WATER SYSTEM INFORMATION
Water System No.:	CA3110001
Water System Name:	NORTH TAHOE PUD - MAIN
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	875 NATIONAL AVE TAHOE VISTA 96148
General Office Phone: (with area code)	YY
Web site address:	YY

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)

  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: Michael Warren Title: Lead Water Quality Control Technician Work phone: 530-546-4212 Cell phone: YY Email address: mwarren@ntpud.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: YY

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow
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)
FISCHER, KEN			Business Home	530-553-5450 YY	YY YY	Contact1 Delete Administrative	Operator
UTIL OPERATIONS MGR			Facsimile	YY		Financial	Emergency
PO Box 139			Mobile	775-790-5597		Designated Operator In Charge	Water Quality
TAHOE VISTA   CA   96148			Emergency	YY		Owner	Legal
						Funding	Contract Operator
ORR, BOB			Business Home	530-546-4212 YY	borr@ntpud.org YY	Contact2 Delete Administrative	Operator
UTILITY OPS. SUPERVI			Facsimile	530-546-2652		Financial	Emergency
PO Box 139			Mobile	775-771-0695		Designated Operator In Charge	Water Quality
TAHOE VISTA   CA   96148			Emergency	YY		Owner	Legal
						Funding	Contract Operator
WARREN, MICHAEL			Business Home	530-546-4212 YY	mwarren@ntpud.org YY	Contact3 Delete Administrative	Operator
LEAD TECHNICIAN			Facsimile	YY		Financial	Emergency
P.O. Box 139			Mobile	YY		Designated Operator In Charge	Water Quality
TAHOE VISTA   CA   96148			Emergency			Owner	Legal
						Funding	Contract Operator
SCHNEIDER, JAMES			Business Home	530-414-8531 YY	YY YY	Contact4 Delete Administrative	Operator
LEAD TECHNICIAN			Facsimile	YY		Financial	Emergency
PO Box 139			Mobile	YY		Designated Operator In Charge	Water Quality
TAHOE VISTA   CA   96148			Emergency	YY		Owner	Legal
						Funding	Contract Operator
JOHNSON, BRAD			Business Home	530-553-5410 YY	bjohnson@ntpud.org YY	Contact5 Delete Administrative	Operator
GENERAL MANAGER			Facsimile	YY		Financial	Emergency
P.O. Box 139			Mobile	510-915-5654		Designated Operator In Charge	Water Quality
TAHOE VISTA   CA   96148			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
NEW CONTACTS
Add Additional Contact						(pick all that apply)
--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
Add Additional Contact						(pick all that apply)
--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
Add Additional Contact						(pick all that apply)
--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
Add Additional Contact						(pick all that apply)
--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
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

2. POPULATION SERVED

Permanent population or number of long-term residents*:

5300

*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::

Water services area matches population

Seasonal Maximum Population (If applicable):

10000

Provide season :

Begin Date		End Date
MM	DD	MM	DD
05	15	09	30

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

Tahoe Vista, Kings Beach, Brockway Vista

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

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

3. NUMBER OF SERVICE CONNECTIONS(as of December 31, 2019)

A. Active Service Connections:

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

3256

The total number of Service Connections as of December 31, 2019 must be reported as either Unmetered or Metered for each Service Connection Type as appropriate.

	Potable 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*
Single-family Residential: single family detached dwellings	0	2749	2749
Multi-family Residential: Apartments, condominiums, town houses, duplexes and trailer parks	0	258	258
Commercial/Institutional: Retail establishments, office buildings, laundries, schools, prisons, hospitals, dormitories, nursing homes, hotels, churches, campgrounds	0	218	218
Industrial: All manufacturing	0	0	0
Landscape Irrigation: Parks, play fields, cemeteries, median strips, golf courses	0	43	43
Agricultural Irrigation: Irrigation of commercially-grown crops	0	0	0
Total Active Connections*	0	3268	3268

 

If the connection categories below include some portion of residential connections, please check the boxes below:

  Commercial/Institutional

  Industrial

  Landscape Irrigation

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.”

0

C. Outdoor or Indoor meters/submeter

	Only Urban Water Suppliers answer the questions below
	Does your water system keep records on outdoor irrigation meters or commercial, institutional, or industrial indoor submeters?	--Pick one-- Yes No
	If “no”, skip questions C1-C4 in this section and question 6B2 in Section 6B, Deliveries.

C1. Number of NON-residential customers required to have dedicated outdoor irrigation meters (excluding agricultural connections)

0

C2. Number of Single-Family Residential customers with dedicated outdoor irrigation meters?

17

C3. Number of Multi-Family Residential customers with dedicated outdoor irrigation meters?

0

C4. Number of Commercial, Institutional and Industrial customers with indoor submeters?

26

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

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

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

Type	Total No. Active	Total No. New/ Added in 2019	Total No. Inactivated in 2019	Total No. Destroyed in 2019
Active Groundwater Intakes (Wells)	1	0	0	0
Active Surface Water Intakes (Raw)	1	0	0	0
Active Purchased Water (GW) Connections	0	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	0		0	0

Are your water sources metered?	--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)

¹If a standby source was used in 2019, provide the following information.

Name of the Standby Source used in 2019:	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:
None

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): No change to ground water and surface water or stand by sources

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow
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 2019 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.

