WATER SYSTEM INFORMATION
Water System No.:	CA3310022
Water System Name:	LAKE HEMET MWD
Water System Ownership (See descriptions below):	--Pick one-- Local Government State or Federal Government Privately owned, PUC-regulated, for profit water company Privately owned, non-PUC-regulated (Community Water System) Privately owned Mutual Water Company or Association Privately owned business (non-community)
Physical location:   (address line 1, address line 2, city, zip) Note: NO P.O. Box	P.O. BOX 5039 26385 Fairview Ave. HEMET 92544
General Office Phone: (with area code)	951-658-3241
Web site address:	www.lhmwd.org

BOXES COLORED YELLOW ARE MANDATORY QUESTIONS AND MUST BE ANSWERED TO COMPLETE THIS REPORT

Water System Ownership Descriptions:

• Local Government: e.g., city, county, or special district, local school district, junior colleges, county or community parks, etc.
• State or Federal Government: e.g., state or national park, BLM, USFS and COE campgrounds and recreation facilities,
  state hospitals, State universities and colleges, California Veterans Home, County or District Fairs and Expositions,
  Caltrans rest stop, military base, other state or federal facility
• Privately owned, non-PUC-regulated (Community Water System): e.g., mobile home park, apartment or condominium
• Privately owned business (non-community): e.g., church, private school, restaurant, amusement park, RV park/campground,
  motel, ranch/farm, factory, other business establishment

COMMUNITY WATER SYSTEMS ONLY

Your water system classification is: Community Water System

IF YOU ARE NOT A COMMUNITY WATER SYSTEM, SKIP THIS SECTION.

CERTIFICATION FOR REDUCTION OF ANNUAL FEES FOR PUBLIC WATER SYSTEMS SERVING A DISADVANTAGED COMMUNITY (DAC)

DAC CheckBox By checking this box, you are a community water system who would like to request a fee reduction and is serving a DAC as defined in Title 22, Division 4, Chapter 14.5, section 64300 of the California Code of Regulations OR has previously submitted documentation to the State Water Resource Control Board certifying that you are serving a DAC.

To request a DAC fee reduction

Click HERE for instructions on how to upload your completed DAC certification form. To upload a DAC Certification Form, click

If you have questions about completing this section of the report, please contact the Program Liaison Unit at DDW-PLU@waterboards.ca.gov or call (916) 449-5158.

REPORT SUBMITTED BY Name: Kathleen Aguilar Title: District Secretary Work phone: 951-658-3241 Cell phone: YY Email address: kaguilar@lhmwd.org

Please be aware that all comment boxes throughout this electronic annual report will be made publicly available WITH THE EXCEPTION of the comment box below. Only Waterboard staff and other people with your water system’s DRINC login credentials will have access to this comment box. You are encouraged to provide any comments that you believe may help improve this annual report process.

PRIVATE COMMENTS: Jurisdiction of LHMWD combine parts of Hemet/San Jacinto and unincorporated Riverside County.

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

1. Public Water System Contacts

Click here to learn how to Modify, Add and Delete Contacts in the table below.

IMPORTANT: Each water system must have one and only one Administrative Contact AND one and only one Financial Contact. The same person may be both the Administrative and Financial Contacts.

Please provide an email address for the Administrative Contact as most email communication, particularly email blasts, from the Division of Drinking Water will be sent to the email address of the Administrative Contact.
PHONE TYPE: Home – if you use your home or personal phone number as your business number, use the HOME phone type instead and leave the BUSINESS phone type blank.
Only the BUSINESS phone type will appear in Drinking Water Watch (https://sdwis.waterboards.ca.gov/PDWW/), which can be viewed by the public, if the General Office phone number is not provided (see Water System Information section under the Intro tab).

NAME, TITLE & ADDRESS			PHONE TYPE	PHONE NO.	EMAIL	CONTACT TYPE (pick all that apply)
FREEMAN, MITCH			Business Home	951-658-3241 YY	MFreeman@lhmwd.org YY	Contact1 Delete Administrative	Operator
SUPERVISOR WATER/SEW			Facsimile	951-766-7031		Financial	Emergency
P.O. Box 5039 26385 Fairview Ave.			Mobile	951-956-4836		Designated Operator In Charge	Water Quality
HEMET   CA   92544			Emergency			Owner	Legal
						Funding	Contract Operator
GOW, MIKE			Business Home	951-658-3241 YY	MGow@lhmwd.org YY	Contact2 Delete Administrative	Operator
GENERAL MANAGER/ENGINEER			Facsimile	YY		Financial	Emergency
P.O. Box 5039 26385 Fairview Ave.			Mobile	951-230-5491		Designated Operator In Charge	Water Quality
HEMET   CA   92544			Emergency	YY		Owner	Legal
						Funding	Contract Operator
FRANKFORTER, KRISTEN			Business Home	951-658-3241 YY	KFrankforter@lhmwd.org YY	Contact3 Delete Administrative	Operator
WATER QUALITY TECH			Facsimile	951-766-7031		Financial	Emergency
P.O. Box 5039 26385 Fairview Ave.			Mobile	310-706-8547		Designated Operator In Charge	Water Quality
HEMET   CA   92544			Emergency	YY		Owner	Legal
						Funding	Contract Operator
AGUILAR, KATHLEEN			Business Home	951-658-3241 YY	kaguilar@lhmwd.org YY	Contact4 Delete Administrative	Operator
EXEC. TREASURER/DISTRICT SECRETARY			Facsimile	951-766-7031		Financial	Emergency
P.O. Box 5039 26385 Fairview Ave			Mobile	951-533-6860		Designated Operator In Charge	Water Quality
HEMET   CA   92544			Emergency	YY		Owner	Legal
						Funding	Contract Operator
YY			Business Home	YY YY	YY YY	Contact5 Delete Administrative	Operator
YY			Facsimile	YY		Financial	Emergency
YY YY			Mobile	YY		Designated Operator In Charge	Water Quality
YY   YY   YY			Emergency	YY		Owner	Legal
						Funding	Contract Operator
YY			Business Home	YY YY	YY YY	Contact6 Delete Administrative	Operator
YY			Facsimile	YY		Financial	Emergency
YY YY			Mobile	YY		Designated Operator In Charge	Contact6 Water Quality
YY   YY   YY			Emergency	YY		Owner	Legal
						Funding	Contract Operator
YY			Business Home	YY YY	YY YY	Contact7 Delete Administrative	Operator
YY			Facsimile	YY		Financial	Emergency
YY YY			Mobile	YY		Designated Operator In Charge	Water Quality
YY   YY   YY			Emergency	YY		Owner	Legal
						Funding	Contract Operator
YY			Business Home	YY YY	YY YY	Contact8 Delete Administrative	Operator
YY			Facsimile	YY		Financial	Emergency
YY YY			Mobile	YY		Designated Operator In Charge	Water Quality
YY   YY   YY			Emergency	YY		Owner	Legal
						Funding	Contract Operator
--Contact Name--			Business	(999) 999-9999	XXXXX@XXXXX.XXX XXXXX@XXXXX.XXX	Administrative	Operator
--Title--			Home	(999) 999-9999		Financial	Emergency
--Address Line 1-- --Address Line 2--			Facsimile Mobile	(999) 999-9999 YY		Operator In Charge	Water Quality
--City--   --ST--   99999			Emergency	(999) 999-9999		Owner	Legal
						Funding	Contract Operator
--Contact Name--			Business	(999) 999-9999	XXXXX@XXXXX.XXX XXXXX@XXXXX.XXX	Administrative	Operator
--Title--			Home	(999) 999-9999		Financial	Emergency
--Address Line 1-- --Address Line 2--			Facsimile Mobile	(999) 999-9999 YY		Operator In Charge	Water Quality
--City--   --ST--   99999			Emergency	(999) 999-9999		Owner	Legal
						Funding	Contract Operator
--Contact Name--			Business	(999) 999-9999	XXXXX@XXXXX.XXX XXXXX@XXXXX.XXX	Administrative	Operator
--Title--			Home	(999) 999-9999		Financial	Emergency
--Address Line 1-- --Address Line 2--			Facsimile Mobile	(999) 999-9999 YY		Operator In Charge	Water Quality
--City--   --ST--   99999			Emergency	(999) 999-9999		Owner	Legal
						Funding	Contract Operator
--Contact Name--			Business	(999) 999-9999	XXXXX@XXXXX.XXX XXXXX@XXXXX.XXX	Administrative	Operator
--Title--			Home	(999) 999-9999		Financial	Emergency
--Address Line 1-- --Address Line 2--			Facsimile Mobile	(999) 999-9999 YY		Operator In Charge	Water Quality
--City--   --ST--   99999			Emergency	(999) 999-9999		Owner	Legal
						Funding	Contract Operator

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

2. POPULATION SERVED

Permanent population or number of long-term residents*:

50001

*Long-term resident means someone who resides within the water system service area for more than half of the year.

Method used to determine population:

--Pick one-- Most recent United States census data Multiplied number of service connections by 3.3 Determined total number of dwelling units and multiplied by 2.8 Other

If permanent population is based on "Other" , identify the methods or sources of how it was estimated::

Determined using 2010 Census. LHMWD is a D-5 System.

Seasonal Maximum Population (If applicable):

YY

Provide season :

Begin Date		End Date
MM	DD	MM	DD
01	01	12	31

List the names of communities served by the system identifying both incorporated and unincorporated areas:

Hemet, San Jacinto, Valle Vista

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

3. NUMBER OF SERVICE CONNECTIONS(as of December 31, 2017)

A. Active Service Connections:

Total Active Potable Water Connections currently in Division of Drinking Water database:

14242

The total number of Service Connections as of December 31, 2017 must be reported as either Unmetered or Metered for each Service Connection Type as appropriate.

	Potable Water			Recycled Water
TYPE Do NOT report fire sprinkler connections and fire hydrants. These connections are not counted toward “service connections” for compliance purposes.	Unmetered	Metered	Total*	Unmetered	Metered	Total*
Single-family Residential: single family detached dwellings	0	13201	13201	0	0	0
Multi-family Residential: Apartments, condominiums, town houses, duplexes and trailer parks	0	486	486	0	0	0
Commercial/Institutional: Retail establishments, office buildings, laundries, schools, prisons, hospitals, dormitories, nursing homes, hotels, churches	0	447	447	0	0	0
Industrial: All manufacturing	0	4	4	0	0	0
Landscape Irrigation: Parks, play fields, cemeteries, median strips, golf courses	0	65	65	0	0	0
Agricultural Irrigation: Irrigation of commercially-grown crops	0	49	49	0	0	0
Total Active Connections*	0	14252	14252	0	0	0

*Calculated field
Unneeded recalc button

	Potable Water			Recycled Water
TYPE	Unmetered	Metered	Total*	Unmetered	Metered	Total*
Other: Fire suppression, street cleaning, line flushing, construction meters, temporary meters	0	15	15	0	0	0

B. Number of Inactive Connections (all types) Include only service connections that have been physically disconnected (e.g, meter removed) from the water system. All other service connections should be considered as “Active.”

20

C. Number of NON-residential customers required to have dedicated outdoor irrigation meters (excluding agricultural connections)

0

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

4. GROUNDWATER (GW) AND SURFACE WATER (SW) SOURCES

Type	Total No. Approved (by permit)	Total No. New/ Added in 2017	Total No. Inactivated in 2017	Total No. Destroyed in 2017
Active Groundwater Intakes (Wells)	10	0	0	0
Active Surface Water Intakes (Raw)	0	0	0	0
Active Purchased Water (GW) Connections	2	0	0	0
Active Purchased Water (SW) Connections	0	0	0	0
Standby Sources1	0	0	0	0
Emergency Interconnections	1	0	0	0
Inactive Sources2	4		0	0

¹If a standby source was used in 2017, provide the following information.

Are your water sources metered?

--Pick one-- Yes No

Name of the Standby Source used in 2017:	No. of days the Standby Source was in operation:	Were customers notified? (Y/N)	Was the Division of Drinking Water notified? (Y/N)	Describe the reason the Standby Source was used:
Nothing Reported

²Inactive sources are not approved as sources of supply and must be physically disconnected or similarly isolated.

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

5. WATER PRODUCED, PURCHASED AND SOLD

The Maximum Day is the day during 2017 with the highest total water usage. Provide the date for that day in Column B,
then complete Columns C, D and E, indicating how much of the water on that day was from each source.

Units of Measure for this table:

Volumes are based on:

A	B	C	D	E	F	G	H	I
	Potable Water						Non-potable (exclude recycled)	Recycled
	Date/ Month	01-07	33	YY	YY	33			YY
January		353.861	0	0	353.861	0	97.35	0
February		315.257	0	0	315.257	0	350.399	0
March		468.23	0	0	468.23	0	397.129	0
April		574.861	0	53.7534	628.6144	0	603.755	0
May		660.018	0	60.8774	720.8954	0	790.134	0
June		744.705	0	89.5674	834.2724	0	951.95	0
July		799.493	0	119.1639	918.6569	0	1108.59	0
August		805.743	0	78.0347	883.7777	0	1246.121	0
September		768.383	0	17.7927	786.1757	0	1086.563	0
October		727.546	0	0	727.546	0	749.037	0
November		607.863	0	0	607.863	0	599.519	0
December		597.824	0	0.0543	597.8783	0	578.68	0
Annual Total*		7423.784	0	419.2438	7843.0278	0	8559.227	0
Percent Treated4		0

PWS = Public Water System

^*Calculated field

Non-potable = water supplies, except recycled water, that do not enter the drinking water distribution system and are for non-potable uses only such as irrigation

Recycled = domestic wastewater which as a result of treatment is suitable for uses other than potable use such as irrigation or toilet flushing

¹Only report Maximum Day if it is actually measured or determined from production records. It should not be the average day demand during
the maximum month of production.

²Do not include raw water purchased; report only volume of water that was treated.

