Laserfiche WebLink
Name of Applicant: c► of l.outs.m�r <br /> Date Received: t2 9 14, <br /> Grant Request: 9 40)S2$--'r <br /> HB 04-1365: (Plans) Evaluation Checklist <br /> Applicant Demonstrates: Yes No Comments: <br /> That it is a covered entity ✓ h' 2- - 3,a{° <br /> aFAIR- <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 <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 /> 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 <br /> Application Regal re ments: <br /> A written statement from the entity's governing board, stating the <br /> entity's commitment to the "plan" and the implementation of long-term .,/ <br /> water savings measures and programs (w/authorized signature) <br /> Disclosure of organizational structure/chart \z"' P-EcI I o <br /> Current retail water demand for each of the past five years (in acre ft. <br /> or million gallons) <br /> A list of people and/or organizations that will be involved in assisting <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 <br /> by sector, (e.g. residential, commercial, industrial) and the source (e.g. 2 <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 ' 4 <br /> years and the basis for this calculation ` -re\bLe. 3-s <br /> Past, current, and predicted future population served by the entity, (and ✓- y ., <br /> the source of this information) Tk to <br /> List estimated water savings goals to be achieved through the 5- _ AF <br /> implementation of the "Plan",based on water system,the past ✓ ��2 2. (c-1°°4) <br /> conservation efforts and the future water needs <br /> Adequacy, Stability, and reliability of the entity's water system <br /> *to be measured and examined by staff through analysis <br /> Paragraph stating the purpose and the primary features of the entity's <br /> desire to create a water conservation plan <br /> A detailed narrative(description) of tasks to be performed with grant <br /> monies (related to the water conservation plan, and water efficiency <br /> measures) *(a"scope of work"can combine this item with the timeline <br /> described below) <br />