Important Note Concerning Recycled Water Questions:

The California Water Code Section 10609(c)(4) states: “The state should identify opportunities for streamlined reporting, eliminate redundant data submissions, and incentivize open access to data collected by urban and agricultural water suppliers.”

It has come to the Division of Drinking Water’s attention that, between this Electronic Annual Report and other reports, some public water systems experience (at least some) redundant reporting of recycled water information to the Division of Drinking Water.

If some or all of the quantities are reported elsewhere, check this box:   . Answer any questions below that are not reported elsewhere and leave the reported quantities blank in the table. Please note in the comments where these quantities were reported.

Leave recycled water cells blank ONLY IF it is reported elsewhere on other reports indicated below, otherwise enter zero or the actual figure.

Name of report(s) containing the information requested in this Electronic Annual Report for reporting year 2019:

0

Regulatory entity receiving the report(s), contact name, and phone number:

0

Units of Measure for this table:

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

Volumes are based on:

--Pick one-- METERED VOLUMES ESTIMATED VOLUMES

Table 5A: Water Produced, Purchased, and Sold

A	B	C	D	E	F	G	H	I
	Potable Water						Non-potable (exclude recycled)6	Recycled7
	Date/ Month	Water Produced from Groundwater (Wells)	Water Produced from Surface Water2	Finished Water Purchased or Received from another PWS5	Total Amount of Potable Water3*	Water Sold to Another PWS5
Check here if no production for every month
Maximum Day1	Aug 3, 2019	YY	1534747	YY	1534747	YY
January		1.160	18.968	0	20.128	0	0	0
February		5.712	9.135	0	14.847	0	0	0
March		6.492	14.045	0	20.537	0	0	0
April		5.541	18.103	0	23.644	0	0	0
May		.479	17.797	0	18.276	0	0	0
June		2.820	26.658	0	29.478	0	0	0
July		.698	38.014	0	38.712	0	0	0
August		1.278	37.923	0	39.201	0	0	0
September		.367	44.200	0	44.567	0	0	0
October		1.362	23.989	0	25.351	0	0	0
November		.468	17.929	0	18.397	0	0	0
December		.508	18.193	0	18.701	0	0	0
Annual Total*		26.885	284.954	0	311.839	0	0	0
Percent Treated4		100

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.

⁶ 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

⁷ Recycled = domestic wastewater which as a result of treatment is suitable for uses other than potable use such as irrigation or toilet flushing. The recycled water collected in this table should be the non-potable recycled water which is used to substitute potable water or untreated surface and well water. If the recycled were not available, potable or untreated surface and well water needs to be used. Example, a landscape used to be irrigated using potable water but now using recycled water.

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

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

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

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

6. WATER RATES, AFFORDABILITY, AND FINANCES

A. WATER RATES

Does your water system charge customers for water (residential, commercial, industrial, or institutional water customers)?

--Pick one-- Yes No

If yes, complete Section 6A. If no, explain why:

--Pick one-- Supplier is an educational facility with its own water source Supplier is an institutional facility with its own water source Supplier is a business with its own water source Supplier is a park or recreational facility with its own water source Supplier is a wholesaler Other, (explain in comment box below)

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

A1. RESIDENTIAL WATER RATES

Does your water system charge customers for residential water rates?

--Pick one-- Yes No

A1.b. Indicate the type of residential water rate structure used by your water system (select those that apply):

Base Rate – (Non-Volumetric Rates)

Fixed Base Rate - Basic or fixed charge that is the same for all customers regardless of use.

Variable Base Rate - Basic charge is different for customers depending on size of pipe, water meter, elevation, peak use, or other factors.

Usage Rate (Volumetric Rates)

Uniform Usage Rate - The charge per 100 cubic feet of water is the same regardless of use.

Variable Usage Rate - Increasing Block or Tier Rate. The charge per 100 cubic feet or other increment of water increases as water use increases.

Other Rates

Flat Rate (often unmetered)- One rate for providing drinking water regardless of the volume of water used, not combined with a usage rate.

If you have a Flat Rate, please skip questions A1.d, A1.e, A1.f, A1.g and A1.h. Enter your flat rate in A3.

Allocation Based

Other rate structure (specify your rate structure in the comment box, provide a weblink 1j below)

We do not charge a water rate (explain in next question)

A1.c. What is your billing frequency?	--Pick one-- monthly bi-monthly quarterly annually other
A1.d. If charges change with different levels of water consumption or features, what is the number of tiers or levels of charges for single-family customers?	--Pick one-- Not Tiered 2 3 4 5 6 7
A1.e. If charges change with different levels of water consumption or features, what is the number of tiers or levels of charges for multi-family customers?	--Pick one-- Not Tiered 2 3 4 5 6 7
A1.f. Identify any aspects or factors used to determine or adjust residential water rates (mark those that apply).
Agricultural use (non-commercial or commercial)
Drought factor
Elevation
Evaportive Coolers
Fire protection - water to irrigate vegetation
Home-based business
Livestock or large animals
Lot size
Medical needs
Meter size
Mitigation of high levels of total dissolved solids
Occupancy (All-year)
Occupancy (Seasonal)
Pressure zone
Soil compaction and dust control
Supplement ponds and lakes to sustain wildlife
Other : YY
None of the above
A1.g. Units of Measure (UOM) for this table on Residential Water Rates:	--Pick one-- Gallons (Gal) Hundred Cubic Feet Thousand Gallons Million Gallons Acre Feet Not Applicable

A1.h. Table on Residential Water Rates, Single-family and Multi-family

If your water system uses an allocation or flat base rate structure, add a direct weblink to more information on your rate structure (A1.j), provide information in the box “Comments on Residential Rate Structure”(A1.k), and leave this table blank.

