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Name of Applicant: op E m,-J <br /> Date Received: 242:7 /2,044- <br /> Grant Request: 31)104. 408 <br /> HB 04-1365: (Plans) Evaluation Checklist <br /> Applicant Demonstrates: Yes No Comments: <br /> That it is a covered entity <br /> If answered "no"to the above question,then is it an entity which will / 4 <br /> soon become a covered entity? V <br /> (Only answer this question if the applicant is NOT currently a 12-4\ <br /> "covered" entity) Did they provide a reasonable engineering estimate 2c 4 2c"° <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 ./ <br /> of the entity <br /> =wow., 440 5, <br /> A written statement from the entity's governing board, stating the <br /> entity's commitment to the "plan" and the implementation of long- <br /> term water savings measures and programs (w/authorized signature) <br /> Disclosure of organizational structure/chart <br /> Current retail water demand (metered water use) for each of the past ✓ ft,. 2 1 Ak.7c.E I <br /> five years (in acre ft. or million gallons) <br /> A list of people and/or organizations that will be involved in assisting Pc.,I-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 pc, 2 "1—A 846 <br /> by sector, (e.g. residential, commercial, industrial) and the source (e.g. <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 / P�, 2 Tg I <br /> years and the basis for this calculation <br /> Past, current, and predicted future population served by the entity, 3 <br /> (and the source of this information) � r-2-.cx:J9 - 2c 2.4 <br /> List estimated water savings goals to be achieved through the Pc„, 3 <br /> implementation of the "Plan", based on water system,the past <br /> conservation efforts and the future water needs 12 �/° �`"'"�� <br /> Adequacy, Stability, and reliability of the entity's water system ✓ PG, 4 <br /> *to be measured and examined by staff through analysis <br /> Paragraph stating the purpose and the primary features of the entity's ✓ p, �7 <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 />