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HomeMy WebLinkAboutDDW-2024-012806Utah Department Of Environmental Quality Division Of Drinking Water Sanitary Survey Sanitary Survey General System Information Exception Granted: R309-550-7(1) | The basis for your request for an exception to R309-550-7(1) is that the Smithfield Point development will connect to an existing manhole SSMH1, located in the subdivision immediately south of Smithfield Point. The elevation constraints of this sanitary sewer line require the proposed connecting manhole (SSMH2) to be at a depth of 6.85-feet. If the water sewer separation rule were to be adhered to for this crossing the water line would have insufficient cover, less than 4 feet over the pipe. As designed at station 5+73.59 the sewer will run over the water line with a minimum 18 inches of vertical separation. Site Visit Date Surveyor Name 10/29/2024 Cameron Draney SMITHFIELD CITY PWS ID: UTAH03020 Rating: Approved 03/11/1980 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: JOSHUA DANIEL *Last Name: WRIGHT *Organization: *Address: Redacted *City: SMITHFIELD *State: UT *Zip: 84335 *Email: JWRIGHT@SMITHFIELDCITY.ORG *Phone: 435-563-6226 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: SMITHFIELD *Address: PO BOX 96 *City: SMITHFIELD *State: UT *Zip: 84335 *Email: *Phone: 435-563-6226 Emergency Phone: 435-757-9962 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 1 of 50 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: SMITHFIELD CITY *Address: PO BOX 96 *City: SMITHFIELD *State: UT *Zip: 84335 *Email: *Phone: Emergency Phone: 435-757-9962 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: JOSHUA DANIEL *Last Name: WRIGHT *Organization: *Address: 549 W 200 N *City: SMITHFIELD *State: UT *Zip: 84335 *Email: JWRIGHT@SMITHFIELDCITY.ORG *Phone: 435-563-6226 5 Does the system serve a Residential population?Y 5A Population - Residential 10223 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:4200 10 Commercial Connections:130 11 Industrial Connections:6 12 Agricultural Connections:11 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 2 of 50 Site Visit Info Management and Operations 13 Date of Survey (First Day of Field Work)10/29/2024 14 Date of Survey (Last Day of Field Work) ** this should match the Date of Survey in the header ** 10/29/2024 15 Date final report sent to system (questionnaire, deficiency report and capacity spreadsheet) 10/29/2024 16 Water system representative present during the survey:C 17 How much time was spent to prepare survey documents prior to field survey? (Round up to nearest quarter hour) 2 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) 2 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) .5 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 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 3 of 50 Cross Connection and Operator Certification 26 For a community system serving 100 or more connections, at least 2 water sources are available. SIG | 50pts | SO | TGR7 | R309-515-4(3) | Rule requires Community Water Systems serving more than 100 connections to have a minimum of two sources except where served by a water treatment plant. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 27 Does system have a consecutive connection to another water system not listed in the SOURCE section of Waterlink Report? If yes, answer the following question(s) N 28 Does the system have a deficiency meeting the required source capacity? (USE SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS "NO." Y 28A System lacks up to 20% of required source capacity MIN | 15pts | SO | S091 | R309-510-7(1) | Rule requires a water system's source capacity to legally and physically meet the peak day demand and the average yearly demand. N 28B System lacks more than 20% of required source capacity SIG | 50pts | SO | S094 | R309-510-7(1) | Rule requires a water system's source capacity to legally and physically meet the peak day demand and the average yearly demand. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. 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." Y 29A System lacks required storage capacity due to fire demand MIN | 15pts | FW | VF34 | R309-510-8(1)(b) | Rule requires a public water system to provide equalization storage volume (to meet average day demands for indoor and irrigation water use), fire flow storage volume (if equipped with fire hydrants for fire suppression or required by the local fire code official), and emergency storage (if deemed appropriate by the water system or the Director). Y (Notes: The current draft calculations based on 2021-2023 system data shows a storage deficiency of 477,143 gallons.) 30 Does the system have a deficiency meeting the required equalization storage capacity for indoor/outdoor demands (but not because of fire suppression needs)? (USE SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS "NO." N 31 Does your water system have an Emergency Response Plan? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. Y 31A Does your Emergency Response Plan include cybersecurity? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. Y 31B Does your water system use any computers, laptops, phones, tablets, or any other computer systems to manage, operate, or maintain the PWS (SCADA or Industrial Control Systems)? This includes any water sources, treatment, distribution or any process related to operation function Y 31C Does your water system use any computer systems in regular business operations such as accounting, billing, payroll, human resources, or management? Y DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 4 of 50 General Maintenance and Environment 32 Legally adopted authority statement MIN | 15pts | SM | M003 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes a legally adopted and functional local authority to enforce the program (i.e., ordinance, bylaw, or policy). C 33 Documentation of annual public awareness and/or employee training MIN | 15pts | SM | M004 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes providing public education or awareness material or presentations. C 34 Documentation of personnel trained to manage the program (COMMUNITY WATER SYSTEMS POPULATION 500 AND ABOVE REQUIRE A DDW CERTIFIED CCC PROGRAM ADMINISTRATOR. ALL OTHER WATER SYSTEMS REQUIRE AT A MINIMUM BACKFLOW 101 OR EQUIVALENT/ GREATER CCC TRAINING) MIN | 15pts | SM | M005 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes an operator with adequate training in the area of cross connection control or backflow prevention. C 35 Does the water system have detailed records of cross connection control activities? (inventories of backflow assemblies, devices, and air gaps installed within the system) MIN | 15pts | SM | M006 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes written records of cross connection control activities. C 36 Does the water system have records of on-going enforcement activities? (test history, enforcement activities, hazard assessments) MIN | 15pts | SM | M007 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes test history and documentation of on-going enforcement activities. C 37 Operator meets required level of certification for water system. ( IF NO CERTIFIED OPERATOR IS REQUIRED MARK COMPLIANT ) SIG | 50pts | OC | C001 | R309-105-11, R309-300-5(3) | Rule requires every community and NTNC water system and public water systems that utilize treatment/filtration to have at least one operator certified at the classified grade of the water system. Certification must be appropriate