	Provide information on residential water rates based on consumption. If a feature of your rate structure, (e.g., meter size, elevation, or other) affects water rates, provide the water rate associated with the most common situation. Enter zero “0” if not applicable. See examples
	Single-family		Multi-family
	Upper volume of water included in base rate in Units of Measure (UOM) If there is no base rate or volume of water associated with a base rate, enter the number zero “0”.	Cost per Billing Period (Dollars)	Upper volume of water included in base rate in Units of Measure (UOM) If there is no base rate or volume of water associated with a base rate, enter the number zero “0”.	Cost per Billing Period (Dollars)
Base Rate (non-volumetric rates)	YY	YY	YY	YY
Usage Rate (volumetric rates) (Lower level instead of higher level) The rows that follow do not include a base rate or fixed charge.	Lower level of water volume for each level in UOM	Cost per UOM (Dollars)	Lower level of water volume for each level in UOM	Cost per UOM (Dollars)
Rate Structure level 1	YY	YY	YY	YY
Rate Structure level 2	YY	YY	YY	YY
Rate Structure level 3	YY	YY	YY	YY
Rate Structure level 4	YY	YY	YY	YY
Rate Structure level 5	YY	YY	YY	YY
Rate Structure level 6	YY	YY	YY	YY
Rate Structure level 7	YY	YY	YY	YY

A1.i. Date of most recent update to the rate structure (this does not include regularly scheduled rate changes, rather actual changes to your rate structure): MM/DD/YYYY	YY
A1.j. Describe the rate structure changes to rate changes that were made in the update:	YY
A1.k. Provide a direct link to a web page that explains water rates and fees, if available.	YY
A1.l. If a webpage with rate information is not available, Send an email (click here) with the document, subject line: PWSID CA_ _ _ _ _ _ _ and Rate Information
A1.m. Comments on Residential Rate Structure. Explain allocation rate, if applicable.	YY

A2. RESIDENTIAL SERVICE CONNECTIONS

A2.a. Select the most common single-family residential meter size:	--Pick one-- 3/4 inch 5/8 inch 1 inch other not applicable
A2.b. Select the most common multi-family residential meter size:	--Pick one-- 1/2 inch 5/8 inch 3/4 inch 1 inch 2 inch other not applicable
A2.c. What is, approximately, the service connection fee for single-family brand-new construction based on the most common meter size listed above ($)?	YY
A2.d. Date of most recent update to the new connection fee for single-family brand-new construction: MM/DD/YYYY	YY
A2.e. What is the one-time fee or deposit needed to create a new water service account for an existing single-family home based on the most common meter size indicated above ($)?	YY
A2.f. What is, approximately, the connection fee for multi-family new construction based on the most common meter size indicated above ($)?	YY

A2.g. 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 : YY

A2.h. Comments on Residential Service Connections (publicly available): YY

A3. AFFORDABLE DRINKING WATER

For each amount of water delivered to a single-family residential customer shown below, what is charged (in dollars) to a 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 vary locally and may include property tax, city tax, utility users tax, services for fire suppression, waste water or sewer, stormwater or other non-water surcharges, electricity. If the “other charges” varies by certain features (e.g., by climate, lot size, landscaped area) use the lowest or most common charge in your calculation. 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.

For water systems with an allocation rate (also called “budget rates”) see additional guidance

To be consistent with California’s Human Right to Water Law and Conservation Law, the questions in this section ask for water charges associated with 6, 9, 12 and 24 hundred cubic feet (HCF) of water. Information on 9 HCF is new.

A3.a. 6 HCF
Drinking Water Charges (Fixed and variable water charges)	YY	Dollars/month
Other Charges (e.g., property tax, fire suppression, waste water, other)	YY	Dollars/month
Total Monthly Water Bill (Automatic sum of Water Charges and Other Charges)*	YY	Dollars/month
A3.b. 9 HCF
Drinking Water Charges (Fixed and variable water charges)	YY	Dollars/month
Other Charges (e.g., property tax, fire suppression, waste water, other)	YY	Dollars/month
Total Monthly Water Bill (Automatic sum of Water Charges and Other Charges)*	YY	Dollars/month
A3.b. 12 HCF
Drinking Water Charges (Fixed and variable water charges)	YY	Dollars/month
Other Charges (e.g., property tax, fire suppression, waste water, other)	YY	Dollars/month
Total Monthly Water Bill (Automatic sum of Water Charges and Other Charges)*	YY	Dollars/month
A3.c. 24 HCF
Drinking Water Charges (Fixed and variable water charges)	YY	Dollars/month
Other Charges (e.g., property tax, fire suppression, waste water, other)	YY	Dollars/month
Total Monthly Water Bill (Automatic sum of Water Charges and Other Charges)*	YY	Dollars/month

*If “Other Charges” varies, (e.g., by climate, lot size, landscaped area, or other features) use the lowest charge in your calculation. *If “Other Charges” varies

A3.e. Describe what is included in “Other Charges” (mark those that apply).

