2018-02-28 CC Packet - Laserfiche WebLink

Home Browse Search

3b. Anticipated outcomes (products) ofperforming this work: Tanks owners in the DWSMA will become aware of their role in helping to safeguard the community's drinking water aquifer. Information on the management of their tanks will be conveyed to help minimize the risks of future leaks or spills. 3c Management Strategy/Measure number: Actions IA and 113 Reference the Strategy/Measure number in the MDH source water protection approved plan (NOT the Draft Copy) or intake protection plan that will be supported by this work item. Attach the pmge(s)that contain(o)the source water protectionstra1egy/meaoure OR Attach the page(s) in the most recent SANITARY SURVEY that contains the action that will be supported by this work item. (Failure to submit the required documentation may result in disqualification). Detailed Budget and Schedule Describe all tasks that are included in the project with the corresponding costs and estimated date of completion (use onadditional page/fnecessory). Tasks: No of hours: (where applicable) Amount: Est. start date: Task 1: PCSI Update 30 - 4,110 7/1/18 Task 2: Well Survey 14 $ 1 918 9/1/18 Task 2: Printing, postage, etc. $ 800 9/1/18 Task 3: Educational task 12 $ 1,644 11/1/18 Task 3: Printing, postage, etc. $ 1,500 11/1/18 Checklist Z | have attached required pages from the wellhead plan or sanitary survey to my application. El | have filled out all the fields in my application. El | have signed my application. El | have provided a detailed budget for each work item. Disclaimer and Signature I certify that the information herein is true and accurate to the best of my knowledge and I submit this application on behalf ofthe applicant public water supply system. | acknowledge that the project will be completed by June 30, 2019 and that all work performed will be done in accordance with all Local, State and Federal Regulations: Signature: Date: