DSHW-2025-000433

PART I - GENERAL INFORMATION APPLICANT: PLEASE COMPLETE ALL SECTIONS
I. Application Type New Application Major Modification(see R315-311-2(1)(c)) Renewal Application Minor Modification(see R315-311-2(1)(a))
For Renewal Applications, Facility Expansion Applications, and Modifications Applications, enter current permit number:
.
II. Facility Name and Location
Legal Name of Facility
Facility Address (Street or Directions to Facility)
County
City
Zip Code
Telephone
Township
Range
Section
Quarter Section
Quarter/Quarter SectionMain GateLatitude:Longitude:
III. Facility Owner(s) Information
Name of Facility Owner
Mailing Address
City
State
Zip Code
Telephone
IV. Facility Operator(s) Information
Name of Facility Operator
Mailing Address
Click or tap here to enter text.
City
State
Zip Code
Telephone
V. Property Owner(s) Information
Name of Property Owner
Mailing Address
City
State
Zip Code
Telephone
VI. Designated Contact Information
Facility Owner Designated Contact (if different than above)
Title
Mailing Address
City
State
Zip Code
Telephone
Email Address
Alternative Telephone (cell phone or other)
Facility Operator Designated Contact (if different than above)
Title
Mailing Address
City
State
Zip Code
Telephone
Email Address
Alternative Telephone (cell phone or other)
Property Owner Contact (if different than above)
Title

Mailing Address
City
State
Zip Code
Telephone
Email Address
Alternative Telephone (cell phone or other)
VII. Waste Types (check all that apply)
VIII. Facility Area
All non-hazardous solid waste (see R315-315-7(3)) for PCB specialrequirements) OR landfill accepts only the following wastes:
Asbestos
Construction and Demolition
Dead Animals
Industrial
Incinerator Ash
PCB’s (R315-315-7(3) only)
Petroleum Contaminated Soils
Restaurant waste liquids and greases
Sludge
Other:
Facility Area: Acres
Disposal Area: Acres
Design Capacity:Years Cubic Yards Tons
PART II - APPLICATION CHECKLIST
Description of Item
Rule(s) Cited
Included in Submission
Location in the Document/Comments
Ia. General Requirements for All Facilities
Complete Part I - General Information
R315-310-3(1)(a)
Yes No, explain
General facility descriptions including maps, plans, and drawings
R315-310-3(1)(b)
Yes No, explain
Legal description of the property, proof of ownership, lease agreement, or other mechanism
R315-310-3(1)(c)
Yes No, explain
Types of waste to be handled at the facility and area served by the facility
R315-310-3(1)(d)
Yes No, explain
The Plan of Operation as required by R315-302-2(2)
R315-310-3(1)(e)
Yes No, explain
Form used to record weights or volumes of wastes received required by R315-302-2(3)(a)(i)
R315-310-3(1)(f)
Yes No, explain
Inspection schedule and inspection log as required by R315-302-2(5)(a)
R315-310-3(1)(g)
Yes No, explain
Closure and post-closure care plans
R315-310-3(1)(h)
Yes No, explain
Documentation to show that any wastewater treatment facility, such as run-off or a leachate treatment system is being reviewed by the Division of Water Quality
R315-310-3(1)(i)
Yes No, explain
Proposed financial assurance plan that meets the requirements of R315-309
R315-310-3(1)(j)
Yes No, explain
Historical and archeological identification efforts

