pwscnsrvquest.docVIP

Water Conservation Questionnaire Page  PAGE 2 January 8, 2004 State of Georgia EPD Department of Natural Resources Environmental Protection Division Water Conservation Questionnaire Page  PAGE 1 January 8, 2004 Water Conservation Questionnaire Part A – Water System Information System:WSID:County:Population Served:Service Connections:Number of Sources: Monthly Avg (MGD)Monthly Max (MGD)Yearly Avg (MGD)Amount of Water Produced:Amount of Water Sold: Part B – Source Metering 1.Yes FORMCHECKBOX
No FORMCHECKBOX
Are all sources of water for this system metered?2.If all sources are not metered, how many sources are metered?3.By what date will all sources be metered? Part C – Service Connection Information 1.Yes FORMCHECKBOX
No FORMCHECKBOX
Are all water service connections metered?2.If no, what is the number of un-metered connections?3.Yes FORMCHECKBOX
No FORMCHECKBOX
Are there plans to meter all service connections (including government facilities)?4.If yes, by what date will all connections be metered? Part D – Water Loss and Un-metered Use 1.Yes FORMCHECKBOX
No FORMCHECKBOX
Does your system have a program to track water loss and un-metered use (NOTE: unaccounted for water (UAW) in % = (Total amount water sold / Total amount water produced) * 100%)?2.If yes, what is the average UAW for the past 12 months?3.Yes FORMCHECKBOX
No FORMCHECKBOX
Does your system have a program to reduce or control UAW?4.Check all that apply below and provide the date the program began:  FORMCHECKBOX
Meter replacement or calibration program FORMCHECKBOX
Meter service connections FORMCHECKBOX
Water line replacement FORMCHECKBOX
Meter Sources FORMCHECKBOX
Reduce tank overflows FORMCHECKBOX
Line Looping FORMCHECKBOX
Leak detection/elimination FORMCHECKBOX
Flushing Program FORMCHECKBOX
Theft Prevention FORMCHECKBOX
OtherPart E –