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DWQ-2025-002894
Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 1 of 24 Part I. General Information (40 CFR 122.21(j)(1) and (9)) UPDES Permit No.: Facility Name: Facility Location: City State Zip Facility Mailing Address: City State Zip Facility Contact: Title: Phone Number: Email Address: Name of Signatory: Title: Is the applicant the facility owner, operator or both? (check only one response.) Owner Operator Both Indicate below any existing environmental permits. (Check all that apply and type the corresponding permit number for each.) RCRA (hazardous waste)UIC (underground injection control)PSD (air emissions) Nonattainment program (CAA)NESHAPs (CAA)Dredge or fill (CWA Section 404) Other (specify) Nature of Business CFR (40 CFR 122.21(f)(8)) Describe the nature of your business Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 2 of 24 Part II. Facility Information Population served? Design and Actual Flow Rates Provide design and actual flow rates in designated spaces.Design Flow Rate mgd Annual Average Flow Rates (Actual) Five Years Ago Four Years Ago Three Years Ago mgd mgd mgd Two Years Ago Last Year Current Year mgd mgd mgd Maximum Daily Flow Rates (Actual) Five Years Ago Four Years Ago Three Years Ago mgd mgd mgd Two Years Ago Last Year Current Year mgd mgd mgd Describe the treatment for each outfall Outfall No. ________Outfall No. ________Outfall No. ________ Highest Level of Treatment (check all that apply per outfall) Primary Equivalent to secondary Secondary Advanced Other (specify) ________ Primary Equivalent to secondary Secondary Advanced Other (specify) _________ Primary Equivalent to secondary Secondary Advanced Other (specify) ________ Design Removal Rates by Outfall BOD5 % % % TSS % % % Phosphorus Not applicable % Not applicable % Not applicable % Nitrogen Not applicable % Not applicable % Not applicable % Other (specify)Not applicable % Not applicable % Not applicable % Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 3 of 24 Part II. Facility Information continued Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have reasonable potential to discharge chlorine in its effluent? YES NO Describe the type of disinfection used for the effluent for each outfall. If disinfection varies by season, describe below. Outfall No. ________Outfall No. ________Outfall No. ________ Disinfection type Seasons used Dechlorination used?Not applicable Yes No Not applicable Yes No Not applicable Yes No MAP: Attach a USGS topographic map or aerial photo extending one mile beyond the property boundaries of the site, the facility or activity boundaries, any treatment area(s), outfall(s), major drainage patterns, and the receiving surface waters stated above. Map Attached Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 4 of 24 Part II. Facility Information continued Are improvements to the facility scheduled? YES If YES, explain below. NO If NO, Skip to Part III Briefly list and describe the schedule improvements. 1. 2. 3. 4. Provide scheduled or actual dates of completion for improvements. Scheduled or Actual Dates of Completion for Improvements Scheduled Improvement (from above) Affected Outfalls (list outfall number) Begin Construction (MM/DD/YYYY) End Construction (MM/DD/YYYY) Begin Discharge (MM/DD/YYYY) Attainment of Operational Level (MM/DD/YYYY) 1. 2. 3. 4. Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 5 of 24 Part III. Sampling Information Provide all parameter sampling data with analytical results, reporting limit and any laboratory flags on an Excel spreadsheet. An Excel Spreadsheet will be provided upon request. Has WET testing been conducted during the last 5 years?YES NO Indicate the acute and chronic WET tests (PASS or FAIL) results for the past 5 years. If no WET testing for the quarter, then leave blank (e.g., for semi-annual or annual testing or missed testing events). Year Outfall No. ________Outfall No. ________Outfall No. ________ Acute Chronic Acute Chronic Acute Chronic Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 1 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 2 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 3 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Qtr 4 PASS FAIL Describe any cause(s) of toxicity: Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 6 of 24 Part IV. Compliance Information Has the facility had an parameter exceedances over the past five years? If Yes, provide the below information: Parameter Exceedance Month/Year Cause Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 7 of 24 Part IV. Compliance Information continued Facility monitoring data. Please provide the past five years of all parameters required to be monitored in the UPDES permit. The data can be entered in the section below or an excel spreadsheet. Attached additional sheets if needed. Month Year Parameter Min Max Avg MDL/RL* *MDL/RL is the analysis method detection limit or reporting limit located on the laboratory analysis report. Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 8 of 24 Part V. Outfalls and Receiving Water(s) Provide the latitude and longitude to the nearest second for each dewatering outfall. The specified location should be after all treatment and before release to the receiving water. Provide the name of the initial receiving water. If the initial receiving water is unnamed, please also indicate the closed named drainage the receiving water flows into (i.e. unnamed tributary of City Creek). Attach additional sheets if necessary for more outfalls. Each outfall to a different receiving water segment is subject to additional application fees and annual fees. Outfall No.Average daily flow rate Latitude Longitude Receiving Surface Waters (Name) mgd O O mgd O O mgd O O Do any of the outfalls described above have a season or periodic discharges? YES NO If so, provide the following information for each applicable outfall. Outfall No. ______Outfall No. ______Outfall No. ______ Number of times per year discharges occurs Average duration of each discharge (specify units) Average flow of each discharge mgd mgd mgd Months in which discharge occurs Part VI. Collection System Service Area(s) Population Served Miles of Pipe Total Population Served Total Miles of Pipe USMP Program implemented? YES NO Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 9 of 24 Part VII. Pretreatment Information Does the facility have an approved pretreatment program? YES NO If YES, skip to next section If No, complete the below industrial user forms and inspections as needed. A. Industrial Pretreatment Wastewater Survey Check any of the following that have occurred in the past five years either at the wastewater treatment plant or in the collection system: Foaming Unusual colors Plugged collection lines caused by grease Plugged collection lines caused by sand Plugged collection lines caused by other debris Discharging of excessive BOD Discharging of excessive suspended solids Smells unusually bad or unusual smells Upsets of the treatment plant due to unknown conditions Does the facility have any industrial users (IUs) which meet any of the following criteria: 1.Has a lot of process wastewater (5% of the flow at the waste treatment facility or more than 25,000 gallons per work day.) a. Examples: food processor, dairy, slaughterhouse, industrial laundry. YES NO 1.Is subject to federal categorical pretreatment standards; a. Examples: metal plating, cleaning or coating of metals, blueing of metals, aluminum extruding, circuit board manufacturing, tanning animal skins, pesticide formulating or packaging, and pharmaceutical manufacturing or packaging, YES NO 2.Is a concern to the POTW. a. Examples: septage hauler, restaurant and food service, car wash, hospital, photo lab, carpet cleaner, commercial laundry. YES NO Do any users of the water treatment facility caused any of the following to occur: YES NO A discharge which creates a fire or explosion hazard in the collection system. YES NO A discharge which creates toxic gases, vapor or fumes in the collection system. YES NO A discharge of solids or thick liquids which creates flow obstructions in the collection system. YES NO An acidic discharge (low pH) which causes corrosive damage to the collection system. YES NO Petroleum oil, nonbiodegradable cutting oil, or products of mineral oil origin in amounts that will cause problems in the collection system or at the waste treatment facility. YES NO Waste haulers are prohibited from discharging without permission. YES NO Does the facility believe that illegal dumping is occurring in the jurisdiction? Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 10 of 24 Part VII. Pretreatment Information continued Complete and submit a preliminary inspection of each business that is discharging process wastewater to the wastewater treatment plant B. PRELIMINARY INSPECTION FORM Inspection Date Inspection Time Name of Business Person Contacted Street Address City Email Address Phone Number Description of Business: Principal product or service: Raw Materials used: Production process is: Batch Continuous Both If yes, briefly describe seasonal production cycle. This facility generates the following types of wastes (check all that apply): 1.Domestic wastes (Restrooms, employee showers, etc.) 2.Cooling water, non-contact 3.Boiler/Tower blowdown 4.Cooling water, contact 5.Process 6.Equipment/Facility washdown 7.Air Pollution Control Unit 8.Storm water runoff to sewer 9.Other describe Wastes are discharged to (check all that apply): Evaporation Ground water Sanitary sewer Other (describe below) Storm sewer Surface water Waste haulers Name of waste hauler(s), if used Is a grease trap installed?Yes No Is it operational?Yes No Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 11 of 24 Part VII. Pretreatment Information continued B. PRELIMINARY INSPECTION FORM continued Does the business