DDW-2024-013517

Q l,Tl�l-t P,,. ,,., IH or ,1111�, H, N I ,IJA11TY Water/Sewer Separation -Exception Request Form DRINKING WATER
INSTRUCTIONS
Send the completed Exception Request Form, drawings, and Water/Sewer Exception Request Spreadsheet to [e-mail]
PROJECT INFORMATION
Water System Number*: I DDW File Number: I
Water System Name*:
Project Title*: Diamonti Industrial Phase II
Project Description*: An Industrial Subdivision. With a 1 O" Sewer Line and a 8" Water Line
with minimal vertical separation issues.
Attachments: I!!! Drawings of water line and sewer line alignments
I!!! Water/Sewer Exception Request Spreadsheet
SUBMITTED BY
Engineer of Record
Name (Print): Robert B. Platt
PE License Number: 164659 Title: President/ Principal Engineer
Email: [e-mail] Phone: [phone]
Organization: Platt & Platt, Inc. Professional Engineers & Land Surveyors
Signature: f?a/;/l}EP/7 I Date: I 11-2�-2�2A--
REVIEWED BY
DDW Permitting Engineer
Name (Print): I Date: I
APPROVED BY
DDW Permitting Manager
Name (Print):
Signature: I Date: I
EQ Docs#: CC:
Enclosures:
Administrative Contact:
Address:
11002 17861
Cedar City Waterworks
J. Paul Wright, P.E.
November 21, 2024
J. Paul Wright, P.E. DEQ Southwest District Office, [e-mail] Mitchell, Cedar City Waterworks, [e-mail]
Robert Platt, Platt & Platt, Inc., [e-mail] Pellegrini, Platt & Platt, Inc., [e-mail]
Jeremy Roberts, Southwest Utah Public Health Dept, [e-mail]
Robbie Dean Mitchell
10 N Main St
Cedar City, UT 84720
17861 Exception Spreadsheet
Michael Newberry, P.E.
11/22/2024