The applicant for a grant shall provide the following in writing to the department:

1. (a) The name, address, and PWS identifier of the water system that is applying for the grant;
2. (b) The name, mailing address, and daytime telephone number of the individual who can be contacted by the department regarding the application and, if available, a fax number and e-mail address for that individual;
3. (c) The total amount of the grant being requested;
4. (d) A brief description of the project to be completed using the grant;
5. (e) An estimate of costs associated with each element of construction and other tasks associated with eligible costs;
6. (f) Information on how the local share of the project will be financed, including an estimated debt schedule;
7. (g) If the applicant requests the additional 10% surface water treatment supplemental grant, a copy of the system’s projected official billing schedule for water, adjusted to remove the effect of funds placed in capital reserve accounts; and
8. (h) Information on how the proposed project and resulting land use impacts conform to land use master plans in the affected municipality(ies).

Source. #8479, eff 11-30-05 (see Revision Note at part heading for Env-Dw 1001) (formerly Env-Ws 393.09); ss by #10616, eff 6-1-14; ss by #14121, eff 11-23-24, EXPIRES: 11-23-34