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Home My Public Portal AboutRES-CC-2017-29Resolution # 29-2017 A RESOLUTION APPROVING A MUNICIPAL WASTEWATER PLANNING PROGRAM RESOLVED that MOAB informs the Water Quality Board of the following actions taken by the Moab City Council. 1. Reviewed the attached Municipal Wastewater Planning Program Repot for 2016 2. Have taken all appropriate action necessary to maintain effluent requirements contained in the UPDES (Utah Pollutant Discharge Elimination System) Permit. NOW THEREFORE, WE, THE GOVERNING BODY OF THE CITY OF MOAB DO HEREBY ADOPT THE RESOLUTION IN SUBSTANTIALLY THE FORM PRESENTED TO THIS MEETING OF THE CITY COUNCIL, AND AUTHORIZE THE APPROPRIATE INDIVIDUALS TO EXECUTE AND DELIVER SAID MUNICIPAL WASTEWATER PLANNING PROGRAM. This resolution shall take effect immediately upon passage. Passed and adopted by action of the Governing Body of Moab City in open session this 25th day of April, 2016. CITY OF MOAB By: Attest: -iiiCjlerE Stenta' = pixy Recorder .. _ ;z David L. Sakrison Mayor Resolution # 29-2017 Page 1 of 1 STATE OF UTAH MUNICIPAL WASTEWATER PLANNING PROGRAM SELF -ASSESSMENT REPORT FOR MOAB 2016 AQDEPARTMENT of ENVIRONMENTAL DUALITY WATER QUALITY unicipal astewater Planning Program ( Financial Evaluation Section for 2016 Owner Name: MOAB Name and Title of Contact Person: /3.r2/eX 66-.4/ AjoL./C_ Z 'CKS DeGc'Tce_._• Phone: 4 3T - Z& C) - 7Cc 1 q E-mail: Pbezw e M04 5 L'_ cML-7, SU MOT L• Y APRIL 15, 2017 y Electronic submission: http://deq.utah.gov/ProgramsServices/services/submissions/index.htm or Mail to: MWPP - Department of Environmental Quality Division of Water Quality 195 North 1950 West P.O. Box 144870 Salt Lake City, Utah 84114-4870 Phone: (801) 536-4300 Page 1 NOTE: This questionnaire has been compiled for your benefit by a state sponsored task force comprised of representatives of local government and service districts. It is designed to assist you in making an evaluation of your wastewater system and financial planning. If you received financial assistance from the Water Quality Board, annual submission of this report is a condition of that assistance. Please answer questions as accurately as possible to give mu_ the best evaluation of your facility. If you need assistance please call John Mackey, Utah Division of Water Quality: (801) 536-4300. I. Definitions: The following terms and definitions may help you complete the worksheets and questionnaire: User Charge (UC) - A fee established for one or more class(es) of users of the wastewater collection and treatment facilities that generate revenues to pay for costs of the system. Operation and Maintenance Expense - Expenditures incurred for materials, labor, utilities, and other items necessary for managing and maintaining the facility to achieve or maintain the capacity and performance for which it was designed and constructed. Repair and Replacement Cost - Expenditures incurred during the useful life of the treatment works for obtaining and installing equipment, accessories, and/or appurtenances necessary to maintain the existing capacity and the performance for which the facility was designed and constructed. Capital Needs - Cost to construct, upgrade or improve the facility. Capital Improvement Reserve Account - A reserve established to accumulate funds for construction and/or replacement of treatment facilities, collection lines or other capital improvement needs. Reserve for Debt Service - A reserve for bond repayment as may be defined in accordance with terms of a bond indenture. Current Debt Service - Interest and principal costs for debt payable this year. Repair and Replacement Sinking Fund - A fund to accumulate funds for repairs and maintenance to fixed assets not normally included in operation expenses and for replacement costs (defined above). Page 2 Part 1: OPERATION AND MAINTENANCE Complete the following table: ! '}"rY+ � r `y Ve6M�a7 - r...