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Forms and Applications:
Utah Underground Injection Control (UIC) Program

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.

Class I Forms and Applications

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

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

Note: Permit fees will be based on $100 per hour of staff time in reviewing permit application and preparing permit.

Permit application fees apply to Class V Aquifer Storage and Recovery injection wells. Read more

Class V Inventory Information Forms

Beginning on July 1, 2023 a UIC inventory review fee of $230 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 NameForm and Instructions
GeneralDOCX | PDF
Storm Water Drainage Wells | More InfoDOCX | PDF
Subsurface Environmental Remediation WellsDOCX | PDF
UIC-Regulated Large Underground Wastewater Disposal Systems (LUWDS)— >5000 gpdDOCX | PDF
Veterinary, Kennel, Pet Grooming Wastewater Disposal SystemsDOCX | PDF

Contacts

Contact Porter Henze (pkhenze@utah.gov) with questions or comments.


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