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Home My WebLink About20180957.tiffRESOLUTION RE: APPROVE ENERGY AND MINERAL IMPACT ASSISTANCE GRANT APPLICATION FOR DESIGN AND FLOODPLAIN ANALYSIS FOR COUNTY ROAD 39 CONNECTOR PROJECT (TIER I) AND AUTHORIZE ELECTRONIC SUBMITTAL WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Energy and Mineral Impact Assistance Grant Application for Design and Floodplain Analysis for County Road 39 Connector Project (Tier I) from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, to the Colorado Department of Local Affairs, commencing upon full execution, with further terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Energy and Mineral Impact Assistance Grant Application for Design and Floodplain Analysis for County Road 39 Connector Project (Tier I) from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, to the Colorado Department of Local Affairs, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Department of Public Works be, and hereby is, authorized to electronically submit. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 28th day of March, A.D., 2018. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: Weld -ynty Clerk to the B rbara Kirkmeyer, Deputy APPR oun •Forney Mike Freeman Date of signature: e3/° CC: LeL)(tielkir) 2018-0957 EG0075 Updated 10.20.2017 A. COLORADO Department of Local Affairs Division of Local Government ENERGY AND MINERAL IMPACT ASSISTANCE PROGRAM APPLICATION Tier I or Tier II Applications Must Be Submitted Electronically - Directions on Last Page -You are Highly Encouraged to Work with your Regional Field Manager when Completing your Application - GENERAL AND SUMMARY INFORMATION 1. Name/Title of Proposed Project: Design & Floodplain Analysis for WCR 39 Connector Road 2. Applicant: Weld County (In the case of a multi -jurisdictional application, name of the "lead" municipality, county, special district or other political subdivision). In the case of a multi -jurisdictional application, provide the names of other directly participating political subdivisions: 3. Chief Elected Official (In the case of a multi -jurisdictional application, chief elected official of the "lead" political subdivision): Name: Steve Moreno Mailing Address: PO Box 758 City/Zip: Greeley, CO 80632-0758 Alt Phone E -Mail Address: smoreno( weldQov.com Title: Chair Phone: 970-400-4200 4. Designated Contact Person (will receive all mailings) for the Application: Name: Barbara Connolly Title: Controller Mailing Address: PO Box 758 Phone: 970-400-4445 City/Zip: Greeley, CO 80632-0758 Alt Phone E -Mail Address: bconnolly@weldgov.com 5. Amount of Energy/Mineral Impact Funds requested: (Tier I; Up to $200,000 or Tier II; Greater than $200,000 to $1,000,000) Tier I- $200,000 6. Description of the Project Scope of Work: (Project Description of the various tasks involved in the project including specific data such as quantities, mileage, square feet, lineal ft. etc. as well as specific project location within city and or county etc.) Weld County requests funding to contract the design and floodplain analysis for a new WCR 39 connector road from WCR 50.5 to WCR 52 outside of LaSalle. Currently, no connector road exists. Weld County is partnering with LaSalle to improve the transportation network in LaSalle as a result of the Union Pacific switchyard improvements occurring in the town over the next two years. LaSalle and Weld County plan on entering into an MOU, which will identify the Town of LaSalle annexing this road in the future. 7. Description: (Describe the problem, opportunity or challenge that resulted in the request.) Weld County would contract and manage the design contract with an engineering firm to be completed this year. The FEMA floodplain approval would be permitted in-house through the Weld County Planning Department. The design would be for a two lane road measuring 28' wide (2-12' travel lanes with 1' paved shoulders and 1' gravel shoulders) extending approximately 1,600 feet to the north from WCR 50.5 to WCR 52. 8. Local priority if more than one application from the same local government (1 of 2, 2 of 2, etc.) 1 of 1 9. Is the project on a State registered historic site or in a State registered Historic District? Yes(_) No(X ). If yes, please provide the registry number. . The department may need to seek a determination of effect from the State Historic Society. For more on the Colorado State Register of Historic Properties, please click here. 2018-0957 Page 1 of 10 Updated 10.20.2017 B. DEMOGRAPHIC AND FINANCIAL INFORMATION. 1. Population a. What was the 2010 population of the applicant jurisdiction? b. What is the current population? (Current/most recent conservation trust fund/lottery distribution estimate is acceptable.) What is the source of the estimate c. What is the population projection for the applicant in 5 years? What is the source of the projection? 