OFACIAL COPY Publlc r;ervice Commi~slcr;::,

CLASS "C" Do Not Remove From ThiS 0 ;~ce

WATER AND/OR WASTEWATER UTILITIES (Gross Revenue of Less Than $200,000 Each)

ANNUAL REPORT SU648-16-AR Karen M. Berry

OF

Fairmount Utilities, the 2nd, Inc. 3625 Valerie Blvd. Sebring, FL 33870-7814

Submitted To The

STATE OF FLORIDA J7-,;') C) : ;.:)

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PUBLIC SERVICE COMMISSION FOR THE

YEAR ENDED DECEMBER 31, ~Olio

Form PSC/ECR 006-W (Rev. 12/99)

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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 25-30.115 (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 the 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 25-30.110 (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 Economic Regulation 2540 Shumard Oak Boulevard Tallahassee, Florida 32399-0850

11. Pursuant to Rule 25-30.110 (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 Economic Regulation, 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.

\ 'b·.,_ . ~·· . '

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 25-30.116, 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 367.021 (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 25-30.140 (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 367.021 (6), Florida Statutes)

EQUIVALENT RESIDENTIAL CONNECTION (ERC) - (WATER) - (Rule 25-30.515 (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 25-30.515 (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

Identification Income Statement Comparative Balance Sheet Gross Utility Plant

TABLE OF CONTENTS

FINANCIAL SECTION

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

WATER OPERATING SECTION

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

WASTEWATER OPERATING SECTION

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

VERIFICATION SECTION

Verification

iii

PAGE

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

PAGE

W-1 W-2 W-3 W-3 W-4 W-5 W-6 W-7

PAGE

S-1 S-2 S-3 S-3 S-4 S-5 S-6

PAGE

V-1

FINANCIAL

SECTION

REPORT OF

fa/rmounf Lifrf,·J-,·e~ +he- 2t I tv<!.-• (EXA T NAME OF UTILITY) .

~ ~cJer~J Blv<h; I ~5 \lo.lwe B~~d. ~lf~hlat>ds __ n_ E\__do. --'-<g]Q . -~nng Elondo. --~"'70 . 1 Mailing Address Strdet Address County

Telephone Number ( ~3) ~8'5- ~SJ.f"L Date Utility First Organized /0 j 11/ q (

Fax Number E-mail Address

Sunshine State One-Call of Florida, Inc. Member No. FU 212.1 Check the business entity of the utility as filed with the Internal Revenue Service:

D Individual ~ Sub Chapter S Corporation D 1120 Corporation D Partnership

Name, Address and Phone where records are located: ;,le 2 5 \Ia I e rl (. ~\\1 d . ( 8G;. 3) 3 ~ 5-85'-f-2. '5e.bon'l) ~\oridc. 1>:.~10

Name of subdivisions where services are provided: fct ,· ymounl: Mob,· {e Esfafr.:s

CONTACTS

Salary Charged

Name Title Principal Business Address Utility PerKo to send correspondence:

a-n 8errv P,..e5,J£.nt 3" 2S \Jalen e B\v d Person who prepared this report: -.-

3(Ql.:5 \!ell~.-~~ Eb\\ld. Pat Mdler lreasu..rer

Offkas and Managers: Pre/5,·de1:1f 3..~ s ~~b.e eA"d. are.n 8en-w $ ~~~

f'q 1- M.·ue,.-' lr-ea::J ~.«.,.. e r ~2.5 \l"-\et"l~ ~\~d. $ J;Loo $ $ $

Report every corporation or person owning or holding directly or indirectly 5 percent or more of the voting securities of the reporting utility:

Percent Salary Ownership in Charged

Name Utility Principal Business Address Utility '-<a.r e.t'l Be.,-vl.f '1'i CJo :~5 \/CA.-Ie..-le E\\vrt $ 6.s"S~

Wdli Ar:n P.:>e.rY'j l..l CLo. ~~:l.S~a.ler:i~ t~A~ld1 $ .)

-o-$ $ $ $ $

F-2

UTILITY NAME: {a,·rmount Ufi},ftt:5 fbe 2f IAJf!,

INCOME STATEMENT

Ref. Account Name Page Water Wastewater

Gross Revenue: Residential -------- $ $ LO~ tf.2.J' Commercial ------ f43.3.1J: Industrial ----------Multiple Family ______ Guaranteed Revenues --Other (Specify)lJHiwV>..EdT.:. Zoo

Total Gross Revenue ---- $ -o- $ Ld4'U+

Operation Expense (Must tie W-3 to pages W-3 and S-3) S-3 $ $ 13{3of

Depreciation Expense ____ F-5 ~

CIAC Amortization Expense __ F-8 <.s-) Taxes Other Than Income __ F-7 gl'79_

Income Taxes _________ F-7 -o-

Total Operating Expense $ -o- 11-~u~ >

Net Operating Income (Loss) $ -o- $ <¢i£oo> Other Income:

Nonutility Income _____ $ $ -r. •A ____ Ta - 3_

Other Deductions: Miscellaneous Nonutility

Expenses ________ $ $ Interest Expense _____

Net Income (Loss) $ -(;)- $ S,_;t.~ £;f.;l~

F-3

$

$

$

$

$

$

$

YEAR OF REPORT DECEMBER 31, ZOllo

Total Other Com(:>any

$ Log tf' .:1.B l~3.S'f_

7oo

$ 12-f, 'II;..

$ /.3~,go?

~'1

-<.r> 2?79 -o-

$ 1~71~

$ =<;;1.~ foo)

$ 3_

$

$ ~,79~

UTILITY NAME: {q i rmoun t IJh Dh e {<. !J, e_ 2'!i Jivl!. 1 YEAR OF REPORT > _DECEMBER 31, tOI{p

COMPARATIVE BALANCE SHEET

Reference Current Previous ACCOUNT NAME Page Year Year

Assets:

Utility Plant in Service (1 01-1 05) ________ F-5,W-1 ,S-1 $ Accumulated Depreciation and

:2../g5?7 $ 01./f.Sf..Z

Amortization (108) --------- _____ F-5,W-2,S-2 (j(.f A?' 'I .1.1~31/o ...

Net Utility Plant _______________ $ ~K;7..i $ ~5"7

Cash ---------------------- JtlW Zc:t'-.;t Customer Accounts Receivable ( 141 )_ ____ 1{3'16 Other Assets (Specify): _____________

'-oAIJS "1"h Eh.~t "'ll:::t<:.S b~

Total Assets _________________ $ ..1ct7'' $ .u.s-~t

Liabilities and Capital:

Common Stock Issued (201 )_ _________ F-6 ~000 ~OCCJ Preferred Stock Issued (204)_ _________ F-6 Other Paid in Capital (211)_ __________ S~l.Li' .S.3ibl~ Retained Earnings (215)_ __________ F-6 ~~47if) S..s~ l :1.'1). Propietary Capital (Proprietary and

Partnership only) (218)_ ___________ F-6

Total Capital _________________ $ <143o?;> $ s;i-91 Long Term Debt (224)_ ____________ F-6 $ $ Accounts Payable (231)_ ___________ 3.~DOZ ~$.8~ Notes Payable (232)_ _____________ Customer Deposits (235)_ ___________ .So Accrued Taxes (236)_ _____________ Sjl:3o ~693 ~~~r L~~~ities jf~~~fy)_ __________

ou fAx~s '£ .5ll 2t,S'RI/-.7Jut:E' Th HR11EAI &~a.v Zoo

Advances for Construction -----------Contributions in Aid of Construction - Net (271-272)_ ________ F-8 1!9 t;.tf

Total Liabilities and Capital ___________ $

~"'' $ 3~S3.Y:_

F-4

GROSS UTILITY PLANT

Plant Accounts: (1 01 - 1 07) inclusive Water Wastewater

Utility Plant in Service (101) $ -o- $ .:tlgS97

Construction Work in Progress

(1 05)_ - - -- - - - - - - -

Other (Specify)_ _______

Total Utility Plant ______ $ -o- $ :t/~.52-Z

$

$

YEAR OF REPORT DECEMBER 31, ;uJf{p

Plant other than

Reporting Total Systems

-o- $ ~JgS?7

-o- $ ~l~.s'f7

ACCUMULATED DEPRECIATION (AID) AND AMORTIZATION OF UTILITY PLANT

Other than Account 108 Water Wastewater Reporting Total

Systems Balance First of Year _____ $ -o- $ Jtld. al/-o

:; $ -o- $ :;2.J ~.31/o

Add Credits During Year: Accruals charged to

depreciation account ____ $ $ ~2 $ $ ~~'1 Salvage ____________ Other Credits {specify)_ ___

