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HomeMy WebLinkAboutDDW-2025-010026Utah Department Of Environmental Quality Division Of Drinking Water Sanitary Survey Sanitary Survey General System Information Exception Granted: 7360 | MIA Shalom does not have electrical power and that the station is powered with its own propane fueled generator. Site Visit Date Surveyor Name 10/15/2025 Ryan Dearing MIA SHALOM RECREATION CAMP PWS ID: UTAH20039 Rating: Approved 11/19/2015 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: MARIE *Last Name: OWENS *Organization: *Address: Redacted *City: SALT LAKE CITY *State: UT *Zip: 84150-6320 *Email: mowens@churchofjesuschrist.org *Phone: Emergency Phone: 801-240-1693 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: CORP OF PRESIDING BISHOP- LDS CHURCH *Address: 50 E NORTH TEMPLE ST, RM 1205 *City: SALT LAKE CITY *State: UT *Zip: 84150-6320 *Email: MOWENS@CHURCHOFJESUSCHRIST.O RG *Phone: 801-505-1973 Emergency Phone: 801-240-1693 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 1 of 71 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: CORP OF PRESIDING BISHOP- LDS CHURCH *Address: 50 E NORTH TEMPLE ST, RM 1205 *City: SALT LAKE CITY *State: UT *Zip: 84150-6320 *Email: MOWENS@CHURCHOFJESUSCHRIST.O RG *Phone: 801-505-1973 Emergency Phone: 801-240-1693 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: MATT *Last Name: CHRISTENSEN *Organization: *Address: 295 S MAIN *City: MANTI *State: UT *Zip: 84642 *Email: mattc@churchofjesuschrist.org *Phone: 435-835-8887 Emergency Phone: 435-835-8887 5 Does the system serve a Residential population?N 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.) Y 6A Population - Transient 1000 6B Operating Period (Start Date) - Transient 06/01 6C Operating Period (End Date) - Transient 09/30 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 8 7B Operating Period (Start Date) - Non-Transient 06/01 7C Operating Period (End Date) - Non-Transient 09/30 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 2 of 71 Site Visit Info Management and Operations 8 Population - Wholesale :0 9 Residential Connections:4 10 Commercial Connections:0 11 Industrial Connections:0 12 Agricultural Connections:0 13 Date of Survey (First Day of Field Work)10/15/2025 14 Date of Survey (Last Day of Field Work) ** this should match the Date of Survey in the header ** 10/15/2025 15 Date final report sent to system (questionnaire, deficiency report and capacity spreadsheet) 10/17/2025 16 Water system representative present during the survey:Jesse Rowe (Notes: Brady Snow) 17 How much time was spent to prepare survey documents prior to field survey? (Round up to nearest quarter hour) 1 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) 3 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) 4 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: They have a generator to run the pumps.) 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 3 of 71 Cross Connection and Operator Certification 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 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. NA (Notes: NA) 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. Y 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: NA) 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. NA (Notes: NA) DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 4 of 71 General Maintenance and Environment 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 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 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 5 of 71 Distribution General Disinfection 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 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. NA (Notes: NA, no hydrants.) 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 51 Was the water system constructed or new portions added after January 1, 2007? ... if yes, answer the following question(s) N DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 6 of 71 ST010 - TANK 10 (ABANDONED) - Inactive (AB - ABANDONED) WS010 - SPRING #10 - Proposed Source WS011 - SPRING #11 - Proposed Source PF003 - SPRING #9 PUMP STATION - Proposed WS001 - SPRING #1 - 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 55 Is this source in operation without an Operating Permit? 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. N 55A When is the anticipated date to request an Operating Permit? Explain in comments...UKN 56 Is this source in operation without an Operating Permit? 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. N 56A When is the anticipated date to request an Operating Permit? Explain in comments...UKN 57 Is this facility in operation without an Operating Permit? 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. N 57A When is the anticipated date to request an Operating Permit? Explain in comments...UKN DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 7 of 71 58 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 59 Operating Period (Start Date)06/01 60 Operating Period (End Date)09/30 61 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 62 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. Exception Granted: R309-515-7(7)(a) R309-515-7(7)(c) R309-515-7(7)(e) | Minimum distance of 15 feet of protective liner from the edge of the spring collection device (box) - R309-515-7(7)(a) Each individual spring shall have its own collection box - R309-515-7(7)(c) The spring collection area shall be surrounded by a stock tight fence - R309-515-7(7)(e) MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 63 Surface water runoff diverted away from spring by diversion channel or berm. 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. C 64 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 64A 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 64B 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 Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 8 of 71 65 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 66 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 67 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 68 No deep-rooted vegetation is within the 50 ft collection 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. C 69 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 70 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 70A 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 70B 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 9 of 71 70C 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 70D 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 70E 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 70F 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 71 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 71A 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 10 of 71 WS002 - SPRING #2 - 71B 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 71C 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 72 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 73 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 74 Operating Period (Start Date)06/01 75 Operating Period (End Date)09/30 76 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 77 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. Exception Granted: R309-515-7(7)(a) R309-515-7(7)(c) R309-515-7(7)(e) | Minimum distance of 15 feet of protective liner from the edge of the spring collection device (box) - R309-515-7(7)(a) Each individual spring shall have its own collection box - R309-515-7(7)(c) The spring collection area shall be surrounded by a stock tight fence - R309-515-7(7)(e) MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 78 Surface water runoff diverted away from spring by diversion channel or berm. 