-r .1 r ._{' •t i-En r�1 �r��.!0�^ Are revenues sufficient-to.cover,o ration,:maintenance;: ' and,repairtoreplaaementIOM&R)fcosts atiii ittine? - 'YES -..+O points= NO+.=15 points C . _._ ._.....-- - ....... . _ -: --- ._ Are• thelpojected revenues sufflci• ent:to cover:opefetion :maintenance; and repair &iteplacement IQM&R)� costs fbr ttiet»ezffflve years? - - - O points NO 25 points : ..._ __ ..... _ ", C _ _ _ . _. .-- - Dd lhildbilltitt ave�tsufllcientrstaff to ensure• . •propi3 OM&R ' ` ' YES .f1.points NO` = 25 poir is C HasiadedicatedVsinking u-fiabeen establishedlo ptovide- for repair `& repiacerrrientf coste4 YES•- O points: NO f=•25 points �� lithe fepaitaireplacement alnking "fund adequatelo`reldet ticipated;needs? YES = 0 points NO - 25 paints C.)ar Whatwasilie average User Chargeleelor 20161 7.2. `� .er month Complete the following table: TOTAL PART 1= Part 11: CAPITAL IMPROVEMENTS M'Qie}sf€on� .... r r..-. r-�:.- , - . - .. .._..�_..r,.. .r,....� �..,.s._.a.....-.+�.... «.V +Points) artied ' ... .- 7 ' PTA. 1 � :Toil# .. •.-'` Are presentrevenuestsoliected tsuf idieritto cOVikall costsan i provide�funding.for capital -improvements? YESIF4T070bints NO = 25 points _ i () Are.p tlectedlunding sourcessuf iicient to coverall • projected�captal�improvement-costs forthe`,nezt-neuf�fve years? YES = O:polnts N0 =:25 points . C ..__ ._ _. _... _ .... -Are'pcojected:funding sources suffidientto cover ail projected • capitai lmprovement costs for the next=nextaerL veers? YES = 0 points NO = 25 points C) Are: projected :funding sources sufficient ,to cover" all projected .capitai,improvement costs-;for�the next neit hedlityitears? YES = O: points NO = 25 points �� Hasa dedicated sinking fund:been lestabii§hed to provide foiluture capltai irnprovenients? YES = O points NO = 25 points -� C TOTAL PART I1= Page 3 Part III: GENERAL QUESTIONS Complete the following table: Question Pointe Eerned Total Is the wastewater treatment fund a separate enterprise fund/account or district? YES = 0 points NO = 25 points 0 Are you collecting 95% or more of your sewer billings? YES = 0 points NO = 25 points 0 Is there a review, at least annually, of user fees? YES = 0 points NO = 25 points (-7 Are bond reserve requirements being met if applicable? YES = 0 points NO = 25 points �J TOTAL PART III = (� Part IV: PROJECTED NEEDS Estimate as best you can the following: Cost of projected capital improvements (in thousands) 2017 2018 2019 2020 2021 3 fir`. 1 } 1 itAiL I . , ; '� '.,, ' , % piw . 1 .3 �% Point Summation Fill in the point totals from Parts I through III in the blanks provided in the Points column. Add the numbers to determine the MWPP point total that reflects your present financial position for meeting your wastewater needs. Part Points_ _. [) I L., / III 0 Total n Page 4 MunicOpssstewater °lannincg Program MI PP) Collection System Section Owner Name: MOAB Name and Title of Contact Person: 317-0e/c/� l�Cf�,ci Phone: E-mail: adszte.. 1//02K5 43 - 2 ico- -1&-19 P Ofrild e mickJ i r y, aee-7 SU C MOT YAi' IL15,201d Electronic submission: http://deq.utah.gov/ProgramsServices/services/submissions/index.htm or Mail to: MWPP - Department of Environmental Quality Division of Water Quality 195 North 1950 West P.O. Box 144870 Salt Lake City, Utah 84114-4870 Phone: (801) 536-4300 Form completed by: May Receive Continuing Education Units (CEUs) Page 1 A. B. Part I: SYSTEM AGE What year was your collection system first constructed (approximately)? Year / q40 What is the oldest part of your present system? Oldest part 7 7 _ years Part II: BYPASSES A. Please complete the following table: on; How many days last year was there a bypass, overflow or basement flooding by untreated wastewater in the system due to rain or snowmelt? How many days last year was there a bypass, overflow or basement flooding by untreated