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WORK ITEM 2 <br /> For each work item to be funded under the grant, please provide the following information (use an additional page if necessary) <br /> Check this box if the work is a continuation from a previous MDH grant <br /> --------------------------------------------------------------------------------------------------------------------------------------- <br /> 2. Describe the work that will be performed: <br /> If the work item is about managing one or more potential contaminant sources, are they located in the DWSMA Yes No <br /> 2a. Amount Requested for performing this Work: <br /> 2b. Anticipated outcomes(products)of performing this work: <br /> lc. Measure number: .................................... Please reference the MEASURE/OBJECTIVE number in the MDH source water protection <br /> approved plan (NOT the Draft Copy)or Intake protection plan that will be supported by this work item. Attach the page(s)that <br /> contain(s)the source water protection measure/objective; <br /> OR <br /> Reference the most recent SANITARY SURVEY and attach the page in that contains the action that will be supported by this work item. <br /> (Failure to submit the required documentation may result in disqualification) <br /> WORK ITEM 3 <br /> For each work item to be funded under the grant, please provide the following information (use an additional page if necessary) <br /> Check this box if the work is a continuation from a previous MDH grant <br /> ----------------------------------------------------------------------------------------------------------------------------------------------------- <br /> 3. Describe the work that will be performed: <br /> If the work item is about managing one or more potential contaminant sources,are they located in the DWSMA? Yes No <br /> 3a.Amount Requested for performing this Work: <br /> 3b.Anticipated outcomes(products)of performing this work: <br /> 1c. Measure number: .................................... Please reference the MEASURE/OBJECTIVE number in the MDH source water protection <br /> approved plan (NOT the Draft Copy)or Intake protection plan that will be supported by this work item. Attach the page(s)that <br /> .ontain(s)the source water protection measure/objective; <br /> OR <br /> Reference the most recent SANITARY SURVEY and attach the page in that contains the action that will be supported by this work item. <br /> (Failure to submit the required documentation may result in disqualification) <br />