DDW-2025-004829

May 28, 2025
Sent via Email Only
Matt Wride
Indian Hollow Creek Water Company
3785 South 700 East
Salt Lake City, Utah 84106
[e-mail]
Subject:Plan Approval, Well Drilling, Country Haven Well #2 (WS002);
Indian Hollow Creek Water Company, System #22150, File #21425
Dear Matt Wride:The Division of Drinking Water (the Division) received the plans and specifications from your consultant, Fred Duberow, P.E. with Ensign Engineering on May 5, 2025. This
project has met the conditions for receiving a plan approval.
We understand that this project consists of drilling a new well to add a redundant source to your water system. The proposed Country Haven Well #2 (identified as WS002in the Division’s
database)is planned to be approximately 400 feet deep. The desired safe yield of the proposed well is 100 gallons per minute (gpm) and the desired test pumping rate is 150 gpm. The proposed
plan for drilling, constructing, developing, and testing the Country Haven Well #2 (WS002) consists of the following:
Install and seal in place an 18-inch diameter conductor casing.
Drill a 16-inch diameter production borehole to a depth of approximately 400 feet.
Air-lift test and geophysically log the borehole.
Install a 10-inch diameter production casing and well screen assembly.
Install filter pack and a certified grout surface seal around the production casing.
Develop and test pump the well.
We have received the following information for Country Haven Well #2 (WS002):
Plans and specifications for borehole and well drilling.
Preliminary Evaluation Report.
We have completed our review of the plans and specifications, stamped and signed by Fred Duberow, P.E., and dated May 1, 2025, and found they basically comply with the applicable portions
of Utah’s Administrative Rules for Public Drinking Water Systems. On this basis, the plans for drilling Country Haven Well #2 (WS002) are hereby approved. This approval pertains to well
drilling, development, aquifer testing, and disinfection of Country Haven Well #2 (WS002) only. Please be aware that discharge permits may be required by the Utah Division of Water Quality
for discharges generated during well drilling and aquifer drawdown testing.
The Utah Division of Water Rights (State Engineer’s Office) regulates the drilling of water wells. Before the drilling of a well commences, the well driller must receive a start card
from the State Engineer’s Office. Please be aware that, for public drinking water supply wells, in addition to the Division of Drinking Water’s R309-515 rule, the Division of Water Rights’
rule R655-4 also applies and shall be followed.
After drilling is completed, you are required to submit additional information outlined in R309-515-6(5)(b) and (c) for review andobtain an approval from the Director for equipping this
well and constructing discharge piping and infrastructure necessary for introducing the well water into the distribution system. After obtaining the well equipping approval, you’ll then
be required to obtain an Operating Permit before Country Haven Well #2 (WS002) may be put in service. A checklist outlining the well approval process, including the items required for
well equipping and an Operating Permit, is enclosed for your information.
Please label the well water sample collected for new source chemical analysis with your water system number UTAH22150 and WS002 (for both the facility ID and sample point ID) on all
laboratory forms for each individual source. This will ensure proper identification and entry of the new source chemical analysis results in our database.
Approvals or permits from the local authority or county may be necessary before beginning construction of this project. As the project proceeds, notice of any changes in the approved
design, as well as any change affecting the quantity or quality of the delivered water, must be submitted to the Division. We may also conduct interim and final inspections of this project.
Please notify us when actual construction begins so that these inspections can be scheduled.
This approval must be renewed if construction has not begun or if substantial materials have not been ordered within one year of the date of this letter.
Concurrence - Preliminary Evaluation Report
The Division received the Preliminary Evaluation Report (PER) for the Country Haven Well #2 (WS002) from your consultant, Fred Duberow, P.E., on April 21, 2025. The Division concurs
with this report. This PER must be refined, and a complete Drinking Water Source Protection (DWSP) Plan is submitted within one (1) year of the date of this letter. Refer to R309-600-13(6)
and R309-600-7(1). You must submit proof that the delineation has been submitted to Summit County to be covered under the Summit County Drinking Water Source Protection Ordinance before
the well can receive an operating permit.
Please contact Melissa Noble, P.G., at [phone] or at [e-mail] if you have questions or concerns about the review of your PER.
If you have any questions regarding this approval, please contact Julie Cobleigh, P.E., of this office, at [phone], or me at [phone].
Sincerely,
Michael Newberry, P.E.
Permitting and Engineering Support Manager
JJC/MN/mrn/mdbEnclosure — Well Approval Checklistcc:Nathan Brooks, Summit County Health Department, [e-mail] Duberow, P.E., Ensign Engineering, [e-mail]
Wride, Indian Hollow Creek Water Company,[e-mail] Cobleigh, P.E., Division of Drinking Water, [e-mail] Martinez, División of Drinking Water, [e-mail]
Noble, P.G., Division of Drinking Water, [e-mail] Kruse, Division of Drinking Water, [e-mail]
jcobleigh 22150 21425 WS002 Drilling PADivision of Drinking WaterChecklist for New Public Drinking Water Wells
(per Utah Administrative Code, Rule R309-515-6)
System Name:System Number:Well Name & Description:1.Approval to Drill the Well
☐Project Notification Form (PNF)
☐Preliminary Evaluation Report (PER) concurrence
☐Well drilling specifications and plans
☐Valid Start Card or authorization to drill letter from the Division of Water Rights2.Approval to Equip the Well

☐PNF (if the well drilling and well equipping are designed by different consultants)
☐Well location data
☐Certification of well seal
☐Well driller’s report (well log)
☐Aquifer drawdown test results (step drawdown test & constant-rate test) for well yield determination
☐Chemical analyses of the well water
☐Plans and specifications for equipping the well
☐Pump information (e.g., pump specifications, pump curve & operating point, motor information, etc.)
☐Well head discharge piping
☐Well house design3.Operating Permit to Introduce the Well Water
☐Documentation of valid water right(s)
☐Recorded land use agreements, or documentation that the requirements for coverage under the City/County source protection ordinance have been met
☐Design engineer’s certification of conformance with plan approval conditions
☐Design engineer’s certification of rule conformance for any deviation from approved plans
☐As-built or record drawings
☐Evidence of O&M manual delivery to system owner
☐Satisfactory bacteriological results as evidence of proper flushing and disinfection