discharge a lot of process wastewater? More than 5% of the flow to the waste treatment facility?Yes No More than 25,000 gallons per work day?Yes No Does the business do any of the following or manufacture any of the following? Adhesives Aluminum Forming Battery Manufacturing Car Wash Carpet Cleaner Copper Forming Dairy Electric & Electronic Components Explosives Manufacturing Food Processor Foundries Hospital Industrial Porcelain Ceramic Manufacturing Inorganic Chemicals Mfg. or Packaging Iron & Steel Laundries Metal Finishing, Coating or Cleaning Mining Nonferrous Metals Manufacturing Organic Chemicals Manufacturing or Packaging Paint & Ink Manufacturing Pesticides Formulating or Packaging Petroleum Refining Pharmaceuticals Manufacturing or Packaging Photo Lab Plastics Manufacturing Restaurant & Food Service Rubber Manufacturing Septage Hauler Slaughter House Soaps & Detergents Manufacturing Steam Electric Generation Tanning Animal Skins Textile Mills Are any process changes or expansions planned during the next three years? Yes No If yes, attach a separate sheet to this form describing the nature of planned changes or expansions. Inspector Name Printed Wastewater Treatment Facility Any questions regarding the form or assistance with inspecting business please contact Jennifer Robinson Pretreatment Coordinator Division of Water Quality P. O. Box 144870 Salt Lake City, Utah 84114-4870 Phone: (801) 536-4383 Fax: (801) 536-4301 E-Mail:jenrobinson@utah.gov Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 12 of 24 Part VII. Pretreatment Information continued Either list all businesses below or provide a list of business licenses issued in the facilities service area. Name of Business Jurisdiction SIC Codes Total Average Process Flow (gpd) Total Average Facility Flow (gpd) Facility Description (dentist, manufacturing [state product], dairy, assisted living facility, etc.) 1 2 3 4 5 6 7 8 9 10 11 Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 13 of 24 Part VIII. Bisolids Information Was the Biosolids Annual Report submitted? YES NO Attach a Biosolids Management Plan with application Serve Connections? Provide the total dry metric tons per the latest 365-day period of sewage sludge generated, treated, used and disposed of: Practice Dry Metric Tons per 365-day Period Amount generated at the facility Amount treated at the facility Amount used (i.e., received from offsite) at the facility Amount disposed of at the facility Treatment Provided at Your Facility Identify the treatment process(es) used at your facility to reduce pathogens in sewage sludge Preliminary operations (e.g., sludge grindling and degritting) Stablilization Composting Disinfection Heat drying Methane or biogas capture and recovery Thickening (concentration) Anaerobic digestion Conditioning Dewatering (e.g. centrifugation, sludge drying beds, sludge lagoons) Thermal reduction Sewage Sludge Disposal Method Land Application of Bulk Sewage Sludge Is sewage sludge form your facility applied to the land? YES NO If No, Skip to next section Total dry metric tons per 365-day period of sewage sludge applied to all land sites: Surface Disposal Is sewage sludge from your facility placed on a surface disposal site? YES NO If No, Skip to next section Total dry metric tons of sewage sludge from your facility placed on all surface disposal sites per 365-day period: Do you own or operate all surface disposal sites to which you send sewage sludge for disposal? YES NO If No, complete the below information Surface disposal site you do not operate Site name Mailing address City State Zip Contact Name Title Phone Number Email Address Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 14 of 24 Part VIII. Bisolids Information continued Incineration Is sewage sludge from your facility fired in a sewage sludge incinerator? YES NO If No, Skip to next section Total dry metric tons of sewage sludge from your facility fired in all sewage sludge incinerators per 365-day period: Do you own or operate all sewage sludge incinerators in which sewage sludge from facility is fired? YES NO If No, complete the below information Incinerator location you do not operate Site name Mailing address City State Zip Contact Name Title Phone Number Email Address Disposal in a Municipal Solid Waste Landfill Is sewage sludge from your facility placed on a municipal solid waste landfill? YES NO If No, Skip to next section Total dry metric tons of sewage sludge from your facility placed in this municipal solid waste landfill per 365-day period: Do you own or operate the municipal solid waste landfill in which sewage sludge is disposed? YES NO If No, complete the below information Municipal Solid Waste Landfill you do not operate Site name Mailing address City State Zip Contact Name Title Phone Number Email Address Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 15 of 24 Part IX. Reuse Information Is wastewater applied to land? YES NO If YES, complete the below