ࡱ> _a^ @ Objbjqq NT-xxxxxxx$DDDPD|(/.`vvvv&&&&5Q&Y*a.$V0R2.]x+++.xxvv4.Q!Q!Q!+xvxv&Q!+&Q!Q!#xx"$vT N{DAR#$$.0(/#,R3R3"$xxxxR3x"$fQ!lX..$;!Michigan Department of Environmental Quality Jennifer M. Granholm, Governor Steven E. Chester, Director   HYPERLINK "http://www.michigan.gov" http://www.michigan.gov Drinking Water Revolving Fund Project Plan Submittal Name of the Project Applicants Federal Employer Identification Number (EIN) Legal Name of Applicant (The legal name of the applicant may be different than the name of the project. For example, a county may be the applicant for bonding purposes, while the project may be named for the particular village or township it serves.) Areas Served by this Project Counties _______________________________________ _______________________________________________ Congressional Districts ____________________________ State Senate Districts _____________________________ State House Districts ______________________________ Address of Applicant (Street, PO Box, City, State & Zip)  Population Served by the Water Supplier _________________ If you are interested in an interim planning loan for the immediate reimbursement of project planning costs, check here % (An interim planning loan is available only to a municipality serving a population of less than 10,000.) Brief Description of the Project Disadvantaged Community Determination % The Applicant is not interested in disadvantaged community status. % The applicant is requesting a disadvantaged community determination be made, and a completed Drinking Water Revolving Fund Disadvantaged Community Status Determination Worksheet is attached. Estimated Total Cost of the Project Construction Start Target Date Name and Title of Applicant s Authorized Representative Telephone FAX Address of Authorized Representative if same as address above, check here % Signature of Authorized Representative Date Joint Resolution of Project Plan Adoption/Authorized Representative Designation is attached check here %A final project plan, prepared and adopted in accordance with the Department s Drinking Water Revolving Fund Program Project Plan Preparation Guidance, must be submitted by May 1st in order for a proposed project to be considered for placement on Michigans Project Priority List for the next fiscal year. Please send your final project plan with this form to: REVOLVING LOAN AND OPERATOR CERTIFICATION SECTION ENVIRONMENTAL SCIENCE AND SERVICES DIVISION MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY PO BOX 30457 LANSING MI 48909-7957 SAMPLE RESOLUTION A RESOLUTION ADOPTING A FINAL PROJECT PLAN FOR WATER SYSTEM IMPROVEMENTS AND DESIGNATING AN AUTHORIZED PROJECT REPRESENTATIVE WHEREAS, the ________________________________________ (legal name of applicant) recognizes the need to make improvements to its existing water treatment and distribution system; and WHEREAS, the ________________________________________ (legal name of applicant) authorized ___________________________________________ (name of consulting engineering firm) to prepare a Project Plan, which recommends the construction of __________________________________________ ________________________________________________________________________________; and WHEREAS, said Project Plan was presented at a Public Hearing held on _________________________ and all public comments have been considered and addressed; NOW THEREFORE BE IT RESOLVED, that the _____________________________ (legal name of applicant) formally adopts said Project Plan and agrees to implement the selected alternative (Alternative _______ ). BE IT FURTHER RESOLVED, that the ________________________________________ (title of the designees position), a position currently held by _________________________ (name of the designee), is designated as the authorized representative for all activities associated with the project referenced above, including the submittal of said Project Plan as the first step in applying to the State of Michigan for a Drinking Water Revolving Fund Loan to assist in the implementation of the selected alternative. Yeas: Nays: I certify that the above Resolution was adopted by _______________________________ (the governing body of the applicant) on _________________________. 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