DDW-2024-006211

System Name:
System Number:
Address:
City, State, Zip:
1,544
Name:
Title:
Address:
City, State, Zip:
Phone No.:
E-mail Address:
Name:
Company:
Address:
City, State, Zip:
Phone No.:
E-mail Address:
Name:
Company:
Address:
City, State, Zip:
E-mail Address:
Name:
Duration (hrs):2
Apr-24
[e-mail]
R309-511-4(1)(a)(iii)
Riverdale, UT 84405
5160 South 1500 West
801.621.3100Phone No.:
8b. If YES, specify rule reference below [R309-511-4(1)(a)(i)-(iv)]:
Phone No.:435.864.2759
Travis Stanworth
9. State or Federal Agency Funding:
8a. Is the project exempt from the Hydraulic Model Report requirement? [see
R309-511-4(1)(a)(i) through (iv)]
[ERC = Equivalent Residential Connection; SRF = State Revolving Fund]
435.864.2759
3. Professional Engineer (PE) Responsible for System Oversight (if
applicable)
4. Professional Engineer (PE) Responsible for Design of this Project
Begin Construction:
Complete Construction:
Sunrise Engineering
7. Anticipated Construction Schedule (if applicable):
Advertise for Bids:
5. Local Fire Code Official & Required Fire Flow for Proposed Project
Fillmore, UT 84631
435.743.6151
[e-mail]
25 East 500 North
76 N 200 W
For a new public water system (PWS) also complete a New PWS Application Form (see DDW website).
1. Public Water System (PWS) Information
Delta City
14001
2. Name and Address for Official Correspondence (Mayor, Public Works
Director, Administrative Contact, etc.)
Submit (preferably by email) the completed PNF with plans and specifications to DDW.
Email completed form & documents to [e-mail] or mail to:Utah Division of Drinking Water
P.O. Box 144830, Salt Lake City, Utah 84114-4830, [phone]
Delta, UT 84624
Req'd flow (gpm):1,500 gpm
Loan #
City, State, Zip:Delta, UT 84624
E-mail Address:[e-mail]
PROJECT NOTIFICATION FORM (PNF)
Utah Division of Drinking Water (DDW)
Present No. of ERCs system is obligated to serve:
No. of ERCs this project will add:
3,700
39
Population Served:
6. Project Description (provide a unique facility name, location, and sufficient
details to specifically identify the project):
DDW - Plan Review File No.:
DDW - Date Received:
Please provide the following information for a proposed Public Drinking Water Project.
[e-mail]
Reeve & Associates Bid Opening:
https://deq.utah.gov/drinking-water/plan-review-program-tools
Checklists for use in preparing plans for review by DDW are available at:
The Delta Crossings project is a development that extends water mains and services
to 39 new single family homes and 4-plex units in the north-east section of Delta.
The project includes about 3,200 lf of 8-inch water main extensions connecting to
existing water lines at 3 locations.
Delta, UT 84624
Devan Shields
Nate Reeve
Dent Kirkland
76 N 200 W
Public Works Director
Yes No
Drinking Water Board (SRF or FSRF)
Community Impact Board (CIB)
None
Other (Specify)
DDW- Eng-0004 Page 1 of 1 3/22/2018