DDW-2024-006448

January 27, 2023

J. Paul Wright, PE, Southwest District Engineer
Utah Department of Environmental Quality
620 S 400 E #400
St. George, Utah 84770

Re: Panguitch City Culinary Water System, System #09007, File # 13030 – Request for Operating Permit.

Dear Mr. Wright:

On behalf of Panguitch City, this letter is to request an Operating Permit for the Panguitch City Culinary
Water Improvements that have been substantially completed as part of the subject project. The
improvements include:

1. Approximately 8900 ft of 10” PVC pipe looping out to the Cemetery. Approximately 600 ft of 8”
pipe extending down 710 East.
2. New fire hydrants.
3. New isolation valves

The project improvements are substantially complete and fully operational; however, the contractor will be
back in the spring to finish asphalt and cleanup activities. Satisfactory bacteriological results have been
obtained for the new pipe throughout the project before the pipe has been put into service. A compilation
of testing results is attached with this letter. As-Built drawings have been completed and will be forwarded
separately to Panguitch City. Included with these as-builts will be a submittal package of materials used on
the project.

I certify that, based on my own observations and the documentation that has been provided to me, all
construction work to date on the project has been completed in accordance with the approved drawings
and specifications, with the exception of the changes that are reflected in the As-Built Drawings. These
changes have been completed in accordance with the Utah Administrative Code Rules.

If you have any questions or comments, please contact me at [e-mail].

Sincerely,

Robert W. Worley, PE
Sunrise Engineering, Inc.

Enclosures:
DDW Operating Permit Checklist
Bacteriological results

25 East 500 North, Fillmore, Utah 84631
TEL [phone] | FAX [phone]
DDW-Eng-0010 Page 1 of 1 12/8/2015
Utah Division of Drinking Water ― Checklist for Issuing Operating Permits
(Per Utah Administrative Code, Rule R309-500-9)
Water System Name: Panguitch City Culinary Water System System Number: #09007
Project Description: Panguitch City Water Improvements 2022 File Number: 13030
Items 1 through 8 below must be submitted to the Division and found to be acceptable prior to operating
permit issuance. However, distribution lines without booster pumps may be placed into service prior to
submitting all of the items if a professional engineer (PE) responsible for the entire water system has been
identified to the Director and has received items 1 through 4 below. [In this case, a public water system will
submit all items needed to obtain an Operating Permit for each distribution system project after the new water lines
have been placed into service as determined by the water system’s designated PE.]

