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Name of Applicant: C14-0--Les <br /> Date Received: 5/ 19 /2..I6 <br /> n S <br /> Grant Amount:•ou t. 9 0 <br /> HB 05-1254: Evaluation Checklist for Entities <br /> For Applicants: Yes No Comments: <br /> Is the applicant a covered entity? /y2- <br /> Co4 -En 20(4 <br /> Does the applicant 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 <br /> have a locally adopted water conservation plan with defined water <br /> saving goals? <br /> If the applicant is a covered entity, have they fully complied with ✓ Nom:n -r-6 <br /> HB1051 requirements? '2-1=514 'Pt.-Poo-sr <br /> Did the applicant provide a written statement from the entity's <br /> governing board, stating the entity's commitment to the project and the <br /> entity's commitment to implementing long-term water saving measures ✓ <br /> and 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 <br /> commit the resources of the entity? <br /> Did the applicant provide a list of people and/or organizations that will <br /> be involved in assisting with the grant project (list of who will be utilizing ✓'" v <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)? ` 3 <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)? ` `P� <br /> (Not required, but preferred), Did the applicant provide information <br /> characterizing past water use by sector, (e.g. residential, commercial, <br /> and industrial) and the source (e.g. surface water, groundwater, etc). ` <br /> Did the entity provide current (and if available past)per capita water P, 4 <br /> use for the last five years and the basis for this calculation? Tlg 3-3 <br /> Did the entity provide their past, current, and predicted future p& q- <br /> population served by the entity, (and the source of this information)? 1/47 rn �4 <br /> Did the entity state the water savings that was accomplished in the past ✓ <br /> five years through water conservation efforts? <br /> Did the entity state water savings goals to be achieved through the <br /> implementation of the "project"? ✓ — <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 v g <br /> features of the project? <br /> Did the applicant provide a detailed Scope of Work (tasks to be <br />