³(F) Total Amount of Potable Water = Sum of Columns (C), (D) and (E), automatically calculated. Total water production includes water that is sold to another water system. To update, click below

⁴This is the percentage of the total annual volume for Groundwater produced that was provided treatment to meet drinking water standards other than precautionary disinfection and fluoridation.

⁵If water was Purchased from or Sold to another PWS, complete the table below:

Specify whether water
was Purchased or Sold~Name of PWS

Specify whether water was Purchased or Sold	Name of PWS
Purchased	Eastern Municipal Water District

If recycled water was supplied to your customers, complete the table below: Specify the level of treatment
(e.g., tertiary, disinfected secondary)~Name of Recycled Water supplier

Specify the level of treatment (e.g., tertiary, disinfected secondary)	Name of Recycled Water supplier
N/A

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

6a. WATER RATES

If you have questions about completing this section of the report, please contact Kathy.Frevert@Waterboards.ca.gov, 916-322-5274 or Mary.Yang@Waterboards.ca.gov, 916-322-6507.

Residential Water Rates

Indicate the type of residential water rate structure used by your water system:

If your water system doesn’t have rates, explain why:

  Comments on rate structure: YY

What is your billing frequency?	--Pick one-- monthly bi-monthly quarterly annually other
If tiered, what is the number of tiers?	--Pick one-- Not Tiered 2 3 4 5 6 7
Units of Measure (UOM) for this table:	--Pick one-- Gallons (Gal) Hundred Cubic Feet Thousand Gallons Million Gallons Acre Feet Not Applicable

Residential Water Rates	Single-family		Multi-family
	Upper level of water volume for each Tier in UOM provided	Cost per Unit	Upper level of water volume for each Tier in UOM provided	Cost per Unit
Flat Base Rate	NA	N/A	N/A	N/A
Tier Rate Structure level 1	7	1.980	Max level in each	1.98
Tier Rate Structure level 2	13	2.025	Tier per unit	2.025
Tier Rate Structure level 3	25	2.145	N/A	2.145
Tier Rate Structure level 4	38	2.265	N/A	2.265
Tier Rate Structure level 5	397	2.499	N/A	2.499
Tier Rate Structure level 6	0	0	0	0
Tier Rate Structure level 7	0	0	0	0
Comments:	YY
Date of most recent update to the rate structure: MM/DD/YYYY	07/01/2017
Describe the changes that were made in the update:	CPI Increase 2.4%
Residential service connections
Select the most common residential meter size:	--Pick one-- 3/4 inch 5/8 inch 1 inch other not applicable
a. What is the service connection fee for single-family new construction based on the most common meter size listed above)?	2110
b. What is the connection fee for a single-family existing home based on the most common meter size indicated above?	0
c. What is the connection fee for multi-family new construction based on the most common meter size indicated above?	2110
d. Include your webpage on residential water rates and service fees, if applicable:	www.lhmwd.org
Comments:	Connection fee based on meter size
Date of most recent update to the new connection fee: MM/DD/YYYY	07/16/2015

Check items included in new residential connection fees:

	Existing infrastructure buy-in (e.g., water treatment/ conveyance/sewage treatment )
	Upgrades to infrastructure (seismic retrofits, pipe replacements, etc.)
	Storm water management system
	Debt service charge
	Development of new water supplies
	Other
Comment:	YY

Select the most common non-residential meter size:

--Pick one-- 3/4 inch 5/8 inch 1 inch 1.5 inch 2 inch other not applicable

Complete the table below providing specific water rates applied to your non-residential customers:

Connection Type	FLAT BASE RATE (FBR)	If FBR + UUR, what is the volume allowed before UUR applies	UNIFORM USAGE RATE (UUR)	VARIABLE BASE RATE (provide range) (VBR)		VARIABLE USAGE RATE (provide range) (VUR)
	$ (Base)	HCF	$ per HCF	$ Low	$ High	$ per HCF Low	$ per HCF High
NON-RESIDENTIAL
Commercial/Institutional	0	0	0	30.91	123.35	2.38	3.46
Industrial	0	0	0	30.91	123.35	2.38	3.46
Landscape Irrigation	0	0	0	30.91	123.35	2.38	3.46
Agricultural Irrigation	0	0	0	30.91	1974.00	1.41	1.88
Other	YY	YY	YY	YY	YY	YY	YY

AFFORDABLE DRINKING WATER

For each amount of water delivered to a single-family residential customer shown below, what is charged (in dollars) to the customer?

For each of the three water volumes shown below, provide what would be the monthly water bill for a single-family residential customer. Enter the monthly Water Charges and Other Charges for each water volume. For example, if a single-family customer used 12 HCF in a month, the total bill would include water charges for using 12 HCF and other charges that are added to the bill. Other charges may include property taxes, fire suppression, waste water, etc., which are determined locally. Click the “Update Totals” button to automatically add the charges together to show a Total Monthly Water Bill that a residential customer would pay when its household used the specified amount of water.

a. 6 HCF
Drinking Water Charges (Fixed and variable water charges)	45.19	Dollars/month
Other Charges (e.g., property tax, fire suppression, waste water, other)	30.60	Dollars/month
Total Monthly Water Bill (Automatic sum of Water Charges and Other Charges)*	75.79	Dollars/month
b. 12 HCF
Drinking Water Charges (Fixed and variable water charges)	59.87	Dollars/month
Other Charges (e.g., property tax, fire suppression, waste water, other)	30.60	Dollars/month
Total Monthly Water Bill (Automatic sum of Water Charges and Other Charges)*	90.47	Dollars/month
c. 24 HCF
Drinking Water Charges (Fixed and variable water charges)	92.03	Dollars/month
Other Charges (e.g., property tax, fire suppression, waste water, other)	30.60	Dollars/month
Total Monthly Water Bill (Automatic sum of Water Charges and Other Charges)*	122.63	Dollars/month

SHUT-OFFS 1. How many accounts for residential service connections had their water shut off once during the year of 2017 for delinquent payments?
Single-Family Accounts		0
Multi-family Accounts		0
Total*		0
2. How many accounts for residential service connections had their water shut off more than once during 2017 for delinquent payments?
Single-Family Accounts		0
Multi-family Accounts		0
Total*		0
3. What is the residential reconnection fee to restore drinking water service due to delinquent payments?
Single-Family Accounts		70
Multi-family Accounts		70
Total*		140
4. What was the median duration of the shut-offs (in days) for continuously occupied residential service accounts?
Single-Family Accounts		0
Multi-family Accounts		0
Total*		0
5. If you offer an extended repayment or other customer payment assistance plan, how many continuously occupied residential customer accounts participated?
Single-Family Accounts		3391
Multi-family Accounts		0
Total*		3391
How many of the continuously occupied residential accounts were shut off at least once during calendar year 2017 and were enrolled in an extended repayment plan or other customer payment assistance plan at the time of the service disconnection?
Single-Family Accounts		293
Multi-family Accounts		0
Total*		293

Affordable Drinking Water Assistance

Do you provide options for low-income assistance?	--Pick one-- Yes No
If yes, how was the program funded?	YY
How much funding is allocated to the program annually?	YY
If yes, how many residential accounts receive the low-income subsidy?	YY
Who is eligible for drinking water assistance? Check those that are eligible:
Disabled
Low Income Families
Seniors
Special Medical Need
Other Please describe:
YY

6b. WATER DELIVERIES

Units of Measure (UOM) for this table:

--Pick one-- Gallons Million Gallons Acre-feet (AF) 100 cubic feet

Provide monthly metered water deliveries in the table below.

