GENERAL INSTRUCTIONS

Transcription

1 GENERAL INSTRUCTIONS 1. Prepare this report in conformity with the 1996 National Association of Regulatory Utility Commissioners (NARUC} Uniform System of Accounts for Water and Wastewater Utilities as adopted by Rule (1 }, Florida Administrative Code. 2. Interpret all accounting words and phrases in accordance with the Uniform System of Accounts (USOA). Commission Rules and the definitions on next page. 3. Complete each question fully and accurately, even if it has been answered in a previous annual report. Enter the word "None" where it truly and completely states the fact. 4. For any question, section, or page which is not applicable to the respondent enter the words "Not Applicable." Do not omit any pages. 5. Where dates are called for, the month and day should be stated as well as the year. 6. All schedules requiring dollar entries should be rounded to the nearest dollar. 7. Complete this report by means which result in a permanent record. You may use permanent ink or a typewriter. Do not use a pencil. 8. If there is not enough room on any schedule, an additional page or pages may be added provided the format of the added schedule matches the format of the schedule in the report. Additional pages should reference the appropriate schedules, state the name of the utility, and state the year of the report. 9. If it is necessary or desirable to insert additional statements for the purpose of further explanation of schedules, such statements should be made at the bottom of the page or on an additional page. Any additional pages should state the name of the utility and the year of the report, and reference the appropriate schedule. 10. The utility shall file the original and two copies of the report with the Commission at the address below, and keep a copy for itself. Pursuant to Rule (3), Florida Administrative Code, the utility must submit the report by March 31 for the preceeding year ending December 31. Florida Public Service Commission Division of Accounting and Finance 2540 Shumard Oak Boulevard Tallahassee, Florida Pursuant to Rule (7) (a), Florida Administrative Code, any utility that fails to file its annual report or extension on or before March 31, or within the time specified by any extension approved in writing by the Division of Accounting and Finance, shall be subject to a penalty. The penalty shall be based on the number of calendar days elapsed from March 31, or from an approved extended filing date, until the date of filing. The date of filing shall be included in the days elapsed. i.

2 GENERAL INSTRUCTIONS 1. Prepare this report in conformity with the 1996 National Association of Regulatory Utility Commissioners (NARUC} Uniform System of Accounts for Water and Wastewater Utilities as adopted by Rule (1 }, Florida Administrative Code. 2. Interpret all accounting words and phrases in accordance with the Uniform System of Accounts (USOA). Commission Rules and the definitions on next page. 3. Complete each question fully and accurately, even if it has been answered in a previous annual report. Enter the word "None" where it truly and completely states the fact. 4. For any question, section, or page which is not applicable to the respondent enter the words "Not Applicable." Do not omit any pages. 5. Where dates are called for, the month and day should be stated as well as the year. 6. All schedules requiring dollar entries should be rounded to the nearest dollar. 7. Complete this report by means which result in a permanent record. You may use permanent ink or a typewriter. Do not use a pencil. 8. If there is not enough room on any schedule, an additional page or pages may be added provided the format of the added schedule matches the format of the schedule in the report. Additional pages should reference the appropriate schedules, state the name of the utility, and state the year of the report. 9. If it is necessary or desirable to insert additional statements for the purpose of further explanation of schedules, such statements should be made at the bottom of the page or on an additional page. Any additional pages should state the name of the utility and the year of the report, and reference the appropriate schedule. 10. The utility shall file the original and two copies of the report with the Commission at the address below, and keep a copy for itself. Pursuant to Rule (3), Florida Administrative Code, the utility must submit the report by March 31 for the preceeding year ending December 31. Florida Public Service Commission Division of Accounting and Finance 2540 Shumard Oak Boulevard Tallahassee, Florida Pursuant to Rule (7) (a), Florida Administrative Code, any utility that fails to file its annual report or extension on or before March 31, or within the time specified by any extension approved in writing by the Division of Accounting and Finance, shall be subject to a penalty. The penalty shall be based on the number of calendar days elapsed from March 31, or from an approved extended filing date, until the date of filing. The date of filing shall be included in the days elapsed. i.

