DDW-2025-000977

CC:
Water/Sewer Separation - Exception Request Form
INSTRUCTIONS
Send the completed Exception Request Form, drawings, and Water/Sewer Exception Request Spreadsheet to [e-mail]
PROJECT INFORMATION
Water System Number*: DDW File Number:
Water System Name*:
Project Title*:
Project Description*:
Attachments:տ Drawings of water line and sewer line alignments
տ Water/Sewer Exception Request Spreadsheet
SUBMITTED BY
Engineer of Record
Name (Print):
PE License Number: Title:
Email: Phone:
Organization:
Signature: Date:
REVIEWED BY
DDW Permitting Engineer
Name (Print):Date:
APPROVED BY
DDW Permitting Manager
Name (Print):
Signature: Date:
(4'RFV:
Enclosures:
Administrative Contact:
Address:
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26008 18918
Midway City
North Center Street Water Improvements
The project consists of replacing approximately 3,745 lineal feet of existing water line, including installation of 3,500 lineal feet of 10-
inch PVC C900 DR-18 and 245 lineal feet of 8-inch PVC C900 DR-18, along North Center Street from 600 North to Main Street and
along Alfalfa Circle. The work includes replacing existing service connections and associated appurtenances. Surface restoration of impacted areas are also included.
Derek S. Anderson
7549969 Principal Engineer
[e-mail] 801-592-8875
Sunrise Engineering
Derek S. Anderson 1/23/2025
Julie Cobleigh 1/27/2025
Michael Newberry
1/28/2025
Exception Request Spreadsheet
Shane Owens
Midway City Water System
P.O. Box 277
Midway, UT 84049
Is a Water/Sewer Separation Exception Required per R309-550-7?

Are all requirements of R309-500-7(3)* met?
No. Exception required
Yes. Do water and sewer cross?
No. Is there at least 10' of horizontal separation?
No. There at least 6' of horizontal separation, sewer pipes in good condition, AND there is not high groundwater?
Yes. Is water at least 18" above the sewer?
Yes. Exception not required
No. Exception required
No. Exception required
Yes. Exception not required
Yes. Is water at least 18" above sewer?
No. Exception required
Yes. Exception not required
Requirements of R309-500-7(3) are met if: 9 The groundwater is not high
9 Water transmission lines that may become unpressurized will not be installed within 20 feet of sewer lines
9 Disturbances of existing lines are prevented or minimized 9 Corrosive conditions do not exist
9 When sewer force main crosses under existing water main, all portions of the sewer force main within 10’ (horizontally) of the water
main will be enclosed in a continuous sleeve 9 When a new water main crosses over an existing sewer force main, the water main will be constructed of pipe materials with a minimum rated working pressure of 200 psi or equivalent pressure rating
9 Water service laterals will conform to requirements for separation of water and sewer lines