254,240 315,281 DOLA 371,246 DOLA 2. Financial Information (Current Year): In the column below labeled "Applicant" provide the financial information for the municipality, county, school district or special district directly benefiting from the application. In the columns below labeled "Entity", provide the financial information for any public entities on whose behalf the application is being submitted (if applicable). Complete items "a through k" for ALL project types: a. Assessed Valuation (AV) Year: Most Recent $9,244,960,710 b. Total Mill Levy 15.80 c. Property Tax Revenue Generated (mill levy x AV / 1,000) $145,754,379 d. Sales Tax (Rate/Estimated Annual Revenue) 0% / $0.00 %/$ %/$ e. General Fund Budgeted Revenue $134,486,352 f. General Fund Budgeted Expenditures $131,544,733 g. General Fund Balance as of December 31St of the previous year General Fund Balance: $17,626,396 Portion of General Fund which is Unassigned AA (meets the definition identified in the GASB h. statement below) $12,000,000 i. Total Budgeted Revenue (All Funds)* $319,294,318 j. Total Budgeted Expenditures (All Funds)* $327,441,220 k. Total Fund Balance (All Funds)* $121,860,000 I. Total Outstanding Debt (All Funds)** $0.00 * Sum of General Fund and all Special or Enterprise Funds ** Include the total outstanding liability from all multi -year debt obligations (lease purchase agreements, certificate of participation and any other debt instruments). A"Unassigned fund balance - Amounts that are available for any purpose; these amounts are reported only in the general fund and have not been committed by resolution, ordinance or contract and have not been budgeted for an intended purpose. (Click this link to locate GASB Fund Balance definitions) Page 2 of 10 Updated 10.20.2017 For projects to be managed through a Special Fund other than the General Fund (e.g. County Road and Bridge Fund) or managed through an Enterprise Fund (e.g. water, sewer, county airport), complete items "k through o": Complete items "I through p" for ALL project types: Identify the relevant Special Fund or Enterprise Fund: $71,173,797 $ m. Special or Enterprise Fund Budgeted Revenue n. Special or Enterprise Fund Budgeted Expenditures $82,808,926 o. Special or Enterprise Fund Outstanding Debt** $0.00 $ p. Special Fund Mill Levy (if applicable) 1.789 q. Special or Enterprise Fund Balance as of December 3151 of the previous year $21,392,825 $ For Water and Sewer Project Only complete items "q through s": Complete items "q through s" for ALL project types: r. Tap Fee s. Average Monthly User Charge (Divide sum of annual (commercial and residential) revenues by 12 and then divide by the number of total taps served.) NOTE: Commercial and Residential Combined $ t. Number of total Taps Served by Applicant ** Include the total outstanding liability from all multi -year debt obligations (lease purchase agreements, certificate of participation and any other debt instruments). Page 3 of 10 Updated 10.20.2017 C. PROJECT BUDGET. List expenditures and sources of revenue for the proiect The totals on each side of the ledger must equal. Expenditures List Budget Line Items (Examples: architect, engineering, construction, equipment items, etc.) Design & Floodplain Analysis of WCR $440,000 39 Connector Road Sources of Revenue (Dollar for Dollar Cash Match is Required, unless financial circumstance warrants a reduction) List the sources of matching funds and indicate either cash or documentable in -kind contribution. Total revenue must e. ual total expenditures Energy/Mineral Impact Fund Grant Request $200,000 Design $340,000 *Energy/Mineral Impact Fund Loan Request (If applicable) FEMA/Floodplain Study $100,000 Funding Committed List Yes or No next to each line item $240,000 Yes No Weld County Cash TOTAL $440,000 TOTAL $440,000 $ Please attach a more detailed budget if available ( f the request is for planning, engineering or design, the following two questions may not be applicable) 1. Please identify the contingency associated with the project budget. a. Contingency Dollar value $ See attached cost estimate b. Contingency % of Budget. c. If a contingency has not been identified as part of the budget, please explain why not? 2. How recently was the budget and contingency determined for this project (month/year)? November 2017 Page 4 of 10 Updated 10.20.2017 D. PROJECT INFORMATION. The statutory purpose of the Energy and Mineral Impact Assistance program is to provide financial assistance to "political subdivisions socially or economically impacted by the development, processing or energy conversion of minerals and mineral fuels." 1. Demonstration of Need: a. Why is the project needed at this time? With the county road closures occurring along US 85, this project is to assist with connectivity of the transportation networks paralleling US 85 near municipalities. These closures will improve rail operations, while limiting the locations vehicles can access US 85; therefore, this project will improve safety by providing parallel road connects, while reducing potential vehicle/train conflicts. b. How does the implementation of this project address the need? In collaboration with the LaSalle switchyard improvements, a new WCR 39 connection will allow Weld County and LaSalle residents the opportunity to still travel north/south regardless of trains operating in the area. By designing the improvements this year, it provides Weld County the