A	B	C	D	E	F	G	H	I	J
	Single-family Residential	Multi-family Residential	Commercial/ Institutional	Industrial	Landscape Irrigation	Other	Total Urban Retail1*	Agricultural	Other PWS
Check if Recycled Water is included:
January	118665	20859	11354	15	1844	0	152737	736	0
February	100904	18091	10968	14	1000	0	130977	10694	0
March	120282	20041	12537	23	1457	0	154340	158650	0
April	156853	18951	19153	15	2688	0	197660	260528	0
May	201380	20072	25417	17	4912	0	251798	326918	0
June	268779	26913	33863	26	7391	0	336972	397851	0
July	291450	23788	34770	26	8200	0	358234	493552	0
August	280193	27002	35946	19	8510	0	351670	476363	0
September	267780	24884	34568	20	7417	0	334669	427642	0
October	226227	23933	29140	27	6837	0	286164	374760	0
November	217199	22909	25571	30	5935	0	271644	282617	0
December	185864	23134	20493	14	4354	0	233859	263616	0
Total*	2435576	270577	293780	246	60545	0	3060724	3473927	0

COMMENTS: YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

7. WATER QUALITY

Date of Emergency Notification Plan:	YY
Is the Emergency Notification Plan up to date?	--Pick one-- Yes No

DIRECT ADDITIVES

Pursuant to Section 64590, Title 22 of the California Code of Regulations, (effective January 1, 1994), all chemicals or products, including chlorine,
added directly to the drinking water as part of a treatment process must meet the ANSI/NSF Standard 60. Please complete the following table
for each chemical used by this water system. If you are not sure whether a chemical you are using meets this standard, contact the manufacturer
or distributor of the chemical.

If you do not use any direct additives, put “NONE” in each column of the first row.

Name of Chemical	Name of Manufacturer	Purpose of using chemical	Chemical is ANSI/NSF Standard 60 certified (Y/N)	Use initiated in 2017 (Y/N)
Calcium Hypochlorite	Environmental Compliance Resources	Precautionary Disinfection	Y	N

INDIRECT ADDITIVES

As of March 9, 2008, a water system shall not use any chemical, material, lubricant, or product in the production, treatment or distribution
of drinking water that comes in contact with the drinking water that does not have certification of meeting NSF/ANSI standard 61.

Does your water system have procedures to ensure all future equipment and materials meet this standard?

--Pick one-- Yes No

If you have any questions on the requirements related to indirect additives, you may contact your local regulatory agency.

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

8. CROSS-CONNECTION CONTROL

	Total Number in System in 2017 ¹	Number Installed in 2017	Number Tested in 2017 ²	Number Failed in 2017	Number Repaired/ Replaced
Backflow Assemblies on the Service Connections or Meter (Reduced Pressure Principle and Double Check Valve assemblies)	633	2	604	140	148
Backflow Assemblies On- site but not on the Service Connections or Meter (Reduced Pressure Principle and Double Check Valve assemblies)	0	0	0	0	0
Air-gap Separation	0	0

Notes:

¹ Total Number in System in 2017 – Total number of active Backflow Prevention Assemblies including new devices installed in 2017, but excluding inactive devices.
² Number Tested in 2017 – includes all active devices that were tested in 2017 and either passed or failed.

No. of Inactive Backflow Prevention Assemblies in water system in 2017 :			30
Date of last cross-connection control survey done on the system: If ongoing, enter the last day of the year, e.g., 12/31/2017			06/20/2017
Cross Connection Control Program Coordinator
Name:			Ross Detwiler
Certification Number:			10373
Business Phone:	951-658-3241 Ext. 252	Email Address:	rdetwiler@lhmwd.org
Certification or training received: Cross Connection Control Specialist

Describe any cross-connection incidents that occurred during 2017:

COMMENTS (Note: Comments will be made publicly available): YY

9. CONSUMER CONFIDENCE REPORT (does not apply to Transient Noncommunity water systems)

THE 2017 CCR MUST BE DISTRIBUTED TO YOUR CUSTOMERS AND A COPY SUBMITTED TO YOUR LOCAL REGULATORY AGENCY BY JULY 1, 2018. IN ADDITION, PUBLIC WATER SYSTEMS THAT ARE ALSO REGULATED BY THE CALIFORNIA PUBLIC UTILITIES COMMISSION (PUC) MUST MAIL A COPY OF THEIR CCR TO THE PUC BY JULY 1, 2018.

CERTIFICATION MUST BE SUBMITTED TO YOUR LOCAL REGULATORY AGENCY BY OCTOBER 1, 2018, STATING THAT THE 2017 CCR HAS BEEN DISTRIBUTED
TO CUSTOMERS AND THAT THE INFORMATION IS CORRECT.

The CCR guidance, CCR template, and the certification form can be obtained from the Division of Drinking Water web site
at:http://www.waterboards.ca.gov/drinking_water/certlic/drinkingwater/CCR.shtml

Indicate the date your 2017 CCR was distributed or will be distributed to your customers:

06/30/2018 mm/dd/yyyy

PUBLIC WATER SYSTEMS THAT SERVE 100,000 OR MORE PERSONS ARE REQUIRED TO POST THEIR CCR ON THE INTERNET.

If your water system serves 100,000 or more persons, indicate the date the CCR was or will be posted to the Internet:

YY

If applicable, please provide the URL link to the CCR posted on the Internet:
YY

COMMENTS: YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

9. OPERATOR CERTIFICATION

A. Please list the State certified Water Treatment Plant Operators employed by your water system that supervise and direct the operation
of your water treatment plants, beginning with the chief operator(s) .

Your Highest Treatment System Classification is: There are no facilities subject to the Certified Treatment Plant Operator requirements

OPCERT CTO Check this box if your public water system has designated a Chief Treatment Operator.