information. Land Application Site and Discharge Data Location Size Average Daily Volume Applied How often acres gpd Seasonal Continuous Intermittent acres gpd Seasonal Continuous Intermittent acres gpd Seasonal Continuous Intermittent Seasonal land application. Indicate months of seasonal land application January February March April May June July August September October November December Where is the Reuse water distributed Residential irrigation Urban uses Non-residential landscape irrigation Golf course irrigation Toilet flushing Fire protection Irrigation of food crops (direct contact with edible part) spray irrigation Irrigation of food crops (Non direct contact with edible part) no spray irrigation Irrigation Sod farms Silviculture Limited access highway rights of way Other areas where human access is restrict or unlikely to occur Irrigation of animal feed crops other than pasture for milking animals Impoundment of wastewater where direct human contact is not allowed or is unlikely to occur Cooling water Soil compaction or duct control in construction areas Other Attached an updated Reuse Project Plan An updated Reuse Project Plan is required during every permit renewal. Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 16 of 24 Part X. Antidegradation Review The objective of antidegradation rules and policies is to protect existing high quality waters and set forth a process for determining where and how much degradation is allowable for socially and/or economically important reasons. In accordance with Utah Administrative Code (UAC R317-2-3), an antidegradation review (ADR) is a permit requirement for any project that will increase the level of pollutants in waters of the state. The rule outlines requirements for both Level I and Level II ADRs, as well as public comment procedures. This review form is intended to assist the applicant and Division of Water Quality (DWQ) staff in complying with the rule but is not a substitute for the complete rule in R317-2-3.5. Additional details can be found in the Utah Antidegradation Implementation Guidance and relevant sections of the guidance are cited in this review form. ADRs should be among the first steps of an application for a UPDES permit because the review helps establish treatment expectations. The level of effort and amount of information required for the ADR depends on the nature of the project and the characteristics of the receiving water. To avoid unnecessary delays in permit issuance, DWQ recommends that the process be initiated at least one year prior to the date a final approved permit is required. DWQ will determine if the project will impair beneficial uses (Level I ADR) using information provided by the applicant and whether a Level II ADR is required. The applicant is responsible for conducting the Level II ADR. For the permit to be approved, the Level II ADR must document that all feasible measures have been undertaken to minimize pollution for socially, environmentally or economically beneficial projects resulting in an increase in pollution to waters of the state. For permit requiring a Level II ADR, this antidegradation form must be completed and approved by DWQ before any UPDEs permit can be issued. Typically, the ADR form is completed in an iterative manner in consultation with DWQ. The applicant should first complete the statement of social, environmental and economic importance (SEEI) DWQ, the alternatives analysis and selection of preferred alternative Section E can be conducted based on minimizing degradation resulting from discharge of the POCs. Once the applicant and DWQ agree upon the preferred alternative, the review is considered complete, and the form is submitted to DWQ. What are the designated uses of the receiving water (R317-2-6)? Domestic Water Supply Recreation Aquatic Life Agricultural Water Supply Great Salt Lake Antidegradation Category 1, 2 or 3 of receiving water (R317-2-3.2, -3.3, and -3.4): Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 17 of 24 Part X. Antidegradation Review continued Effluent flow reviewed: typically, this should be the maximum daily discharge at the design capacity of the facility. Exceptions should be noted. What is the application for? (Check all that apply) A UPDES permit for a new facility, project, or outfall. A UPDES permit renewal with an expansion of modification of an existing wastewater treatment works. A UPDES permit renewal requiring limits for a pollutant not covered by the previous permit and/or an increase to existing permit limits. A UPDES permit renewal with no charges in facility operations. Section B. Is a Level II ADR required? This section of the form is intended to help applicants determine if a Level II ADR is required for specific permitted activities. In addition, the Executive Secretary may require a Level II ADR for an activity with the potential for major impact on the quality of waters of the state (R317-2-3.5a.1). B1. The UPDES