DDW-2025-008252

Response Summary:
Q1. Drinking Water System Name
Willard Bay State Park

Q2. System Email
[e-mail]

Q3. System Phone Number
4357349494

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

Q78. Briefly describe your system.
Water system is for Willard Bay State Park, South Marina only.

Q62. Does this system have a physical address?
No

Q57. Mailing address
900 W 650 N #A

Q58. Mailing Address City
Willard

Q61. Mailing Address State
State Utah

Q60. Zip Code
84340-9725

Q91. Describe the physical location as best you can using nearby towns,
landmarks, and roads.
South Willard Utah, at the end of ut312

Q15. Is this system actively serving water now?
Yes

Q17. When approximately did this system begin operation?
05/05/1970

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

Q20. Are You Currently at Full Build-Out?
Yes

Q24. Check all types of service connections the system currently has or will
have at full build out?
Combined (this is multi-use connection or a connection that doesn't
otherwise fit the above connections types)

Q67. Approximately how many current combined connections?
30

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).
Transient Non-Community

Q73. Approximately how many transient non-community persons are served
by your water system? This should be the maximum capacity served by your
system
N/A

Q26. Administrative Contact Name
ROGER JACOBSON

Q27. Email
[e-mail]

Q28. Business Phone Number
435-734-9494

Q29 M bil N b
Q29. Mobile Number
385-977-6032

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?
Government

Q35. Is the legal owner in Utah?
Yes

Q88. What is the name of the legal owner of your water system?
Willard Bay State Park

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

Q44. What is the supplying water system name?
Bona Vista Water

Q45. What is the supplying public water systems identification number?
unknown

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)?
Unsure

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?
N/A

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?
Division of Drinking Water

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