DDW-2024-014401

System Name:
System Number:
Address:
City, State, Zip:
2,746
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:
[ERC = Equivalent Residential Connection; SRF = State Revolving Fund]
Draper, UT 84020
City, State, Zip:
Phone No.:
E-mail Address:
Req'd flow (gpm):
Phone No.:801-495-2224
[e-mail]
5. Local Fire Code Official & Required Fire Flow for Proposed Project
Jon Keller
2005 North 1200 East
435-713-0099
[e-mail]
Lance Anderson, P.E.
Cache Landmark Engineering
95 W Golf Course Rd., Ste 101
Loan #
Duration (hrs):
435-755-5739
[e-mail]
2000
2
8b. If YES, specify rule reference below [R309-511-4(1)(a)(i)-(iv)]:
R309-511-4(1)(a)(i)(A)
9. State or Federal Agency Funding:
Complete Construction:Dec-24
8a. Is the project exempt from the Hydraulic Model Report requirement? [see R309-
511-4(1)(a)(i) through (iv)]
95 W. Golf Course Road, Suite 101
Bid Opening:
Begin Construction:
This Project Notification is for equiping Green Canyon Well #5, a new well for North Logan
City. Plans and specifications for equiping the well are being submitted at this time. 2525 N. 600 E.
North Logan, UT 84341
Checklists for use in preparing plans for review by DDW are available at:
https://deq.utah.gov/drinking-water/plan-review-program-tools
4. Professional Engineer (PE) Responsible for Design of this Project 7. Anticipated Construction Schedule (if applicable):
Advertise for Bids:
Logan, UT 84321
[e-mail]
3. Professional Engineer (PE) Responsible for System Oversight (if applicable)
Cache Landmark Engineering
435-752-1310
Lance Anderson, P.E.
Jordan Oldham
Public Works Director
2076 N. 1200 E.
North Logan, UT 84341
No. of ERCs this project will add:
2. Name and Address for Official Correspondence (Mayor, Public Works
Director, Administrative Contact, etc.)
11,616
0
1. Public Water System (PWS) Information
Present No. of ERCs system is obligated to serve:
Population Served:
6. Project Description (provide a unique facility name, location, and sufficient details to
specifically identify the project):North Logan City
3015
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]
PROJECT NOTIFICATION FORM (PNF)
Utah Division of Drinking Water (DDW)
Please provide the following information for a proposed Public Drinking Water Project.DDW - Plan Review File No.: 12963
For a new public water system (PWS) also complete a New PWS Application Form (see DDW website).DDW - Date Received: 09/20/2024
DDW- Eng-0004 Page 1 of 1 3/22/2018
DDW- Eng-0004 Page 1 of 1 3/22/2018