Total Credits --------- $ -o- $ t/-').7 $ -o- $ 4..12

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- $ ;;/./~'2 $ - o- $ r51..l;{,Z&.'l

F-5

CAPITAL STOCK ( 201-204)

Par or stated value per share ___________________________

Shares authorized ---------------------------------Shares issued and outstanding __________________________ Total par value of stock issued __________________________ Dividends declared per share for year _____________________

RETAINED EARNINGS ( 215)

Balance first of year ________________________________ $ Changes during the year (Specify):

~Et\IZ: YE~(AIE'r l.IJSS

Balance end of year ________________________________ $

PROPRIETARY CAPITAL ( 218)

Balance first of year ________________________________ $ Changes during the year (Specify):

(ifiZ Balance end of year ________________________________ $

LONG TERM DEBT ( 224 )

Description of Obligation (Including Date of Issue and Date of Maturity):

@/P T~al _____________________________________

F-6

I YEAR OF REPORT DECEMBER 31, U>J (p

Common Preferred Stock Stock

..,~00 ~OOQ ~000

~~C!QQ

Un-Appropriated Appropriated

$ <sa.s;J;.i/ ~..t~W')

$~-£4:211)

Proprietor Or Partner Partner

$

$

Interest Principal Rate #of per Balance

Pymts Sheet Date $

$

UTILITY NAME: ~,·rmounl- lJfl I; tres fhe- 2 ~INc.

TAX EXPENSE

Water Wastewater (a) (b) (c)

Income Taxes: Federal income tax _______ $ $ State income Tax ________

Taxes Other Than Income: State ad valorem tax _______ ~l6.3. Local property tax ________ Regulatory assessment fee ___ 4!f_3o ~ther (Specify)_ ________ 'lriA.oLL 7A"t&S:. ~'

Total Tax Expense ________ $ -o- $ 2lZ1.

$

$

YEAR OF REPORT DECEMBER 31, ZO I {o

Other Total (d) (e)

$

~llt.3

~0

..pd''

$ vu 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

HtSHLAI!J.l!.:s.llrJI.lTY.. ~I'M.TIUJCL«JN $ $ 3;J.S'o Mat~U.II.ME Alllh Oi'ERJrrlo.bl L Q~ ~IN(.; $ $ :J.~t'S'tl_ A-nuAirU/& liN.b 7Ax:.5stlll!!eS &r..snuJ. Etl&J_/l.Efi&IAI&. $ $ ~o63 &~:.tAJJ:EI!.llJl.G f't.¥i8 flrtur'e: SE~'IIl.~S. $ $ lt?,3..S'S' MAIAITENJW.e£ S.N.oB:I.EtJ.I/.IB.rJI!J.hiEil/:rJJL.. LAs $ $ .;tl!:l2.5"' LAB 1E-s:DhJ.&

$ $ ~

$ $ $ $ $ $ $ $ $ $

F-7

UTILITY NAME: £1rmou11f Liltl/ie.s fh~ 2:{ I-Nc. YEAR OF REPORT DECEMBER 31, t/..p

CONTRIBUTIONS IN AID OF CONSTRUCTION ( 271 )

Water Wastewater Total (§) (b) (c) (d)

1) Balance first ofyear __________________ $ -o- $ ,p,Lo£ $ f),_$' ell 2) Add credits during year _______________

$ $ $ 3) Total ----------------------- -Q- otS"06' ;/$~ 4) Deduct charges during the year ___________

,

5) Balance end of year _________________ -Q- ~s't!>cf' ~otf' 6) Less Accumulated Amortization ----------- ~3ee. =?;.3f2 .)

7) Net CIAC ---------------------- $ -Q- $ LL'l, $ LL2

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 durinQ the year. "Property"

~

Sub-total ----------------------- $ $

Report below all capacity charges, main extension charges and customer connection charges received during the _year.

