DSHW-2025-000445

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
Municipal Solid Waste (as defined by R315-301-2(50))
Construction or Demolition Waste (as defined by R315-301-2(18))
Special Wastes (as defined by R315-301-2(76))
Other: Click or tap here to enter text.
Facility Area: acres
PART II - APPLICATION CHECKLIST
Description of Item
Rule(s) Cited
Included in Submission (Enter an explanation if item is not included)
Location in the Document/Comments
Ia. Requirements for All Facilities
Complete Part I - General Information as required by R315-310-1(1)(b)
R315-310-3(1)(a)
Yes No, explain
General facility descriptions including maps, plans, and drawings as required by R315-310-1(1)(b)
R315-310-3(1)(b)
Yes No, explain
Legal description of the property, proof of ownership, lease agreement, or other mechanism as required by R315-310-1(1)(b)
R315-310-3(1)(c)
Yes No, explain
Waste type, anticipated daily volume, and area served by the facility as required by R315-310-1(1)(b)
R315-310-3(1)(d)
Yes No, explain
Plan of Operation as required by R315-310-1(1)(b)
R315-310-3(1)(e)
Yes No, explain
Form used to record weights or volumes of waste received as required by R315-310-1(1)(b)
R315-310-3(1)(f)
Yes No, explain
Inspection schedule and inspection log as required by R315-310-1(1)(b)
R315-310-3(1)(g)
Yes No, explain
Closure plans as required by R315-310-1(1)(b)
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 as required by R315-310-1(1)(b)
R315-310-3(1)(i)
Yes No, explain
Historical and archeological identification efforts as required by R315-310-1(1)(b)
R315-310-3(1)(k)
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 as required by R315-310-1(1)(b)
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 Transfer Stations
Historic preservation survey as required by R315-302-1(2)(f)
R315-313-2(1)
Yes No, explain
A buffer zone of 50 feet from the active area to the nearest property line in areas zoned residential as required by R315-313-4(f)
R315-313-4(f)
Yes No, explain
IIa. Plan of Operation Requirements
An intended schedule of construction as required by R315-313-2(2)
R315-302-2(2)(a)
Yes No, explain
Description of on-site solid waste handling procedures as required by R315-313-2(2)
R315-302-2(2)(b)
Yes No, explain
Schedule for conducting inspections and monitoring as required by R315-313-2(2)
R315-302-2(2)(c)
Yes No, explain
Contingency plans in the event of a fire or explosion as required by R315-313-2(2)
R315-302-2(2)(d)
Yes No, explain
Corrective action programs to be initiated if groundwater is contaminated as required by R315-313-2(2)
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 as required by R315-313-2(2)
R315-302-2(2)(f)
Yes No, explain
Plan to control fugitive dust as required by R315-313-2(2)
R315-302-2(2)(g)
Yes No, explain
Plan to control wind-blown litter as required by R315-313-2(2)
R315-302-2(2)(h)
Yes No, explain
Description of maintenance of installed equipment including leachate and gas collection systems, and groundwater monitoring systems as required by R315-313-2(2)
R315-302-2(2)(i)
Yes No, explain
Procedures for excluding the receipt of prohibited hazardous waste or prohibited waste containing PCBs as required by R315-313-2(2)
R315-302-2(2)(j)
Yes No, explain
Procedures for controlling disease vectors as required by R315-313-2(2)
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 as required by R315-313-2(2)
R315-302-2(2)(l)
Yes No, explain
Closure plans as required by R315-313-2(2)
R315-302-2(2)(m)
Yes No, explain
Training plan for site operations as required by R315-313-2(2)
R315-302-2(2)(o)
Yes No, explain
Traffic impact study from
the agency with jurisdiction over the
roads as required by Utah Solid and Hazardous Waste Act 19-6-108(9)(g)
R315-302-1(2)(g)
Yes No, explain
IIb. Other Site-Specific Information as Required by the Director

Include drawings and construction plans of the facility that detail the following, at a minimum:
Yes No, explain
The transfer station shall be surrounded by a fence, trees, shrubbery, or natural features so as to control access and to screen the station from the view of immediately adjacent neighbors,
unless the tipping floor is fully enclosed by a building
R315-313-2(4)(a)
Yes No, explain
The transfer station shall be sturdy and constructed of easily cleanable materials
R315-313-2(4)(b)
Yes No, explain
The facility shall be designed and constructed to provide protection of the tipping floor from wind, rain, or snow
R315-313-2(4)(e)
Yes No, explain
Construction of a run-off collection and treatment system, if required, must be designed and operated to collect and treat a 25-year storm and equipment cleaning and washdown water
R315-313-2(4)(g)
Yes No, explain
Construction of a run-on prevention system to divert a 25-year storm event
R315-313-2(4)(g)
Yes No, explain
Have a sign that identifies the facility and shows at least the name of the site, hours during which the site is open for public use, materials not accepted at the facility, and other
necessary information posted at the site entrance
R315-313-2(4)(l)
Yes No, explain
III. Closure Requirements for Transfer Stations
Closure plan as required by R315-310-3(1)(h)
R315-302-3(1)(b)
Yes No, explain