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Water Supply Reserve Account—Grant Application Form <br /> Form Revised March 2009 <br /> BUDGET <br /> * Total Costs <br /> * <br /> Labor/Equipment/Materials Cost <br /> Task 1—Need and Feasibility NRCS staff: In-Kind Contribution <br /> Project Contact Person: In-Kind 300.00 <br /> Contribution <br /> Task 2—Survey and Design NRCS staff: In-Kind Contribution 2,200.00 <br /> Contractor: Concrete <br /> Task 3—Construction and Riprap 63,300.00 <br /> Installation Bar Grates(cat walk) <br /> Gates <br /> Administration Costs Copies,Billing, Reports and Etc. 633.00 <br /> (1% of monetary cost of structure) <br /> Total Costs: 66,433.00 <br /> Contributions <br /> Planned Actual <br /> NRCS(In-Kind Contribution): 2,500.00 2,500.00 <br /> Applicant/Water Owners Contribution(10% of monetary contribution): 6,393.30 5,367.79 <br /> WRSA Contribution: 57,539.70 48,301.14 <br /> Total Contributions: 66,433.00 56,168.93 <br /> * The Applicant/Landowner shall be responsible for any and all cost over-rides. <br /> * If the final project completion cost is less than the requested WRSA funds,the remaining funds will be returned to the <br /> Basin Account. <br /> 12 <br />