permit is new or is being renewed and the proposed effluent concentration and loading limits are higher than the concentration and loading limits in the previous permit and any previous antidegradation review(s). YES (Proceed to B3 of the Form) NO No Level II ADR is required and there is no need to proceed further with the review questions. Continue to the Certification Statement and Signature page. B2. Will any pollutants use assimilative capacity of the receiving water, i.e. do the pollutant concentrations in the effluent exceed those in the receiving waters at critical conditions? For most pollutants, effluent concentrations that are higher than the ambient concentrations require an antidegradation review? For a few pollutants such as dissolved oxygen, and antidegradation review is required if the effluent concentrations are less than the ambient concentrations in the receiving water. (Section 3.3.3 of Implementation Guidance) YES (Proceed to B4 of the Form) NO No Level II ADR is required and there is no need to proceed further with the review questions. Continue to the Certification Statement and Signature page. Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 18 of 24 Part X. Antidegradation Review continued B3. Are water quality impacts of the proposed project temporary and limited (Section 3.3.4 of Implementation Guidance)?Proposed projects that will have temporary and limited effects on water quality can be exempted form a Lev le II ADR. YES Identify the reason used to justify this determination if B4.1 and proceed to Section G. No Level II ADR is required. NO A Level II ADR is required (Proceed to Section C) B3.1 Complete this question only if the applicant is requesting a Level II review exclusion for temporary and limited projects (See R317-2-3.5(b)(3) and R317-2-3.5(b)(4)). For projects requesting a temporary and limited exclusion please indicate the factor(s) used to justify this determination (check all that apply and provide details as appropriate) (Section 3.3.4 of Implementation Guidance): Water quality impacts will be temporary and related exclusively to sediment or turbidity and fish spawning will not be impaired. Factors to be considered in determining whether water quality impacts will be temporary and limited: a) The length of time during which water quality will be lowered: b) The perfect change in ambient concentrations of pollutants: c) Pollutants affected: d) Likelihood for long-term water quality benefits: e) Potential for any residual long-term influences on existing uses: f) Impairment of fish spawning, survival and development of aquatic fauna excluding fish removal efforts: Additional justification, as needed: Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 19 of 24 Part X. Antidegradation Review continued Level II ADR Section C, D, E, and F of the form constitute the Level II ADR Review. The applicant must provide as much detail as necessary for DWQ to perform the antidegradation review. Questions are provided for the convenience of applicants; however, for more complex permits it may be more effective to provide the required information in a separate report. Applicants that prefer a separate report should record the report name here and proceed to Section G of the form. Option Report Name: Section C. Is the degradation from the project socially and economically necessary to accommodate important social or economic development in the area in which the waters are located? The applicant must provide as much detail as necessary for DWQ to concur that the project is socially and economically necessary when answering the questions in the section. More information is available in Section 6.2 of the Implementation Guidance. C1. Describe the social and economic benefits that would be realized through the proposed project, including the number and nature of jobs created and anticipated tax revenues. C2. Describe any environmental benefits to be realized through implementation of the proposed project. C3. Describe any social and economic losses that may result from the project, including impacts to recreation or commercial development. C4. Summarize any supporting information from the affected communities on preserving assimilative capacity to support future growth and development. Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 20 of 24 Part X. Antidegradation Review continued C5. Please describe any structures or equipment associated with the project that will be placed within or adjacent to the receiving water. C6. Will the discharge potentially impact a drinking water source, e.g., Class 1C waters? Depending upon the locations of the discharge and its proximity to downstream drinking water diversions, additional treatment or more stringent effluent limits or additional monitoring, beyond that which may otherwise be required to meet minimum technology standards or in stream water quality standards, may be required by the Director in order to adequately protect public health and the environment (R317-2-3.5 d.). YES NO Section D. Identify and rank (from increasing to decreasing potential threat to designated uses) the parameters of concern. Parameters of concern are parameters in the effluent at concentrations greater than ambient concentrations in the receiving water. The applicant is responsible for identifying parameter concentrations in the effluent and DWQ will provide parameter concentrations for the receiving water. More information is available in Section 3.3.3 of the Implementation Guidance. Parameters of Concern: Rank Pollutant Ambient Concentration Effluent Concentration 1. 