wastewater due to equipment failure? (except plugged laterals) Numbet:. L� O Roin Famed: 0 times = 0 points 1 time = 5 points 2 times =10 points 3 times =15 points 4 times = 20 points 5 or more = 25 points 0 times = 0 points 1 time = 5 points 2 times =10 points 3 times = 15 points 4 times = 20 points 5 or more = 25 points TOTAL PART II = "To 1t_: oints C� B. The Utah Sewer Management Program defines two classes of sanitary sewer overflows (SSOs). Below include the number of SSOs that occurred in 2016. Class 9- a Significant SSO means a SSO or backup that is not caused by a private lateral obstruction or problem that: (a) affects more than five private structures; (b) affects one or more public, commercial or industrial structure(s); (c) may result in a public health risk to the general public; (d) has a spill volume that exceeds 5,000 gallons, excluding those in single private structures; or (e) discharges to Waters of the state. Page 2 Part 11: BYPASSES (cont.) Class 2 — allon-Significant SSO means a SSO or backup that is not caused by a private lateral obstruction or problem that does not meet the Class 1 SSO criteria. Number of Class 1 SSOs in Calendar year 2016 Number of Class 2 SSOs in Calendar year 2016 C. Please indicate what caused the SSO(s) in B. If needed attach the additional information to this report. T1.4EZe ii1/4/4 4 CLC1 NI 714E IDLIN,<p/L./FT .S74r104.1 -rg e AI- eca WA- { 1-6 TE L, Pao ATt 5 v6 r e-AA .. TW E '14 5 2tPFl 1 e e o 51/ rEivt 1A/A-6 Parr /9fic: Ll . D. Please specify whether the SSOs were caused by contract or tributary community, etc. 15 1/./4, ,4 &I,_14 r� It r r/ Pth-,tn . f rA r'i bfd - Page 3 Part Ili: NEW DEVELOPMENT A. Please complete the following table: Question Point$ Eamed Total Paints Has an industry or other development moved into the community or expanded production in the past two years, such that either flow or wastewater loadings to the sewerage system were significantly increased (10 - 20%)? No = 0 points Yes = 10 points C Are there any major new developments (industrial, commercial, or residential) anticipated in the next 2 - 3 years, such that either flow or BOD3 loadings to the sewerage system could significantly increase (25%)? No = 0 points Yes = 10 points [ 0 TOTAL PART III = ( 0 Part III: NEW DEVELOPMENT (cont.) B. Approximate number of new residential sewer connections in the last year 2� new residential connections C. Approximate number of new commercial/industrial connections in the last year 4 new commercial/industrial connections D. Approximate number of new population serviced in the last year new people served E. Total number of effective residential connections (ERC) served 1,479 total ERC served Page 4 Part IV: OPERATOR CERTIFICATION A. How many collection system operators are currently employed by your facility? gcollection system operators employed B. You are required to have the chief direct responsible charge (DRC) operator(s) certified at COLLECTION II. What is the current grade of the collection DRC operator(s)? ,C C. What is/are the name(s) of your wastewater treatment DRC operator(s)? 6 f 3 E 7.-4-j4rA- �o(Da y MEAki s MA1.(E boat et_ . D. State of Utah Administrative Rules requires all operators, of public systems, considered to be in DRC to be appropriately certified. List all the operators in your system by their certification class. Attach additional pages if necessary. Not Certified 1 Small Lagoons Collection Collection II 2. Collection III Collection IV Page 5 Part IV: OPERATOR CERTIFICATION (cont.) L. Please complete the following table: Qua4tion Is/are your DRC operator(s) currently certified at the appropriate grade for this facility? (see C) How many continuing education units has each of the DRC operator(s) completed over the last 3 years? A. Please complete the following table: Points Earned Yes = 0 points No = 50 points 3 or more = 0 points less than 