DSHW-2025-000440

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. Facility Area
Facility Area: Acres
Disposal Area: Acres
PART II - APPLICATION CHECKLIST
Description of Item
Rule(s) Cited
Included in Submission
Location in the Document/ Comments
Ia. 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
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
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. Location Standards for Landtreatment Facilities
Evidence the owner or operator of a landtreatment disposal facility shall meet the standards for performance specified in Section R315-303-2.
R315-307-1(4)
Yes No, explain
Evidence the owner or operator of a landtreatment disposal facility shall meet the location standards of Section R315-302-1.
R315-307-1(5)
Yes No, explain
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
R315-302-2(a)(i)
Yes No, explain
Evidence the facility is not located in ecologically and scientifically significant natural areas, 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
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 in areas with respect to archeological sites that would violate Section 9-8-404.
R315-302-1(2)(v)
Yes No, explain
For new or laterally expanding facilities: 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
For new or laterally expanding facilities: 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
For new or expanding facilities: 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
For new or expanding facilities: 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
For new or laterally expanding facilities: 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
For new or laterally expanding facilities: 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
For new or laterally expanding facilities: Evidence the facility is not located within wetlands
R315-302-1(2)(d)
Yes No, explain
For new or laterally expanding facilities: 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
For new or laterally expanding facilities: 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
For new or laterally expanding facilities: 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
For new or laterally expanding facilities: 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
For new or laterally expanding facilities: Evidence the historical preservation survey requirement has been met.
R315-302-1(2)(f)
Yes No, explain
For new or laterally expanding facilities: Evidence the traffic impact study requirement has been met.
R315-302-1(2)(g)
Yes No, explain
Id. Special Requirements for a Commercial (For-Profit) Solid Waste Treatment Facility
Is this a commercial facility? ☐ Yes, complete Section Id. ☐ No, skip Section Ie.
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
Ie. Standards for Design
Evidence the facility is designed to provide interim waste storage areas that meet the requirements for piles, as specified in Rule R315-314.
R315-307-2(1)
Yes No, explain
Evidence the facility has systems to collect and treat any run-off from a 25 year storm, and divert any run-on for the maximum flow of a 25 year storm around the active area.
R315-307-2(2)
Yes No, explain
Evidence the facility is designed to avoid standing water anywhere on the active area.
R315-307-2(3)
Yes No, explain
Evidence the facility is designed to avoid slopes and other features that will lead to soil and waste erosion, unless contour plowing or other measures are taken to avoid erosion.
R315-307-2(4)
Yes No, explain
Groundwater monitoring in accordance with R315-308.
R315-307-2(5)
Yes No, explain
Evidence that access to the facility is controlled by fencing or other means and a sign is erected as specified in Subsection R315-303-3(8).
R315-307-2(6)
Yes No, explain
If. Standards for Maintenance and Operation
Evidence the facility will avoid the disposal of garbage, infectious waste, or high-chloride wastes
R315-307-3(1)
Yes No, explain
Evidence the facility will avoid applying wastes at rates greater than 10 times agronomic rates using the proposed cover crop, or depths greater than would allow for disking the soil
by tracked vehicles
R315-307-3(2)
Yes No, explain
Evidence the facility will provide disking of soils during the growing season and after each application of waste to maintain aerobic soil conditions, minimize odors, and lessen run-off
R315-307-3(3)
Yes No, explain
Evidence the facility will avoid applying waste to any active area having standing water
R315-307-3(4)
Yes No, explain
Evidence the facility will conform to the approved plan of operation and any other applicable requirements of Section R315-302-2

R315-307-3(5)
Yes No, explain
Provide for a written contract between landowners, waste generators, waste haulers, and waste operators requiring compliance with rules as a condition of the contract.
R315-307-3(6)
Yes No, explain
Evidence the facility will avoid food-chain crops during the active life of the facility and until demonstrated to be safe, after closure, according to the closure and post-closure plans
filed with the plan of operation.
R315-307-3(7)
Yes No, explain
IIa. Plan of Operation for Landtreatment 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
R315-302-2(2)(n)
Yes No, explain
Training plan for site operations
R315-302-2(2)(o)
Yes No, explain
Evidence of planned recordkeeping according to the requirements
R315-302-2(3)
Yes No, explain
Evidence of planned reporting according to the requirements

R315-302-2(4)
Yes No, explain
Evidence of planned compliance with inspections according to the regulations
R315-302-2(5)
Yes No, explain
Evidence of planned compliance to record the facility with the County Recorder upon closure
R315-302-2(6)
Yes No, explain
IIb. Other Site-Specific Information as Required by the Director
Geohydrological assessment of the facility site that addresses all of the factors of Subsection R315-310-4(2)(b)
R315-310-6(2)(a)
Yes No, explain
Engineering report, plans, specifications, and calculations that address: How the facility will meet the location standards pursuant to Section R315-302-1.
R315-310-6(2)(b)(i)
Yes No, explain
Engineering report, plans, specifications, and calculations that address: How the facility will meet the standards of Rule R315-307.
R315-310-6(2)(b)(ii)
Yes No, explain
Engineering report, plans, specifications, and calculations that address: The basis for calculating the facility’s life.
R315-310-6(2)(b)(iii)
Yes No, explain
Engineering report, plans, specifications and calculations that address: waste analyses and methods to periodically sample and analyze solid waste.
R315-310-6(2)(b)(iv)
Yes No, explain
Engineering report, plans, specifications and calculations that address: design of interim waste storage facilities.
R315-310-6(2)(b)(v)
Yes No, explain
Engineering report, plans, specifications and calculations that address: design of run-on and run-off control systems.
R315-310-6(2)(b)(vi)
Yes No, explain
Contour map of the active area showing contours to the nearest foot.
R315-310-6(2)(b)(vii)
Yes No, explain
Groundwater and surface water monitoring program
R315-310-6(2)(b)(viii)
Yes No, explain
Access barriers such as fences, gate, and warning signs.
R315-310-6(2)(b)(ix)
Yes No, explain
Operation and maintenance of run-on and run-off control systems
R315-310-6(2)(c)(i)
Yes No, explain
Methods of taking groundwater samples and for maintaining groundwater monitoring systems.
R315-310-6(2)(c)(ii)
Yes No, explain
Methods of applying wastes to meet the requirements of Section R315-307-3.
R315-310-6(2)(c)(iii)
Yes No, explain
Closure plan to address: closure schedule; capacity of site in volume and tonnage; and final inspection by regulatory agencies.
R315-310-6(2)(d)
Yes No, explain
Post-closure plan to address: estimated time period for post-closure activities; site monitoring of groundwater; changes in record of title; maintenance activities to maintain cover
and run-off system; plans for food-chain crops, if any, being grown on the active areas, after closure; and identification of final closure costs including cost calculations and the
funding mechanism.
R315-310-6(2)(e)
Yes No, explain
III. Closure and Post Closure Care Requirements for Landtreatment Facilities
Closure plan as required by R315-302-3meeting the requirements of R315-307-4.
R315-310-3(1)(h)
R315-302-2(2)(m)

Yes No, explain
Post-closure care plan as required by R315-302-3.
R315-310-3(1)(h)
R315-302-2(2)(m)
Yes No, explain
IV. Financial Assurance Requirements for Landtreatment Facilities
Financial assurance plan, including the assurance mechanism proposed for use in accordance with R315-309.
R315-307-4(1)(b)
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