DDW-2025-009278

October 2, 2025
Sent via Email Only
Zachery Allen
Perry City
1950 South Highway 89
Suite A
Brigham City, Utah 84302
[e-mail]
Subject:Plan Approval, Well Equipping, Well #5 and Well #5 Chlorinator (WS008, TP006);
Perry City, System #02019, File #17465
Dear Zachery Allen:The Division of Drinking Water (the Division) received the plans and specifications for the proposed equipping of Well #5 and the installation of the Well #5 Chlorinator
from your consultant, Matt Hartvigsen, PE with Jones & Associates on August 25, 2025. The Division issued Plan Approval for drilling Well #5 on December 9, 2024. Comments were sent to
the System on September 3, 2025, and responses received on September 3, 2025.
Our understanding of the project is the equipping of the well with a 125 hp vertical turbine pump with a pumping rate of 800 gallons per minute (gpm) at 385 feet total dynamic head.
A well house will be constructed to protect the well head and pump equipment and to house a gas chlorination system. Well #5 and the Well #5 Chlorinator are identified as WS008 and TP006,
respectively, in the Division’s database.
We have received the following information for Equipping Well #5:
Certification of well seal.
Well driller’s report (well log).
Aquifer drawdown test results (step drawdown test and constant-rate test).
New Source Chemical Analysis of the well water.
Plans and specifications for equipping the well.
Pump information - vertical turbine 125 hp 800 gpm at 385 tdh motor/pump.
Well head discharge piping.
Well house design.
The plan review of the proposed Well #5 Chlorinator (TP006) has been completed according to the following:
The proposed Well #5 Chlorinator is a gas chlorinator. 
This chlorinator will add chlorine to the water from Well #5 (WS008).
This chlorinator is intended for secondary disinfection. 
The chlorinated water will enter the distribution directly.
The proposed gas chlorine for disinfection meets the ANSI/NSF 60 standard.
The proposed design target dose of 1.5 mg/L or ppm (measured as free chlorine) is based on a typical flow of 800 gallons per minute (gpm) from Well #5.
The chlorine dose will be adjusted by an automatic flow-paced control.
The Point of Entry (POE) sampling location will be at the Well #5 Chlorinator.
We have completed our review of the plans and specifications, stamped and signed by Matthew Hartvigsen, P. E., and dated August 25, 2025, and find they basically comply with the applicable
portions of Utah’s Administrative Rules for Public Drinking Water Systems in R309. On this basis, the plans for equipping Well #5 and Well #5 Chlorinatorare hereby approved.
This approval pertains to construction only. An Operating Permit must be obtained from the Director before Well #5 and Well #5 Chlorinator may be put into service. A checklist outlining
the well approval process, including the items required for issuing an operating permit for this well is enclosed for your information. Enclosed please also find an Operating permit
Checklist for other components of this project.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 equipment has not been ordered within one year of the date of this letter.
Secondary Disinfection Requirements
The Perry City water systemis not required to disinfect the Well #5 (WS008) based on bacteriological source sample results currently available. The water system has elected to install
the Well #5 Chlorinator (TP006) to provide a detectable disinfectant residual in the distribution system for secondary disinfection.
The plan review of the proposed Well #5 Chlorinator (TP006) is based on providing secondary disinfection. When this chlorinator is installed and placed in operation after the Operating
Permit issuance, the Perry City system will be required to demonstrate ongoing compliance with the secondary disinfection requirements that are outlined in Addendum 1 to this letter.
The Division shall be informed by telephone within 8 hours by a water supplier ofthe malfunction of any disinfection facility such that a detectable residual cannot be maintained at
all points in the distribution system per R309-105-18(1)(a).
Please be aware ifWell #5 is found to requireadditionaldisinfection in the future per R309-200-5(7)(a)(i), further regulations will apply. For example, if primary disinfection is required
this will include submitting disinfection CT information showing compliance with 4-log virus inactivation in accordance with the Ground Water Rule in R309-215-16.
If you have any questions regarding this approval, please contact Cameron Draney, P.E., of this office, at [phone], or me at [phone].
Sincerely,
Michael Newberry, P.E.
Permitting and Engineering Support Manager
CLD/mrn/mdbEnclosures─ Well Approval Checklist; Operating Permit Checklist; Addendum 1Future Elective Monitoring and Reporting Requirementscc:Ben Harker, Bear River Health Department,
[e-mail] Hartvigsen, Jones Civil, [e-mail] Allen, Perry City, [e-mail]
Cameron Draney, P.E., Division of Drinking Water, [e-mail]
Luke Treutel, Division of Drinking Water, [e-mail]

