Sec. 300g 9 ( a) State authority for new systems A State shall receive only 80 percent of the allotment that the State is otherwise entitled to receive under section 300j 12 of this title ( relating to State loan funds) unless the State has obtained the legal authority or other means to ensure that all new community water systems and new nontransient, noncommunity water systems commencing operation after October 1, 1999, demonstrate technical, managerial, and financial capacity with respect to each national primary drinking water regulation in effect, or likely to be in effect, on the date of commencement of operations. ( b) Systems in significant noncompliance ( 1) List Beginning not later than 1 year after August 6, 1996, each State shall prepare, periodically update, and submit to the Administrator a list of community water systems and nontransient, noncommunity water systems that have a history of significant noncompliance with this subchapter ( as defined in guidelines issued prior to August 6, 1996, or any revisions of the guidelines that have been made in consultation with the States) and, to the extent practicable, the reasons for noncompliance. ( 2) Report Not later than 5 years after August 6, 1996, and as part of the capacity development strategy of the State, each State shall report to the Administrator on the success of enforcement mechanisms and initial capacity development efforts in assisting the public water systems listed under paragraph ( 1) to improve technical, managerial, and financial capacity. ( 3) Withholding The list and report under this subsection shall be considered part of the capacity development strategy of the State required under subsection ( c) of this section for purposes of the withholding requirements of section 300j 12( a)( 1)( G)( i) of this title ( relating to State loan funds). ( c) Capacity development strategy ( 1) In general Beginning 4 years after August 6, 1996, a State shall receive only  ( A) 90 percent in fiscal year 2001; ( B) 85 percent in fiscal year 2002; and 50 ( C) 80 percent in each subsequent fiscal year, of the allotment that the State is otherwise entitled to receive under section 300j 12 of this title ( relating to State loan funds), unless the State is developing and implementing a strategy to assist public water systems in acquiring and maintaining technical, managerial, and financial capacity. ( 2) Content In preparing the capacity development strategy, the State shall consider, solicit public comment on, and include as appropriate  ( A) the methods or criteria that the State will use to identify and prioritize the public water systems most in need of improving technical, managerial, and financial capacity; ( B) a description of the institutional, regulatory, financial, tax, or legal factors at the Federal, State, or local level that encourage or impair capacity development; ( C) a description of how the State will use the authorities and resources of this subchapter or other means to  ( i) assist public water systems in complying with national primary drinking water regulations; ( ii) encourage the development of partnerships between public water systems to enhance the technical, managerial, and financial capacity of the systems; and ( iii) assist public water systems in the training and certification of operators; ( D) a description of how the State will establish a baseline and measure improvements in capacity with respect to national primary drinking water regulations and State drinking water law; and ( E) an identification of the persons that have an interest in and are involved in the development and implementation of the capacity development strategy ( including all appropriate agencies of Federal, State, and local governments, private and nonprofit public water systems, and public water system customers). ( 3) Report Not later than 2 years after the date on which a State first adopts a capacity development strategy under this subsection, and every 3 years thereafter, the head of the State agency that has primary responsibility to carry out this subchapter in the State shall submit to the Governor a report that shall also be available to the public on the efficacy of the strategy and progress made toward improving the technical, managerial, and financial capacity of public water systems in the State. ( 4) Review The decisions of the State under this section regarding any particular public water system are not subject to review by the Administrator and may not serve as the basis for withholding funds under section 300j 12 of this title. ( d) Federal assistance ( 1) In general The Administrator shall support the States in developing capacity development strategies. ( 2) Informational assistance ( A) In general Not later than 180 days after August 6, 1996, the Administrator shall  51 ( i) conduct a review of State capacity development efforts in existence on August 6, 1996, and publish information to assist States and public water systems in capacity development efforts; and ( ii) initiate a partnership with States, public water systems, and the public to develop information for States on recommended operator certification requirements. ( B) Publication of information The Administrator shall publish the information developed through the partnership under subparagraph ( A)( ii) not later than 18 months after August 6, 1996. ( 3) Promulgation of drinking water regulations In promulgating a national primary drinking water regulation, the Administrator shall include an analysis of the likely effect of compliance with the regulation on the technical, financial, and managerial capacity of public water systems. ( 4) Guidance for new systems Not later than 2 years after August 6, 1996, the Administrator shall publish guidance developed in consultation with the States describing legal authorities and other means to ensure that all new community water systems and new nontransient, noncommunity water systems demonstrate technical, managerial, and financial capacity with respect to national primary drinking water regulations. ( e) Variances and exemptions Based on information obtained under subsection ( c)( 3) of this section, the Administrator shall, as appropriate, modify regulations concerning variances and exemptions for small public water systems to ensure flexibility in the use of the variances and exemptions. Nothing in this subsection shall be interpreted, construed, or applied to affect or alter the requirements of section 300g 4 or 300g 5 of this title. ( f) Small public water systems technology assistance centers ( 1) Grant program The Administrator is authorized to make grants to institutions of higher learning to establish and operate small public water system technology assistance centers in the United States. ( 2) Responsibilities of the centers The responsibilities of the small public water system technology assistance centers established under this subsection shall include the conduct of training and technical assistance relating to the information, performance, and technical needs of small public water systems or public water systems that serve Indian Tribes. ( 3) Applications Any institution of higher learning interested in receiving a grant under this subsection shall submit to the Administrator an application in such form and containing such information as the Administrator may require by regulation. ( 4) Selection criteria The Administrator shall select recipients of grants under this subsection on the basis of the following criteria: ( A) The small public water system technology assistance center shall be located in a State that is representative of the needs of the region in which the State is located for addressing the drinking water needs of small and rural communities or Indian Tribes. ( B) The grant recipient shall be located in a region that has experienced problems, or may reasonably be foreseen to experience problems, with small and rural public water systems. 52 ( C) The grant recipient shall have access to expertise in small public water system technology management. ( D) The grant recipient shall have the capability to disseminate the results of small public water system technology and training programs. ( E) The projects that the grant recipient proposes to carry out under the grant are necessary and appropriate. ( F) The grant recipient has regional support beyond the host institution. ( 5) Consortia of States At least 2 of the grants under this subsection shall be made to consortia of States with low population densities. ( 6) Authorization of appropriations There are authorized to be appropriated to make grants under this subsection $ 2,000,000 for each of the fiscal years 1997 through 1999, and $ 5,000,000 for each of the fiscal years 2000 through 2003. ( g) Environmental finance centers ( 1) In general The Administrator shall provide initial funding for one or more university based environmental finance centers for activities that provide technical assistance to State and local officials in developing the capacity of public water systems. Any such funds shall be used only for activities that are directly related to this subchapter. ( 2) National capacity development clearinghouse The Administrator shall establish a national public water system capacity development clearinghouse to receive and disseminate information with respect to developing, improving, and maintaining financial and managerial capacity at public water systems. The Administrator shall ensure that the clearinghouse does not duplicate other federally supported clearinghouse activities. ( 3) Capacity development techniques The Administrator may request an environmental finance center funded under paragraph ( 1) to develop and test managerial, financial, and institutional techniques for capacity development. The techniques may include capacity assessment methodologies, manual and computer based public water system rate models and capital planning models, public water system consolidation procedures, and regionalization models. ( 4) Authorization of appropriations There are authorized to be appropriated to carry out this subsection $ 1,500,000 for each of the fiscal years 1997 through 2003. ( 5) Limitation No portion of any funds made available under this subsection may be used for lobbying expenses. 53 Appendix B Federal Register Notice 54 This Page Intentionally Left Blank 55 Insert Federal Register Notice Here 56 57 Appendix C 2000 Community Water Systems Questionnaires 58 This Page Intentionally Left Blank Small, Medium and Large System Questionnaire Page 59 of 95 2000 Community Water Systems Survey Small, Medium and Large Questionnaire Please fill out this questionnaire to the best of you ability, and return it in the enclosed envelope. If schematics, diagrams, financial or other reports contain the information requested by a question, you may enclose and refer to the documentation rather than fill out the question. If you have any questions about this survey, you may call the following toll free number for assistance. For technical assistance, call: ( 800) _______ Small, Medium and Large System Questionnaire Page 60 of 95 This page intentionally left blank Small, Medium and Large System Questionnaire Page 61 of 95 1. Please provide the name, title, and telephone number of the most knowledgeable person to contact for information on:

( A) Part I   Operating Characteristics Name: Title:

Tel. No. Fax No.

e mail:

( B) Part II   Financial Characteristics ( Write " SAME" if same as above)

Name: Title:

Tel. No. Fax No.

e mail:

2. Please specify the end date of the most recent 12 month period for which you are providing operating and financial information for your public water supply.

A. Operating information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / / ( mm / dd / yy)

B. Financial information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / / ( mm / dd / yy)

Part I   Operating Characteristics 3. Please classify your water system using the following criteria ( circle one).

Owned or operated by a government or public agency ( including government owned systems that hire a private company to operate the system) . . . 1 Owned privately and operated primarily as a water business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Owned privately and operated as a necessary part of another business . . . . . . . . . . . . . . . . . . . . . . . 3 Small, Medium and Large System Questionnaire Page 62 of 95 4. If your system is privately owned, please select one of following that best describes your water business ( circle one).

Investor owned; operating separately but financially dependent on a parent company . . . . . . . . . . . . . . . . . 1 Investor owned; operating separately and not financially dependent on a parent company . . . . . . . . . 2 Owned and operated by a homeowners' association or subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Something else ( Please specify) 4 5. If your system is owned or operated by the government, please select one of following that best describes the form of government ( circle one).

Town, township, village, or municipal government . . . . 1 County, borough, or parish government . . . . . . . . . . . . 2 State government . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Special district government . . . . . . . . . . . . . . . . . . . . . 4 An authority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 The Federal government . . . . . . . . . . . . . . . . . . . . . . . 6 Some other government ( Please specify) 7 Small, Medium and Large System Questionnaire Page 63 of 95 A. PRODUCTION and TREATMENT 6A. What was the amount of water that was produced and delivered to each of the following customer categories during the last year [ as defined by your answer to Question 2A]? ( In millions of gallons. Note: if you cannot distinguish among the different types of non residential customers, enter the total for your non residential customers in line 3. d.)

Customer Type Total 1. Sold to other public water suppliers:

a. Treated Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

b. Untreated Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

2. Residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

3. Non residential a. Commercial/ industrial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

b. Agricultural . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

c. Other ( specify) Millions of Gallons/ Yr.

d. Subtotal, non residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

4. Unaccounted for water not included above ( including uncompensated usage and system losses) . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

5. Total, all customer types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

B. Provide the name of each public water supplier included in the response to Question 6A( a), above.

1. Treated Water 2. Untreated Water 7. How much of the water reported in Question 6A came from each of the following sources last year? ( in millions of gallons; answer ` none' if a source does not apply).

a. Surface water ( non purchased) ( including Ground Water Under the Direct Influence of Surface Water) . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

b. Ground water ( non purchased) . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

c. Purchased water 1) Treated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

2) Untreated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

d. Other ( specify) . . . . Millions of Gallons/ Yr.

8. What was the maximum daily water production from all sources for this utility over a single 24 hour period? . . . . . . . . . . . million gallons per day Small, Medium and Large System Questionnaire Page 64 of 95 Please refer to the following definitions and schematic for an explanation of the terms used in questions 9 through 15. You may submit your own diagrams or schematics as needed to respond to these questions. Please note that the identifier numbers used in the questions do not refer to specific items in the schematic. For example, use ` S1' to refer to your first surface water source, regardless of whether it is a flowing stream, as depicted in the schematic, or another surface water source.

Term Definition Code in the Schematic Surface water intake A surface water intake refers to the transmission of untreated water from a surface water source ( flowing stream, lake, reservoir, or ground water under the direct influence of surface water) to a water treatment plant at the utility ( see accompanying diagram). S1, S2 Ground water intake A ground water intake refers to the transmission of untreated water from one or more wells to a water treatment plant or directly into the distribution system. Where the water from multiple wells flows through a common pipe prior to entry into the treatment plant or distribution system, the combined flow is considered one ground water intake ( see accompanying diagram). G1   G4 Purchased water intake A purchased water intake refers to the transmission of water from the seller's utility to a water treatment plant or directly into the distribution system of the purchaser's utility. P1, P2 Water treatment plant A facility where water is filtered, disinfected, and/ or otherwise treated prior to its transmission into the distribution system ( or its conveyance to another purchasing water utility). For the purposes of this survey, simple disinfection only or pH adjustment prior to entry into the distribution system are considered to be a water treatment plant. WTP 1, WTP 2 Entry point An entry point is where treated or untreated potable water enters into the utility's distribution system. E1   E4 Small, Medium and Large System Questionnaire Page 65 of 95 Figure 1: Sample Diagram of Intakes, Treatment Plants, and Entry Points Small, Medium and Large System Questionnaire Page 66 of 95 9. Provide the following information for the surface water, ground water, and purchased water intakes for this utility: MGD refers to Millions of gallons daily. If the source is used on a seasonal basis, the average daily amount is for the months in which water is drawn from the source.

