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HomeMy WebLinkAboutDDW-2025-008271Utah Department Of Environmental Quality Division Of Drinking Water Sanitary Survey Sanitary Survey General System Information Exception Granted: R309-515-4(3) | The system only has one source. Of 116 connections, only 15 are year-round and max. number possible based on water share requirements included in the bylaws is 45. Site Visit Date Surveyor Name 08/14/2025 Danielle Zebelean OAK HAVEN WATER COMPANY PWS ID: UTAH26043 Rating: Corrective Action 05/08/2025 Active 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: ROBERT O *Last Name: ALLEN *Organization: *Address: Redacted *City: MIDWAY *State: UT *Zip: 84049 *Email: oakhavenwatermaster@gmail.com *Phone: 801-671-3843 2 Legal Contact (LC) [ if no eMail address is available, enter NoeMail@utah.gov ] 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: OAK HAVEN WATER CO *Address: 1121 N Willow Lane *City: MIDWAY *State: UT *Zip: 84049 *Email: oakhavenwatermaster@gmail.com *Phone: 801-671-3843 DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 1 of 24 3 Owner Contact (OW) [ if no eMail address is available, enter NoeMail@utah.gov ] 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: Oak Haven Water Co *Address: 1121 N Willow Lane *City: Midway *State: UT *Zip: 84049 *Email: oakhavenwatermaster@gmail.com *Phone: 8016713843 4 Direct Operator in Charge (DO) [ if no eMail address is available, enter NoeMail@utah.gov ] 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: ROBERT O *Last Name: ALLEN *Organization: *Address: 1121 N Willow Ln *City: MIDWAY *State: UT *Zip: 84049 *Email: oakhavenwatermaster@gmail.com *Phone: 801-671-3843 5 Does the system serve a Residential population?Y 5A Population - Residential 25 (Notes: Only have 25 year round residents) 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.) Y 7A Population - Non-Transient 363 (Notes: The residential and non- transient population should be switched. These are the number of people that are there less frequently and do not qualify as a person that lives there 6 months a year.) 7B Operating Period (Start Date) - Non-Transient 01/01 7C Operating Period (End Date) - Non-Transient 12/31 8 Population - Wholesale :0 DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 2 of 24 Site Visit Info Management and Operations 9 Residential Connections:116 10 Commercial Connections:0 11 Industrial Connections:0 12 Agricultural Connections:0 13 Date of Survey (First Day of Field Work)08/14/2025 14 Date of Survey (Last Day of Field Work) ** this should match the Date of Survey in the header ** 08/14/2025 15 Date final report sent to system (questionnaire, deficiency report and capacity spreadsheet) 08/28/2025 16 Water system representative present during the survey:Rob Allen 17 How much time was spent to prepare survey documents prior to field survey? (Round up to nearest quarter hour) 2.5 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) 1.5 19 How much time was spent traveling from the primary workplace to the system and back again at the end of the field survey? (Round up to nearest quarter hour) 2.5 20 How much time did it take to finish the Survey Report? (Round up to nearest quarter hour) 2 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. C (Notes: Generator installed at well house) 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 DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 3 of 24 25 Does the system haul water?N 26 For a community system serving 100 or more connections, at least 2 water sources are available. Exception Granted: R309-515-4(3) | The system only has one source. Of 116 connections, only 15 are year-round and max. number possible based on water share requirements included in the bylaws is 45. 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. NA (Notes: Exception Granted) 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. N 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. NA (Notes: Not a system over 3300 people) 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? N 34 Does your water system use any computer systems in regular business operations such as accounting, billing, payroll, human resources, or management? N 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 DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 4 of 24 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 population) 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? D (Notes: Sunrise did the lead service line inventory.) 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). D (Notes: Did not have Cross Connection Program information at the survey) 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 (Notes: Listed on website) 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 (Notes: Rob is certified as a program admin.) 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. D (Notes: Did not have Cross Connection Program information at the survey) 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. D (Notes: Did not have Cross Connection Program information at the survey) DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 5 of 24 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. D (Notes: Need to have a treatment level 1 certificate.) 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) N (Notes: Only air vacs are on the storage tanks) 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 DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 6 of 24 General Disinfection TP002 - LOWER SPRING CHLORINATOR - Inactive (AB - ABANDONED) WS001 - UPPER SPRING - Inactive (AB - ABANDONED) Exception Granted: R309-515-7(7)(e) | The spring collection area shall be surrounded by a fence located a distance of 50 feet (preferably 100 feet if conditions allow) from all collection devices on land at an elevation equal to or higher than the collection device, and a distance of 15 feet from all collection devices on land at an elevation lower than the collection device 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 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. N DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 7 of 24 WS002 - LOWER SPRING - Inactive (AB - ABANDONED) Exception Granted: R309-515-7(7)(e) | The spring collection area shall be surrounded by a fence located a distance of 50 feet (preferably 100 feet if conditions allow) from all collection devices on land at an elevation equal to or higher than the collection device, and a distance of 15 feet from all collection devices on land at an elevation lower than the collection device WS003 - OAK HAVEN WELL - Active 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 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 