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. C DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 11 of 71 79 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 79A 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 79B 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 80 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 81 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 82 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 83 No deep-rooted vegetation is within the 50 ft collection 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. C 84 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 12 of 71 85 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 85A 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 85B 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 85C 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 85D 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 85E 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 85F 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 Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 13 of 71 WS003 - SPRING #3 - Active 86 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 86A 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 86B 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 86C 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 87 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 88 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 89 Operating Period (Start Date)06/01 90 Operating Period (End Date)09/30 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 14 of 71 91 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 92 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. Exception Granted: R309-515-7(7)(e) | Fencing around spring collection areas for WS003, WS004, WS005, WS006, WS007, WS008 and WS009. The area around the spring collection areas is too steep to allow for construction of an adequate fence. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 93 Surface water runoff diverted away from spring by diversion channel or berm. 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. C 94 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 94A 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 94B 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 95 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 96 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 15 of 71 97 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 98 No deep-rooted vegetation is within the 50 ft collection 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. C 99 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 100 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 100A 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 100B 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 100C 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 100D 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 16 of 71 100E 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 100F 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 101 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 101A 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 101B 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 101C 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 17 of 71 WS004 - SPRING #4 - Active 102 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 103 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 104 Operating Period (Start Date)06/01 105 Operating Period (End Date)09/30 106 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 107 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. Exception Granted: R309-515-7(7)(e) | Fencing around spring collection areas for WS003, WS004, WS005, WS006, WS007, WS008 and WS009. The area around the spring collection areas is too steep to allow for construction of an adequate fence. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 108 Surface water runoff diverted away from spring by diversion channel or berm. 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. C 109 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 109A 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 109B 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 Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 18 of 71 110 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 111 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 112 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 113 No deep-rooted vegetation is within the 50 ft collection 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. C 114 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 115 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 115A 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 115B 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 19 of 71 115C 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 115D 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 115E 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 115F 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 116 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 116A 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 20 of 71 WS005 - SPRING #5 - 116B 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 116C 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 117 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 118 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 119 Operating Period (Start Date)01/01 120 Operating Period (End Date)01/31 121 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 122 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. Exception Granted: R309-515-7(7)(e) | Fencing around spring collection areas for WS003, WS004, WS005, WS006, WS007, WS008 and WS009. The area around the spring collection areas is too steep to allow for construction of an adequate fence. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 123 Surface water runoff diverted away from spring by diversion channel or berm. 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. C DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 21 of 71 124 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 124A 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 124B 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 125 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 126 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 127 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 128 No deep-rooted vegetation is within the 50 ft collection 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. C 129 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 22 of 71 130 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 130A 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 130B 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 130C 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 130D 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 130E 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 130F 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 Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 23 of 71 WS006 - SPRING #6 - Active 131 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 131A 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. D (Notes: The elevated vent pipe was bent over from heavy snow.) 131B 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 131C 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 132 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 133 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 134 Operating Period (Start Date)06/01 135 Operating Period (End Date)09/30 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 24 of 71 136 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 137 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. Exception Granted: R309-515-7(7)(e) | Fencing around spring collection areas for WS003, WS004, WS005, WS006, WS007, WS008 and WS009. The area around the spring collection areas is too steep to allow for construction of an adequate fence. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 138 Surface water runoff diverted away from spring by diversion channel or berm. 