Customer Water Conservation Report Due May 1 of Every Year
Name of Utility:
Address & Zip:
Telephone Number: Fax:
Form Completed By:
Title:
Signature: Date:
Name and Phone Number of Person/Department responsible for implementing a water conservation program:
UTILITY PROFILE
I. POPULATION CUSTOMER DATA
A. Population and Service Area Data
1. Service area size (square miles):
2. Current population of service area:
3. Current population served by utility:
a. Water:
b. Wastewater:
4. Population served by water utility 5. Projected population for
service area for the previous five years: in the following decades:
service area for the previous five years: in the following decades:
Year Population Year Population
2010
2020
2030
2040
2050
2060
5. List specific source(s)/method(s) for the calculation of current and projected population:
B. Active Connections
1. Current number of active connections by user type. Check whether multi-family service is counted as
Residential or Commercial .
Residential or Commercial .
Treated water users | Metered | Not-metered | Total |
Residential | |||
Commercial | |||
Industrial | |||
Public | |||
Other |
2. List the net number of new connections per year for most recent three years:
Year | 20XX | 20XX | 20XX |
Total | _______ | _______ | _______ |
C. High Volume Customers
List annual water use for the ten highest volume customers (indicate if treated or raw water delivery). Provide date of most recent water use audit - if never audited, please indicate so.
Customer | Use (1,000 gallons/ year) | Treated / Raw Water | Date of Last Water Use Audit |
Customer | Use (1,000 gallons/ year) | Treated / Raw Water | Date of Last Water Use Audit | |
(1) | ||||
(2) | ||||
(3) | ||||
(4) | ||||
(5) | ||||
(6) | ||||
(7) | ||||
(8) | ||||
(9) | ||||
(10) | ||||
II. WATER USE DATA FOR SERVICE AREA
A. Water Accounting Data
1. Amount of water use for previous five years (in 1,000 gal):
Total Diverted and Treated Water Deliveries and Sales by Month | |||||
Month | Year | ||||
20XX | 20XX | 20XX | 20XX | 20XX | |
Total Diverted and Treated Water Deliveries and Sales by Month | |||||
Month | Year | ||||
20XX | 20XX | 20XX | 20XX | 20XX | |
January | |||||
February | |||||
March | |||||
April | |||||
May | |||||
June | |||||
July | |||||
August | |||||
September | |||||
October | |||||
November | |||||
December | |||||
Total | |||||
Indicate how the above figures were determined (e.g., from a master meter located at the point of a diversion from the source or located at a point where raw water enters the treatment plant, or from water sales).
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2. Indicate whether water is supplied from:
a. Untreated surface water sources:
b. Another utility as treated water:
2a. For entities that treat their own water:
Does utility operate a raw water intake? If so, indicate intake location and minimum elevations of safe operation.
Location of raw water intake Elevation
2b. For entities that purchase treated water from another utility, list water supply sources and quantity purchased from each source:
Treated water sources purchased Quantity
3. Amount of water (in 1,000 gallons) delivered (sold) as recorded by the following account types for the past five years.
Account Type | Year | ||||
20XX | 20XX | 20XX | 20XX | 20XX | |
Account Type | Year | ||||
20XX | 20XX | 20XX | 20XX | 20XX | |
Residential | |||||
Commercial | |||||
Public/Institutional | |||||
Industrial | |||||
Wholesale | |||||
Other | |||||
Total Sold | |||||
Residential: Single and multifamily residences Commercial: Restaurants, retail, office Public/Institutional: Municipal, airports, schools, hospitals Industrial: Large manufacturing Wholesale: Deliveries to successive customers Other: Uses not included in above categories | |||||
4. Calculate gallons per capita per day by account types for the past five years.
Account Type | Gallons per capita per day by Account Type (Total water diverted (or treated)/population/365) | ||||
20XX | 20XX | 20XX | 20XX | 20XX | |
Account Type | Gallons per capita per day by Account Type (Total water diverted (or treated)/population/365) | ||||
20XX | 20XX | 20XX | 20XX | 20XX | |
Residential | |||||
Commercial | |||||
Public / Institutional | |||||
Industrial | |||||
Wholesale | |||||
Other | |||||
Total | |||||
5. List previous five years records for water loss (the difference between water diverted (or treated) and water delivered (or sold)). The goal for percent of unaccounted for water is 12%.
Year | Amount (gal.) | Percentage of Total Water Diverted or Treated |
6. List previous five years records for water reuse. Reuse is the authorized use for one or more beneficial purposes of use of water that remains unconsumed after the water is used for the original purpose of use and before that water is either disposed of or discharged or otherwise allowed to flow into a watercourse, lake or other body of state-owned water.
Year | Amount (gal.) | Percentage of Total Water Diverted or Treated |
7. Municipal per capita water use (in gallons per day) for previous five years. Municipal per capita water use is the sum total of water diverted into a water supply system for residential, commercial, and public and institutional uses divided by total population served. GPCD includes water losses.
Year | Population | Total Water Diverted (or Treated)(1,000 gal.) | Municipal Per Capita Use (GPCD) |
8. Previously stated per capita goals:
5-year: 10-year:
(by 200X) (by 200X)
(by 200X) (by 200X)
9. Did water use (GPCD) increase or decrease from previous year?
Percent increase or decrease from previous year?
10. Briefly discuss reasons for the increase or decrease in municipal water use.
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(Ord. OR-2123-19, passed 4-8-19)