for the type of system operated (treatment and/or distribution). This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 38 Certified operator is within 1 hour travel time of water system. ( IF NO CERTIFIED OPERATOR IS REQUIRED MARK COMPLIANT ) MIN | 0pts | OC | C002 | R309-300-5(14) | Rule requires the operator to be within 1 hour travel time, under normal work and home conditions, of each drinking water system for which he is considered in direct responsible charge. C DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 5 of 50 Distribution 39 Are there any visual indications of unsanitary conditions? SIG | 50pts | SM | M017 | R309-200-6, R309-105-18, R309-215-4(3) | R309-200-6 The Secondary Maximum Contaminant Levels for public water systems deals with substances which affect the aesthetic quality of drinking water. They are presented here as recommended limits or ranges and are not grounds for rejection. The taste of water may be unpleasant and the usefulness of the water may be impaired if these standards are significantly exceeded. R309-105-18 The Director or the local health department shall be informed by telephone by a water supplier of any "emergency situation". The term "emergency situation... R309-215-4(3) If the water fails to meet minimum standards, then certain public notification procedures shall be carried out, as outlined in R309-220. Water suppliers shall also keep analytical records in their possession, for a required length of time, as outlined in R309-105-17. C 40 No unprotected connection between the distribution system and a source of contamination. (If there is an unprotected connection, describe the location in detail.) SIG | 50pts | DS | D009 | R309-550-5(11) | R309-550-5(11) C 41 Are air release/vacuum valves in the distribution system? ... if yes, answer the following question(s) Y 41A Open end of vent line covered with #14 mesh screen SIG | 25pts | DS | D004 | R309-550-6(6)(b) | Rule states the open end of the air relief vent pipe from automatic valves shall be provided with a #14 mesh, non-corrodible screen and a downward elbow, and where possible, be extended to at least one foot above grade. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 41B For a valve in a chamber, open end of vent pipe is at least 12 inches above grade or one foot above distribution line in a chamber that does not flood. SIG | 25pts | DS | D006 | R309-550-6(6)(b) | Rule states the open end of the air relief vent pipe from automatic valves shall be provided with a #14 mesh, non-corrodible screen and a downward elbow, and where possible, be extended to at least one foot above grade. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 41C Chamber has drain to daylight, gravel-filled adsorption pit if not subject to flooding, or sump pump. SIG | 25pts | DS | D007 | R309-550-6(6)(b) and (7)(b) | Rule states chambers shall be provided with a drain to daylight, if possible. Where this is not possible, underground gravel-filled absorption pits may be used if the site is not subject to flooding and conditions will assure adequate drainage. Sump pumps may also be considered if a drain to daylight or absorption pit is not feasible. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 6 of 50 General Disinfection 41D Open end of vent line down-turned. SIG | 25pts | DS | D006 | R309-550-6(6)(b) | Rule states the open end of the air relief vent pipe from automatic valves shall be provided with a #14 mesh, non-corrodible screen and a downward elbow, and where possible, be extended to at least one foot above grade. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 42 Water system has a program to maintain, operate, or control the use of fire hydrants. REC | 0pts | DS | D012 | N/A | Fire hydrants provide a direct access to the water in the distribution system. In order to protect the quality and integrity of the water, fire hydrant access should be controlled. C 43 Blow offs or air release valves are not directly connected to a sanitary sewer line. SIG | 50pts | DS | D013 | R309-550-6(5)(a), R309-550-6(6)(c) and (7)(a) | Rule states blow-offs or air relief valves shall not be connected directly to a sewer. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 44 Blow offs or air release valves do not discharge below flood level in ditches or streams. SIG | 50pts | DS | D016 | R309-550-9(1) and (2), R309-550-13(2) | R309-550-9(1 & 3) C 45 All water mains installed after 1995 that provide fire flow are at least 8 inches in diameter. MIN | 15pts | DS | D019 | R309-550-5(4) & (5) | Rule states that the minimum line size serving a fire hydrant lateral shall be 8-inch diameter unless a hydraulic analysis indicates that required flow and pressures can be maintained by 6-inch lines. C 46 Distribution system capable of providing minimum pressure of 20 psi at all service connections. SIG | 50pts | DS | D003 | R309-105-9, R309-550-5(1) | Rule states the distribution system shall maintain minimum pressures as required by R309-105-9 at all points of connection under all flow conditions. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 47 Was the water system constructed or new portions added after January 1, 2007? ... if yes, answer the following question(s) Y 47A Distribution system capable of maintaining the following pressures at all service connections: (a) 20 psi during fire flow and fire demand during peak day demand; (b) 30 psi during peak instantaneous demand; and (c) 40 psi during peak day demand. SIG | 50pts | DS | D010 | R309-105-9, R309-550-5(1) | Rule states that unless otherwise specifically approved by the Director, public water systems constructed after January 1, 2007, shall be designed and shall meet the following minimum water pressures at points of connection: (a) 20 psi during conditions of fire flow and fire demand experienced during peak day demand; (b) 30 psi during peak instantaneous demand; and (c) 40 psi during peak day demand. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 7 of 50 WS006 - CENTRAL PARK WELL - Proposed Source Exception Granted: R306-600-13 | Based on the delineated DWSP zones, sewer lines, which are not constructed in accordance with R309-515- 6(4), exist throughout DWSP Zone Two for the Central Park Well (WS006). TP006 - CENTRAL PARK CHLORINATOR - Proposed WS001 - SMITHFIELD CANYON SPRINGS (8) - Active 48 Water system follows AWWA disinfection procedures for new, repaired, or seasonal water mains and tanks. SIG | 25pts | MR | D018 | R309-550-8(10) | All new and repaired water mains and appurtenances shall be disinfected in accordance with AWWA Standard C651. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 49 How often do you periodically disinfect any or all parts of your water system (i.e. batch disinfection) other than for repairs or maintenance? SIG | 50pts | SM | G006 | R309-105-6(1)(a), R309-500-6 | R309-105-6(1) Approval of Engineering Plans and Specifications R309-500-6 Plan Approval Procedure. C 50 Is this source in operation without an Operating Permit? 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. N 50A When is the anticipated date to request an Operating Permit? Explain in comments...In process. 51 Is this facility in operation without an Operating Permit? 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. N 51A When is the anticipated date to request an Operating Permit? Explain in comments...In process. 