DDW-2024-006797

State ofUtah
GARY R HERBERT
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SPENCERJ COX
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Department of
Environmental Quality
Alan Matheson
Executive Director
DIVISION OF DRINKING WATER
Marie E Owens, P.E.
Direclor
October 30,2017
NIlerlyn Galloway
Benson Culinary lmprovement E)istrict
441l W 3000 N
Benson,UT 84335
SutteCt:RTCR Salnple Site Plan Approval for Benson Culinary ID UTAH03097
Dear ⅣIr/Ms.Galloway:
The currcnt RTCR sample sitc plan for UTAH03097 is approved as submitted to the Division of
Drinking Water.If you have any questions or changes that need to be rnade plcase feel frcc to
contact mc at(801)536-4150 or Pkccrsの utah.gov
Sincerely,
Pete Keers
Environmental Scientist
Utah Division of Drinking Water
195 North 1950ヽ Vcst・ Salt Lakc City,UT
Mailing Addrcss: P O Box 144830。Salt Lakc City,uT 84114‐4830
Tclephonc(801)536‐4200・ FⅨ(801)536‐4211・ TDD(801)536-4414
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Printed on 100,6 rccycled paper
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UTAH DEPARTMENT af }lECEIVED
ENVIRONMENTAL OUALITYDRtilKtlrtG 5[P 252017WATER Drlnlqinu wate
PO Box 144830
Salt Lake City, UT 84'114-4830
Phone: [phone]
Fax: [phone]
Email : ddwreports@utah. gov
www.drinkingwater.utah.gov
BACTERIOLOGICAL SAMPLE SITE PLAN
As part of the Revised Total Coliform Rule, the location from which samples are taken is to be varied. All water systems are
required to maintain a current bacteriological sample siting plan. The plan shows the locations of all sample sites from which
bacteriological tests are taken. Sample sites are to be representative of all pressure zones and each water source of the
distribution system. The sample plan should be revised regularly and following any major construction project impacting the
distribution system.
MAP OF SYSTEM
Have you enclosed\attached a map of the distribution system showing the source (well, spring, etc.), storage tanks,
treatment facilities, distnlution piping, routine sample locations, and follow-up (repeat) map? ly)Yes [l .l No
\/,-
WAttER SYSTEM INFORMAT10N +O}q)q
System Name:BENSON CULINARY WATER System #: UTAH[o][s][o][s][z]
street Address. 441 1 wESr 3000 NoRrH, BENSON, UTAH 84335 Phone #: [phone]
Mailing Address:Em0il: [e-mail]
Service Connections: 24s ion Served: 750
SAMPLE COLLEC丁 :ON
Samples collected by:BEAR R!VER HEALTH DEPARTMENT
Name of Laboratory:BEAR RIVER HEALTH DEPARTMENT
Mailing Address: 8s EASr 1800, NoRTH LoGAN, UTAH 8434'l
State Lab Code: U r00s36 Phone #: 43s-7s2-6s82 Fax #:
The Laboratory was sent a copy of this plan on: 0et21t2o17
Utah Division of Drinking Water was sent a copy of this plan s1'.0et21t2017
Seasonal
ls the water operated seasonally?lrl YES [z] N0
Dates of operation: Open:_ Close:.
Systems, which operate seasonally, are required to take an investigative sample prior to opening to the public. Where
will that sample be taken?
Location Date sampled:
RECEiVEI
SAMPLE LOCAT10NS
The following describes each routine sample location, what months the location will be sampled, and where follow-up
(repeat) samples will be taken in the event of a "positive" routine sample.
Rou∥ne Sample Localon:Fdlow・ up lrepeat)Samde Loca∥ons:
1.DARRELL'S APP.,3400N.2400W.(#1)1.DARRELLiS APP.,3400N.2400W.
Description:
00CalOn name o「address)
FAUCET
(hOSe bb,Ы nk faucet,etc)
Water samples w∥l be co∥ected from this location during
the months of(cirCle):
(rOu輛 ne sam口 e bca10n name oraddress)
2.RCM DA:RY,3579N.2400W.
(location name or address up-stream)
3.LDS CHURCH,3472N.3000W.
ぐ。Ca10n name oraddress down‐steam)
4.BENSON WELL,2000ヽ Ⅳ.4600N.
(source)
lS Qtr
2nd Qt「
3に Qtr:
4h Qtr
ノ|」an.
´IApr
ノJul.
ノOct.
Follow・ up(repeat)Samp:e Localons:
1.LDS CH∪RCH,3472N.3000W.
