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HomeMy WebLinkAboutDDW-2024-007035System Name: System Number: Address: City, State, Zip: 105 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 Jun-24 james.s@jonesanddemille.com R309-511-4(1)(ii) Price, UT 84501 1675 S Highway 10 (435) 637-8266Phone No.: 8b. If YES, specify rule reference below [R309-511-4(1)(a)(i)-(iv)]: Phone No.:(801) 372-1862 Dave Frandsen 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] (707) 738-5996 Oct-24 3. Professional Engineer (PE) Responsible for System Oversight (if applicable) 4. Professional Engineer (PE) Responsible for Design of this Project Begin Construction: Complete Construction: 7. Anticipated Construction Schedule (if applicable): Advertise for Bids: 5. Local Fire Code Official & Required Fire Flow for Proposed Project Apr-24 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 ddwpnf@utah.gov or mail to: Utah Division of Drinking Water P.O. Box 144830, Salt Lake City, Utah 84114-4830, (801) 536-4200 Leamington, UT 84638 PO Box 38101 1. Public Water System (PWS) Information Leamington Town Water 14012 Req'd flow (gpm):1750 Loan # City, State, Zip:Leamington, UT 84638 E-mail Address: 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: 265 0 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). May-24 rkjfinny1@yahoo.com Jones and DeMille 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: The project includes the construction of a new 200,000 gallon buried concrete water tank near existing tanks, installation of 8,580 L.F. 6-inch well fill line, installation of 4,150 L.F. of 12-inch distribution line, and the replacement of 122 culinary water meters. Leamington, UT 84638 James Saunders Russ Finlinson PO Box 38101 Mayor 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