2. 3. 4. 5. Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 21 of 24 Part X. Antidegradation Review continued Pollutants Evaluated that are not Considered Parameters of Concern: Pollutant Ambient Concentration Effluent Concentration Justification 1. 2. 3. 4. 5. Section E. Alternative Analysis Requirements of Level II Antidegradation Review. Level II ADRs require the applicant to determine whether there are feasible less-degrading alternatives to the proposed project. More information is available in Section 5.5 and 5.6 of the Implementation Guidance. E1. The UPDES permit is being renewed without any changes to flow or concentrations. Alternative treatment and discharge options including changes to operations and maintenance were considered and compared to the current processes. NO economically feasible treatment or discharge alternatives were identified that were not previously considered for any previous antigradation review(s). YES (Proceed to Section F) NO or Does Not Apply (Proceed to E2) E2. Attach as an appendix to this form a report that describes that following factors for all alternative treatment options (see 1) a technical descriptions of the treatment process, including construction costs and continued operation and maintenance expenses, 2) the mass and concentration of discharge constituents, and 3) a description of the reliability of the system, including the frequency where recurring operation and maintenance may lead to temporary increases in discharged pollutants. Most of this information is typically available from a Facility Plan, if available. Report Name: E3. Describe the proposed method and cost of the baseline treatment alternative. The baseline treatment alternative is the minimum treatment required to meet water quality based effluent limits (WQBEL) as determined by the preliminary or final wasteload analysis (WLC) and any secondary or categorical effluent limits. Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 22 of 24 Part X. Antidegradation Review continued E4. Were any of the following alternatives feasible and affordable? Alternative Feasible Reason Not Feasible/Affordable Pollutant Trading YES NO Water Recycling/Reuse YES NO Land Application YES NO Connection to Other Facilities YES NO Upgrade to Existing Facility YES NO Total Containment YES NO Improved O&M of Existing Systems YES NO Seasonal or Controlled Discharge YES NO New Construction YES NO No Discharge YES NO Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 23 of 24 Part X. Antidegradation Review continued E6. Is the preferred option also the least polluting feasible alternative? YES NO If No, what were less degrading feasible alternative(s)? If No, provide a summary of the justification for not selecting the least polluting feasible alternative and if appropriate, provide a more detailed justification as an attachment. Section F. Optional Information F1. Does the applicant want to conduct optional public review(s) in addition to the mandatory public review? Level II ADRs are public noticed for a thirty day comment period. More information is available in Section 3.7.1 of the Implementation Guidance. YES NO F2. Does the project include an optional mitigation plan to compensate for the proposed water quality degradation? YES NO Report Name: Division of Water Quality (DWQ) UPDES Program UPDES Municipal (POTW) Permit Application Page 24 of 24 Part XI. Certification Statement and Signature I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with system designed to assure that quailed personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment of knowing violations. PRINT Signatory Authority Signature Title Date The Division of Water Quality may request addition information. Important: The UPDES Permit Application will not be considered complete unless you answer every question. If an item does not The UPDES Permit Application, must be signed as follows: 1) For a corporation, a responsible corporate officer shall sign the NOT, a responsible corporate officer means: a. A President, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any other person who performs similar policy- or decision-making functions for the corporation; or b. The manager of one or more manufacturing, production, or operating facilities, if i. The manager is authorized to make