DERR-2024-010998

State Use Only
Permit Required?
Permit # _____________________
Base Fee $ __500
Inspection Fee* $200 x ___ $_ ___
PST Install Fee $200 x ___ $_ ___
Total $__ ___
Date Approved & Paid ___________
*Applies in non-LHD contract areas
Utah DEQ Underground Storage Tank
Installation Notification Form
www.undergroundtanks.utah.gov
Facility ID 1000723    New UST Install Upgrade/Repair
Installation Company: Csesco, Inc.
Contact Name: Luke Kelso Phone: [phone]
Address: 830 West Northpointe Circle, North Salt Lake, Utah 84054
Certified Installers/Technicians on project
Name Luke A. Kelso Cert. # TL 0416 Exp. Date February 1, 2026
Name      Cert. # TL     Exp. Date      
Name Zane Christensen Cert. # TL0456 Exp. Date February 1, 2026
Tank Owner: LEE'S ROUNDUP NO 1 OF LEHI   
Address: 1531 NORTH STATE - LEHI, UT 84043    
Contact Name: Danny Phone# [phone]
Facility Name: LEE'S ROUNDUP NO 1 OF LEHI   
Facility Address: 1531 NORTH STATE - LEHI, UT 84043     
Installation / Upgrade /Repair Information Est. Date work will commence: 9/19/2024
Tank #2 1           
Capacity 12,000 8,000           
Tank Material FRP FRP             
Piping Material Flexible DW FLEXIBLE DW              
Substance stored Unleaded PREMIUM     
Check if upgrade or repair only. (Describe details below)
Describe Details of Install/Upgrade/Repair in the box below (Submit a drawing/site map of work to be done)
DEMO OF PORTION OF EXISTING CONCRETE AROUND EACH SPILL BUCKET UNLEADED AND PREMIUM REMOVE
EXISTING AND INSTALL 2 NEW FRANKLIN SPILLBUCKETS PERFORM VACUM TEST VERIFY NEW BUCKETS PASS
BACKFILL AND POUR BACK CONCRETE, INSTALL NEW DROP TUBES WITH NO OVER FILL PROTECTION NOW USE
OVERFILL ALARM AS THE FORM OF OVERFILL PROTECTION. 
Mail completed form to:
DEQ/DERR
Box 144840
Salt Lake City, Utah 84114-4840
195 N. 1950 W. 1st Floor
Salt Lake City, Utah
Phone [phone]
Fax [phone]
Ver. 8/1/2016