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Name of Applicant: T?-A-cc-LA-fry w� <br /> Date Received: /2,0/ i`2-- <br /> HB 05-1254: Evaluation Checklist for Entities <br /> C Yes No Comments: <br /> Is the applicant a covered entity? 2,1(02 AF/yrt.(2o k;/ <br /> Does the covered entity have a state approved water conservation plan in / AP c,Vt <br /> accordance with statutory revision 37-60-126? (HB 04-1365)? ✓ 9-s)to <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 <br /> board, stating the entity's commitment to the project and the entity's / C4&12- <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 P&- I-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 <br /> years (in acre ft. or million gallons)? <br /> Did the entity identify their retail water delivery for each of the past five / �,4- - T�. u_ <br /> years (in acre feet or million gallons)? v <br /> (Not required, but preferred), Did the applicant provide information Pe..+ 7-Af,t,o <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 / <br /> for the last five years and the basis for this calculation? <br /> Did the entity provide their past, current, and predicted future population PG. 3 <br /> served by the entity, (and the source of this information)? <br /> Did the entity state the water savings that was accomplished in the past ✓ (.6,% -^'° '"" <br /> we � <br /> e , <br /> five years through water conservation efforts? gs <br /> Did the entity state water savings goals to be achieved through the 16. - <br /> implementation of the "project"? S ,:y -�% '�°`✓ <br /> Adequacy, Stability, and reliability of the entity's water system ✓ fg, P~ <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 <br /> performed with grant monies (stating how grant money will be used to pc„ `8 <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 ° it.We <br /> dates and end products with dates; also state the estimated dates when <br /> - ENO aF -1v '12-- <br /> progress reports will be submitted to OWCDP staff(50% & 75% <br />