BUSINESS PLAN TEMPLATE

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BUSINESS PLAN TEMPLATE FOR PROPOSED COMMUNITY PUBLIC WATER SUPPLY SYSTEMS New Hampshire Department of Environmental Services Water Supply Engineering Bureau Public Water System Capacity Development 6 Hazen Drive P.O. Box 95 Concord, New Hampshire 03301-0095 Telephone: (603) 271-3108 Fax: (603) 271-5171 e-mail: WSEBInfo@des.state.nh.us internet: www.des.state.nh.us/wseb/capacity/ rev. January 21, 2003

INTRODUCTION AND INSTRUCTIONS The 1996 amendments to the federal Safe Drinking Water Act (SDWA) included provisions that required each State to establish a program to " ensure that all new community water systems and new nontransient, noncommunity water systems commencing operations after October 1, 1999 demonstrate technical, managerial, and financial capacity with respect to each national primary drinking water regulation in effect, or likely to be in effect, on the date of commencement of operations. (42 U.S.C.300g-9 section 1420a.) To satisfy this federal requirement, New Hampshire adopted administrative rule Env-Ws 371, Capacity Assurance for Proposed Public Water Systems effective September 23, 1999. Most of this rule describes how to prepare a business plan, which is the document that will be used to demonstrate a proposed water system has adequate technical, managerial and financial capacity. All proposed community public water systems in New Hampshire therefore need to submit a business plan, defined in Env-Ws 371.03 (a) as: a multifaceted assessment of a water utility s projected managerial and financial condition as it affects future economic viability, compliance with the NH Safe Drinking Water Act, and effective and efficient services to customers. The purpose of this template is to assist the owners / governing bodies of a proposed community public water system prepare a business plan as required by the new rule. The completed business plan will help the system s owners better understand the short and long term managerial and financial responsibilities involved in operating and maintaining a wellrun water system. The planning horizon for the business plan is five years and the water system owners should update the plan each year. This business plan template categorizes information into the technical, managerial, and financial aspects of a water system. Part A concerns the technical aspects of the proposed water system, part B addresses the managerial issues, and Part C covers water system finances. The system owner needs to work closely with the water system s book keeper/accountant, certified operator, and/or engineering consultant to complete the business plan. Not all proposed water systems will be subject to every category in this business plan template. Please complete any section that is not applicable to your water system with N/A. The business plan approval process entails three steps consisting of the submission of three versions of the Business Plan, namely 1) Preliminary, 2) Revised and 3) Final. (see Env-Ws 371.05) Not all sections of this template, therefore, will need to completed for the first and second submissions. The business plan is part of the over-all new water system approval process, which is described in Env-Ws 371.04. The Preliminary Business Plan should be completed as described in Env-Ws 371.05 (c). Steps 8 through 13 inclusive in part B, therefore, can be left blank. Following source water development and approval, the revised Business Plan is to be submitted with updated treatment capital costs and operational costs, as per Env-Ws 371.05 (d). Lastly, the final Business Plan is to be submitted prior to construction of the pump station, distribution pipe or water storage components as per Env- Ws 371.05 (e). The main difference between the initial business plan and the revised and final business plans is that the latter two plans should incorporate successively more refined construction and operation cost data. 2

PART A. TECHNICAL 1) Technical Description (ref. Env-Ws 371.10) Use the space below to describe the technical components of the water system. a) Water system start-up date or approximate age....... b) Number of Service Connections. c) Approximate Population Served. d) System Treatment Classification (I, II, III or IV)... e) System Distribution Classification (I,II,III or IV). f) Water Source (check all that apply) ( ) Groundwater ( ) Surface Water ( ) Water purchased from wholesaler g) If the water source is from on-site groundwater, describe the following well characteristics for each well: Well Name: Well Name: Well Name: a) diameter inches in. in. b) depth feet ft. ft. c) yield gpm gpm gpm d) age yrs yrs yrs e) location (For each well, note the distance and a compass bearing from a fixed location in the space below) h) Land use types served by water system (check all that apply) ( ) Residential ( ) Commercial ( ) Industrial ( ) Other - please describe 3

i) Average Daily demand... gals/day j)peak Daily Demand.... gals/day k)treatment (check all that apply) a. Disinfection with chlorine... ( ) b. Disinfection with ozone.. ( ) c. Disinfection with ultraviolet light...( ) d. Softening for iron /manganese removal.........( ) e. Softening for hardness.... ( ) f. Oxidation / Filtration for iron / manganese removal...( ) g. ph adjustment for corrosion control... ( ) h. Aeration for radon removal.....( ) i. Aeration for VOC removal. ( ) j. Granular Activated Carbon.........( ) k. Activated alumina for arsenic / flouride...... ( ) l. Cartridge / bag filter. ( ) m. Surface water treatment.. ( ) n. None....( ) l) Atmospheric Storage Tanks - Number and Volume m) Hydro-pneumatic Tanks - Number, Volume & Operating Pressure n) Distribution System Please fill in the type, length and diameter of distribution piping Type Length Diameter 4

