DDW-2025-003308

Sanitary Survey - Deficiency Report
PWS Number:UTAH26050 Deficiency Points:130 Survey Date:03/25/2025
Survey Name:BACK FORTY RANCH
HOUSE GRILL
Surveyor:Chris Bowles
Sanitary Survey Category: SM
SDWIS Severity Code: Minor Deficiency
Cross Connection and Operator Certification | DS001 | UTAH26050 DISTRIBUTION SYSTEM
35. Legally adopted authority statement
Rule: R309-105-12(2)Rule requires each public water system to have a cross connection control program
that includes a legally adopted and functional local authority to enforce the program
(i.e., ordinance, bylaw, or policy).
Notes:Instructed on how to use template to create and sign Policy.
Deficiency Points: 15
Days until points become effective on IPS: 0
SDWIS Deficiency Description: M003 CCC-LACKS LOCAL AUTHORITY
Sanitary Survey Category: SM
SDWIS Severity Code: Minor Deficiency
Cross Connection and Operator Certification | DS001 | UTAH26050 DISTRIBUTION SYSTEM
37. Documentation of personnel trained to manage the program (ALL COMUNITY WATER SYSTEMS REQUIRE A DDW CERTIFIED CCC
PROGRAM ADMINISTRATOR. ALL OTHER WATER SYSTEMS REQUIRE AT A MINIMUM BACKFLOW 101 OR EQUIVALENT/
GREATER CCC TRAINING)
Rule: R309-105-12(2)Rule requires each public water system to have a cross connection control program
that includes an operator with adequate training in the area of cross connection control
or backflow prevention.
Notes:Instructed Gary on taking the Backflow 101 and completing the Quiz to certify.
Deficiency Points: 15
Days until points become effective on IPS: 0
SDWIS Deficiency Description: M005 CCC-LACKS OPERATOR TRAINING
Sanitary Survey Category: SO
SDWIS Severity Code: Significant Deficiency
Wells | WS002 | OTHER END WELL RPL-1
59. Well casing is at least 18 inches above finished ground surface and 12 inches above well house floor.
Rule: R309-515-6(6)(b)(vi), R309-515-
6(12)(c)(ii), R309-515-6(13)(a)
Rule requires the permanent well casing to project at least 18 inches above the final
ground surface and 12 inches above the pump house floor; at sites subject to flooding,
the top of the casing must terminate at least 3 feet above the 100-year flood level or
highest known flood elevation, whichever is higher. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
Notes:Well Pitless adapter cap is buried under flower bed.
Deficiency Points: 25
Days until points become effective on IPS: 120
SDWIS Deficiency Description: S003 WELL CASING TERMINATES LESS THAN 12 INCHES ABOVE FLOOR OR LESS
THAN 18 INCHES ABOVE GROUND SURFACE
Sanitary Survey Category: SO
SDWIS Severity Code: Significant Deficiency
Wells | WS002 | OTHER END WELL RPL-1
60. Wellhead is sealed to prevent contamination.
Rule: R309-515-6(6)(i)R309-515-6(6)(i) and R309-515-6(12)(b,c,d)require a sanitary seal be installed and
maintained at the wellhead and discharge piping. This significant deficiency should be
corrected within 120 days of notification or have a corrective action plan approved by
Notes:Buried and can't inspect.
Deficiency Points: 50
Days until points become effective on IPS: 120
SDWIS Deficiency Description: S013 WELL LACKS THE REQUIRED WELL SEAL
Sanitary Survey Category: SO
SDWIS Severity Code: Significant Deficiency
Wells | WS002 | OTHER END WELL RPL-1
65. Well head or well house and equipment protected from flooding
Rule: R309-515-6(6)(b)(vi), R309-515-
6(12)(d)(iii), R309-515-6(13)(a) to (d)
Top of well casing shall terminate at least 18” above ground level or 12” above well
house floor and for sites that flood at least 3’ above 100-year flood level or highest
known flood elevation. Well casing terminating in underground vault shall have a drain
to daylight and surface runoff directed away from vault access. Well house floor shall
be sloped for drainage, and have a drain to daylight unless highly impractical. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
Notes:Well head is buried in flower bed.
Deficiency Points: 25
Days until points become effective on IPS: 120
SDWIS Deficiency Description: S020 WELL HEAD OR WELL HOUSE NOT PROTECTED FROM FLOODING