Number of Charge per Description of CharQe Connections Connection

$ $ $

Total Credits During Year (Must agree with line# 2 above.)_ ________ $ $

ACCUMULATED AMORTIZATION OF CIAC (272)

Water Wastewater Total

Balance First ofYear _________ --------- $ -Q- $ ~38'1:_ $ ~36'~ Add Debits During Year: ______________

:;;>

$ s Deduct Credits During Year: _____________

Balance End of Year (Must agree with line #6 above.) $ -o- $ .:t3n_ $ ~f!i_ ;}

F-8

** COMPLETION OF SCHEDULE REQUIRED ONLY IF AFUDC WAS CHARGED DURING YEAR **

UTILITY NAME: ftJ,-vmounf Uf,'f; he.s +he 2~ INc.. ~~~~~~~~~~

SCHEDULE "A" tJ I A

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 $ 100.00 %

(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

%

%

%

%

%

%

%

%

%

** COMPLETION OF SCHEDULE REQUIRED ONLY IF AFUDC WAS CHARGED DURING YEAR**

UTILITY NAME: ;;/rmounf (/hf,.t/eS fke 2 ~ J#e-, YEAR OF REPORT

~A DECEMBER 31,

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 In-come Taxes Other (Explain)

Total $ $ $ $ $

(1) Explain below all adjustments made in Column (e):

F-10

WATER

OPERATING

SECTION

- ~~---~ --

UTILITY NAME: fa i~rn.oun f ll /i /if' es fl, e zJ INc. YEAR OF REPORT DECEMBER 31, Z-0/

WATER UTILITY PLANT ACCOUNT~~

-!----"' Acct. Previous Current No. Account Name Year Additions Retirements Year (a) (b) (c) (d) (e) (f)

301 Organization ___________ $ $ $ $ 302 Franchises ------------303 Land and Land Rights ______ 304 Structures and Improvements __ 305 Collecting and Impounding

Reservoirs __________ 306 Lake, River and Other

Intakes ____________

307 Wells and Springs ________ 308 Infiltration Galleries and

Tunnels ____________

309 Supply Mains ___________ 310 Power Generation Equipment_ _ 311 Pumping Equipment _______ 320 Water Treatment Equipment ___ 330 Distribution Reservoirs and

Standpipes __________

331 Transmission and Distribution Lines _____________

333 Services _____________

334 Meters and Meter Installations __________

335 Hydrants _____________

336 Backflow Prevention Devices __ 339 Other Plant and

Miscellaneous Equipment ___ 340 Office Furniture and

Equipment __________

341 Transportation Equipment ____ 342 Stores Equipment ________ 343 Tools, Shop and Garage

Equipment __________

344 Laboratory Equipment ______ 345 Power Operated Equipment ___ 346 Communication Equipment ___ 347 Miscellaneous Equipment ____ 348 Other Tangible Plant _______

Total Water Plant _________ $ $ $ $

W-1

UTILITYNAME: ~/rmoi.ti'J/- /Jh'f,"ft.eS fhe.. ltd :f;vc_, @

ANALYSIS OF ACCUMULATED DEPRECIATION BY PRIMARY ACCOUNT- WATER

Average Average Accumulated

Service Salvage Depr. Depreciation

Acct. Life in in Rate Balance

No. Account Years Percent Applied Previous Year Debits

(a) (b) (C) (d) (e) (f) (q)

304 Structures and Improvements ___ % %$ $

305 Collecting and Impounding Reservoirs ----------- % %

306 Lake, River and Other Intakes __ % %

307 Wells and Springs _________ % % 308 Infiltration Galleries &

Tunnels % % ------------309 Supply Mains ___________ % % 310 Power Generating Equipment __ % % 311 Pumping Equipment ________ % % 320 Water Treatment Equipment ___ % % 330 Distribution Reservoirs &

Standpipes ___________ % % 331 Trans. & Dist. Mains ________ % % 333 Services ______________ % % 334 Meter & Meter Installations % % 335 Hydrants ______________ % % 336 Backflow Prevention Devices % % --339 Other Plant and Miscellaneous

Equipment ___________ % % 340 Office Furniture and

Equipment ___________ % % 341 Transportation Equipment ____ % % 342 Stores Equipment _________ % % 343 Tools, Shop and Garage

Equipment ___________ % % 344 Laboratory Equipment _______ % % 345 Power Operated Equipment ___ % % 346 Communication Equipment ____ % % 347 Miscellaneous Equipment _____ % % 348 Other Tangible Plant _______ % %

Totals __ ------------- $ $

-

*This amount should tie to Sheet F-5. W-2

$

$

YEAR OF REPORT DECEMBER 31, l.O

Accum. Depr. Balance

End of Year

Credits (f-g+h=i) (h) (j)

$

$ *

UTILITY NAME:

..