3 GENERAL DEFINITIONS ADVANCES FOR CONSTRUCTION - This account shall include advances by or in behalf of customers for construction which are to be refunded either wholly or in part. (USOA) ALLOWANCE FOR FUNDS USED DURING CONSTRUCTION ( AFUDC ) -This account shall include concurrent credits for allowance for funds used during construction based upon the net cost of funds used for construction purposes and a reasonable rate upon other funds when so used. Appropriate regulatory approval shall be obtained for "a reasonable rate". (Rule , Florida Administrative Code) AMORTIZATION - The gradual extinguishment of an amount in an account by distributing such amount over a fixed period, over the life of the asset or liability to which it applies, or over the period during which it is anticipated the benefit will be realized. (USOA) CONTRIBUTIONS IN AID OF CONSTRUCTION ( CIAC) - Any amount or item of money, services, or property received by a utility, from any person or governmental agency, any portion of which is provided at no cost to the utility, which represents an addition or transfer to the capital of the utility, and which is utilized to offset the acquisition, improvement, or construction costs of the utility's property, facilities, or equipment used to provide utility services to the public. (Section (3), Florida Statutes) CONSTRUCTION WORK IN PROGRESS ( CWIP ) - This account shall include the cost of water or wastewater plant in process of construction, but not yet ready for services. (USOA) DEPRECIATION - The loss in service value not restored by current maintenance, incurred in connection with the consumption or prospective retirement of utility plant in the course of service from causes which are known to be in the current operation and against which the utility is not protected by insurance. (Rule (i), Florida Administrative Code) EFFLUENT REUSE - The use of wastewater after the treatment process, generally for reuse as irrigation water or for in plant use. (Section (6), Florida Statutes) EQUIVALENT RESIDENTIAL CONNECTION (ERC) - (WATER) - (Rule (8), Florida Administrative Code) (a) 350 gallons per day; (b) The number of gallons a utility demonstrates in the average daily flow for a single family unit; or (c) The number of gallons which has been approved by the DEP for a single family residential unit. EQUIVALENT RESIDENTIAL CONNECTION (ERC) - (WASTEWATER) - Industry standard of 80% of Water ERC or 280 gallons per day for residential use. GUARANTEED REVENUE CHARGE - A charge designed to cover the utility's costs including, but not limited to the cost of the operation, maintenance, depreciation, and any taxes, and to provide a reasonable return to the utility for facilities, a portion of which may not be used and useful to the utility or its existing customers. (Rule (9), Florida Administrative Code) LONG TERM DEBT - All Notes, Conditional Sales Contracts, or other evidences of indebtedness payable more than one year from date of issue. (USOA) PROPRIETARY CAPITAL ( For proprietorships and partnerships only ) - The investment of a sole proprietor, or partners, in an unincorporated utility. (USOA) RETAINED EARNINGS - This account reflects corporate earnings retained in the business. Credits would include net income or accounting adjustments associated with correction of errors attributable to a prior period. Charges to this account would include net losses, accounting adjustments associated with correction of errors attributable to a prior period or dividends. (USOA) ii

4 TABLE OF CONTENTS FINANCIAL SECTION PAGE Identification Income Statement Comparative Balance Sheet Gross Utility Plant Accumulated Depreciation and Amortization of Utility Plant Capital Stock Retained Earnings Proprietary Capital Long Term Debt Tax Expense Payment for Services Rendered by Other Than Employees Contributions in Aid of Construction Cost of Capital Used for AFUDC Calculation Capital Structure Adjustments F-2 F-3 F-4 F-5 F-5 F-6 F-6 F-6 F-6 F-7 F-7 F-8 F-9 F-10 WATER OPERATING SECTION PAGE Water Utility Plant Accounts Analysis of Accumulated Depreciation by Primary Account -Water Water Operation and Maintenance Expense Water Customers Pumping and Purchased Water Statistics and Mains Wells and Well Pumps, Reservoirs, and High Service Pumping Sources of Supply and Water Treatment Facilities General Water System Information W-1 W-2 W-3 W-3 W-4 W-5 W-6 W-7 WASTEWATER OPERATING SECTION PAGE Wastewater Utility Plant Accounts Analysis of Accumulated Depreciation by Primary Account- Wastewater Wastewater Operation and Maintenance Expense Wastewater Customers Pumping Equipment, Service Commections, Collecting and Force Mains and Manholes Treatment Plant, Master Lift Station Pumps and Pumping Wastewater Statistics General Wastewater System Information S-1 S-2 S-3 S-3 S-4 S-5 S-6 VERIFICATION SECTION PAGE Verification V-1 iii

