DSHW-2025-000436

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
Solid waste that is exempt from hazardous waste rules under Subsections R315-261-4(b)(4), R315-261-4(b)(5), and R315-261-4(b)(7). (Fly ash waste, bottom ash waste, slag waste, and
flue gas emission control waste generated primarily from the combustion of coal or other fossil fuels. Drilling fluids, produced waters, and other wastes associated with the exploration,
development, or production of crude oil, natural gas or geothermal energy. Solid waste generated from the extraction, beneficiation, and processing of ores and minerals, including coal,
phosphate rock, and overburden from the mining of uranium ore.)
Nonhazardous industrial solid waste not listed in Subsection R315-261-4(b).
Facility Area: acres
Disposal Area: acres
Design Capacity: Years Cubic Yards Tons
PART 2 – APPLICATION CHECKLIST for a CLASS IIIb INDUSTRIAL SOLID WASTE LANDFILL
Permit Requirements for Solid Waste Facilities (R315-310)
General Contents of a Permit Application for a New Facility or a Facility Seeking Expansion (R315-310-3)
Description of Item
Rule(s) Cited
Included in Submission
Comments / Explanation / Location in Document
Complete Part I - General Information.
R315-310-3(1)(a)
YesNo, explain
General facility description, plans, and drawings.
R315-310-3(1)(b)
YesNo, explain
Legal description of the property and proof of ownership, lease agreement, or other mechanism.
R315-310-3(1)(c)
YesNo, explain
Maps of the proposed facility site, including land use and zoning of the surrounding area.
R315-310-3(1)(c)
YesNo, explain
Description of waste types to be handled and area served by facility.
R315-310-3(1)(d)
YesNo, explain
Plan of Operation.
(See detailed requirements in Section 3.3.1 of this document.)
R315-310-3(1)(e)
R315-302-2(2)
YesNo, explain
Form used to record weights or volumes of waste received.
R315-310-3(1)(f)
R315-302-2(3)(a)(i)
YesNo, explain
Owner/Operator inspection schedule and inspection log.
(See detailed requirements in Section 3.3.5 of this document.)
R315-310-3(1)(g)
R315-302-2(5)(a)
YesNo, explain
Closure and post-closure care plans required by R315-302-3.
(See detailed requirements in Section 3.4 of this document.)
R315-310-3(1)(h)
R315-302-3
YesNo, explain
Financial Assurance Plan.
(See detailed requirements in Section 3.4.4 of this document.)

R315-310-3(1)(j)
R315-309
YesNo, explain
Historical and archaeological identification efforts.
(See detailed requirements in Section 3.1 of this document.)
R315-310-3(1)(k)
R315-302-1(2)(f)
YesNo, 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)
YesNo, explain
Name and address of all owners of the property within 1,000 feet of the proposed facility.
R315-310-3(2)(a)(i)
YesNo, 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 above.
R315-310-3(2)(a)(ii)
YesNo, 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)
YesNo, explain
Contents of a Permit Application for a New or Expanded Class IIIb Landfill Facility (R315-310-4, R315-310-5)
Description of Item
Rule(s) Cited
Included in Submission
Comments / Explanation / Location in Document
Topographic map of the landfill unit drawn to a scale of 200 feet to the inch containing:
Five-foot contour intervals where the relief exceeds 20 feet and two-foot contour intervals where the relief is less than 20 feet;
Boundaries of the landfill unit;
Ground water monitoring wells;
Landfill gas monitoring points; and
Borrow and fill areas.
R315-310-5(2)(a)
R315-310-4(2)(a)(i)
YesNo, explain
The most recent full size U.S. Geological Survey topographic map, 7-1/2 minute series, if printed, or other recent topographic survey of equivalent detail of the area, showing:
The waste facility boundary;
The property boundary;
Surface drainage channels;
Existing utilities and structures within one-fourth mile of the facility site; and
The direction of the prevailing winds.
R315-310-5(2)(a)
R315-310-4(2)(a)(ii)
YesNo, explain
An engineering report, plans, specifications, and calculations that address:
Design and location of run-on and run-off control systems;
Closure and post-closure design, construction, maintenance, and land use;
The area to be served by the facility; and
How the facility will meet the Industrial Solid Waste requirements of Rule R315-304 (See detailed requirements in Section 3 of this document.).
R315-310-5(2)
YesNo, explain
A Closure Plan addressing schedule, capacity, a final inspection, and closure costs.
(See detailed requirements in Section 3.4.1 of this document.)
R315-310-5(2)(c)
R315-310-4(2)(d)
YesNo, explain
A Post-Closure Plan addressing, as appropriate: site monitoring of landfill gas, groundwater, and surface water; inspections by landfill owner or operator; maintenance activities to
maintain cover and run-on and run-off systems; identification of post-closure costs; changes to record of title; and contact information.
(See detailed requirements is Section 3.4.3 of this document.)
R315-310-5(2)(c)
R315-310-4(2)(e)