opportunity to partner with LaSalle on constructing improvements next year. c. Does this project, as identified in this application, completely address the stated need? If not, please describe additional work or phases and the estimated time frame. Do you anticipate requesting Energy and Mineral Impact Assistance funds for future phases? Yes, the road design and floodplain analysis would completely address this request. d. What other implementation options have been considered? Weld County has adopted the US 85 Planning and Environmental Linkages (PEL) Study and is implementing closures in accordance with the plan. Other improvements in the area would require an amendment to the US 85 access control plan to implement, but this project does not and therefore, makes the most sense to purse. e. What are the consequences if the project is not awarded funds? If funding is not awarded, there will be no road design, which would delay constructing improvements and forcing a four mile out of direction detour to county and LaSalle residents. 2. Measurable Outcomes: a. Describe measurable outcomes you expect to see when implementation of this project is complete. How will the project enhance the livability* of your region, county, city, town or community (e.g. constructing a new water plant will eliminate an unsafe drinking water system and provide safe and reliable drinking water; the construction of a new community center will provide expanded community services, or projects achieving goals regarding energy conservation, community heritage, economic development/diversification, traffic congestion, etc.)? *(Livability means increasing the value and/or benefit in the areas that are commonly linked in community development such as jobs, housing, transportation, education, emergency mitigation, health and environment) We expect a completed design to lead to construction in order to improve the livability to the surrounding residents. All the homes on WCR 50.5 and WCR 52 are county residents and have to travel out of direction to access the Town of LaSalle. This road would improve connectivity. b. How will the outcome of the project be measured to determine whether the anticipated benefits to this population actually occur? The outcome of this project will determine if a road can be constructed between WCR 50.5 and WCR 52. If a road is able to be constructed then this project will benefit the entire area. c. Does this project preserve and protect a registered state historic building, facility or structure? If yes, please describe. Year of construction: N/A, no historic building, facility, or structure is involved in the project. I N/A, since this is a design and not construction. e. Will the project be constructed with "Resiliency Framework", which is to build and construct with a plan to reduce risks by utilizing materials and constructing in areas to better withstand natural or man-made disasters, etc.? If yes, please describe. d. Will this project implement an energy efficiency/strategy that could result in less carbon footprint or conserve energy use or capitalize on renewable energy technology? If yes, please describe. Yes, utilizing the knowledge of the 2013 floods will help us design a more resilient connector road to protect the infrastructure investment from any future flood events. 3. Relationship to Community Goals a. Is the project identified in the applicant's budget or a jurisdictionally approved plan (e.g. capital improvement plan, equipment replacement plan, comprehensive plan, utility plan, road maintenance and improvement plan or other local or regional strategic management or planning document)? What is its ranking? I Yes, this project has been identified in the Public Works general fund budget. Page 5 of 10 Updated 10.20.2017 4. Local Commitment and Ability to Pay/Local Effort a. Why can't this project be funded locally? Weld County staff is not available to design this road in-house and therefore, needs outside assistance to complete this project by the end of this year. Weld County needs all the funding assistance it can have since we are the most impacted oil and gas county in Colorado. With 3,000 miles of road to maintain, Weld County cannot fund improvements to all impacted roads and appreciates strategic funding assistance. b. Has this project been deferred because of lack of local funding? If so, how long? Many projects related to the US 85 corridor have been deferred for years. Parallel improvements to US 85 benefits all motorist because it improves the functional integrity of the State's system, rail operations, and the county road network. c. Explain the origin of your local cash match. (Note: Whenever possible, local government cash match on a dollar for dollar match basis is encouraged.) Are the local funds committed or pending? If there are pending funds, when will the status of those funds be determined? The project will be funded out of Public Works 2018 General Fund. d. What other community entities, organizations, or stakeholders recognize the value of this project and are collaborating with you to achieve increased livability of the community? Please describe how your partners