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Name of Applicant: c-1c T 09.-1-1T'ai <br /> Date Received: S/3T77.-c) % <br /> Grant Request: $3o cxco <br /> HB 04-1365: Evaluation Checklist (DMP) <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 <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 /> If the applicant is a covered entity, have they fully complied with `/ <br /> HB1051 requirements? <br /> Disclosure of organizational structure/chart <br /> Current retail water demand for each of the past five years (in acre ft. <br /> or million gallons) <br /> Application Requirements: <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. Include a statement regarding the entity's commitment <br /> to the Drought Planning. Statement of financial need/grant money <br /> requested. <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. <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 <br /> years and the basis for this calculation <br /> Past, current, and predicted future population served by the entity, <br /> (and the source of this information) <br /> List of Estimated water savings goals to be achieved. List of drought <br /> planning objectives to be achieved in this process. ✓ <br /> Description of the impacts experienced by the entity, during the 2000- <br /> 2003 or 2012-13 droughts. Include short term and long term impacts, <br /> as well as social and economic impacts where applicable and as �) <br /> feasible. <br />