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6 REPORT OF 1 Ht6fiLAAills Telephone Number Mailing Adaress {j~ji).a~.s--rf.s4 ~. treet Address Date Utility First Organized County Fax Number Address Sunshine State One-Call of Florida, Inc. Member No. Check the business entity of the utility as filed with the Internal Revenue Service: 0 Individual 0 Sub Chapter S Corporation ~ 1120 Corporation D Partnership Name, Address and Phone where records are located: ~a~l:.~m~_\.v.ian..t..l~e!.~~~i!.-"'c~b.al:.o.jvu.ll;.t_,. SEditi'I~AcllrM.33 '/o Name of subdivisions where services are provided: CONTACTS Salary Charged Name Title Principal Business Address Utility Person to send correspondence: C'.Hm /dn.u=a flcsme: dr 3b2.s= IIAL#'&te-&'lib. Pe~on who prepared this report: "IITA1/L! era, "'(1 - Officers and Managers: C!.II.B.t.S /J1.L LLe:Jl. Btr.MIL.L.~ f/tttstbe:nr 31:.25' 1/dLeB..uEBL\/b. fkesl.b~rn-r VJJ!.fi ~P~E:Slne/r..-- 'M~=~~!; ~~~~ Report every corporation or person owning or holding directly or indirectly 5 percent or more of the voting securities of the reporting utility: Percent Ownership in Utili F-2

7 UTILITY NAME: SEEB!l1Ns. &bgf!! C/r'/LtrttE9J.IiJr:e, INCOME STATEMENT YEAR OF REPORT DECEMBER 31, :Lo I Ref. Account Name Paqe Water Wastewater Other Total Company Gross Revenue: Residential IS4:1ZZ Commercial ~/1!).. Industrial Multiple Family Guaranteed Revenues -- Other (Specify) Total Gross Revenue -o- L~o.~f > Operation Expense (Must tie W-3 to pages W-3 and S-3) S-3 ug R/1 Depreciation Expense F-5 1~49 CIAC Amortization Expense_ F-8 <tg16f) Taxes Other Than Income -- F-7 Income Taxes F-7 9o L~S'LJ -o- Total Operating Expense -o- 134;/'?o Net Operating Income (Loss) -o- &5;1>49 ts"~;(.zz f;!zj_ 9o -o- L'-o..s',g'i. > fl~l/1 IZ31ff <!~f~f> ;s;s'fl -o- - o- L.3f,f?o -o- ~&Iff Other Income: Nonutility Income L --- #:- 1: Other Deductions: Miscellaneous Nonutility Expenses Interest Expense ~2/:L 4U:J.. Net Income (Loss) -o- l~l!il -o- ~1!1/_ F-3

