DSHW-2025-000437

PART I - GENERAL INFORMATION APPLICANT: PLEASE COMPLETE ALL SECTIONS
I. Landfill TypeClass IVaClass IVbClass VI
II. 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:
.
III. 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:
IV. Facility Owner(s) Information
Name of Facility Owner
Mailing Address
City
State
Zip Code
Telephone
V. Facility Operator(s) Information
Name of Facility Operator
Mailing Address
Click or tap here to enter text.
City
State
Zip Code
Telephone
VI. Property Owner(s) Information
Name of Property Owner
Mailing Address
City
State
Zip Code
Telephone
VII. 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)
VIII. Waste Types
IX. Facility Area
Landfill will accept all wastes allowed in Class IV or VI landfills OR landfill will accept only the following wastes:Waste TypeCombined Disposal UnitMonofil UnitConstruction and DemolitionTires
(Not for disposal/ burial)Yard WasteDead AnimalsContaminated SoilOther:
Note: Disposal of dead animals must be approved by the Director
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
IIa. 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
Waste type, anticipated daily volume, and area served by the facility
R315-310-3(1)(d)
Yes No, explain
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 waste 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 plans required by Section R315-302-3
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 R-315-309
R315-310-3(1)(j)
Yes No, explain
Historical and archeological identification efforts
R315-310-3(1)(k)
Yes No, explain
An application for a new facility that is owned or operated by a local government shall include financial information that discloses the costs of establishing and operating the facility
R315-310-3(1)(l)
Yes No, explain
IIb. Public Participation Requirements for New or Expanded Class IVa Landfill Facility
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
IIc. Special Requirements for a Commercial (For-Profit) Solid Waste Disposal Facility
Is this a commercial facility? ☐ Yes, complete Section Id. ☐ No, skip Section IId.
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
IId. Location Standards for a New or Expanded Class IVa Landfill Facility
Evidence the facility is not located within 1000 feet of a national, state, country, or city park, monument, or recreation area, a designated wilderness or wilderness study area, a wild
and scenic river area, or a stream, lake or reservoir
R315-302-1(2)(a)(i)
Yes No, explain
Documentation that the facility is not within ecologically or scientifically significant natural areas, wildlife management areas, or habitats for threatened or endangered species.
R315-302-1(2)(a)(ii)
Yes No, explain
Evidence the facility is not located within ¼ mile of existing permanent dwellings, residential areas, and other incompatible structures such as schools or churches unless otherwise
allowed by local zoning or ordinance; 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
Evidence the facility is at least ten thousand feet of any airport runway end used by turbojet aircraft or within 5,000 feet 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
Evidence the facility is not located within a subsidence area, a dam failure flood area, above an underground mine, above a salt dome, above 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
Evidence the facility is not located within 200 feet of a Holocene fault unless the owner or operator demonstrates to the director that an alternative setback distance of less than 200
feet will prevent damage to the structural integrity of the unit and will be protective of human health and the environment.
R315-302-1(2)(b)(ii)
Yes No, explain
Evidence the facility is not located within a seismic impact zone unless the owner or operator demonstrates to the satisfaction of 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 within an unstable area, the owner or operator shall demonstrate to the satisfaction of the director that engineering measures have been incorporated into
the facility design to ensure that integrity of the structural components of the facility will not be disrupted.
R315-302-1(2)(b)(iv)
Yes No, explain
Evidence the facility is not located on public land that is being used by a public water system for watershed control for municipal drinking water purposes.
R315-302-1(2)(c)(i)

Yes No, explain
Evidence the facility is not located within a floodplain 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 so as to pose a hazard to human health or the environment.
R315-302-1(2)(c)(ii)
Yes No, explain
Evidence the facility is not located within wetlands
R315-302-1(2)(d)
Yes No, explain
Evidence that the bottom of the lowest liner is more than five feet from the historical high level of groundwater.
R315-302-1(2)(e)(i)(A)
Yes No, explain
Evidence (if the facility is not lined) that the lowest level of waste shall be at least ten feet above the historical high level of groundwater.
R315-302-1(2)(e)(i)(B)
Yes No, explain
Evidence the facility is not located over a sole source aquifer as designated in 40 CFR 149.
R315-302-1(2)(e)(ii)
Yes No, explain
Evidence the facility is not located over groundwater classed as IB under Section R317-6-3.3.
R315-302-1(2)(e)(iii)
Yes No, explain
The applicant for the proposed facility will make the demonstration of groundwater quality necessary to determine the appropriate aquifer classification.
R315-302-1(2)(e)(iv)(C)
Yes No, explain
Evidence the facility is not located in a designated drinking water source protection area or, if no source protection area is designated, within a distance to existing drinking water
wells or springs for public water supplies of 250 days groundwater travel time.
R315-302-1(2)(e)(v)
Yes No, explain
Evidence historic preservation survey requirements have been met.
R315-302-1(2)(f)
Yes No, explain
Evidence traffic impact study requirements have been met.
R315-302-1(2)(g)
Yes No, explain
Provide a 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, showing the boundaries of the landfill unit, groundwater monitoring wells, landfill gas monitoring points, and borrow and fill areas.
R315-310-4(2)(a)(i)
Yes No, explain
Provide 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.
R315-310-4(2)(ii)
Yes No, explain
Provide a geohydrological assessment of the facility.
R315-310-4(2)(b)
Yes No, explain
Provide engineering report, plans, specifications and calculations.
R315-310-4(2)(c)
Yes No, explain
Provide design and location of the run-on and run-off control systems.
R315-310-5(2)(b)
Yes No, explain
Area to be served by the facility.
R315-310-5(2)(d)
Yes No, explain
How the facility will meet the requirements of Rule R315-305
R315-310-5(2)(e)
Yes No, explain
IIe. Location Standards for a New or Expanding Class IVb or Class VI Landfill
Evidence the facility is not located within a floodplain 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 so as to pose a hazard to human health or the environment.