Acct.

WATER OPERA TJON AND MAINTENANCE EXPENSE~ No. Account Name Amount

601 Salaries and Wages- Employees _____________________________ $ ____ _ 603 Salaries and Wages - Officers, Directors, and Majority Stockholders __________ _ 604 Employee Pensions and Benefits ____________________________ _

610 Purchased Water _____ ------------------------- ______ _ 615 Purchased Power ____________________________________ _ 616 Fuel for Power Production _______________________________ _ 618 Chemicals ________________________________________ _ 620 Materials and Supplies _________________________________ _ 630 Contractual Services:

Billing ________________________________________ _ Professional_ ____________________________________ _ Testing __________ ------ ________________________ _ Other _________________________________________ _

640 Rents __ ------- _________________________________ _ 650 Transportation Expense _________________________________ _

655 Insurance Expense ____ ------------------------- ______ _ 665 Regulatory Commission Expenses (Amortized Rate Case Expense)_ ________ _ 670 Bad Debt Expense ____________________________________ _ 675 Miscellaneous Expenses ________________________________ _

Total Water Operation And Maintenance Expense____________________ $ ===== * • This amount should tie to Sheet F-3.

WATER CUSTOMERS

Number of Active Customers Total Number of Type of Equivalent Start End Meter Equivalents

Description Meter ** Factor of Year of Year (c x e) (a) (b) (c) @ (e) (f)

Residential Service 5/8" D 1.0 3/4" D 1.5 1" D 2.5 1 1/2" D,T 5.0

General Service 5/8" D 1.0 3/4" D 1.5 1" D 2.5 1 1/2" D,T 5.0 2" D,C,T 8.0 3" D 15.0 3" c 16.0 3" T 17.5

Unmetered Customers Other (Specify)

D = Displacement C =Compound Total T =Turbine

W-3

UTILITY NAME: YEAR OF REPORT

DECEMBER 31, 0 I SYSTEM NAM E

PUMPING AND PURCHASED WATER STATISTICS~ -Recorded

Accounted For Total Water

Water Finished Loss Through Pumped And Water Sold

Purchased Water From Line Flushing Purchased To

For Resale Wells Etc. (Omit OOO's) Customers

(Omit OOO's) (Omit OOO's) (Omit OOO's) [ (b)+(c)-(d) l (Omit OOO's)

(a) (b) (c) (d) (e) (f)

January ________ February _______

March ---------April __________ May __________ June _________ July __________ August ________ September ______ October ________ November _______ December _______

Total for Year _____

If water is purchased for resale, indicate the following: Vendor Point of delivery

If water is sold to other water utilities for redistribution, list names of such utilities below:

MAINS (FEET)

Diameter Removed End Kind of Pipe of First of or of

(PVC, Cast Iron, Coated Steel, etc.) Pioe Year Added Abandoned Year

W-4

UTILITY NAME: fit nnoun f- i/h / i ht:s. fl."<' z1 TfVc, SYSTEM NAME:

YEAR OF REPORT DECEMBER 31, ZOII.o

WELLS AND WELL PUMPS r_;;j;) ~

(a) (b) (c) (d) (e)

Year Constructed -------Types of Well Construction

and Casing ________

Depth ofWells _________ Diameters of Wells ______ Pump- GPM _________ Motor - HP __________ Motor Type * _________ Yields of Wells in GPO ____ Auxiliary Power ________

* Submersible centrifuaal etc.