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. C 139 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 139A 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 139B 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 140 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 141 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 25 of 71 142 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 143 No deep-rooted vegetation is within the 50 ft collection 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. C 144 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 145 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 145A 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 145B 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 145C 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 145D 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 26 of 71 145E 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 145F 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 146 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 146A 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 146B 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 146C 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 27 of 71 WS007 - SPRING #7 - Active 147 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 148 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 149 Operating Period (Start Date)06/01 150 Operating Period (End Date)09/30 151 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 152 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. Exception Granted: R309-515-7(7)(e) | Fencing around spring collection areas for WS003, WS004, WS005, WS006, WS007, WS008 and WS009. The area around the spring collection areas is too steep to allow for construction of an adequate fence. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 153 Surface water runoff diverted away from spring by diversion channel or berm. 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. C 154 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 154A 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 154B 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 Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 28 of 71 155 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 156 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 157 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 158 No deep-rooted vegetation is within the 50 ft collection 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. C 159 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 160 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 160A 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 160B 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 29 of 71 160C 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 160D 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 160E 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 160F 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 161 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 161A 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 30 of 71 WS008 - SPRING #8 - Active 161B 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 161C 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 162 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 163 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 164 Operating Period (Start Date)06/01 165 Operating Period (End Date)09/30 166 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 167 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. Exception Granted: R309-515-7(7)(e) | Fencing around spring collection areas for WS003, WS004, WS005, WS006, WS007, WS008 and WS009. The area around the spring collection areas is too steep to allow for construction of an adequate fence. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 168 Surface water runoff diverted away from spring by diversion channel or berm. 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. C DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 31 of 71 169 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 169A 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 169B 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 170 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 171 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 172 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 173 No deep-rooted vegetation is within the 50 ft collection 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. C 174 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 32 of 71 175 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 175A 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 175B 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 175C 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 175D 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 175E 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 175F 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 Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 33 of 71 WS009 - SPRING #9 - 176 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 176A 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 176B 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 176C 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 177 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 178 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 179 Operating Period (Start Date)01/01 180 Operating Period (End Date)01/31 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 34 of 71 181 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 182 Area of equal or higher elevation within 50 feet of spring collection devices is fenced. Exception Granted: R309-515-7(7)(e) | Fencing around spring collection areas for WS003, WS004, WS005, WS006, WS007, WS008 and WS009. The area around the spring collection areas is too steep to allow for construction of an adequate fence. MIN | 15pts | SO | SS02 | R309-515-7(7)(e) | Rule requires a stock-tight fence around the spring collection area. C 183 Surface water runoff diverted away from spring by diversion channel or berm. 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. C 184 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 184A 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 184B 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 185 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 186 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 35 of 71 187 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 188 No deep-rooted vegetation is within the 50 ft collection 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. C 189 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 190 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 190A 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 190B 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 190C 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 190D 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 36 of 71 190E 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 190F 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 191 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 191A 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 191B 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 191C 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 37 of 71 ST001 - TANK 1 - 192 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 193 Is this facility Active or Inactive?I 193A Explain why this facility is Inactive (Is this facility in stand-by mode?)Abandoned. 194 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 0 195 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. NA (Notes: Abandoned) 196 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: Abandoned) 197 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. NA (Notes: Abandoned) 198 Are air vents present? ... if yes, answer the following question(s)N 199 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 199A 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. NA (Notes: Abandoned) 199B 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. NA (Notes: Abandoned) DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 38 of 71 ST002 - TANK 2 - Active 199C 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. NA (Notes: Abandoned) 200 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: Abandoned) 201 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. NA (Notes: Abandoned) 202 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. NA (Notes: Abandoned) 203 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. NA (Notes: Abandoned) 204 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 205 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. NA (Notes: Abandoned) 206 Are the drain line and overflow combined?Y 207 Is this facility Active or Inactive?A 208 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 20000 