R315-302-1(2)(c)(ii)
Yes No, explain
Evidence the facility is not located within wetlands
R315-302-1(2)(d)
Yes No, explain
Evidence (if the facility is not lined) that the lowest level of waste shall be at least ten feet above the historical high level of groundwater.
R315-302-1(2)(e)(i)(B)
Yes No, explain
Evidence the facility is not located within a subsidence area, a dam failure flood area, above an underground mine, above a salt dome, above 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
If the facility is located within an unstable area, the owner or operator shall demonstrate to the satisfaction of the director that engineering measures have been incorporated into
the facility design to ensure that integrity of the structural components of the facility will not be disrupted.
R315-302-1(2)(b)(iv)
Yes No, explain
IIf. Standards for Performance
For a Class Iva landfill: Plan to monitor groundwater as specified in Rule R315-308
R315-305-4(4)
Yes No, explain
Plan that demonstrates concentrations of explosive gases generated by the facility shall not exceed twenty-five percent of the lower explosive limit for explosive gases in facility structures,
excluding gas control or recovery system components
R315-303-2(2)(a)(i)
Yes No, explain
Plan that demonstrates concentrations of explosive gases generated by the facility shall not exceed the lower explosive limit for explosive gases at the property boundary or beyond
R315-303-2(2)(a)(ii)
Yes No, explain
Plan to prevent violations of any Utah Pollution Discharge Elimination System permit or standard from discharges of surface run-off, leachate or any liquid associated with the facility
R315-303-2(3)(a)
Yes No, explain
Plan to maintain compliance under the Clean Water Act for any discharge as well as in compliance with any area-wide or state-wide plan under Section 208 or 319 of the Clean Water Act.

R315-303-2(3)(b)
Yes No, explain
IIg. Standards for Design
Evidence the facility is designed to minimize liquids by applying cover according to Subsection R315-303-4(4).
R315-303-3(1)(a)
Yes No, explain
Evidence the facility will prohibit the 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
Evidence the facility is designed to prevent run-on of all surface waters resulting from a maximum flow of a 25-year storm into the active area of the landfill.
R315-303-3(1)(c)
Yes No, explain
Design for final cover of the landfill which will be placed upon closure of the landfill or a landfill cell.
R315-303-3(4)
Yes No, explain
Design drawings as appropriate including: engineered structures, landfill liners, leachate collection systems, run-on/run-off control systems, final covers, groundwater monitoring systems,
and gas collections systems. Design drawings shall be signed and sealed by a professional engineer registered in the State of Utah.
R315-303-3(8)
Yes No, explain
For a Class Iva Landfill: evidence groundwater beneath the landfill will be monitored as specified in Rule R315-308.
R315-305-4(4)
Yes No, explain
IIh. Plan of Operation for Class IV and VI 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
Example of the form that will be used to record weights or volumes of waste received as required by R-315-302-2(3)(a)(i)
R315-310-3(1)(f)
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
R315-302-2(2)(n)
Yes No, explain
Training plan for site operations
R315-302-2(2)(o)
Yes No, explain
III. High Liquid Waste Management
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
IV. Closure and Post Closure Care Requirements for Class IV and VI Facilities
Closure plan as required by R315-302-3meeting the requirements of R315-305-5(5).
R315-310-3(1)(h)
R315-302-2(2)(m)
Yes No, explain
Closure plan shall project time intervals at which sequential partial closure, if applicable, is to be implemented and identify closure cost estimates and projected fund withdrawal intervals
for the associated closure costs from the approved financial assurance instrument required by Rule R315-309.
R315-302-3(3)(c)
Yes No, explain
Post-closure care plan as required by R315-302-3.
R315-310-3(1)(h)
R315-302-2(2)(m)
R315-302-3(6)
Yes No, explain
Information required by Subsections R315-310-4(2)(d) and R315-310-4(2)(e)
R315-310-5(2)(c)
Yes No, explain
V. Financial Assurance Requirements for Class IV and VI Facilities
Financial assurance plan, including the assurance mechanism proposed for use.
R315-309-2(1)
Yes No, explain
Financial assurance cost estimates based on a third-party performing closure or post-closure care.
R315-309-2(3)
Yes No, explain
Identification of a financial assurance mechanism, which will cover the costs of post-closure care.
R315-309-2(4)
Yes No, explain