DDW-2025-004304

Utah Department Of Environmental Quality
Division Of Drinking Water Sanitary Survey
Sanitary Survey
General System Information
Exception Granted: DDW-2020-018868 | REQUEST 1 - New 30-inch diameter DIP water line must be installed with a minimum of 12 inches of
separation above the existing 12-inch diameter HDPE sewer east of the UTA and UPRR crossing.
REQUEST 2 - New 30-inch DIP water line must cross beneath the existing 12-inch HDPE sewer line at the UPRR crossing.
REQUEST 3 - New PVC sewer line will need to cross under the existing 30-inch diameter DIP water line with less than 18 inches of separation at
the crossing between 650 West and 570 West.
REQUEST 4 - New PVC sewer line must cross over an existing 60-inch diameter welded steel water main at the intersection of 1240 West and 200
South.
REQUEST 5 - New PVC sewer line must cross under the existing 10-inch PVC water line with less than 18 inches of separation at the intersection
of 1240 West and 200 South.
Exception Granted: R309-550-7 Sewer and Water Separation | On July 5, 2017, the Division of Drinking Water (the Division) received your request
for an exception to Rule R309-550-7, Separation of Water Mains and Transmission Lines from Sewers and Other Pollution Sources. On July 10,
2017, the Division received clarification on the sewer crossing including updated drawings. On July 12, 2017, the Division received details and a
request for an exception for the laterals. This rule states specifically that where a water main and a sewer line must cross, the water main shall be
at least 18 inches above the sewer line.

The basis for your request for an exception to R309-550-7 is that due to the location of the 8-inch gravity flow sewer line, the new 8” ductile iron
waterline will need to be installed below the sewer at approximately 480 South and 700 East to maintain acceptable cover and separation. You
propose to provide a minimum of 18 inches of separation by looping the waterline under the sewer according to the American Public Works
standards and installing 20-feet of steel casing around the sewer line, 10-feet either side of the crossing. Due to the depth of the sewer, the sewer
laterals in this area will also be located above the waterline. You propose to provide 18 inches of separation and install 20-feet of 6” HDPE casing
around the sewer laterals, 10-feet either side of the crossing. On this basis, an exception to R309-550-7, Separation of Water Mains and
Transmission Lines from Sewers and Other Pollution Sources, is hereby granted for the sewer and water crossing at approximately 480 South and
700 East in Phase 4 of the South Point Subdivision (DS001).
Exception Granted: R30-550-7 Sewer and Water Seperation | On November 7, 2016, the Division of Drinking Water (the Division) received your
request for an exception to Rule R309-550-7, Separation of Water Mains and Transmission Lines from Sewers and Other Pollution Sources. This
rule states specifically that where a water main and a sewer line must cross, the water main shall be at least 18 inches above the sewer line.

The basis for your request for an exception to R309-550-7 is that due to the shallowness of the existing sanitary sewer in the area, the proposed
waterline will need to be installed below the proposed gravity flow sewer line. The apartment complex consists of 12 buildings with multiple laterals
to each building. There will be a total of 32 crossings (13 sewer lateral crossings over the water main, 13 water lateral crossings under the sewer
main, 3 fire hydrant laterals under the sewer main, and 3 sewer main crossings over the water main). The groundwater in the area is high due to the
proximity of a nearby wetland. The water main will be new 8” PVC C-900 and the sewer main will be new 8” PVC. You propose to provide a
minimum of 6” clearance between the sewer and the waterline at all crossings. The 20 foot continuous section of sewer and water pipe shall be
centered at the crossing and water tight flexible couplings shall be installed on the sewer joints on either side of the crossing. The 8” waterline will
be installed in a 12” steel casing at each crossing. The casing shall be continuous and long enough to provide a minimum of 10 feet of horizontal
distance from the end of the casing (both sides) to the sewer line. On this basis, an exception to R309-550-7, Separation of Water Mains and
Site Visit Date Surveyor Name
05/06/2025 Danielle Zebelean
AMERICAN FORK CITY PWS ID: UTAH25008 Rating: Approved 03/04/1980 Active
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Transmission Lines from Sewers and Other Pollution Sources is hereby granted for the above listed crossings at the Mill Pond Apartments
(DS001).
Exception Granted: R309-550-8(8)(b)(iii) Surface Water Crossings | From the spring collection area, water is conveyed in an HDPE pipe under the
American Fork River and down the canyon to the distribution system. At the river crossing, the pipe is not yet pressurized. The rule requires that
isolation valves be provided on both sides of the water crossing so that the section can be isolated. You propose to install an isolation valve on the
downstream side of the river crossing. There is not an operational need to install an isolation valve on the upstream side of the crossing and the
installation of the valve would be difficult because of the location of the weir box. As designed, water can be diverted on the upstream side of the
crossing through the drain in the weir box and leakage can be checked in the pipe by filling the pipe and checking pipe levels or draining the line
and seeing if water continues to drain out the sample port.
Exception Granted: 309-550-7(1) | Horizontal separation of waterline from sewer line.