Name of Chief Treatment Operator (First name Last name):	Mitchell Freeman
Grade of Chief Treatment Operator (1, 2, 3, 4 or 5):	4
Treatment Operator Number (4 or 5 digits):	12892
Treatment Certification Expiration Date (MM/DD/YYYY):	11/01/2019

Treatment Operator Name (First name Last name)	Grade of Treatment Operator (1, 2, 3, 4, or 5)	Chief or Shift1 (C, S or X)	Treatment Operator Number (4 or 5 digits)	Treatment Certification Expiration Date (MM/DD/YYYY)
Mitchell J. Freeman	T4	C	12892	01/01/2019
Michael L. Booth	T2	S	16653	06/01/2019
Andrew C. Forst	T2	S	22114	07/01/2020
Michael A. Gow	T2	X	35672	12/01/2019
Richard D. Johnson	T2	S	16709	11/01/2016
Jeffrey S. McKee	T2	S	24740	08/01/2019
David J. Wilke	T2	S	23763	05/01/2019
Michael W. Mudge	T2	S	24668	01/01/2018
Gregory Bagwell	T1	S	24665	07/01/2017
Jeremy Unland	T1	S	34166	02/01/2018
Kenneth E. Squires	T1	S	30324	01/01/2018
Christopher M. Pillow	T1	S	35113	02/01/2019
Jorge Duran Mora	T2	S	38528	07/01/2019
Elliott Magdaleno	T1	S	38541	07/01/2019

¹Use “C” for Chief Operator and “S” for Shift Operator. If neither, put an "X". Do not leave blank.

Do your Chief and Shift Treatment Plant Operators have the minimum level required?

B. Please list the State certified Water Distribution System Operators employed by your water system that supervise and direct the operation
of your distribution systems, beginning with the chief operator(s) .

Your Distribution System Classification is: D5

OPCERT CDO Check this box if your public water system has designated a Chief Distribution Operator.

Name of Chief Distribution Operator (First name Last name):	Mitchell Freeman
Grade of Chief Distribution Operator (1, 2, 3, 4 or 5):	5
Distribution Operator Number (4 or 5 digits):	3479
Distribution Certification Expiration Date (MM/DD/YYYY):	06/01/2020

Distribution Operator Name (First name Last name)	Grade of Distribution Operator (1, 2, 3, 4, or 5)	Chief or Shift1 (C, S or X)	Distribution Operator Number (4 or 5 digits)	Distribution Certification Expiration Date (MM/DD/YYYY)
Mitchell J. Freeman	D5	C	3479	06/01/2020
Richard D. Johnson	D5	S	6121	01/01/2020
Michael W. Mudge	D5	S	16712	05/01/2018
Andrew C. Forst	D5	S	9289	04/01/2018
William R. Carter	D5	S	25557	08/01/2018
Michael L. Booth	D4	S	6113	06/01/2018
Jeffrey S. McKee	D4	S	5905	03/01/2018
Dean M. Wade	D4	S	19099	07/01/2018
Greg Bagwell	D3	S	19094	01/01/2021
John A. Smith	D3	S	26893	10/01/2020
Kenneth K. Grant	D3	S	21358	06/01/2018
Eric M. Libeu	D3	S	30031	03/01/2019
Thomas L. Moses	D3	S	30032	05/01/2019
Matt Park	D3	X	30030	11/01/2019
Miguel J. Rodriguez	D3	S	30038	01/01/2018
Kenneth E. Squires	D3	S	32296	02/01/2018
Michael A. Gow	D2	X	4583	11/01/2020
Hector Martin Ambriz	D3	S	16770	01/01/2019
Ross W. Detwiler	D2	S	30039	01/01/2018
Ryan H. Merrick	D2	S	29019	10/01/2018
Christopher M. Pillow	D2	S	31407	08/01/2018
David J. Wilke	D3	S	10344	09/01/2019
Geoffrey P. Wolever	D2	S	16651	04/01/2020
Zeferino Fuentes	D2	S	33499	11/01/2020
Jeremy S. Unland	D2	X	39574	11/01/2020
Steve Gates	D2	S	46857	05/01/2019
Elliott M. Magdaleno	D3	S	39404	03/01/2019
Ernie Contreras	D1	S	36069	04/01/2018
James E. Geller	D1	S	31350	07/01/2018
Kristen Frankforter	D1	X	46043	05/01/2019
Justin Smith	D2	S	42332	10/01/2018
Jorge Duran Mora	D5	S	47339	10/01/2019
Jason Venable	D1	X	43229	11/01/2019

¹Use “C” for Chief Operator and “S” for Shift Operator. If neither, put an "X". Do not leave blank.

Do your Chief and Shift Distribution System Operators have the minimum level required?

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

10. WATER SYSTEM IMPROVEMENTS

The California Waterworks Standards (Section 64556) require an amended permit for any of the following improvements or modifications:

• Addition of a new distribution reservoir with a capacity of 100,000 gallons or more
• Modification or extension of the existing distribution system using an alternative to the requirements of the
  California Waterworks Standards (see Sections 64570 through 64578)
• Modification of the water supply by:
  • Adding a new source
  • Changing the status of an existing source (for example, active to standby) or
  • Changing or altering a source, such that the quality or quantity of water supply could be affected
• Any addition or change in treatment, including
  • Design capacity
  • Process
• Expansion of the existing service area by 20 percent or more of the number of service connections specified in your current permit.

If your water system made any improvements or modifications during 2017 for which a permit was not obtained, please describe
the improvements or modifications below.
Reline Upper Sky Crest Tank, replaced tank at McMillan Well, Re-drilling Well 8 (not completed) and Destroy Well 8

Indicate any planned improvements or modifications for 2020.
Replace Pipeline on Stetson between Hemet Street and Merridian.

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

11. COMPLAINTS REPORTED (WRITTEN OR VERBAL)

Type of Complaint	No. of Complaints Reported by Customers	No. of Complaints Investigated	No. of Complaints reported to the Division of Drinking Water or Local County Staff	Brief Description of Cause and Corrective Action taken
Taste and Odor	7	8	1	Flushed water lines, flushed water heaters
Color	2	2	0	Flushed house plumbing
Turbidity	1	1	0	Air in water spoke on phone
Visible Organisms	0	0	0	YY
Pressure (High or Low)	2	2	0	Replaced Pressure Regulator
Water Outages1	0	0	0	YY
Illnesses (Waterborne)	0	0	0	YY
Other (Specify)	2	2	0	1-Hardness 1-Leak/Spoke to Customer & Dispatched Repair Crew
Total No. of Complaints*	14	15	1

¹These are customer complaints of a water outage and not necessarily the same as the water outages reported under “System Problems” in the Distribution Section of the EARDWP.
*Calculated field

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

12. RECYCLED WATER USE

Do you have recycled water in your service area (provided by you or another utility)?

