HomeMy WebLinkAboutDDW-2024-010739System Name:
System Number:
Address:
City, State, Zip:
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):
Oct-24
cdekorver@bowencollins.com
R309-511-4(1)(a)(i)(A)
Draper, UT 84020
154 E. 14075 S.
801-495-2224
Governors Office of Economic Development
Phone No.:
8b. If YES, specify rule reference below [R309-511-4(1)(a)(i)-(iv)]:
Phone No.:801-828-0268
Justin Huffman
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)]
435-882-3877
Dec-24
3. Professional Engineer (PE) Responsible for System Oversight (if
applicable)
4. Professional Engineer (PE) Responsible for Design of this Project
Begin Construction:
Complete Construction:
7. Anticipated Construction Schedule (if applicable):
Advertise for Bids:
5. Local Fire Code Official & Required Fire Flow for Proposed Project
25-Jul-24
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 ddwpnf@utah.gov or mail to: Utah Division of Drinking Water
P.O. Box 144830, Salt Lake City, Utah 84114-4830, (801) 536-4200
Stockton, UT 84071
PO BOX 240
1. Public Water System (PWS) Information
Stockton Town
23010
Req'd flow (gpm):
Loan #
City, State, Zip:Stockton, UT 84071
E-mail Address:stocktonfiredept@gmail.com
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:
620Population 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.
For a new public water system (PWS) also complete a New PWS Application Form (see DDW website).
8-Aug-24
nmeli@stocktontown.org
Bowen Collins & 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:
Well drilling plans and specifications for the Stockton Town Old Tank Well are being
submitted to DDW Engineering Section for review and approval. A PER for the Well
is also being submitted to DDW for review and approval. The planned Well is part of
a Utah Public Water System 23010. Plans and
specifications for well equipping and a new pump station will be submitted to DDW
separately after the well is drilled and tested.
Stockton, UT 84071
Chris DeKorver, P.G.
Nando Meli
18 North Johnson Street
Mayor
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
[ERC = Equivalent Residential Connection; SRF = State Revolving Fund]
DDW- Eng-0004 Page 1 of 1 3/22/2018