(routine sample location name or address)
Routine Sample Location:
1. Lps CHURCH, 3472 N. 3000 W. (#2)
(location name or address)
Wate「samples wl∥be collected from this localon dunng 3.SCOTT FALSLEV,3710N.3400W.
the months of(clrCle):
Description:HOSE BIBノ FAUCE丁 2.DARRELLiS APP.,3400N.2400W.
(hOSe bib,Sink faucet,elc)(location name or address up-skeam)
(location name or address down-st eam)
1゛ Qt「 」an ‐ィIFeb. 1 ‐Mar
2nd Qtr l lApr lィ I May , |」un. 4.BENSONヽ 〃ELL,2000ヽ Ⅳ.4600N.
3rd Qtr 」ul. /Aug. I Sep
4h Qtr Oct ノNov. Dec
(rOuune sam口 e bcaJOn name oraddress)
2.DARRELLIS APP.,3400N,2400W.
(location name or address up-stream)
3.LDS CHURCH,3472N.3000W.
00Ca10n name o「address down‐stream)
4.BENSONヽ ⅣELL,2000W.4600N.
(source)
Description:
ぐ。cauOn name or address)
S:NK
(hOSe bb,Ы nk faucet,etc)
Water samples w∥l be collected from this localon dunng
the months of(clrCle):
Rou∥ne Samp!e Location:Fo!low・ up{repeat)Sample Localons:
1.CRM DA!RY,3579N.2400W.(#3)1.CRM DA!RY,3579N.2400W.
1●Qtr
2nd Qt「
3配 Qtr
4th Qt「
」an.
Apr.
」ul.
Oct.
|ノ ーMar.
:レ |」un.
|´
ISep.
|ノ
ーDec.
ReportPrepared by: NICK GALLOWAY
Signature and Title:Date:
SAMPLE LOCAT10NS
The following describes each routine sample location, what months the location will be sampled, and where follow-up
(repeat) samples will be taken in the event of a "positive" routine sample.
Rou∥ne Sample Localon:Follow‐up(repeat)Sample Loca∥ons:
1.LEE REESE,4443N.2400W (ブ ヂZ年)1. LEE REESE,4443N 24001A/
Description:
ぐ。cauOn name or address)
HOSE BIB
(rOuune sam口 e bca10n name oraddress)
2. RAD REESE,4020N.240011V
(hose bib, sink faucet, etc.)
Water samples will be collected from this location during
the months of (circle):
ぐ。Ca10n name o「address up‐stream)
3.CRM DA:RY,3579N.2400W.
(location name or address down-stream)
1゛ Qtr
2nd Qt「
3d Qt=
4h Qtr
t Jan.
Apr.
Jul.
Oct.
Feb.
ノMay
Aug.
Nov.
I Mar.
‐」un
l´ISep.
IDec.
4.BENSON WELL,2000ヽ V.4600N.
Rou∥ne Sample Localon:Follow・ up{repeat)Samp!e Localons:
1.JEFF RICKS,4273N 3200W。(#5)1 」EFF RICKS,4273N 3200W
Description:
10Ca10n name oraddress)
HOStt BIB
(rOuune sam口 e bcalOn name oraddress)
LDS CHURCH,3472N.3000W.
(hOSe Ыb,Ы nk faucet,etc)
Water samples wi∥be co∥ected from this localon dunng
the months of(drcle):
ぐ。Ca10n name oraddress up‐stream)
JASON MUNK,4543N.3200W
(location name or address down-stream)
lSt Qtr
2nd Qtr
3だ Qtr
4h Qtr
Feb.
May
z Aug.
Nov.
Mar.
」un
Sep.
Dec
BENSON WELL 2000W.4600N.
(source)
Rou∥ne Sample Localon:Fdlow‐up lrepeat)Samde Loca∥ons:
l NICK GALLOVVAY,441l W.3000N.lr6)1.NICK GALLOWAY,441l VV 3000 N
00Ca10n name oraddress)
HOSE BIB,END OF LIN匡
(routine sample location name or address)
Description:2. DS CHURCH,3472N.3000W.
(hOSe b b,Sink faucet,etc)
Water samples wl∥be collected from this localon dunng
the months of(cirCle):
(location name or address up-stream)
3.NA
(location name or address down-stream)
1●Qtr
2nd Qt「
3d Qtr
4h Qtr
,/ Jan.
Apr.
Jul.
Oct.
Feb.
May
Aじg
Nov.
I Mar.
I Jun
イI Sep・
I Dec.
4.BENSON llVELL 2000W.4600N
RECEiVED
SEP 2 5 2017
Drinking Ⅵ′ater
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