3 = 10 points TOTAL PART IV = Total Points C7 Part V: FACILITY MAINTENANCE gpestion Points Eamed Tote) Paints Do you follow an annual preventative maintenance program? Yes = 0 points No = 30 points (-- Is it written? Yes = 0 points No = 20 points L "� Do you have a written emergency response plan? Yes = 0 points No = 20 points .3 C Do you have an updated operations and maintenance manual Yes = 0 points No = 20 points L. Do you have a written safety plan? Yes = 0 points No = 20 points , JJ C. (' TOTAL PART V = /2-0 Page 6 Part VI: SSMP EVALUATION A. Has your system completed its Sewer System Management Plan (SSMP)? No Yes B. If the SSMP has been completed, has the SSMP been public noticed? No Yes (include date of public notice) /(//- 20/5 C. Has the SSMP been approved by the permittee's governing body at a public meeting? No Yes x D. During the annual assessment of the SSMP, were any adjustments needed based on the performance of the plan? No Yes If yes, what components of the plan were changed (i.e. line cleaning, CCTV inspections and manhole inspections and/or SSO events)? E. During 2016 was any part of the SSMP audited as part of the five year audit? No i Yes If yes, what part of the SSMP was audited and were changes made to the SSMP as a result of the audit? F. Has your system completed its System Evaluation and Capacity Assurance Plan (SECAP) as defined by the Utah Sewer Management Program? No Yes k The following are dates that the SSMP and SECAP are required to be completed, based on population. The SSMP and SECAP must be public noticed and approved by the permittee's governing body in order to be considered complete. Requirement Population Less than 2,000 2,000 - 3,500 3,501 -- 15,000 15,001 -- 50,000 More than 50,000 Completion of SSMP March 31, 2016 March 31, 2016 September 30, 2016 March 31, 2016 September 30, 2016 Completion of SECAP Optional September 30, 2017 September 30, 2016 March 31, 2016 September 30, 2016 Page 7 Part VII: SUBJECTIVE EVALUATION This section should be completed with the system operators. A. Describe the physical condition of the sewer collection system: (lift stations, etc. included) J 13/Y5/ 1-L. 6A/4/ 7704./. WE aEed 4x./6 �44,/e/�/Gf z'.c/ B. What sewerage system improvements does the community plan to have under consideration for the next 10 years? t Je• kh/ c'� •sip Lit-44c �� foz �u . 6(e.L.. Am; 1.361 x.1d.7 /mA6Lt~n • n .1 PLAc iL I3ge'1iv Zy .A.652doTs 1F-['t b4. 71-1 1� u ei.a rig.. .. 1 c— r4 'or oil t2 . 0/L, 6e64,� F.�-r-. v� //14,. 4,-/fliF,vr. Re'o r,e..1,,.f A Lc Ahi, 1 ehvi 4,-JA/R �, 4.-i-k4de/-4v,or- /t/%ix7 A> OttR. acoE: S% LI �✓E�. C. Explain problems, other than plugging, that you have experienced over the last year f)L- /i6.eno rft r , a ecArrr,./c/it/g iogoeiz e, d Exoit•L_151 oit./ /ti/70 SP.1.t. t 61.1 Cl L L� f -77/€ x.4.E'/3 7Z' G//-1/16 �,sjbfz DUTF4LL 1lalE...6, fI ,562i.iiee 6ftPIti16 .1�7:1iijem.fS e ✓tS/4Y11 0 P. AA- / .4rF1.94:1(,-� � C L!E,45e. �',s/, 5 iz/�c/Gr D. Is your community presently involved in formal planning for system expansion/upgrading? If so explain. Vey . � r-1�c.' Jk 6w/04E;r.o . A v6.1./ Fz% s/ ,cfE�v 14 F.e. l��t..a.�i..t•T/L'�c/ 61aIL rt. •. L't�-'Si��CT/�� 6 ,tdezi7tl. Ne.. GC / 5 EGGS/ r )44.D Taue roe_ Lilo et, ifl5e2AL Y.F.4 • Page 8 Part VII: SUBJECTIVE EVALUATION (cont.) G. Does the municipality/district pay for the continuing education expenses of operators? ALWAYS SOMETIMES NO If they do, what percentage is paid? approximately / C 6 % H. is there a written policy regarding continuing education and training for wastewater operators? YES NO X I. Any additional comments? (Attach additional sheets if necessary.) Page 9 POINT SUMMATION Fill in the point totals from Parts it through V in the blanks provided in the Points column. Add the numbers to determine the MWPP point total that your wastewater facility has generated for the past twelve months. Part _ Points I1 0 III f U IV L' v 20 Total 50 I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 7/ti eir":".