RESERVOIRS

(a) (b) (c) (d) (e)

Description (steel, concrete) Capacity of Tank _______ Ground or Elevated ______

HIGH SERVICE PUMPING

{a) (b) (c) (d) (e) Motors

Manufacturer _________ Type _____________

Rated Horsepower ______

Pumps Manufacturer _________ Type _____________

Capacity in GPM _______ Average Number of Hours

Operated Per Day _____ Auxiliary Power ________

W-5

UTILITY NAME:

I SOURCE OF SUPPLY (0;:] ~]

List for each source of supply ( Ground, Surface, Purchased Water etc. )

Permitted Gals. per day ___ Type of Source ________

WATER TREATMENT FACILITIES

List for each Water Treatment Facility:

Type _____________

Make Permitted-Capacity-(GPD)=-=:. High service pumping

Gallons per minute ____ Reverse Osmosis ------Lime Treatment

Unit Rating ________ Filtration

Pressure Sq. Ft. _____ Gravity GPD/Sq.Ft. ____

Disinfection Chlorinator _______

Ozone __________

Other Auxiliary Pow~r=_ -_ -_-: ~: :

W-6

YEAR OF REPORT DECEMBER 31, ZO I

YEAR OF REPORT

SYSTEM NAME: DECEMBER 31 C)

GENERAL WATER SYSTEM INFORMATION~ ~_,

Furnish information below for each system. A separate page should be supplied where necessary.

1. Present ERG's *the system can efficiently serve.

2. Maximum number of ERCs *which can be served.

3. Present system connection capacity (in ERCs *) using existing lines.

4. Future connection capacity (in ERCs *) upon service area buildout.

5. Estimated annual increase in ERCs *.

6. Is the utility required to have fire flow capacity? If so, how much capacity is required?

7. Attach a description of the fire fighting facilities.

8. Describe any plans and estimated completion dates for any enlargements or improvements of this system.

9. When did the company last file a capacity analysis report with the DEP?

10. 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 meet the DEP rules.

b. Have these plans been approved by DEP?

c. When will construction begin?

d. Attach plans for funding the required upgrading.

e. Is this system under any Consent Order with DEP?

11. Department of Environmental Protection ID #

12. Water Management District Consumptive Use Permit#

a. Is the system in compliance with the requirements of the CUP?

b. If not, what are the utility's plans to gain compliance?

* 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 sold by the average number of SFR customers for the same period and divide the result by 365 days.

(b) If no historical flow data are available use: ERC =(Total SFR aallons sold (omit 000)/365 days/350 gallons_j)_er d~

W-7

WASTEWATER

OPERATING

SECTION

f": /1/ · . ? wJ --UTILITY NAME: rat'rrnou.n/- Wrt'U tit:s f6 t:- J... ) Jwc ·

WASTEWATER UTILITY PLANT ACCOUNTS

Acct. Previous No. Account Name Year Additions (a) (b) (c) (d)

351 Organization ___________ $ $ $ 352 Franchises ____________

353 Land and Land Rights ______ 354 Structures and Improvements __ 3t'b3 355 Power Generation Equipment __ 360 Collection Sewers- Force ____ ~ol 361 Collection Sewers- Gravity ___ ..5$fl32 362 Special Collecting Structures __ ~:2_bo 363 Services to Customers ______ ~rM'I 364 Flow Measuring Devices _____ 365 Flow Measuring Installations ___ 370 Receiving Wells _________ 371 Pumping Equipment _______ 380 Treatment and Disposal

Equipment __________ ZfJ/.1£ 381 Plant Sewers -----------382 Outfall Sewer Lines _______ 389 Other Plant and Miscellaneous

Equipment __________

390 Office Furniture and Equipment __________ ~LS"£.

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 _______

Total Wastewater Plant _____ $ .P..Lg.s7z $ --o- $

* This amount should tie to sheet F-5.

S-1

YEAR OF REPORT DECEMBER 31, 2.0 I

Current Retirements Year

(e) (f)

$

31,''-3

~ :l.~~l

lfr~ll.

~l-5:£

-o- $ ~~~5'7_1._ *

!