Include in the description any special features of the distribution system (pumps, hydrants, metering, cross-connection prevention, booster stations, for example). 5

PART B. MANAGEMENT: Section I Ownership and Authority (Env-Ws 371-21) The purpose of Part B is to define the proposed type of ownership during the establishment of the water system, and the proposed plans for transfer (if any) of ownership of the system. Part B also requires documentation of the ownership s legal authority to maintain the water system and requiring that customers maintain connection to the system. 1. Name of System: 2. Location: (Town) 3. Contact information of Initial Owner: Name Mailing Address: Telephone: Fax E-mail 4. Type of Ownership (check all that apply) Public (municipal, village district, water precinct, etc.) Private Cooperative Other (explain) Please explain why a type of public ownership is not planned for the water system If a district-type of ownership is planned, please attach a description of the rationale for this type of ownership, along with informational documents (Env-Ws 371-21 (c) & RSA Title III Chapter 52) Will the Ownership change once the system is operational? Yes No If Yes, please attach narrative describing the process. Identify the ultimate owner with contact information, as in 1 through 3 above. Please describe the trigger point of ownership change; i.e., system ownership changes when (x) percent of development is sold, or (x) number of lots are sold. 6

5. Assuring Payment for Water Service: (Env-Ws 371.22) Describe procedures to be used to insure payment for water services. Please attach a copy of the certification from a New Hampshire attorney that the method used to ensure payment is legal and enforceable in New Hampshire. 6. Maintaining a Connection to the Water System: (Env-Ws 371.23) Is there a deed covenant for each property intended to be served by the water system requiring that the water service connection be maintained for domestic use, and that the customer shall be liable for payment for domestic water service? Yes No Please attach a copy of the certification from a New Hampshire attorney that the method for maintaining and using the connection to the central system is legal and enforceable in New Hampshire. 7. Governing Body (indicate number of Board Members, if applicable) Name of Governing Body Please attach a description of the type of Governing Body (including how many, how selected, and replacement procedure for vacancies). Please provide the following information regarding members of the Governing Body: Name/Title Address Telephone Term (expires) 7

Please describe the Governing Body meeting schedule: Please describe how the Governing Body is elected or appointed. 8. Legal Documents: Please attach a copy of the Governing Body s Bylaws (Env-Ws 371.25 (a)) Please attach a projected fee schedule including the following items: water use charges; disconnect or activation charges; availability charges; hydrant and fire sprinkler charges; late fees and fees for lost billing; and backflow device permits and testing charges (Env-Ws 371-25(b)). Part B. MANAGEMENT: Section II Organization, Operation and Compliance Section II of Management defines the proposed organizational structure of the water system, including identification of the certified operator, the relationship between the operator and the system (employee or contract operator), scheduling, definition of responsibilities for day-today functions, specialized contractors, emergency planning, and SDWA compliance. The purpose of this section is to clearly identify the individuals responsible for the specific managerial and operational activities of running the water system. 9. Organizational Chart: (Env-Ws-371.20 (6)) Please attach a chart showing the organizational structure of the system (i.e., in terms of personnel). 10. Operation: Grade of System (Env-Ws 367) Certified Operator(s) Name/Title Address Telephone # Grade Certification # Please attach copies of operator s certificate(s) Are the operators employees of the public water system, or are they contract operators? 8

Employee Contract Name(s) Name(s) Explain rationale for choice (employee vs. contract) (Env-Ws 371-20 (b)(4)) If a certified operator is to be under contract (non-employee), attach copy of the agreement between the proposed water system and the proposed contract operator. 11. Operator Coverage Please describe operator coverage schedule (i.e., give name of operator, and whether the operator is on duty or on call): Weekdays Shifts Weekends 12. Responsibilities Identify the person responsible for the following functions: Function Name Telephone Routine System Operation Emergency Operations (Incl. Planning) Liaison with NHDES-WSEB Customer Communications Media Contact Hiring/Firing/Personnel Matters Billing/Debt Collection Consumer Confidence Report Sampling/Monitoring/Record Keeping/SDWA-Compliance Long-Term Capital Planning Maintaining Material Inventory Legal Affairs User Rate Setting Please attach letters of intent from specialized contractors indicating their availability and interest in repairing the water system for the following specialties: (Env-Ws 371.25(c)) (1) Electrical/mechanical repair, as required by Env-Ws 360.08; and (2) Repair of the distribution piping or other construction repair to the building 9

