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Name of Applicant: Firestone <br />Date Received: August 25, 2011 <br />Grant Request: $39,031 <br />HB 04 -1365: Evaluation Checklist (DMP) <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 />X <br />Current retail water demand for each of the past five years (in acre ft. <br />or million gallons) <br />p <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. Include a statement regarding the entity's commitment to the <br />Drought Planning. Statement of financial need /grant money requested. <br />A list of people and/or organizations that will be involved in assisting <br />X <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 />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 />years and the basis for this calculation <br />Past, current, and predicted future population served by the entity, (and <br />X <br />the source of this information) <br />List of,Estimated water savings goals to be achieved. List of drought <br />X <br />planning objectives to be achieved in this process. <br />Description of the impacts experienced by the entity, during the 2000- <br />X <br />PgA <br />2003 droughts. Include short term and long term impacts, as well as <br />social and economic impacts where applicable and as feasible. <br />A detailed narrative (description) of tasks to be performed with grant <br />X <br />monies including a detailed "scope of work" can combine this item <br />with the timeline described below) <br />The "Plans" timeline, stating milestones with dates and end products <br />X <br />with dates; also state the estimated dates when progress reports will be <br />submitted to OWCDP staff (25 %, 50% & 95% completion) <br />