DDW-2024-006522

System 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):2
TBD
[e-mail]
4(1)(a)iii
Highland, UT 84003
6136 W Valley View Dr
801-633-1048Phone No.:
8b. If YES, specify rule reference below [R309-511-4(1)(a)(i)-(iv)]:
Phone No.: 801-876-2277
Mountain Green Fire Protection District
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]
801-876-3895
TBD
3. Professional Engineer (PE) Responsible for System Oversight (if
applicable)
4. Professional Engineer (PE) Responsible for Design of this Project
Begin Construction:
Complete Construction:
Gardner Engineering
7. Anticipated Construction Schedule (if applicable):
Advertise for Bids:
5. Local Fire Code Official & Required Fire Flow for Proposed Project
TBD
West Haven, UT 84401
801-476-0202
[e-mail]
1580 W 2100 S
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]
Morgan, UT 84050
4000 W Old Hwy Rd
1. Public Water System (PWS) Information
Cottonwood Mutual Water Company
15013
Req'd flow (gpm): 2250
Loan #
City, State, Zip: Mountain Green, UT 84050
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:
3145
291
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.
For a new public water system (PWS) also complete a New PWS Application Form (see DDW website).
TBD
[e-mail]
BT Engineering 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:
Facility Name -Cottonwood Mutual Water Company 400,000 Gallon Upper Tank
Construction of a new 400,000 gallon reinforced concrete tank along with site piping
which will serve future development located in upper pressure zones.
Morgan, UT 84050
Dan White, PE
Jason Bradford, PE
Michael Johanson
4000 W Old Hwy Rd
Manager
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