and storage facilities as required by Env-Ws 360.08. 13. Emergency Plan (Env-Ws 371.20(5)) Please attach a copy of the water system s Emergency Plan as specified in Env- Ws 360.14 PART C. FINANCIAL Initial Capital Costs (Env-Ws 371.31) Projected Total Cost 1. Construction Costs Water Source Development Hydrogeological Investigation...$ Source Construction..$ Water Treatment Equipment..$ Control Building.$ Water Storage Tankage... $ Water Distribution System.$ Customer Connection to System (per unit).$ 2. Engineering Costs Design Engineering. $ Field Engineering, including inspection.$ 3. Legal Costs in Establishing Water System. $ 4. Miscellaneous Costs (please list)...$...$ Total Initial Capital Costs $ 5. Schedule of Useful Life of Water System Components (Env-Ws 371-32). Please attach a tabular schedule of facilities and equipment, showing the average life expectancy and retail replacement price of items costing over $500. Include such categories as: mechanical and electrical equipment, water source, water treatment equipment, water storage facilities (atmospheric tankage, pressure tankage) and water distribution facilities. Projected Operational Expenditures (Env-Ws 371.34) 6. Name and Location of Public Water System: Town 10

7. Initial Year of Budget Calculation 8. Consumer Price Index (C.P.I.) used in projections: % 9. Operating Expenses Year 1 Year 3 Year 5 Power Year 20 20 20 Electrical $ $ $ Propane $ $ $ Subtotal $ $ $ Water Treatment *Include any increase in costs due to regulatory changes Repairs $ $ $ Chemicals $ $ $ Test equip. $ $ $ Subtotal $ $ $ Maintenance and Repairs Distribution system Repair $ $ $ Water storage Repair $ $ $ Mechanical, Electrical, & Control Repair $ $ $ Flushing & Valve Exercise $ $ $ Subtotal $ $ $ Personnel and Administrative Costs Employee(s)$ $ $ Contract Operator $ $ $ Insurance $ $ $ Permits & Licenses $ $ $ 11

Management, Contractual, Legal, Admin. $ $ $ Water Quality Compliance Testing $ $ $ Other Costs $ $ $ Subtotal $ $ $ Please describe other costs: Debt Service The water system s debt is identified as: $ for years at % Payment $ $ $ Taxes Real Estate $ $ $ Business Profits Taxes $ $ $ Other $ $ $ Subtotal $ $ $ Additional Expenditures Capital Reserve Accounts Supply $ $ $ Treatment $ $ $ 12

Storage $ $ $ Distribution $ $ $ Other $ $ $ Sub Total $ $ $ Grand Total: Operating Expenses Year 1 Year 3 Year 5 $ $ $ 10. Operating Revenue (Water Rate) (Env-Ws 371.34 (f)). Please provide a brief description of the water rate concept used to calculate the projected user fees. Include the user categories (residential, commercial, industrial, other, etc.), rate structure (flat rate, block rate, increasing block rate, decreasing block rate), whether meters are to be used, billing period (monthly, quarterly, etc.), other projected fees (hook-up, sprinkler, etc.) Number of Connections By Category Year 1 Year 3 Year 5 Residential Commercial Industrial Other 13

Projected User Fees* by Category Year 1 Year 3 Year 5 Revenues: Residential $ $ $ Commercial $ $ $ Industrial $ $ $ Other $ $ $ Water sales $ $ $ Connection Fees $ $ $ Other Revenues** $ $ $ Grand Total: Operating Revenue Year 1 Year 3 Year 5 $ $ $ * Calculated for a residential 100,000 gallon per year user, using the rate structure developed for the system (Refer to attachment to Part C, Section 10). ** List any other sources of revenue: 11. Operating Balance Year 1 Year 3 Year 5 Total Operating Revenue $ $ $ Total Operating Expenditure 14

Year 1 Year 3 Year 5 $ $ $ (Total Annual Operating Revenue - Total Annual Operating Expenditure) = Year 1 Year 3 Year 5 $ $ $ Operating Ratio (Total Operating Revenue / Total Operating Expenditure) Year 1 Year 3 Year 5 12. Customer Water Rate Notice: (Env-Ws 371-40) Please attach an example copy of a rate notification document, to be signed by each initial purchaser of real estate to be served by the community water system. Sample language could be as follows: The projected water use for this home is gallons per day. Based on this usage, the projected water rates for the next five years are: Year 1 Year 2 Year 3 Year 4 Year 5 $ per year $ per year $ per year $ per year $ per year If water customers are not billed individually, these costs will be reflected in the condominium association fee. Use the results from the calculation of operating expenditures, Part C, Section 9 to project a water rate for an average user (i.e., a residential customer using 100,000 gallons per year) using the rate structure developed for the system (Refer to attachment to Part C, Section 10). If the initial purchaser refuses to sign the rate notification document, the water system owner shall include the following statement in the deed: This property is served by a public water system. As a public water system it is subject to the USEPA and New Hampshire Safe Drinking Water Acts. Compliance with the Act can have significant expense. Revenue to these expenses is derived entirely form the users. 15