Other:

YY

A3.f. Comments on Affordable Drinking Water (publicly available):

YY

A4. SHUT-OFFS

Completing this section will fulfill State Water Resources Control Board requirements of Senate Bill 998 – Discontinuation of residential water service, which are mandatory as of April 1, 2020.

Community Water Systems that have water rates and more than 200 connections must complete this section. If your community water system does not meet these criteria for completing this Section, then you must mark the boxes “did not collect information” below in order to avoid completion errors.

If a water supplier tracks the number of services connections but did not collect information on whether residences were occupied or unoccupied at the time of disconnection, put the total number of disconnections in the “unknown accounts” column in the tables in this section.
If a water supplier does not differentiate between single-family or multi-family, then enter all information as single-family.

For sections A4 and A5 (below), select the reporting year for your answers :

--Pick one-- Calendar Year (Jan-Dec 2019) Fiscal Year (July 2018-June 2019) Other Not applicable

Residential Shut-offs and Reconnections

A4. This section has several questions on water services. Are you able to provide information on drinking water services alone, or are water services combined with non-water services (e.g., electricity, trash removal services) so your responses cover more than just water services?

A4.a.How many accounts for residential service connections had their water shut off once during the year due to failure to pay?

If this information is only available for accounts that had their water shut off at least once, then check this box   and complete the table below and skip question A4.c

If there was no information collected for question A4.a, then mark this check box   and skip below table.

	Occupied Accounts	Unoccupied Accounts	Unknown Accounts	Total*
Single-Family Accounts	YY	YY	YY	YY
Multi-family Accounts	YY	YY	YY	YY

A4.b. What is the average amount owed at the time of shut-off? $

YY

Mark the box if unknown

A4.c. How many accounts for residential service connections had their water shut off more than once during the year due to failure to pay?

If there was no information collected for question A4.c, mark the check box “Did not collect information"   and skip below table.

	Occupied Accounts	Unoccupied Accounts	Unknown Accounts	Total*
Single-Family Accounts	YY	YY	YY	YY
Multi-Family Accounts	YY	YY	YY	YY

A4.d. What is the residential reconnection fee to restore drinking water service due to failure to pay during operating hours?

Single-Family Accounts	YY
Multi-family Accounts	YY

A4.e. What is the residential reconnection fee to restore drinking water service due to failure to pay during non-operating hours?

Single-Family Accounts	YY
Multi-Family Accounts	YY

A4.f. What was the median duration of the shut-offs (in days) for continuously occupied residential service accounts?

If there was no information collected for question A4.f, mark the check box “Did not collect median duration of shut-offs (in days) for occupied residents"   and skip below table.

 

	Occupied Accounts	Unoccupied Accounts	Unknown Accounts
Single-Family Accounts	YY	YY	YY
Multi-Family Accounts	YY	YY	YY

 

A4.g How many of these shut-offs are returned to service within one-day (or 24-hours)?

YY

This answer covers:

--Pick one-- Single family Multi-family Single and multi-family

A4.h. If you offer an extended repayment or other customer payment assistance plan, how many continuously occupied residential customer accounts participated?

Single-Family Accounts	YY
Multi-family Accounts	YY
Total*	YY

A4.i. How many of the continuously occupied residential accounts were shut off at least once during the year and were enrolled in an extended repayment plan or other customer payment assistance plan at the time of the service disconnection?

Single-Family Accounts	YY
Multi-family Accounts	YY
Total*	YY

   

The Water Shutoff Protection Act (SB 998, 2018) requires community water systems that have more than 200 connections to have shutoff policies completed by April 1, 2020. Mark this box if your water system has less than 200 service connections  

A4.j Provide a direct weblink to your shutoff policy as required by the Water Shutoff Protection Act: YY
If your water agency doesn’t have a website and for this reason is unable to post your shutoff policy, email your shutoff policy. Send an email (click here) with the document, Subject line: PWSID CA_ _ _ _ _ _ _ and Shutoff Policy

A4.k. What is the number of residential accounts (single-family, multi-family, and mixed use that include residential) that were missing one or more required water bill payments at the end of your year? YY

A4.l. For A4.k accounts, what is the sum of outstanding uncollected residential (single-family, multi-family, and mixed use that include residential) bills at the end of your most recent year? YY   Not determined

A4.m. Comments on Shut-offs (publicly available): YY

A5. Affordable Drinking Water Assistance

A5.a. Do you provide options for low-income assistance? If you selected “No”, skip questions A5b-A5k, and proceed to questions A6.	--Pick one-- Yes No
A5.b. If yes, how many residential accounts received the low-income subsidy?	YY
A5.c. If yes, how was the program funded?	YY
A5.d. How much funding was allocated to the program in 2019?	YY

A5.e Does your program provide benefits to single-family only, or single-family and multi-family? (select answer)

--Pick one-- Single-family customers only Single-family and Multi-family customers

A5.f. What was the average benefit amount for a single-family account in one month?

Amount and Unit of Measure:

YY

--Pick one-- Dollars Percentage of Bill Volume

A5.g. What was the average benefit amount for a multi-family account in one month?

