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Name of Applicant: _Town of Windsor_ <br />` Date Received: _November 13, 2009_ <br />HB 05 -1254: Evaluation checklist for Entities <br />Yes <br />No <br />Comments: <br />Is the applicant a covered entity? <br />✓ <br />Does the covered entity have a state approved water conservation plan in <br />✓ <br />accordance with statutory revision 37 -60 -126? (HB 04- 1365)? <br />(If answered no to the above question) then, Does the covered entity have <br />✓ <br />a locally adopted water conservation plan with defined water saving <br />goals? <br />Did the applicant provide disclosure of its organizational structure /chart? <br />✓ <br />Did the applicant provide its charter? <br />✓ <br />Submitted <br />Electronically — <br />in L drive folder <br />Did the applicant provide a written statement from the entity's governing <br />✓ <br />Mayor signed, pg <br />board, stating the entity's commitment to the project and the entity's <br />9 <br />commitment to implementing long -term water saving measures and <br />programs (w /authorized signat ure)? <br />Did the applicant provide a cover letter with the entity's: name, contact <br />✓ <br />rcv'd 9/30/09 <br />information, and a signature of an individual with the authority to commit <br />the resources of the entity? <br />Did the applicant provide a list of people and/or organizations that will be <br />✓ <br />Clearwater <br />involved in assisting with the grant project (list of who will be utilizing <br />Solutions; <br />the grant money)? <br />internal <br />Characterizing Water System: <br />- - - -- <br />- - - -- <br />----- - ------ <br />Did the entity provide their annual retail water demand for the past five <br />✓ <br />Pg2 <br />ears (in acre ft. or million gallons)? <br />Did the entity identify their retail water delivery for each of the past five <br />✓ <br />Pg2 <br />years (in acre feet or million gallons)? <br />(Not required, but preferred), Did the applicant provide information <br />✓ <br />By sector pg 2 <br />characterizing past water use by sector, (e.g. residential, commercial, and <br />industrial) and the source (e.g. surface water, groundwater, etc). <br />Did the entity provide current (and if available past) per capita water use <br />✓ <br />Pg 2 <br />for the last five years and the basis for this calculation? <br />Did the entity provide their past, current, and predicted future population <br />✓ <br />pg3 -4 <br />served by the entity, (and the source of this information)? <br />Did the entity state the water savings that was accomplished in the aAst <br />✓ <br />Working towards <br />five years through water conservation efforts? <br />this through <br />improved data <br />tracking outlined <br />in conservation <br />plan. <br />Did the entity state water savings goals to be achieved through the <br />✓ <br />2% per category= <br />implementation of the "project"? <br />42 AFY or 424 <br />AF over 10 yrs <br />Adequacy, Stability, and reliability of the entity's water system <br />✓ <br />*to be measured and examined by staff through analysis <br />Description of Project: <br />- - - - -- <br />- - - -- <br />---- --- - - - --- <br />