management decisions that govern the operation of the regulated facility, including having the explicit or implicit duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to assure long term environmental compliance with environmental statutes and regulations: ii. The manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements; and iii. Authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures. 2) For a partnership of sole proprietorship, the general partner or the proprietor, respectively; or 3) For a municipality, state or other public agency, either a principal executive officer or ranking elected official shall sign the application; in this subsection, a principal executive officer of any agency means; a. The chief executive officer of the agency; or b. A senior executive officer having responsibility for the overall operations of a principal geographic unit or division of the agency. Where to File the UPDES Permit Application form: Please submit the original form with a signature in ink to the below address. Remember to retrain a copy for your records. UPDES sent by mail: Division of Water Quality 195 North 1950 West PO Box 144870 Salt Lake City, UT 84114-4870 OFFICE USE ONLY Date received: / /Received by:Document No: via:Email Fax Webportal Mail Hand Delivery CASTLE DALE SEWER LAGOONS Legend Castle Dale 1 mi N ➤➤ N © 2019 Google © 2019 Google © 2019 Google Business Licenses 2024-2025 H = Home based business $0 R = Regular business $35 S = Short Term Rental $100 L = Liquor P=Premise $0 N = Non-profit $0 License Description of Business City SIC (??) R & K Tax Service R Accounting Castle Dale Adventure Hideaway S Air BnB Vacation Rental Castle Dale Emery Avenue LLC H Art Lessons Castle Dale J & D Automotive R auto parts & repair Castle Dale Wiese Automotive dba Grant Automotive R auto parts & repair Castle Dale Vintage Volvo R Auto Restoration Castle Dale Sportman Bail Bonds H Bail Bonds Castle Dale Carroll's Band Instrument Repair H Band Instrument Repair Castle Dale Butler Barbershop R Barbershop Castle Dale Jump N. Jam, LLC H Bounce House rentals Castle Dale Kantuta Enterprises (Tavo's) R C Store, Gas Station, Restaurant Cedar City The Swell Retreat S Camp Sites Castle Dale Braun Carwash, Lapidary & Monument R Carwash, Monument Sales, Retail Store Castle Dale San Rafael Works R Catering, Leather goods Castle Dale Bryan Chiropractic R Chiropractic Services American Fork Christmas Festival R Christmas Craft Fair Castle Dale Simply Clean H Cleaning Castle Dale CC's Laundromat R Coin Operated Laundramat & Dry Cleaning Price Great Origin Properties R Commercial Property Rentals Castle Dale Maverik Inc #706 R & L Convenience Store, Gas Station, Beer Sales Salt Lake City 5412, 5500 It's Snow Things H Craft Floral/Retail Castle Dale Ghost Rocks LLC R Custom made ATV/UTV parts- manufacturing Castle Dale Designed 4 You H Custom website design & marketing Castle Dale ShowTime Dance Company R Dance Lessons Castle Dale W. Jay Stilson D.M.D. R Dental Office Castle Dale Todd R. Huntington DDS PC R Dental Services Castle Dale Shawn K Leonard DMD R Dentistry Castle Dale Nomad Field Service LLC H Diesel Mechanic Castle Dale Smart Home Pros R Door to door sales Provo FTW Electrical and Construciton H Electrical and Construction Castle Dale Mills Electronics H Electronic Sales & Repair Castle Dale ADT LLC R Electronic Security Services Boca Raton Castle Valley Consulting H Engineering Castle Dale Johansen-Tuttle Engineering R Engineering Castle Dale Joshua Tree Technologies R Engineering/Consulting Castle Dale Community Cat Connection H/NP Ferral cat help, control & rescue Castle Dale Eastern Utah Community Credit Union R Financial Institution Castle Dale Zions Bank R Financial Institution Castle Dale Business Licenses 2024-2025 H = Home based business $0 R = Regular business $35 S = Short Term Rental $100 L = Liquor P=Premise $0 N = Non-profit $0 License Description of Business City SIC (??) Jody Gerber Studio H Fine Art Oil Painting Sales & Instruction Castle Dale Creative Floral & Fabrics R Floral & Fabrics Castle Dale 57 Dresses H Formal Wear Rentals Castle Dale Fausett - IFP, LLC R Funeral Home Price Ber2z3 Construction LLC H General contractor Castle Dale Engman Builds LLC R General Contractor Castle Dale Black Diamond Auto LLC R gravel delivery, ATV rentals Castle Dale Stewarts Market R & L Grocery Store Castle Dale 5411 Carter's Charters H Guide Services Castle Dale Hair Station H Hair cutting Castle Dale Swell Styles R Hair Salon Castle Dale Magnuson Lumber R Hardware and building supplies Castle Dale 5211 Jones Ace Hardware R Hardware Store Castle Dale Abby Farley Daycare H Home Day Care Castle Dale Elevate OT LLC H Home Health Services Castle Dale Blue Tern Healthcare R Home Healthcare Castle Dale Rob Jackson Home Repair R Home Repair Castle Dale Desert Gems Designs H Jewelry Castle Dale Legacy Laser Engraving H Laser Engravings Castle Dale Mont's Custom Leather H Leather work