DDW-2025-004394

CCR Certification FormCWS Name: Pine Meadow MutualPWSID No: UTAH22079
The community water system named above hereby confirms that its consumer confidence report has been distributed to customers (and appropriate notices of availability have been given).
Further, the system certifies that the information contained in the report is correct and consistent with the compliance monitoring data previously submitted to the state/primacy agency.
Certified by:Name: Brody BlonquistTitle: Manager/OperatorPhone #: 435-801-0111 #2Date: 3/10/2025
Please check all items that apply. XCCR was distributed by other direct delivery method. Specify direct delivery methods: Date completed: 3/10/2025 XMail – notification that CCR is
available on Web site via a direct uniform resource locator (URL)X E-mail – direct URL to CCRIf the CCR was provided by a direct URL, please provide the direct URL Internet address:www.pinemeadowwater.com
If the CCR was provided electronically, please describe how a customer requests paper CCR delivery: By mail or printed at PMMWC office upon request.X"Good faith" efforts were used to
reach non-bill paying consumers. Those efforts included the following methods as recommended by the state/primacy agency:Date completed: 3/10/2025X posting the CCR on the Internet
at: www.pinemeadowwater.com