-C /K-Ar , I • Signature of Signatory Official Date -574' / 'Ie bp.ik/ Purec r c k4pirS 6/ete7e,e Print Name of Signatory Official Title The signatory official is the person authorized to sign permit documents, per R317-8-3.4. d i f l 7. Page 10 Phone: E-mail: Municipal Wastewater Planning 'irogram (MWPP) Mechanical Plant Section for 2016 Owner Name: MOAB Name and Title of Contact Person: GY'e..9 F355e .5.-/4_,I.D e_yi AL /eAtae-At+ D ke____ A))-3Y'A1/454?" 0-.)77 Gt1Q-fei-hcy 777(<9MSAZ&/i-t* SUBMIT f: :• Y APRIL 16, 2017 Electronic submission: http://deq.utah.gov/ProgramsServices/services/submissions/index.htm or Mail to: MWPP - Department of Environmental Quality Division of Water Quality 195 North 1950 West P.O. Box 144870 Salt Lake City, Utah 84114-4870 Phone: (801) 536-4300 For ompleted by: --c-Cd May Receive�Continui g Education Units(CEUs) Page t Part I: INFLUENT INFORMATION P. Please provide the average design flow rate and average design BOD5 and TSS loading for your facility. Average Design Flow (MGD) Average,Desiign BOD$ Loading (Ibs/day) AveragaD;esign TSS Loading (Ibslday); Design Criteria /- 5 4- 50 v 4 € 0.0 90% of the Design 'Criteria � /, 3.5 � 074 6 /" a 3 x7Lo B. Please list the average monthly flows in millions of gallons per day (MGD) and BOD5 and TSS loadings in milligrams per liter (mg/L) received at your facility during 2016. (Calculate the BOD5 and TSS loadings in pounds per day (Ibs/day). Month ('I) Average Monthly :Flow (MGD) (2) Average Monthlyr`BO.D6 Concentration '(mg/L) 0) Average . BODE Loading (I40:1401 (4?. Average Monthly TBS. Concentration ' (rng/L) (5)! Average TSS Loadingi _. i(1b'slday)? January , Fa c,/--/, j , z-i-'7. C) .)/' /^5- / 11/ 7 D February , gs' d,7 ) / 9 cl-. j a )-i- / 5 / 7 March . 91 J- 6 0 a.) LI `7 A7 7 as g 7 April i i v 00 3 /3 c o z o 330 c/ 776c-Qx, May i if 0-5 ,i % 0 4.3 ‘ 4/- 3 i 5 a.75 g June 1 1,,/� A g 6 6267, c9,44 Ail-34, ,c,6-i/ a D 3 1 July /,0`7 Sisk a443 / 7 8 3 30(7 /446 August 11 01/4c, September _ 1, Da 1,vJ 4 0 $2-F 02-7% a 30 J October .?9 cg 77 4ag7 ,35k a 7.3 9 November e q,3 473 a.-/ 1 7 a 7 11 c1 A3 December , 85 r 97 ,1 ) a 5 � ,3 g / � S-'7 Average 1.1- ! ,._ 67 01, ) (o L 1„7 L-f-- cza` 4110 1 BOD5 Loading (3) = Average Monthly Flow (1) x Average Monthly BOD5 Concentration (2) x 8.34 2 TSS Loading p = Average Monthly Flow (1) x Average Monthly TSS Concentration (4) x 8.34 Page 2 Part I. INFLUENT INFORMATION (cont.) Refer to the information in A & B to determine a point value for your facility. Please enter the points for each question in the blank provided. Question Number Points Earned Total Points Howw manylimes didlhe average monthly flow. (Part B., Column 1) to the wastewaterfacility exceed 90% of design flow1? , 0 = 0 points 1 - 2 = 10 points 3 - 4 = 20 points 5 or more = 30 points How many times did' the average monthly flow (Part B., Column 1) to the wastewater facility exceed the design flow? � 0 = 0 points 1 - 2 = 20 points 3 - 4 = 40 points 5 or more = 60..points , How manytimes did; the average rnonthly'BOD5 loading OPart B., Column 3>) to the wastewater facility exceed:90% of the design loading? 5 0-1 = 0 points 1 - 2 = 10..points 3 - 4 = 20 points 5 or more = 30 points now many times did the average monthly BOD5'loading (Part B., Column 3) to the wastewater facility exceed thedesign loading? at 0 = 0 points 1 - 2 = 20 ,points 3 - 5 = 40' points 5 or more = 60 points a d TOTAL PART I = �o Page 3 Part II: EFFLUENT INFORMATION A. Please list the average monthly BOD5, TSS, Ammonia (NH3), monthly maximum total residual chlorine (TRC) minimum monthly dissolved oxygen (DO), and 30- day geometric averages for Fecal and Total Coliform, or E-Coli discharged by your facility during 2016. Month (1) 130D5 ,(mg/L) (.2) TSS (mg1L) (3) Fecal CoWorm (#11,00.mL); .