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Utah Underground Injection Control (UIC) Program

Administered by the Utah Division of Water Quality


Forms and Applications

| GeneralClass I | Class III | Class IV | Class V |

Contact UIC Program staff before completing these forms or applications to ensure that the appropriate one is used or required.

General Forms

These forms are applicable to owners / operators of all Class I, III, IV and V injection wells.

  • Transfer of Ownership / Operator of an Injection Well Authorized by Rule

Class I Forms and Applications

Permit application fees apply to Class I injection wells. Read more ...

  • Class I Hazardous Injection Well Permit Application Package

Class III Forms and Applications

Permit application fees apply to Class III injection wells. Read more ...

Class IV Forms

None.

Class V Forms and Applications

  • Class V Pre-Closure Notification Form

Class V Inventory Information Forms

Beginning on July 1, 2012 a UIC inventory review fee of $180 will be required at the time the UIC Inventory Information Form is submitted. Read more ...

Owners or operators of all Class V injection wells, existing and new, must submit inventory information according to Section R317-7-6.4(C) of the Utah Administrative Rules for the Underground Injection Control Program. Required information includes: facility name and location; name and address of legal contact; ownership of facility; nature and type of injection wells; and operating status of injection wells. Inventory information must be submitted prior to injection for new wells.

The Utah UIC Inventory Information Form is designed to assist owners or operators to comply with this requirement and to collect sufficient information regarding proposed injection activity for new wells such that authorization-by-rule status can be assessed.

Inventory Information Form Name
Form Only
Instructions Only
Form and Instructions
General
DOC | PDF
DOC | PDF
Storm Water Drainage Wells | More Info
DOC | PDF
DOC | PDF
Subsurface Environmental Remediation Wells
DOC | PDF
DOC | PDF
UIC-Regulated Large Underground Wastewater Disposal Systems (LUWDS)— >5000 gpd
DOC | PDF
DOC | PDF

Go to the Utah Division of Water Rights Location Calculator for assistance in determining the Facility Location in terms of the Public Land Survey System (township, range, section, and quarter section) and Longitude and Latitude specified in degrees, minutes, and seconds or Universal Transverse Mercator (UTM) system. Click on the Use Location Map button.

Go to the North American Industry Classification System (NAICS) Association Search Website for assistance in determining correct industry codes for your business. The North American Industry Classification System (NAICS) has replaced the United States Standard Industrial Classification (SIC) system.

Contact Candace Cady with questions or comments.