8 --~---- I COMPARATIVE BALANCE SHEET YEAR OF REPORT DECEMBER 31, ;;;J..e!z/- Reference Current Previous ACCOUNT NAME Page Year Year Assets: Utility Plant in Service ( ) Accumulated Depreciation and F-5,W-1,S-1..57,.31/-/.514,34/ Amortization (108) F-5,W-2,S-2 3S''194 33Zl1-s Net Utility Plant ::1./gii/J ~~99" Cash IZI''li~ Customer Accounts Receivable (141) L~~o ~lfol ~9/ ~~~e~ Cssets ~ecify): - '!.JiLIS u..eil 0, ~~ 'it1'i.5, r: _ c.,.;-.,~ity n ~ AAirl f"lnnf!il._!ljllo ~7."o Total Assets ~f~~.:!1~24d-... Liabilities and Capital: Common Stock Issued (201 ) F-6 SoQ 5oo Preferred Stock Issued (204 ) F-6 Other Paid in Capital (211) LQQ,OO_Q_ ~00 OOQ Retained Earnings (215) F-6 61-l~fJ~ ~=~~SM> Propietary Capital (Proprietary and Partnership only) (218) F-6 Total Capital ~~33&';z :(~ota') Long Term Debt (224) F Cfq,ef.J'I Accounts Payable (231 ) 3_~ll~ ~Lll Notes Payable (232) Customer Deposits (235) Accrued Taxes (236) ~Lof:_ ~f.;z.. i~~ ~ther Liabilities ~~ecify) ltv/loll 7il'll~ "''""' r "'~ 7;}:1JI Advances for Construction Contributions in Aid of Construction - Net ( ) F-8 11~o7t 12~ 91/-1 Total Liabilities and Capital til~3~ 31 ~9_4::J- F-4

9 YEAR OF REPORT DECEMBER 31, ::J..o/ GROSS UTILITY PLANT Plant Accounts: ( ) inclusive Water Wastewater Plant other than Reporting Systems Total Utility Plant in Service (1 01) - o- 57~3tf/ Construction Work in Progress (1 05)_ Other (Specify) -a-.5~341 Total Utility Plant -o- 51f?_341 -o- ~~ ACCUMULATED DEPRECIATION {AID) AND AMORTIZATION OF UTILITY PLANT Other than Account 108 Water Wastewater Reporting Total Systems Balance First of Year -o- ~l,ffs' -o-.e37,<fis Add Credits During Year: Accruals charged to depreciation account Salvage LZ34f Lg3 f Other Credits (specify) Total Credits o- ttplf'l -o- Lg3f9 Deduct Debits During Year: Book cost of plant retired Cost of removal Other debits (specify) Total Debits -o- -o- -o- -o- Balance End of Year -o- ~ -o- ~.s-z L'l!i F-5

10 UTILITY NAME: SEa& ttj &/Xfr LlnL! Tll!f.:Jj..Je, e YEAR OF REPORT DECEMBER 31, / CAPITAL STOCK ( ) Common Stock Preferred Stock Par or stated value per share Shares authorized Shares issued and outstanding Total par value of stock issued Dividends declared per share for year.#l: 00.Soo 5oo #.5"QO RETAINED EARNINGS ( 215) Balance first of year Changes during the year (Specify): Cul!.l!.t:ll'L te"i.l& l'le:r:. ~lr" A_ppro_priated Un- Appropriated <;_y;.s-1a> ~'IV-I_ Balance end of year {tl"'lafz PROPRIETARY CAPITAL ( 218) Proprietor Or Partner Partner Balance first of year Changes during the year (Specify):! J.J/11 I Balance end of year LONG TERM DEBT ( 224 ) Description of Obligation (Including Date of Issue and Date of Maturity): Principal per Balance Sheet Date T~~ F-6

11 UTILITY NAME: Sg/i&UJS /?ll>fi E Ur/L/71~.:J:i.Jc.. YEAR OF REPORT DECEMBER 31, ~/ TAX EXPENSE Water Wastewater Other Total (a) (b) (c) (d) (e) Income Taxes: Federal income tax State income Tax Taxes Other Than Income: State ad valorem tax ~7 Z fz 0 7 Local property tax l,o' J,ot Regulatory assessment fee -z~4?jf34 Other (Specify) &Y&oL.t..1iJ..x~s. ~~.;z. -J ~KS:L, Total Tax Expense -o- t.s-.5"99 ~ -o- f45fi. PAYMENTS FOR SERVICES RENDERED BY OTHER THAN EMPLOYEES Report all information concerning outside rate, management, construction, advertising, labor relations, public relations, or other similiar professional services rendered the respondent for which aggregate payments during the year to any corporation, partnership, individual, or organization of any kind whatever amounting to 500 or more. Name of Recipient Water Wastewater Description of Service Amount Amount j/ias/1 A~<; I.J.m.1rl f'.,,tl L~l/.oz en~<'c/jjlt!rlob/. ~~#Jn~! -.3~ Ae.caul!iln~ dlln M)C SE4,1lliJES ~lj_q t!ljaj..~i/.uti-rl.v..l.&fo.a.:r L8.8..U1S. LAP. UssmJe :;J F-7