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 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?A 58 Operating Period (Start Date)01/01 59 Operating Period (Ending Date)12/31 DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 8 of 24 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 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 62 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 63 Is the well casing vented? ... if yes, answer the following question(s)N 64 Does the well have a pump to waste line? ... if yes, answer the following question(s)Y 64A 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 64B 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 64C 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 65 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 Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 9 of 24 66 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 67 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 68 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 69 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 70 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 71 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 72 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 73 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 74 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 Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 10 of 24 ST001 - UPPER TANK - Active 75 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 76 Is there an air/vac valve on the well discharge line? If yes, answer the following question(s) Y 76A 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 76B 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 76C 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 77 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 78 Does well require oil-lubrication?N (Notes: Submersible Well) 79 Is this facility Active or Inactive?A 80 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 100000 81 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 Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 11 of 24 82 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 83 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 84 Are air vents present? ... if yes, answer the following question(s)Y 84A 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 84B 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 84C 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 84D 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 85 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 85A 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 Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 12 of 24 85B 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 85C 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. D (Notes: Gasket was missing in a few places.) 86 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 87 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 88 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 89 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 90 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 91 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 91A 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 Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 13 of 24 ST002 - MIDDLE TANK - Active 91B 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 91C 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 92 Are the drain line and overflow combined?Y 93 Is this facility Active or Inactive?A 94 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 50000 95 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 96 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: Buried Tank) 97 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 98 Are air vents present? ... if yes, answer the following question(s)Y 98A 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 Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 14 of 24 98B 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 98C 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 98D 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 99 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. N 100 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. NA (Notes: No access opening) 101 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 102 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 103 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 104 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 Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 15 of 24 ST003 - LOWER TANK - Active 105 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 105A 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 105B 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 105C 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 106 Are the drain line and overflow combined?N 106A Drain line shall terminate at least 12 inches above ground or flood rim of receiving basin 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. C (Notes: Tanks need to be drained with a hose. This is not left hooked up) 107 Is this facility Active or Inactive?A 108 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 25000 109 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 Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 16 of 24 110 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: Buried Tank no ladders.) 111 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 112 Are air vents present? ... if yes, answer the following question(s)Y 112A 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 112B 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 112C 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 112D 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 113 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 113A 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 Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 17 of 24 113B 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 113C 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 114 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 115 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 116 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 117 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 118 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) Y 118A Mild deterioration or spalling? MIN | 15pts | FW | V021 | R309-545-6(1) and 545-9(1) | Rule requires all water storage tanks to have suitable watertight roofs and sidewalls that shall also exclude birds, animals, insects, and excessive dust. Y (Notes: Cracks still apparent on roof of tank) 118B Severe deterioration or spalling? SIG | 50pts | FW | V022 | R309-545-6(1) and 545-9(1) | Rule requires all water storage tanks to have suitable watertight roofs and sidewalls that shall also exclude birds, animals, insects, and excessive dust. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. N DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 18 of 24 TP003 - ARSENIC TREATMENT FACILITY -- Treatment General - Active 119 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 119A 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 119B 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 119C 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 120 Are the drain line and overflow combined?Y 121 Is this facility Active or Inactive?A 122 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 123 Operating Period (Start Date)01/01 124 Operating Period (Ending Date)12/31 125 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.) Arsenic Removal 126 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. Media filtration to remove arsenic 127 What Chemicals are used? Why?No chemicasl 128 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? no chemicals DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 19 of 24 129 Does influent flow rate vary?N 130 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 131 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. NA (Notes: no chemical sused) 132 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 133 Are liquid chemicals used? ... if yes, answer the following question(s)N 134 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. NA (Notes: No chemicals used) 135 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. NA (Notes: No chemical feeders) 136 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 NA (Notes: No chemicals used) 137 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. NA (Notes: no chemicals used) 138 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. NA (Notes: No chemicals used) DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 20 of 24 TP001 - SYSTEM CHLORINATOR -- Treatment - Chlorination General - Active 139 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 139A If yes, was location shown?Well sample tap. Also sample tap is present for influent water 140 Where are finished water quality monitoring samples collected?Finished water sample tap 141 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 chemicals are being used. Did not need a discharge permit for their land disposal.) 142 Which parameters are watched when running treatment plant?Head loss 143 What type of alarm system is used?No alarm system 144 Does treatment plant have a SCADA system?N 145 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 146 Is this facility Active or Inactive?A 147 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 148 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 149 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 150 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 DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 21 of 24 151 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 152 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 153 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 154 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 155 Is chlorine chemical dose rate adjusted due to different water demand flow rates and/or changing water quality? Y 155A If yes, which water flow rate is used? e.g. influent flow, effluent flow, filter flow.Flow up to the upper storage tank 156 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 157 POE is before first connection/customer? SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 158 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 158A 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 158B Distribution chlorine residuals meet minimum concentration requirement SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 158C "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 158D 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 DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 22 of 24 TP001 - SYSTEM CHLORINATOR -- Liquid Hypochlorination - Active 158E 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 159 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 160 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 161 Is this facility Active or Inactive?A 162 Operational means provided to avoid injection of significantly decayed hypochlorite, 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 163 Solution tank is covered to minimize corrosive vapors MIN | 5pts | TR | TD64 | R309-525-11(8)(b)(iii) | Chemical solutions shall be kept covered. C 164 Where concentrated hypochlorite solutions (5% or greater) are handled in containers LARGER than 55 gallons: emergency eyewash station and a safety shower present 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: Not larger than 55 gallons) 165 Where concentrated hypochlorite solutions are handled in containers of 55 gallons or LESS: some method of emergency eyewash provided (a full eyewash station and shower is not required) 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. C 166 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 DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 23 of 24 TP003 - ARSENIC TREATMENT FACILITY -- Activated Carbon - Granular 167 Records are kept to minimize the use of decayed hypochlorite solution 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 168 There are adequate spill containment provisions for acid and caustic liquids. MIN | 15pts | TR | TG59 | R309-525-11(6)(a)(iv)(B), R309-525-11(8)(b)(viii) | Rule requires liquid chemical storage tanks to have an overflow and receiving basin or drain capable of receiving accidental spills or overflows, and meeting all the requirements of R309-525-23. C 169 Granular activated carbon (GAC) filters used for removal of organic material that may be available as DBP precursors Y (Notes: Media is actually titanium dioxide not GAC. This was updated in SDWIS as part of the survey) 170 When was the last time the filters were evaluated to determine the condition of the media? 08/14/2025 (Notes: Media is currently getting replaced.) 171 What is the typical filter run time throughout the year?A couple of weeks to a month 172 What criteria are used to determine when a filter backwash is needed?H 173 Are the filters equipped with surface wash or air scour to enhance the backwash?N 174 Has there been any violation in turbidity in the past 12 months?N (Notes: Turbidity is not monitored at this treatment plant.) DEQ | Drinking Water Run Date: 08/28/2025 16:33:58 | Rating: Corrective Action UTAH26043 OAK HAVEN WATER COMPANY page 24 of 24