☒ 1. Certification of Rule Conformance by a PE that all conditions of Plan Approval have been
accomplished, and if applicable, changes made during construction were in conformance with
rules R309-500 through 550
☒ 2. As-built or record drawings incorporating all changes to approved plans and specifications,
unless no changes were made to the previously submitted and approved pre-construction
drawings
☒ 3. Confirmation that as-built or record drawings have been received by the water system
☒ 4. Evidence that bacteriological samples have been collected to verify proper flushing and
disinfection in accordance with the appropriate ANSI/AWWA Standards:
☒ ANSI/AWWA C651-14 AWWA Standard for Disinfecting Water Mains
Two consecutive sample sets at least 16 hours apart, none positive (every 1200 feet, end-
of-line, each branch, etc.)
☐ ANSI/AWWA C652-11 AWWA Standard for Disinfection of Water-Storage Facilities
One or more samples, none positive
☐ ANSI/AWWA C653-13 AWWA Standard for Disinfection of Water Treatment Plants
Two consecutive samples per unit, none positive, no less than 30 minutes apart
☐ ANSI/AWWA C654-13 AWWA Standard for Disinfection of Wells
Two consecutive samples, none positive, no less than 30 minutes apart
☐ 5. Water quality data, where appropriate [Guidance: Include appropriate raw and finished water data
that demonstrate satisfactory performance of the new treatment facility. Storage tank water shall be
analyzed for residual volatile organic compounds after tank interior painting or re-coating.]
☒ 6. If applicable, all other documentation that may have been required during the plan review
process
☒ 7. If applicable, confirmation that the water system owner has received the O&M manual for the
new facility
☐ 8. If applicable, location data of new storage tank, treatment facility, or source
Water Sample For Bacteriologic Examination
Southern Utah University Water Laboratory
351 West Center Street• Room 206•Science Bldg
Cedar City, UT 84720
Phone: (435}} 586-7914, Fax (435} 865-8051
Sampler: Complete the followin�: Use Ball Point Pen For Laboratory Use Only Community Water Systems Only: Lab No. 1---,-------1---=---=:..:..::..--+-'-''-':::f�� lw Water System# Water System Name: � Received i,vl-'f
Sa
'-- , . -VV4 J._er jl_ 7,,c/L� C>C:OD Analyzed JuJ
\ 1 JW \-'Z.-'2...'-1 Results of Analysis
Total Coliform (per 100 ml) I Fecal or E. Coli (per 100 ml) O' Absent □ Present===Count QI:' Absent □ Present_Count Date Collected: Time: (24hr. clock) H ;l,O � I • Interpretation 6f Results
. , c, □ No Residual Cone: C). o'-1. (ppm) A )a satisfactory (As To Bacteria Count) (_ 'J Matrix (Circle One Surface Wastewater Pool Other B □ Unsatisfactory (Total Coliform Positive) Analysis Method: □Quantray"' C □ Unsatisfactory (Total Coliform and Fecal or E. Coli Positive Sample Type: □Routine Sample □ Repeat Sample D Triggered Source See back of form for instructions for unsatisfactory results ForrepeatsamplesenterORIGINALroutinesample Lab#: Date: D □ Sample not analyzed for reasons below.
Send Report to:
ye.stfgatlve Saru.pl,e Name j:./m/...-) £xc.A.,lt'tt I cW1 Address po ?,..� _ 4,c,,
Submi! a new sample .. '· Director Approval of Report:
Reasons Sample Was Not Analyzed: City State zip: Vl,1� ,;.f--' U t-" �l/b •. . 'if I · l tJ ,5 j l/' 1 □ Excessive time Elapsed: (must arrive at the lab within 30 hours after collection) Email:f(vq_-;-"I hm "7 )',(,M Phone '<,) 2(0 i• □Considered too old when no date given Bill To: Name □Sample leaked □Lab Error □Other Address
City, State, zip:
Remarks: Client T #: tJ\� � 1:J \ ).'� \ �
Relinquished by: Received by: �\..U_
Cost:
Water Sample For Bacteriologic Examination
Southern Utah University Water Laboratory
351 West Center Street• Room 206•5cience Bldg
Cedar City, UT 84720
Phone: {435}} 586-7914, Fax [phone]
Sampler: Complete the following: Use Ball Point Pen For Laboratory Use Only Date 0 I Lab No. . d 1 ., u -- � .,m
Community Water Systems n y:
'1 Receive l J -"-,,-l 1-'). --i Water System# Water Systerl) Name:
. . \l. 1-G')...-=:,-066()'5 Analyzed i � l.-2'--l � -• �--�-·-··�· ..., Jwt-·t-Z'-\ Sample location and samolr ooint. I \-\. w ·� 2-"' Results of Analysis
Sampls}Collecte Total Coliform (per 100 ml) Absent □ Present Fecal or E. Coli (per 100 ml) Count I �Absent □ Present Count
----Date Collected: Time: {24hr. clock) lJ g 00 A j.,v\Interpretation 6f,Results Yes □ No Residual Cone: f). (ic,I (ppm) ,satisfactory (As To Bacteria Count) L Matrix Orde One) Surface Wastewater Pool Other B □ Unsatisfactory (Total Coliform Positive) Analysis Method: D Qu,mtray9 C □ Unsatisfactory (Total Coliform and Fecal or E. Coli Positive Sample Type: □ Routine Sample □ Repeat Sample D Triggered Source See back of form for instructions for unsatisfactory results forreP<S11 .. mplosenterOl\fGINALroutlnesamp1e_Lab #: Date: D □ Sample not analyzed for reasons below. [nv �lgatlve Sample Send Name f-f 1\.\.l-1 I,? 'j.u v,,4-;,., I\.
::port Address pd)f.3a)I t--:-'L
Submit a new samp_le within 24 h Director Approval of Report:
City State zip· m..,..,_-\-, ulr--�tfb 11-'. _ ' . 1,' fl °'1' □Excessive time Elapsed: (must arrive at the lab within 30 hours after collection)Email: ·(uqJ hone '1.J) -z.J;o /l(l.(t □ Considered too old when no date givenBill To: Name □Sample leaked□Lab ErrorAddress □OtherCity, State, zip: I Remarks:I ClientT#: \'A.� ,\,' � ri, \ s
Relinquished by: 7f¥lr� -� I Received by: <.,)uJ
$44-66
Cost:�
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Rl> Water Sample For Bacteriologic Examination
Southern Utah University Water Laboratory
351 West Center Street• Room 206•5cience Bldg
Cedar City, UT 84720
Phone: (435)) 586-7914, Fax [phone]
Sampler: Complete the following: Use Ball Point Pen Ear Laboratory Use Only Date Lab No. Community Water Systems Only: £..,f / Water System# Water System Name: \l,1o � C)OOO b,.. W"i \.-✓ I Received I\ -l-2L{ 1-€64 1��1-1.-2,4. \:> "2� Analyzed
Sample looati
Ce;t[ e_ 3 j� 1-1-1.1 Results of Analysis
Sample Callee Total Coliform {per 100 ml) Fecal or E. Coli (per 100 ml) Absent □ Present Count 'li] Absent □ Present __ Count Date Collected: Time: (24hr. clock) Interpretation of Results
t----''-:-,---,-------:---===-.....,_------,----,R-e_s_id_u_a _l _C_o_n_c_:r-=()=---• .;;.P_-'--\_' -'-'( p"''p =---m'---'--) --I A �Satisfactory (As To Bacteria Count) ""'t.-'Matrix (Circle One) Surface Wastewater Pool Other B □ Unsatisfactory (Total Coliform Positive) Yes D No
Analysis Method: D Quantrayc& C □ Unsatisfactory (Total Coliform and Fecal or E. Coli Positive Sample Type: □Routine Sample □ Repeat Sample D Triggered Source See back of form for instructions for unsatisfactory results
For,_., sampl°' enter ORIGINAL routine .. mple Lab#: Date: D □ Sample not analyzed for reasons below. -�--Submit a new sample within 24 ho].lrs Send Name , �} WI I-\ ac.,.,o <!\-I{-.-0 '1 I Director Approval of Report:Report dd to: A ress l""v c,..,- •.I_ � ��Z...... Reasons Sample Was Not Analyzed: City, State, zip; vYl,'iJVr'\ U I . -�•. tPf} . { .IA � □ Excessive time Elapsed: (must arrive at the lab within 30 hours after collection)Email: I !\Jc rrri-1, e 'rJf.', j,v Phone '{JS ZID 1-," □ Considered too old when no date givenBillTo: Name □Sample leaked□Lab Error□OtherAddress City, State, zip: �44,66
Remarks: Client T#: tJ\� -:¾f jl i� \ Cost:W'ti)
Relinquished by: Received by: .�vJ �� ,✓2-1-i;
ivW Water Sample For Bacteriologic Examination
Southern Utah University Water Laboratory
351 West Center Street• Room 206•Science Bldg
Cedar City, UT 84720
Phone: (435)) 586-7914, Fax [phone]
Sampler: Complete the following: Use Ball Point Pen For Laboratory U� Only
0 I Lab No. · d +-N,y,-r �
Community Water Systems n y:l-{ Receive 1-1·'U-l Water System# Water System Name: W o,, h.v \l.L61.J:,. 0066-+ A n a ly zed JL,..J - ........ ( -·.JI,) 1-1.-1.4 s\� location and sam n&pomt., I Results of Analysis Sample'e:Jllected Total Coliform (per 100 ml) Fecal or E. Coli (per 100 ml) ' Absent □ Present Count )x1 Absent □ Present __ Count
Time: (24hr. clock) ! ( � 15 ii ,/I{ lnt_erpretation of Results
• __ _ , w • ·--·---· __ , ·-·v•.., (ppm) A '"Satisfactory (As To Bacteria Count) l__ JMatrix (Orcle One) Ground Surface Wastewater Pool Other B □ Unsatisfactory (Total Coliform Positive) Analysis Method; iJert " D Quantray<' C □ Unsatisfactory (Total Coliform and Fecal or E. Coli Positive Sample Type: □ Routine Sample □ Repeat Sample D Triggered Source See back of form for instructions for unsatisfactory results
Forrepc;,t samplaenterO IGINALroutine sample Lab#: Date: D D Sample not analyzed for reasons below. -;i_mple Send Name q 111,1,.1-\ l:::"',(c;GF-..t tc,"1 Report Address po l}o r c:;.1--
Submit a new sam_e_le within 24 hours Director Approval of Report: Reasons Sample Was Not Analyzed: to: 1 -UL �4£ t..ll-City State zip· rl'l.•1.n � ( u I ' ' · .__ f. j' L lJ •<: 1 I l'� □Excessive time Elapsed: (must arrive at the lab within 30 hours after collection) Email: Trc.,,c.J. 1 J-? '\ )-'7 m '1, �-11"'1"' Phone-,$'...,, c,J. () i 7 I' □ Considered too old when no date given' • D Sample leaked Bill To: Name Address City, State, zip:
Remarks:
Relin_guished by:
□Lab Error □Other
ClientT #: fJ\ ft=f � \ 2, � l) 1> 4£,{,(6
Received by: DvJ
WATER SYSTEM INFORMATION
Thank you for your business
Name of Water System:HMH Excavation
Operator:Eslie kunz
Water System:Panguitgh city
Phone Number 4352101444
County:Sanpete
Address:110 south brick hill road
City:Manti
State:Ut
Zip Code:84642
Primary Email [e-mail]
Alternative Email
SAMPLE TYPE
Sample Type Bacteria
Lab Number (from sticker):6958
Description of Sampling Point:New 10”
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:01/18/2024
Time Collected:15:03