A. Surface Source.

Surface water intake identifiers What is the source type for each surface water intake? ( circle the appropriate number) What was the average daily amount of water drawn from each surface water intake during the reporting period? ( MGD) What is the estimated maximum daily potential amount of water that can be drawn from each surface water intake, given water availability constraints only? ( MGD)* What is the estimated maximum daily potential amount of water that can be drawn from each surface water intake, given current pumping and equipment constraints only? ( MGD)* Flowing stream Reservoir or lake Groundwater under the direct influence of surface water S1 1 2 3 S2 1 2 3 S3 1 2 3 S4 1 2 3 S5 1 2 3 Q9A Totals * If not limited enter " no limit" here.

B. Ground water source.

Ground water intake identifiers How many individual wells supply each ground water intake? What was the average daily amount of water drawn from each ground water intake during the reporting period? ( MGD) What is the estimated maximum daily potential amount drawn from each ground water intake given water availability constraints only? ( MGD)* What is the estimated maximum daily potential amount drawn from each ground water intake given current pumping and equipment constraints only? ( MGD)*

G1 G2 G3 G4 G5 Q9B Totals * If not limited enter " no limit" here. Small, Medium and Large System Questionnaire Page 67 of 95 C. Purchased water source.

Purchased water intake identifiers Provide the names of the sellers for this water What was the average daily amount of water drawn from each purchased water intake during the reporting period? ( MGD) What is the estimated maximum daily potential amount drawn from each purchased water intake given water availability constraints only? ( MGD)* What is the estimated maximum daily potential amount drawn from each purchased water intake given water availability constraints only? ( MGD)*

P1 P2 P3 P4 P5 Q9C Totals * Totals for all intakes Q9A Q9C ( MGD)

10. Provide the following information for each of the water treatment plants at this utility. Design Capacity refers to the maximum amount the plant can produce in a single 24 hour period with all treatment trains operating at capacity. Peak daily production refers to the maximum amount produced in a single day over the last twelve months.

If your system does not have a treatment plant, please check here

and go to Question 16.

Water treatment plant identifiers List all of the surface, ground, and purchased water intake identifiers from Question 9 that feed into each water treatment plant. What was the average daily production for each water treatment plant? ( MGD) What was the peak daily production for each water treatment plant? ( MGD) What was the design capacity for each water treatment plant? ( MGD)

WTP1 WTP2 WTP3 WPT4 WTP5 Small, Medium and Large System Questionnaire Page 68 of 95 11. Using the water treatment plant identifiers from Question 10, indicate which water treatment objectives apply to each plant. ( Circle " 1" for Yes and " 2" for No).

Do you have this treatment objective in the following water treatment plant? ( use the plant number from Question 9)

WTP1 WTP2 WTP3 WTP4 WTP5 Yes No Yes No Yes No Yes No Yes No Algae control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Corrosion control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Dechlorination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Oxidation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Iron removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Manganese removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Fluoridation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Taste/ odor control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 TOC removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Particulate/ Turbidity Removal . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Softening ( hardness removal) . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Recarbonation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Organic contaminant removal ( e. g., VOCs, pesticides) . . . . . . 1 2 1 2 1 2 1 2 1 2 Inorganic contaminant removal ( e. g., arsenic) . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Radionuclides contaminant removal . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Other ( specify) 1 2 1 2 1 2 1 2 1 2 12A. Using the Water Treatment plant identifiers from Question 10, characterize the treatment used and the sequence of treatment for each plant by entering a number to identify the order in which each treatment process occurs for each water treatment plant. ( See example. If you have the option of more than one treatment type for a single step   e. g., you can use either chlorine or chlorine dioxide for disinfection   assign the same sequence number to each alternative).

Water Treatment Plant Number ( from Question 10)

Treatment Category Specify treatment type ( where applicable) Example1 WTP1 WTP2 WTP3 WTP4 WTP5 Chlorination only Raw water storage/ Presedimentation basin Predisinfection/ oxidation prior to sedimentation Chlorine 2 Chlorine dioxide Chloramines Ozone Potassium permanganate 3 Other Predisinfection Predisinfection/ Oxidation prior to filtration Chlorine Chlorine dioxide Chloramines Ozone Water Treatment Plant Number ( from Question 10)

Treatment Category Specify treatment type ( where applicable) Example1 WTP1 WTP2 WTP3 WTP4 WTP5 Small, Medium and Large System Questionnaire Page 69 of 95 Potassium permanganate Other Predisinfection Rapid mix Coagulation/ Flocculation Polymers Settling/ Sedimentation 4 Softening Lime/ soda ash Recarbonation Ion exchange Filtration Direct filtration Micro strainer Slow sand Bag and Cartridge Rapid sand Green sand 5 Diatomaceous earth Dual/ Multi media Pressure filtration Other ( specify)

Post disinfection after filters Chlorine 10 Chlorine dioxide Chloramines Ozone UV Other post disinfection Clearwell Membranes Reverse osmosis Micro filtration Ultrafiltration Nanofiltration Corrosion Control Miscellaneous Ion exchange Granular activated carbon Activated Alumina Aeration 1 Other ( please specify) 9 1. This is an example of a greensand filter plant for treating ground water for Iron and Manganese removal. In this example ` other ` is contact basin. Small, Medium and Large System Questionnaire Page 70 of 95 B. Using the Water Treatment plant identifiers from Question 10, indicate which filter backwash techniques you use for each treatment plant that uses filtration. ( Check all that apply).

Water Treatment Plant Number ( from Question 10)

Filter backwash Example WTP1 WTP2 WTP3 WTP4 WTP5 Air scouring Surface wash x Recycle filter backwash Filter to waste x Other filter backwash x 13. [ ASKED OF VERY LARGE SYSTEMS ONLY]

14A. Using the water treatment plant identifiers from Question 10, indicate if the specified residuals management practices are used and provide the requested information regarding potential discharge. ( Circle " 1" for Yes and " 2" for No).

