DDW-2024-012368

Application for Approved Standard Installation Drawings and
Specifications for Water Transmission and Distribution Lines -
Utah Division of Drinking Water (see directions below)
PWS Name:PWS Number:
Name of P.E. Designated to Oversee Water System Design:Utah P.E. License No.:
Name of P.E. Designated to Oversee Water System Hydraulic
Analysis:Utah P.E. License No.:
The above water system requests approval of the attached standard installation drawings and specifications for
water transmission and distribution lines per R309-500-7. For each water line:

1. a hydraulic analysis will be competed by the designated P.E. to assure compliance with minimum sizing, pressure,
and flow requirements;

2. flushing, disinfection, and coliform sampling will be completed according to ANSI/AWWA standards before use of
the water line; and

3. as-built or record drawings will be maintained.
Name of Designated Water System Contact or P.E. Overseeing
Water System Design:Job Title:
Signature:Date:
Email:Phone:
Directions: Complete the above application and attach standard installation drawings and specifications meeting the requirements of
R309-550 for construction of water lines. The application must be signed by the designated water system contact or by the professional
engineer designated to oversee water system design. The drawings and specifications must be signed, sealed, and dated by a professional
engineer licensed by the state of Utah. Submit the completed application and standard installation drawings and specifications to the
Division of Drinking Water.
DDW-Eng-0037 Page 1 of 1 1/15/2019