J.1 SystemPopulationCert, 07112016.pdf

System Name ___________________________ PWSID __________________

Population Types and Seasons System Population Certification

Revision? Actual date of changes described in this revision _____________________

Resident Population means the average number of people whose primary residence is served by the system.

The individual need not live at the residence for 365 days per year for it to be considered his/her primary residence.

_________________________ Number of year-round residents served by system _________________________ Number of taps (buildings/houses) serving year-round residents

Non-Transient Population means the average number of individuals served per day, during the year or normal operating period(s), who do not reside at the place served by the water system but have a regular opportunity to consume water produced by the system. Regular opportunity is defined as four or more hours per day, for four or more days per week, for six months or more per year.

_________________________ Number of non-transients served by system _________________________ Months in operation (example: May – September)

Transient Population means the average number of individuals served per day during the year or annual operating period(s), who have an opportunity to consume water from the system but who do not meet the definition of either residents or non-transient customers. (Restaurant patrons are an example of transient consumers.)

_________________________ Number of transients served by system _________________________ Months in operation (example: May – September)

Certification of Accuracy

“By signing this document, I herby certify that the information above is true, accurate, and complete to the best of my knowledge and belief.

I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment.”

Signature _______________________________________ Date _____________

Department Use:

Classification

December 2015 Submit Online: wqcdcompliance.com/login Fax: (303) 758-139 WQCD – Drinking Water CAS 4300 Cherry Creek Drive South; Denver, CO 80246-1530