Do you use the following residual management process in the following water treatment plants? ( use the water treatment plant numbers from Question 10)

Residual Management WTP1 WTP2 WTP3 WTP4 WTP5 Category Yes/ No Yes/ No Yes/ No Yes/ No Yes/ No Mechanical dewatering 1 2 1 2 1 2 1 2 1 2 Non mechanical dewatering 1 2 1 2 1 2 1 2 1 2 Chemical precipitation 1 2 1 2 1 2 1 2 1 2 Land application 1 2 1 2 1 2 1 2 1 2 Nonhazardous waste landfill 1 2 1 2 1 2 1 2 1 2 Deep well injection 1 2 1 2 1 2 1 2 1 2 Evaporation pond 1 2 1 2 1 2 1 2 1 2 French drain 1 2 1 2 1 2 1 2 1 2 Direct Discharge 1 2 1 2 1 2 1 2 1 2 Septic System 1 2 1 2 1 2 1 2 1 2 Sanitary Sewer 1 2 1 2 1 2 1 2 1 2 Are direct discharge and sanitary sewer options if they are not currently being used? 1 2 1 2 1 2 1 2 1 2 B. Please describe any current limitation on the use of discharge and sanitary sewer for residuals management at any of the water treatment plants at this utility. Small, Medium and Large System Questionnaire Page 71 of 95 15. Using the water treatment plant identifiers from Question 10, provide the following information regarding operators and SCADA usage at each water treatment plant at this utility. ( SCADA Supervisory Control and Data Acquisition system is an automated system for monitoring, controlling, and / or transmitting information on water treatment plant processes).

Water Treatment Plant ( use the water treatment plant numbers from Question 10)

Operator Information WTP1 WTP2 WTP3 WTP4 WTP5 Yes/ No Yes/ No Yes/ No Yes/ No Yes/ No 1. Is there an operator on site 24 hours per day seven days a week? ( Circle yes or no) . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 2. If the above answer is no, estimate the total number of hours per week that an operator is on site . . . . . . . . . . . . . . . . . .

3. Is there a SCADA in use for process monitoring? ( Circle yes or no) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 4. Is there a SCADA in use for process control? ( Circle yes or no) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 B. STORAGE AND DISTRIBUTION SYSTEM INFORMATION 16. Please indicate whether you have the following types of treated water storage, and if so, the number of storage facilities and their capacity, in millions of gallons.

Yes No If yes, what is the total capacity of the storage ( in millions of gallons)?

A. Do you have clearwell storage after treatment? . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 B. Do you have storage after treatment ( and after clearwell, if any), but before the distribution system with dedicated entry and exit points? . . . . . . . . . . . . . . . . . . 1 2 C. Do you have storage after treatment ( and after clearwell, if any), but before the distribution system with a common inlet and outlet ( i. e., rides the line) . . . . . . . 1 2 D. Do you have storage within the distribution system with dedicated entry and exit points? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Small, Medium and Large System Questionnaire Page 72 of 95 Please note: If your system serves a population that changes on a seasonal basis, please indicate the highest seasonal number of people served or high season active connections. 17. Indicate the length and age of the distribution mains pipe in your system, and length of pipe replaced.

Percentage of pipe that is: Length of Pipe Replaced in the Last 5 Years1 ( In Miles) Length of Pipe You Anticipate Will Be Replaced in the Next 5 Years ( In Miles) Pipe Diameter Length of Pipe ( In Miles) Less than 40 Years Old Between 40 and 80 Years Old More than 80 Years Old Less than or equal to 6" % % %

Greater than 6" but less than or equal to 10" % % %

Greater than 10" % % %

1. Ending on the date shown in your answer to Question 2A.

18A. Does your system serve a population that changes on a seasonal basis ( for example, is it a winter or summer resort area)?

1 Yes 2 No B. How many people and connections does your system currently serve year round? Please indicate the number of connections and number of people served by your system for all customer types that apply. ( If you cannot distinguish among the different types of non residential customers, enter the total for your non residential customers in line c. 4.)

Customer Type Connections Number of People a. Sold to other public water suppliers 1. Treated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Untreated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b. Residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c. Non residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1. Commercial/ industrial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Agricultural . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. Other ( specify)

4. Subtotal, non residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

19. Please mark on the enclosed census map the approximate area covered by your service area.

C. CROSS CONNECTION CONTROL Small, Medium and Large System Questionnaire Page 73 of 95 20. Does your system have a cross connection control ( CCC) program? ( Circle one)

1 Yes 2 No ( Go to Question 24)

3 Don't Know ( Go to Question 24)

21. What type of program does your system have? ( Circle one)

1 Containment ( a program that addresses actual or potential backflow from a customer's premises into the distribution system. The protection is at the meter).

2 Containment ( a program that addresses actual or potential backflow within a customer's and isolation premises, providing protection up to the tap).

22. Please indicate which elements are included in the CCC program: ( Circle 1 for " yes" and 2 for " no")

Cross Connection Control Does your program include this element?

Program Elements Yes No a. Right of entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 b. Surveys/ inspections to identify cross connections within the system/ facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 c. Policy specifying which service connections must be equipped with backflow prevention device/ assemblies . . . . . 1 2 d. Enforcement authority to install devices/ assemblies. . . . . . . 1 2 e. Enforcement authority to test assemblies . . . . . . . . . . . . . . . 1 2 f. Penalties for non compliance with ordinance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 g. Public education programs . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 h. Training/ certification of testers and inspectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 23. What percentage of backflow prevention assemblies fail annually during inspection? ( An assembly is device that can be tested) . . . . . . . . . . . . . . . . . . . . . . . % Small, Medium and Large System Questionnaire Page 74 of 95 Providing estimates: Please provide exact information from your system's records. Otherwise, provide your best estimate of financial information that is applicable to your drinking water system.

If your system is a joint drinking water/ wastewater facility, please be careful to record only data that are relevant to the drinking water part of the facility Rounding: Please record your dollar amounts to the nearest dollar. Do NOT record cents. Part III   Financial Characteristics 24A. During the last year [ as defined in your response to Question 2( B)] what were your drinking water system's revenues from water sales for each of the following customer categories. ( If zero, enter " 0". Note: if you cannot distinguish among the different types of non residential customers, enter the total for your non residential customers in line e.)

Part A Water Sales Customer Categories Water Sales Revenues 1. Sold to other water suppliers a. Treated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

b. Untreated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

2. Residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

3. Non residential a. Commercial/ industrial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

b. Agricultural . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

c. Other ( please specify) $

d. Subtotal, nonresidential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

4. Total water sales revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

B. Please indicate your water system's revenues during the last year from other water related revenue sources. ( If zero, enter ` 0')

Part B Water related Revenues 5. Connection fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

6. Development fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

7. Other fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

8. General fund revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

9. Other water revenues not reported in the categories above ( e. g., fines, penalties) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

10. Total water related revenues . . . . . . . . . . . . . . . . . . . . . . . . . $

11. Total water system revenues ( total of lines 4 and 10) . . . . $ Small, Medium and Large System Questionnaire Page 75 of 95 25. If your primary business is not water related, please indicate the revenues you receive from your primary, non water related business, including rental income and the sale of other goods or services, but excluding water sales and water related revenues reported in question 24: ( If zero, enter ` 0') . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

26. What is the average annual bill for a residential customer? . . . . . . . . . $

27. Does your system use any of the following rates that may lower the cost of drinking water for lowincome or fixed income households? ( Circle " 1" for yes and " 2" for no.)