YesNo, explain
Industrial Solid Waste Landfill Requirements (R315-304)
Industrial Landfill Location Standards (R315-304-4)
Description of Item
Rule(s) Cited
Included in Submission
Comments / Explanation / Location in Document
Documentation that the facility is not located within a floodplain, unless a demonstration can be made that the unit will not restrict flow, reduce temporary storage, or result in a
washout.
R315-304-4(2)(a)(i)
R315-302-1(2)(c)(ii)
YesNo, explain
Documentation that the facility is not located within a wetland, unless the owner demonstrates that:
There is no practicable alternative;
The unit will not violate State or Federal law;
The unit will not jeopardize threatened and endangered species and associated critical habitat;
There will be no significant degradation of wetlands; and
Appropriate steps have been taken for no net loss of wetlands.
R315-304-4(2)(a)(ii)
R315-302-1(2)(d)
YesNo, explain
Documentation that the lowest level of waste at the facility is located at least ten feet above the historical heigh level of groundwater.
R315-304-4(2)(a)(iii)
R315-302-1(2)(e)(i)(B)
YesNo, explain
Documentation of notice of concurrence, or lack thereof, or joint analysis from State Historic Preservation Office of no adverse effect on any historic properties.
R315-304-4(2)(a)(iv)
R315-302-1(2)(f)
YesNo, explain
A traffic impact study approved by the jurisdictional authority of the roads serving the facility that:
Demonstrates requirements for safety, operation, and condition of roadways will meet forecasted needs; and
Includes any improvement and maintenance agreements with the road authority.
R315-302-1(2)(g)
YesNo, explain
Documentation of any exemptions from location standards.
R315-304-4(2)(b)
R315-302-1(3)
YesNo, explain
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)
YesNo, 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)
YesNo, 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)
YesNo, explain
Industrial Landfill Requirements (R315-304-5)
Plan of Operation
Description of Item
Rule(s) Cited