R315-310-3(1)(k)
R315-302-1(2)(f)
Yes No, explain
For a new facility owned or operated by a local government, financial information that discloses the costs of establishing and operating the facility
R315-310-3(1)(l)
Yes No, explain
Ib. Public Participation Requirements
Name and address of all owners of the property within 1,000 feet of the proposed facility
R315-310-3(2)(a)(i)
Yes No, explain
Documentation that a notice of intent to apply for a permit for a solid waste facility has been sent to all property owners identified in R315-310-3(2)(a)(i)
R315-310-3(2)(a)(ii)
Yes No, explain
Name of the local government with jurisdiction over the site and the mailing address of that local government office
R315-310-3(2)(a)(iii)
Yes No, explain
Ic. Special Requirements for a Commercial (For-Profit) Solid Waste Disposal Facility
Is this a commercial facility? Yes, complete Section Id. No, skip Section Id.
Information required by 19-6-108(10), including evidence of:
A proven market, including waste sources, quantity, pricing, waste generation trends, and competing facilities;
Public benefits, including meeting a capacity need, recovery of energy and resources, and reduction of less suitable waste management methods; and
An acceptable compliance history;
And, information to demonstrate that the requirements of 19-6-108(11) are satisfied, including evidence that:
The probable environmental effect outweighs the probable adverse environmental effect; and
The facility serves an industry need in the state.
R315-310-3(3)(a)
Yes No, explain
After the issuance of a solid waste permit, a commercial nonhazardous solid waste disposal facility shall meet the requirements of 19-6-108(3)(c) and provide documentation to the Director
that the facility is approved by the local government, the Legislature, and the governor
R315-310-3(3)(b)
Yes No, explain
Demonstrate that construction will not begin until the requirements of R315-310-3(2)(b) are met and approval to begin construction has been granted by the Director
R315-310-3(3)(c)
Yes No, explain
Id. Location Standards for All Facilities
Documentation showing the facility will not be located within 1,000 feet of a nation, state, county, or city park, monument, recreation area, designated wilderness or wilderness study
area, wild and scenic river area, or stream, lake, or reservoir
R315-302-1(2)(a)(i)
Yes No, explain
Documentation showing the facility is not located within an ecologically and scientifically significant natural area, including wildlife management areas and habitat for threatened or
endangered species as designated pursuant to the Endangered Species Act of 1982
R315-302-1(2)(a)(ii)
Yes No, explain
Documentation showing the facility is not located within ¼ mile of existing permanent dwellings, residential areas, and other incompatible structures such as schools or churches and
historic structures or properties listed or eligible to be listed in the State or National Register of Historic Places
R315-302-1(2)(a)(iii)
Yes No, explain
Documentation showing the facility is not located within 10,000’ of any airport runway end used by turbojet aircraft or within 5,000’ of any airport runway end used by only piston-type
aircraft unless the owner or operator demonstrates that the facility design and operation will not increase the likelihood of bird or aircraft collisions
R315-302-1(2)(a)(iv)
Yes No, explain
Documentation showing the owner or operator of the landfill located within 6-miles of an airport runway end notified the affected airport and the Federal Aviation Administration
R315-302-1(2)(a)(v)
Yes No, explain
Documentation showing the facility is not located in a subsidence area, a dam failure flood area, above underground mine, above a salt dome, about a salt bed, or on or adjacent to geologic
features that could compromise the structural integrity of the facility
R315-302-1(2)(b)(i)
Yes No, explain
Documentation showing the facility is not located within 200’ of a Holocene fault unless the owner or operator demonstrates to the Director that an alternative setback distance of less
than 200’ will prevent damage to the structural integrity of the unit

R315-302-1(2)(b)(ii)
Yes No, explain
Documentation showing the facility is not located in a seismic impact zone unless the owner or operator demonstrates to the Director that any containment structures, including liners,
leachate collection systems, and surface water control systems, are designed to resist the maximum horizontal acceleration in lithified earth material for the site
R315-302-1(2)(b)(iii)
Yes No, explain
If the facility is located in an unstable area, documentation that demonstrates to the Director that engineering measures have been incorporated into the facility design to ensure the
integrity of the structural components of the facility will not be disrupted
R315-302-1(2)(b)(iv)
Yes No, explain
Documentation showing the facility is not located on any public land that is being used by a public water system for water shed control for municipal drinking water purposes
R315-302-1(2)(c)(i)
Yes No, explain
Documentation showing the facility is not located in a flood plain unless the owner or operator demonstrates to the Director that the unit will not restrict the flow of the 100-year
flood, reduce the temporary water storage capacity of the floodplain, or result in a washout of solid waste
R315-302-1(2)(c)(ii)
Yes No, explain
Documentation showing the facility is not located in wetlands unless the owner or operator demonstrates to the Director the facility meets the requirements of R315-302-1(2)(d)(i) through
(vi)
R315-302-1(2)(d)
Yes No, explain
Groundwater restrictions at or under a facility site or in designated drinking water source protection areas; Groundwater monitoring may be waived if a valid demonstration is made
R315-302-1(2)(e)
Yes No, explain
Documentation the applicant has paid the costs for review of a traffic impact study, any costs required by the road authority for improvements, and submit a traffic impact study as specified
in R315-302-1(2)(g)(i)
R315-302-1(2)(g)
Yes No, explain
Exemptions from Location Standards - if applicable
R315-302-1(3)
Yes No, explain
IIa.Plan of Operation Requirements for All Facilities
An intended schedule of construction
R315-302-2(2)(a)
Yes No, explain
Description of on-site solid waste handling procedures
R315-302-2(2)(b)
Yes No, explain
Schedule for conducting inspections and monitoring
R315-302-2(2)(c)
Yes No, explain
Contingency plans in the event of a fire or explosion
R315-302-2(2)(d)
Yes No, explain
Corrective action programs to be initiated if groundwater is contaminated
R315-302-2(2)(e)
Yes No, explain
Contingency plans for other releases, for example, release of explosive gases or failure of run-off containment system
R315-302-2(2)(f)
Yes No, explain
Plan to control fugitive dust
R315-302-2(2)(g)
Yes No, explain
Plan to control wind-blown litter
R315-302-2(2)(h)
Yes No, explain
Description of maintenance of installed equipment including leachate and gas collection systems, and groundwater monitoring systems
R315-302-2(2)(i)
Yes No, explain
Procedures for excluding the receipt of prohibited hazardous waste or prohibited waste containing PCBs