Yes No a. Ascending block rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 b. Lifeline rates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 c. Circuit breakers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 d. Other ( please specify) 1 2 28. Question 28 is intended to account for all of your drinking water expenses related to the revenues referred to in question 24 A and B.

A. Please enter the number of people employed by your drinking water system and your system's direct compensation expenses and fringe benefits in the last year: ( If you don't know the fringe benefits enter your system's total expenses in column 4). If your system is operated by a contractor, enter the number of contract employees and total expenses of the contractor on line 2.

Last year's employment and compensation 1.

Number of Employees 2. Direct Compensation ( in dollars) 3. Fringe Benefits ( in dollars) 4.

Total Expenses ( in Dollars)

1. Employment and employee expenses 2. Contractor expenses B. Please enter other routine operating expenses in the last year ( in dollars) . . .

C. Please enter the amount of debt service expenditures in the last year ( excluding expenditures for borrowing to finance operating expenses) ( in dollars) . . . . .

D. Please enter the amount of other expenses ( excluding operating and debt service expenses reported in Parts A, B, and C) in the last year ( in dollars) . .

E. Total expenses, Parts A through D. ( in dollars) . . . . . . . . . . . . . . . . . . . . . . . Small, Medium and Large System Questionnaire Page 76 of 95 29A. If you have paid for major capital improvements, repairs or expansion since January 1, 1994, allocate those expenditures to the following categories.

Type of Expense Purpose: Total Water quality improvement Replacement or major repair System Expansion a. Land . . . . . . . . $ $ $ $

b. Water source . $ $ $ $

c. Distribution and transmission system . . . . . . $ $ $ $

d. Treatment . . . . $ $ $ $

e. Storage . . . . . . $ $ $ $

f. All other not included above $ $ $ $

g. Total capital expenses . . . . $ $ $ $

B. How were the total expenses from Line ( g) in Part A funded? ( Each column should sum to 100%)

Percentage of capital expenses funded from: Purpose: Total Water quality improvement Replacement or major repair System Expansion a. Current revenues % % % %

b. Borrowing % % % % Very Large Systems Questionnaire Page 77 of 95 2000 Community Water Systems Survey Very Large Systems Questionnaire Please fill out this questionnaire to the best of you ability, and return it in the enclosed envelope. If schematics, diagrams, financial or other reports contain the information requested by a question, you may enclose and refer to the documentation rather than fill out the question. If you have any questions about this survey, you may call the following toll free number for assistance. Technical assistance: ( 800) _______ Very Large Systems Questionnaire Page 78 of 95 This page intentionally left blank Very Large Systems Questionnaire Page 79 of 95 1. Please provide the name, title, and telephone number of the most knowledgeable person to contact for information on:

( A) Part I   Operating Characteristics Name: Title:

Tel. No. Fax No.

e mail:

( B) Part II   Financial Characteristics ( Write " SAME" if same as above)

Name: Title:

Tel. No. Fax No.

e mail:

2. Please specify the end date of the most recent 12 month period for which you are providing operating and financial information for your public water supply.

A. Operating information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / / ( mm / dd / yy)

B. Financial information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / / ( mm / dd / yy)

Part I   Operating Characteristics 3. Please classify your water system using the following criteria ( circle one).

Owned or operated by a government or public agency ( including government owned systems that hire a private company to operate the system) . . . 1 Owned privately and operated primarily as a water business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Owned privately and operated as a necessary part of another business . . . . . . . . . . . . . . . . . . . . . . . 3 Very Large Systems Questionnaire Page 80 of 95 4. If your system is privately owned, please select one of following that best describes your water business ( circle one).

Investor owned; operating separately but financially dependent on a parent company . . . . . . . . . . . . . . . . . 1 Investor owned; operating separately and not financially dependent on a parent company . . . . . . . . . 2 Owned and operated by a homeowners' association or subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Something else ( Please specify) 4 5. If your system is owned or operated by the government, please select one of following that best describes the form of government ( circle one).

Town, township, village, or municipal government . . . . 1 County, borough, or parish government . . . . . . . . . . . . 2 State government . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Special district government . . . . . . . . . . . . . . . . . . . . . 4 An authority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 The Federal government . . . . . . . . . . . . . . . . . . . . . . . 6 Some other government ( Please specify) 7 Very Large Systems Questionnaire Page 81 of 95 A. PRODUCTION and TREATMENT 6A. What was the amount of water that was produced and delivered to each of the following customer categories during the last year [ as defined by your answer to Question 2A]? ( In millions of gallons. Note: if you cannot distinguish among the different types of non residential customers, enter the total for your non residential customers in line 3. d.)

Customer Type Total 1. Sold to other public water suppliers:

a. Treated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

b. Untreated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

2. Residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

3. Non residential a. Commercial/ industrial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

b. Agricultural . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

c. Other ( specify) Millions of Gallons/ Yr.

d. Subtotal, non residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

4. Unaccounted for water not included above ( including uncompensated usage and system losses) . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

5. Total, all customer types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

B. Provide the name of each public water supplier included in the response to Question 6A( a), above.

1. Treated water 2. Untreated water 7. How much of the water reported in Question 6A came from each of the following sources last year? ( in millions of gallons; answer ` none' if a source does not apply).

a. Surface water ( non purchased) ( including Ground Water Under the Direct Influence of Surface Water) . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

b. Ground water ( non purchased) . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

c. Purchased water 1) Treated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

2) Untreated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Millions of Gallons/ Yr.

d. Other ( specify) . . . . Millions of Gallons/ Yr.

8. What was the maximum daily water production from all sources for this utility over a single 24 hour period? . . . . . . . . . . . million gallons per day Very Large Systems Questionnaire Page 82 of 95 Please refer to the following definitions and schematic for an explanation of the terms used in questions 9 through 15. You may submit your own diagrams or schematics as needed to respond to these questions. Please note that the identifier numbers used in the questions do not refer to specific items in the schematic. For example, use ` S1' to refer to your first surface water source, regardless of whether it is a flowing stream, as depicted in the schematic, or another surface water source.