David Kruse, Division of Drinking Water, [e-mail]
John Steffan, Division of Drinking Water, [e-mail]
Dylan Martinez, Division of Drinking Water, [e-mail]
Sitara Federico, Division of Drinking Water, [e-mail] 02019 17465 PA Equipping Well #5Division 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
Utah Division of Drinking Water ― Checklist for Issuing Operating PermitsWater System Name:System Number: Project Description:File Number:
Items 1 through 8 below must be submitted to the Division and found to be acceptable prior to operating permit issuance (unless a water line project meets the requirements of R309-500-7
and is not required to obtain an Operating Permit).
Distribution lines (not including in-line booster pump stations) requiring Plan Approval may be placed into service prior to submitting all of the following items and receipt of Operating
Permit if the water system has received items 1 and 4 below.☐1.Certification of Rule Conformance by a professional engineer (P.E.) that all conditions of Plan Approval were accomplished,
and if applicable, changes made during construction were in conformance with rules R309-500 through 550☐2.As-built or record drawings incorporating all changes to approved plans and
specifications (unless no changes were made to the previously approved plans during construction)☐3.Confirmation that as-built or record drawings have been received by the water system☐4.Satisfactory
bacteriological samples as evidence of proper disinfection and flushing in accordance with the appropriate ANSI/AWWA standards:
☐ANSI/AWWA C651-14 AWWA Standard for Disinfecting Water MainsTwo consecutive sample sets at least 16 hours apart, none positive (every 1200 feet, end-of-line, each branch, etc.)☐ANSI/AWWA
C652-11 AWWA Standard for Disinfection of Water-Storage FacilitiesOne or more samples, none positive☐ANSI/AWWA C653-13 AWWA Standard for Disinfection of Water Treatment PlantsTwo consecutive
samples per unit, none positive, no less than 30 minutes apart☐ANSI/AWWA C654-13 AWWA Standard for Disinfection of WellsTwo consecutive samples, none positive, no less than 30 minutes
apart☐5.Water quality data, where appropriate [For example, water quality data showing MCL compliance; raw and finished water data that demonstrate satisfactory performance of the new
treatment facility.]☐6.If applicable, all other documentation that may have been required during the plan review process☐7.If applicable, confirmation that the water system owner has
received the O&M manual for the new facility☐8.If applicable, location data of new storage tank, treatment facility, or source
Addendum 1
Future Elective Monitoring and Reporting Requirements
Chlorine Monitoring & Reporting Requirements
The water system will be required to meet elective disinfection requirements once this facility is installed and operating. As a part of these requirements, the water system will need
to continuously maintain a minimum free chlorine residual at each chlorinator Point of Entry (POE) into the system and demonstrate a detectable chlorine residual in the distribution
system.
Elective Disinfection Requirements and Reporting
Chlorine Residual ‒ Point of Entry (POE) to Distribution System
The POE sampling location will be identified as EP006 in the Division’s database. The location will be identified during the operating permit process. Maintain a minimum of 0.2 mg/L
residual (measured as free chlorine) at the POE sampling location. [R309-215-16(3)(b)(iii)(A)(I) and (II)]
The chlorine residual concentration measured at the POE sampling location shall not exceed the maximum residual disinfectant level (MRDL) of 4.0 mg/L (measured as free chlorine). [R309-200-5(3)(c)(iv)]Record
and report the lowest daily value of chlorine residual measured as free chlorine at the POE sampling location (EP006). [R309-215-10(1)]Our records show that your water system serves
4,900 people. Please be aware that R309-215-10(1) requires water systems serving greater than 3,300 people to continuously monitor the POE chlorine residuals. Therefore, an online analyzer
to continuously monitor the POE chlorine residuals entering the distribution system will be needed.
Chlorine Residual ‒ Distribution System (DS001)
This water system must maintain a detectable residualthroughout the distribution system. It is recommended to maintain the chlorine residual above 0.1 ppm in the distribution system.
[R309-520-5]
The chlorine residual measured in the distribution system shall not exceed the maximum residual disinfectant level (MRDL) of 4.0 mg/L (measured as free chlorine). [R309-200-5(3)(c)(iv)]
This water system must take a minimum of three (3) chlorine residual samples per weekat varying locations throughout its distribution system (DS001). [R309-105-10(1)(c)]
Distribution system chlorine residuals must be taken in conjunction with total coliform sampling. [R309-215-10(3)]

Disinfection Report Submission
To demonstrate ongoing compliance with elective disinfection requirements, the water system must complete monthly operational reports for each active chlorinator using a template approved
by the Division.
The monthly operational reports are submitted quarterly. The reports are due to the Division by the 10th day following the end of each reporting quarter (i.e., January 10th, April 10th,
July 10th and October 10th). The reports can be submitted by hardcopy, fax, or by uploading them to the Division’s chlorine residual reporting form which can be found at MRDL.utah.gov.
Please contact Luke Treutel at [phone] or [e-mail] to schedule training regarding proper reporting.
In addition to monthly disinfection reporting, this water system must submit the monthly average of chlorine residual samples taken in the distribution system. Distribution system chlorine
residual monitoring results are due quarterly by the same compliance dates as the monthly disinfection report and can be submitted via an online form found at mrdl.utah.gov.
Records must be maintained for a minimum of 5 years. [R309-105-17(1)]
Source Bacteriological Monitoring 
The operating permit will include requirements for monthly Escherichia Coli (E. Coli) sampling at Well #5 (WS008), prior to any treatment, for the months the well is in operation or
accessible for a minimum of twelve months. This monitoring is required to evaluate the quality of the water coming from Well #5 (WS008) to determine whether primary disinfection treatment
is required or not. Additional monitoring and/or disinfection requirements may be assigned depending on the results of the assessment monitoring.
The source sampling requirement shall begin no later than December 2025 and extend to cover the duration of at least 12 months.
The sampling location of the source water bacteriological samples needs to be labeled as WS008. 
The source bacteriological sampling is in addition to the monthly total coliform sampling in the distribution system (DS001) that has been in place for your water system. 
The required source sampling data must be submitted to the Division for evaluation before a permanent operating permit can be issued for Well #5 Chlorinator (TP006).
In the result of an E. coli positive sample, please contact Sitara Federico at [e-mail] or [phone] within 24 hours of notification.