ | Drinking Water Run Date: 08/21/2024 17:30:34 | Rating: Approved UTAH12004 EUREKA TOWN page 42 of 42