R315-302-2(2)(j)
Yes No, explain
Procedures for controlling disease vectors
R315-302-2(2)(k)
Yes No, explain
Plan for an alternative waste handling or disposal system during periods when the solid waste facility is not able to dispose of solid waste, including procedures to be followed in case
of equipment breakdown
R315-302-2(2)(l)
Yes No, explain
Closure and post-closure care plans
R315-302-2(2)(m)
Yes No, explain
Cost estimates and financial assurance information as required by R315-309-2(3)
R315-302-2(2)(n)
Yes No, explain
Training plan for site operations
R315-302-2(2)(o)
Yes No, explain
IIb. Other Site-Specific Information Pertaining to the Plan of Operation as Required by the Director
Procedures for handling special wastes as required by R315-315
R315-315-1(1)
Yes No, explain
Other site-specific information required by the Director
R315-302-2(2)(p)
Yes No, explain
IIc. Liquid Prevention and Management
A plan to prohibit disposal of containerized liquids larger than household size, noncontainerized liquids, sludge containing free liquids, or any waste containing free liquids in containers
larger than household size.
R315-303-3(1)(b)
Yes No, explain
A High Liquid Waste Management Plan, if applicable, that includes:
Waste acceptance criteria
Dewatering unit design and techniques
Other stabilization or treatment techniques;
A communication plan to inform customers of high liquid waste acceptance criteria
R315-303-3(2)(a)
Yes No, explain
For a facility that utilizes dewatering, stabilization, or treatment techniques, proof that:
A containment system having a permeability of no more than 1 x 10^-7 cm/sec that maintains integrity under the operation of heavy equipment will be installed and maintained for: unloading
areas and structures; staging areas; and dewatering, stabilization, and treatment areas.
Leachates derived from dewatering or stabilization will be appropriately managed.
R315-303-3(2)(b)
Yes No, explain
If required, appropriate engineering reports demonstrating that disposal of dewatered high liquid wastes will not result in unacceptable geotechnical risks or landfill cell failures.
R315-303-3(2)(c)
Yes No, explain
IIIa. Geohydrological Assessment
Local and regional geology and hydrology, including faults, unstable slopes, and subsidence areas on site
R315-310-4(2)(b)(i)
Yes No, explain
Evaluation of bedrock and soil types and properties, including permeability rates
R315-310-4(2)(b)(ii)
Yes No, explain
Depths to groundwater or aquifers
R315-310-4(2)(b)(iii)
Yes No, explain
Direction and flow rate of groundwater
R315-310-4(2)(b)(iv)
Yes No, explain
Quantity, location, and construction of any private and public wells on the site and within 2,000 feet of the facility boundary