1 Admin Contact (AC) [ eMail address is REQUIRED ]
MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be
designated as the owner of the system and name, address and phone number of such
be supplied to the Division.
*First Name: JAY L
*Last Name: BREMS
*Organization:
*Address: Redacted
*City: LEHI
*State: UT
*Zip: 84043
*Email: [e-mail]
*Phone: [phone]
Emergency Phone: [phone]
2 Legal Contact (LC) [ if no eMail address is available, enter [e-mail] ]
MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be
designated as the owner of the system and name, address and phone number of such
be supplied to the Division.
*First Name: Sam
*Last Name: Kelly
*Organization:
*Address: 275 East 200 North
*City: AMERICAN FORK
*State: UT
*Zip: 84003
*Email: [e-mail]
*Phone: [phone]
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3 Owner Contact (OW) [ if no eMail address is available, enter [e-mail] ]
MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be
designated as the owner of the system and name, address and phone number of such
be supplied to the Division.
*First Name:
*Last Name:
*Organization: AMERICAN FORK CITY
*Address: 51 E MAIN ST
*City: AMERICAN FORK
*State: UT
*Zip: 84003-2381
*Email:
*Phone: [phone]
4 Direct Operator in Charge (DO) [ if no eMail address is available, enter
[e-mail] ]
MIN | 15pts | SM | G004 | R309-100-4(5) | Rule requires a person or organization be
designated as the owner of the system and name, address and phone number of such
be supplied to the Division.
*First Name: JAY L
*Last Name: BREMS
*Organization:
*Address: 106 E 750 S
*City: LEHI
*State: UT
*Zip: 84043
*Email: [e-mail]
*Phone: [phone]
Emergency Phone: [phone]
5 Does the system serve a Residential population?Y
5A Population - Residential 39045 (Notes: From 2024 DWRi Water Use
Report)
5B Operating Period (Start Date) - Residential 01/01
5C Operating Period (End Date) - Residential 12/31
6 Does the system serve a Transient population? (A transient population is a rotating
population that is served by a water system that does not remain in the jurisdiction of
the water system for long periods of time. Examples of a transient population include,
but are not limited to, campers at a campground, users of a highway rest stop, skiers
at a ski resort, guests at a hotel, or patrons of a restaurant or a shopping center.)
N
7 Does the system serve a Non-Transient population? (A non-transient population is a
population served by a water system that is the same population being served by the
system for at least six months of the year, but is not a resident in the system.
Examples of a non-transient population include, but are not limited to, employees of a
restaurant, shop, or ski resort; teachers and students at a school, day-care center, or
church; doctors, nurses, and other employees at a hospital or healthcare clinic.)
N
8 Population - Wholesale :0
9 Residential Connections:11093 (Notes: From 2024 DWRi Water Use
Report)
10 Commercial Connections:776 (Notes: From 2024 DWRi Water Use
Report (723 commercial connections + 53
institutional connections))
11 Industrial Connections:3 (Notes: From 2024 DWRi Water Use
Report)
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Site Visit Info
Management and Operations
12 Agricultural Connections:0
13 Date of Survey (First Day of Field Work)05/06/2025
14 Date of Survey (Last Day of Field Work) ** this should match the Date of Survey in the
header **
05/06/2025
15 Date final report sent to system (questionnaire, deficiency report and capacity
spreadsheet)
05/06/2025
16 Water system representative present during the survey:Jay Brems
17 How much time was spent to prepare survey documents prior to field survey? (Round
up to nearest quarter hour)
1.5
18 How much time was spent to complete the field survey (arrival to completion; include
travel time between water system facilities)? (Round up to nearest quarter hour)
4 (Notes: Arrived at 9 am, returned to car at
11:57 am)
19 How much time was spent traveling from the office to system and back again at the
end of the field survey? (Round up to nearest quarter hour)
2
20 How much time did it take to finish the Survey Report? (Round up to nearest quarter
hour)
1.5
21 Did you survey multiple water systems in one trip? ... if yes, answer the following
question(s)
N
22 For a community water system with water sources that require power to produce
sufficient flow, system is equipped with standby power option.
SIG | 25pts | SO | S033 | R309-515-6(2)(a) | Rule requires a community water system
without naturally flowing water sources, such as springs or flowing wells, to have one
or more of the system's sources equipped for operation during power outages. To
ensure continuous service when the primary power has been interrupted, a redundant
power supply is required. A redundant power supply may include a transfer switch for
auxiliary power such as a generator or a power supply service with coverage from two
independent substations. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
NA (Notes: Springs can supply water to
entire system in the event of a prolonged
power outage)
23 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through or in
process of DDW review [LIST UNDOCUMENTED FACILITIES OR DESCRIBE
MODIFICATIONS, IF APPLICABLE] [undocumented sources are covered in a
different question]
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
24 Are there any individual home booster pumps installed in the distribution system (not
for fire suppression)?
SIG | 50pts | SM | M008 | R309-550-11(3) | R309-550-11(3)
C
25 Does the system haul water?N
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26 For a community system serving 100 or more connections, at least 2 water sources
are available.
SIG | 50pts | SO | TGR7 | R309-515-4(3) | Rule requires Community Water Systems
serving more than 100 connections to have a minimum of two sources except where
served by a water treatment plant. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
27 Does system have a consecutive connection to another water system not listed in the
SOURCE section of Waterlink Report? If yes, answer the following question(s)
N
28 Does the system have a deficiency meeting the required source capacity? (USE
SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT
FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS
"NO."
N
29 Does the system have a deficiency meeting the required storage capacity DUE
SOLELY TO FIRE SUPPRESSION NEEDS? (USE SPREADSHEET FOR
CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT FROM THE
FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS "NO."
N
30 Does the system have a deficiency meeting the required equalization storage capacity
for indoor/outdoor demands (but not because of fire suppression needs)? (USE
SPREADSHEET FOR CALCULATIONS) *IF YES, SELECT CORRECT STATEMENT
FROM THE FOLLOWING AND MARK "YES"; MARK ALL OTHER STATEMENTS
"NO."
N
31 Does your water system have an Emergency Response Plan?
REC | 0pts | SM | M001 | R309-105-18 | All suppliers are advised to develop
contingency plans to cope with possible emergency situations. In many areas of the
state the possibility of earthquake damage shall be realistically considered.
NA
32 Does your Emergency Response Plan address cybersecurity? (only required for
systems over 3,300 population, otherwise mark NA)
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
N (Notes: Need to add Cyber Security
response to ERP)
33 Does your water system use SCADA? e.g. computers, laptops, phones, tablets, or any
other computer systems to manage, operate, or maintain the PWS?
Y
34 Does your water system use any computer systems in regular business operations
such as accounting, billing, payroll, human resources, or management?
Y
35 For a community water system or a non-transient non-community water system, did
you make your initial service line inventory available to the public? (if a transient
system, enter NA)
REC | 0pts | MR | R006 | 40 CFR 141.84 | (a)(8)The rule requires that the service line
materials inventory be publicly accessible. (a)(8)(ii) The rule requires that water
systems serving greater than 50,000 persons make the publicly accessible inventory
available online. (a)(9) The rule requires that when a water system has no lead,
galvanized requiring replacement, or lead status unknown service lines (regardless of
ownership) in its inventory, it may comply with the requirements using a written
statement, in lieu of the inventory, declaring that the distribution system has no lead
service lines or galvanized requiring replacement service lines. The statement must
include a general description of all applicable sources used to make this
determination.
Y
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Cross Connection and Operator Certification
35A For a community or a non-transient non-community water system serving a population
greater than 50,000, is your service line inventory provided online? (mark NA for
systems less than 50,000) (If yes, provide the link in the comment box)?
REC | 0pts | MR | R006 | 40 CFR 141.84 | (a)(8)The rule requires that the service line
materials inventory be publicly accessible. (a)(8)(ii) The rule requires that water
systems serving greater than 50,000 persons make the publicly accessible inventory
available online. (a)(9) The rule requires that when a water system has no lead,
galvanized requiring replacement, or lead status unknown service lines (regardless of
ownership) in its inventory, it may comply with the requirements using a written
statement, in lieu of the inventory, declaring that the distribution system has no lead
service lines or galvanized requiring replacement service lines. The statement must
include a general description of all applicable sources used to make this
determination.
NA (Notes: Not over 50,000)
35B For a community water system or a non transient non-community water system
serving a population of less than 50,000, what method was used to make the inventory
publicly available?
M (Notes: Everyone was notified by a
mailing that the service line was available to
view. Can contact Jay or come to the offices
to view)
36 Legally adopted authority statement
MIN | 15pts | SM | M003 | 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).
C
37 Documentation of annual public awareness and/or employee training
MIN | 15pts | SM | M004 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes providing public education or
awareness material or presentations.
C
38 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)
MIN | 15pts | SM | M005 | 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.
C
39 Does the water system have detailed records of cross connection control activities?
(inventories of backflow assemblies, devices, and air gaps installed within the system)
MIN | 15pts | SM | M006 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes written records of cross
connection control activities.
C (Notes: Needs work to be better
documented. Some work on the GIS
system)
40 Does the water system have records of on-going enforcement activities? (test history,
enforcement activities, hazard assessments)
MIN | 15pts | SM | M007 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes test history and documentation
of on-going enforcement activities.
C
DEQ | Drinking Water
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General Maintenance and Environment
Distribution
41 Operator meets required level of certification for water system. ( IF NO CERTIFIED
OPERATOR IS REQUIRED MARK COMPLIANT )
SIG | 50pts | OC | C001 | R309-105-11, R309-300-5(3) | Rule requires every
community and NTNC water system and public water systems that utilize
treatment/filtration to have at least one operator certified at the classified grade of the
water system. Certification must be appropriate for the type of system operated
(treatment and/or distribution). This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
42 Certified operator is within 1 hour travel time of water system. ( IF NO CERTIFIED
OPERATOR IS REQUIRED MARK COMPLIANT )
MIN | 0pts | OC | C002 | R309-300-5(14) | Rule requires the operator to be within 1
hour travel time, under normal work and home conditions, of each drinking water
system for which he is considered in direct responsible charge.
C
43 Are there any visual indications of unsanitary conditions?
SIG | 50pts | SM | M017 | R309-200-6, R309-105-18, R309-215-4(3) | R309-200-6 The
Secondary Maximum Contaminant Levels for public water systems deals with
substances which affect the aesthetic quality of drinking water. They are presented
here as recommended limits or ranges and are not grounds for rejection. The taste of
water may be unpleasant and the usefulness of the water may be impaired if these
standards are significantly exceeded.
R309-105-18 The Director or the local health department shall be informed by
telephone by a water supplier of any "emergency situation". The term "emergency
situation...
R309-215-4(3) If the water fails to meet minimum standards, then certain public
notification procedures shall be carried out, as outlined in R309-220. Water suppliers
shall also keep analytical records in their possession, for a required length of time, as
outlined in R309-105-17.
C
44 No unprotected connection between the distribution system and a source of
contamination. (If there is an unprotected connection, describe the location in detail.)
SIG | 50pts | DS | D009 | R309-550-5(11) | R309-550-5(11)
C
45 Are air release/vacuum valves in the distribution system? ... if yes, answer the
following question(s)
Y
45A Open end of vent line covered with #14 mesh screen
SIG | 25pts | DS | D004 | R309-550-6(6)(b) | Rule states the open end of the air relief
vent pipe from automatic valves shall be provided with a #14 mesh, non-corrodible
screen and a downward elbow, and where possible, be extended to at least one foot
above grade. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
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45B For a valve in a chamber, open end of vent pipe is at least 12 inches above grade or
one foot above distribution line in a chamber that does not flood.
SIG | 25pts | DS | D006 | R309-550-6(6)(b) | Rule states the open end of the air relief
vent pipe from automatic valves shall be provided with a #14 mesh, non-corrodible
screen and a downward elbow, and where possible, be extended to at least one foot
above grade. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
45C Chamber has drain to daylight, gravel-filled adsorption pit if not subject to flooding, or
sump pump.
SIG | 25pts | DS | D007 | R309-550-6(6)(b) and (7)(b) | Rule states chambers shall be
provided with a drain to daylight, if possible. Where this is not possible, underground
gravel-filled absorption pits may be used if the site is not subject to flooding and
conditions will assure adequate drainage. Sump pumps may also be considered if a
drain to daylight or absorption pit is not feasible. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
45D Open end of vent line down-turned.
SIG | 25pts | DS | D006 | R309-550-6(6)(b) | Rule states the open end of the air relief
vent pipe from automatic valves shall be provided with a #14 mesh, non-corrodible
screen and a downward elbow, and where possible, be extended to at least one foot
above grade. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
46 Water system has a program to maintain, operate, or control the use of fire hydrants.
REC | 0pts | DS | D012 | N/A | Fire hydrants provide a direct access to the water in the
distribution system. In order to protect the quality and integrity of the water, fire
hydrant access should be controlled.
C
47 Blow offs or air release valves are not directly connected to a sanitary sewer line.
SIG | 50pts | DS | D013 | R309-550-6(5)(a), R309-550-6(6)(c) and (7)(a) | Rule states
blow-offs or air relief valves shall not be connected directly to a sewer. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
48 Blow offs or air release valves do not discharge below flood level in ditches or
streams.
SIG | 50pts | DS | D016 | R309-550-9(1) and (2), R309-550-13(2) | R309-550-9(1 & 3)
C
49 All water mains installed after 1995 that provide fire flow are at least 8 inches in
diameter.
MIN | 15pts | DS | D019 | R309-550-5(4) & (5) | Rule states that the minimum line size
serving a fire hydrant lateral shall be 8-inch diameter unless a hydraulic analysis
indicates that required flow and pressures can be maintained by 6-inch lines.
C
50 Distribution system capable of providing minimum pressure of 20 psi at all service
connections.
SIG | 50pts | DS | D003 | R309-105-9, R309-550-5(1) | Rule states the distribution
system shall maintain minimum pressures as required by R309-105-9 at all points of
connection under all flow conditions. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
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General Disinfection
WS003 - J.C.PARK WELL - Inactive (AB - ABANDONED)
WS004 - 1ST EAST WELL - Inactive (AB - ABANDONED)
51 Was the water system constructed or new portions added after January 1, 2007? ... if
yes, answer the following question(s)
Y
51A Distribution system capable of maintaining the following pressures at all service
connections: (a) 20 psi during fire flow and fire demand during peak day demand; (b)
30 psi during peak instantaneous demand; and (c) 40 psi during peak day demand.
SIG | 50pts | DS | D010 | R309-105-9, R309-550-5(1) | Rule states that unless
otherwise specifically approved by the Director, public water systems constructed after
January 1, 2007, shall be designed and shall meet the following minimum water
pressures at points of connection: (a) 20 psi during conditions of fire flow and fire
demand experienced during peak day demand; (b) 30 psi during peak instantaneous
demand; and (c) 40 psi during peak day demand. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
52 Water system follows AWWA disinfection procedures for new, repaired, or
depressurized seasonal water mains and tanks.
SIG | 25pts | MR | D018 | R309-550-8(10) | All new and repaired water mains and
appurtenances shall be disinfected in accordance with AWWA Standard C651. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
53 How often do you periodically disinfect any or all parts of your water system (i.e. batch
disinfection) other than for repairs or maintenance?
SIG | 50pts | SM | G006 | R309-105-6(1)(a), R309-500-6 | R309-105-6(1) Approval of
Engineering Plans and Specifications
R309-500-6 Plan Approval Procedure.
C
54 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
Y
54A Is the facility incapable of allowing water or contamination to enter the drinking water
system? Yes(compliant) No(complete full question set for facility type and notify DDW)
SIG | 100pts | SM | A100 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
Y (Notes: Physically disconnected)
54B Is the facility physically disconnected from supplying water to the distribution system?
Guidance: Is the equipment, pipe, etc, physically removed, disconnected.
Yes(compliant) No(complete full question set for facility type and notify DDW)
SIG | 50pts | SM | A075 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
Y
55 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
Y
DEQ | Drinking Water
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WS005 - 6TH EAST WELL - Inactive (AB - ABANDONED)
WS001 - TIMP CAVE CAMP SPRING - Active
Exception Granted: R309-515-7(7)(b)(vi) Extents of the Impermeable Liner | It will not be possible to extend the liner 15 feet beyond the collection
area in all locations due to bedrock, steep hillsides and structures. It is proposed that, where possible, the liner will extend 15 feet beyond the
collection area and special care will be taken to seal the liner against bedrock or structures.
Exception Granted: R309-515-7(7)(b)(v) Cover Over the Spring Collection Area | The spring collection area is located under an existing asphalt
parking lot without the required cover. It is not feasible to obtain the 2 feet of clay over a 40 mil plastic liner due to the depth of the collection system
and the inadvisability of constructing a paved parking area on top of clay. You propose that the spring rehabilitation project include the installation of
a 80 mil (minimum) plastic liner over the collection area instead of the 40 mil required by rule, with the paved parking area designed to drain all
surface water away from the collection area.

