DDW-2024-007240

Google Drive Workflow Checklist:
Draft Letter:
Make a COPY of the template you want to use.
Rename it with your First Initial, Last Name, System # & File # (MNewberry 125033 12323 Approval)
Move it to the Googe Drive Workflow Folder: Letters - Creators/Sections.
Draft Letter
Section Review: (Add rows & adjust names as needed /). Assign collabrators (comment, @email & assign).
Reviewer
Status
Date Notified
MM/DD/YY
Date Completed
MM/DD/YY
Notes

Source Protection Staff
Not startedDateDate
Water Quality Monitoring & Standards
Not startedDateDate
Infrastructure FundingNot startedDateDateCompliance & Operator AssistanceNot startedDateDate
Field ServicesNot startedDateDate
Manager Review: Move letter to MNewberry Review - Assign
ReviewerStatusDate Notified
MM/DD/YYDate Completed
MM/DD/YYNotesMNewberryNot startedDateDate

Assistant Director Review: Move letter to RSeeley Review - Assign
ReviewerStatusDate Notified
MM/DD/YYDate Completed
MM/DD/YYNotesRSeeleyNot startedDateDate


Director Review: Move letter to NLunstad Review - Assign to Jessica, she will assign to Nathan
ReviewerStatusDate Notified
MM/DD/YYDate Completed
MM/DD/YYNotes
Jessica FitzgeraldNot startedDateDateNathan LunstadNot startedDate
Date

Support Staff Review & Final: Move letter to MBooth Final/Email/Mail - Assign
ReviewerStatusDate Notified
MM/DD/YYDate Completed
MM/DD/YYNotesMarianne BoothNot startedDateDate

Approval — Water Line Standards (Updated 1/10/2024)

Approval WL Stds (A) template with built-in ENG A Workflow:
Staff (review engineer) → Eng Manager → Clerical

Instructions for DDW Internal Use:

Before forwarding this workflow in D2, please check off the steps you’ve completed, add notes (e.g., “not applicable”), and initial in the box below.

Not Done 1. Use this template for approval of PWS water line installation drawings and specifications per R309-500-7.
Not Done 2. WaterLink ― Add submittal records for:
SUBMITTAL TYPE “PWS standard specifications” – SUBMITTAL DETAILS “20XX PWS water line standards & application form”
SUBMITTAL TYPE “Other” – SUBMITTAL DETAILS “20XX PWS PE designation”
SUBMITTAL TYPE “Other” – SUBMITTAL DETAILS “20XX hydraulic model PE designation”
Not Done 3. WaterLink ― Enter corresponding responses (corresponding to the items listed above):
RESPONSE TYPE “Approval/Concurrence”
RESPONSE TYPE “acknowledgement”
RESPONSE TYPE “acknowledgement”
Not Done 4. WaterLink ― Enter corresponding response dates using the date of this letter
[The clerical staff will update the response date if the official date of this letter differs from your entry.]
Not Done 5. WaterLink ― Enter “completed date” and add “(COMPLETED)” to the project description.
Not Done 6. WaterLink ― Update the “Approval of PWS Water Line Standards” fields.
Not Done 7. D2 — Title this approval as “XXXXX (file number) approval 20XX water line standards.”
Not Done 8. D2 — Save the application form as “XXXXX (file number) application form.”
Not Done 9. D2 — Save the submitted/approved water line drawings and specifications as “XXXXX (file number) 20XX water line standards.”
Not Done 10. Hard copy — File to the master plan/construction standards drawers in the DDW file room. [Ask Heather for help if needed.]

Support Staff: Delete This Page Before Mailing

Date version 2

Water System Contact
Water System Name
System Address
City, State Zip

Subject: Approval of 20XX Water Line Installation Standards per R309-500-7; WATER SYSTEM NAME, System #xxxxx, File #xxxxx

This Approval expires on DATE. (December 31, 20XX, ≥ 5 yrs from the date of this letter)

Dear System Contact:

The Division of Drinking Water (the Division) received the following documents on DATE:

The 20XX water line installation drawings and specifications for WATER SYSTEM NAME, stamped and signed by NAME, P.E., and dated DATE.
The completed application form signed by NAME and dated DATE, which formally designates:
NAME, P.E., as the Professional Engineer (PE) having direct responsibility for the design of the entire water, and
NAME, P.E., as the PE responsible for oversight of the hydraulic analysis of the entire water system.

We completed our review of the 20XX water line installation drawings and specifications, and find they basically comply with the applicable portions of Utah's Rules for Public Drinking
Water Systems in R309-550. On this basis, WATER SYSTEM NAME 20XX water line installation drawings and specifications are hereby approved.

WATER SYSTEM NAME has met the criteria in R309-500-7 to install water lines up to 16 inches in diameter and is not required to obtain Plan Approval or an Operating Permit for the qualified
water line projects.

Please note the following restrictions to this approval:
1. This approval does not apply to booster pump stations.
2. If minimum separation between water and sewer lines cannot meet the requirements in R309-550-8, an exception must be obtained prior to water line construction.

This Approval expires on DATE (June 30, 20XX, ≥ 5 years from the date of this letter if this letter is generated between January and June; December 31, 20XX, ≥ 5 years from the date
of this letter if this letter is generated after July 1). You must notify the Division if there is a change to standard installation drawings and specifications or the designated PE
for design or hydraulic analysis during the term of this Approval. To continue using standard installation drawings and specifications for water transmission and distribution lines after
the expiration date, you must submit a complete renewal application to the Division.

Please maintain a copy of this letter with your permanent records for future reference.

If you have any questions regarding this approval, please contact REVIEW ENGINEER, of this office, at (801) 536-xxxx, or me at [phone].

Sincerely,

Michael Newberry, P.E.
Permitting and Engineering Support Managerr

Author/Review Manager/Admin (processing)/Admin (mailing) [Initials]

cc: Environmental Health Director, XYZ Health Department, Email
Consultant, Company, Email (or mailing address)
NAME, WATER SYSTEM NAME, Email
AUTHOR, Division of Drinking Water, Email
District Engineers, DEQ XXX District, Email (if applicable)
Candace Powers, Community Impact Board, [e-mail] (if involving CIB funding)
Other cc copy recipients (if needed)

Approval WL Stds (A) [Right click. Select “Update Field” to update file name]