12 UTILITY NAME: SEE~A!N &l>ge: tlni...iti!.:?,.lte.. YEAR OF REPORT DECEMBER 31,.:L.o/ CONTRIBUTIONS IN AID OF CONSTRUCTION ( 271 ) Water Wastewater Total (a) (b) (c) (d) 1) Balance first of year -Q-.57q,9'f3 57~94-3 2) Add credits during year 3) ~~L -o-.szq, 94.3 ~2LiS. 4) Deduct charges during the year 5) Balance end ofyear -o- s~94a S7qtt 3. 6) Less Accumulated Amortization /,s- 39~,PJs- 7) Net CIAC -o Ltfo1 l'!j:qltl ADDITIONS TO CONTRIBUTIONS IN AID OF CONSTRUCTION DURING YEAR (CREDITS) Report below all developers or contractors Indicate agreements from which cash or property was "Cash" or Water Wastewater received during the year. "Property" ~ria ~, Sub-total Report below all capacity charges, main extension charges and customer connection charges received durino the year. Number of Charge per Description of Charge Connections Connection Total Credits During Year (Must agree with line# 2 above.) ACCUMULATED AMORTIZATION OF CIAC (272) Water Wastewater Total Balance First ofyear -o- 3 Add Debits During Year: Deduct Credits During Year: 711!1 3lfillt Balance End of Year (Must agree with line #6 above.) -o-.3~1!.66".3f&f/.5" F-8

13 ** COMPLETION OF SCHEDULE REQUIRED ONLY IF AFUDC WAS CHARGED DURING YEAR** UTILITY NAME: Se~R,tN s Rrnse!lrtLtrte~.Ii.J@... SCHEDULE "A" f\j I A YEAR OF REPORT DECEMBER 31, tj..o/lf SCHEDULE OF COST OF CAPITAL USED FOR AFUDC CALCULATION (1) Percentage Actual Weighted Dollar of Cost Cost Class of Capital Amount Capital Rates [ C X d] (a) (b) (c) (d) (e) Common Equity % % Preferred Stock % % Long Term Debt % % Customer Deposits % % Tax Credits -Zero Cost % 0.00% Tax Credits- Weighted Cost % % Deferred Income Taxes % % Other (Explain) % % Total % % % % % % % % % % (1) Must be calculated using the same methodology used to calculate AFUDC rate approved by the Commission. APPROVED AFUDC RATE Current Commission approved AFUDC rate:...: % Commission Order Number approving AFUDC rate: F-9

14 **COMPLETION OF SCHEDULE REQUIRED ONLY IF AFUDC WAS CHARGED DURING YEAR** UTILITY NAME: ~811..!1./G R!.bGiE I.JnLITlff.S. L.... YEAR OF REPORT DECEMBER 31, ~o/ SCHEDULE"B" SCHEDULE OF CAPITAL STRUCTURE ADJUSTMENTS Capital Structure Per Used for Book Non-utility Non-juris. Other (1) AFUDC Class of Capital Balance Adjustments Adjustments Adjustments Calculation {a) (b) (c) (d) (e) {f) Common Equity Preferred Stock Long Term Debt Customer Deposits Tax Credits-Zero Cost Tax Credits-Weighted Cost of Capital Deferred Income Taxes Other (Explain) Total (1) Explain below all adjustments made in Column (e): F-10

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16 WASTEWATER OPERATING SECTION