55A Is the facility incapable of allowing water or contamination to enter the drinking water
system? Yes(compliant) No(complete full question set for facility type and notify DDW)
SIG | 100pts | SM | A100 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
Y (Notes: Distribution lines were abandoned
in place, these are no longer connected to
the active distribution lines)
55B Is the facility physically disconnected from supplying water to the distribution system?
Guidance: Is the equipment, pipe, etc, physically removed, disconnected.
Yes(compliant) No(complete full question set for facility type and notify DDW)
SIG | 50pts | SM | A075 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
Y
56 Does the water system still have physical access to this facility? Y/N Guidance:
Answer NO if sold and no longer have security access or the facility is demolished and
can not be inspected.
Y
56A Is the facility incapable of allowing water or contamination to enter the drinking water
system? Yes(compliant) No(complete full question set for facility type and notify DDW)
SIG | 100pts | SM | A100 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
Y (Notes: Physically disconnected)
56B Is the facility physically disconnected from supplying water to the distribution system?
Guidance: Is the equipment, pipe, etc, physically removed, disconnected.
Yes(compliant) No(complete full question set for facility type and notify DDW)
SIG | 50pts | SM | A075 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
Y
57 Is this facility Active or Inactive? (Active status means used on a routine/seasonal
basis without long periods of inactivity and water quality samples are routinely
collected))
A
58 Operating Period (Start Date)01/01
59 Operating Period (End Date)12/31
DEQ | Drinking Water
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60 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
61 Area of equal or higher elevation within 50 feet of spring collection devices is fenced.
Exception Granted: R309-515-7(7)(e) Fencing of the Spring Collection Area | The
spring collection area is underneath a parking lot for an office for the National Parks
Service, and fencing would cut off their access to this facility. The spring collection
area is not subject to contamination without fencing because livestock grazing is not
allowed in the area and access to the National Park Service’s facility is not open to the
general public.
MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around
the spring collection area.
NA (Notes: Exception Granted)
62 Surface water runoff diverted away from spring by diversion channel or berm.
Exception Granted: R309-515-7(7)(g) Diversion Channel | The terrain of the area
uphill surrounding the spring collection area is very steep. It is not feasible to install
and maintain a diversion channel. It is proposed that the spring collection area will be
designed and maintained so that the surface runoff from the steep slopes and the
parking lot area will be directed away from the spring collection area
MIN | 15pts | SO | SS03 | R309-515-7(7)(g) | Rule requires a diversion channel or
berm, constructed immediately inside the fenced area, capable of diverting all
anticipated surface water runoff away from the spring collection area.
NA (Notes: Exception granted)
63 Spring box has a means to release overflow?
MIN | 15pts | SO | SS23 | R309-515-7(7)(d), R309-545-13(1) | All junction boxes and
collection boxes, must comply with R309-545 with respect to access openings,
venting, and tank overflow. Lids for these spring boxes shall be gasketed and the box
adequately vented.
Y
63A Overflow screened with #4 mesh screen
SIG | 25pts | SO | SS04 | R309-515-7(7)(d), R309-545-13(3) | Overflow pipes on
junction and collection boxes shall comply with R309-545 and be screened with No. 4
mesh non-corrodible screens. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
63B Overflow has a minimum of 12 inch clearance above flood rim of receiving basin
SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction
and collection boxes shall comply with R309-545 and discharge a minimum of 12
inches above the ground surface or rim of the receiving basin. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
DEQ | Drinking Water
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64 Drain has minimum of 12 inch clearance above flood rim of receiving basin
SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction
and collection boxes shall comply with R309-545 and discharge a minimum of 12
inches above the ground surface or rim of the receiving basin. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
65 Spring collection area graded and no evidence of water ponding or flow on surface?
SIG | 25pts | SO | SS06 | R309-515-7(7)(i) | Rule requires the spring to be developed
as thoroughly as possible to minimize the possibility of excess water ponding within
the collection area. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
66 If a liner is present, spring liner integrity is maintained.
SIG | 50pts | SO | SS19 | R309-515-7(7)(b)(iv) | If a liner is present, it shall be installed
to assure its integrity. No sharp-edged stones or stones two inches or larger shall be
located within two inches of the liner. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
67 No deep-rooted vegetation is within the 50 ft collection area.
Exception Granted: R309-515-7(7)(f) Deep Rooted Vegetation | There are several
deep rooted trees and shrubs within 100 feet of the collection area. Most of these are
located on the steep slopes above the collection area and contribute to slope stability.
It is proposed that:
•As much deep rooted vegetation as possible shall be removed close to the collection
area without destabilizing the slope.
•The City will work with the National Park Service to replant non deep-rooted native
vegetation in the area to maintain slope stability.
•The City will develop a routine water quality monitoring program acceptable to the
Division that will help the City determine if roots are negatively affecting spring water
quality. Monitoring will include both bacteriological and HPC samples, and the
samples will be collected prior to any chlorination.
•A regular inspection and root removal program will also be implemented.
SIG | 25pts | SO | SS07 | R309-515-7(7)(f) | All deep-rooted vegetation within the
fenced collection area shall be removed by a means not negatively affecting water
quality. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
NA (Notes: Exception granted)
68 No roots seen in collection boxes and junctions.
SIG | 25pts | SO | SS08 | R309-105-10(4)(a), R309-515-8(1)(a) | Spring collection
areas shall be periodically (preferably annually) cleared of deep-rooted vegetation to
prevent root growth from clogging collection lines. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
69 Is a spring collection box present? ... if yes, answer the following question(s)
MIN | 5pts | SO | L014 | R309-515-7(7)(c) | Rule requires each spring collection area
to be provided with at least one collection box to permit spring inspection and testing.
Y
DEQ | Drinking Water
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69A Spring box has shoe box type lid with 2 inch overlap around frame
SIG | 25pts | SO | SS09 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall
comply with R309-545 and be provided with a close-fitting, solid shoebox-type cover
that extends down around the frame at least 2 inches. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
69B Spring box lid is gasketed
SIG | 25pts | SO | SS10 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall
comply with R309-545 and be provided with a cover furnished with a gasket between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
69C Spring box lid does not show evidence of a vacuum.
MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction
boxes and collection boxes to comply with R309-545 with respect to venting.
Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or
finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering
if 6 inches in diameter or greater, be down-turned and shielded to prevent the
entrance of contaminants, be located and sized to avoid blockage during winter, and
have the end of the vent discharge a minimum of 24 inches above the earth on buried
structures.
C
69D Spring box opening is at least 4 inches above the surface of the box or 18 inches
above an earthen cover if the box is buried.
MIN | 15pts | SO | SS12 | R309-515-7(7)(d), R309-545-14 (1), | Access openings shall
comply with R309-545 and be framed at least 4 inches above the surface of the spring
box roof at the opening or 18 inches above the ground surface on a buried spring box.
C
69E Spring box lid is locked
SIG | 25pts | SO | SS13 | R309-515-7(7)(d), R309-545-14 (3) | Access openings shall
comply with R309-545 and the lids to the openings shall be locked. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
69F All openings/penetrations in the spring collection box are sealed.
SIG | 50pts | SO | SS20 | R309-515-7(7)(d), R309-545-9(1) and (2) | All junction and
collection boxes shall comply with R309-545 and shall have suitable watertight roofs
and sidewalls that exclude birds, animals, insects, and excessive dust. All openings
shall be kept to a minimum and be watertight. Pipes that may contain water of lesser
quality than drinking water shall not penetrate the spring box. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
DEQ | Drinking Water
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WS002 - POWER HOUSE SPRING - Active
70 Is a spring box vent present? ... if yes, answer the following question(s)
MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction
boxes and collection boxes to comply with R309-545 with respect to venting.
Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or
finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering
if 6 inches in diameter or greater, be down-turned and shielded to prevent the
entrance of contaminants, be located and sized to avoid blockage during winter, and
have the end of the vent discharge a minimum of 24 inches above the earth on buried
structures.
Y
70A Vent is down-turned.
SIG | 25pts | SO | SS16 | R309-515-7(7)(d), R309-545-15(1) | All vents on junction
and collection boxes shall comply with R309-545 and be downturned a minimum of 2
inches below any opening and shielded to prevent the entrance of contaminants. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
70B Vent has #14 or finer non-corrodible mesh screen and a protective screen/covering if
6-inch diameter or greater.
SIG | 25pts | SO | SS17 | R309-515-7(7)(d), R309-545-15(4) and (5) | All vents on
junction and collection boxes shall comply with R309-545 and be fitted with No. 14 or
finer non-corrodible mesh screen. Vents 6-inch diameter or larger shall be fitted with
additional heavy gage screen or substantial covering to protect the No. 14 mesh
screen. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
70C End of vent has sufficient clearance to prevent ice/snow blockage or is at least 24
inches above the earthen cover
SIG | 25pts | SO | SS18 | R309-515-7(7)(d), R309-545-15(2) and (3) | All vents on
junction and collection boxes shall comply with R309-545 and shall be located and
sized to avoid blockage during winter. The end of a vent on a buried spring box shall
discharge a minimum of 24 inches above the ground. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
71 Spring has a permanent flow-measuring device.
MIN | 5pts | SO | SS01 | R309-515-7(7)(h) | Rule requires a spring to have a
permanent flow measuring device.
C (Notes: Flow measuring by the chlorinator
after springs combine)
72 Is this facility Active or Inactive? (Active status means used on a routine/seasonal
basis without long periods of inactivity and water quality samples are routinely
collected))
A
73 Operating Period (Start Date)01/01
74 Operating Period (End Date)12/31
DEQ | Drinking Water
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75 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
76 Area of equal or higher elevation within 50 feet of spring collection devices is fenced.
Exception Granted: R309-515-7(7)(e) Fencing of Spring Collection Area | The spring is
in an isolated area with limited public access. It is across the American Fork River
from a public road with no easy access across the river. There is no livestock grazing
allowed in the canyon on the Forest Service property upon which the spring is located.
Also the collection area is on a steep slope which makes for difficult construction and
maintenance of a fence.
MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around
the spring collection area.
NA (Notes: Exception granted)
77 Surface water runoff diverted away from spring by diversion channel or berm.
Exception Granted: R309-515-7(7)(g) A Diversion Channel | The area surrounding the
spring is a very steep hillside and constructing a drainage ditch around the collection
area will be impractical and very difficult to maintain. We also believe it would
encourage infiltration of surface water into the bedrock surrounding the spring
collection area, instead of directing surface runoff away from the spring collection
area.
MIN | 15pts | SO | SS03 | R309-515-7(7)(g) | Rule requires a diversion channel or
berm, constructed immediately inside the fenced area, capable of diverting all
anticipated surface water runoff away from the spring collection area.
NA (Notes: Exception granted)
78 Spring box has a means to release overflow?
MIN | 15pts | SO | SS23 | R309-515-7(7)(d), R309-545-13(1) | All junction boxes and
collection boxes, must comply with R309-545 with respect to access openings,
venting, and tank overflow. Lids for these spring boxes shall be gasketed and the box
adequately vented.
Y
78A Overflow screened with #4 mesh screen
SIG | 25pts | SO | SS04 | R309-515-7(7)(d), R309-545-13(3) | Overflow pipes on
junction and collection boxes shall comply with R309-545 and be screened with No. 4
mesh non-corrodible screens. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
78B Overflow has a minimum of 12 inch clearance above flood rim of receiving basin
SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction
and collection boxes shall comply with R309-545 and discharge a minimum of 12
inches above the ground surface or rim of the receiving basin. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
DEQ | Drinking Water
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79 Drain has minimum of 12 inch clearance above flood rim of receiving basin
SIG | 25pts | SO | SS14 | R309-515-7(7)(d), R309-545 | Overflow pipes on junction
and collection boxes shall comply with R309-545 and discharge a minimum of 12
inches above the ground surface or rim of the receiving basin. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
80 Spring collection area graded and no evidence of water ponding or flow on surface?
SIG | 25pts | SO | SS06 | R309-515-7(7)(i) | Rule requires the spring to be developed
as thoroughly as possible to minimize the possibility of excess water ponding within
the collection area. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
81 If a liner is present, spring liner integrity is maintained.
SIG | 50pts | SO | SS19 | R309-515-7(7)(b)(iv) | If a liner is present, it shall be installed
to assure its integrity. No sharp-edged stones or stones two inches or larger shall be
located within two inches of the liner. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
82 No deep-rooted vegetation is within the 50 ft collection area.
Exception Granted: R309-515-7(7)(f) Removal of Deep Rooted Vegetation | There are
deep rooted trees and shrubs within 100 feet of the collection area. Most are located
on steep slopes near the collection area and contribute to slope stability. Others are
located on the riverbank and contribute to riverbank stability. It is proposed to remove
as much deep rooted vegetation as possible close to the collection area without
destabilizing the slopes or riverbank. The collection pipe extends straight back into an
old bedrock mine shaft under a steep slope which will limit the ability of roots to impact
the collection pipe area.
SIG | 25pts | SO | SS07 | R309-515-7(7)(f) | All deep-rooted vegetation within the
fenced collection area shall be removed by a means not negatively affecting water
quality. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
NA (Notes: Exception granted)
83 No roots seen in collection boxes and junctions.
SIG | 25pts | SO | SS08 | R309-105-10(4)(a), R309-515-8(1)(a) | Spring collection
areas shall be periodically (preferably annually) cleared of deep-rooted vegetation to
prevent root growth from clogging collection lines. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
84 Is a spring collection box present? ... if yes, answer the following question(s)
MIN | 5pts | SO | L014 | R309-515-7(7)(c) | Rule requires each spring collection area
to be provided with at least one collection box to permit spring inspection and testing.
Y
DEQ | Drinking Water
Run Date: 05/06/2025 15:39:39 | Rating: Approved UTAH25008 AMERICAN FORK CITY page 16 of 49
84A Spring box has shoe box type lid with 2 inch overlap around frame
SIG | 25pts | SO | SS09 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall
comply with R309-545 and be provided with a close-fitting, solid shoebox-type cover
that extends down around the frame at least 2 inches. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
84B Spring box lid is gasketed
SIG | 25pts | SO | SS10 | R309-515-7(7)(d), R309-545-14 (2) | Access openings shall
comply with R309-545 and be provided with a cover furnished with a gasket between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
84C Spring box lid does not show evidence of a vacuum.
MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction
boxes and collection boxes to comply with R309-545 with respect to venting.
Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or
finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering
if 6 inches in diameter or greater, be down-turned and shielded to prevent the
entrance of contaminants, be located and sized to avoid blockage during winter, and
have the end of the vent discharge a minimum of 24 inches above the earth on buried
structures.
C
84D Spring box opening is at least 4 inches above the surface of the box or 18 inches
above an earthen cover if the box is buried.
MIN | 15pts | SO | SS12 | R309-515-7(7)(d), R309-545-14 (1), | Access openings shall
comply with R309-545 and be framed at least 4 inches above the surface of the spring
box roof at the opening or 18 inches above the ground surface on a buried spring box.
C
84E Spring box lid is locked
SIG | 25pts | SO | SS13 | R309-515-7(7)(d), R309-545-14 (3) | Access openings shall
comply with R309-545 and the lids to the openings shall be locked. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
84F All openings/penetrations in the spring collection box are sealed.
SIG | 50pts | SO | SS20 | R309-515-7(7)(d), R309-545-9(1) and (2) | All junction and
collection boxes shall comply with R309-545 and shall have suitable watertight roofs
and sidewalls that exclude birds, animals, insects, and excessive dust. All openings
shall be kept to a minimum and be watertight. Pipes that may contain water of lesser
quality than drinking water shall not penetrate the spring box. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
DEQ | Drinking Water
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WS006 - HOSPITAL WELL - Active
85 Is a spring box vent present? ... if yes, answer the following question(s)
MIN | 5pts | SO | SS11 | R309-515-7(7)(d), R309-545-15 | Rule requires junction
boxes and collection boxes to comply with R309-545 with respect to venting.
Therefore, a junction or collection box requires a vent to be fitted with #14 mesh or
finer non-corrodible screen, be fitted with a protective heavy-gauge screen or covering
if 6 inches in diameter or greater, be down-turned and shielded to prevent the
entrance of contaminants, be located and sized to avoid blockage during winter, and
have the end of the vent discharge a minimum of 24 inches above the earth on buried
structures.
Y
85A Vent is down-turned.
SIG | 25pts | SO | SS16 | R309-515-7(7)(d), R309-545-15(1) | All vents on junction
and collection boxes shall comply with R309-545 and be downturned a minimum of 2
inches below any opening and shielded to prevent the entrance of contaminants. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
85B Vent has #14 or finer non-corrodible mesh screen and a protective screen/covering if
6-inch diameter or greater.
SIG | 25pts | SO | SS17 | R309-515-7(7)(d), R309-545-15(4) and (5) | All vents on
junction and collection boxes shall comply with R309-545 and be fitted with No. 14 or
finer non-corrodible mesh screen. Vents 6-inch diameter or larger shall be fitted with
additional heavy gage screen or substantial covering to protect the No. 14 mesh
screen. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
85C End of vent has sufficient clearance to prevent ice/snow blockage or is at least 24
inches above the earthen cover
SIG | 25pts | SO | SS18 | R309-515-7(7)(d), R309-545-15(2) and (3) | All vents on
junction and collection boxes shall comply with R309-545 and shall be located and
sized to avoid blockage during winter. The end of a vent on a buried spring box shall
discharge a minimum of 24 inches above the ground. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
86 Spring has a permanent flow-measuring device.
MIN | 5pts | SO | SS01 | R309-515-7(7)(h) | Rule requires a spring to have a
permanent flow measuring device.
C
87 Is this facility Active or Inactive?A
88 Operating Period (Start Date)01/01
89 Operating Period (Ending Date)12/31
DEQ | Drinking Water
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90 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
91 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | 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.
C
92 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | 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
C
93 Is the well casing vented? ... if yes, answer the following question(s)N
94 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y
94A Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
94B Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
94C Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
95 Water level is measured and recorded periodically
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
DEQ | Drinking Water
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96 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
97 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | 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.
C
98 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
99 Hose connections are equipped with a backflow prevention device
MIN | 15pts | SM | M007 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes test history and documentation
of on-going enforcement activities.
C
100 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
101 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
102 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
103 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
104 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
DEQ | Drinking Water
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WS007 - RACE TRACK WELL - Active
105 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
106 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y