Included in Submission
Comments / Explanation / Location in Document
Intended schedule of construction.
R315-304-5(1)(a)
R315-302-2(2)(a)
YesNo, explain
Description of solid waste handling procedures.
R315-304-5(1)(a)
R315-302-2(2)(b)
YesNo, explain
Inspection and monitoring schedule.
R315-304-5(1)(a)
R315-302-2(2)(c)
YesNo, explain
Fire or explosion contingency plan.
R315-304-5(1)(a)
R315-302-2(2)(d)
YesNo, explain
Fugitive dust control plan.
R315-304-5(1)(a)
R315-302-2(2)(g)
YesNo, explain
Description of maintenance of installed equipment including leachate and gas collection systems, and groundwater monitoring systems
R315-304-5(1)(a)
R315-302-2(2)(i)
YesNo, explain
Procedures for excluding the receipt of prohibited hazardous waste or prohibited waste containing PCBs.
R315-304-5(1)(a)
R315-302-2(2)(j)
YesNo, explain
Procedures for controlling disease vectors.
R315-304-5(1)(a)
R315-302-2(2)(k)
YesNo, 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
R315-304-5(1)(a)
R315-302-2(2)(l)
YesNo, explain
Closure and Post-Closure Care Plans.
(See detailed requirements in Section 3.4 of this document.)
R315-304-5(1)(a)
R315-302-2(2)(m)
YesNo, explain
Cost estimates and financial assurance. (See detailed requirements in Section 3.4 of this document.)
R315-304-5(1)(a)
R315-302-2(2)(n)
YesNo, explain
Landfill operations training plan for site operators
R315-304-5(1)(a)
R315-302-2(2)(o)
YesNo, explain
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)
YesNo, 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)
YesNo, 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)
YesNo, 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)
YesNo, explain
Recordkeeping (to be kept onsite or at an approved location)
Daily operating records documentation containing:
Weights or volumes of solid waste received daily.
Documentation of deviations from the approved plan of operation.
Training and notification procedures
Results from groundwater and gas monitoring that may be required.
An inspection log or summary.
R315-304-5(1)(b)
R315-302-2(3)(a)
YesNo, explain
Documentation of any demonstration made with respect to any location standard or exemption.
R315-304-5(1)(b)
R315-302-2(3)(b)(i)
YesNo, explain
Closure and post-closure plans
(See detailed requirements in Section 3.4 of this document.)
R315-304-5(1)(b)
R315-302-2(3)(b)(iii)
YesNo, explain
Cost estimate and financial assurance documentation.
(See detailed requirements in Section 3.4 of this document.)
R315-304-5(1)(b)
R315-302-2(3)(b)(iv)
YesNo, explain
Other information pertaining to operation, maintenance, monitoring, or inspections as may be required by the director.
R315-304-5(1)(b)
R315-302-2(3)(b)(vi)
YesNo, explain
Reporting
Plans to submit Annual and Quarterly reports.
R315-304-5(1)(c)
R315-302-2(4)
YesNo, explain
Inspections
Plans for Owner or Operator Inspections performed at least quarterly. Copy of schedule and log should be included.
R315-304-5(1)(d)
R315-302-2(5)
YesNo, explain
Closure and Post-Closure Care
Applicable general requirements for closure and post-closure care.
(See detailed requirements in Section 3.4 of this document.)
R315-304-5(2)
R315-302-3(2)
R315-302-3(3)
R315-302-3(4)
R315-302-3(5)
R315-302-3(6)(a)(iv)-(vi)

R315-302-3(6)(b)
R315-302-3(6)(c)
R315-302-3(7)(a)
YesNo, explain
Standards for Design
Plans to prohibit the disposal of waste containing free liquids.
R315-304-5(3)(a)
R315-303-3(1)(b)
YesNo, explain
Documentation of facility stormwater run-on controls.
R315-304-5(3)(a)
R315-303-3(1)(c)
YesNo, explain
Documentation of facility stormwater runoff collection and treatment.
R315-304-5(3)(a)
R315-303-3(1)(d)
YesNo, explain
Plans to meet requirements of R315-303-3(8) including:
Fencing at the property or unit boundary;
A lockable gate;
Weighing or estimating tonnage of all incoming waste and recording in operation record;
Adequate fire protection to control any fires that may occur;
Preventing harborage of vectors in buildings, facilities, and active areas;
Minimizing size of unloading area and working face;
Approach and exit roads of all-weather construction; and
Communication, such as telephone and radio, between employees.
R315-304-5(3)(b)
R315-303-3(8)(a)
R315-303-3(8)(c)
R315-303-3(8)(e)
R315-303-3(8)(f)
R315-303-3(8)(g)
R315-303-3(8)(h)
R315-303-3(8)(i)
YesNo, explain
Standards for Operation
Evidence demonstrating that the facility will operate according to the standards of maintenance and operation of R315-305-5(2) through (4).
R315-304-5(5)(b)
R315-305-5(2)-(4)
YesNo, explain
Closure, Post-Closure, and Financial Assurance
Closure Plan Requirements
Description of Item
Rule(s) Cited
Included in Submission
Comments / Explanation / Location in Document
Closure schedule.
R315-310-4-2(d)(i)
YesNo, explain
Capacity of solid waste facility in volume and tonnage.
R315-310-4-2(d)(ii)
YesNo, explain
Identification of closure costs including cost calculations and the funding mechanism.
R315-310-4-2(d)(iv)
YesNo, explain
Demonstrate that Closure Performance Standard will be met (minimizes need for further maintenance, minimizes threats to human health and environment, and prepares for post-closure).
R315-304-5(2)
R315-302-3(2)
YesNo, explain
Inclusion of any applicable covering, grading, seeding, landscaping, contouring, and screening information.