Amount and Unit of Measure:

YY

--Pick one-- Dollars Percentage of Bill Volume

A5.h If your system partners with an outside entity (e.g., United Way) to provide assistance to low income households, list the name of organization(s) and the amount of the benefit (in dollars) provided YY

Dollars provided:

YY

Time Period:

--Pick one-- Monthly Bimonthly Annually

A5.i. OTHER FORMS OF ASSISTANCE TO ALL RESIDENTIAL CUSTOMERS. What type of bill assistance was provided? (Check all that are applicable)

Flexible or alterative Payment Terms	Number of Accounts YY	Average Bill $ YY	Information Not Collected
Temporary Assistance	Number of Accounts YY	Average Bill $ YY	Information Not Collected
Special Medical Need	Number of Accounts YY	Average Bill $ YY	Information Not Collected
Other Please describe: YY	Number of Accounts YY	Average Bill $ YY

A5.j Do you have a process that can offer bill forgiveness under certain circumstance?

--Pick one-- Yes No

YY

If yes, Number of Accounts

YY

Average Bill $

YY

Information Not Collected

A5.k Comments on Affordable Drinking Water Assistance (publicly available): YY

A6. NON-RESIDENTIAL WATER RATES

If you have non-residential water rates, complete this section. If no, mark this box:   and go to Section 6B, Deliveries

A6.a. 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

A6.b. What is your billing frequency for non-residential customers?

--Pick one-- monthly bi-monthly quarterly annually other

A6.c. Does your water system use an allocation rate for non-residential accounts?

--Pick one-- Yes No

If yes, skip table A6d. In the comment box A6.e provide a weblink to more information on the allocation rates.

A6.d. Complete the table below providing specific water rates applied to your non-residential customers:

Connection Type	BASE RATE (BR)	If BR + 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
Commercial	YY	YY	YY	YY	YY	YY	YY
Institutional	YY	YY	YY	YY	YY	YY	YY
Industrial	YY	YY	YY	YY	YY	YY	YY
Landscape Irrigation	YY	YY	YY	YY	YY	YY	YY
Agricultural Irrigation	YY	YY	YY	YY	YY	YY	YY
Other	YY	YY	YY	YY	YY	YY	YY

A6.e Comments on non-residential water rates (publicly available):

YY

B. WATER DELIVERIES

Check this box   if your water system does not have monthly water deliveries data and skip the rest of Section B.

Important Note Concerning Recycled Water Questions:

The California Water Code Section 10609(c)(4) states: “The state should identify opportunities for streamlined reporting, eliminate redundant data submissions, and incentivize open access to data collected by urban and agricultural water suppliers.”

It has come to the Division of Drinking Water’s attention that there is (at least some) redundant reporting of recycled water information occurring, for at least for some public water systems in this Electronic Annual Report to the Division of Drinking Water. If all the recycled water information requested in this section has been reported elsewhere, please check this box   , complete the information below for the location of the other reports, and skip these recycled water questions:

Name of report(s) containing the information requested in this Electronic Annual Report for reporting year 2019: YY

Regulatory entity receiving the report(s), contact name, and phone number: YY

If only some of the recycled water questions in this Electronic Annual Report section are reported elsewhere, complete the information above and answer the questions below that are not reported elsewhere. Enter “RE” (reported elsewhere) for data that is reported elsewhere as identified above, do not leave blanks unless the value is zero.

Units of Measure (UOM) for this table:

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

Provide monthly metered water deliveries for all water sources (potable and non-potable) in the table below. If you have partially metered or unmetered water deliveries, check the help tips for additional guidance as you may be able to provide information.

Table 5B Water Deliveries Before you begin, make sure that the water volume values entered in Section 5A Water Supplied and Section 5B Water Deliveries are consistent with each other and that they refer to the same population from Section 2 Population (“permanent population of number of long-term residents”).

A	B	C	D	E	F	G	H	I	J
	Single-family Residential	Multi-family Residential	Commercial/ Institutional	Industrial	Landscape Irrigation	Other	Total Retail1*	Agricultural	Other PWS
Check if no water is delivered or not applicable
January	YY	YY	YY	YY	YY	YY	YY	YY	YY
February	YY	YY	YY	YY	YY	YY	YY	YY	YY
March	YY	YY	YY	YY	YY	YY	YY	YY	YY
April	YY	YY	YY	YY	YY	YY	YY	YY	YY
May	YY	YY	YY	YY	YY	YY	YY	YY	YY
June	YY	YY	YY	YY	YY	YY	YY	YY	YY
July	YY	YY	YY	YY	YY	YY	YY	YY	YY
August	YY	YY	YY	YY	YY	YY	YY	YY	YY
September	YY	YY	YY	YY	YY	YY	YY	YY	YY
October	YY	YY	YY	YY	YY	YY	YY	YY	YY
November	YY	YY	YY	YY	YY	YY	YY	YY	YY
December	YY	YY	YY	YY	YY	YY	YY	YY	YY
Annual % recycled water	YY	YY	YY	YY	YY	YY		YY	YY
Annual % non-potable water	YY	YY	YY	YY	YY	YY		YY	YY
Total*	YY	YY	YY	YY	YY	YY	YY	YY	YY

PWS = Public Water System

^*Calculated field

¹Total Urban Retail = Sum of Columns (B) thru (G), automatically calculated.