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 39 of 71 209 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 210 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 211 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 212 Are air vents present? ... if yes, answer the following question(s)Y 212A 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 212B 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 212C 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 212D 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 Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 40 of 71 213 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 213A 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 213B 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 213C 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 214 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 215 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 216 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 217 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 218 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 41 of 71 ST003 - TANK 3 - Active 219 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 219A 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 219B 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 219C 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 220 Are the drain line and overflow combined?Y 221 Is this facility Active or Inactive?A 222 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 20000 223 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 224 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 42 of 71 225 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 226 Are air vents present? ... if yes, answer the following question(s)Y 226A 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 226B 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 226C 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 226D 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 227 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 227A 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 227B 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 43 of 71 227C 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 228 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 229 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 230 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 231 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 232 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 233 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 233A 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 233B 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 44 of 71 ST004 - TANK 4 - 233C 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 234 Are the drain line and overflow combined?Y 235 Is this facility Active or Inactive?I 235A Explain why this facility is Inactive (Is this facility in stand-by mode?)Abandoned. 236 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 0 237 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 238 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 239 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 240 Are air vents present? ... if yes, answer the following question(s)N 241 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 241A 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 45 of 71 ST005 - TANK 5 - 241B 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 241C 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 242 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 243 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 244 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 245 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 246 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 247 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. NA (Notes: Abandoned) 248 Are the drain line and overflow combined?Y 249 Is this facility Active or Inactive?I 249A Explain why this facility is Inactive (Is this facility in stand-by mode?)Abandoned. DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 46 of 71 250 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 0 251 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 252 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 253 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 254 Are air vents present? ... if yes, answer the following question(s)N 255 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 255A 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 255B 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 255C 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 47 of 71 ST006 - TANK 6 - 256 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 257 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 258 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 259 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 260 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 261 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. NA (Notes: NA) 262 Are the drain line and overflow combined?Y 263 Is this facility Active or Inactive?I 263A Explain why this facility is Inactive (Is this facility in stand-by mode?)Abandoned. 264 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 0 265 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 48 of 71 266 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 267 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 268 Are air vents present? ... if yes, answer the following question(s)N 269 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 269A 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 269B 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 269C 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 270 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 271 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 49 of 71 ST007 - TANK 7 - 272 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 273 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 274 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 275 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. NA (Notes: NA) 276 Are the drain line and overflow combined?Y 277 Is this facility Active or Inactive?I 277A Explain why this facility is Inactive (Is this facility in stand-by mode?)Abandoned. 278 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 0 279 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 280 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 281 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 50 of 71 282 Are air vents present? ... if yes, answer the following question(s)N 283 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 283A 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 283B 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 283C 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 284 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 285 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 286 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 287 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 288 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 51 of 71 ST008 - TANK 8 - 289 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. NA (Notes: NA) 290 Are the drain line and overflow combined?Y 291 Is this facility Active or Inactive?I 291A Explain why this facility is Inactive (Is this facility in stand-by mode?)Abandoned 292 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 1000 293 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 294 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 295 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 296 Are air vents present? ... if yes, answer the following question(s)N 297 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 297A 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 52 of 71 ST009 - TANK 9 - 297B 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 297C 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 298 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 299 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 300 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 301 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 302 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 