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Name of Applicant:City¢ StAt-is <br /> Date Received:4/s/24,11-- <br /> Grant Request:4444,021. <br /> HB 04-1365: Evaluation Checklist (DMP) <br /> Applicant Demonstrates: Yes No Comments: <br /> That it is a covered entity ( 7 Ar 11-1 1°`` <br /> . <br /> If answered "no"to the above question,then is it an entity which will --�� <br /> soon become a covered entity? l� <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 ✓ Pa.4.- / <br /> Cw s Srp o C '. 9-1f <br /> Current retail water demand for each of the past five years (in acre ft. / (6.3 <br /> or million gallons) ✓ <br /> Cover letter with the entities: name, contact information, and a <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 / PG. l-2 <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 / ()G - <br /> by sector, (e.g. residential, commercial, industrial) and the source (e.g. ✓ war US Attire- m <br /> surface water, groundwater, etc). zorA253 • 3 <br /> Characterization of the water system: <br /> Current(and if available past)per capita water use for the last five 3 "Tag`, <br /> years and the basis for this calculation ✓ I I15rd AJC.• <br /> Past, current, and predicted future population served by the entity, (and S- T k g" <br /> the source of this information) ✓ • s„s fl STATE <br /> CEen0tt2A PH\I ofPICE <br /> List of Estimated water savings goals to be achieved. List of drought A' "5-1.`'" A `a's <br /> planning objectives to be achieved in this process. r• r <br /> Description of the impacts experienced by the entity, during the 2000- Ks- <br /> 'cf.0 L4ELJ2 LJ 22-4,6 <br /> 2003 droughts. Include short term and long term impacts, as well as k f o wm,ER P� <br /> social and economic impacts where applicable and as feasible. <br /> A detailed narrative (description) of tasks to be performed with grant / ASH A <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 2s• -% sa'i"' <br /> with dates; also state the estimated dates when progress reports will be / so°i = F/13 <br /> 7s°A. = 2/29 <br /> submitted to OWCDP staff (25%, 50% &15% completion) FINS = 3/1 /2c ; <br />