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Name of Applicant: Town of Superior <br />Date Received: 10 -30 -09 <br />HB 04 -1365: Evaluation checklist for OWCDP staff <br />Applicant Demonstrates: <br />Yes <br />No <br />Comments: <br />That it is a covered entity <br />x <br />If answered "no" to the above question, then is it an entity which will <br />soon become a covered entity? <br />(Only answer this question if the applicant is NOT currently a <br />"covered" entity) Did they provide a reasonable engineering estimate <br />of future annual retail demand for the next 3 -5 yrs. , all based on <br />population projections, building permits, expected new taps, and or <br />some other creditable information that would show that the entity will <br />become a "covered" entity <br />Disclosure of organizational structure /chart <br />Current retail water demand for each of the past five years (in acre ft. <br />x <br />or million gallons) <br />A written statement from the entity's governing board, stating the <br />x <br />entity's commitment to the "plan" and the implementation of long -term <br />water savings measures and programs (w /authorized signature) <br />Cover letter with the entities: name, contact information , and a <br />x <br />signature of an individual with the authority to commit the resources of <br />the entity <br />A list of people and/or organizations that will be involved in assisting <br />x <br />Yes, pg.l <br />with putting the plan together (list of who will be utilizing the grant <br />money <br />Not required, but preferred, Information characterizing past water use <br />x <br />Yes, pg.3 <br />by sector, (e.g. residential, commercial, industrial) and the source (e.g. <br />surface water, groundwater, etc). <br />Characterization of the water system: <br />Current (and if available past) per capita water use for the last five <br />x <br />Yes, pg. 3 <br />years and the basis for this calculation <br />Past, current, and predicted future population served by the entity, (and <br />x <br />PgA -2008 Utility <br />the source of this information) <br />Master Plan <br />List estimated water savings goals to be achieved through the <br />x <br />implementation of the "Plan", based on water system, the past <br />conservation efforts and the future water needs <br />Adequacy, Stability, and reliability of the entity's water system <br />x <br />Pg. 5 <br />*to be measured and examined by staff through analysis <br />Paragraph stating the purpose and the primary features of the entity's <br />x <br />Pg.5 <br />desire to create a water conservation plan <br />A detailed narrative (description) of tasks to be performed with grant <br />x <br />monies (related to the water conservation plan, and water efficiency <br />measures) *(a "scope of work" can combine this item with the timeline <br />described below) <br />Statement of a financial need <br />