N.H. Admin. Code § Env-Dw 1002.09

Current through Register No. 50, December 12, 2024

Section Env-Dw 1002.09 - Part I Information

The information required by Env-Dw 1002.08(a) shall be as follows:

(a) The name, mailing address, and daytime telephone number, including area code, of the applicant and, if available, an e-mail address;

(b) Whether the applicant is a municipality or a §501(c)(3) non-profit having public water supply or land conservation as a principal mission;

(c) The name, mailing address, and daytime telephone number including area code of an individual who is authorized to interact with the department on behalf of the applicant relative to the application and, if available, an e-mail address for that individual;

(d) The PWS and source identifiers for each source of public drinking water that will be protected or, for a proposed source or if the source identifier is not known, the public water system's PWS identifier or a description of the source(s) of public drinking water to be protected;

(e) The total number of drinking water sources to be protected;

(f) The total amount of funding sought from the department to acquire the grant property(ies);

(g) Whether match funds have already been authorized or appropriated by the applicant's governing body and if not, the anticipated date of such authorization or approval;

(h) A statement or other indication that each of the eligibility criteria specified in Env-Dw 1002.06 has been met;

(i) A list of each component of the match, and for each, the following:

(1) The type of match, such as public funds, private funds, donated land or easement(s), or donated services;

(2) The source of the match;

(3) Whether the component has been authorized, received, or is anticipated; and

(4) The estimated value of the component;

(j) The total value of the match;

(k) The percentage of total costs represented by the match;

(l) For each property to be acquired with the requested grant funds and for each match property, indicate which it is in a numbered list and provide:

(1) The location of the property by street address, city or town, tax map and lot number, and county;

(2) The book and page number of the deed to the current owner; and

(3) The parcel's acreage;

(m) The total acreage of the area proposed for protection, that is, the total combined acreage of all the grant properties and match properties;

(n) The total number of Part II forms being submitted with the application;

(o) Whether the applicant's governing body has already approved applying for the grant, and:

(1) If so, the date approved; or

(2) If not, the anticipated date of approval; and

(p) Whether the applicant plans to contract with an organization to provide long-term stewardship, and if so and the organization has been identified, the name of the organization.

N.H. Admin. Code § Env-Dw 1002.09

(See Revision Note at part heading for Env-Dw 1002) #9490, eff 6-23-09

Amended by Volume XXXVIII Number 02, Filed January 11, 2018, Proposed by #12441, Effective 1/1/2018, Expires 1/1/2028.