UTILITY NAME: {a; r moon J- {Jf; /' ft e.s fA e- 2 ~ INc. YEAR OF REPORT

DECEMBER 31, l.Oitc

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 ___ ~1 % .3.7o% $ 3~f43 $ $ -o- $ 3~bb3 355 Power Generation Equipment __ % % 360 Collection Sewers - Force ----- 3.1 % 3e1o % j..8'J3 .3S.;J.... :rtu! 361 Collection Sewers - Gravity ____ Y:_o % :J..Soo/o ~~ -o-362 Special Collecting Structures ___ az % ~-1c% -o-363 Services to Customers _______ ..35 % ~.8b% ~d.S'L -o- d.!J~f 364 Flow Measuring Devices ______ % % 365 Flow Measuring Installations ___ % % 370 Receiving Wells _________ % % 371 Pumping Equipment ________ % % 380 Treatment and Disposal

Equipment ___________ LS' % '~'1% z~LJ-tN -o- ~L/-If_ 381 Plant Sewers % % -----------382 Outfall Sewer Lines % % --------389 Other Plant and Miscellaneous

Equipment ___________ % % 390 Office Furniture and

Equipment ___________ L.s' % b·"-1% S'Lb zz .0~;' 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 _______ % %

Totals --------------- $ :Al~3fa $ -o- $ 4;;.'!_ $ .:1.1~1&% *

* This amount should tie to Sheet F-5. S-2

I

I

YEAR OF REPORT DECEMBER 31,

WASTEWATER OPERATION AND MAINTENANCE EXPENSE

Acct. No. Account Name Amount

701 Salaries and Wages- Employees _____________________________ $

~ 703 Salaries and Wages- Officers, Directors, and Majority Stockholders __________ 704 Employee Pensions and Benefits _____________________________

710 Purchased Wastewater Treatment ____________________________ 711 Sludge Removal Expense ________________________________

715 Purchased Power _____________________________________ 5;.33.o 716 Fuel for Power Production --------------------------------718 Chemicals _________________________________________ ~of£ 720 Materials and Supplies __________________________________ i.s;olf4 730 Contractual Services:

Billing _________________________________________

Professional -------------------------------------- .s'"f.,s-'.;t. Testing _________________________________________ ~0~ O~eL-----------------------------------------

740 Rents ___________________________________________ 48.'-l 750 Transportation Expense _________________________________

~!j 755 Insurance Expense ____________________________________

765 Regulatory Commission Expenses (Amortized Rate Case Expense)_ _________ 770 Bad Debt Expense ____________________________________

775 Miscellaneous Expenses _________________________________ f,o14

Total Wastewater Operation And Maintenance Expense _________________ $_L~~ot;_ * * This amount should tie to Sheet F-3.

WASTEWATER CUSTOMERS

Number of Active Customers Total Number of Type of Equivalent Start End Meter Equivalents

Description Meter ** Factor of Year of Year (c x e) ~)_ (b) (Q}_ (d) (e) (f)

Residential Service lf21 1z1 121 All meter sizes D 1.0

General Service 5/8" D 1.0 3/4" D 1.5 1" D 2.5 1 1/2" D,T 5.0 2" D,C,T 8.0 3" D 15.0 3" c 16.0 3" T 17.5

Unmetered Customers Ls-- Ls- L!J Other (Specify)

** D - Displacement 1_1_2 J../1-L C =Compound Total J../1-/ L T =Turbine

S-3

ur1uTYNAME: fairrno(JJ]f IJ./iJ,'f,~ Me 2~~ It1e!. PUMPING EQUIPMENT

SERVICE CONNECTIONS

Size (inches)_ __________________ !f' --

Type (PVC, VCP, etc.)_ _____________ \It~, --Average length __________________ ~ --Number of active service

connections ------------------ ~ --Beginning of year _________________ ~ --Added during year ________________ _Q__ --Retired during ~a~--------------- ill --End of year ____________________

--Give full particulars concerning

inactive connections -------------- --

l'iJA- --

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_ _ _ _ _ _

Collecting Mains

_I_:_ ~ -- --

--{pf {) .32.00

_1)_ _!2_ _____C2__ __Q_ __kiP_ 32Q0

Size (inches)_ ____ _ Type of Manhole ___ _ Number of Manholes:

Beginning of year __ _ Added during year __ Retired during year __ End of Year _____ _

~ --~ --

-- --LUQ --_Q_ --_a_ --_J_U2Q --

MANHOLES

S-4

------

----------

----

----

----------

YEAR OF REPORT DECEMBER 31 aol{p

-- -- ---- -- ---- -- --

-- -- ---- -- ---- -- --

-- -- ---- -- --

-- -- ---- -- --

Force Mains

-- -- ---- -- --

-- -- ---- -- ---- -- ---- -- ---- -- --

UTILITY NAME: r IJ . JJti-raJt'rnounflikftt;..S 16~ 2- .ktc.