106A Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C

106B Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C

106C Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
107 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
108 Does well require oil-lubrication?Y

108A Well shaft lubricants are food grade mineral oil?
SIG | 25pts | SO | S031 | R309-105-10(7), R309-515-6(6)(a) | Rules require all oil-
lubricated pumps for drinking water wells to utilize food-grade mineral oil suitable for
human consumption as determined by the Director. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
<a href="https://www.youtube.com/watch?v=UABQMeeUz1g">Click here for addition
training</a>
C (Notes: Food grade)
109 Is this facility Active or Inactive?A
110 Operating Period (Start Date)01/01
111 Operating Period (Ending Date)12/31
DEQ | Drinking Water
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112 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
113 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | 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.
C
114 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | 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
C
115 Is the well casing vented? ... if yes, answer the following question(s)Y

115A Vent screened with #14 mesh screen
SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen.
C

115B Vent down-turned
SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of
surface water or rainwater.
C

115C Vent has adequate clearance to prevent contamination from entering the well
SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap.
C
116 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y

116A Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
DEQ | Drinking Water
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116B Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C

116C Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
117 Water level is measured and recorded periodically
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
118 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
119 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | 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.
C
120 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
121 Hose connections are equipped with a backflow prevention device
MIN | 15pts | SM | M007 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes test history and documentation
of on-going enforcement activities.
C
122 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
DEQ | Drinking Water
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123 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
124 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
125 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
126 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
127 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
128 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y

128A Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C

128B Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C

128C Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
DEQ | Drinking Water
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WS008 - ALPINE COUNTRY CLUB WELL - Active
129 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
130 Does well require oil-lubrication?N (Notes: Water lubricated)
131 Is this facility Active or Inactive?A
132 Operating Period (Start Date)01/01
133 Operating Period (Ending Date)12/31
134 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
135 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | 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.
C
136 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | 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
C
137 Is the well casing vented? ... if yes, answer the following question(s)N
138 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y

138A Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C
DEQ | Drinking Water
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138B Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C

138C Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
139 Water level is measured and recorded periodically
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
140 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
141 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | 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.
C
142 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
143 Hose connections are equipped with a backflow prevention device
MIN | 15pts | SM | M007 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes test history and documentation
of on-going enforcement activities.
C
144 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
DEQ | Drinking Water
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145 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
146 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
147 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
148 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
149 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
150 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y

150A Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C

150B Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C

150C Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
DEQ | Drinking Water
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WS009 - BOLEY WELL - Active
151 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
152 Does well require oil-lubrication?Y

152A Well shaft lubricants are food grade mineral oil?
SIG | 25pts | SO | S031 | R309-105-10(7), R309-515-6(6)(a) | Rules require all oil-
lubricated pumps for drinking water wells to utilize food-grade mineral oil suitable for
human consumption as determined by the Director. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
<a href="https://www.youtube.com/watch?v=UABQMeeUz1g">Click here for addition
training</a>
C
153 Is this facility Active or Inactive?A
154 Operating Period (Start Date)01/01
155 Operating Period (Ending Date)12/31
156 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
157 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | 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.
C
158 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | 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
C
159 Is the well casing vented? ... if yes, answer the following question(s)Y
DEQ | Drinking Water
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159A Vent screened with #14 mesh screen
SIG | 25pts | SO | S006 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(a)require vents be fitted with a #14 mesh or finer non-corrodible screen.
C

159B Vent down-turned
SIG | 25pts | SO | S007 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be downturned or shielded to prevent the entrance of
surface water or rainwater.
C

159C Vent has adequate clearance to prevent contamination from entering the well
SIG | 25pts | SO | S008 | R309-515-6(12)(d)(iii) | Guidance states provisions should be
made for venting the well casing, however if vented R309-515-6(12)(d)(iii) and R309-
550-6(6)(b) requires vents be terminated with a discharge with an appropriate air gap.
C
160 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y

160A Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C

160B Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C

160C Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
161 Water level is measured and recorded periodically
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
162 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
DEQ | Drinking Water
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163 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | 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.
C
164 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
165 Hose connections are equipped with a backflow prevention device
MIN | 15pts | SM | M007 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes test history and documentation
of on-going enforcement activities.
C
166 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
167 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
168 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
169 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
170 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
171 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
DEQ | Drinking Water
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WS010 - GOLF COURSE WELL - Active
172 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y

172A Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C

172B Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C

172C Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
173 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
174 Does well require oil-lubrication?Y

174A Well shaft lubricants are food grade mineral oil?
SIG | 25pts | SO | S031 | R309-105-10(7), R309-515-6(6)(a) | Rules require all oil-
lubricated pumps for drinking water wells to utilize food-grade mineral oil suitable for
human consumption as determined by the Director. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
<a href="https://www.youtube.com/watch?v=UABQMeeUz1g">Click here for addition
training</a>
C
175 Is this facility Active or Inactive?A
176 Operating Period (Start Date)01/01
177 Operating Period (Ending Date)12/31
DEQ | Drinking Water
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178 Undocumented sources shall not be physically connected to the drinking water
system. (IF SOURCE IS NOT IN SYSTEM INVENTORY MARK "DEFICIENT")
SIG | 200pts | SO | S001 | R309-515-6(5), R309-515-7(4), R309-500-9(2) and (3) |
R309-105-6(1) requires plans and specifications for all public drinking water projects to
be approved in writing by the Director prior to the commencement of construction. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
179 Well casing is at least 18 inches above finished ground surface and 12 inches above
well house floor.
SIG | 25pts | SO | S003 | 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.
C
180 Wellhead is sealed to prevent contamination.
SIG | 50pts | SO | S013 | 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
C
181 Is the well casing vented? ... if yes, answer the following question(s)N
182 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y

182A Pump to waste line discharges with a minimum of 12-inch clearance to flood rim
SIG | 25pts | SO | S009 | R309-515-6(12)(d)(ix) | Rule requires a pump-to-waste line
connected to a sewer/storm drain to have a minimum 12-inch clearance to the flood
rim. This significant deficiency must be corrected within 120 days of notification or
have a corrective action plan approved by DDW.
C

182B Pump to waste line equipped with #4 non-corrodible mesh screen
SIG | 25pts | SO | S010 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be covered with a No. 4 mesh corrosion-resistant screen. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C