are contributing to achieve the improvement to the livability of the community through this project. If in -kind contributions are included in the project budget, detailed tracking will be required on project monitoring report. All motorists utilizing parallel road improvements to US 85 benefit from this project, once it is constructed. Weld County's population is increasing rapidly in this area and this project will improve the long-term livability of current and future County and LaSalle residents. i. Please describe the level of commitment by each collaborator. (e.g. fee waivers, in -kind services, fundraising, direct monetary contribution, policy changes.) Weld County will use our best -value bid procurement process to select an engineering firm to design the road improvements. Public Works will project manage this effort and is committed to ensuring costs are reasonable and with budget. Any cost overruns would be the responsibility of the county. ii. Please list the value of the resources that each collaborator is bringing to the program. Weld County Public Works is producing the bid documents to ensure selection of a qualified engineering firm is selected and then will manage the project to ensure it is completed on time and under budget. e. Has the applicant dedicated the financial resources in their current budget, reserve funds and/or unused debt capacity that are being used for the local matching funds? Explain if No Yes, the funds identified in the county's 2018 budget. If awarded, Weld County will fund the cash match from Public Works' General Fund. f. Have the applicant's tax rates, user charges or fees been reviewed recently to address funding for the proposed project? Weld County has so many impacted oil and gas roads that all available funding is going into the PW General Fund/HARP program to help mitigate the impacts to as many county roads as possible. This grant would allow Public Works to complete a significant connection that wouldn't otherwise be completed. g. If the tax rate, user charges or fees were modified, what was the modification and when did this change occur? Weld County has been directing the revenues from the Specific Ownership Tax to Public Works since 1985. h. Has the applicant contacted representatives from local energy or mineral companies to discuss the project? If yes, when was the contact and what was discussed. Yes, Weld County is partnering with Union Pacific Railroad and the Town of LaSalle on this project. The county is taking the lead on the design and floodplain analysis because without this effort there is no project to partner on. i. Has the applicant requested financial support from the industry? If yes, when was the contact, what amount did you request? What were the results? If no, why not? Not on this project, even though this connection will benefit the industry also. Weld County has reached out to Union Pacific Railroad to partner on this project. 5. Readiness to Go a. Assuming this project is funded as requested, how soon will the project begin? Select One (X) Within 3 months, ( )3-6 months, ( )6-9 months or ( )9-12 months? What is the time frame for completion? Select One ( )Within 3 months, (X)3-6 months, L)6-9 months, ( )9-12 months or u >12 months. b. Describe how you determined that the project can be completed within the proposed budget as outlined in this application? The budget has been estimated by professional engineers. If the project exceeds the estimate, the County may need to reduce the project scope; however, we are confident it can be negotiated within these budget parameters. Page 6 of 10 Updated 10.20.2017 c. Has the necessary planning and design been completed? How? What additional design work remains? How did the applicant develop project cost estimates? Are any or permitting must still be completed, if any? When? How did the applicant develop project cost estimates? Is the project supported by bids, professional estimates or other credible information? Please attach a copy of any supporting documents. No, the purpose of this project is to produce the design needed for construction. No additional design work is anticipated. The County Engineer produced the cost estimate. A project schedule will be developed once a consultant is selected to determine how long the floodplain analysis for FEMA would take. Weld County is optimistic the design and permiting can be completed by the end of 2018. i. What additional design work remains? No additional design work would remain. ii. How did the applicant develop project cost estimates? Estimates were developed by Weld County Professional Engineers. iii. Is the project supported by bids, professional estimates or other credible information? Please attach a copy of any supporting documents. I Yes, this project will be supported by bids. iv. Are any Local, State or Federal permits required before the project can proceed? If yes, please describe. I No, additional permits are not required for this project to begin. 