303 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. NA (Notes: NA) 304 Are the drain line and overflow combined?Y 305 Is this facility Active or Inactive?I 305A Explain why this facility is Inactive (Is this facility in stand-by mode?)Abandoned. DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 53 of 71 306 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 0 307 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 308 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 309 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 310 Are air vents present? ... if yes, answer the following question(s)N 311 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 311A 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 311B 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 311C 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 54 of 71 ST011 - 150K TANK 11 - Active 312 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 313 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 314 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 315 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 316 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 317 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. NA (Notes: NA) 318 Are the drain line and overflow combined?Y 319 Is this facility Active or Inactive?A 320 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 150000 321 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 55 of 71 322 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 323 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 324 Are air vents present? ... if yes, answer the following question(s)Y 324A 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 324B 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 324C 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 324D 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 325 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 325A 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 56 of 71 325B 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 325C 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 326 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 327 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 328 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 329 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 330 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 331 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 331A 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 57 of 71 ST012 - SOUTH 50K TANK 12 - Active 331B 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 331C 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 332 Are the drain line and overflow combined?Y 333 Is this facility Active or Inactive?A 334 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 50000 335 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 336 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 337 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 338 Are air vents present? ... if yes, answer the following question(s)Y 338A 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 58 of 71 338B 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 338C 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 338D 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 339 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 339A 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 339B 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 339C 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 340 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 59 of 71 ST013 - NORTH 50K TANK 13 - Active 341 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 342 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 343 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 344 Are there cracks in the walls or roof of the storage tank? (if yes, select only one of the following options) N 345 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 345A 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 345B 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 345C 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 346 Are the drain line and overflow combined?Y 347 Is this facility Active or Inactive?A 348 Storage tank capacity in gallons (from SDWIS; if different explain why in the comments) 50000 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 60 of 71 349 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 350 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 351 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 352 Are air vents present? ... if yes, answer the following question(s)Y 352A 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 352B 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 352C 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 352D 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 Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 61 of 71 353 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 353A 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 353B 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 353C 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 354 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 355 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 356 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 357 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 358 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 62 of 71 PF001 - BOOSTER PUMP -- Pump Stations - 359 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 359A 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 359B 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 359C 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 360 Are the drain line and overflow combined?Y 361 Is this facility Active or Inactive?A 362 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 363 Pump Type (Centrifugal, Hand pump, Jet, Positive Displacement, Screw, Submersible, Vertical turbine) Centrifugal 364 If the pump station is used to pressurize the distribution system, does it have at least two functioning pumping units? ... if yes, answer the following question(s) SIG | 25pts | PU | PS18 | R309-540-5(4)(b) | Rule states inline booster pumps, withdrawing water directly from distribution lines without storage and feeding water directly into distribution lines, shall have at least two pumping units. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. Y DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 63 of 71 PF002 - TANK 11 PUMP -- Pump Stations - Active 364A Demand is met by remaining pump(s) when largest pumping unit out of service SIG | 25pts | PU | PS19 | R309-540-3(a) | Inline booster pumps shall have at least two pumping units (such that with any one pump out of service, the remaining pump or pumps shall be capable of providing the peak day demand of the specific portion of the system serviced). This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 365 Pump station building and equipment are protected from flooding. MIN | 15pts | PU | PS13 | R309-540-5(1)(a)(ii), R309-540-5(2)(a)(iii) | Pump station access shall be 6" above surrounding ground and located at least 3’ above 100-year flood elevation or highest recorded flood elevation; station is accessible at all times unless it can be taken out of service when inaccessible. C 366 There are no unprotected cross-connections in the pump station. SIG | 50pts | PU | PS15 | R309-105-12(1) | Cross connections are not allowed unless controlled by an approved and properly operating backflow prevention assembly or device. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 367 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 368 Discharge piping has a pressure gauge. MIN | 15pts | PU | PS03 | R309-540-5 (6)(c)(i) | Rule requires that a standard pressure gauge be installed on the pump discharge line. C 369 Does the pumping facility have an air relief valve located on the discharge piping? ... if yes, answer the following question(s) Y 369A End of air relief piping downturned SIG | 25pts | PU | PS12 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air relief vent pipe from automatic valves shall be provided with a downward elbow. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 369B End of air relief piping covered with #14 mesh screen SIG | 25pts | PU | PS10 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air relief vent pipe from automatic valves shall be provided with a #14 mesh, non- corrodible screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 369C End of air relief piping terminates at least 6 inches above floor SIG | 25pts | PU | PS11 | R309-550-6(6)(b), R309-540-6(2) | Rule requires that an air release valve discharge line terminate a minimum of 6 inches above the floor. C 370 Pump station properly secured MIN | 15pts | PU | PS33 | R309-540-5(1)(a)(v) | The pump station is protected to prevent vandalism and entrance by animals or unauthorized persons. C 371 Is this facility Active or Inactive?A DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 64 of 71 372 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 373 Pump Type (Centrifugal, Hand pump, Jet, Positive Displacement, Screw, Submersible, Vertical turbine) Centrifugal 374 If the pump station is used to pressurize the distribution system, does it have at least two functioning pumping units? ... if yes, answer the following question(s) SIG | 25pts | PU | PS18 | R309-540-5(4)(b) | Rule states inline booster pumps, withdrawing water directly from distribution lines without storage and feeding water directly into distribution lines, shall have at least two pumping units. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. Y 374A Demand is met by remaining pump(s) when largest pumping unit out of service SIG | 25pts | PU | PS19 | R309-540-3(a) | Inline booster pumps shall have at least two pumping units (such that with any one pump out of service, the remaining pump or pumps shall be capable of providing the peak day demand of the specific portion of the system serviced). This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 375 Pump station building and equipment are protected from flooding. MIN | 15pts | PU | PS13 | R309-540-5(1)(a)(ii), R309-540-5(2)(a)(iii) | Pump station access shall be 6" above surrounding ground and located at least 3’ above 100-year flood elevation or highest recorded flood elevation; station is accessible at all times unless it can be taken out of service when inaccessible. C 376 There are no unprotected cross-connections in the pump station. SIG | 50pts | PU | PS15 | R309-105-12(1) | Cross connections are not allowed unless controlled by an approved and properly operating backflow prevention assembly or device. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 377 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 378 Discharge piping has a pressure gauge. MIN | 15pts | PU | PS03 | R309-540-5 (6)(c)(i) | Rule requires that a standard pressure gauge be installed on the pump discharge line. C 379 Does the pumping facility have an air relief valve located on the discharge piping? ... if yes, answer the following question(s) Y DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 65 of 71 TP001 - PUMP HOUSE CHLORINATOR -- Treatment - Chlorination General - Active 379A End of air relief piping downturned SIG | 25pts | PU | PS12 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air relief vent pipe from automatic valves shall be provided with a downward elbow. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 379B End of air relief piping covered with #14 mesh screen SIG | 25pts | PU | PS10 | R309-550-6(6)(b), R309-540-6(2) | The open end of the air relief vent pipe from automatic valves shall be provided with a #14 mesh, non- corrodible screen. This significant deficiency must be corrected within 120 days of notification or have a corrective action plan approved by DDW. C 379C End of air relief piping terminates at least 6 inches above floor SIG | 25pts | PU | PS11 | R309-550-6(6)(b), R309-540-6(2) | Rule requires that an air release valve discharge line terminate a minimum of 6 inches above the floor. C 380 Pump station properly secured MIN | 15pts | PU | PS33 | R309-540-5(1)(a)(v) | The pump station is protected to prevent vandalism and entrance by animals or unauthorized persons. C 381 Is this facility Active or Inactive?A 382 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 383 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 384 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 385 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 66 of 71 386 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 387 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 388 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 389 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 390 Is chlorine chemical dose rate adjusted due to different water demand flow rates and/or changing water quality? Y 390A If yes, which water flow rate is used? e.g. influent flow, effluent flow, filter flow.Influent 391 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. NA (Notes: NA) 392 POE is before first connection/customer? SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) NA (Notes: NA) 393 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 393A 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 393B Distribution chlorine residuals meet minimum concentration requirement SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 393C "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 393D 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: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 67 of 71 TP002 - TANK 13 CHLORINATOR -- Treatment - Chlorination General - Active 393E 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 394 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 395 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 396 Is this facility Active or Inactive?A 397 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 398 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 399 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 400 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 401 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 68 of 71 402 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 403 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 404 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 405 Is chlorine chemical dose rate adjusted due to different water demand flow rates and/or changing water quality? Y 405A If yes, which water flow rate is used? e.g. influent flow, effluent flow, filter flow.Influent 406 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 407 POE is before first connection/customer? SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) NA (Notes: NA) 408 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 408A 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 408B Distribution chlorine residuals meet minimum concentration requirement SIG | 25pts | TR | T028 | R309-215 | R309-215 & R309-520-6(4)(d) C 408C "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 408D 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 408E 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 69 of 71 TP001 - PUMP HOUSE CHLORINATOR -- Liquid Hypochlorination - Active 409 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 410 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 411 Is this facility Active or Inactive?A 412 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 413 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 414 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. C 415 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 416 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 417 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 70 of 71 TP002 - TANK 13 CHLORINATOR -- Liquid Hypochlorination - Active 418 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 419 Is this facility Active or Inactive?A 420 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 421 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 422 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. C 423 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 424 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 425 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 426 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 DEQ | Drinking Water Run Date: 10/17/2025 15:25:02 | Rating: Approved UTAH20039 MIA SHALOM RECREATION CAMP page 71 of 71