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HomeMy WebLinkAboutDDW-2024-011192Utah Department Of Environmental Quality Division Of Drinking Water Sanitary Survey Sanitary Survey General System Information Site Visit Date Surveyor Name 09/18/2024 Luke Treutel PANGUITCH CITY WATER SYSTEM PWS ID: UTAH09007 Rating: Approved 05/17/1985 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: MAT *Last Name: HOUSTON *Organization: *Address: Redacted *City: PANGUITCH *State: UT *Zip: 84759 *Email: mat.panguitchcity@gmail.com *Phone: 435-676-8585 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: PANGUITCH *Address: PO BOX 75 *City: PANGUITCH *State: UT *Zip: 84759 *Email: *Phone: 435-676-8585 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: PANGUITCH CITY CORP. *Address: PO BOX 75 *City: PANGUITCH *State: UT *Zip: 84759 *Email: *Phone: 435-676-8585 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 1 of 49 Site Visit Info 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: DAVID VEE *Last Name: OWENS *Organization: *Address: PO BOX 225 *City: PANGUITCH *State: UT *Zip: 84759 *Email: carla.panguitchcity@gmail.com *Phone: 435-616-8588 Emergency Phone: 435-676-8233 5 Does the system serve a Residential population?Y 5A Population - Residential 1800 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 :0 9 Residential Connections:787 10 Commercial Connections:75 11 Industrial Connections:14 12 Agricultural Connections:0 13 Date of Survey (First Day of Field Work)09/18/2024 14 Date of Survey (Last Day of Field Work) ** this should match the Date of Survey in the header ** 09/18/2024 15 Date final report sent to system (questionnaire, deficiency report and capacity spreadsheet) 09/19/2024 16 Water system representative present during the survey:Kory Owens and Mat Houston 17 How much time was spent to prepare survey documents prior to field survey? (Round up to nearest quarter hour) 1 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) 4 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) 2.5 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 2 of 49 Management and Operations 20 How much time did it take to finish the Survey Report? (Round up to nearest quarter hour) 2 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 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 3 of 49 Cross Connection and Operator Certification 31 Does your water system have an Emergency Response Plan? REC | 0pts | SM | M001 | R309-105-18 | All suppliers are advised to develop contingency plans to cope with possible emergency situations. In many areas of the state the possibility of earthquake damage shall be realistically considered. Y 32 Does your Emergency Response Plan address cybersecurity? (required for systems over 3,300 population) MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. NA (Notes: Systems serves a population <3,300) 33 Does your water system use any computers, laptops, phones, tablets, or any other computer systems to manage, operate, or maintain the PWS (SCADA or Industrial Control Systems)? This includes any water sources, treatment, distribution or any process related to operation function Y 34 Does your water system use any computer systems in regular business operations such as accounting, billing, payroll, human resources, or management? Y 35 Legally adopted authority statement MIN | 15pts | SM | M003 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes a legally adopted and functional local authority to enforce the program (i.e., ordinance, bylaw, or policy). C 36 Documentation of annual public awareness and/or employee training MIN | 15pts | SM | M004 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes providing public education or awareness material or presentations. C 37 Documentation of personnel trained to manage the program (ALL COMUNITY WATER SYSTEMS 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 38 Does the water system have detailed records of cross connection control activities? (inventories of backflow assemblies, devices, and air gaps installed within the system) MIN | 15pts | SM | M006 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes written records of cross connection control activities. C 39 Does the water system have records of on-going enforcement activities? (test history, enforcement activities, hazard assessments) MIN | 15pts | SM | M007 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes test history and documentation of on-going enforcement activities. C 40 Operator meets required level of certification for water system. ( IF NO CERTIFIED OPERATOR IS REQUIRED MARK COMPLIANT ) SIG | 50pts | OC | C001 | R309-105-11, R309-300-5(3) | Rule requires every community and NTNC water system and public water systems that utilize treatment/filtration to have at least one operator certified at the classified grade of the water system. Certification must be appropriate for the type of system operated (treatment and/or distribution). This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 4 of 49 General Maintenance and Environment Distribution 41 Certified operator is within 1 hour travel time of water system. ( IF NO CERTIFIED OPERATOR IS REQUIRED MARK COMPLIANT ) MIN | 0pts | OC | C002 | R309-300-5(14) | Rule requires the operator to be within 1 hour travel time, under normal work and home conditions, of each drinking water system for which he is considered in direct responsible charge. C 42 Are there any visual indications of unsanitary conditions? SIG | 50pts | SM | M017 | R309-200-6, R309-105-18, R309-215-4(3) | R309-200-6 The Secondary Maximum Contaminant Levels for public water systems deals with substances which affect the aesthetic quality of drinking water. They are presented here as recommended limits or ranges and are not grounds for rejection. The taste of water may be unpleasant and the usefulness of the water may be impaired if these standards are significantly exceeded. R309-105-18 The Director or the local health department shall be informed by telephone by a water supplier of any "emergency situation". The term "emergency situation... R309-215-4(3) If the water fails to meet minimum standards, then certain public notification procedures shall be carried out, as outlined in R309-220. Water suppliers shall also keep analytical records in their possession, for a required length of time, as outlined in R309-105-17. C 43 No unprotected connection between the distribution system and a source of contamination. (If there is an unprotected connection, describe the location in detail.) SIG | 50pts | DS | D009 | R309-550-5(11) | R309-550-5(11) C 44 Are air release/vacuum valves in the distribution system? ... if yes, answer the following question(s) Y 44A 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 44B 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 5 of 49 44C 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 44D 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 45 Water system has a program to maintain, operate, or control the use of fire hydrants. REC | 0pts | DS | D012 | N/A | Fire hydrants provide a direct access to the water in the distribution system. In order to protect the quality and integrity of the water, fire hydrant access should be controlled. C 46 Blow offs or air release valves are not directly connected to a sanitary sewer line. SIG | 50pts | DS | D013 | R309-550-6(5)(a), R309-550-6(6)(c) and (7)(a) | Rule states blow-offs or air relief valves shall not be connected directly to a sewer. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 47 Blow offs or air release valves do not discharge below flood level in ditches or streams. SIG | 50pts | DS | D016 | R309-550-9(1) and (2), R309-550-13(2) | R309-550-9(1 & 3) C 48 All water mains installed after 1995 that provide fire flow are at least 8 inches in diameter. MIN | 15pts | DS | D019 | R309-550-5(4) & (5) | Rule states that the minimum line size serving a fire hydrant lateral shall be 8-inch diameter unless a hydraulic analysis indicates that required flow and pressures can be maintained by 6-inch lines. C 49 Distribution system capable of providing minimum pressure of 20 psi at all service connections. SIG | 50pts | DS | D003 | R309-105-9, R309-550-5(1) | Rule states the distribution system shall maintain minimum pressures as required by R309-105-9 at all points of connection under all flow conditions. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 50 Was the water system constructed or new portions added after January 1, 2007? ... if yes, answer the following question(s) Y DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 6 of 49 General Disinfection WS001 - DELONG #1 SPRING - Active 50A Distribution system capable of maintaining the following pressures at all service connections: (a) 20 psi during fire flow and fire demand during peak day demand; (b) 30 psi during peak instantaneous demand; and (c) 40 psi during peak day demand. SIG | 50pts | DS | D010 | R309-105-9, R309-550-5(1) | Rule states that unless otherwise specifically approved by the Director, public water systems constructed after January 1, 2007, shall be designed and shall meet the following minimum water pressures at points of connection: (a) 20 psi during conditions of fire flow and fire demand experienced during peak day demand; (b) 30 psi during peak instantaneous demand; and (c) 40 psi during peak day demand. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 51 Water system follows AWWA disinfection procedures for new, repaired, or seasonal water mains and tanks. SIG | 25pts | MR | D018 | R309-550-8(10) | All new and repaired water mains and appurtenances shall be disinfected in accordance with AWWA Standard C651. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 52 How often do you periodically disinfect any or all parts of your water system (i.e. batch disinfection) other than for repairs or maintenance? SIG | 50pts | SM | G006 | R309-105-6(1)(a), R309-500-6 | R309-105-6(1) Approval of Engineering Plans and Specifications R309-500-6 Plan Approval Procedure. C 53 Is this facility Active or Inactive? (Active status means used on a routine/seasonal basis without long periods of inactivity and water quality samples are routinely collected)) A 54 Operating Period (Start Date)01/01 55 Operating Period (End Date)12/31 56 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 57 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 58 Surface water runoff diverted away from spring by diversion channel or berm. MIN | 15pts | SO | SS03 | R309-515-7(7)(g) | Rule requires a diversion channel or berm, constructed immediately inside the fenced area, capable of diverting all anticipated surface water runoff away from the spring collection area. C DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 7 of 49 59 Spring box has a means to release overflow? MIN | 15pts | SO | SS23 | R309-515-7(7)(d), R309-545-13(1) | All junction boxes and collection boxes, must comply with R309-545 with respect to access openings, venting, and tank overflow. Lids for these spring boxes shall be gasketed and the box adequately vented. Y 59A Overflow screened with #4 mesh screen SIG | 25pts | SO | SS04 | R309-515-7(7)(d), R309-545-13(3) | Overflow pipes on junction and collection boxes shall comply with R309-545 and be screened with No. 4 mesh non-corrodible screens. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 59B Overflow has a minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C 60 Drain has minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C 61 Spring collection area graded and no evidence of water ponding or flow on surface? SIG | 25pts | SO | SS06 | R309-515-7(7)(i) | Rule requires the spring to be developed as thoroughly as possible to minimize the possibility of excess water ponding within the collection area. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 62 If a liner is present, spring liner integrity is maintained. SIG | 50pts | SO | SS19 | R309-515-7(7)(b)(iv) | If a liner is present, it shall be installed to assure its integrity. No sharp-edged stones or stones two inches or larger shall be located within two inches of the liner. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 63 No deep-rooted vegetation is within the 50 ft collection area. SIG | 25pts | SO | SS07 | R309-515-7(7)(f) | All deep-rooted vegetation within the fenced collection area shall be removed by a means not negatively affecting water quality. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 64 No roots seen in collection boxes and junctions. SIG | 25pts | SO | SS08 | R309-105-10(4)(a), R309-515-8(1)(a) | Spring collection areas shall be periodically (preferably annually) cleared of deep-rooted vegetation to prevent root growth from clogging collection lines. 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 8 of 49 65 Is a spring collection box present? ... if yes, answer the following question(s) MIN | 5pts | SO | L014 | R309-515-7(7)(c) | Rule requires each spring collection area to be provided with at least one collection box to permit spring inspection and testing. Y 65A Spring box has shoe box type lid with 2 inch overlap around frame SIG | 25pts | SO | SS09 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a close-fitting, solid shoebox-type cover that extends down around the frame at least 2 inches. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 65B Spring box lid is gasketed SIG | 25pts | SO | SS10 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a cover 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 65C Spring box lid does not show evidence of a vacuum. MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. C 65D Spring box opening is at least 4 inches above the surface of the box or 18 inches above an earthen cover if the box is buried. MIN | 15pts | SO | SS12 | R309-515-7(7)(d), R309-545-14 (1), | Access openings shall comply with R309-545 and be framed at least 4 inches above the surface of the spring box roof at the opening or 18 inches above the ground surface on a buried spring box. C 65E Spring box lid is locked SIG | 25pts | SO | SS13 | R309-515-7(7)(d), R309-545-14 (3) | Access openings shall comply with R309-545 and the lids to the openings shall be locked. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 65F All openings/penetrations in the spring collection box are sealed. SIG | 50pts | SO | SS20 | R309-515-7(7)(d), R309-545-9(1) and (2) | All junction and collection boxes shall comply with R309-545 and shall have suitable watertight roofs and sidewalls that exclude birds, animals, insects, and excessive dust. All openings shall be kept to a minimum and be watertight. Pipes that may contain water of lesser quality than drinking water shall not penetrate the spring box. 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 9 of 49 WS003 - INDIAN HOLLOW SPRING - Active 66 Is a spring box vent present? ... if yes, answer the following question(s) MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. Y 66A Vent is down-turned. SIG | 25pts | SO | SS16 | R309-515-7(7)(d), R309-545-15(1) | All vents on junction and collection boxes shall comply with R309-545 and be downturned 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 66B Vent has #14 or finer non-corrodible mesh screen and a protective screen/covering if 6-inch diameter or greater. SIG | 25pts | SO | SS17 | R309-515-7(7)(d), R309-545-15(4) and (5) | All vents on junction and collection boxes shall comply with R309-545 and be fitted with No. 14 or finer non-corrodible mesh screen. Vents 6-inch diameter or larger shall be fitted with additional heavy gage screen or substantial covering to protect the No. 14 mesh screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 66C End of vent has sufficient clearance to prevent ice/snow blockage or is at least 24 inches above the earthen cover SIG | 25pts | SO | SS18 | R309-515-7(7)(d), R309-545-15(2) and (3) | All vents on junction and collection boxes shall comply with R309-545 and shall be located and sized to avoid blockage during winter. The end of a vent on a buried spring box shall discharge a minimum of 24 inches above the ground. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 67 Spring has a permanent flow-measuring device. MIN | 5pts | SO | SS01 | R309-515-7(7)(h) | Rule requires a spring to have a permanent flow measuring device. C 68 Is this facility Active or Inactive? (Active status means used on a routine/seasonal basis without long periods of inactivity and water quality samples are routinely collected)) A 69 Operating Period (Start Date)01/01 70 Operating Period (End Date)12/31 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 10 of 49 71 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 72 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 73 Surface water runoff diverted away from spring by diversion channel or berm. MIN | 15pts | SO | SS03 | R309-515-7(7)(g) | Rule requires a diversion channel or berm, constructed immediately inside the fenced area, capable of diverting all anticipated surface water runoff away from the spring collection area. C 74 Spring box has a means to release overflow? MIN | 15pts | SO | SS23 | R309-515-7(7)(d), R309-545-13(1) | All junction boxes and collection boxes, must comply with R309-545 with respect to access openings, venting, and tank overflow. Lids for these spring boxes shall be gasketed and the box adequately vented. Y 74A Overflow screened with #4 mesh screen SIG | 25pts | SO | SS04 | R309-515-7(7)(d), R309-545-13(3) | Overflow pipes on junction and collection boxes shall comply with R309-545 and be screened with No. 4 mesh non-corrodible screens. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 74B Overflow has a minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C 75 Drain has minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C 76 Spring collection area graded and no evidence of water ponding or flow on surface? SIG | 25pts | SO | SS06 | R309-515-7(7)(i) | Rule requires the spring to be developed as thoroughly as possible to minimize the possibility of excess water ponding within the collection area. 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 11 of 49 77 If a liner is present, spring liner integrity is maintained. SIG | 50pts | SO | SS19 | R309-515-7(7)(b)(iv) | If a liner is present, it shall be installed to assure its integrity. No sharp-edged stones or stones two inches or larger shall be located within two inches of the liner. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 78 No deep-rooted vegetation is within the 50 ft collection area. SIG | 25pts | SO | SS07 | R309-515-7(7)(f) | All deep-rooted vegetation within the fenced collection area shall be removed by a means not negatively affecting water quality. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 79 No roots seen in collection boxes and junctions. SIG | 25pts | SO | SS08 | R309-105-10(4)(a), R309-515-8(1)(a) | Spring collection areas shall be periodically (preferably annually) cleared of deep-rooted vegetation to prevent root growth from clogging collection lines. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 80 Is a spring collection box present? ... if yes, answer the following question(s) MIN | 5pts | SO | L014 | R309-515-7(7)(c) | Rule requires each spring collection area to be provided with at least one collection box to permit spring inspection and testing. Y 80A Spring box has shoe box type lid with 2 inch overlap around frame SIG | 25pts | SO | SS09 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a close-fitting, solid shoebox-type cover that extends down around the frame at least 2 inches. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 80B Spring box lid is gasketed SIG | 25pts | SO | SS10 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a cover 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 80C Spring box lid does not show evidence of a vacuum. MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. C 80D Spring box opening is at least 4 inches above the surface of the box or 18 inches above an earthen cover if the box is buried. MIN | 15pts | SO | SS12 | R309-515-7(7)(d), R309-545-14 (1), | Access openings shall comply with R309-545 and be framed at least 4 inches above the surface of the spring box roof at the opening or 18 inches above the ground surface on a buried spring box. C DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 12 of 49 80E Spring box lid is locked SIG | 25pts | SO | SS13 | R309-515-7(7)(d), R309-545-14 (3) | Access openings shall comply with R309-545 and the lids to the openings shall be locked. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 80F All openings/penetrations in the spring collection box are sealed. SIG | 50pts | SO | SS20 | R309-515-7(7)(d), R309-545-9(1) and (2) | All junction and collection boxes shall comply with R309-545 and shall have suitable watertight roofs and sidewalls that exclude birds, animals, insects, and excessive dust. All openings shall be kept to a minimum and be watertight. Pipes that may contain water of lesser quality than drinking water shall not penetrate the spring box. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 81 Is a spring box vent present? ... if yes, answer the following question(s) MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. Y 81A Vent is down-turned. SIG | 25pts | SO | SS16 | R309-515-7(7)(d), R309-545-15(1) | All vents on junction and collection boxes shall comply with R309-545 and be downturned 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 81B Vent has #14 or finer non-corrodible mesh screen and a protective screen/covering if 6-inch diameter or greater. SIG | 25pts | SO | SS17 | R309-515-7(7)(d), R309-545-15(4) and (5) | All vents on junction and collection boxes shall comply with R309-545 and be fitted with No. 14 or finer non-corrodible mesh screen. Vents 6-inch diameter or larger shall be fitted with additional heavy gage screen or substantial covering to protect the No. 14 mesh screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 81C End of vent has sufficient clearance to prevent ice/snow blockage or is at least 24 inches above the earthen cover SIG | 25pts | SO | SS18 | R309-515-7(7)(d), R309-545-15(2) and (3) | All vents on junction and collection boxes shall comply with R309-545 and shall be located and sized to avoid blockage during winter. The end of a vent on a buried spring box shall discharge a minimum of 24 inches above the ground. 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 13 of 49 WS004 - DELONG #2 SPRING - Active 82 Spring has a permanent flow-measuring device. MIN | 5pts | SO | SS01 | R309-515-7(7)(h) | Rule requires a spring to have a permanent flow measuring device. C 83 Is this facility Active or Inactive? (Active status means used on a routine/seasonal basis without long periods of inactivity and water quality samples are routinely collected)) A 84 Operating Period (Start Date)01/01 85 Operating Period (End Date)12/31 86 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 87 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 88 Surface water runoff diverted away from spring by diversion channel or berm. MIN | 15pts | SO | SS03 | R309-515-7(7)(g) | Rule requires a diversion channel or berm, constructed immediately inside the fenced area, capable of diverting all anticipated surface water runoff away from the spring collection area. C 89 Spring box has a means to release overflow? MIN | 15pts | SO | SS23 | R309-515-7(7)(d), R309-545-13(1) | All junction boxes and collection boxes, must comply with R309-545 with respect to access openings, venting, and tank overflow. Lids for these spring boxes shall be gasketed and the box adequately vented. Y 89A Overflow screened with #4 mesh screen SIG | 25pts | SO | SS04 | R309-515-7(7)(d), R309-545-13(3) | Overflow pipes on junction and collection boxes shall comply with R309-545 and be screened with No. 4 mesh non-corrodible screens. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 89B Overflow has a minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 14 of 49 90 Drain has minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C 91 Spring collection area graded and no evidence of water ponding or flow on surface? SIG | 25pts | SO | SS06 | R309-515-7(7)(i) | Rule requires the spring to be developed as thoroughly as possible to minimize the possibility of excess water ponding within the collection area. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 92 If a liner is present, spring liner integrity is maintained. SIG | 50pts | SO | SS19 | R309-515-7(7)(b)(iv) | If a liner is present, it shall be installed to assure its integrity. No sharp-edged stones or stones two inches or larger shall be located within two inches of the liner. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 93 No deep-rooted vegetation is within the 50 ft collection area. SIG | 25pts | SO | SS07 | R309-515-7(7)(f) | All deep-rooted vegetation within the fenced collection area shall be removed by a means not negatively affecting water quality. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 94 No roots seen in collection boxes and junctions. SIG | 25pts | SO | SS08 | R309-105-10(4)(a), R309-515-8(1)(a) | Spring collection areas shall be periodically (preferably annually) cleared of deep-rooted vegetation to prevent root growth from clogging collection lines. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 95 Is a spring collection box present? ... if yes, answer the following question(s) MIN | 5pts | SO | L014 | R309-515-7(7)(c) | Rule requires each spring collection area to be provided with at least one collection box to permit spring inspection and testing. Y 95A Spring box has shoe box type lid with 2 inch overlap around frame SIG | 25pts | SO | SS09 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a close-fitting, solid shoebox-type cover that extends down around the frame at least 2 inches. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 95B Spring box lid is gasketed SIG | 25pts | SO | SS10 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a cover 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 15 of 49 95C Spring box lid does not show evidence of a vacuum. MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. C 95D Spring box opening is at least 4 inches above the surface of the box or 18 inches above an earthen cover if the box is buried. MIN | 15pts | SO | SS12 | R309-515-7(7)(d), R309-545-14 (1), | Access openings shall comply with R309-545 and be framed at least 4 inches above the surface of the spring box roof at the opening or 18 inches above the ground surface on a buried spring box. C 95E Spring box lid is locked SIG | 25pts | SO | SS13 | R309-515-7(7)(d), R309-545-14 (3) | Access openings shall comply with R309-545 and the lids to the openings shall be locked. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 95F All openings/penetrations in the spring collection box are sealed. SIG | 50pts | SO | SS20 | R309-515-7(7)(d), R309-545-9(1) and (2) | All junction and collection boxes shall comply with R309-545 and shall have suitable watertight roofs and sidewalls that exclude birds, animals, insects, and excessive dust. All openings shall be kept to a minimum and be watertight. Pipes that may contain water of lesser quality than drinking water shall not penetrate the spring box. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 96 Is a spring box vent present? ... if yes, answer the following question(s) MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. Y 96A Vent is down-turned. SIG | 25pts | SO | SS16 | R309-515-7(7)(d), R309-545-15(1) | All vents on junction and collection boxes shall comply with R309-545 and be downturned 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 16 of 49 WS005 - DELONG #3 SPRING - Active 96B Vent has #14 or finer non-corrodible mesh screen and a protective screen/covering if 6-inch diameter or greater. SIG | 25pts | SO | SS17 | R309-515-7(7)(d), R309-545-15(4) and (5) | All vents on junction and collection boxes shall comply with R309-545 and be fitted with No. 14 or finer non-corrodible mesh screen. Vents 6-inch diameter or larger shall be fitted with additional heavy gage screen or substantial covering to protect the No. 14 mesh screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 96C End of vent has sufficient clearance to prevent ice/snow blockage or is at least 24 inches above the earthen cover SIG | 25pts | SO | SS18 | R309-515-7(7)(d), R309-545-15(2) and (3) | All vents on junction and collection boxes shall comply with R309-545 and shall be located and sized to avoid blockage during winter. The end of a vent on a buried spring box shall discharge a minimum of 24 inches above the ground. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 97 Spring has a permanent flow-measuring device. MIN | 5pts | SO | SS01 | R309-515-7(7)(h) | Rule requires a spring to have a permanent flow measuring device. C 98 Is this facility Active or Inactive? (Active status means used on a routine/seasonal basis without long periods of inactivity and water quality samples are routinely collected)) A 99 Operating Period (Start Date)01/01 100 Operating Period (End Date)12/31 101 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 102 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 103 Surface water runoff diverted away from spring by diversion channel or berm. MIN | 15pts | SO | SS03 | R309-515-7(7)(g) | Rule requires a diversion channel or berm, constructed immediately inside the fenced area, capable of diverting all anticipated surface water runoff away from the spring collection area. C 104 Spring box has a means to release overflow? MIN | 15pts | SO | SS23 | R309-515-7(7)(d), R309-545-13(1) | All junction boxes and collection boxes, must comply with R309-545 with respect to access openings, venting, and tank overflow. Lids for these spring boxes shall be gasketed and the box adequately vented. Y DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 17 of 49 104A Overflow screened with #4 mesh screen SIG | 25pts | SO | SS04 | R309-515-7(7)(d), R309-545-13(3) | Overflow pipes on junction and collection boxes shall comply with R309-545 and be screened with No. 4 mesh non-corrodible screens. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 104B Overflow has a minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C 105 Drain has minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C 106 Spring collection area graded and no evidence of water ponding or flow on surface? SIG | 25pts | SO | SS06 | R309-515-7(7)(i) | Rule requires the spring to be developed as thoroughly as possible to minimize the possibility of excess water ponding within the collection area. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 107 If a liner is present, spring liner integrity is maintained. SIG | 50pts | SO | SS19 | R309-515-7(7)(b)(iv) | If a liner is present, it shall be installed to assure its integrity. No sharp-edged stones or stones two inches or larger shall be located within two inches of the liner. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 108 No deep-rooted vegetation is within the 50 ft collection area. SIG | 25pts | SO | SS07 | R309-515-7(7)(f) | All deep-rooted vegetation within the fenced collection area shall be removed by a means not negatively affecting water quality. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 109 No roots seen in collection boxes and junctions. SIG | 25pts | SO | SS08 | R309-105-10(4)(a), R309-515-8(1)(a) | Spring collection areas shall be periodically (preferably annually) cleared of deep-rooted vegetation to prevent root growth from clogging collection lines. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 110 Is a spring collection box present? ... if yes, answer the following question(s) MIN | 5pts | SO | L014 | R309-515-7(7)(c) | Rule requires each spring collection area to be provided with at least one collection box to permit spring inspection and testing. Y DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 18 of 49 110A Spring box has shoe box type lid with 2 inch overlap around frame SIG | 25pts | SO | SS09 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a close-fitting, solid shoebox-type cover that extends down around the frame at least 2 inches. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 110B Spring box lid is gasketed SIG | 25pts | SO | SS10 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a cover 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 110C Spring box lid does not show evidence of a vacuum. MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. C 110D Spring box opening is at least 4 inches above the surface of the box or 18 inches above an earthen cover if the box is buried. MIN | 15pts | SO | SS12 | R309-515-7(7)(d), R309-545-14 (1), | Access openings shall comply with R309-545 and be framed at least 4 inches above the surface of the spring box roof at the opening or 18 inches above the ground surface on a buried spring box. C 110E Spring box lid is locked SIG | 25pts | SO | SS13 | R309-515-7(7)(d), R309-545-14 (3) | Access openings shall comply with R309-545 and the lids to the openings shall be locked. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 110F All openings/penetrations in the spring collection box are sealed. SIG | 50pts | SO | SS20 | R309-515-7(7)(d), R309-545-9(1) and (2) | All junction and collection boxes shall comply with R309-545 and shall have suitable watertight roofs and sidewalls that exclude birds, animals, insects, and excessive dust. All openings shall be kept to a minimum and be watertight. Pipes that may contain water of lesser quality than drinking water shall not penetrate the spring box. 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 19 of 49 WS006 - DELONG #4 SPRING - Active 111 Is a spring box vent present? ... if yes, answer the following question(s) MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. Y 111A Vent is down-turned. SIG | 25pts | SO | SS16 | R309-515-7(7)(d), R309-545-15(1) | All vents on junction and collection boxes shall comply with R309-545 and be downturned 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 111B Vent has #14 or finer non-corrodible mesh screen and a protective screen/covering if 6-inch diameter or greater. SIG | 25pts | SO | SS17 | R309-515-7(7)(d), R309-545-15(4) and (5) | All vents on junction and collection boxes shall comply with R309-545 and be fitted with No. 14 or finer non-corrodible mesh screen. Vents 6-inch diameter or larger shall be fitted with additional heavy gage screen or substantial covering to protect the No. 14 mesh screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 111C End of vent has sufficient clearance to prevent ice/snow blockage or is at least 24 inches above the earthen cover SIG | 25pts | SO | SS18 | R309-515-7(7)(d), R309-545-15(2) and (3) | All vents on junction and collection boxes shall comply with R309-545 and shall be located and sized to avoid blockage during winter. The end of a vent on a buried spring box shall discharge a minimum of 24 inches above the ground. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 112 Spring has a permanent flow-measuring device. MIN | 5pts | SO | SS01 | R309-515-7(7)(h) | Rule requires a spring to have a permanent flow measuring device. C 113 Is this facility Active or Inactive? (Active status means used on a routine/seasonal basis without long periods of inactivity and water quality samples are routinely collected)) A 114 Operating Period (Start Date)01/01 115 Operating Period (End Date)12/31 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 20 of 49 116 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. C 117 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 118 Surface water runoff diverted away from spring by diversion channel or berm. MIN | 15pts | SO | SS03 | R309-515-7(7)(g) | Rule requires a diversion channel or berm, constructed immediately inside the fenced area, capable of diverting all anticipated surface water runoff away from the spring collection area. C 119 Spring box has a means to release overflow? MIN | 15pts | SO | SS23 | R309-515-7(7)(d), R309-545-13(1) | All junction boxes and collection boxes, must comply with R309-545 with respect to access openings, venting, and tank overflow. Lids for these spring boxes shall be gasketed and the box adequately vented. Y 119A Overflow screened with #4 mesh screen SIG | 25pts | SO | SS04 | R309-515-7(7)(d), R309-545-13(3) | Overflow pipes on junction and collection boxes shall comply with R309-545 and be screened with No. 4 mesh non-corrodible screens. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 119B Overflow has a minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C 120 Drain has minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C 121 Spring collection area graded and no evidence of water ponding or flow on surface? SIG | 25pts | SO | SS06 | R309-515-7(7)(i) | Rule requires the spring to be developed as thoroughly as possible to minimize the possibility of excess water ponding within the collection area. 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 21 of 49 122 If a liner is present, spring liner integrity is maintained. SIG | 50pts | SO | SS19 | R309-515-7(7)(b)(iv) | If a liner is present, it shall be installed to assure its integrity. No sharp-edged stones or stones two inches or larger shall be located within two inches of the liner. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 123 No deep-rooted vegetation is within the 50 ft collection area. SIG | 25pts | SO | SS07 | R309-515-7(7)(f) | All deep-rooted vegetation within the fenced collection area shall be removed by a means not negatively affecting water quality. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 124 No roots seen in collection boxes and junctions. SIG | 25pts | SO | SS08 | R309-105-10(4)(a), R309-515-8(1)(a) | Spring collection areas shall be periodically (preferably annually) cleared of deep-rooted vegetation to prevent root growth from clogging collection lines. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 125 Is a spring collection box present? ... if yes, answer the following question(s) MIN | 5pts | SO | L014 | R309-515-7(7)(c) | Rule requires each spring collection area to be provided with at least one collection box to permit spring inspection and testing. Y 125A Spring box has shoe box type lid with 2 inch overlap around frame SIG | 25pts | SO | SS09 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a close-fitting, solid shoebox-type cover that extends down around the frame at least 2 inches. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 125B Spring box lid is gasketed SIG | 25pts | SO | SS10 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a cover 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 125C Spring box lid does not show evidence of a vacuum. MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. C 125D Spring box opening is at least 4 inches above the surface of the box or 18 inches above an earthen cover if the box is buried. MIN | 15pts | SO | SS12 | R309-515-7(7)(d), R309-545-14 (1), | Access openings shall comply with R309-545 and be framed at least 4 inches above the surface of the spring box roof at the opening or 18 inches above the ground surface on a buried spring box. C DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 22 of 49 125E Spring box lid is locked SIG | 25pts | SO | SS13 | R309-515-7(7)(d), R309-545-14 (3) | Access openings shall comply with R309-545 and the lids to the openings shall be locked. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 125F All openings/penetrations in the spring collection box are sealed. SIG | 50pts | SO | SS20 | R309-515-7(7)(d), R309-545-9(1) and (2) | All junction and collection boxes shall comply with R309-545 and shall have suitable watertight roofs and sidewalls that exclude birds, animals, insects, and excessive dust. All openings shall be kept to a minimum and be watertight. Pipes that may contain water of lesser quality than drinking water shall not penetrate the spring box. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 126 Is a spring box vent present? ... if yes, answer the following question(s) MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. Y 126A Vent is down-turned. SIG | 25pts | SO | SS16 | R309-515-7(7)(d), R309-545-15(1) | All vents on junction and collection boxes shall comply with R309-545 and be downturned 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 126B Vent has #14 or finer non-corrodible mesh screen and a protective screen/covering if 6-inch diameter or greater. SIG | 25pts | SO | SS17 | R309-515-7(7)(d), R309-545-15(4) and (5) | All vents on junction and collection boxes shall comply with R309-545 and be fitted with No. 14 or finer non-corrodible mesh screen. Vents 6-inch diameter or larger shall be fitted with additional heavy gage screen or substantial covering to protect the No. 14 mesh screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 126C End of vent has sufficient clearance to prevent ice/snow blockage or is at least 24 inches above the earthen cover SIG | 25pts | SO | SS18 | R309-515-7(7)(d), R309-545-15(2) and (3) | All vents on junction and collection boxes shall comply with R309-545 and shall be located and sized to avoid blockage during winter. The end of a vent on a buried spring box shall discharge a minimum of 24 inches above the ground. 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 23 of 49 WS007 - DELONG #5 SPRING - Active 127 Spring has a permanent flow-measuring device. MIN | 5pts | SO | SS01 | R309-515-7(7)(h) | Rule requires a spring to have a permanent flow measuring device. C 128 Is this facility Active or Inactive? (Active status means used on a routine/seasonal basis without long periods of inactivity and water quality samples are routinely collected)) A 129 Operating Period (Start Date)01/01 130 Operating Period (End Date)12/31 131 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 132 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 133 Surface water runoff diverted away from spring by diversion channel or berm. MIN | 15pts | SO | SS03 | R309-515-7(7)(g) | Rule requires a diversion channel or berm, constructed immediately inside the fenced area, capable of diverting all anticipated surface water runoff away from the spring collection area. C 134 Spring box has a means to release overflow? MIN | 15pts | SO | SS23 | R309-515-7(7)(d), R309-545-13(1) | All junction boxes and collection boxes, must comply with R309-545 with respect to access openings, venting, and tank overflow. Lids for these spring boxes shall be gasketed and the box adequately vented. Y 134A Overflow screened with #4 mesh screen SIG | 25pts | SO | SS04 | R309-515-7(7)(d), R309-545-13(3) | Overflow pipes on junction and collection boxes shall comply with R309-545 and be screened with No. 4 mesh non-corrodible screens. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 134B Overflow has a minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 24 of 49 135 Drain has minimum of 12 inch clearance above flood rim of receiving basin SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction and collection boxes shall comply with R309-545 and discharge a minimum of 12 inches above the ground surface or 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. C 136 Spring collection area graded and no evidence of water ponding or flow on surface? SIG | 25pts | SO | SS06 | R309-515-7(7)(i) | Rule requires the spring to be developed as thoroughly as possible to minimize the possibility of excess water ponding within the collection area. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 137 If a liner is present, spring liner integrity is maintained. SIG | 50pts | SO | SS19 | R309-515-7(7)(b)(iv) | If a liner is present, it shall be installed to assure its integrity. No sharp-edged stones or stones two inches or larger shall be located within two inches of the liner. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 138 No deep-rooted vegetation is within the 50 ft collection area. SIG | 25pts | SO | SS07 | R309-515-7(7)(f) | All deep-rooted vegetation within the fenced collection area shall be removed by a means not negatively affecting water quality. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 139 No roots seen in collection boxes and junctions. SIG | 25pts | SO | SS08 | R309-105-10(4)(a), R309-515-8(1)(a) | Spring collection areas shall be periodically (preferably annually) cleared of deep-rooted vegetation to prevent root growth from clogging collection lines. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. D (Notes: Roots observed in spring box at Delong Spring #5) 140 Is a spring collection box present? ... if yes, answer the following question(s) MIN | 5pts | SO | L014 | R309-515-7(7)(c) | Rule requires each spring collection area to be provided with at least one collection box to permit spring inspection and testing. Y 140A Spring box has shoe box type lid with 2 inch overlap around frame SIG | 25pts | SO | SS09 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a close-fitting, solid shoebox-type cover that extends down around the frame at least 2 inches. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 140B Spring box lid is gasketed SIG | 25pts | SO | SS10 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall comply with R309-545 and be provided with a cover 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 25 of 49 140C Spring box lid does not show evidence of a vacuum. MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. C 140D Spring box opening is at least 4 inches above the surface of the box or 18 inches above an earthen cover if the box is buried. MIN | 15pts | SO | SS12 | R309-515-7(7)(d), R309-545-14 (1), | Access openings shall comply with R309-545 and be framed at least 4 inches above the surface of the spring box roof at the opening or 18 inches above the ground surface on a buried spring box. C 140E Spring box lid is locked SIG | 25pts | SO | SS13 | R309-515-7(7)(d), R309-545-14 (3) | Access openings shall comply with R309-545 and the lids to the openings shall be locked. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 140F All openings/penetrations in the spring collection box are sealed. SIG | 50pts | SO | SS20 | R309-515-7(7)(d), R309-545-9(1) and (2) | All junction and collection boxes shall comply with R309-545 and shall have suitable watertight roofs and sidewalls that exclude birds, animals, insects, and excessive dust. All openings shall be kept to a minimum and be watertight. Pipes that may contain water of lesser quality than drinking water shall not penetrate the spring box. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 141 Is a spring box vent present? ... if yes, answer the following question(s) MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction boxes and collection boxes to comply with R309-545 with respect to venting. Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering if 6 inches in diameter or greater, be down-turned and shielded to prevent the entrance of contaminants, be located and sized to avoid blockage during winter, and have the end of the vent discharge a minimum of 24 inches above the earth on buried structures. Y 141A Vent is down-turned. SIG | 25pts | SO | SS16 | R309-515-7(7)(d), R309-545-15(1) | All vents on junction and collection boxes shall comply with R309-545 and be downturned 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 26 of 49 WS002 - TOWN WELL - Active 141B Vent has #14 or finer non-corrodible mesh screen and a protective screen/covering if 6-inch diameter or greater. SIG | 25pts | SO | SS17 | R309-515-7(7)(d), R309-545-15(4) and (5) | All vents on junction and collection boxes shall comply with R309-545 and be fitted with No. 14 or finer non-corrodible mesh screen. Vents 6-inch diameter or larger shall be fitted with additional heavy gage screen or substantial covering to protect the No. 14 mesh screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 141C End of vent has sufficient clearance to prevent ice/snow blockage or is at least 24 inches above the earthen cover SIG | 25pts | SO | SS18 | R309-515-7(7)(d), R309-545-15(2) and (3) | All vents on junction and collection boxes shall comply with R309-545 and shall be located and sized to avoid blockage during winter. The end of a vent on a buried spring box shall discharge a minimum of 24 inches above the ground. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 142 Spring has a permanent flow-measuring device. MIN | 5pts | SO | SS01 | R309-515-7(7)(h) | Rule requires a spring to have a permanent flow measuring device. C 143 Is this facility Active or Inactive?A 144 Operating Period (Start Date)01/01 145 Operating Period (Ending Date)12/31 146 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 147 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 148 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 27 of 49 149 Is the well casing vented? ... if yes, answer the following question(s)Y 149A 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 149B 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 149C 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 150 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y 150A 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 150B 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 150C 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 151 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 152 Wellhead secured to protect quality water SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 28 of 49 153 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 154 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 155 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 156 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 157 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 158 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 159 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 160 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 161 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) Y DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 29 of 49 WS008 - WELL #2 - Active 161A Air vacuum relief valve on well discharge piping downturned SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping on an air release/vacuum relief valve on the well discharge piping to be down-turned. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 161B Air vacuum relief valve on well discharge piping screened with #14 mesh screen SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping on an air release/vacuum relief valve on the well discharge piping to be covered with a #14 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 161C Air vacuum relief valve on well discharge piping has at least 6 inches of clearance above floor SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping on an air release/vacuum relief valve on the well discharge piping to be at least 6 inches above the well house floor. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 162 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 163 Does well require oil-lubrication?N 164 Is this facility Active or Inactive?A 165 Operating Period (Start Date)01/01 166 Operating Period (Ending Date)12/31 167 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 30 of 49 168 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 169 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 170 Is the well casing vented? ... if yes, answer the following question(s)Y 170A 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 170B 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 170C 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 171 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y 171A 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 171B 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 31 of 49 171C 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 172 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 173 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 174 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 175 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 176 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 177 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 178 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 32 of 49 ST003 - NORTH TANK - Active 179 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 180 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 181 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 182 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) Y 182A Air vacuum relief valve on well discharge piping downturned SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping on an air release/vacuum relief valve on the well discharge piping to be down-turned. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 182B Air vacuum relief valve on well discharge piping screened with #14 mesh screen SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping on an air release/vacuum relief valve on the well discharge piping to be covered with a #14 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 182C Air vacuum relief valve on well discharge piping has at least 6 inches of clearance above floor SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping on an air release/vacuum relief valve on the well discharge piping to be at least 6 inches above the well house floor. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 183 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 184 Does well require oil-lubrication?N 185 Is this facility Active or Inactive?A 186 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 500000 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 33 of 49 187 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 188 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 189 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 190 Are air vents present? ... if yes, answer the following question(s)Y 190A 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 190B 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 190C 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 190D 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 34 of 49 191 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 191A 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 191B 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 191C 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 192 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 193 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 194 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 195 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 196 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 35 of 49 ST004 - SOUTH TANK - Active 197 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 197A 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 197B 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 197C 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 198 Are the drain line and overflow combined?Y 199 Is this facility Active or Inactive?A 200 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 500000 201 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 202 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 36 of 49 203 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 204 Are air vents present? ... if yes, answer the following question(s)Y 204A 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 204B 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 204C 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 204D 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 205 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 205A 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 205B 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 37 of 49 205C 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 206 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 207 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 208 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 209 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 210 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 211 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 211A 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 