DDW-2024-006769

State of Utah
GARY R. HERBERT
Governor
SPENCER J. COX
Lieutenant Governor
Department of
Environmental Quality
Alan Matheson
Executive Director
DIVISION OF DRINKING WATER
Kenneth H. Bousfield, P.E.
Director
October 5,2017
Kim Martin
Malibu, Dewitt, Guinazach
857 W South Jordan Parkway
South Jordan, UT 84095
Subject: RTCR Sample Site Plan Approval for Card Campground UTAH03039
Dear Mr. Martin:
The current RTCR sample site plan for UTAH03039 is approved as submitted to the Division of
Drinking Water. If you have any questions or changes that need to be made please feel free to
contact me at [phone] or [e-mail]
Sincerely,
Pete Keers
Environmental Scientist
Utah Division of Drinking Water
195 North 1950 West. Salt Lake City, UT
Mailing Address: P.O. Box 144830 . Salt Lake City, UT 841144830
Telephone [phone]. Fax [phone]. T.D.D. (801) 5364414
www.deq.utah.g<tv
Printed on 100o4 recycled paper
2ノグみ
辱TAH DE,ARIM=NI of
こヽV:RONMENTA■0∪ハ■ITY
DR:NK:NG
WATER
P08ox 144830
Sal Lake City,UT 84114r4830
Phone:(801)536‐4100
Fax停 01)53“21
Ematt ddwrepoお @uね h.gov
www,dttnkingwater.utah.gov
BACTERIOLOGICAL $A[IPI"E SiIE PLAT{
As part of tr Rsvised Total Coliform Rule, the location fom wtrictr samdes ate bken b to be varied. All water systems are
required b maintain a slnent bacteriological sampb siting plan. The plan slnra tre bcations of all sample sites tom wtrich
baderirloglcd tes6 arc bken. $ample sibs are to be representative of all pressure zones and eadr r*atrer source of he
diseitntlioo sysbm. The xmfle dan sholld be rcvised regularly ard blorirq any maior construction proled impading tre
d,stifution sysbm.
WATER SYSTEM INFORMAT10N
MailingAddress: 3l*5. g {i,r r \.. Pl,.'r"rq/{*v,t t4 {,{al&ermt:
SAMPttE COLLECnON
Sam口 eS COllectedけ
Name of Laboratory:
Ihe Laboratory was sent a copy of tris plan on:
Wabrwas senta moy of $ris
Phone歳
Seasonal
ls he uater operated seasonally?脚YES ∥N0
Dates d operati帆 、、〃r‐′ふ ―止 ゎ ′7 oOse:_ニ ュ 迦 蠣 転 &定 立 上 _____――
Systems,which Opemte seasondり ,are reqttred toね ke an mvesligalive sampb p∥orto opening tO me pub∥c,Where
wi∥詢at samメ e be taken?
Localio■」隻こ
“
造菫蟹感Lコ 協缶二菫盤4(1生 暉絨餞壼L珈 皇鷲夕Date sampled:CI4 '3s^ e*rt
MAP OF SYSTEM
Have you endosedhfiached a map of tlre diskibution systern showing he source {well, spring, eta.r, storage bnkq
featnent fucili$es, distibutbn piping, routine sample locations, and follow-up (repeat) map? [rl Yes Ir] No
Systemtt UTAHttuld回 爾
Phone携
SAMPLE LOCA■ONS
The following de6cribes each routine sam$e location, r,vhat mon$rs tre localion will be sampled, ard where follow-up
{repeat) samples will be taken in the event of a .positive, routine xmple.
Fqllou-uo (rereat) Sampb Locations:
', Hr*j S,ln *l
{rculrne san* bcation narne or#dr*s)
z. frf, # {
(location nann orad*ess r.p$aam)
l. 5,1, #.1n
(froce bib, slrk hue| eb.)
!{ater samples will be olleded from this location during
ttre rnontrs of (cirde):
{bcatirn name or address fuin-saeam)
Dec.
{hose bb, r**bucel etc)
Water samph wfll be collecbd tom tris localion during
Ure rnontrs of (clrde): - 3.
ldQE Jan. Fob. Mar.
2'd Qh Apr. lilay Jun. 4.
3'd Qf Jul. Ayg. $oe.
, 46Qtn Oct Nor. Dec.
(rill,ne sample localhn name oraddress)
(locatirn name or address r{}steam)
0ocaiion name or add.B do$r*eam)
指驚潔資淵ぶ∞llemd ttm摯 |。ca10n du"n9 3.
lSt CttE Jan. Feb, 1醐 b『.2nd Oヒ Apr. May 」un. 4.
騨Q眈 Jul. Aug. sep.
_堂 5■ Od. Nov. 臨
(ouune samS hcalirr rsne orad*ess)
flocali$ nar€ or address [SFsUeam)
$ocation name or address diln-sfe3m)
儘uinavah‐Ma:ibu
以爾月二〇3039
参Drain
癬Pump‐●。te water
爾Restroom
をGreen box with
∞molvalve next
.to restroom
Note:Map is oottc aOY SCaie
爆)em.時 srtrr Rtr l:
′I チ
lε ι 6J毎