Form ECY020-7 "Agricultural Water Supply Facilities Grant Application for Comprehensive Water Conservation Plan" - Washington

What Is Form ECY020-7?

This is a legal form that was released by the Washington State Department of Ecology - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Washington State Department of Ecology;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ECY020-7 by clicking the link below or browse more documents and templates provided by the Washington State Department of Ecology.

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Download Form ECY020-7 "Agricultural Water Supply Facilities Grant Application for Comprehensive Water Conservation Plan" - Washington

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Ecology Use
Application Number
AGRICULTURAL WATER SUPPLY FACILITIES
GRANT APPLICATION FOR
COMPREHENSIVE
Date
WATER CONSERVATION PLAN
Attach additional sheets as needed
1. APPLICANT (PUBLIC BODY)
a. Name:
b. Address:
c. Date organized:
d. Authority: RCW
2. CONTACT PERSON
a. Name:
b. Title:
c. Address (if different than above):
d. Phone number(s):
3. SCOPE OF WORK
a. Describe in detail the scope of work to complete your comprehensive water conservation
plan.. (Attach additional sheets as necessary.)
b. Identify what portions will be completed by applicant staff (name, or title for intended hire)
or outside consultants.
C. Attach a map showing the location to be covered by the plan.
ECY 020-7
Page 1
Ecology Use
Application Number
AGRICULTURAL WATER SUPPLY FACILITIES
GRANT APPLICATION FOR
COMPREHENSIVE
Date
WATER CONSERVATION PLAN
Attach additional sheets as needed
1. APPLICANT (PUBLIC BODY)
a. Name:
b. Address:
c. Date organized:
d. Authority: RCW
2. CONTACT PERSON
a. Name:
b. Title:
c. Address (if different than above):
d. Phone number(s):
3. SCOPE OF WORK
a. Describe in detail the scope of work to complete your comprehensive water conservation
plan.. (Attach additional sheets as necessary.)
b. Identify what portions will be completed by applicant staff (name, or title for intended hire)
or outside consultants.
C. Attach a map showing the location to be covered by the plan.
ECY 020-7
Page 1
4. QUALIFICATIONS
a. If applicant staff will do all or a portion of the scope of work, provide information on
related training, education and experience for each staff member. [If you intend to hire
specialized staff for all or a portion of the scope of work, please provide information on the
person’s related education, training, and experience to the Department of Ecology for
approval prior to the hire.]
b. If consultants will do all or a portion of the scope of work:
i. Describe the qualifications you will be seeking.
ii. Provide the name of the firm(s) to the Department of Ecology for approval prior to
contracting.
5. SCHEDULE
a. Projected start date:
b. Projected completion date:
6. INTERGOVERNMENTAL COORDINATION
a. What agencies (local, state, or federal) or tribes will you coordinate with during the
planning process?
b. Describe what process will be used to achieve the agency and tribal coordination?
ECY 020-7
Page 2
7. FUNDING SOURCES
a. Total Estimated Project Cost
$
%
b. Applicant Share
- $
%
c. Ecology Grant Share
= $
%
d. List Other Fund Sources (identified in [b] above)
$
$
$
$
8. APPLICANT RESOURCES AND EXPENSES
a. Total acres within your service district boundaries:
b. Total acres irrigated:
c. Total acres currently assessed:
d. Current assessment rate: $
e. Annual revenue for most recent two years:
Year 20
$
Year 20
$
f. Annual expenses for most recent two years:
Year 20
$
Year 20
$
g. Federal ID Number
ECY 020-7
Page 3
9. RESOLUTION
Please attach a letter or resolution signed by the applicant’s governing body certifying (as
applicable):
a. The applicant’s staff or hired specialized staff as shown in application will work on and
complete all or part of comprehensive plan.
b. The applicant’s staff or hired specialized staff will have the dedicated time to complete
the plan within the schedule and duration shown in the application. If the applicant’s
staff or hired specialized staff will complete the plan, the applicant has or will procure
the necessary other resources as shown in application to complete the plan.
c. The public body or district will procure the needed subcontracting work under
competitive procurement procedures and seek Department of Ecology approval of
proposed subcontractor(s)
10. CERTIFICATION
I certify that to the best of my knowledge the information in this application is true and
correct and that I have legally authority to sign and submit this information on behalf of the
applicant.
__________________________________
__________________________________
PRINTED NAME
SIGNATURE
___________________________________
__________________________________
TITLE
DATE
11. Send original, including maps, attached sheets, letters, resolutions and other supporting
documents, to:
Department of Ecology
Water Resources Program
PO Box 47600
Olympia, WA 98504-7600
ATTN: Ray Newkirk
If you require this document in an alternate format, please contact the Water Resources Program at
(360) 407-6600 or TTY (for the speech or hearing impaired) at 711 or 1-800-833-6388.
ECY 020-7
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