DDW-2025-009600

Sanitary Survey - Deficiency Report
PWS Number:UTAH16012 Deficiency Points:80 Survey Date:09/09/2025
Survey Name:OTTER CREEK RV PARK Surveyor:Peter Keers
Sanitary Survey Category: SM
SDWIS Severity Code: Minor Deficiency
Cross Connection and Operator Certification | DS001 | UTAH16012 DISTRIBUTION SYSTEM
36. Legally adopted authority statement
Rule: R309-105-12(2)Rule requires each public water system to have a cross connection control program
that includes a legally adopted and functional local authority to enforce the program
(i.e., ordinance, bylaw, or policy).
Notes:Paige did not have PWS book available, medical issue restricting activity. Call me and we
can resolve this C3 deficiencies!
Deficiency Points: 15
Days until points become effective on IPS: 0
SDWIS Deficiency Description: M003 CCC-LACKS LOCAL AUTHORITY
Sanitary Survey Category: SM
SDWIS Severity Code: Minor Deficiency
Cross Connection and Operator Certification | DS001 | UTAH16012 DISTRIBUTION SYSTEM
37. Documentation of annual public awareness and/or employee training
Rule: 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.
Notes:Paige did not have PWS book available, medical issue restricting activity. Call me and we
can resolve this C3 deficiencies!
Deficiency Points: 15
Days until points become effective on IPS: 0
SDWIS Deficiency Description: M004 CCC-NO ANNUAL PUBLIC EDUCATION OR AWARENESS
Sanitary Survey Category: SM
SDWIS Severity Code: Minor Deficiency
Cross Connection and Operator Certification | DS001 | UTAH16012 DISTRIBUTION SYSTEM
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)
Rule: R309-105-12(2)Rule requires each public water system to have a cross connection control program
that includes an operator with adequate training in the area of cross connection control
or backflow prevention.
Notes:Paige did not have PWS book available, medical issue restricting activity. Call me and we
can resolve this C3 deficiencies!
Deficiency Points: 15
Days until points become effective on IPS: 0
SDWIS Deficiency Description: M005 CCC-LACKS OPERATOR TRAINING
Sanitary Survey Category: SM
SDWIS Severity Code: Minor Deficiency
Cross Connection and Operator Certification | DS001 | UTAH16012 DISTRIBUTION SYSTEM
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)
Rule: 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.
Notes:Paige did not have PWS book available, medical issue restricting activity. Call me and we
can resolve this C3 deficiencies!
Deficiency Points: 15
Days until points become effective on IPS: 0
SDWIS Deficiency Description: M006 CCC-LACKS WRITTEN RECORDS OF CCC ACTIVITIES
Sanitary Survey Category: SM
SDWIS Severity Code: Minor Deficiency
Cross Connection and Operator Certification | DS001 | UTAH16012 DISTRIBUTION SYSTEM
40. Does the water system have records of on-going enforcement activities? (test history, enforcement activities, hazard assessments)
Rule: 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.
Notes:Paige did not have PWS book available, medical issue restricting activity. Call me and we
can resolve this C3 deficiencies!
Deficiency Points: 15
Days until points become effective on IPS: 0
SDWIS Deficiency Description: M007 CCC-LACKS ON-GOING ENFORCEMENT IMPLEMENTATION
Sanitary Survey Category: SO
SDWIS Severity Code: Minor Deficiency
Wells | WS001 | 1987 WELL
71. Well discharge line has a means to measure flow.
Rule: 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.
Notes:could not locate one?
Deficiency Points: 5
Days until points become effective on IPS: 0
SDWIS Deficiency Description: S026 NO FLOW METER ON WELL DISCHARGE PIPING