R315-310-4(2)(b)(v)
Yes No, explain
Tabulation of all water rights for groundwater and surface water on the site and within 2,000 feet of the facility boundary
R315-310-4(2)(b)(vi)
Yes No, explain
Identification and description of all surface waters on the site and within one mile of the facility boundary
R315-310-4(2)(b)(vii)
Yes No, explain
Background and surface water quality assessment and identification of impacts of the existing facility upon ground and surface waters from landfill leachate discharges
R315-310-4(2)(b)(viii)
Yes No, explain
Calculation of a site water balance
R315-310-4(2)(b)(ix)
Yes No, explain
Conceptual design of a groundwater and surface water monitoring system, including proposed installation methods for these devices and where applicable, a vadose zone monitoring plan
R315-310-4(2)(b)(x)
Yes No, explain
IIIb. Engineering – Designs, Plans, and Specifications
Topographic map of the landfill unit drawn to a scale of 200 feet to the inch containing five foot contour intervals
R315-310-4(2)(a)(i)
Yes No, explain
Most recent full size U.S.G.S. topographic map, 7-1/2 minute series showing the waste facility boundary, the property boundary, surface drainage channels, existing utilities, and structures
within 1/4-mile of the facility site, and the direction of the prevailing winds
R315-310-4(2)(a)(ii)
Yes No, explain
Engineering report, plans, specifications, and calculations of how the facility will meet location standards in R315-302-1
R315-310-4(2)(c)(i)
Yes No, explain
The basis for calculating the facility’s life
R315-310-4(2)(c)(ii)
Yes No, explain
Cell design to include liner design, cover design, fill methods, elevation of final cover and bottom liner, and equipment requirements and availability
R315-310-4(2)(c)(iii)
Yes No, explain
Identification of borrow sources for daily and final cover, and for soil liners
R315-310-4(2)(c)(iv)
Yes No, explain
Design and location of run-on and run-off control systems
R315-310-4(2)(c)(viii)
R315-303-3(1)(c)-(d)
Yes No, explain
Quality control and quality assurance for the construction of any engineered structure of feature, excluding buildings at the landfills, at the solid waste disposal facility and for
any applicable activity such as groundwater monitoring
R315-310-4(2)(c)(x)
Yes No, explain
Documentation the facility meets the Performance Standards
R315-303-2
Yes No, explain
Design drawings signed and sealed by a professional engineer
R315-303-3(7)
Yes No, explain
Other design requirements
R315-303-3(8)
Yes No, explain
IIIc. Liner Design and Leachate Collection Systems
Leachate collection system design and calculations
R315-303-3(3)
Yes No, explain
Interim and final leachate collection, treatment, and disposal
R315-310-4(2)(c)(v)

Yes No, explain
Liner design using the Standard Design, Equivalent Design, Alternative Design, or Stringent Design
R315-303-3(4)
Yes No, explain
IIId. Groundwater and Gas Monitoring
Groundwater monitoring plan that meets the requirements of R315-308
R315-310-4(2)(c)(vi)
Yes No, explain
Landfill gas monitoring plan and control that meets the requirements of R315-303-3(6)
R315-310-4(2)(c)(vii)
Yes No, explain
IV. Closure and Post Closure Care Requirements for Class I and V Landfills
Closure plan as required by R315-302-3
R315-310-3(1)(h)
R315-302-2(2)(m)
R315-310-4(2)(c)(ix)
Yes No, explain
Closure plan to include the closure schedule, capacity of the solid waste disposal facility in volume and tonnage
R315-310-4(2)(d)(i) through (iii)
Yes No, explain
Post-closure care plan as required by R315-302-3(6)
R315-310-3(1)(h)
R315-302-2(2)(m)
R315-310-4(2)(c)(ix)
Yes No, explain
Site monitoring plans of landfill gas, groundwater, and surface water if required
R315-310-4(2)(e)(i)
Yes No, explain
Post-closure Inspection plans
R315-310-4(2)(e)(ii)
Yes No, explain
Maintenance activities to maintain cover and run-on and run-off systems during post-closure
R315-310-4(2)(e)(iii)
Yes No, explain
Name, address, and telephone number of the person or office to contact about the facility during the post-closure period
R315-310-4(2)(e)(vi)
Yes No, explain
V. Financial Assurance Requirements for Class I and V Landfills
Identification of closure costs including cost calculations and the funding mechanism as required by R315-309-2(3)(a)
R315-310-4(2)(d)(iv)
Yes No, explain
Identification of post-closure costs including cost calculations as required by R315-309-2(3)(b)
R315-310-4(2)(e)(iv)
Yes No, explain
Identification of a financial assurance mechanism, which will cover the costs of post-closure care, in effect and active as required by R315-309-2(5)
R315-310-4(2)(e)(iv)
Yes No, explain