Term Definition Code in the Schematic Surface water intake A surface water intake refers to the transmission of untreated water from a surface water source ( flowing stream, lake, reservoir, or ground water under the direct influence of surface water) to a water treatment plant at the utility ( see accompanying diagram). S1, S2 Ground water intake A ground water intake refers to the transmission of untreated water from one or more wells to a water treatment plant or directly into the distribution system. Where the water from multiple wells flows through a common pipe prior to entry into the treatment plant or distribution system, the combined flow is considered one ground water intake ( see accompanying diagram). G1   G4 Purchased water intake A purchased water intake refers to the transmission of water from the seller's utility to a water treatment plant or directly into the distribution system of the purchaser's utility. P1, P2 Water treatment plant A facility where water is filtered, disinfected, and/ or otherwise treated prior to its transmission into the distribution system ( or its conveyance to another purchasing water utility). For the purposes of this survey, simple disinfection only or pH adjustment prior to entry into the distribution system are considered to be a water treatment plant. WTP 1, WTP 2 Entry point An entry point is where treated or untreated potable water enters into the utility's distribution system. E1   E4 Very Large Systems Questionnaire Page 83 of 95 Figure 1: Sample Diagram of Intakes, Treatment Plants, and Entry Points Very Large Systems Questionnaire Page 84 of 95 9. Provide the following information for the surface water, ground water, and purchased water intakes for this utility: MGD refers to Millions of gallons daily. If the source is used on a seasonal basis, the average daily amount is for the months in which water is drawn from the source.

A. Surface Source.

Surface water intake identifiers What is the source type for each surface water intake? ( circle the appropriate number) What was the average daily amount of water drawn from each surface water intake during the reporting period? ( MGD) What is the estimated maximum daily potential amount of water that can be drawn from each surface water intake, given water availability constraints only? ( MGD)* What is the estimated maximum daily potential amount of water that can be drawn from each surface water intake, given current pumping and equipment constraints only? ( MGD)* Flowing stream Reservoir or lake Groundwater under the direct influence of surface water S1 1 2 3 S2 1 2 3 S3 1 2 3 S4 1 2 3 S5 1 2 3 Q9A Totals * If not limited enter " no limit" here.

B. Ground water source.

Ground water intake identifiers How many individual wells supply each ground water intake? What was the average daily amount of water drawn from each ground water intake during the reporting period? ( MGD) What is the average well depth? ( In feet) Is the intake a confined or unconfined acquifer? What is the estimated maximum daily potential amount drawn from each ground water intake given water availability constraints only? ( MGD)* What is the estimated maximum daily potential amount drawn from each ground water intake given current pumping and equipment constraints only? ( MGD)*

G1 G2 G3 G4 G5 Q9B Totals * If not limited enter " no limit" here. Very Large Systems Questionnaire Page 85 of 95 C. Purchased water source.

Purchased water intake identifiers Provide the names of the sellers for this water What was the average daily amount of water drawn from each purchased water intake during the reporting period? ( MGD) What is the estimated maximum daily potential amount drawn from each purchased water intake given water availability constraints only? ( MGD)* What is the estimated maximum daily potential amount drawn from each purchased water intake given water availability constraints only? ( MGD)*

P1 P2 P3 P4 P5 Q9C Totals Totals for all intakes Q9A Q9C ( MGD)

10. Provide the following information for each of the water treatment plants at this utility. Design Capacity refers to the maximum amount the plant can produce in a single 24 hour period with all treatment trains operating at capacity. Peak daily production refers to the maximum amount produced in a single day over the last twelve months.

If your system does not have a treatment plant please check here

and go to Question 16.

Water treatment plant identifiers List all of the surface, ground, and purchased water intake identifiers from Question 9 that feed into each water treatment plant. What was the average daily production for each water treatment plant? ( MGD) What was the peak daily production for each water treatment plant? ( MGD) What was the design capacity for each water treatment plant? ( MGD)

WTP1 WTP2 WTP3 WPT4 WTP5 Very Large Systems Questionnaire Page 86 of 95 11. Using the water treatment plant identifiers from Question 10, indicate which water treatment objectives apply to each plant. ( Circle " 1" for Yes and " 2" for No).

Do you have this treatment objective in the following water treatment plant? ( use the plant number from Question 9)

WTP1 WTP2 WTP3 WTP4 WTP5 Yes No Yes No Yes No Yes No Yes No Algae control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Corrosion control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Dechlorination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Oxidation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Iron removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Manganese removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Fluoridation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Taste/ odor control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 TOC removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Particulate/ Turbidity Removal . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Softening ( hardness removal) . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Recarbonation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Organic contaminant removal ( e. g., VOCs, pesticides) . . . . . . 1 2 1 2 1 2 1 2 1 2 Inorganic contaminant removal ( e. g., arsenic) . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Radionuclides contaminant removal . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 Other ( specify) 1 2 1 2 1 2 1 2 1 2 12A. Using the Water Treatment plant identifiers from Question 10, characterize the treatment used and the sequence of treatment for each plant by entering a number to identify the order in which each treatment process occurs for each water treatment plant. ( See example. If you have the option of more than one treatment type for a single step   e. g., you can use either chlorine or chlorine dioxide for disinfection   assign the same sequence number to each alternative).

Water Treatment Plant Number ( from Question 10)

Treatment Category Specify treatment type ( where applicable) Example1 WTP1 WTP2 WTP3 WTP4 WTP5 Chlorination only Raw water storage/ Presedimentation basin Predisinfection/ oxidation prior to sedimentation Chlorine 2 Chlorine dioxide Chloramines Ozone Potassium permanganate 3 Other Predisinfection Predisinfection/ Oxidation prior to filtration Chlorine Chlorine dioxide Chloramines Water Treatment Plant Number ( from Question 10)

Treatment Category Specify treatment type ( where applicable) Example1 WTP1 WTP2 WTP3 WTP4 WTP5 Very Large Systems Questionnaire Page 87 of 95 Ozone Potassium permanganate Other Predisinfection Rapid mix Coagulation/ Flocculation Polymers Settling/ Sedimentation 4 Softening Lime/ soda ash Recarbonation Ion exchange Filtration Direct filtration Micro strainer Slow sand Bag and Cartridge Rapid sand Green sand 5 Diatomaceous earth Dual/ Multi media Pressure filtration Other ( specify)

Post disinfection after filters Chlorine 10 Chlorine dioxide Chloramines Ozone UV Other post disinfection Clearwell Membranes Reverse osmosis Micro filtration Ultrafiltration Nanofiltration Corrosion Control Miscellaneous Ion exchange Granular activated carbon Activated Alumina Aeration 1 Other ( please specify) 9 1. This is an example of a greensand filter plant for treating ground water for Iron and Manganese removal. In this example ` other ` is contact basin.