17 UTILITY NAME:.St:.B8.LtJ Rax:;t: {),.,LtTIE'' ItJe, YEAR OF REPORT DECEMBER 31, c(;l...o/ WASTEWATER UTILITY PLANT ACCOUNTS Acct. Previous No. Account Name Year Additions (a) (b) (c) (d) Retirements (e) Current Year (f) 351 Organization 352 Franchises Land and Land Rights L'i-11:: Structures and Improvements :l.~m 355 Power Generation Equipment 360 Collection Sewers - Force L(,ll1 361 Collection Sewers - Gravity Li!i~~ 362 Special Collecting Structures 363 Services to Customers ~~ 364 Flow Measuring Devices 365 Flow Measuring Installations 370 Receiving Wells 371 Pumping Equipment 380 Treatment and Disposal.3~Sl.3 Equipment Lo~foh 381 Plant Sewers ~5~ Outfall Sewer Lines Other Plant and Miscellaneous Equipment ~5oo 390 Office Furniture and Equipment ~,,1-391 Transportation Equipment 392 Stores Equipment 393 Tools, Shop and Garage Equipment 394 Laboratory Equipment 395 Power Operated Equipment 396 Communication Equipment 397 Miscellaneous Equipment 398 Other Tangible Plant L<tZL~ ~414 ~ z~btl-b 3~SJ~ La~ 'lob ~.S~1 ~QQ ~~J,I/- Total Wastewater Plant.Slfa~1i' -o- -o-.s~~* * This amount should tie to sheet F-5. S-1

18 UTILITY NAME: St=MJNG /(JDGrE /Jm1v ~ Me, YEAR OF' REPORT DECEMBER 31, ~o/ ANALYSIS OF ACCUMULATED DEPRECIATION BY PRIMARY ACCOUNT- WASTEWATER Average Average Accumulated Accum. Depr. Service Salvage Depr. Depreciation Balance Acct. Life in in Rate Balance End of Year No. Account Years Percent Applied Previous Year Debits Credits (f-g+h=i) _{_a) (b) (c) (d) (e) (f) (Q) (h) (i) 354 Structures and Improvements 4o % :J..So% ~.3lM.SLO 4.fS3 355 Power Generation Equipment % % 360 Collection Sewers - Force % a..so% *- 'L"' ~1~ 7.~f 361 Collection Sewers- Gravity 4o % ;;J..So% L:t~L2~ 362 Special Collecting Structures 4o %.2.5o%...5g,l!IJ,. ~.S~o Services to Customers % % 364 Flow Measuring Devices % % 365 Flow Measuring.Installations % % 370 Receiving Wells % % 371 Pumping Equipmeot :J.o % S.oo%.tl.?,!b3 ~~.::tb.;;7.~oi2 380 Treatment and Disposal Equipment LS % " '-Z% ~~3 j_1'll.s.3.oio 381 Ptant Sewers!/2 % S"o%.zz~>lo ~ok'l_ ~'11>2 382 Outfall Sewer Lines % % 389 Other Plant and Miscellaneous Equipment l~ %.i..b7% ~ Soo 1;ZSo 390 Office Furniture and Equipment Lo % Lo~~.oo% 391 Transportation Equipment % % ~b&rf_ -o- 392 Stores Equipment % % 393 Tools, Shop and Garage Equipment % % 394 Laboratory Equipment % % 395 Power Operated Equipment % % 396 Communication Equipment % % 397 Miscellaneous Equipment % % 398 Other Tangible Plant % % Totals 'll4S -o- ;ga-i9 3-fgt?i * ~bb'l * This amount should tie to Sheet F-5. S-2

