DDW-2024-014360

1 4
Yes
5
2
36
7
X
89
Req'd flow (gpm):
10 10a
Mutual Non-profit Corp. [Homeowners Assoc., etc]
Private For-profit Corp. [Private Owner - PSC Regulated]
Other:
10b
10c 10d
[PWS = Public Water System; DDW = Division of Drinking Water; ERC = Equivalent Residential Connection; PE = Professional Engineer]
Revised: 19 July 2002
E-Mail Address: E-Mail Address:
Phone No: Fax No:Phone No: Fax No:
City, State, Zip: City, State, Zip:
Address:Address:
Name of PWS Manager [Individual representing owner] Name of PWS Operator [daily operating responsibility]
Certificated & Regulated: Exempted:
Currently under review: Un-reviewed:
E-Mail Address:Current Status with the Public Service Commission [check one]
City, State, Zip:
Phone No: Fax No:
Political Subdivision [City, Town, Improvement Dist., etc]
Address:
Duration (hrs):
Please provide the following additional information if this submittal is for a new Public water System, previously not recorded with DDW
Name of PWS [as filed with the Division of Corporations]Classification by Div. Corp. of Entity owning PWS [check one]
E-Mail Address: E-Mail Address:
Phone No: [phone] Fax No: [phone]Phone No: Fax No:
City, State, Zip: City, State, Zip:Duchesne, Utah 84021
Address:Address:734 North Center Street
Please provide the following additional information if this submittal includes Plans & Specifications for a Project not previously submitted
PE responsible for design of this Project [if not same as item 3] Fire Suppression Authority [if system has fire hydrants]
Duchesne County Fire and Emergency Management
Cameron Baldwin
E-Mail Address:[e-mail] Full Time: Part Time:
Phone No: [phone] Fax No: [phone]
City, State, Zip:Heber City, Ut 84032 Name of Construction Inspector(s) and frequency of inspection
Private Contract
Completion: July 27, 2010
Korey C. Walker Bid:Private Contract
Address:50 East 100 South Start:March 29, 2010
Award:
Anticipated Construction Schedule:
E-Mail Address:[e-mail]
PE designated as Direct Responsible Engineer for Entire System
Address:Rt 3 Box 3188
[phone] Fax No: [phone]
City, State, Zip:Roosevelt, Utah 84066
Phone No:
Description of Project [in sufficient detail for DDW to identify]
Population Served:1,800
No. of ERC's this project will add to system:15
Name of Certified Direct Responsible Charge Operator
Lanny Ross
Present No. of ERC's system is obligated to serve:616
Present No. of ERC's physically connected to system:564
City, State, Zip:Roosevelt, Utah 84066 Month & Year submitted for Review: March-09
Johnson Water Improvement District which includes Std. Installation Details? Yes/No:
Address:Rt 3 Box 3188 If Yes, Plan Name: JWID Culinary Water Capital Facility Plan 20
P.O. Box 144830 - Salt Lake City, Utah - 84114-4830 [phone] fax [phone]
Please provide the following information for all Drinking Water Projects by PWS's
Name of PWS [owner of system as recorded with DDW]Is Project part of a Master Plan, previously approved by DDW
Use with Plan Submittal [R309-500-6(1)] or when requesting Waiving of Submittal [R309-500-6(3)]Date Rec'd:
State of Utah - Dept of Environmental Quality - Division of Drinking Water
PROJECT NOTIFICATION FORM PWS No:
File No:
Pleasant Valley Tank replacement project 2010,
construction of a new concrete reservoir (tank)
100,000 gallon capacity in the same location as a
unusable metal tank. The tank will have an inside
radius of 14ft and a wall height of 22ft. Construction of
a valve vault next to the tank and installion of new
inlet, outlet and overflow lines will be included in the
project as well as roadway improvements.