B. Using the Water Treatment plant identifiers from Question 10, indicate which filter backwash techniques you use for each treatment plant that uses filtration. ( Check all that apply). Very Large Systems Questionnaire Page 88 of 95 Water Treatment Plant Number ( from Question 10)

Filter backwash Example WTP1 WTP2 WTP3 WTP4 WTP5 Air scouring Surface wash x Recycle filter backwash Filter to waste x Other filter backwash x 13. Using the source identifiers from question 10, please list the entry point number and concentration for each water quality parameter ( contaminant) for the reporting period recorded in Question 2A. If you conducted multiple tests of a source over the reporting period, report the average concentration. If you did not test for a contaminant mark N/ A; if you did not detect a contaminant mark ND. If you require additional space for entry points/ well identifiers please attach an additional sheet.

A. Please provide raw water concentration in units of parts per million ( ppm) for each compound:

Entry Point Identifier/ Well Identifier Raw Water Concentration ( units ppm, except Radon  pCi/ L)

Arsenic Radon MTBE Atrazine Metolachlor Boron 2,4 D Simazine Glyphosate Example 1: G 1/ W 1 < 0.002 N/ A N/ A N/ A N/ A N/ A ND 0.001 0.01 Example 2: G 1/ W 2 0.002 100 N/ A N/ A N/ A N/ A ND ND ND Example 3: WTP 1 ND N/ A N/ A 0.002 N/ A N/ A ND 0.001 0.02 Very Large Systems Questionnaire Page 89 of 95 B. Please provide post treatment concentration in units of parts per million ( ppm) for each compound:

Entry Point Identifier/ Well Identifier Raw Water Concentration ( units ppm, except Radon  pCi/ L)

Arsenic Radon MTBE Atrazine Metolachlor Boron 2,4 D Simazine Glyphosate Example 1: G 1/ W 1 < 0.002 N/ A N/ A ND N/ A N/ A ND 0.001 0.01 Example 2: G 1/ W 2 0.002 ND N/ A ND N/ A N/ A ND ND ND Example 3: WTP 1 ND N/ A N/ A ND N/ A N/ A ND ND ND 14A. Using the water treatment plant identifiers from Question 10, indicate if the specified residuals management practices are used and provide the requested information regarding potential discharge. ( Circle " 1" for Yes and " 2" for No).

Do you use the following residual management process in the following water treatment plants? ( use the water treatment plant numbers from Question 10)

Residual Management WTP1 WTP2 WTP3 WTP4 WTP5 Category Yes/ No Yes/ No Yes/ No Yes/ No Yes/ No Mechanical dewatering 1 2 1 2 1 2 1 2 1 2 Non mechanical dewatering 1 2 1 2 1 2 1 2 1 2 Chemical precipitation 1 2 1 2 1 2 1 2 1 2 Land application 1 2 1 2 1 2 1 2 1 2 Nonhazardous waste landfill 1 2 1 2 1 2 1 2 1 2 Deep well injection 1 2 1 2 1 2 1 2 1 2 Evaporation pond 1 2 1 2 1 2 1 2 1 2 French drain 1 2 1 2 1 2 1 2 1 2 Direct Discharge 1 2 1 2 1 2 1 2 1 2 Septic System 1 2 1 2 1 2 1 2 1 2 Sanitary Sewer 1 2 1 2 1 2 1 2 1 2 Are direct discharge and sanitary sewer options if they are not currently being used? 1 2 1 2 1 2 1 2 1 2 Very Large Systems Questionnaire Page 90 of 95 B. Please describe any current limitation on the use of discharge and sanitary sewer for residuals management at any of the water treatment plants at this utility.

15. Using the water treatment plant identifiers from Question 10, provide the following information regarding operators and SCADA usage at each water treatment plant at this utility. ( SCADA Supervisory Control and Data Acquisition system is an automated system for monitoring, controlling, and / or transmitting information on water treatment plant processes).

Water Treatment Plant ( use the water treatment plant numbers from Question 10)

Operator Information WTP1 WTP2 WTP3 WTP4 WTP5 Yes/ No Yes/ No Yes/ No Yes/ No Yes/ No 1. Is there an operator on site 24 hours per day seven days a week? ( Circle yes or no) . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 2. If the above answer is no, estimate the total number of hours per week that an operator is on site . . . . . . . . . . . . . . . . . . .

3. Is there a SCADA in use for process monitoring? ( Circle yes or no) 1 2 1 2 1 2 1 2 1 2 4. Is there a SCADA in use for process control? ( Circle yes or no) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 1 2 1 2 1 2 1 2 B. STORAGE AND DISTRIBUTION SYSTEM INFORMATION 16. Please indicate whether you have the following types of treated water storage, and if so, the number of storage facilities and their capacity, in millions of gallons.

Yes No If yes, what is the total capacity of the storage ( in millions of gallons)?

A. Do you have clearwell storage after treatment? . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 B. Do you have storage after treatment ( and after clearwell, if any), but before the distribution system with dedicated entry and exit points? . . . . . . . . . . . . . . . . . . 1 2 C. Do you have storage after treatment ( and after clearwell, if any), but before the distribution system with a common inlet and outlet ( i. e., rides the line)? 1 2 D. Do you have storage within the distribution system with dedicated entry and exit points? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Very Large Systems Questionnaire Page 91 of 95 Please note: If your system serves a population that changes on a seasonal basis, please indicate the highest seasonal number of people served or high season active connections. 17. Indicate the length and age of the distribution mains pipe in your system, and length of pipe replaced.

Percentage of pipe that is: Length of Pipe Replaced in the Last 5 Years1 ( In Miles) Length of Pipe You Anticipate Will Be Replaced in the Next 5 Years ( In Miles) Pipe Diameter Length of Pipe ( In Miles) Less than 40 Years Old Between 40 and 80 Years Old More than 80 Years Old Less than or equal to 6" % % %

Greater than 6" but less than or equal to 10" % % %

Greater than 10" % % %

1. Ending on the date shown in your answer to Question 2A.

18A. Does your system serve a population that changes on a seasonal basis ( for example, is it a winter or summer resort area)?

1 Yes 2 No B. How many people and connections does your system currently serve year round? Please indicate the number of connections and number of people served by your system for all customer types that apply. ( If you cannot distinguish among the different types of non residential customers, enter the total for your non residential customers in line c. 4.)