19 '., WASTEWA~ OPERATION AND MAINTENANCE EXPENSE. YEAR OF REPORT DECEMBER 31,.:J...o llf. Acct..,.:...,..,_ '.... ) No...., Account Name. Amount t. ~,......\ ";.,~. f ~ ' ' i.t.~ ~ :0...., < --~.;. 701 ' 1 : '5aJ'aries and Wages-; Employees, ~.::..:,. : :S.~.~~~~~f 703 Sal.~les and Wage~\. Offiyers, Directors, and Major"ity'Stockholders ~ '!....:Z!l.~oo 704 E:mployee Pensions anti Ben'efi\s ~_: ~_:. _:_::2 710 Purchased Wastewater.Treatment. n~, 7f1 \, Sledge Removal Expens\<. ~ ~ L _-:::_=-_=--=-:I:_.=-_=-.=-_=-_=-.=-.=-.=-.=-.=-.=-.=-.=-=====... ~~~~~~~~~duet~;-~1; :~.-...!--~~ ~- dhei'micals,.. ' -;-.-;:-.~ :: M-~t~rials a~d S~pil~&~:_-:-::_:-~-_:_-:-_~ ~-_:_~~-~.:_-~--:._-_-_-_~ ----~--~--~ ~- 730 'Contractual Services:...,, Billing ~~.:._.::.~'~-~ ~~"-_.: Professional...:. S.'":: :,. " Te~n~ ~ OfueL Rents Transportation Expense Insurance Expense Regulatory Commission Expenses (Amortized Rate Case Expense) _ Bad Debt Expense --" Miscellaneous Expenses!..-"_..:: _ 6.:Z7S Total Wastewater Operation And Maintenance Expense 1/fil/ * * This amount should tie to Sheet F-3. WASTEWATER CUSTOMERS ** Un~mers Other ecify). _/ r;-,:.t~ I '~. l I I Number of Active ~listomer.s Total Number of Type of Equivalent Start End Meter Equivalents Description, 'Meter ** Factor of Year of Year (c x e) (a)... \.. (bl (c) (d). (e). (f) Residential Service '.. ' All meter size~.... D.. gb ;, Bfg_ ~ Z'-'z, ;. J. ':1-.0. ~::::... #.. General Seniice, ' " ' 5/8" ~/ ~ d6~ as;;. a_52-3/4" "'... I ~"'..:. ~.. D.. ~ " D ' 2.'5 1 1/2" D,T 5.0 ' 1<... 2". ~: D,C,T. 8.0 ~.... '. 3" ' D 15.0 ' ' 3" c " T 17.5 i'"-. t?ijj11~ 'I ~.,... ;. -llfll~...l D = Displacement C =Compound 'Total '' T =Turbine. '-,. ft'' 7. f:it1 ti/:5 ~16. S-3

20 UTILITY NAME: St:tUtu.Jr; fuse 1./rJL!rJIE'f, Ide... Year installed :..< /l)j~ Rated capacity Size n -IRI-I5iii.J Power: Electric n!ot.vii.'f'l"f Mechanical Nameplate data of motor Size (inches) Type (PVC, VCP, etc.) Average length Number of active service connections ~ -- Beginning of year -- Added du.ring year 1-eL:::: ~al Retired during Z-- -- End of year Give full particulars concerning &lil---- ;)IS inactive connections~~~ lilt] "" -- tmc:a-nf COLLECTING AND FORCE MAINS Size (inches") _: _ Type of main Length of main (nearest foot) :..:... Begining of year Added during year Retired during year_ End of year MANHOLES Si;e (inches) ~ ~ Type of Manhole ~ Number of Manhole.s:. l71' IV"-' Beginning of year._._..., Added during year Retired during year End of Year S-4

21 ' UTILITY NAME: SYSTEM NAME: YEAR OF REP DECEMBER 31, \',,.. Manufacturer Type "Steel" or "Concrete" Total Permitted Capacity_. Average Daily Flow Method of Effluent Disposal Permitted Capacity of Disposal_ Total Gallons of Wastewater treated TREATMENT PLANT Manufacturer Capacity (GPM's ) _ Motor: Manufacturer Horsepower Power {Electric or -... ~~ Mechanical) "- t;:/ij Months. ' PUMPING WASTEWATER STATISTICS Gallons of Effluent Reuse Treated Gallons to Wastewater Customers Effluent Gallons Disposed of on site January February March April May June July August September '-._ ~ _, _ October"'"' ~._. _ _._ November December Total for year ~~J a-a8 \, If Wastewater Treatment is purchased, indicate the vendor: ' S-5