B1. Mark boxes below, Do the customer categories noted include some portion of residential customers:

--Pick one-- Yes No Not Applicable Unknown

Commercial/Institutional

--Pick one-- Yes No Not Applicable Unknown

Industrial

Only answer question B2 if your system is an Urban Water Supplier with dedicated outdoor irrigation meters

B2. What is the annual volume of outdoor irrigation water used on landscape areas with dedicated irrigation meters in connection with commercial, institutional, and industrial (CII) water use.

	a. Unit of Measure	--Pick one-- Gallons Million Gallons Acre-feet (AF) 100 cubic feet Not applicable
	b. Volume of water	YY
	c. Water system does not collect this information (mark box if applies)

Comments YY

B3. If known, indicate what percentage of total annual urban water deliveries (see column H in Table 5B) is used for irrigation of:

a. Developed and natural parklands

YY

b. Publicly maintained urban trees (outside of parklands)

YY

c. Water system does not collect this information (mark box if applies)

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

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow
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 If no is selected, please upload a revised WQENP.

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 2019 (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
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

8. CROSS-CONNECTION CONTROL

	Total Number in System in 2019 ¹	Number Installed in 2019	Number Tested in 2019 ²	Number Failed in 2019	Number Repaired/ Replaced
Backflow Assemblies on the Service Connections or Meter (Reduced Pressure Principle and Double Check Valve assemblies)	477	3	465	9	9
Backflow Assemblies On- site but not on the Service Connections or Meter (Reduced Pressure Principle and Double Check Valve assemblies)	8	0	8	0	0
Air-gap Separation	0	0

Notes:

¹ Total Number in System in 2019 – Total number of active Backflow Prevention Assemblies including new devices installed in 2019, but excluding inactive devices.
² Number Tested in 2019 – includes all active devices that were tested in 2019 and either passed or failed.

No. of Inactive Backflow Prevention Assemblies in water system in 2019 :			62
Date of last cross-connection control survey done on the system: If ongoing, enter the last day of the year, e.g., 12/31/2019			12/31/2018
Cross Connection Control Program Coordinator
Name:			Michael Warren
Certification Number:			02507
Business Phone:	530-546-4212	Email Address:	mwarren@ntpud.org
Certification or training received: USCFCCC and CA-NV AWWA-CC Specialist

Describe any cross-connection incidents that occurred during 2019:

None

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

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow
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: T2

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

Name of Chief Treatment Operator (First name Last name):	James Schneider
Grade of Chief Treatment Operator (1, 2, 3, 4 or 5):	3
Treatment Operator Number (4 or 5 digits):	28799
Treatment Certification Expiration Date (MM/DD/YYYY):	08/01/2020

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)
Ken Fischer	2	X	33444
William Stelter	2	X	34574	07/01/2021
Thomas Payne	2	S	27441	08/01/2021
Michael Warren	2	X	33961	07/01/2021
Bob Orr	2	X	34081	01/01/2021
Chris Avery	1	S	40923
Denver Armstrong	3	S	37920	09/01/2021
Toby Robinson	1	X	40925
Michael Harper	1	X	40924
Jason Dicey	2	X	34561	07/01/2021
David Berry	2	X	28775	09/01/2021

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: D2

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

Name of Chief Distribution Operator (First name Last name):	Ken Fischer
Grade of Chief Distribution Operator (1, 2, 3, 4 or 5):	3
Distribution Operator Number (4 or 5 digits):	32681
Distribution Certification Expiration Date (MM/DD/YYYY):	YY

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)

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
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 2019 for which a permit was not obtained, please describe
the improvements or modifications below.
Plaza Circle replaced old 1" & 2" steel main with 833' of 8" HDPE. Replaced 12 existing service lines and added two new hydrants. Replaces 10 old Sensus meters with new Badger meters. Replaced high use Badger meters and older ERTs. Install a 10" & 12" Mag meters (zone meter) to help track water consumption.

Indicate any planned improvements or modifications for 2020.
Annual meter testing. Replacement of high use/old meters. Installation of additional leak sensors in distribution system. Installation of twenty Metronfarneir test meters for more water consumption info.

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

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow
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	1	1	0	Taste &/or odor complaints
Color	4	4	0	Dirty water, complaints. Pulled & checked meters, flushed service lines. One on district side, flushed end of the line @ fire hydrant and cleared up shortly.
Turbidity	0	0	0	YY
Visible Organisms	0	0	0	YY
Pressure (High or Low)	9	9	0	All customer side
Water Outages1	8	8	0	5 customer side, 3 district side.
Illnesses (Waterborne)	0	0	0	YY
Other (Specify)	0	0	0	YY
Total No. of Complaints*	14	14	0

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
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

12. RECYCLED WATER USE

Does your water system have recycled water in its service area (provided by your water system or another utility)? If no, skip the questions below in this section and move to the next section.

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

Important Note Concerning Recycled Water Questions:

The California Water Code Section 10609(c)(4) states: “The state should identify opportunities for streamlined reporting, eliminate redundant data submissions, and incentivize open access to data collected by urban and agricultural water suppliers.”

It has come to the Division of Drinking Water’s attention that there is (at least some) redundant reporting of recycled water information occurring, for at least for some public water systems in this Electronic Annual Report to the Division of Drinking Water. If all the recycled water information requested in this section has been reported elsewhere, please check this box   , complete the information below for the location of the other reports, and skip these recycled water questions:

Name of report(s) containing the information requested in this Electronic Annual Report for reporting year 2019: YY

Regulatory entity receiving the report(s), contact name, and phone number: YY

If only some of the recycled water questions in this Electronic Annual Report section are reported elsewhere, complete the information above and answer the questions below that are not reported elsewhere. Enter “RE” for data that is reported elsewhere as identified above, do not leave blanks unless the value is zero.