--Pick one-- Yes No Don't Know

Recycled Water (RW) Use Sites	Total No. of Approved Sites as of Dec. 31, 2017	No. of New Sites Approved in 2017	No. of Sites Proposed for 2020
Irrigation, Agriculture	YY	YY	YY
Irrigation, Landscape	YY	YY	YY
Industrial	YY	YY	YY
Dual-plumbed (In-building)	YY	YY	YY
Dual-plumbed (Single-family lot)	YY	YY	YY
Cooling Towers	YY	YY	YY
Other	YY	YY	YY
Total*	0	0	0

Name of the recycled water coordinator:	YY
Business Phone:	YY
Email address:	YY
How many inspections of recycled water use sites were conducted in 2017?	YY
How many pressure/shutdown tests were performed in 2017?	YY
Do all of your recycled water uses sites have an on-site supervisor?	--Pick one-- Yes No
How many recycled water uses sites do not have an on-site supervisor?	YY

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

13. SYSTEM OPERATION - TREATMENT

A. GROUNDWATER TREATMENT (respond only if groundwater treatment is provided, exclude chlorination treatment)

Groundwater Treatment Plant Name	Treatment Process	Date of Operations Plan	Is Operations Plan Current? (Y/N)	Contaminant Removed
Nothing Reported

Describe any plant problems, process failures, major shutdowns, etc., which occurred in 2017 and substantially affected the plant performance AND/OR
any significant modifications or maintenance provided to the plant(s):

B. SURFACE WATER TREATMENT (respond only if surface water treatment is provided)

Surface water Treatment Plant Name	Date of Operations Plan	Is Operations Plan Current? (Y/N)
Nothing Reported

Describe any plant problems, process failures, major shutdowns, etc., which occurred in 2017 and substantially affected the plant performance AND/OR
any significant modifications or maintenance provided to the plant(s):

TD = Treatment or Distribution operator at any level

NR, N/A, NA = There are no facilities subject to the Certified Treatment Plant Operator requirements

Date of current Emergency Disinfection Plan (EDP)*:	06/25/2015
*As required under Section 64660(c)(2). The EDP may be included in your water system’s Emergency Response Plan or Operations Plan. If so, provide the Name and Date of those plans below:.
Name of Document that includes the Emergency Disinfection Plan:	Emergency plan for disinfection in Lake Hemet MWD System 3310022
Date of document that includes the Emergency Disinfection Plan:	06/25/2015
Date of last watershed sanitary survey report :	11/06/2017
Date planned to complete next watershed sanitary survey report*:	11/01/2022
*As required under Section 64665, each watershed sanitary survey shall be updated at least every 5 years.

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

14. SYSTEM OPERATION – DISTRIBUTION

A1. DEAD-END FLUSHING PROGRAM

Total No. in System	No. with Blowoffs	No. Flushed in 2017	Frequency of Flushing
457	256	11	After repairs and when customer complains

A2. ALL FLUSHING OPERATIONS

Units of Measure for total volume reported below:	--Pick one-- Gallons Million Gallons Acre-feet (AF) 100 cubic feet
Total Volume in units of measure selected above; include all types of flushing, not just dead-end flushing:	98.325

B. VALVE EXERCISE PROGRAM

Size Range of Valves	Total No. in System	No. Exercised in 2017	Frequency of Valve Exercising
3'-18'	4684	154	10 yrs+

C. STORAGE TANK/RESERVOIR INSPECTION/CLEANING PROGRAM

(Do not include pressure tanks)

Tank name	Capacity (in million gallons, MG)	Year installed	Date of last inspection	Date of last cleaning	Date re-lined or coated	Corrosion protection(*)	Material of construction
Marshall	2	1990	03/20/2018	03/20/2018	4/13/2016	Lake #1	2
1972	05/18/2016	05/18/2016	2003	Lake #2	2	1977	04/29/2015
04/29/2015	04/20/2013	Cornell	2	1969	03/27/2018	03/27/2018	05/20/2012
Little Lake	1	1956	05/12/2014	05/12/2014	03/25/2010	Park Hill	2
1996	03/29/2018	03/29/2018	1996	Bee Canyon	0.5	1982	04/27/2017
04/27/2017	2001	Section 13	0.04	1970	04/30/2015	04/30/2015	12/2005
Cunningham	0.12	1983	03/27/2018	03/27/2018	02/2001	Sprague Heights	0.195
Unk	05/19/2016	05/19/2016	2003	Upper Skycrest	0.3	1967	03/28/2017
03/28/2017	03/28/2017	Middle Skycrest	0.06	03/10/2010	04/30/2015	04/30/2015	2010
Pachea Trial	0.06	2003	04/27/2017	04/27/2017	2003	Pipeyard	0.02
Unk	01/12/2016	01/12/2016	Unk	W-14	0.04	Unk	03/22/2018
03/22/2018	Unk	W-10	0.02	Unk	11/2014		Unk
W-2	0.02	Unk	10/13/2014	10/13/2014	Unk	M&M	0.04
Unk	05/02/2018	05/02/2018	Unk	McMillan	0.02	05/01/2017	05/2017
05/2017	05/2017	Webcor	0.02	Unk	01/14/2013	01/14/2013	Unk

D. SYSTEM PROBLEMS

Type of Problem	No. of Problems	No. of Problems Investigated	No. of Problems Reported to the Division of Drinking Water or Local County Staff	Brief Description of Cause and Corrective Action Taken
Service Connection Breaks/ Leaks	115	115	0	Repaired or Replaced Service
Main Breaks/Leaks	63	63	0	Repaired Main
Water Outages	9	9	0	From Repair Efforts
Boil Water Orders	0	0	0	YY
Total*	187	187	0

SECTION E AND F BELOW ARE ONLY FOR RETAIL COMMUNITY WATER SYSTEMS WITH >3,000 SERVICE CONNECTIONS OR SUPPLY >3,000 AF/YEAR

If you have questions about completing this section of the report, please contact Kartiki.Naik@waterboards.ca.gov or call (916) 319-9468.

The information in the section below will be used to help develop water loss performance standards for urban retail water suppliers, as required by SB 555 (2015).

E. INFRASTRUCTURE AND PRESSURE MANAGEMENT

Pipe Material in Distribution System

1. Which materials does your distribution system pipe consist of? Please check all that apply:

  Plastic
  Steel
  Cast Iron
  Galvanized Iron
  Ductile Iron
  Cement Concrete
  Asbestos Cement
  Clay
  Wood

Pipeline Material	Percentage of distribution pipe system composed of the materials selected above	Average Age (in years)
Plastic	.27	10
Steel	71.47	50
Cast Iron	0	0
Galvanized Iron	0	0
Cement Concrete	0	0
Asbestos Cement	1.53	60
Clay	0	0
Wood	0	0
If other, specify below:	0	0
YY

2. Percentage of distribution system composed of pipes with a nominal diameter larger than 18 inches YY %

Pressure Management

1. Has your system used Pressure Managed Areas over the past 3 years for the purpose of real loss reduction?

  If yes, please check the box.

If not, proceed to question 3. Comments can be provided in question 3.

a) For what percentage of your distribution pipe system were these pressure managed areas established?	YY %
b) What was the average pressure reduction over these pressure managed areas?	YY psi
c) What was the expenditure in establishing and operating these pressure managed areas for your distribution system? (Amount in $)	YY

2. Did you measure the real loss reduction achieved through pressure management?

  If yes, please check the box.