182C Pump to waste line downturned if it discharges to sewer/storm drain or allowing
complete drainage if not downturned
SIG | 25pts | SO | S011 | R309-515-6(12)(d)(ix) | The discharge end of the pump-to-
waste line shall be downturned. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
183 Water level is measured and recorded periodically
MIN | 5pts | SO | S015 | R309-515-6(12)(e ), R309-515-6(12)(c)(vi) | Rule requires
provisions be made to permit periodic measurement of water levels in the completed
well.
C
DEQ | Drinking Water
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184 Wellhead secured to protect quality water
SIG | 25pts | SO | S002 | R309-105-10(5) | All water system facilities shall be secure.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
185 Well head or well house and equipment protected from flooding
SIG | 25pts | SO | S020 | 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.
C
186 There are no unprotected cross-connections in well discharge piping.
SIG | 50pts | SO | S021 | R309-105-12(1), R309-515-6(12)(d)(iii) | Rule requires the
well discharge piping to be protected against the entrance of contamination. This
significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
187 Hose connections are equipped with a backflow prevention device
MIN | 15pts | SM | M007 | R309-105-12(2) | Rule requires each public water system to
have a cross connection control program that includes test history and documentation
of on-going enforcement activities.
C
188 No toxic chemicals, hazardous or flammable materials, or lubricants inside the well
house or near well head?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
189 Well discharge line has a smooth-nosed sampling tap, which samples the well water
before any chemical injection. (first item from the wellhead).
MIN | 5pts | SO | S023 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with a smooth nosed sampling tap, a check valve, a pressure gauge, a
means of measuring flow, and a shutoff valve. (smooth nosed sampling tap being the
first item from the well head and the shut-off valve as the last item)
C
190 Well discharge line has a check valve.
MIN | 5pts | SO | S024 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
191 Well discharge line has a pressure gauge.
MIN | 5pts | SO | S025 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
192 Well discharge line has a means to measure flow.
MIN | 5pts | SO | S026 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
DEQ | Drinking Water
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ST001 - UPPER EAST TANK #1 - Active
193 Well discharge line has a shut-off valve (last item from the well head).
MIN | 5pts | SO | S027 | R309-515-6(12)(d)(iv) | Rule requires the discharge piping to
be equipped with (in order of placement from the wellhead) a smooth nosed sampling
tap, a check valve, a pressure gauge, a means of measuring flow, and a shutoff valve.
C
194 Is there an air/vac valve on the well discharge line? If yes, answer the following
question(s)
Y

194A Air vacuum relief valve on well discharge piping downturned
SIG | 25pts | SO | S028 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be down-turned.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C

194B Air vacuum relief valve on well discharge piping screened with #14 mesh screen
SIG | 25pts | SO | S029 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be covered with a
#14 mesh corrosion-resistant screen. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C

194C Air vacuum relief valve on well discharge piping has at least 6 inches of clearance
above floor
SIG | 25pts | SO | S030 | R309-515-6(12)(d)(v) | Rule requires the exhaust/relief piping
on an air release/vacuum relief valve on the well discharge piping to be at least 6
inches above the well house floor. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
195 Wells that pump directly into a distribution system have means to release trapped air
from pump discharge piping (for example, pumps directly to a tank, has an air release
valve or pump to waste line)
MIN | 5pts | SO | SL01 | R309-515-6(12)(d)(v) | Rule requires a well that pumps
directly into the distribution system be equipped with an air release/vacuum relief valve
located upstream of the check valve, unless the wellhead valve and piping provide for
pumping to waste all trapped air before water is introduced into the distribution
system.
C
196 Does well require oil-lubrication?N (Notes: Water lubricated)
197 Is this facility Active or Inactive?A
198 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
5000000
199 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
DEQ | Drinking Water
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200 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided where applicable.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
NA (Notes: No ladders needed)
201 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
202 Are air vents present? ... if yes, answer the following question(s)Y

202A Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C

202B End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C

202C Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C

202D Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
203 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y

203A Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C
DEQ | Drinking Water
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203B Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C

203C Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
204 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
205 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
206 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
207 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
208 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
209 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y

209A Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C
DEQ | Drinking Water
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ST002 - UPPER WEST TANK #2 - Active

209B Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C

209C Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
210 Are the drain line and overflow combined?Y (Notes: Drain and overflow are combined
with ST002 into one discharge)
211 Is this facility Active or Inactive?A
212 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
5000000
213 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
214 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided where applicable.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
215 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
216 Are air vents present? ... if yes, answer the following question(s)Y

216A Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
DEQ | Drinking Water
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216B End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C

216C Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C

216D Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
217 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y

217A Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C

217B Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C

217C Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
218 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
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ST003 - LOWER TANK - Active
219 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
220 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
221 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
C
222 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
223 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y

223A Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C

223B Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C

223C Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
224 Are the drain line and overflow combined?Y (Notes: Drain and overflow are combined
with ST001 to one discharge)
225 Is this facility Active or Inactive?A
226 Storage tank capacity in gallons (from SDWIS; if different explain why in the
comments)
4500000
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227 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
228 Ladders, ladder guards, platform railings, or safely located entrance hatches are
provided where applicable.
MIN | 15pts | FW | V004 | R309-545-18 | Rule requires ladders, ladder guards,
platform railings, and safely located entrance hatches where applicable for water
storage tanks and requires safety practices to conform to pertinent laws and
regulations of the Utah Occupational Safety and Health Division.
C
229 Tank is vented.
SIG | 25pts | FW | VL02 | R309-545-15 | Rule requires drinking water storage tanks to
be vented. Overflows cannot be considered or used as vents. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
230 Are air vents present? ... if yes, answer the following question(s)Y

230A Vent is either down-turned or shielded from contaminants (at least 2 inches below the
bottom of the opening)
SIG | 25pts | FW | V005 | R309-545-15(1) | Rule requires inverted vents on water
storage tanks to be down-turned a minimum of 2 inches below any opening and
shielded to prevent the entrance of contaminants. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C

230B End of vent terminates at least 24 inches above earthen cover (buried tank) and is
located and sized to avoid blockage during winter.
MIN | 15pts | FW | V006 | R309-545-15(2) | For buried structures, the rule requires the
end of the vent discharge to be a minimum of 24 inches above the earthen covering.
C

230C Vent covered with #14 or finer non-corrodible mesh screen.
SIG | 25pts | FW | V007 | R309-545-15(4) | Rule requires a water storage tank vent to
be fitted with #14 mesh or finer non-corrodible screen and vents 6-inches or greater in
diameter to be fitted with additional heavy gauge screen or substantial covering to
protect the #14 mesh screen from vandalism or damage. This significant deficiency
must be corrected within 120 days of notification or have a compliance action plan
approved by DDW.
C

230D Vent 6-inch diameter and larger protected with additional heavy-gauge screen or
substantial covering.
MIN | 5pts | FW | V035 | R309-545-15(5) | Rule requires vents that are 6-inch diameter
or greater to be fitted with additional heavy gauge screen or substantial covering,
which will protect the No. 14 mesh screen against vandalism or damage.
C
DEQ | Drinking Water
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231 Are access openings present? ... if yes, answer the following question(s)
MIN | 15pts | FW | VL03 | R309-545-14 and 14(1) | Rule requires drinking water
storage tanks to be designed with reasonably convenient access to the interior for
cleaning and maintenance.
Y

231A Access opening framed at least 4 inches above roof surface or 18 inches above
earthen cover.
MIN | 15pts | FW | V008 | R309-545-14(1) | Rule requires tank access opening to be
framed at least 4 inches above the surface of the roof, or on a buried tank, to be at
least 18 inches above any earthen cover over the tank.
C

231B Access opening shoe box type with at least 2 inches of overlap
SIG | 25pts | FW | V010 | R309-545-14(2) | Rule requires the frame of an access
opening to be provided with a close fitting solid shoebox type cover which extends
down around the frame at least two inches and is furnished with a gasket(s) between
the lid and frame. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C

231C Access opening lid properly gasketed
SIG | 25pts | FW | V009 | R309-545-14(2) | Rule requires the access opening to a tank
to be furnished with a gasket between the lid and frame. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
232 Access opening locked
SIG | 25pts | FW | V029 | R309-545-14(3) | Rule requires the lid to any access
opening to have a locking device. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
233 Roof or wall penetrations sealed
SIG | 100pts | FW | V017 | R309-545-6(1) and 545-9 | Rule requires openings in a
storage tank roof or top, designed to accommodate control apparatus or pump
columns, to be welded, gasketed, or curbed and sleeved and to have additional proper
shielding to prevent vandalism. This significant deficiency must be corrected within
120 days of notification or have a corrective action plan approved by DDW.
C
234 Area surrounding ground-level or buried storage tank is graded to prevent surface
water from standing within 50 feet.
SIG | 25pts | TR | V001 | R309-545-7(4) | Rule requires the area surrounding a
ground-level or buried water storage tank be graded in a manner to prevent surface
water from standing within 50 feet of the tank. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
235 Storage tank roof is sloped to prevent ponding
MIN | 15pts | FW | V003 | R309-545-9(4) | Rule requires drainage of storage tank roofs
to eliminate water ponding.
D (Notes: Ponding on top of storage tank
roof)
236 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the
following options)
N
DEQ | Drinking Water
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TP001 - TIMP CAVE CAMP SPRING CHLORINATOR -- Treatment General - Active
Exception Granted: R309-520-7(3)(a)(i) emergency eyewash stations and safety showers | Rule R309-525-11(6)(a)(iv) states liquid chemical
storage tanks must have an overflow and a receiving basin or drain capable of receiving accidental spills or overflows. Due to the liquid barrier
hydrogen venting system, it is inappropriate to have an overflow pipe in the tank. However, the system has accounted for overflows, accidental
spills and tank failure by providing a 4-inch drain line in the chlorine station that connects directly to the sewer that is capable of handling more than
175 gpm. On this basis, exceptions to R309-520-7(3)(d)(iv), Electrolytic cell venting and R309-525-11(6)(iv), Solution Tank Overflow, is hereby
granted for MIOX on-site generation system as part of the Timp Cave Camp Spring Chlorinator (TP001).
Exception Granted: R309-525-11(6)(iv), Solution Tank Overflow | Rule R309-525-11(6)(a)(iv) states liquid chemical storage tanks must have an
overflow and a receiving basin or drain capable of receiving accidental spills or overflows. Due to the liquid barrier hydrogen venting system, it is
inappropriate to have an overflow pipe in the tank. However, the system has accounted for overflows, accidental spills and tank failure by providing
a 4-inch drain line in the chlorine station that connects directly to the sewer that is capable of handling more than 175 gpm. On this basis, exception
to R309-525-11(6)(iv), Solution Tank Overflow, is hereby granted for MIOX on-site generation system as part of the Timp Cave Camp Spring
Chlorinator (TP001).
237 Is a tank overflow present? ... if yes, answer the following question(s)
SIG | 25pts | FW | VL01 | R309-545-13 | Rule requires all storage tanks to be provided
with an overflow that discharges at an an elevation between 12 and 24 inches above
the ground surface or the rim of the receiving basin. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
Y