R315-304-5(2)
R315-302-3(3)(a)
YesNo, explain
Projections of time intervals for sequential partial closure, if applicable.
R315-304-5(2)
R315-302-3(3)(c)
YesNo, explain
Projected fund withdrawal intervals for the associated closure costs from the financial assurance instrument.
R315-304-5(2)
R315-302-3(3)(c)
YesNo, explain
Final Cover Design (R315-304-5(2)(b), R315-305-5(5)(b))
Must level waste to the extent practicable.
R315-304-5(2)(b)
R315-305-5(5)(b)(i)
YesNo, explain
Cover the waste with a minimum of two feet of soil, including six inches of topsoil.
R315-304-5(2)(b)
R315-305-5(5)(b)(ii)
YesNo, explain
Contour surface slopes with a grade that is not less than 2% and side slopes that are not more that 33% (unless construction and erosion control integrity can be demonstrated at steeper
slopes).
R315-304-5(2)(b)
R315-305-5(5)(b)(iii)
R315-303-3(5)(a)(i)(B)
YesNo, explain
Seed the cover with grass, other shallow-rooted vegetation, or other native vegetation or cover in another manner approved by the Director to minimize erosion.
R315-304-5(2)(b)
R315-305-5(5)(b)(iv)
YesNo, explain
An alternative cover design may be approved if it is documented that the design provides equivalent protection from infiltration and erosion as the design described above.
R315-304-5(2)(b)
R315-305-5(5)(b)(v)
YesNo, explain
Post-Closure Plan Requirements
Plan that addresses site monitoring.
R315-310-4(2)(e)(i)
YesNo, explain
Plan that addresses inspections of facility by owner or operator.
R315-310-4(2)(e)(ii)
YesNo, explain
Plan that addresses maintenance activities to maintain cover and run-on and run-off systems.
R315-310-4(2)(e)(iii)
YesNo, explain
Identification of post-closure costs, including calculations and the funding mechanism.
R315-310-4(2)(e)(iv)
YesNo, explain
Name, address, and telephone number of person or office to contact about facility during post-closure period.
R315-310-4(2)(e)(vi)
YesNo, explain
Plan to provide post-closure activities for 30 years.
R315-304-5(2)
R315-302-3(5)
YesNo, explain
Plan for maintenance of facility structures and monitoring systems.
R315-304-5(2)
R315-302-3(6)(a)(iv)
YesNo, explain
A description of the planned use of the property.
R315-304-5(2)

R315-302-3(6)(a)(v)
YesNo, explain
Any additional activities required to protect human health and the environment.
R315-304-5(2)
R315-302-3(6)(a)(vi)
YesNo, explain
Identification of post-closure cost estimates and the funding mechanism.
R315-304-5(2)
R315-302-3(6)(c)
YesNo, explain
Intervals of projected fund withdrawals from financial assurance instrument.
R315-304-5(2)
R315-302-3(6)(c)
YesNo, explain
Financial Assurance
Closure Costs
Third party cost estimate for all materials and activities pertaining to closure including cost of:
Obtaining, moving, and placing cover material;
Final grading of cover material;
Obtaining, moving, and placing topsoil;
Fertilizing, seeding, mulching; and
Removal of stored materials, buildings, and equipment.
R315-304-5(6)(a)
R315-309-2(3)(a)
YesNo, explain
Post-Closure Costs
Third party cost estimate for all materials and applicable activities pertaining to closure including:
Any required groundwater monitoring;
Leachate monitoring and treatment;
Gas monitoring; and
Cover, stabilization, repair, erosion control, and reseeding as necessary.
R315-304-5(6)(a)
R315-309-2(3)(b)
YesNo, explain