If not, proceed to question 4. Comments can be provided in question 3.

a) Specify the average annual real loss reduction achieved over the past 3 years due to these pressure managed areas	YY
b) Specify the Unit of Measure for the average annual real loss reduction reported in Question 2a)	--Pick one-- Planning Piloted Full-scale Not Considered Not Tracked

3. Comments on pressure managed areas in your system: YY

4. Specify the minimum operating pressure, averaged across your distribution system, required to maintain minimum pressure requirements at critical pressure points in your distribution system as per the California Waterworks Standards (California Code of Regulations, Title 22, Division 4, Chapter 16, Article 8, §64602). 36.2 psi

5. Comments on the minimum operating pressure in Question 4 YY

F. REAL LOSS REDUCTION MEASURES

1. Has your system implemented real loss reduction measures (excluding pressure reduction) in 3 years?

  If yes, please check the box and proceed to a)

If not, skip questions (a) through (c) below.

a) If yes, please specify the total real loss reduction achieved over the past 3 years using the real loss reduction measures considered above.	YY
b) Specify the Unit of Measure for the average annual real loss reduction reported in Question 1a)	--Pick one-- Gallons Million Gallons Acre Feet 100 Cubic feet
c) What was the expenditure in implementing the above real loss reduction measures for your distribution system? (Amount in $)	YY

2. Comments on real loss reduction measures employed YY

COMMENTS: Replacing old, leaky main lines.

15. EMERGENCY PREPAREDNESS AND RESPONSE

A. EMERGENCY RESPONSE PLANS

PUBLIC WATER SYSTEMS WITH AT LEAST 3,300 OR MORE PERSONS SHOULD REVIEW AND REVISE THEIR EMERGENCY
RESPONSE PLAN TO ENSURE THAT THE PLANS ARE SUFFICIENT TO ADDRESS POSSIBLE DISASTER SCENARIOS.

Do you have an Emergency Response Plan (ERP) that addresses the procedures for the restoration of water service for your water system?	--Pick one-- Yes No
Date of your current Emergency Response Plan:	07/05/2016
Date ERP was last exercised with a tabletop or other activity:	10/19/2017

B. AUXILIARY POWER SUPPLY

Does your water system have backup power for:
1. Sources:	--Pick one-- All Some None Not Applicable
2. Pumping Stations:	--Pick one-- All Some None Not Applicable
3. Water Treatment Plants:	--Pick one-- All Some None Not Applicable
If your system has backup power, how many times per year is it exercised?	12
Can your system maintain system pressure either by backup power or by storage during power outages of 2 hours or less?	--Pick one-- Yes No
Is your backup power system automatic or manual start?:	--Pick one-- Automatic Manual Start Not Applicable

COMMENTS (Note: Comments will be made publicly available): YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

17. WATER CONSERVATION AND DROUGHT PREPAREDNESS

Date of your revised Drought Preparedness Plan or Water Shortage Contingency Plan, if any:	08/20/2014
Units of Measure for this section:	--Pick one-- Gallons Million Gallons Acre-feet(AF) 100 cubic feet
If you experienced water shortages in 2017, please estimate the amount of shortfall in units selected for this section:	YY
How many water-shortage response stages are in your drought plan? For “non-applicable”, enter zero.	--Pick one-- 0 1 2 3 4 5 6 7 8+
Did drought conditions cause you to activate emergency standby wells in 2017?	--Pick one-- Yes No Not Applicable (no wells)
Do you project water shortages in the current calendar year?	--Pick one-- Yes No
Did you implement NEW water conservation measures in 2017?	--Pick one-- Yes No
If you implemented NEW water conservation measures in 2017, please estimate how much water was conserved       YY volume of water in units selected for this section       YY % reduction in demand
Do you anticipate having to go to mandatory rationing in the upcoming year?	--Pick one-- Yes No
Do you routinely monitor the static water levels in your wells?	--Pick one-- Yes No Not Applicable (no wells)
Do you routinely monitor the pumping water levels in your wells?	--Pick one-- Yes No Not Applicable (no wells)
Are these levels recovering, declining or steady?:	--Pick one-- Recovering Declining Steady Not Applicable (no wells)

Please list any other long term actions you are considering or planning:

What steps have your system taken, if any, to implement current water efficient plumbing standards? YY

Identify the method your water system uses to discourage excessive water use in support of SB 814 (2016) :	(Check as applicable)   Rate structure (e.g., block tiers, water budgets, or rate surcharges above base rates for excessive water use)   Excessive water use ordinance, rule, or tariff condition   Not implementing   Not applicable: not an urban retail water supplier
COMMENTS REGARDING SB 814:	YY

COMMENTS: YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

17. CLIMATE CHANGE ADAPTATION AND RESILIENCY FOR WATER UTILITIES

Per Waterboard Resolution 2017-0012, dated 3/7/17, water system inspections are required to address climate change impacts & concerns.

ONLY FOR COMMUNITY WATER SYSTEMS

Your water system classification is: Community Water System

If you have questions about completing this section of the report, please contact Joseph.Crisologo@waterboards.ca.gov or call (818) 551-2046.

A. CLIMATE THREATS
What climate-related impacts are of concern for your water system (check all that apply)?   Drought   Groundwater Depletion   Water Quality Degradation   Flooding   Sea Level Rise   Extreme Heat   Fire   Other   None or N/A
B. SENSITIVITY AND MAGNITUDE OF IMPACTS
Qualitatively assess climate change sensitivity of your facilities, and criticality or consequence of disruption. Consider identified climate threats using past experience, and expert judgement based on the magnitude of expected change and extreme events in the future. You do not need numeric answers. USEPA provides a risk assessment tool, called CREAT, to help utilities identify which environmental changes can impact water supply: https://www.epa.gov/crwu/build-resilience-your-utility. More resources are available that may help you complete this section.
Drought | Groundwater Depletion	Decreased water storage (low lake and reservoir levels)	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
	Groundwater depletion (increased extraction, reduced groundwater recharge, etc.)	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
	Change in seasonal runoff and/or loss of snowmelt	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
	Region relies on water diverted from the Delta, imported from the Colorado River, or other climate-sensitive area	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
Water Quality Degradation	Salt-water intrusion into aquifers	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
	Altered water quality during storm events (turbidity shifts, debris flows)	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
	Surface water quality issues related to eutrophication, algal blooms, invasive species	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
Flooding | Sea Level Rise	High flow events and flooding	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
	Inundation due to sea level rise, high tides, and/or coastal storm surges	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
	Aging flood protection infrastructure (levees), or insufficient impoundment capacity	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
Extreme Heat	Peak demand volume surges (due to extreme heat, temperature trends, etc.)	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
	Increases in agricultural water demand or energy sector needs	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
Fire | Other Impacts	Increased fire risk and altered vegetation, e.g., wildfires	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
	Disruption of power supply	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
	Other YY	Choose an item --Pick one-- High or Already Experiencing Medium Sensitivity None to Low Sensitivity
C. ADAPTATION MEASURES
Identify measures to increase resiliency and reduce vulnerabilities based on identified water system sensitivities. Indicate status for all projects that your organization has completed or plans to implement to increase resiliency of the water system to climate change? Adaptation measures planned or achieved for reasons other than climate change should be put in the “Other” box along with the reason for the measure. USEPA’s Adaptation Strategies Guide for Water Utilities provides examples of adaptation: https://www.epa.gov/crwu/learn-how-plan-extreme-weather-events
Install new and deeper drinking water wells, or modify existing wells to increase pumping capacity		Choose an item --Pick one-- Completed In Progress Plan to Implement Will not Implement N/A
Develop local supplemental water supply, enhanced treatment, or increased storage capacity (e.g. recycled water, storm runoff for groundwater recharge, desalination, new reservoir)		Choose an item --Pick one-- Completed In Progress Plan to Implement Will not Implement N/A
Interconnection with other utilities (transfers, mutual aid agreements with neighboring utilities)		Choose an item --Pick one-- Completed In Progress Plan to Implement Will not Implement N/A
Relocate facilities, construct or install redundant facilities		Choose an item --Pick one-- Completed In Progress Plan to Implement Will not Implement N/A
Modify facilities (e.g., install barrier or levee, raise a wall, seal a door, elevate construction)		Choose an item --Pick one-- Completed In Progress Plan to Implement Will not Implement N/A
Conservation measures (demand management, enhanced communication and outreach)		Choose an item --Pick one-- Completed In Progress Plan to Implement Will not Implement N/A
Fire prevention – brush management, partnerships		Choose an item --Pick one-- Completed In Progress Plan to Implement Will not Implement N/A
Alternative or backup energy supply		Choose an item --Pick one-- Completed In Progress Plan to Implement Will not Implement N/A
On-site energy generation		Choose an item --Pick one-- Completed In Progress Plan to Implement Will not Implement N/A
Enhance monitoring program, budget for additional testing and treatment, chemicals		Choose an item --Pick one-- Completed In Progress Plan to Implement Will not Implement N/A
Other YY		Choose an item --Pick one-- Completed In Progress Plan to Implement Will not Implement N/A