(4) Total Coliform (#/100' mt..)' (5) . f-Colt ` ! (6) i TRC. (mgiL {) DO im9tL) (8) NH3 , (mglL) Whole Numbers On y One Decimal Place Only January 3 L 3 L of 1.5 . February. ..I a .-i, _ 0. 5 i5 March 3 3 ( } (gt- i, `f April .=3 $ ) $ 1 5 / .3 _ May l ( (P a. / , 3 . _ June 1 9 ) 3 i 1. 3 July 1 6 t 7 i" /. August _ a 5- 1 9_ 1.-4) September c; 2 , 4. ,3 1 ` r3 October 1 9 . 1 6 1'1 11 November 1 (0 1 � d ), December a a 1 t 9 c, 1,:' Average ass a 1 '. 9 i, `I B. Please list the monthly average permit limits for the facility in the blanks below. BOD5 (CBOD5) (mglL) maximum (mgl.L) NH3 (mgrL) minimum DO, (mJ�� Monthly Permit Limit c• 5— / . 5 80% of the Permit Limit a 0 i r a - Page 4 Part II: EFFLUENT INFORMATION (cont.) C. Refer to the information in A & B and your operating reports to determine a point values for your facility. Question 1 'Number ; Points Earned Total Points How many months did the effluent BOD5 (CBOD5)7 exceed 80% of monthly permit limit? 0 -1 = 0 points 2 - 5 points 3 = 10 points p 4 = 15. points 5 or mare = 20 ,points � v How many months did the ,effluent BOD5 (CB0D5) exceed the monthly permit limits? 5� 0 0 points 1 - 2 = 10 points 3 or more = 20 points O How.many months did the effluent TSS exceed 20 mg/L? 0 -1 = 0 points 2 = 5 points 3 = 10 points 4 = 15 ;points 5: or more = 20,points How many months did the effluent TSS exceed 25 mg/L? / 0 = 0 points 1 - 2 = 10 points 3 or more = 20 points / 0 Haw many.times did the TRC exceed permit limit? 0 = O points 1 - 2 = 15 points 3 or more = 30 points._ Howmany times did the NH3 exceed ,permit limits? 0 = 0 points 1 _2 - 15 points 3 or more = 3;points 'How many times did -the DO 7 not meet permit limit . 0 = 0 points 1 - 2 = 15 points 3 ofigmore = 30 points _ now many months did the 30= day fecal coliform exceed 200 , It/100 rnL? 0 = ():points 1 - 2 = 10 points 3 or more = 20 points_. Howman.y months did the 30= da.y total coliform exceed 2,000*100 mL? 0 = 0 points 1 - 2 = 1i0points 3 ()more = 20,;points How many months did the 30- ' day E-soli exceed f26 #/100 mL? � 0 = 0 points 1 - 2 = 10 points 3 or more = 40 points TOTAL PART II = (3 a Page 5 Part III: FACILITY AGE In what year were the following process units constructed or underwent a major upgrade? To determine a point score subtract the construction or upgrade year from 2016. Points = Age = Present Year - Construction or Upgrade Year. Enter the calculated age below. If the point total exceeds 20 points, enter only 20 points. Unit Process Current Year - . Construction or Last �Upgrade�Year A =Points 9_e Headworks 201,6 / 5 g 7 Jo Primary Treatment , 2016 / 77 c2 0 Secondary Treatment 2016 / y V ri ,.:1 6 Solids Handling 20f6 cA G 1 3 3 Disinfection 2016 / 977 A i, TOTAL PART III (not greater than 20) = S3 Part IV: BYPASSES Please complete the following table: Question Number Points Earned Total. Points 0 = o point's How many days in the past 1 = 5 points year was there a bypass or (y 2 = 10 points overflow of untreated wastewater due to high flows? /`� 3 = 15 points 4 = 20 points 5 or more = :25 ;points How many days in the last year was there a bypass or 0 = points 1 = 5 points overflow of untreated wastewater due to equipment failure? 2 = 10 points 3 = 15 points 4 = 20 points 5 or more = 25 paints 0 TOTAL PART 1V = Page 6 Part V: SOLIDS HANDLING A. Please complete the following table: Current Disposal Method licheck� all-that<appl'.y) Points ,Earned Total',Points _ Landfill Class B = 0 points < Class = 50 points Land Application Site Life 0 - 5 years = 20.points 5 - 10 years = 10 points 1,0+years = 0. points Give Away/Distribution and Marketing: Class A = 10 points Class B = 20 points TOTAL PART V = Part VI: NEW DEVELOPMENT A. Please complete the following table: Question Points Earned Total Points Has an industry or other development moved into the community or expanded production