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HomeMy WebLinkAboutDDW-2024-013014Utah Department Of Environmental Quality Division Of Drinking Water Sanitary Survey Sanitary Survey General System Information Exception Granted: R309-550-5(4) Minimum Water Main Size | On August 3, 2015, the Division of Drinking Water (the Division) received your request for an exception to Rule R309-550-5(4), Minimum Water Main Size. This rule specifically states that “for water mains not connected to fire hydrants, the minimum line size shall be 4 inches in diameter”. The basis for your request for an exception to R309-550-5(4) is that this community water system consists of seven houses and an office, which do not require a large flow through their pipes to meet demands. After modeling the system, it was determine that in some areas, it is more appropriate to install 3-inch lines rather than the required 4-inch lines so that velocities are enough to scour the pipes. Modeled velocities in the new 3-inch lines are about 1.4 feet per second and in existing 3-inch lines are 2.2 feet per second or less during peak day demands. All pipeline sizing is based on hydraulic modeling. On this basis, an exception to R309-550-5(4), Minimum Water Main Size, is hereby granted to allow 3-inch waterlines in the distribution system (DS001). Site Visit Date Surveyor Name 09/26/2024 Ben Harker DESERET LAND AND LIVESTOCK PWS ID: UTAH17016 Rating: Approved 12/15/2016 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: MIKE *Last Name: MEEK *Organization: *Address: Redacted *City: WOODRUFF *State: UT *Zip: 84086 *Email: msmeek@deseretranches.com *Phone: 435-793-4288 DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 1 of 16 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: DESERET LAND & LIVESTOCK *Address: BOX 250 *City: WOODRUFF *State: UT *Zip: 84086 *Email: *Phone: 435-793-4288 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: FARMLAND RESERVE, INC *Address: Box 250 *City: Woodruff *State: UT *Zip: 84086 *Email: NoeMail@utah.gov *Phone: 435-793-4288 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: ROBERT SCOTT *Last Name: FERGUSON *Organization: *Address: 350 W Canyon *City: RANDOLPH *State: UT *Zip: 84064 *Email: WYOFERG@GMAIL.COM *Phone: 435-793-3185 Emergency Phone: 435-720-0104 5 Does the system serve a Residential population?Y 5A Population - Residential 12 5B Operating Period (Start Date) - Residential 01/01 5C Operating Period (End Date) - Residential 12/31 DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 2 of 16 Site Visit Info Management and Operations 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.) Y 6A Population - Transient 3 6B Operating Period (Start Date) - Transient 01/01 6C Operating Period (End Date) - Transient 12/31 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.) Y 7A Population - Non-Transient 5 7B Operating Period (Start Date) - Non-Transient 01/01 7C Operating Period (End Date) - Non-Transient 12/31 8 Population - Wholesale :0 9 Residential Connections:8 10 Commercial Connections:1 11 Industrial Connections:0 12 Agricultural Connections:0 13 Date of Survey (First Day of Field Work)09/26/2024 14 Date of Survey (Last Day of Field Work) ** this should match the Date of Survey in the header ** 09/26/2024 15 Date final report sent to system (questionnaire, deficiency report and capacity spreadsheet) 10/25/2024 16 Water system representative present during the survey:Mike Meek 17 How much time was spent to prepare survey documents prior to field survey? (Round up to nearest quarter hour) 1 hour 18 How much time was spent to complete the field survey (arrival to completion; include travel time between water system facilities)? (Round up to nearest quarter hour) 1.75 hours 19 How much time was spent traveling from the office to system and back again at the end of the field survey? (Round up to nearest quarter hour) 2.75 hours 20 How much time did it take to finish the Survey Report? (Round up to nearest quarter hour) 1.5 hours 21 Did you survey multiple water systems in one trip? ... if yes, answer the following question(s) Y 21A If yes, how many?2 (Notes: Also performed the Sanitary Survey for Randolph (UTAH17005).) DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 3 of 16 22 For a community water system with water sources that require power to produce sufficient flow, system is equipped with standby power option. SIG | 25pts | SO | S033 | R309-515-6(2)(a) | Rule requires a community water system without naturally flowing water sources, such as springs or flowing wells, to have one or more of the system's sources equipped for operation during power outages. To ensure continuous service when the primary power has been interrupted, a redundant power supply is required. A redundant power supply may include a transfer switch for auxiliary power such as a generator or a power supply service with coverage from two independent substations. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 23 There are no undocumented drinking water facilities (i.e. tanks, pump stations, treatment facilities, etc.) or recent modifications that have not gone through or in process of DDW review [LIST UNDOCUMENTED FACILITIES OR DESCRIBE MODIFICATIONS, IF APPLICABLE] [undocumented sources are covered in a different question] SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2) and (3) | Rule requires complete plans & specification for all public drinking water projects to be approved in writing by the Director. Any facility found that has not started DDW review shall be considered unapproved. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 24 Are there any individual home booster pumps installed in the distribution system (not for fire suppression)? SIG | 50pts | SM | M008 | R309-550-11(3) | R309-550-11(3) C 25 Does the system haul water?N 26 For a community system serving 100 or more connections, at least 2 water sources are available. SIG | 50pts | SO | TGR7 | R309-515-4(3) | Rule requires Community Water Systems serving more than 100 connections to have a minimum of two sources except where served by a water treatment plant. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. NA (Notes: Not 100 or more connections.) 27 Does system have a consecutive connection to another water system not listed in the SOURCE section of Waterlink Report? If yes, answer the following question(s) N 28 Does the system have a deficiency meeting the required source capacity? (USE SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS "NO." N 29 Does the system have a deficiency meeting the required storage capacity DUE SOLELY TO FIRE SUPPRESSION NEEDS? (USE SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS "NO." N 30 Does the system have a deficiency meeting the required equalization storage capacity for indoor/outdoor demands (but not because of fire suppression needs)? (USE SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS "NO." N 31 Does your water system have an Emergency Response Plan? REC | 0pts | SM | M001 | R309-105-18 | All suppliers are advised to develop contingency plans to cope with possible emergency situations. In many areas of the state the possibility of earthquake damage shall be realistically considered. Y DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 4 of 16 Cross Connection and Operator Certification 32 Does your Emergency Response Plan address cybersecurity? (required for systems over 3,300 population) MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for regulatory followup to address concerns. NA (Notes: not over 3300 people) 33 Does your water system use any computers, laptops, phones, tablets, or any other computer systems to manage, operate, or maintain the PWS (SCADA or Industrial Control Systems)? This includes any water sources, treatment, distribution or any process related to operation function N 34 Does your water system use any computer systems in regular business operations such as accounting, billing, payroll, human resources, or management? Y 35 Legally adopted authority statement MIN | 15pts | SM | M003 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes a legally adopted and functional local authority to enforce the program (i.e., ordinance, bylaw, or policy). C (Notes: This was shown on-site and remediation will be reflected on a corresponding IPS Deficiency Correction Notice that will be submitted immediately after the Sanitary Survey.) 36 Documentation of annual public awareness and/or employee training MIN | 15pts | SM | M004 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes providing public education or awareness material or presentations. C 37 Documentation of personnel trained to manage the program (ALL COMUNITY WATER SYSTEMS REQUIRE A DDW CERTIFIED CCC PROGRAM ADMINISTRATOR. ALL OTHER WATER SYSTEMS REQUIRE AT A MINIMUM BACKFLOW 101 OR EQUIVALENT/ GREATER CCC TRAINING) MIN | 15pts | SM | M005 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes an operator with adequate training in the area of cross connection control or backflow prevention. D (Notes: The system was unable to provide proof of a CCC Program Administrator. They may have one in place very soon, at which point we'll get this Deficiency back into compliance with an IPS Deficiency Correction Notice.) 38 Does the water system have detailed records of cross connection control activities? (inventories of backflow assemblies, devices, and air gaps installed within the system) MIN | 15pts | SM | M006 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes written records of cross connection control activities. C (Notes: This was shown on-site and remediation will be reflected on a corresponding IPS Deficiency Correction Notice that will be submitted immediately after the Sanitary Survey.) 39 Does the water system have records of on-going enforcement activities? (test history, enforcement activities, hazard assessments) MIN | 15pts | SM | M007 | R309-105-12(2) | Rule requires each public water system to have a cross connection control program that includes test history and documentation of on-going enforcement activities. D (Notes: Due to not having a CCC Program Administrator, this question also has to be marked deficient. Once a CCC Program Administrator is established, this deficiency can also be marked back into compliance with an IPS Deficiency Correction Notice.) 