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

18. LEAD SERVICE LINE REPLACEMENT

ONLY FOR COMMUNITY WATER SYSTEMS

Your water system classification is: Community Water System

Section 116885 of the California Health and Safety Code, Lead Service Lines in Public Water Systems, added to the Health and Safety Code by Senate Bill 1398 (2016) and amended by Senate Bill 427 (2017), requires all community water systems (CWS) to compile an inventory of known partial or total lead user service lines in use in its distribution system by July 1, 2017. All CWSs will need to provide DDW an inventory form through this 2017 electronic annual report (eAR) explaining how the inventory was determined and the results. DDW is utilizing this 2017 electronic annual report (eAR) to gather and update this information.

IMPORTANT: In the 2017 electronic Annual Report, all CWSs were required to submit the lead service line inventory to the DDW. The INVENTORY TABLE below were PRE-FILLED with information provided in the 2017 eAR, please review the table below and take this opportunity to make changes and update your inventory. All pipe materials that does not apply to your system must not be left blank. You must enter zero, otherwise errors will be generated at the end of the eAR report.

The inventory must include all user service lines that are active and those that are reasonably expected to become active in the future. Also, Section 116885 requires that CWS identify areas that may have lead user service lines in use, and/or identify any areas within the CWS distribution system that the CWS cannot identify the material that is being used for the service line. If a CWS indicates the existence of lead user service lines or unknown material user service lines or lead/unknown fittings associated with user service lines, by July 1, 2020, the CWS will need to submit to DDW a timeline to replace all lead and unknown material user service lines. Please include the updated information on your user service line inventory below so DDW can track the progress of your system. For additional information, please visit

https://www.waterboards.ca.gov/drinking_water/certlic/drinkingwater/lead_service_line_inventory_pws.html

If you have questions about completing this section of the report, please contact David.Pimentel@Waterboards.ca.gov or call (916) 323-0572.

If your water system is a wholesaler and your system contain no user service lines, you are not required to complete this form: Please check this box:  

Date lead service line inventory was completed (MM/DD/YYYY):

05/07/2018

A. User service line inventory:

"User service line" means the pipe, tubing, and fittings connecting a water main to an individual water meter or service connection.

Pipe Material		Estimated Number of Service Lines (Enter “0” if none)	Estimated Total Length of Service Lines (In feet), if applicable
A. Lead		0	0
B. Unknown material		0	0
C. Copper		10153
D. Cast iron (ductile pipe)		0
E. Ductile iron		0
F. Galvanized steel		1998
G. Polyvinyl chloride (PVC)		0
H. Polyethylene (PE)		0
I. High density polyethylene (HDPE)		1961
J. Polybutylene (PB)		0
K. Transite/asbestos cement		0
L. Other materials not listed above:
Identify material 1	YY	YY
Identify material 2	YY	YY
Identify material 3	YY	YY
Identify material 4	YY	YY
Total number of service lines inventoried* (calculated field)		14112
Total number of service connections from Section 3 of the EAR		14252
Fittings or fittings connecting a water main:
M. Lead fittings NOT on a lead pipe(e.g., goosenecks, pigtails, and corporation stops)		0
N. Lead fittings ON a lead pipe (e.g., goosenecks, pigtails, and corporation stops)		0
O. Fittings of unknown material (e.g., goosenecks, pigtails, and corporation stops)		0
Total number of lead service lines** (calculated field)		0

B. Method(s) used to prepare the lead service line inventory in Part A (check all that apply):

  Tap Cards or tickets from initial service installation
  Plans from water main installation, rehabilitation, and replacement
  Records indicating when buildings were constructed
  Meter replacement records
  Distribution maps, drawings, or GIS
  Visual confirmation of pipe material by plumbers or utility crews during maintenance or installation activities
  Interviews with water system personnel and/or past employees
  Field investigations
  Other (describe below):
YY

C. PRINT THIS INVENTORY FORM FOR YOUR SIGNATURE

I certify under penalty of perjury under the laws of the State of California that the foregoing [including any uploaded documents] is true and correct to the best of my knowledge.

Signature:
Name:	YY
Title:	Mitchell J. Freeman
Phone number:	951-658-3241 Ext. 247
Date signed (MM/DD/YYYY):	05/17/2018
PWS Name:	LAKE HEMET MWD
PWS No.:	CA3310022

Print this completed form by clicking “Print” below, sign and scan. This is your certified form.
Print

D. UPLOAD SIGNED INVENTORY FORM AND MAP(S) IDENTIFYING AREAS WITH LEAD SERVICE LINES OR SERVICE LINES CONSTRUCTED OF UNKNOWN MATERIAL

Click HERE to upload the certified form if no lead service lines or service lines constructed of unknown material were identified.

OR

Click HERE to upload the maps (only .shp, .kml or .kmz, and .pdf in order of preference) only if you have areas with lead service lines or service lines constructed of unknown material and upload the certified form.

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow	CCR
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

Disclosure: Be advised that Sections 116725 and 116730 of the California Health and Safety Code
states that any person who knowingly makes any false statement on any report or document
submitted for the purposes of compliance may be liable for a civil penalty not to exceed
five thousand dollars ($5,000) for each separate violation for each day that the violation
continues. In addition, the violators may be prosecuted in criminal court and upon conviction, be
punished by a fine of not more than $25,000 for each day of the violation, or be imprisoned in county jail
not to exceed one year, or both the fine and imprisonment.