in the past two years, such that eitherflow or wastewater loadings to the sewerage system were sjgnificantly increased (10 - 2W/dr No = 0 points Yes = 10 points Are there any major new developments (industrial, commercial, or residential) anticipated in the next 2 - 3 years, such that either flow or BOD5 loadings to the sewerage system .could sign, ificantl inergase, (25%)? No - 0,points Yes = 10 points Have you experienced any upset due to septic haulers? No = 0 points Yes = 1:0:points % 0 TOTAL PART VI = / 0 Page 7 Part VI: NEW DEVELOPMENT (cont.) B Approximate number of new residential sewer connections in the last year L new residential connections C. Approximate number of new commercial/industrial connections in the last year I new commercial/industrial connections D. Approximate number of new population serviced in the last year 015 new people served E. Total number of effective residential connections (ERC) served /Or 000 total ERC served Part VII: OPERATOR CERTIFICATION A. How many wastewater treatment operators are currently employed by your facility? a wastewater treatment operators employed B. You are required to have the chief direct responsible charge (DRC) operator(s) certified at TREATMENT !!i. What is the current grade of the treatment DRC operator(s)? 77—C C. What is/are the name(s) of your wastewater treatment DRC operator(s)? G Nr• e.c D. State of Utah Administrative Rules Require all operators considered to be in DRC to be appropriately certified. List all the operators in your system by their certification class. Not Certified Treatment I Treatment II nark Lazidfo Ai Treatment III & va f r-"c Se Treatment IV Page 8 Part VII: OPERATOR CERTIFICATION (cont.) E. Please complete the following table: Question Points Earned Total Points Is/are your DRC operator(s) currently certified at the appropriate grade for this facility? (see C) Yes - 0 paints No = 50 points How.many continuing education units has each of the MC .operators) completed over ''the 'last 3 years.? 3 or more - 0 points less than 3 - 10 points TOTAL PART VII = Part VIII: FACILITY MAINTENANCE A. Please complete the following table: Question Points. Earned Total' Points Do you follow ari annual preventative Maintenance program? Yes = 0 points No = 30,points 4 Is it written? Yes = 0 points No = 20 points Do ybu have a written emergency response_plan? _ Yes = 0 points No = 20 points • 'Do yow have.an updated operations and Maintenance manual? Yes = 0 points No = 20 points Do you have a written safety plan? Yes = 0 points No - 20 points ^/ �(iJ TOTAL PART VIII = .,e Page 9 Part IX: SUBJECTIVE EVALUATION This section should be completed with the facility operators. A. Do you consider your wastewater facility to be in good physical and structural condition? YES NO X If NOT, why? lotit/tco-/ Di e,511-e-v. Siev 0. xr- C it L E-1 c:7 LL-1-- ryt' Se -Jr -I t) Cr as' ,ays 6e ) B. What improvements do you think the plant will need in the next 5 years? g--,AL f1/4-Al 71- C. Does the municipality/district pay for the continuing education expenses of operators? ALWAYS y SOMETIMES NO If so, what percentage do they pay? Approximately / (30 % D. Is there a written policy regarding continuing education and training for wastewater operators? YES NO Page 10 Part IX: SUBJECTIVE EVALUATION (cont.) E. Have you done any major repairs or mechanical equipment replacement in 2016? (do not include construction or upgrade projects) YES NO X F. What was the approximate cost for those repairs or replacements? G. Any additional comments? (Attach additional sheets if necessary.) Page 11 POINT SUMMATION Fill in the values from Parts 1 through VIII in the blanks provided in the Points column. Add the numbers to determine the MWPP point total that your wastewater facility has generated for the past twelve months. Part Points I 50 In GO I1! AC Iv 0 V d vI 1 0 VII d VlII 0 Total i LFQ Page 12