6. Energy & Mineral Relationship a. Describe how the applicant is, has been, or will be impacted by the development, production, or conversion of energy and mineral resources. Weld County accounts for more than fifty percent of all oil and gas activity for the entire State of Colorado, and therefore, is extremely impacted. As of December 2017, Weld County has 23,708 active wells, which emphasizes why the energy and mineral impacts to Weld County are primarily related to oil and gas truck traffic activities. b. To further document the impact in the area, name the company or companies involved, the number of employees (click to get # of employees) associated with the activities impacting the jurisdiction and other relevant, quantitative indicators of energy/mineral impact. Companies with oil and gas operations in the area include: Ensign, Anadarko, Noble Energy, Extraction, TOP Operating Company, SRC Energy, and Crestone Peak. c. Cite actual use data that documents direct impact as it relates to the need for the project. For example, "heavy truck traffic directly related to energy development activities is impacting County Road X. a traffic count done in May 2015 showed energy related truck traffic increased from 100 trips per day to 300." WCR 50.5 ADT is 140 vehicles per day with 20% being trucks (2014 count). WCR 52 is 507 vehicles per day with 13% being trucks (2015 count). 7. Management Capacity a. How will you separate and track expenditures, maintain funds and reserves for the capital expenditures and improvements as described in this project? Weld County's Accounting Department is recognized as a Tier 3 local government by the State and can manage all invoicing information through Banner Accounting System. In addition, Public Works will use the project management software PubWorks to assist in administering the project and grant. b. Describe the funding plan in place to address the new operating and maintenance expenses generated from the project? Once a road is constructed, Weld County will utilize the Highway Users Tax Fund (HUTF) for maintenance expenses, until the road is annexed by the Town of LaSalle. c. Describe the technical and professional experience/expertise of the person(s) and/or professional firms responsible to manage this project. Weld County Public Works has several engineers on staff and proven expertise in roadway improvement projects. Barbara Connolly is the point of contact for this grant and Elizabeth Relford will be responsible for managing the construction project. d. Does the project duplicate service capacity already established? Is the service inadequate? Has consolidation of services with another provider been considered? This is a safety project and does not duplicate service capacity, but enhances it. The road currently doesnit exist and would provide redundancy to the roadway network. Page 7 of 10 Updated 10.20.2017 E. HIGH PERFORMANCE CERTIFICATION (HPCP) PROGRAM COMPLIANCE. Colorado Revised Statutes (C.R.S. 24-30-1305.5) require all new facilities, additions, and renovation projects that meet the following applicability criteria to conform with the High Performance Certification Program (HPCP) policy adopted by the Office of the State Architect (OSA) if: The project receives 25% or more of state funds; and The new facility, addition, or renovation project contains 5,000 or more building gross square feet; and 6 The building includes an HVAC system; and ® In the case of a renovation project, the cost of the renovation exceeds 25% of the current value of the property. The HPCP requires projects that meet the applicability criteria above to achieve third party verification with the target goal of LEED Gold or Green Globes -Three Globes. Projects are strongly encouraged to meet the Office of the State Architect's (OSA) Sustainable Priorities in addition to the LEED prerequisites. Projects funded through DOLA that meet the above applicability criteria are required to complete the DOLA registration and tracking process. See DOLA's HPCP web page for more information or contact your DOLA regional manager. In instances where achievement of LEED Gold or Green Globe -Three Globes certification is not achievable, an applicant may request a modification of the HPCP policy or a waiver if certain conditions exist. DOLA staff will work with applicants to identify workable solutions to meet the program's intent to maximize building energy efficiencies. Please answer the following questions: (Complete this section only if your project application is for a building project, both new construction as well as renovation ) 1. Is the applicant seeking state funding for 25% or more of the total project cost (including all phases, if applicable)? Yes( ) No( ) (If no, the project does not meet the HPCP requirement and the rest of this section does not need to be completed) Does the building include an HVAC system? Yes( ) No( ) If yes, please check whether the proposed project includes a HVAC upgrade or new HVAC system. 