Recycled Water (RW) Use Sites	Total No. of Approved Sites as of Dec. 31, 2019	No. of New Sites Approved in 2019	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 2019?	YY
How many pressure/shutdown tests were performed in 2019?	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
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

Describe any plant problems, process failures, major shutdowns, etc., which occurred in 2019 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)

Describe any plant problems, process failures, major shutdowns, etc., which occurred in 2019 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)*:	YY
*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:	YY
Date of document that includes the Emergency Disinfection Plan:	YY
Date of last watershed sanitary survey report :	YY
Date planned to complete next watershed sanitary survey report*:	YY
*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
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 2019	Frequency of Flushing
176	37	YY	YY

Comments on DEAD-END FLUSHING PROGRAM (publicly available): YY

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:	YY

Comments on ALL FLUSHING OPERATIONS (publicly available): YY

B. VALVE EXERCISE PROGRAM

Size Range of Valves	Total No. in System	No. Exercised in 2019	Frequency of Valve Exercising
.75" to 14"	705	YY	YY

Comments on VALVE EXERCISE PROGRAM (publicly available): YY

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
Kings Beach 500	0.5 MG	1982	2016	2017	2016	None	Steel
Kingswood Zone 2	0.5 MG	2010	2016	2016		None	Steel
Kingswood West 500	0.5 MG	1971	2018	2018		None	Steel
Regional Park	0.5 MG	1993	2018	2018		None	Steel
Kingswood Zone 1	1.3 MG	2012	2016	2016		None	Steel
						--Pick One--

*Coatings and linings do not count as corrosion protection for table Subsection C.

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	48	68	0	YY
Main Breaks/Leaks	16	20	0	Water mains clamped or sectioned in
Water Outages	YY	YY	YY	YY
Boil Water Orders	0	0	0	YY
Total*	64	88	0

Comments on SYSTEM PROBLEMS (publicly available): YY

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

Pipe Material in Distribution System

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

  Plastic (Including Poly Vinyl Chloride and HDPE)
  Steel
  Cast Iron
  Galvanized Iron
  Ductile Iron
  Cement Concrete
  Asbestos Cement

Pipeline Material	Percentage of distribution pipe system composed of the materials selected above	Average Age (in years)
Plastic	6.3	YY
Steel	6.48	YY
Cast Iron	0.46	YY
Galvanized Iron	0.1	YY
Ductile Iron	YY	YY
Cement Concrete	0	YY
Asbestos Cement	0.52	YY
other: unknown	5.04	YY

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

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

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:	YY
Date ERP was last exercised with a tabletop or other activity:	YY

Are you registered in your local energy utility’s Public Safety Power Shutoff notification plan?

--Pick one-- Yes No Not applicable

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 in all pressure zones either by backup power or by gravity fed storage during power outages for each of the following number of hours?
24 hours	--Pick one-- Yes No Only in some zones
48 hours	--Pick one-- Yes No Only in some zones
72 hours	--Pick one-- Yes No Only in some zones
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
Certification	Improvements	Complaints	Recycled	Treatment	Distribution	Emergency	Conservation	Climate Change	LSLR	Finalize

16. WATER CONSERVATION AND DROUGHT PREPAREDNESS

1. Date of your revised Drought Preparedness Plan or Water Shortage Contingency Plan, if any:	YY
Water system does not have a current drought or water shortage plan, mark box if applies:
2. Did your water system experience water shortages in 2019?	--Pick one-- Yes No
If yes, please estimate the amount of shortfall in units selected for this section	Volume of water:	YY
	Units of Measure:	--Pick one-- Gallons Million Gallons Acre-feet(AF) 100 cubic feet
3. 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+
4. Did drought conditions cause you to activate emergency standby wells in 2019?	--Pick one-- Yes No Not Applicable (no wells)
5. Do you project water shortages in the current calendar year?	--Pick one-- Yes No
6. Does your water system anticipate having to go to mandatory restrictions in the upcoming year?	--Pick one-- Yes No

7. Identify the method your water system uses to discourage excessive water use when in drought, in support of SB 814 (2016) (Check as applicable)

  7a. Rate structure (e.g., block tiers, water budgets, or rate surcharges above base rates for excessive water use)

  7b. Excessive water use ordinance, rule, or tariff condition

  7c. Not implementing

  7d. Not applicable: not an urban retail water supplier

  7e. COMMENTS REGARDING SB 814 (Note: Comments will be made publicly available) : YY

8. To identify data streamlining opportunities, are there other government agencies, aside from the Department of Water Resources, that require reports on the same information found in the Electronic Annual Report? If yes, please describe (include the title of the report, which agency receives it, and the type of information it includes): YY

Only complete the questions below if you are an Urban Retail Water Supplier

Conservation legislation (AB 1668 and SB 606, 2018) requires that the Department of Water Resources recommend standards to calculate water use objectives (targets representing efficient water use) for each urban retail water supplier. The State Water Board will use those recommendations to adopt regulations in July 2022. The questions below help inform this process.