52 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 53 Operating Period (Start Date)01/01 54 Operating Period (End Date)12/31 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 8 of 50 55 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 56 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 57 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 58 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 58A 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 58B 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 59 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 60 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 9 of 50 61 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 62 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 63 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 64 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 64A 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 64B 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 64C 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 64D 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 10 of 50 64E 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 64F 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 65 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 65A 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 65B 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 65C 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 11 of 50 WS002 - MILES SPRING - Active 66 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 67 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 68 Operating Period (Start Date)01/01 69 Operating Period (End Date)12/31 70 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 71 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 72 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 73 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 73A 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 73B 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 12 of 50 74 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 75 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 76 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 77 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 78 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 79 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 79A 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 79B 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 13 of 50 79C 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 79D 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 79E 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 79F 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 80 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 80A 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 14 of 50 WS003 - PETERSEN SPRING - Active 80B 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 80C 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 81 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 82 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 83 Operating Period (Start Date)01/01 84 Operating Period (End Date)12/31 85 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 86 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 87 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 88 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 15 of 50 88A 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 88B 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 89 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 90 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 91 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 92 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 93 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 94 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 16 of 50 94A 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 94B 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 94C 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 94D 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 94E 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 94F 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 17 of 50 WS004 - FORRESTER ACRES WELL - Active 95 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 95A 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 95B 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 95C 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 96 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 97 Is this facility Active or Inactive?A 98 Operating Period (Start Date)05/01 99 Operating Period (Ending Date)10/31 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 18 of 50 100 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 101 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 102 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 103 Is the well casing vented? ... if yes, answer the following question(s)N 104 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y 104A 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 104B 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 104C 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 105 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 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 19 of 50 106 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 107 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 108 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 109 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 110 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 111 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 112 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 113 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 114 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 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 20 of 50 WS005 - BIRCH WELL - Active 115 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) Y 115A 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 115B 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 115C 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 116 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 117 Does well require oil-lubrication?Y 117A Well shaft lubricants ANSI/NSF 60 certified SIG | 25pts | SO | S031 | R309-105-10(7), R309-515-6(6)(a) | Rules require all oil- lubricated pumps for drinking water wells to utilize food-grade mineral oil suitable for human consumption as determined by the Director. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. <a href="https://www.youtube.com/watch?v=UABQMeeUz1g">Click here for addition training</a> C 118 Is this facility Active or Inactive?A 119 Operating Period (Start Date)01/01 120 Operating Period (Ending Date)12/31 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 21 of 50 121 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 122 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 123 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 124 Is the well casing vented? ... if yes, answer the following question(s)N 125 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y 125A 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 125B 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 125C 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 126 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 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 22 of 50 127 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 128 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 129 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 130 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 131 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 132 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 133 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 134 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 135 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 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 23 of 50 ST001 - SMITHFIELD CANYON 1 MG (UPPER) TANK - Active 136 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) Y 136A 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 136B 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 136C 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 137 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 138 Does well require oil-lubrication?Y 138A Well shaft lubricants ANSI/NSF 60 certified SIG | 25pts | SO | S031 | R309-105-10(7), R309-515-6(6)(a) | Rules require all oil- lubricated pumps for drinking water wells to utilize food-grade mineral oil suitable for human consumption as determined by the Director. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. <a href="https://www.youtube.com/watch?v=UABQMeeUz1g">Click here for addition training</a> C 139 Is this facility Active or Inactive?A 140 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 1000000 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 24 of 50 141 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 142 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 143 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 144 Are air vents present? ... if yes, answer the following question(s)Y 144A 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 144B 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 144C 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 144D 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 25 of 50 145 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 145A 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 145B 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 145C 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 146 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 147 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 148 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 149 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 150 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 26 of 50 ST002 - PARSONS TANK 1MG - Active 151 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 151A 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 151B 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 151C 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 152 Are the drain line and overflow combined?Y 153 Is this facility Active or Inactive?A 154 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 1000000 155 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 156 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 27 of 50 157 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 158 Are air vents present? ... if yes, answer the following question(s)Y 158A 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 158B 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 158C 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 158D 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 159 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 159A 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 159B 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 28 of 50 159C 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 160 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 161 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 162 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 163 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 164 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 165 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 165A 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 165B 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 29 of 50 ST003 - 1/2 MG TANK INTERTIED TO ST002 (LOWER) - Active 165C 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 166 Are the drain line and overflow combined?Y 167 Is this facility Active or Inactive?A 168 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 500000 169 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 170 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 171 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 172 Are air vents present? ... if yes, answer the following question(s)Y 172A 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 172B 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 30 of 50 172C 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 172D 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 173 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 173A 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 173B 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 173C 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 174 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 175 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 31 of 50 ST004 - DRY CANYON RESERVOIR 1.5 MG - Active 176 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 177 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 178 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 179 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 179A 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 179B 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 179C 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 180 Are the drain line and overflow combined?Y 181 Is this facility Active or Inactive?A 182 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 1500000 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 32 of 50 183 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 184 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 185 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 186 Are air vents present? ... if yes, answer the following question(s)Y 186A 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 186B 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 186C 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 186D 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 33 of 50 187 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 187A 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 187B 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 187C 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 188 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 189 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 190 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 191 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 192 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 34 of 50 PF001 - DRY CANYON BOOSTER STATION -- Pump Stations - Active 193 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 193A 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 193B 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 193C 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 194 Are the drain line and overflow combined?Y 195 Is this facility Active or Inactive?A 196 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 197 Pump Type (Centrifugal, Hand pump, Jet, Positive Displacement, Screw, Submersible, Vertical turbine) Centrifugal 198 If the pump station is used to pressurize the distribution system, does it have at least two functioning pumping units? ... if yes, answer the following question(s) SIG | 25pts | PU | PS18 | R309-540-5(4)(b) | Rule states inline booster pumps, withdrawing water directly from distribution lines without storage and feeding water directly into distribution lines, shall have at least two pumping units. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. Y DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 35 of 50 TP001 - SMITHFIELD CANYON CHLORINATOR -- Treatment - Chlorination General - Active 198A Demand is met by remaining pump(s) when largest pumping unit out of service SIG | 25pts | PU | PS19 | R309-540-3(a) | Inline booster pumps shall have at least two pumping units (such that with any one pump out of service, the remaining pump or pumps shall be capable of providing the peak day demand of the specific portion of the system serviced). This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 199 Pump station building and equipment are protected from flooding. MIN | 15pts | PU | PS13 | R309-540-5(1)(a)(ii), R309-540-5(2)(a)(iii) | Pump station access shall be 6" above surrounding ground and located at least 3’ above 100-year flood elevation or highest recorded flood elevation; station is accessible at all times unless it can be taken out of service when inaccessible. C 200 There are no unprotected cross-connections in the pump station. SIG | 50pts | PU | PS15 | R309-105-12(1) | Cross connections are not allowed unless controlled by an approved and properly operating backflow prevention assembly or device. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 201 Discharge piping has a pressure gauge. MIN | 15pts | PU | PS03 | R309-540-5 (6)(c)(i) | Rule requires that a standard pressure gauge be installed on the pump discharge line. C 202 Does the pumping facility have an air relief valve located on the discharge piping? ... if yes, answer the following question(s) N 203 Pump station properly secured MIN | 15pts | PU | PS33 | R309-540-5(1)(a)(v) | The pump station is protected to prevent vandalism and entrance by animals or unauthorized persons. C 204 Is this facility Active or Inactive?A 205 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 206 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 207 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60. SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to drinking water, including chlorine, chloramines and chemicals used to generate hypochlorite solutions and chlorine dioxide, shall be certified as complying with ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 36 of 50 208 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 209 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 210 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 211 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 212 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 213 Is chlorine chemical dose rate adjusted due to different water demand flow rates and/or changing water quality? Y 213A If yes, which water flow rate is used? e.g. influent flow, effluent flow, filter flow.influent 214 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 215 POE is before first connection/customer? SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 216 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 216A 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 216B Distribution chlorine residuals meet minimum concentration requirement SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 216C "What is the maximum free chlorine residual measure? This value never exceeds 4.0 mg/L? " MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 37 of 50 TP002 - FORRESTER ACRES CHLORINATOR -- Treatment - Chlorination General - Active 216D 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 216E 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 217 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 218 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 219 Is this facility Active or Inactive?A 220 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 221 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 222 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 223 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 38 of 50 224 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 225 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 226 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 227 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 228 Is chlorine chemical dose rate adjusted due to different water demand flow rates and/or changing water quality? Y 228A If yes, which water flow rate is used? e.g. influent flow, effluent flow, filter flow.Effluent 229 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 230 POE is before first connection/customer? SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 231 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 231A 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 231B Distribution chlorine residuals meet minimum concentration requirement SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 231C "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 231D System collects at least three distribution chlorine residual samples a week? MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. C DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 39 of 50 TP003 - PETERSEN SPRING CHLORINATOR -- Treatment - Chlorination General - Active 231E 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 232 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 233 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 234 Is this facility Active or Inactive?A 235 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 236 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 237 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 238 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 239 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 DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 40 of 50 240 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 241 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 242 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 243 Is chlorine chemical dose rate adjusted due to different water demand flow rates and/or changing water quality? Y 243A If yes, which water flow rate is used? e.g. influent flow, effluent flow, filter flow.effluent 244 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 245 POE is before first connection/customer? SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 246 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 246A 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 246B Distribution chlorine residuals meet minimum concentration requirement SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 246C "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 246D 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 246E 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 41 of 50 TP005 - BIRCH WELL CHLORINATOR -- Treatment - Chlorination General - Active 247 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 248 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 249 Is this facility Active or Inactive?A 250 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 251 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 252 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 253 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 254 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 255 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 42 of 50 256 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 257 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 