Customer Type Connections Number of People a. Sold to other public water suppliers 1. Treated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Untreated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b. Residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c. Non residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1. Commercial/ industrial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Agricultural . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. Other ( specify)

4. Subtotal, non residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

19. Please mark on the enclosed census map the approximate area covered by your service area. Very Large Systems Questionnaire Page 92 of 95 C. CROSS CONNECTION CONTROL 20. Does your system have a cross connection control ( CCC) program? ( Circle one)

1 Yes 2 No ( Go to Question 24)

3 Don't Know ( Go to Question 24)

21. What type of program does your system have? ( Circle one)

1 Containment ( a program that addresses actual or potential backflow from a customer's premises into the distribution system. The protection is at the meter).

2 Containment ( a program that addresses actual or potential backflow within a customer's and isolation premises, providing protection up to the tap).

22. Please indicate which elements are included in the CCC program: ( Circle 1 for " yes" and 2 for " no")

Cross Connection Control Does your program include this element?

Program Elements Yes No a. Right of entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 b. Surveys/ inspections to identify cross connections within the system/ facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 c. Policy specifying which service connections must be equipped with backflow prevention device/ assemblies . . . . . 1 2 d. Enforcement authority to install devices/ assemblies. . . . . . . 1 2 e. Enforcement authority to test assemblies . . . . . . . . . . . . . . . 1 2 f. Penalties for non compliance with ordinance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 g. Public education programs . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 h. Training/ certification of testers and inspectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 23. What percentage of backflow prevention assemblies fail annually during inspection? ( An assembly is device that can be tested) . . . . . . . . . . . . . . . . . . . . . . . % Very Large Systems Questionnaire Page 93 of 95 Providing estimates: Please provide exact information from your system's records. Otherwise, provide your best estimate of financial information that is applicable to your drinking water system.

If your system is a joint drinking water/ wastewater facility, please be careful to record only data that are relevant to the drinking water part of the facility Rounding: Please record your dollar amounts to the nearest dollar. Do NOT record cents. Part III   Financial Characteristics 24A. During the last year [ as defined in your response to Question 2( B)] what were your drinking water system's revenues from water sales for each of the following customer categories. ( If zero, enter " 0". Note: if you cannot distinguish among the different types of non residential customers, enter the total for your non residential customers in line e.)

Part A Water Sales Customer Categories Water Sales Revenues 1. Sold to other water suppliers a. Treated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

b. Untreated water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

2. Residential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

3. Non residential a. Commercial/ industrial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

b. Agricultural . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

c. Other ( please specify) $

d. Subtotal, nonresidential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

4. Total water sales revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

B. Please indicate your water system's revenues during the last year from other water related revenue sources. ( If zero, enter ` 0')

Part B Water related Revenues 5. Connection fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

6. Development fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

7. Other fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

8. General fund revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

9. Other water revenues not reported in the categories above ( e. g., fines, penalties) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

10. Total water related revenues . . . . . . . . . . . . . . . . . . . . . . . . . $

11. Total water system revenues ( total of lines 4 and 10) . . . . $ Very Large Systems Questionnaire Page 94 of 95 25. If your primary business is not water related, please indicate the revenues you receive from your primary, non water related business, including rental income and the sale of other goods or services, but excluding water sales and water related revenues reported in question 24: ( If zero, enter ` 0') . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

26. What is the average annual bill for a residential customer? . . . . . . . . . $

27. Does your system use any of the following rates that may lower the cost of drinking water for lowincome or fixed income households? ( Circle " 1" for yes and " 2" for no.)

Yes No a. Ascending block rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 b. Lifeline rates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 c. Circuit breakers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 d. Other ( please specify) 1 2 28. Question 28 is intended to account for all of your drinking water expenses related to the revenues referred to in question 24 A and B.

A. Please enter the number of people employed by your drinking water system and your system's direct compensation expenses and fringe benefits in the last year: ( If you don't know the fringe benefits enter your system's total expenses in column 4). If your system is operated by a contractor, enter the number of contract employees and total expenses of the contractor on line 2.

Last year's employment and compensation 1.

Number of Employees 2. Direct Compensation ( in dollars) 3. Fringe Benefits ( in dollars) 4.

Total Expenses ( in Dollars)

1. Employment and employee expenses 2. Contractor expenses B. Please enter other routine operating expenses in the last year ( in dollars) . . .

C. Please enter the amount of debt service expenditures in the last year ( excluding expenditures for borrowing to finance operating expenses) ( in dollars) . . . . .

D. Please enter the amount of other expenses ( excluding operating and debt service expenses reported in Parts A, B, and C) in the last year ( in dollars) . .

E. Total expenses, Parts A through D. ( in dollars) . . . . . . . . . . . . . . . . . . . . . . . Very Large Systems Questionnaire Page 95 of 95 29A. If you have paid for major capital improvements, repairs or expansion since January 1, 1994, allocate those expenditures to the following categories.

Type of Expense Purpose: Total Water quality improvement Replacement or major repair System Expansion a. Land . . . . . . . . $ $ $ $

b. Water source $ $ $ $

c. Distribution and transmission system . . . . . . $ $ $ $

d. Treatment . . . . $ $ $ $

e. Storage . . . . . . $ $ $ $

f. All other not included above $ $ $ $

g. Total capital expenses . . . . $ $ $ $

B. How were the total expenses from Line ( g) in Part A funded? ( Each column should sum to 100%)

Percentage of capital expenses funded from: Purpose: Total Water quality improvement Replacement or major repair System Expansion a. Current revenues % % % %

b. Borrowing % % % %


MEMORANDUM

Subject: 	OMEGA_PD2016

From:		Todd Sherwood, ASD, Office of Transportation and Air Quality

To:		Environmental Protection Agency (EPA), DOCKET EPA-HQ-OAR-2015-0827

Date:		November 28, 2016

	The OMEGA model was used to estimate costs per vehicle associated with the central and sensitivity runs presented in the Proposed Determination documents. The OMEGA Inventory, Cost and Benefit Tool (ICBT) was used to estimate inventory impacts and social costs & benefits for the central and sensitivity runs presented in the Proposed Determination. The pre-processor files, the OMEGA inputs/outputs and core model installation files and source code, and the OMEGA ICBT inputs/outputs and Python script are contained on this DVD. More information can be found at: https://www.epa.gov/regulations-emissions-vehicles-and-engines/optimization-model-reducing-emissions-greenhouse-gases

Attachments:	2 physical DVDs titled OMEGA_PD16_1 & OMEGA_PD16_2