40 Operator meets required level of certification for water system. ( IF NO CERTIFIED OPERATOR IS REQUIRED MARK COMPLIANT ) SIG | 50pts | OC | C001 | R309-105-11, R309-300-5(3) | Rule requires every community and NTNC water system and public water systems that utilize treatment/filtration to have at least one operator certified at the classified grade of the water system. Certification must be appropriate for the type of system operated (treatment and/or distribution). This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 5 of 16 General Maintenance and Environment Distribution 41 Certified operator is within 1 hour travel time of water system. ( IF NO CERTIFIED OPERATOR IS REQUIRED MARK COMPLIANT ) MIN | 0pts | OC | C002 | R309-300-5(14) | Rule requires the operator to be within 1 hour travel time, under normal work and home conditions, of each drinking water system for which he is considered in direct responsible charge. C 42 Are there any visual indications of unsanitary conditions? SIG | 50pts | SM | M017 | R309-200-6, R309-105-18, R309-215-4(3) | R309-200-6 The Secondary Maximum Contaminant Levels for public water systems deals with substances which affect the aesthetic quality of drinking water. They are presented here as recommended limits or ranges and are not grounds for rejection. The taste of water may be unpleasant and the usefulness of the water may be impaired if these standards are significantly exceeded. R309-105-18 The Director or the local health department shall be informed by telephone by a water supplier of any "emergency situation". The term "emergency situation... R309-215-4(3) If the water fails to meet minimum standards, then certain public notification procedures shall be carried out, as outlined in R309-220. Water suppliers shall also keep analytical records in their possession, for a required length of time, as outlined in R309-105-17. C 43 No unprotected connection between the distribution system and a source of contamination. (If there is an unprotected connection, describe the location in detail.) SIG | 50pts | DS | D009 | R309-550-5(11) | R309-550-5(11) C 44 Are air release/vacuum valves in the distribution system? ... if yes, answer the following question(s) N 45 Water system has a program to maintain, operate, or control the use of fire hydrants. REC | 0pts | DS | D012 | N/A | Fire hydrants provide a direct access to the water in the distribution system. In order to protect the quality and integrity of the water, fire hydrant access should be controlled. NA (Notes: No fire suppression provided.) 46 Blow offs or air release valves are not directly connected to a sanitary sewer line. SIG | 50pts | DS | D013 | R309-550-6(5)(a), R309-550-6(6)(c) and (7)(a) | Rule states blow-offs or air relief valves shall not be connected directly to a sewer. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. NA (Notes: No air release valves.) 47 Blow offs or air release valves do not discharge below flood level in ditches or streams. SIG | 50pts | DS | D016 | R309-550-9(1) and (2), R309-550-13(2) | R309-550-9(1 & 3) NA (Notes: No air release valves.) DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 6 of 16 General Disinfection 48 All water mains installed after 1995 that provide fire flow are at least 8 inches in diameter. Exception Granted: R309-550-5(4) Minimum Water Main Size | On August 3, 2015, the Division of Drinking Water (the Division) received your request for an exception to Rule R309-550-5(4), Minimum Water Main Size. This rule specifically states that “for water mains not connected to fire hydrants, the minimum line size shall be 4 inches in diameter”. The basis for your request for an exception to R309-550-5(4) is that this community water system consists of seven houses and an office, which do not require a large flow through their pipes to meet demands. After modeling the system, it was determine that in some areas, it is more appropriate to install 3-inch lines rather than the required 4- inch lines so that velocities are enough to scour the pipes. Modeled velocities in the new 3-inch lines are about 1.4 feet per second and in existing 3-inch lines are 2.2 feet per second or less during peak day demands. All pipeline sizing is based on hydraulic modeling. On this basis, an exception to R309-550-5(4), Minimum Water Main Size, is hereby granted to allow 3-inch waterlines in the distribution system (DS001). 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. NA (Notes: No fire suppression provided.) 49 Distribution system capable of providing minimum pressure of 20 psi at all service connections. SIG | 50pts | DS | D003 | R309-105-9, R309-550-5(1) | Rule states the distribution system shall maintain minimum pressures as required by R309-105-9 at all points of connection under all flow conditions. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 50 Was the water system constructed or new portions added after January 1, 2007? ... if yes, answer the following question(s) Y 50A Distribution system capable of maintaining the following pressures at all service connections: (a) 20 psi during fire flow and fire demand during peak day demand; (b) 30 psi during peak instantaneous demand; and (c) 40 psi during peak day demand. SIG | 50pts | DS | D010 | R309-105-9, R309-550-5(1) | Rule states that unless otherwise specifically approved by the Director, public water systems constructed after January 1, 2007, shall be designed and shall meet the following minimum water pressures at points of connection: (a) 20 psi during conditions of fire flow and fire demand experienced during peak day demand; (b) 30 psi during peak instantaneous demand; and (c) 40 psi during peak day demand. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 7 of 16 PF001 - OFFICE BOOSTER PUMP FOR EMERGENCY - Inactive (AB - ABANDONED) Exception Granted: R-309-540-5(4)(c) Individual Booster Pumps | On August 3, 2015, the Division of Drinking Water (the Division) received your request for an exception to Rule R309-540-5(4)(c), Individual Home Booster Pumps. This rule specifically states that “individual home booster pumps shall not be allowed for any individual service from the public water supply main”. The basis for your request for an exception to R309-540-5(4)(c), Individual Booster Pumps is that the existing booster pump that has been used to boost water to the office from the spring will be inactive unless there is an emergency where the well is not available and the existing spring has to be utilized or if the line from the tank to the office is interrupted. Under normal operation, the office is fed from the well via the new storage tank. The booster pumps allows for some redundancy in emergency situations only. On this basis, an exception to R309-540-5(4)(c), Individual Booster Pumps, is hereby granted for the office booster pump(PF001) for short term emergency use to provide the office building with water if the well is down or if the line to the office is interrupted .If this individual pump station will be used on a regular basis or for an extended time during an emergency, you must obtain approval from the Division and submit information on how you will address low pressure and cross connection concerns associated with individual booster pumps. Approval will need to be obtained to use the spring source during an emergency as well. ST001 - STORAGE FACILITY ST001 - Inactive (AB - ABANDONED) 51 Water system follows AWWA disinfection procedures for new, repaired, or seasonal water mains and tanks. SIG | 25pts | MR | D018 | R309-550-8(10) | All new and repaired water mains and appurtenances shall be disinfected in accordance with AWWA Standard C651. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 52 How often do you periodically disinfect any or all parts of your water system (i.e. batch disinfection) other than for repairs or maintenance? SIG | 50pts | SM | G006 | R309-105-6(1)(a), R309-500-6 | R309-105-6(1) Approval of Engineering Plans and Specifications R309-500-6 Plan Approval Procedure. C 53 Does the water system still have physical access to this facility? Y/N Guidance: Answer NO if sold and no longer have security access or the facility is demolished and can not be inspected. Y (Notes: Physically Disconnected.) 53A Is the facility incapable of allowing water or contamination to enter the drinking water system? Yes(compliant) No(complete full question set for facility type and notify DDW) SIG | 100pts | SM | A100 | 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. Y (Notes: Physically Disconnected.) 53B Is the facility physically disconnected from supplying water to the distribution system? Guidance: Is the equipment, pipe, etc, physically removed, disconnected. Yes(compliant) No(complete full question set for facility type and notify DDW) SIG | 50pts | SM | A075 | 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. Y (Notes: Physically Disconnected.) 54 Does the water system still have physical access to this facility? Y/N Guidance: Answer NO if sold and no longer have security access or the facility is demolished and can not be inspected. N (Notes: Never Existed.) DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 8 of 16 ST002 - 5000 GAL TANK (IN 17033) - Inactive (SD - SOLD/TRANSFERRED) TP001 - CHLORINATOR - Inactive (AB - ABANDONED) WS002 - SHEARING CORRAL WELL (IN 17033) - Inactive (SD - SOLD/TRANSFERRED) WS003 - OFFICE SPRING - Inactive (AB - ABANDONED) WS001 - HOME CANYON SPRING - 55 Does the water system still have physical access to this facility? Y/N Guidance: Answer NO if sold and no longer have security access or the facility is demolished and can not be inspected. N (Notes: Never Existed as part of this system, it's a part of "UTAH17003 - Deseret Land & Livestock - Trek" and there never has been any connection of this tank to this system.) 56 Does the water system still have physical access to this facility? Y/N Guidance: Answer NO if sold and no longer have security access or the facility is demolished and can not be inspected. N (Notes: Physically Disconnected, may never have existed.) 57 Does the water system still have physical access to this facility? Y/N Guidance: Answer NO if sold and no longer have security access or the facility is demolished and can not be inspected. N (Notes: Never Existed as part of this system, it's a part of "UTAH17003 - Deseret Land & Livestock - Trek" and there never has been any connection of this well to this system.) 58 Does the water system still have physical access to this facility? Y/N Guidance: Answer NO if sold and no longer have security access or the facility is demolished and can not be inspected. Y (Notes: Spring is completely dry and is valved off.) 58A Is the facility incapable of allowing water or contamination to enter the drinking water system? Yes(compliant) No(complete full question set for facility type and notify DDW) SIG | 100pts | SM | A100 | 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. Y (Notes: Spring is completely dry and is valved off.) 58B Is the facility physically disconnected from supplying water to the distribution system? Guidance: Is the equipment, pipe, etc, physically removed, disconnected. Yes(compliant) No(complete full question set for facility type and notify DDW) SIG | 50pts | SM | A075 | 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. Y (Notes: Spring is completely dry and is valved off.) 59 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)) I 59A Explain why this facility is Inactive (Is this facility in stand-by mode and not used regularly, has not been used for multiple years, does it have known water quality concerns?) Spring is completely dry and is valved off. 60 Operating Period (Start Date)12/31 61 Operating Period (End Date)01/01 62 Undocumented sources shall not be physically connected to the drinking water system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT") SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) | R309-105-6(1) requires plans and specifications for all public drinking water projects to be approved in writing by the Director prior to the commencement of construction. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 9 of 16 63 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 64 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 65 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. N (Notes: No overflow seen in spring collection box.) 66 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. NA (Notes: Drained into system.) 67 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 68 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 69 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. D (Notes: Deep rooted vegetation within the collection area.) 70 No roots seen in collection boxes and junctions. SIG | 25pts | SO | SS08 | R309-105-10(4)(a), R309-515-8(1)(a) | Spring collection areas shall be periodically (preferably annually) cleared of deep-rooted vegetation to prevent root growth from clogging collection lines. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. D (Notes: Roots seen in the collection box.) 71 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: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 10 of 16 71A 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 71B 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 71C 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 71D 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 71E 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 71F 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. D (Notes: Roots at bottom intruding into the collection box from around the pipes.) DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 11 of 16 WS004 - DESERET LAND AND LIVESTOCK WELL #2 - Active 72 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. N (Notes: No vent.) 73 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. D (Notes: No flow-measuring device or water meter.) 74 Is this facility Active or Inactive?A 75 Operating Period (Start Date)01/01 76 Operating Period (Ending Date)12/31 77 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 78 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 79 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 80 Is the well casing vented? ... if yes, answer the following question(s)N 81 Does the well have a pump to waste line? ... if yes, answer the following question(s)N DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 12 of 16 82 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 83 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 84 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 85 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 86 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 87 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 88 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 89 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 90 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 DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 13 of 16 ST003 - 10,000 GAL TANK - Active 91 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 92 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) N 93 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 (Notes: Pumps directly to a tank.) 94 Does well require oil-lubrication?N 95 Is this facility Active or Inactive?A 96 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 10000 97 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 98 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 99 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 100 Are air vents present? ... if yes, answer the following question(s)Y DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 14 of 16 100A 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 100B 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 100C 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 100D 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. NA (Notes: not 6 inches or larger in diameter.) 101 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 101A 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 101B 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 101C 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 DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 15 of 16 102 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 103 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 104 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 105 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 106 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 107 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 107A 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 107B 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 107C 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 108 Are the drain line and overflow combined?Y DEQ | Drinking Water Run Date: 10/25/2024 12:26:14 | Rating: Approved UTAH17016 DESERET LAND AND LIVESTOCK page 16 of 16