DERR-2024-011795

Utah DEQ Underground Storage Tank
Installation Notification Form
www.undergroundtanks.utah.gov
Facility ID 5000018 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

Tank Owner: RESORT RETAILERS
Address: PO BOX 681030 PARK CITY, UT
Contact Name: MICHAEL Phone# [phone]
Facility Name: RESORT RETAILERS #53619
Facility Address: 2956 S. HWY 163 MEXICAN HAT, UT

Installation / Upgrade /Repair Information Est. Date work will commence: 10/24/24
Tank # 1 2 3
Capacity 9,728 7,829 7,829
Tank Material FRP FRP FRP
Piping Material Flexible DW FLEXIBLE DW FLEXIBLE DW
Substance stored Unleaded PREMIUM DIESEL
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 ALL SPILL BUCKETS REMOVE EXISTING AND INSTALL 3 NEW
OPW SINGLEWALL SPILLBUCKET PERFORM HYDRO TEST VERIFY NEW BUCKET PASS BACKFILL AND POUR BACK
CONCRETE, INSTALL NEW DROP TUBE 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
State Use Only
Permit Required?
Permit # _____________________
Base Fee $ __500
Inspection Fee* $200 x ___ $_ ___
PST Install Fee $200 x ___ $_ ___
Total $__ ___
Date Approved & Paid ___________
*Applies in non-LHD contract areas
Certified Installers/Technicians on project
Name Luke A. Kelso Cert. # TL 0416 Exp. Date February 1, 2026
Name Cert. # TL Exp. Date
Name Zane Christensen Cert. # TL0456 Exp. Date February 1, 2026