Castle Dale San Rafael Bed & Breakfast S Lodging Castle Dale Tara's Healing Touch R Massage Therapy & Healthcare Elmo Sarver Meats LLC R Meat Processing Castle Dale 2011, 2012 Emery Medical Center R Medical Clinic & Physical Therapy Castle Dale Four Corner's Community Behavioral Health Inc N Medical Healthcare Castle Dale Positive Pathways Co. R Mental Health/Counseling services Price 8600 Norwalk Whitter LLC dba Esquire Estates R Mobile Home Park Beverly Hills Olsen Rentals R Mobile Home Park Price Village Inn Motel R Motel Helper Buyrizon H Online sales Install home theater Photography, Videos, Drone Service Castle Dale Castle Valley Eyecare R Optometry Castle Dale Thalman Orthodontics R Orthodontics Richfield Castle Ridge Outpatient & Fitness N Outpatient Therapy Services & Fitness Center Castle Dale Colibri Artisanal LLC R Personal Care Products- manufacture and sell Castle Dale Target Pest Control R Pest Control Castle Dale Boyd's Family Pharmacy R Pharmacy Castle Dale DesertLens Photography H Photography Castle Dale Pro Rehab Physical Therapy R Physical Therapy Castle Dale Arches Family Foot Care LLC H Podiatry Home Office Castle Dale Subway R Quick Serve Restaurant West Jordan Business Licenses 2024-2025 H = Home based business $0 R = Regular business $35 S = Short Term Rental $100 L = Liquor P=Premise $0 N = Non-profit $0 License Description of Business City SIC (??) Kalynn's Creations H Quilting, Embroidery & Sewing Classes Castle Dale Trevor Saiz H R-101 Residential Remodeling, non-structural Castle Dale High Tine Rental R Recreation & Equipment Rental Huntington Castle Ridge Behavioral Health Corp. N Rehabilitation Services Castle Dale Jones Rental R Rental Property Orangeville K & C Gilbert Properties, LLC R Rental Property Huntington Rural Investors R Rental Property Castle Dale J B Glass Enterprises, LLC R Residential and auto glass Castle Dale R Pizza Place R Restaurant Castle Dale The Fire Pit LLC dba Fatty's R Restaurant Castle Dale Family Dollar #26999 R & L Retail Chesapeake Precision Custom Arms DBA Precision Arms Company P Retail Fire Arms Castle Dale Castle Valley Storage R RV and Trailer Storage Las Vegas Oliverson Firearms H Sale of Firearms Castle Dale NuMe Salon by Laci & Co. R Salon, Tanning & Nails Orangeville White Space Design LLC R Screen Printing Castle Dale Screen Tech R Screen Printing & Embroidery Castle Dale A Swell Stay S Short Term Rental Castle Dale Desert Roots Investments LLC S Short Term Rental Herriman Jo Lo Inc. S Short Term Rental SLC Joe's Valley Bouldering Haus S Short Term Rental Castle Dale Mama Joe's Cottage S short term rental Riverside Willow Tree Properties & development-Cottonwood CottageS Short Term Rental Orangeville Willow Tree Properties & development- Willow Tree S Short Term Rental Orangeville Swell Castle LLC S Short Term Vacation Rental Springville The Cactus Blossom S Short-Term Rental Huntington Castle Valley Small Engine R Small Engine Repair Castle Dale Jackson Racing H Small Engine Repair Castle Dale Daley's Snack Shack H Snow cone, food sales Castle Dale Castleview Storage R Storage Units Castle Dale Rich Yield Inc H Tech Consulting Castle Dale Professional Title Services R Title & Escrow Services Castle Dale Metro National Title R Title Services SLC Vintage Vehicle R Vehicle Restoration Castle Dale Emery Animal Inc R Veterinary Services Castle Dale Lindsey Smith Photography H Wedding and Portrait Photography Castle Dale L 5 Creative Woodworking and Design H Wood Working Castle Dale Daniel Griffin <dgriffin@utah.gov> CVSSD Castle Dale Lagoons UPDES renewal 1 message jsharp@etv.net <jsharp@etv.net>Wed, Mar 26, 2025 at 2:57 PM To: Daniel Griffin <dgriffin@utah.gov> Cc: cvssd877@etv.net Dan, Attached is the renewal permit for Castle Dale. On the businesses, I looked up SIC codes online and I have no idea how I am supposed to know how they are coded. The city did not have any SIC information, they just have their own coding system for businesses that basically tells whether is a regular business location in the city or if is just a home business. That being said I tried to assign an SIC code to a few of the businesses but I have no idea if it is correct. If you have any more ideas or pointers regarding that please let me know. I will work on getting the businesses for Huntington and Ferron as well. Jacob Sharp, P.E. Castle Valley Special Service District 20 East 100 South Castle Dale, Utah 84513 Office: (435) 381-5333 Cell: (435) 253-1081 5 attachments Castle Dale - CVSSD UPDES Renewal 2025 DWQ-2019-012792.pdf 1548K Castle Dale Sewer Lagoon Map.pdf 9785K Castle Dale Sewer Lagoon Monitoring Data 2020-2024.pdf 1164K CVSSD Castle Dale Lagoons 2025 ADR.pdf 2069K Castle Dale City 2024-2025 Business Licenses.xlsx 95K 3/31/25, 8:49 AM State of Utah Mail - CVSSD Castle Dale Lagoons UPDES renewal https://mail.google.com/mail/u/0/?ik=ff31c3d2c5&view=pt&search=all&permthid=thread-f:1827691737775293890&simpl=msg-f:1827691737775293890 1/1