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6959
Description of Sampling Point:New 10”
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:01/18/2024
Time Collected:15:05
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6960
Description of Sampling Point:New 10”
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:01/18/2024
Time Collected:15:10
Is Sample Chlorinated?Yes
Residual (PPM):
Submitted by Water Lab at 01/19/2024 19:10 UTC Page: 1
Captured at 01/19/2024 19:10 UTC gocanvas.com
Submission ID: AC56F971-5680-406D-A9C4-3E0F8426EB77
No.: 03763
Date: 01/19/2024Water System
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6961
Description of Sampling Point:New10”
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:01/18/2024
Time Collected:03:03
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6962
Description of Sampling Point:New10”
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:01/18/2024
Time Collected:15:00
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6963
Description of Sampling Point:New10”
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:01/18/2024
Time Collected:15:03
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6964
Description of Sampling Point:New10”
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:01/18/2024
Time Collected:15:00
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Submitted by Water Lab at 01/19/2024 19:10 UTC Page: 2
Captured at 01/19/2024 19:10 UTC gocanvas.com
Submission ID: AC56F971-5680-406D-A9C4-3E0F8426EB77
No.: 03763
Date: 01/19/2024Water System
Sample Type Bacteria
Lab Number (from sticker):6965
Description of Sampling Point:New10”
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:01/18/2024
Time Collected:15:05
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6966
Description of Sampling Point:New10”
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:01/18/2024
Time Collected:15:11
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
Sample Type Bacteria
Lab Number (from sticker):6967
Description of Sampling Point:New10”
Distribution (DS001) or Source (WS00#) ID Ds001
Date Collected:01/18/2024
Time Collected:15:10
Is Sample Chlorinated?Yes
Residual (PPM):
Reportable Investigative
Investigative: the results will NOT be reported to the state.
SIGNATURE
Customer Name:Eslie kunz
Signature:
Central Utah Water Lab will submit all Routine results. It is ultimately the responsibility of the water
system to make sure it was inputted in to the state system.
TESTING STARTED
Date 01/18/2024
Time 18:00
Submitted by Water Lab at 01/19/2024 19:10 UTC Page: 3
Captured at 01/19/2024 19:10 UTC gocanvas.com
Submission ID: AC56F971-5680-406D-A9C4-3E0F8426EB77
No.: 03763
Date: 01/19/2024Water System
PROCESS SAMPLES
Lab Number 6958
Sample Analyzed?Analyzed
Tested Date:01/19/2024
Tested Time:12:08
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6959
Sample Analyzed?Analyzed
Tested Date:01/19/2024
Tested Time:12:08
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6960
Sample Analyzed?Analyzed
Tested Date:01/19/2024
Tested Time:12:08
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6961
Sample Analyzed?Analyzed
Tested Date:01/19/2024
Tested Time:12:09
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6962
Sample Analyzed?Analyzed
Tested Date:01/19/2024
Tested Time:12:09
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Submitted by Water Lab at 01/19/2024 19:10 UTC Page: 4
Captured at 01/19/2024 19:10 UTC gocanvas.com
Submission ID: AC56F971-5680-406D-A9C4-3E0F8426EB77
No.: 03763
Date: 01/19/2024Water System
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6963
Sample Analyzed?Analyzed
Tested Date:01/19/2024
Tested Time:12:09
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6964
Sample Analyzed?Analyzed
Tested Date:01/19/2024
Tested Time:12:09
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6965
Sample Analyzed?Analyzed
Tested Date:01/19/2024
Tested Time:12:09
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6966
Sample Analyzed?Analyzed
Tested Date:01/19/2024
Tested Time:12:09
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Satisfactory, your sample tested negative for total coliform and E. Coli
Lab Number 6967
Sample Analyzed?Analyzed
Tested Date:01/19/2024
Tested Time:12:09
Sample Type:Bacteria
Total Coliform (Per 100 mL):Absent
Total E. Coli (Per 100 mL):Absent
Submitted by Water Lab at 01/19/2024 19:10 UTC Page: 5
Captured at 01/19/2024 19:10 UTC gocanvas.com
Submission ID: AC56F971-5680-406D-A9C4-3E0F8426EB77
No.: 03763
Date: 01/19/2024Water System
Satisfactory, your sample tested negative for total coliform and E. Coli
SIGNATURE (2)
Name:Brooklyn Gonzalez
Signature:
Submitted by Water Lab at 01/19/2024 19:10 UTC Page: 6
Captured at 01/19/2024 19:10 UTC gocanvas.com
Submission ID: AC56F971-5680-406D-A9C4-3E0F8426EB77
No.: 03763
Date: 01/19/2024Water System