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Name of Applicant: City of Dacono Date Received: 1/20/2012 HB 05-1254: Evaluation Checklist for Entities Fort A ;,j Yes No Comments: Is the applicant a covered entity? X 483 AF in 2010 Does the covered entity have a state approved water conservation plan in X Approved—Dec accordance with statutory revision 37-60-126? (HB 04-1365)? 2011 - (If answered no to the above question) then, Does the covered entity have N/A a locally adopted water conservation plan with defined water saving goals? Did the applicant provide a written statement from the entity's governing X Pg. 8—Mayor/City board, stating the entity's commitment to the project and the entity's Council commitment to implementing long-term water saving measures and programs (w/authorized signature)? Did the applicant provide a cover letter with the entity's: name, contact X Authority=Assistant information, and a signature of an individual with the authority to commit City Administrator the resources of the entity? Did the applicant provide a list of people and/or organizations that will be X Pg. 1-2 involved in assisting with the grant project(list of who will be utilizing the grant money)? Characterizing Water System: Did the entity identify their retail water delivery for each of the past five X Pg.2—(in AF) years (in acre feet or million gallons)? (Not required, but preferred), Did the applicant provide information X Pg.2—Did not list characterizing past water use by sector, (e.g. residential, commercial, and source industrial) and the source (e.g. surface water, groundwater, etc). Did the entity provide current(and if available past)per capita water use X Population based on for the last five years and the basis for this calculation? 2010 Census Data Did the entity provide their past, current, and predicted future population X Pg.3—Predicted out served by the entity, (and the source of this information)? to 2022. State Demographer's Office Did the entity state the water savings that was accomplished in the pat. X Never tracked despite five years through water conservation efforts? a few WC programs Did the entity state water savings goals to be achieved through the X Pg.4—2%Savings implementation of the "project"? in residential& commercial. 110AF saved over 10 years Adequacy, Stability, and reliability of the entity's water system X Pg. 4 *to be measured and examined by staff through analysis Description of Project: Did the applicant write a paragraph stating the purpose and the primary X Pg. 4-6 features of the project? _ Did the applicant provide a detailed narrative (description) of tasks to be X Pg. 6 performed with grant monies (stating how grant money will be used to achieve project goals)? *(a"scope of work" can combine this item with the timeline described below) Did the applicant provide a"project"timeline, stating milestones with X Pg. 8- dates and end products with dates; also state the estimated dates when 50%=7/6/12 75%=8/10/12