237A Overflow line discharges at least 12 inches above ground or the flood rim of receiving
basin?
SIG | 25pts | FW | V011 | R309-545-13 | Rule requires all water storage tanks to be
provided with an overflow that discharges at an elevation between 12 and 24 inches
above the ground surface or the rim of the receiving basin.
C

237B Overflow line covered with #4 mesh non-corrodible screen
SIG | 25pts | FW | V012 | R309-545-13(3) | Rule requires overflow pipes to be
screened with #4 mesh non-corrodible screens installed at a location least susceptible
to damage by vandalism. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C

237C Overflow line connected or discharges to a sanitary sewer drain?
SIG | 50pts | FW | V013 | R309-545-13(5) | Rule prohibits overflow pipes from
connecting to, or discharging into, a sanitary sewer system. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
238 Are the drain line and overflow combined?N

238A Drain line shall terminate at least 12 inches above ground or flood rim of receiving
basin
Exception Granted: R309-545-10(1) | The tank drain empties into a manhole below the
rim which is an air break not an air gap which is required by the rule.
SIG | 25pts | FW | V016 | R309-545-10(1)(d) | If the local authority allows discharge to
a storm drain, the rule requires the drain discharge to have a physical clearance of at
least 12 inches between the discharge end of the pipe and the overflow rim of the
receiving basin. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
NA (Notes: Exception granted. Drain line
terminates into a storm drain.)
DEQ | Drinking Water
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Exception Granted: R309-520-7(3)(d)(iv), Electrolytic cell venting | Rule R309-520-7 (3)(d)(iv) states that “the hydrogen gas generated in the
electrolytic cell of the on-site generation system shall be vented upward to the outside of the building in a dedicated, unobstructed line. The MIOX
system uses a liquid barrier hydrogen vent system that includes a drop tube in the solution tank, an oxidant tank vent, and a system hydrogen vent
that is installed on the oxidant transfer pipe between the generator and the solution tank. Both vents are vented upward to the outside of the
building. The electrolytic cell itself does not have a separate vent but utilizes the system vent off of the oxidant line. This system has been reviewed
and endorsed by Hydrogen Safety, LLC. On this basis, exception to R309-520-7(3)(d)(iv), Electrolytic cell venting is hereby granted for MIOX on-
site generation system as part of the Timp Cave Camp Spring Chlorinator (TP001).

239 Is this facility Active or Inactive?A
240 There are no undocumented drinking water facilities (i.e. tanks, pump stations,
treatment facilities, etc.) or recent modifications that have not gone through DDW
review
SIG | 50pts | SM | G001 | R309-100-5(2), R309-500-6, R309-500-9, R309-500-9(2)
and (3) | Rule requires complete plans & specification for all public drinking water
projects to be approved in writing by the Director. Any facility found that has not
started DDW review shall be considered unapproved. This significant deficiency must
be corrected within 120 days of notification or have a corrective action plan approved
by DDW.
C
241 Operating Period (Start Date)01/01
242 Operating Period (Ending Date)12/31
243 What is the objective of the treatment process and how do you know it is working?
(e.g., surface water treatment, disinfection, arsenic removal, TDS removal etc.)
Softening ahead of on site hypochlorite
generation
244 Walk me through the different process steps of your treatment plant. What is the
purpose of each step? Show me how you determine you are meeting your Treatment
Requirements.
Resin IX, then on site generation
245 What Chemicals are used? Why?Salt
246 How is the chemical dose adjusted with flow and water quality? Prompts: What flow
rate is used for the adjustment (influent, effluent, CFE)? What water quality
parameters would make you change dose rate?
Flow paced
247 Does influent flow rate vary?Y

247A If yes, why does influent flow rate vary?Depending on what flow the springs are
producing

247B If yes, does chemical dose rate adjust to remain compliant at different flow conditions?Yes
248 Process control testing is consistent with the specific treatment process
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
249 There is a means to accurately measure the quantities of chemicals used.
SIG | 25pts | TR | TD99 | R309-525-11(7)(d)(iv) | Provisions shall be made for
measuring the quantities of chemicals used. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
C
DEQ | Drinking Water
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250 Treatment plant properly secured to protect the quality of the treated water, R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
251 Are liquid chemicals used? ... if yes, answer the following question(s)N
252 Treatment chemicals meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
253 Are all chemical feeders properly verified for accuracy?
SIG | 25pts | TR | TG21 | R309-525-11(7)(a)(i) | Feeders shall supply, at all times, the
necessary amounts of chemicals at an accurately controlled rate, throughout the
anticipated range of feed. This significant deficiency must be corrected within 120
days of notification or have a corrective action plan approved by DDW.
C
254 Spare parts are available for all chemical feeders
MIN | 15pts | TR | TX09 | R309-525-11(7)(b)(i) and (ii) | R308-525-11(8)(b)(i) states
that a means consistent with the nature of the chemical solution shall be provided in a
solution tank to maintain a uniform strength of solution. Continuous agitation shall be
provided to maintain slurries in suspension. 2 dem
C
255 Incompatible chemicals stored separately
SIG | 25pts | TR | TG19 | R309-525-11(7)(a)(iv) | Rule prohibits chemicals that are
incompatible from being fed, stored, or handled together. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
C
256 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
257 Raw water compliance samples are collected before any treatment. R309-215-4(4)
SIG | 25pts | TR | T006 | R309-525-15(10)(a)(i) | R309-525-15(10)(a)(i)
Y

257A If yes, was location shown?Yes smooth nose sample prior to
chlorination
258 Where are finished water quality monitoring samples collected?Distribution, only chlorine addition here.
They have an online chlorine analyzer
259 Does water system have a DEQ/DWQ (UPDES permit) discharge permit for the
proper disposal of treatment plant waste to land or water?
MIN | 15pts | SM | TGR3 | R309-105-6 | R309-105-6
NA (Notes: No need for a UPDES with on
site generation)
260 Which parameters are watched when running treatment plant?chlorine residual
DEQ | Drinking Water
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TP001 - TIMP CAVE CAMP SPRING CHLORINATOR -- Treatment - Chlorination General - Active
261 What type of alarm system is used?SCADA
262 Does treatment plant have a SCADA system?Y

262A Can operators respond to all alarms in a normal day, or do they have to silence
legitimate alarms?
Yes

262B How are alarm set points adjusted and how are changes recorded?Tracked on SCADA
263 Proper lab equipment on site to support required operations & maintenance of the
plant?
SIG | 25pts | TR | T019 | R309-525-17(1) | Sufficient laboratory equipment shall be
provided to assure proper operation and monitoring of the water plant. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
264 Is this facility Active or Inactive?A
265 Is system required to provide primary disinfection? Prompt - If system knows they are
required to chlorinate based on water quality issues and/or knows they are required to
provide a minimum CT then follow-up by DDW is needed.
N
266 When chlorination is required, disinfection has operated uninterrupted during the past
year while supplying drinking water.
SIG | 50pts | TR | TD25 | R309-520-6 | Rule requires continuous disinfection of
groundwater sources that do not consistently meet bacteriological quality standards,
all surface water sources, and groundwater sources under the direct influence of
surface water. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
267 Chlorine (gas & hypochlorite solution, tablets, granules, ) and chemicals used to
generate chlorine solutions and chlorine dioxide meet ANSI/NSF 60.
SIG | 50pts | TR | TD90 | R309-525-11(5), R309-520-6(2) | All chemicals added to
drinking water, including chlorine, chloramines and chemicals used to generate
hypochlorite solutions and chlorine dioxide, shall be certified as complying with
ANSI/NSF Standard 60. This significant deficiency must be corrected within 120 days
of notification or have a corrective action plan approved by DDW.
C
268 If chemical dilution or dissolution is needed, cross-connection control is provided on
water lines feeding solution tanks.
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
C
269 Water flow rate is measured to control chemical feed?
SIG | 25pts | TR | TD79 | R309-525-11(7)(d)(ii) and (iii), R309-525-11(7)(a)(i) |
Chemical feed rates shall be proportional to flows and a means to measure water flow
rate shall be provided. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
270 Solution tanks and tank refilling line entry points are properly labeled to identify the
chemicals
MIN | 15pts | TR | TG03 | R309-525-11(8)(c)(vii) | Rule requires tanks to be properly
labeled to designate the chemical contained.
C
DEQ | Drinking Water
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271 Free chlorine residual test equipment on-site or available?
MIN | 15pts | TR | TD78 | R309-520-7(1)(j) | Rule requires chlorine residual test
equipment available capable of measuring residuals to the nearest 0.1 mg/l in the
range below 0.5 mg/l, to the nearest 0.3 mg/l between 0.5 mg/l and 1.0 mg/l and to the
nearest 0.5 mg/l above 1.0 mg/l.
C
272 Spare parts are available to replace parts subject to wear and breakage
MIN | 15pts | TR | TD75 | Standard Method 334.0 Determination of Residual Chlorine
in Drinking Water Using an Online Chlorine Analyzer. [EPA 815-B-09-013 September
2009 11.1.1.2 Page 13] | Spare parts shall be provided and maintained for all
chlorinators to repair parts subject to wear and breakage.
C
273 Is chlorine chemical dose rate adjusted due to different water demand flow rates
and/or changing water quality?
Y