258 Is chlorine chemical dose rate adjusted due to different water demand flow rates and/or changing water quality? Y 258A If yes, which water flow rate is used? e.g. influent flow, effluent flow, filter flow.effluent 259 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 260 POE is before first connection/customer? SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 261 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 261A 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 261B Distribution chlorine residuals meet minimum concentration requirement SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 261C "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 261D 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 261E 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 262 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 43 of 50 TP001 - SMITHFIELD CANYON CHLORINATOR -- Gaseous Chlorination - Active 263 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 264 Is this facility Active or Inactive?A 265 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 266 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 267 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 268 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 269 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 270 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 271 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 44 of 50 TP003 - PETERSEN SPRING CHLORINATOR -- Gaseous Chlorination - Active 272 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 273 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 274 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 275 Is the chlorine cylinder 150 pounds in capacity? ... if yes, answer the following question(s) Y 275A 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 275B 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 275C 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 (Notes: Recommended to have an SOP to have efficient access to SCBA equipment.) 276 Is the chlorine cylinder 1 ton in capacity? ... if yes, answer the following question(s)N 277 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 278 Is this facility Active or Inactive?A 279 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: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 45 of 50 280 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 281 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 282 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 283 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 284 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 285 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 286 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 287 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 288 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 289 Is the chlorine cylinder 150 pounds in capacity? ... if yes, answer the following question(s) Y DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 46 of 50 TP005 - BIRCH WELL CHLORINATOR -- Gaseous Chlorination - Active 289A 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 289B 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 289C 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 290 Is the chlorine cylinder 1 ton in capacity? ... if yes, answer the following question(s)N 291 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 292 Is this facility Active or Inactive?A 293 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 294 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 295 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 296 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 297 Air inlets are located near the ceiling and fitted with louvers. MIN | 15pts | TR | TD10 | R309-520-7(2)(d)(iv) | Rule requires chlorine room air inlets to be through wall louvers near the ceiling. C DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 47 of 50 298 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 299 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 300 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 301 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 302 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 303 Is the chlorine cylinder 150 pounds in capacity? ... if yes, answer the following question(s) Y 303A 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 303B 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 303C 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 304 Is the chlorine cylinder 1 ton in capacity? ... if yes, answer the following question(s)N DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 48 of 50 TP002 - FORRESTER ACRES CHLORINATOR -- Tablet Hypochlorination - Active 305 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 306 Is this facility Active or Inactive?A 307 Hypochlorite dissolution equipment is certified to meet ANSI/NSF 61 SIG | 25pts | DS | D001 | R309-550-6(1) & R309-550-6(3) | Rule states all materials that may contact drinking water, including pipes, gaskets, lubricants and O-rings shall be ANSI-certified as meeting the requirements of NSF Standard 61. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 308 Hypochlorite tablets are stored in cool, dry and well ventilated area MIN | 5pts | TR | TD72 | R309-520-7(3)(d)(iii) | Rule requires hypochlorite tablets to be stored in accordance with manufacturer's safety guidelines and in their original containers is a coll, dry, well-ventilated area. C 309 Hypochlorite tablets are stored away from acid or combustible materials SIG | 25pts | TR | TD73 | R309-520-7(3)(d)(iii) | Rule prohibits storage of hypochlorite tablets near combustible materials or acids. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 310 Solution tank is covered to minimize corrosive vapors MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept covered. C 311 Where concentrated hypochlorite solutions (5% or greater) are handled in containers LARGER than 55 gallons: emergency eyewash station and a safety shower present SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used at remote locations or in quantities of 55 gallons or less on site, safety showers are not required and alternative emergency eyewash may be provided. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 312 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or LESS: some method of emergency eyewash provided (a full eyewash station and shower is not required) SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used at remote locations or in quantities of 55 gallons or less on site, safety showers are not required and alternative emergency eyewash may be provided. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 313 Hypochlorite solution storage area is protected from excessive heat and direct sunlight MIN | 5pts | TR | TD67 | R309-520-7(3)(a)(ii) | States Storage and injection areas shall be designed to minimize the decay in strength of concentrated hypochlorite solutions from excessive heat or direct sunlight. C DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 49 of 50 314 Records are kept to minimize the use of decayed hypochlorite solution MIN | 5pts | TR | TD68 | R309-520-7(3)(b) | Rule requires the water system to provide an operational means, such as keeping records of the delivery date of the hypochlorite solution, to avoid the injection of significantly decayed hypochlorite solutions. C DEQ | Drinking Water Run Date: 10/29/2024 16:49:30 | Rating: Approved UTAH03020 SMITHFIELD CITY page 50 of 50