)

SYSTEM NAME: YEAR OF REPORT

DECEMBER 31, ZOILP

TREATMENT PLANT

Manufacturer ~IJdu:i A; /l. Type ____ -=_-=_-=_ = = = = = ~ "Steel" or "Concrete"

~ -- - . .J.....,ttt Total Permitted Capacity ___ Average Daily Flow _____ ~1-r. ~l'la p~as Method of Effluent Disposal_ __ ~if~t Permitted Capacity of Disposal_ Total Gallons of

Wastewater treated ------ l ~,:J 'Rb

MASTER LIFT STATION PUMPS

~-'11? ~ ...

Manufacturer _________ >OtmiiiJ ~ Ol~-) Capacity (GPM's)_ _____ ~~ 'lk (..,

Motor: Manufacturer _______ 6oe~n" J) . Horsepower _______ Shp

Power (Electric or Mechanical)_ ______ E/~1

PUMPING WASTEWATER STATISTICS Gallons of Effluent Reuse Effluent Gallons

Months ' Treated Gallons to Disposed of Wastewater Customers on site

January ___________ I. I h.!J I / February ___________ I, Z-J I I I March ------------ l .Q~-3 I I April _____________ ,j~+ L I May _____________ II 201{ I I June _____________ \, J I \~I July _____________ 1. 30(, ':\ 'f-1 ,\'I August ____________ I. :I &, ,3 ~y \'f September __________ ,.~·H+ / I October ___________ I , oo 1- / I November __________ .451 / I December __________

·""'" / I Total for year _____ -'- ___ 13.1~5 I/ 1/ If Wastewater Treatment is.purchased, indicate the vendor:

S-5

UTIUTY NAMEo fat r mou at /Jhl/hes fl,e- 2 '1 I/Je. SYSTEM NAME=-----------------------

GENERAL WASTEWATER SYSTEM INFORMATION

Furnish information below for each system. A separate page should be supplied where necessary .

1. Present number of ERGs* now being served. .iJ.J. 1 2. Maximum number of ERGs* which can be served. .i../!r;O

3. Present system connection capacity (in ERGs*) using existing lines. i.f~L>O

4. Future connection capacity (in ERGs*) upon service area buildout. 33

5. Estimated annual increase in ERGs*. - 0 - (tnA'f h~ 1)

YEAR OF REPORT DECEMBER 31 Zf) I (p

6. Describe any plans and estimated completion dates for any enlargements or improvements of this system w( l,q I

7. If the utility uses reuse as a means of effluent disposal, provide a list of the reuse end users and the amount of reuse provided to each, if known. N/A

8. If the utility does not engage in reuse, has a reuse feasibility study been completed?

If so, when? ..~f\ I

9. Has the utility been required by the DEP or water management district to implement reuse?

If so, what are the utility's plans to comply with this requirement? NIA , ........-~

10. When did the company last file a capacity analysis report with the DEP? _!)_~I lo

11. 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 meet the DEP rules. /" b. Have these plans been approved by DEP? c. When will construction begin? , d. Attach plans for funding the required upgrading.

tiO e. Is this system under any Consent Order with DEP?

12. Department of Environmental Protection ID # DO~S lf610to5

* An ERG 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 sold by the average number of SFR customers for the same period and divide the result by 365 days.

(b) If no historical flow data are available use: ERG= (Total SFR Qallons sold (omit 000)/365 days/280_gallons oer day}.

S-6

*

CERTIFICATION OF ANNUAL REPORT I HEREBY CERTIFY, to the best of my knowledge and belief:

YES

~

YES

[2J

YES

~

YES

~

NO c=J 1.

NO c=J 2.

NO c=J 3.

NO c=J 4.

The utility is in substantial compliance with the Uniform System of Accounts prescribed by the Florida Public Service Commission in Rule 25-30.115 (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

2. 3. 4.

~ ~J?<J

Date:

1. 2. 3. 4. ·I._--~ CJ c=J CJ

(signature of Chief Financial Officer of the utility)

Date:

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 should be indicated in the appropriate area to the left of the signature.

Notice: Section 837.06, 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

*

*