273A If yes, which water flow rate is used? e.g. influent flow, effluent flow, filter flow.Flow measured on the spring line
274 Is there a designated chlorine Point of Entry (POE) sample location?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
275 POE is before first connection/customer?
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C (Notes: POE is the online analyzer
located in the chlorine building)
276 Chlorine residual records are maintained and available... if yes answer following
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
Y

276A System is sampling distribution residuals throughout entire distribution system
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C (Notes: Residual checked every day at
shop, reported three times a week on the
MRDLS)

276B Distribution chlorine residuals meet minimum concentration requirement
SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d)
C

276C "What is the maximum free chlorine residual measure? This value never exceeds 4.0
mg/L? "
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C

276D System collects at least three distribution chlorine residual samples a week?
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C

276E System is sampling distribution residuals in accordance with monitoring schedule
MIN | 15pts | TR | TGR9 | R309-105-7, 8 & 18, R309-100 through 605 | Trigger for
regulatory followup to address concerns.
C
277 Treatment plant properly secured to protect the quality of the treated water. R309-520-
7(2)(f)
SIG | 25pts | SM | A050 | R309-400-11 | If the water system does not comply with the
directive, the Director may assess 25 to 200 points to the water system. Points shall
be assessed based upon the severity of the non-compliance, the threat to public
health and the underlying basis for the original directive.
C
DEQ | Drinking Water
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TP001 - TIMP CAVE CAMP SPRING CHLORINATOR -- On-Site Generation - Active
278 Daily operating records reflect chemical dosages and total quantities used
SIG | 25pts | MR | TG20 | R309-105-14(3)(a) | Rule requires all water system using
chemical addition or specialized equipment for the treatment of drinking water to
regularly complete operational reports. This significant deficiency must be corrected
within 120 days of notification or have a corrective action plan approved by DDW.
C
279 Is this facility Active or Inactive?A
280 On-site hypochlorite generation system is certified to meet ANSI/NSF 61
SIG | 25pts | DS | D001 | R309-550-6(1) & R309-550-6(3) | Rule states all materials
that may contact drinking water, including pipes, gaskets, lubricants and O-rings shall
be ANSI-certified as meeting the requirements of NSF Standard 61. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
C
281 Make-up water used for on-site generation is of drinking water quality
SIG | 25pts | TR | TD70 | R309-520-7(1)(h)(i), R309-520-7(3)(c)(iii) | Rule requires
make-up water used in on-site generation of hypochlorite solution to be of drinking
water quality. This significant deficiency must be corrected within 120 days of
notification or have a corrective action plan approved by DDW.
C
282 Hydrogen gas generated in electrolytic cell is vented upward outside of building
Exception Granted: R309-520-7(3)(d)(iv), Electrolytic cell venting | Rule R309-520-7
(3)(d)(iv) states that “the hydrogen gas generated in the electrolytic cell of the on-site
generation system shall be vented upward to the outside of the building in a dedicated,
unobstructed line. The MIOX system uses a liquid barrier hydrogen vent system that
includes a drop tube in the solution tank, an oxidant tank vent, and a system hydrogen
vent that is installed on the oxidant transfer pipe between the generator and the
solution tank. Both vents are vented upward to the outside of the building. The
electrolytic cell itself does not have a separate vent but utilizes the system vent off of
the oxidant line. This system has been reviewed and endorsed by Hydrogen Safety,
LLC. On this basis, exception to R309-520-7(3)(d)(iv), Electrolytic cell venting is
hereby granted for MIOX on-site generation system as part of the Timp Cave Camp
Spring Chlorinator (TP001).
SIG | 50pts | TR | TD71 | R309-520-7(3)(c)(iv) | Rule requires hydrogen gas generated
in the electrolytic cell of the on-site generation system to be vented upward to the
outside of the building in a dedicated, unobstructed line. This significant deficiency
must be corrected within 120 days of notification or have a corrective action plan
approved by DDW.
NA (Notes: Exception granted for gas to not
be vented upwards.)
283 Solution tank is covered to minimize corrosive vapors
MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept
covered.
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TP001 - TIMP CAVE CAMP SPRING CHLORINATOR -- Ion Exchange
284 Where concentrated hypochlorite solutions (5% or greater) are handled in containers
LARGER than 55 gallons: emergency eyewash station and a safety shower present
Exception Granted: R309-520-7(3)(a)(i) emergency eyewash stations and safety
showers | Rule R309-525-11(6)(a)(iv) states liquid chemical storage tanks must have
an overflow and a receiving basin or drain capable of receiving accidental spills or
overflows. Due to the liquid barrier hydrogen venting system, it is inappropriate to have
an overflow pipe in the tank. However, the system has accounted for overflows,
accidental spills and tank failure by providing a 4-inch drain line in the chlorine station
that connects directly to the sewer that is capable of handling more than 175 gpm. On
this basis, exceptions to R309-520-7(3)(d)(iv), Electrolytic cell venting and R309-525-
11(6)(iv), Solution Tank Overflow, is hereby granted for MIOX on-site generation
system as part of the Timp Cave Camp Spring Chlorinator (TP001).
SIG | 25pts | TR | TD66 | R309-520-7(3)(a)(i) | Where hypochlorite solutions are used
at remote locations or in quantities of 55 gallons or less on site, safety showers are not
required and alternative emergency eyewash may be provided. This significant
deficiency must be corrected within 120 days of notification or have a corrective action
plan approved by DDW.
NA (Notes: On site generation only
produces a chlorine strength around 1% the
requirement for a plumbed safety shower
does not apply here.)
285 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or
LESS: some method of emergency eyewash provided (an eyewash station is not
required)
REC | 0pts | TR | TD65 | R309-520-7(3)(a)(i) | States Emergency eyewash stations
and safety showers shall be provided at all hypochlorite installations where
concentrated hypochlorite solutions, containing 5% or greater available chlorine by
volume, are handled in containers greater than 55 gallons
C (Notes: Eyewash station present)
286 Hypochlorite solution storage area is protected from excessive heat and direct sunlight
MIN | 5pts | TR | TD67 | R309-520-7(3)(a)(ii) | States Storage and injection areas shall
be designed to minimize the decay in strength of concentrated hypochlorite solutions
from excessive heat or direct sunlight.
C
287 Means are used to minimize the use of decayed hypochlorite solution, such as
solution strength testing and delivery records
MIN | 5pts | TR | TD68 | R309-520-7(3)(b) | Rule requires the water system to provide
an operational means, such as keeping records of the delivery date of the hypochlorite
solution, to avoid the injection of significantly decayed hypochlorite solutions.
C
288 Salt used for the brine solution is certified to meet the ANSI/NSF 60 standard
SIG | 25pts | TR | T080 | R309-525-11(5), R309-525-25(1), R309-535-11(5)(d) | Rule
requires that all chemicals added to water being treated for use in a public water
system for human consumption comply with ANSI/NSF Standard 60. This significant
deficiency must be corrected within 120 days of notification or have a compliance
action plan approved by DDW.
C (Notes: Morton Salt.)
289 Make-up water inlet is protected from back-siphonage
SIG | 50pts | TR | TX07 | R309-525-11(2)(c), R309-525-11(9)(b)(i) to (iv) | Cross
connection control shall be provided on make-up water lines feeding solution tanks.
This significant deficiency must be corrected within 120 days of notification or have a
corrective action plan approved by DDW.
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290 Overflows are protected with corrosion resistant screens and terminate with a down
turned discharge with at least 6 inches of clearance from the floor
SIG | 50pts | TR | TX08 | R309-525-11(8)(b)(v), R309-525-11(9)(b)(iii) | R309-525-
11(9)(b) For an ion exchange facility where the overflow discharge piping is not
protected with a corrosion resistant screen or is not terminated with a downturned
bend with adequate clearance to prevent cross connection 10 points shall be assess
C
291 There is a brine measuring tank or a means of metering proper dilution
MIN | 15pts | TR | TX09 | R309-525-11(7)(b)(i) and (ii) | R308-525-11(8)(b)(i) states
that a means consistent with the nature of the chemical solution shall be provided in a
solution tank to maintain a uniform strength of solution. Continuous agitation shall be
provided to maintain slurries in suspension. 2 dem
C
292 Does media type require regeneration or periodic replacement?Y

292A If yes, what criteria is used to determine when to regenerate or replace the media?Amount of Water filtered

292B If yes, what is the time interval between media regeneration/replacement?I forgot to ask this question
293 Operational differential pressure is monitored and recorded?
SIG | 25pts | TR | T021 | R309-100 - R309-600 | All instrumentation needed to verify
that treatment processes are sufficient shall be properly calibrated and maintained. At
a minimum, this shall include turbidimeters. This significant deficiency must be
corrected within 120 days of notification or have a corrective action plan approved by
DDW.
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