Southwest Florida Water Management District 20__ Public Supply Annual Report PART B For Individual Permits Over 100,000 GPD Annual Average Quantities Please submit water use information for January 1 December 31, 20__. – WUP No(s).: Reporting period (mo/yr-mo/yr): Permittee Name: Contact Name: Address: County: SERVICE CATEGORIES: Quantities to be reported are annual average gallons per day (total number of gallons supplied per reporting period, divided by 365 days per year) and are to include both indoor and outdoor use, whether separately metered or not. On a separate sheet, permittees are to document the methodology used to determine the number of dwelling units by type and their quantities used. Estimates of water use based on meter size will not be accepted. When using "Requirements for the Estimation of Permanent and Temporal Service Area Populations," dated January 1, 2007, as set forth in Part D of the WUP Handbook, total dwelling units served from the WUP Applicant’s Handbook Appendix C, Worksheet A must equal the total units reported below in line 5. Applicant’s Number of Number of Annual % of Documentation on Dwelling Metered Average Residential Water Service Category Total an Attached Sheet Units Connections (gpd) 1. Single Family Dwelling Units [ ] Yes [ ] No 2. Multiple Family Dwelling Units [ ] Yes [ ] No 3. Mobile Home Dwelling Units [ ] Yes [ ] No Residential Irrigation Accounts N/A 4. [ ] Yes [ ] No 5. Subtotal of Residential Service [ ] Yes [ ] No Annual Number of Average % of Non-Residential Water Service Category Metered Gallons Per Total Connections Day 6. Industrial/Commercial Uses 7. Agricultural Uses 8. Recreational/Aesthetic Uses 9. Golf Course Irrigation 10. Fire and Other Accounted Uses 11. SUBTOTAL (Add items 5 through 10) 12. Water Loss 100 TOTAL (Add items 11 and 12)( = line 5 on Part A)
Southwest Florida Water Management District 20__ Public Supply Annual Report PART B For Individual Permits Over 100,000 GPD Annual Average Quantities Please submit water use information for January 1 – December 31, 20__. WUP No(s).: Reporting period (mo/yr-mo/yr): Permittee Name: Contact Name: Address: County: SERVICE CATEGORIES: Quantities to be reported are annual average gallons per day (total number of gallons supplied per reporting period, divided by 365 days per year) and are to include both indoor and outdoor use, whether separately metered or not. On a separate sheet, permittees are to document the methodology used to determine the number of dwelling units by type and their quantities used. Estimates of water use based on meter size will not be accepted. When using "Requirements for the Estimation of Permanent and Temporal Service Area Populations," dated January 1, 2007, as set forth in Part D of the WUP Applicant’s Handbook, total dwelling units served from the WUP Applicant’s Handbook Appendix C, Worksheet A must equal the total units reported below in line 5. Residential Water Service Category Number of Dwelling Units Number of Metered Connections Annual Average (gpd) % of Total Documentation on an Attached Sheet 1. Single Family Dwelling Units [ ] Yes [ ] No 2. Multiple Family Dwelling Units [ ] Yes [ ] No 3. Mobile Home Dwelling Units [ ] Yes [ ] No 4. Residential Irrigation Accounts N/A [ ] Yes [ ] No 5. Subtotal of Residential Service [ ] Yes [ ] No Non-Residential Water Service Category Number of Metered Connections Annual Average Gallons Per Day % of Total 6. Industrial/Commercial Uses 7. Agricultural Uses 8. Recreational/Aesthetic Uses 9. Golf Course Irrigation 10. Fire and Other Accounted Uses 11. SUBTOTAL (Add items 5 through 10) 12. Water Loss TOTAL (Add items 11 and 12)( = line 5 on Part A) 100