211B 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 38 of 49 ST005 - UPPER TANK - Active 211C 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 212 Are the drain line and overflow combined?Y 213 Is this facility Active or Inactive?A 214 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 500000 215 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 216 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 217 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 218 Are air vents present? ... if yes, answer the following question(s)Y 218A 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 218B 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 39 of 49 218C 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 218D 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 219 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 219A 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 219B 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 219C 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 220 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 221 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 40 of 49 TP001 - WELL CHLORINATOR -- Treatment General 222 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 223 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 224 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 225 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 225A 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 225B 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 225C 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 226 Are the drain line and overflow combined?Y 227 Is system required to provide primary disinfection of ground water source?N 228 Is free chlorine residual monitoring conducted using grab samples or online chlorine analyzer? GR 228A If grab sampling, how frequently do you sample?Daily 229 Chlorine residual measured at POE is always above minimum requirement (0.2 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 41 of 49 TP002 - SPRINGS CHLORINATOR -- Treatment General TP001 - WELL CHLORINATOR -- Treatment - Chlorination General - Active 230 Is online chlorine residual analyzer equipment checked for accuracy quarterly? R309- 525-25(4) 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 231 Is system required to provide primary disinfection of ground water source?N 232 Is free chlorine residual monitoring conducted using grab samples or online chlorine analyzer? GR 232A If grab sampling, how frequently do you sample?Daily 233 Chlorine residual measured at POE is always above minimum requirement (0.2 mg/L)? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C 234 Is online chlorine residual analyzer equipment checked for accuracy quarterly? R309- 525-25(4) 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 235 Is this facility Active or Inactive?A 236 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 237 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 238 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 239 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 42 of 49 240 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 241 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 242 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. C 243 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 244 Is chlorine chemical dose rate adjusted due to different water demand flow rates and/or changing water quality? N 245 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 246 POE is before first connection/customer? SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 247 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 247A 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 247B Distribution chlorine residuals meet minimum concentration requirement SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 247C "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 247D 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 247E 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 43 of 49 TP002 - SPRINGS CHLORINATOR -- Treatment - Chlorination General - Active 248 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 249 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. C 250 Is this facility Active or Inactive?A 251 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 252 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 253 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 254 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 255 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 256 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 44 of 49 257 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. C 258 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 259 Is chlorine chemical dose rate adjusted due to different water demand flow rates and/or changing water quality? N 260 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 261 POE is before first connection/customer? SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 262 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 262A 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 262B Distribution chlorine residuals meet minimum concentration requirement SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 262C "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 262D 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 262E 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 263 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 45 of 49 TP001 - WELL CHLORINATOR -- Gaseous Chlorination - Active 264 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. C 265 Is this facility Active or Inactive?A 266 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 267 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 268 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 269 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 270 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 271 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 272 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: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 46 of 49 TP002 - SPRINGS CHLORINATOR -- Gaseous Chlorination - Active 273 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 274 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 275 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 276 Is the chlorine cylinder 150 pounds in capacity? ... if yes, answer the following question(s) Y 276A 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 276B 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 276C 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 277 Is the chlorine cylinder 1 ton in capacity? ... if yes, answer the following question(s)N 278 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 279 Is this facility Active or Inactive?A 280 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 47 of 49 281 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 282 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 283 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 284 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 285 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 286 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 287 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 288 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 289 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 290 Is the chlorine cylinder 150 pounds in capacity? ... if yes, answer the following question(s) Y DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 48 of 49 290A 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 290B 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 290C 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 291 Is the chlorine cylinder 1 ton in capacity? ... if yes, answer the following question(s)N 292 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 DEQ | Drinking Water Run Date: 09/19/2024 15:38:51 | Rating: Approved UTAH09007 PANGUITCH CITY WATER SYSTEM page 49 of 49