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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.
- Transfer of Ownership / Operator of an Injection Well Authorized by Rule
Class I Forms and Applications
- Class I Hazardous Injection Well Permit Application Package
Class III Forms and Applications
- Class III Permit Application Package for In Situ Production of Uranium or Other Metals
Class IV Forms
None.
Class V Forms and Applications
- Class V Pre-Closure Notification Form
Class V Inventory Information Forms
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 |
Supplemental Sheets |
Entire Form Package |
|---|---|---|---|---|
| General | MS Word |
MS Word |
MS Word |
MS Word |
| Storm Water Drainage Wells | MS Word |
MS Word |
MS Word |
MS Word |
| Subsurface Environmental Remediation Wells | MS Word |
MS Word |
MS Word |
MS Word |
| UIC-Regulated Onsite Domestic Wastewater Disposal Systems | MS Word |
MS Word |
MS Word |
MS Word |
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 about this Web site.
