DDW-2025-004672

Response Summary:
Q1. Drinking Water System Name
ASI Well

Q2. System Email
[e-mail]

Q3. System Phone Number
435-757-0440

Q13. What county is the water system located in?
Cache

Q78. Briefly describe your system.
Private well supplying business of ASI

Q62. Does this system have a physical address?
Yes

Q4. Physical Address
990 North 8000 West

Q5. City
Mendon

Q6. Zip Code
84325

Q14. Is the physical address also the mailing address?
Yes

Q15. Is this system actively serving water now?
Yes

Q17. When approximately did this system begin operation?
08/30/2007

Q75. Is this system serving (or will serve) water year round?
Yes

Q20. Are You Currently at Full Build-Out?
No

Q21. When do You Anticipate Being at Full-Build Out?
12/31/2030

Q22. Number of Service Connections at Full Build-Out?
3

Q24. Check all types of service connections the system currently has or will have at full build out?
Commercial

Q64. Approximately how many current commercial connections?
1

Q96. Approximately how many commercial connections at full build out?
3

Q68. What type of populations do you serve or will serve
upon opening?
Select all populations that best represent your system.
This is often confusing for new systems. If you select Unsure, please give as much
information as possible about the type of people your system will serve. We can
assist you in correctly identifying your system's population type. The Division of
Drinking Water will determine the system type based on the best available and
supplied information. A community population is full-time residents or homes that
can be occupied full-time. A non-transient, non-community population is the same
people daily but not their full-time residence (employees or students in a school,
for example). A transient non-community population is rotating or seasonal
(customers at a restaurant, church attendees, campers at a campground, or cabins
where the water is turned off for a portion of the year).
Non-Transient Non-Community

Q70. Approximately how many non-transient non-community persons are served by your water system?
250

Q26. Administrative Contact Name
Sheridan Guymon

Q27. Email
[e-mail]

Q28. Business Phone Number
435-757-0440

Q29. Mobile Number
435-757-0440

Q79. Is the administrative contact mailing address the same as the water system mailing address?
Yes

Q34. Who is the legal owner for your water system?
LLC

Q35. Is the legal owner in Utah?
Yes

Q87. What is the name of the legal owner registered with the Utah Division of Corporations
M & R Rentals

Q37. Does your system have its own source or plans to develop its own source or purchase water from an
existing public water system?
Own Source

Q38. What type of source(s)?
Well

Q39. How many wells?
1

Q42. What is the name for well 1?
ASI Well

Q46. Does your system now have or will have storage tanks?
No

Q49. Does your system now or will it in future have a treatment plant including chlorination?
No

Q51. Does your system now or will in the future construct a centralized pump station(s)?
No

Q53. Does your system now or will in the future have any individual home booster pumps
Unsure

Q52. Approximately how many individual home booster stations?
2

Q82. Is the person submitting this form the same as the person listed as the administrative contact?
Yes

Q89. Who referred you to this application?
Local Health Department

Q84. I certify that the information submitted is correct to the best of my knowledge.
Yes

Q85. Submitter's signature
[Click here]

Embedded Data:
N/A