2. Is this project (check all that apply): new construction renovation new and renovation New building square footage: SF Renovation square footage: SF Is the building square footage (new construction and/or renovation) 5,000 SF or more? Yes( ) No( ) 3. For building renovation projects: What is the current property value? (Determine based on assessed or appraised value) $ What is the total project cost for the renovations? $ Does the cost of renovation exceed 25% of the current value of the property? Yes(_) No( ) 4. If you answered 66yes" to questions 1, 2, 3, and if applicable, 4, then your project meets the HPCP applicability criteria. Complete the HPCP registration form and preliminary checklist and submit with this grant application. (See DOLA's HPCP web page for registration and checklist form.) ADDITIONAL QUESTIONS: 5. Have you included any additional costs in this grant application for third party verification to comply with the High Performance Certification Program? Yes( ) No( ) If yes, please specify the estimated cost for third participation verification/certification:$ 6. Will you need assistance locating resources, third party consultants, or technical assistance for HPCP third party verification requirements, preparing cost estimates, or otherwise complying with the HPCP? Yes( ) No( ) Explain Note: If this application is for design services for a planned building project that meets the HPCP applicability criteria and the applicant intends to seek state funding for 25% or more of the total project cost, then the design should maximize high performance building certification standards (by completing the HPCP checklist) and build in anticipated project costs, as appropriate. Page 8 of 10 Updated 10.20.2017 F. TABOR COMPLIANCE. 1. Does the applicant jurisdiction have voter authorization to receive and expend state grants without regard to TABOR spending limitations? Yes(X) No(). If yes, explain: Yes 2. If the applicant jurisdiction receives a grant with State Severance funds, will the local government exceed the TABOR limit and force a citizen property tax rebate? Yes(_) No(X). Explain. I No 3. Has the applicant jurisdiction been subject to any refund under TABOR or statutory tax limitations? Yes(_) No(X). Explain. I No 4. Has the applicant sought voter approval to keep revenues above fiscal spending limits? Yes(_) No(). Explain. I Yes 5. Are there any limitations to the voter approved revenues? (e.g., Can revenues only be spent on law enforcement or roads?) Yes(X ) No(�). Explain. All Weld County ad valorem tax levies for county purposes, when applied to the total valuation for assessment of the County, shall be reduced so as to prohibit the levying of a greater amount of tax revenue than was levied from ad valorem taxation in the preceding year plus five percent (5%) except to provide for the payment of bonds and interest thereon. 6. If the applicant jurisdiction is classified as an enterprise under TABOR, will acceptance of a state grant affect this status? Yes(_) No( X ). Explain. I Acceptance of grant funds will not affect Weld County as an enterprise under TABOR. G. ENVIRONMENTAL REVIEW. Indicate below whether any of the proposed project activities: 1. Will be undertaken in flood hazard areas. Yes(X ) No(_). List flood plain maps/studies reviewed in reaching this conclusion. Describe alternatives considered and mitigation proposed. A floodplain analysis will have to be done for this project and permitted through the county's floodplain administrator for approval by FEMA. This project is located in the 500 and 100 year AE flood zone. The FIRM Panel Number is 1727E; 080123C; effective date: 1-20-2016. 2. Will the project affect historical, archeological or cultural resources, or be undertaken in a geological hazard area. Yes(_) No(X ). If yes, describe alternatives considered and mitigation proposed. 3. Address any other public health or safety related concerns? Describe. Yes(_) No(X ). Page 9 of 10 Updated 10.20.2017 P LIC I % SUBMISSION INSTRUCTS AND FFKLAL BOARD ACTION DATE (REQUIRED) Application and attachments must be submitted electronically in WORD .DOC (Preferred) or .PDF Format (Unsecured) to: Please Cc y 'I actGra ys state.co.us ur D ALA R ional Manaagi all documents is well to ensure receipt. In email subject line include: Applicant Local Government name and Tier for which you are applying -example- Subject: Springfield County EIAF Grant Request, Tier 1 NOTE: Please do not submit a scanned application (scanned attachments ok). (If you are unable to submit electronically please contact your DOLA Regional Manager) For any questions related to the electronic submission process, please call Leah Smith @ 303.864.7757 Attachments List (Check and submit the following documents, if applicable): Preliminary Engineering Reports ® Architectural Drawings ® Cost Estimates ® Detailed Budget k Map showing location of the project X ® Attorney's TABOR decision HPCP Registration, modification Or Waiver Form *********************"+.%.*JfCiCiC****.****'**NBC*it'**jC7F*****jC** T'1i******iC*ii7k'ii'*'iC7N**%.*ii'nia'it'h****Sti*7k****'7ti'****iY]r*7i.*.****'*i.**'.'****iC*iC7r****it*iC********XiC* Sub m issi of this f r_�. _ in auth Date k sate rizi a fficiaS 0 aefp icy: i ctio 1 Page 10 of 10 n t ken on by t F r then e appUUc funds. is governing b and JOINS PANEL 1731 i W 9 � ft tl Q�P' I 'i� "/� f' r T3/ 1 >-�,I�Y> te f ^r _- I '/ l 1��-�\�� 44TH ST a P f '1 I ., r ( �- o ? 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