22 .. I 0. \ utility NAME: Se.sg,NS Ra>se /.lnuve?., Lc,. SYSTEM NAME:~...:...:..,_...;.,...~~...,...,._.-----: I YEAROFR~ DECEMBER 31 I GENERAL WASTEWATER SYSTEM INFORMATION Furnish information below for each system. A separate page should qe supplied wh~re.necessary. I" 1o ~ c:)~:..-!.~/----'7~ _,.'""" _., 1. Present number of ERCs* now being served. 2. Maximum number of ERCs* which can be served. _Jc-'-311 0~31oz11!!!::.::-: Present system connection capacity (in ERCs*) using existing lines. _ _'J(_._~.. _.:_ _ _ ;:.:.. ' ~~ Future connection ca~acity (in ERCs*) upo~ ~erv. ice a~~a b_uildout. --~-#--"~~""'---r-"-' Estimated annual increase in ERCs*... ' > a io 3. ~ J.D.s.S '. 6. Describe any plans a~ated completion dates ~largements or improvements of this system... /1ft4i-f,!(AJkoJ- CiDI!?p/EIJII laj 801~- ~.. -. '' '.. ' ~ 7. If the utility uses reuse-as a means of effluent disposal, provide a list of the re'\,is 1 end users and the amount of reu,se provided to e~ch, if known. ' ~ 8. If the utility does not engage in reuse, has a reusll feasibility study been completed? _.._/Vz O.. If so, when? ~ ". I 9. Has the utility been required by the DEP or water management district to implement reuse? _,/IJjUL.lJ~ If so, what are the utility's plans to comply with this requirement? -...""'~' /",. 10. When did the company last file a capacity analysis report with the DEP7 ~t"!'::~ifl'"""'.. -.~.;;;~ If the present system does not meet the requirements of DEP rules, submit the following: a. Attach a description of the plant upgrade necessary to mee(the ~-~p: rules. - ~ b. Have these plans been approved by DEP? '- -'-.'_,._ --"':7"'~"' c. When-will construction begin? ~ d. Attach plans for funding the required upgrading. / e. Is this system under any Consent Order with DEP?./ > '. 12. Department of Environmental Protection ID # &fa--/,()~{-c_t-.3-:-,-,-q--'-,.~.. {J_ )_/_--.-a-w--s-?:::;;;;;;;; :..~. ~. oil An ERC is determined based on one of the following methods: (a) If actual flow data are available from the preceding 12 months: ~.. ~ Divide the total annual single family residence (SFR) gallons so!d by th~average number of SFR customers for the same period and divide the result b\t 365 _days. (b) If no historical flow data are available use: ERC =(Total SFR oallons sold (omit 000)1365 d~/280gallons_per davl. ' S-6

23 UTILITY NAME: Sr=8guJs &])Ge liriltrtie'~ -z:ai~.. YEAR OF RE~ DECEMBER 31, CERTIFICATION OF ANNUAL REPORT I HEREBY CERTIFY, to the best of my knowledge and belief: YES.- NO ~ CJ 1. YES ~ NO CJ 2. YES ( NO J><. CJ 3. NO CJ 4. The utility is in substantial compliance with the Uniform System of Accounts prescribed by the Florida Public Service Commission in Rule (1 ), Florida Administrative Code. The utility is in substantial compliance with all applicable rules and orders of the Florida Public Service Commission. There have been no communications from regulatory agencies concerning noncompliance with, or deficiencies in, financial reporting practices that could have a material effect on the financial statement of the utility. The annual report fairly represents the financial condition and results of operations of the respondent for the period presented and other information and statements presented in the report as to the business affairs of the respondent are true, correct, and complete for the period for which it represents. Items Certified ~ c:xrckrl5kl---~-~ ~ ' ' (signature of Chief Executive Officer of the utility) Date:.s;/1/J.s= * CJ CJ CJ c::::j Date:. (signature of Chief Financial Officer of the utility) * * Each of the four items must be certified YES or NO. Each item need not be certified by both officers. The items being certified by the officer ~hould be indicated in the appropriate area to the left of the signature. Notice: Section , Florida Statutes, provides that any person who knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his duty shall be guilty of a misdemeanor of the second degree. V-1