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Name of Applicant: Ste^-�ex;ori- <br /> Date Received: 1212:5 l l 1 <br /> HB 05-1254: Evaluation Checklist for Entities <br /> For Yes No Comments: <br /> Is the applicant a covered entity? ✓ <br /> Does the covered entity have a state approved water conservation plan in R etc∎--,t, Pte' <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 /> a locally adopted water conservation plan with defined water saving <br /> goals? <br /> Did the applicant provide a written statement from the entity's governing_ Q, 12 <br /> board, stating the entity's commitment to the project and the entity's <br /> commitment to implementing long-term water saving measures and <br /> programs (w/authorized signature)? <br /> Did the applicant provide a cover letter with the entity's: name, contact <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 ✓ (�,2 '* <br /> involved in assisting with the grant project(list of who will be utilizing <br /> the grant money)? <br /> Characterizing Water System: <br /> Did the entity provide their annual retail water demand for the past five ✓ 5 <br /> years (in acre ft. or million gallons)? <br /> Did the entity identify their retail water delivery for each of the past five 1'o-"''""`' <br /> years (in acre feet or million gallons)? ✓ AF f Me <br /> (Not required, but preferred), Did the applicant provide information it, - <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 ✓ '"'F, '` `"° 'r4'. <br /> 220 geKA <br /> for the last five years and the basis for this calculation? <br /> Did the entity provide their past, current, and predicted future population S - us cE <br /> Y p p p p p ✓ STY t <br /> served by the entity, (and the source of this information)? I%4,,c c-4-A 1;•--fc. ef 1Ct <br /> Did the entity state the water savings that was accomplished in the past ,- �°°° z°`° <br /> five years through water conservation efforts? <br /> Did the entity state water savings goals to be achieved through the %,l u-2'`"'G/1 a- <br /> implementation of the"project"? `0.4 ,Ja <br /> Adequacy, Stability, and reliability of the entity's water system ✓ ?c . 1 $ <br /> *to be measured and examined by staff through analysis <br /> Description of Project: <br /> Did the applicant write a paragraph stating the purpose and the primary ✓ $ <br /> features of the project? <br /> Did the applicant provide a detailed narrative (description) of tasks to be Pc 13 1 6 <br /> performed with grant monies (stating how grant money will be used to <br /> achieve project goals)? *(a"scope of work"can combine this item with \/ <br /> the timeline described below) <br /> Did the applicant provide a"project"timeline, stating milestones with , t9 "` " <br /> dates and end products with dates; also state the estimated dates when Tun L, •`to"' '4 � ` ±d <br /> progress reports will be submitted to OWCDP staff(50% <br />