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Name of Applicant: C1r of gR-iGt ion <br /> Date Received: 12-/ t'1 / 2013 <br /> Grant Amount: Leo--+ *4115'0 <br /> HB 05-1254: Evaluation Checklist for Entities <br /> For Covered Entity Applicant Yes No Comments: <br /> Is the applicant a covered entity? <br /> Does the covered entity have a state approved water conservation plan in <br /> accordance with statutory revision 37-60-126? (HB 04-1365)? <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 <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 <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 (Metered Water <br /> Use) for the past five years (in acre ft. or million gallons)? <br /> Did the entity identify their retail water delivery(Distributed Water) for / <br /> each of the past five years (in acre feet or million gallons)? V <br /> (Not required, but preferred), Did the applicant provide information <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 <br /> served by the entity, (and the source of this information)? �/ O2") <br /> Did the entity state the water savings that was accomplished in the past / I-Z°lo sAyl..+�s <br /> five years through water conservation efforts? <br /> Did the entity state water savings goals to be achieved through the s% Fag.EAG" as1-4.+tt <br /> implementation of the"project"? ��°°°'+'ME rr <br /> Adequacy, Stability, and reliability of the entity's water system <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 <br /> achieve project goals)? *(a"scope of work" can combine this item with <br /> the timeline described below) <br />