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Name of Applicant: Pagosa Area Water and Sanitation District <br /> Date Received: March 28,2012 <br /> Grant Request: $21,104 <br /> HB 04-1365: Evaluation Checklist (DMP) <br /> Applicant Demonstrates: Yes No Comments: <br /> That it is a covered entity 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 N/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 x Attachment 1 <br /> Current retail water demand for each of the past five years (in acre ft. x <br /> or million gallons) <br /> A piica r rrremeests <br /> Cover letter with the entities: name, contact information, and a x Front page and <br /> signature of an individual with the authority to commit the resources of page 8 <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 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 x <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 x <br /> years and the basis for this calculation <br /> Past, current, and predicted future population served by the entity, (and x <br /> the source of this information) <br /> List of Estimated water savings goals to be achieved. List of drought x Pg 5-6 <br /> planning objectives to be achieved in this process. <br /> Description of the impacts experienced by the entity, during the 2000- x <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 x Directly from the <br /> monies including a detailed"scope of work" can combine this item guidance doc- <br /> with the timeline described below) includes all <br /> essential elements <br /> of the guidance <br /> document <br />