9. What conservation activities occurred in your service area in 2019?

a. Provide a direct link to a web page that summarizes conservation activities in your service area, if available. ntpud.org

b. If a webpage is not available, send an email (click here) with the document, Subject line: PWSID CA_ _ _ _ _ _ _, Water Conservation Activities

10. Have you tracked how much your water system spent on conservation and efficiency programs in the last fiscal year?

a. If known, enter those expenditures $ YY

b. If detailed in a document, provide a direct link to a web page with information: YY

11. Have you tracked how much water was saved as a result of those programs?

a. If known, enter those savings: YY b. Units of measure:

b. If detailed in a document, provide a direct link to a web page with information: YY

12. Have you estimated the “saturation” or percentage of water efficient appliances and fixtures already in your service area?

a. If yes, provide a direct link to a web page with information: YY

b. Alternatively, if a webpage is not available, send an email (click here) with the document, Subject line: PWSID CA_ _ _ _ _ _ _ , water efficiency of appliances and fixtures

13. Do you currently use imagery to evaluate demand for outdoor use?

Comment: YY

14. Does your water system currently grant water rate or allocation variances or adjustments to customers that have significant and unusual situations?

If no, skip this question and go to question 16 below.

a. How many types of adjustments or variances do you provide? YY

15. Do you intend to use the potable reuse water bonus incentive explained in CWC 10609.20(d))?

(If you have questions about this please contact State Water Board staff by email at: waterconservation@waterboards.ca.gov. State Water Board staff will follow up with those suppliers who answer “yes”. This information is being asked at this time to help staff estimate the impacts of SB 606 and AB 1668, as required for the regulatory process)

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

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow
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

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

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow
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, 2019. All CWSs will need to provide DDW an inventory form through this 2019 electronic annual report (eAR) explaining how the inventory was determined and the results. DDW is utilizing this 2019 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: IsWholesaler

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

05/20/2018

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		0
D. Cast iron (ductile pipe)		0
E. Ductile iron		0
F. Galvanized steel		2504
G. Polyvinyl chloride (PVC)		150
H. Polyethylene (PE)		0
I. High density polyethylene (HDPE)		596
J. Polybutylene (PB)		0
K. Transite/asbestos cement		0
L. Other materials not listed above:
Identify material 1	YY	0
Identify material 2	YY	0
Identify material 3	YY	0
Identify material 4	YY	0
Total number of service lines inventoried* (calculated field)		3250
Total number of service connections from Section 3 of the EAR		3256
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

*Total number of service lines inventoried (calculated field) = Sum of A through L

**Total number of lead service lines (calculated field) = Sum of A and M

YY

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):
Water main replacement projects includes services.

C. COMPLIANCE WITH LEAD SERVICE LINE REPLACEMENT REQUIREMENT - NEW

Select one of the following options which applies to all community water system:

1. If the CWS completed the requirement by reporting no lead or no unknown service lines or fittings in the both the 2017 and 2018 EAR (2017 AND 2018 EAR LSLR inventory table in subsection A. had rows A, B, M and equal to 0), Check the box below to indicate you have completed the requirement. Click OK in the two pop-up windows that open after the box is checked. No further action is required.

     No lead and no unknown material service lines or fittings.

2. If the CWS reported lead or unknown material service lines or fittings in the 2017 and/or 2018 EAR LSLR section AND have since replaced or identified the materials (2019 EAR LSLR inventory table in subsection A. has rows A, B, M and O equal to 0), complete the LSLR certification form (the template can be found at the webpage linked below) then click HERE to upload the completed form. When you click on the HERE link, a new browser tab will open to the Replacement Timeline LTR or Certification Form upload page, after you have uploaded the document navigate back to this browser tab to complete the Finalize section of the EAR.

   The LSLR certification form template and FAQs can be found on the Lead Service Line Inventory Requirement for Public Water Systems webpage in the Resource and supplemental material section (bottom of page) at: https://www.waterboards.ca.gov/drinking_water/certlic/drinkingwater/lead_service_line_inventory_pws.html

3. If the CWS reported lead or unknown material service lines or fittings in the 2019 EAR LSLR section (rows A, B, M and/or O are NOT equal to 0), a Replacement Timeline letter and spreadsheet must be submitted. The completed letter and spreadsheet (Replacement Timeline LTR and SS) should be uploaded at the links provided in 3.a. and 3.b. When you click on the HERE link below in 3.a., a new browser tab will open which has the Replacement Timeline LTR upload location, after you have uploaded the document navigate back this browser tab and click the HERE link in 3.b. for a new browser tab to open with the upload page for the Replacement Timeline SS. You will need to return to this browser tab to complete the Finalize section of the EAR after the uploads are completed.

   1. Click HERE to upload the Replacement Timeline LTR
   2. Click HERE to upload the Replacement Timeline SS

   The timeline spreadsheet template and FAQs on this requirement can be found on the Lead Service Line Inventory Requirement for Public Water Systems webpage in the Resource and supplemental material section (bottom of page) at: https://www.waterboards.ca.gov/drinking_water/certlic/drinkingwater/lead_service_line_inventory_pws.html

If you are not able to upload the Replacement Timeline documents before the 2019 EAR is due, submit the 2019 EAR report on or before the report due date. After the EAR is reviewed, District or LPA Staff will return the EAR for revisions that will to allow you to upload the required documents by the July 1, 2020 deadline. You can request your District or LPA Office return the EAR for revision if you are ready to upload the documents before the review is completed.

Intro	Contacts	Population	Connections	Sources	Water Supplied	Water Rates and Deliveries	Water Quality	Backflow
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.