DWQ-2025-003948

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
UT0020052
CVSSD - FERRON
Ferron Utah 84523
PO BOX 877
CASTLE DALE UTAH 84513
JACOB SHARP District Manager
435-381-5333 [e-mail]
Jacob Sharp Manager
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Municipal wastewater lagoon
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
%
1800
0.49
0.23 0.21 0.21
0.28 0.29 0.24
0.32 0.24 0.27
0.33 0.38 0.25
1
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
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No disinfection is used
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.
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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
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Qtr 3 †PASS
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Qtr 1 †PASS
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Qtr 1 †PASS
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Qtr 3 †PASS
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Qtr 4 †PASS
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Qtr 1 †PASS
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Qtr 2 †PASS
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Qtr 2 †PASS
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Qtr 3 †PASS
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Qtr 3 †PASS
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Qtr 3 †PASS
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Qtr 3 †PASS
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Qtr 3 †PASS
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Qtr 3 †PASS
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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:
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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
1 39 Ferron Creek
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Ferron City 1800 22.4
0 04 35.65 111 03 40.25
1800 22.4
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?
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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?
x More than 5% of the flow to the waste treatment facility?†Yes †No
x 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: [phone]
Fax: [phone]
E-Mail:[e-mail]
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
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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
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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.
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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)
in Section C and determine the parameters of concern (POC) in Section D. Once the POCs’ are agreed upon by
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
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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
E5. From the applicant’s perspective, what is the preferred treatment option?
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
apply to you, enter “Not Applicable” to show that you considered the question.
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
Jacob Sharp Manager 3/3/2025
Account
No.Customer Name
Physical
Address 1 Service Rate
95 DESERTVIEW FEDERAL CREDIT UNIO banking 30 W Main Sewer Small Commercial
155 FIRST BAPTIST CHURCH church 35 W 100 N MILLROAD Sewer Commercial
431 LDS CHURCH/BLUE HILLS 5047714 church 35 W 200 N Sewer Commercial
630 LDS FERRON UTAH STAKE CENTER/DUTCH FLAT 5226457 church 555 S 400 W Sewer Commercial
1557 BIG MOUNTAIN LODGE
convenience store/gas
station 35 EAST MAIN STREET Sewer Small Commercial
156 EMERY COUNTY SCHOOL DISTRICT elementary school 125 W 100 N MILLROAD Sewer School
283 USDA UTILITY / FOREST SERVICE ADMIN SITE C/O METTEL government office 110 S STATE ST Sewer Commercial
1487 MAIN STREET MARKET Grocery store & deli Sewer Commercial
631 EMERY COUNTY SCHOOL DISTRICT middle school 350 W 500 S Sewer School
113 EMERY COUNTY CARE & REHAB
Nursing home/care
facility 455 W Mill Road Sewer Commercial
50 777 RANCH ranch house 1600 E 500 S DUTCH FLAT ROAD Sewer County Commercial
1504 CREEK BOTTOM PROPERTIES rental units Sewer Small Commercial
1341 CASTLE VALLEY SUPPLY
retail farm/ranch
supplies 55 E MAIN ST Sewer Small Commercial
1482 INDUSTRIAL ELECTRIC MOTOR SERVICE service station 40 W 100 S CANYON RD Sewer Commercial
1553 INDUSTRIAL ELECTRIC MOTOR SERVICE service station 90 S STATE Sewer Commercial
1474 BIG MOUNTAIN LODGE Small cabin rentals Sewer Commercial
1476 BIG MOUNTAIN LODGE Small cabin rentals Sewer Commercial
1610 BIG MOUNTAIN LODGE Small cabin rentals Sewer Commercial
1702 FERRON GRUB BOX small café Sewer Commercial
398 EMERY TELCOM small office building 275 W 300 N Sewer Small Commercial
1500 ACORN CARE LLC Sewer Commercial
570 FERRON POST OFFICE 60 N 100 W Sewer Small Commercial
2764 HOWES BROTHERS LLC 38 W MAIN ST Sewer Small Commercial
1455 LANCE K WRIGHT 44 WEST MAIN Sewer Small Commercial