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HomeMy WebLinkAbout20173982.tiffRESOLUTION RE: APPROVE ENERGY AND MINERAL IMPACT ASSISTANCE GRANT APPLICATION FOR COUNTY ROAD 90 IMPROVEMENTS PROJECT (TIER II) 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 the County Road 90 Improvements Project (Tier II) 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 the County Road 90 Improvements Project (Tier II) 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 27th day of November, A.D., 2017. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLOR DO ATTEST: datto) ..'• Weld County Clerk to the Board BY: eputy Clerk to the Board APPROV ounty Attorney Date of signature: t'a « (17 Julie A. EXCUSED Steve Moreno, Pro-Tem Sean P. Conway cc? PwC£R). CkCTC BC) Ot/ t 07/fe- 2017-3982 EG0074 Updated 10.20.2017 CObCOLO ADO 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 Hit* Enc*uraged to Work min your Regional Field anager when Completing yur Applic,3tion- A. GENERAL AND SUMMARY INFORMATION 1. Name/Title of Proposed Project: Weld County Road 90 Improvements 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-eurisdictional 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: Mailing Address: PO Box 758 City/Zip: Greeley, CO 80632-0758 E -Mail Address: Julie Cozad cozad@weldgov.com Title: Chair Phone: 970-400-4200 Alt Phone 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 ll- $750,000 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 protect location within city and or county etc.) Weld County requests funding to assist with full depth reconstruction (FDR) of approximately 5.6 miles :•:f WCR 90 from WCR 45.3 and WCR 57. Public Works will mill off the asphalt to a depth suitable for mixing into the subgrade, then use cement -treated base (CTB) to reinforce the subgrade and pave the roadway with 5" of asphalt to support truck traffic. 7. Description: (Describe the problem, opportunity or challenge that resulted in the request.) This collector corridor serves as a main transportation connection between the Wattenberg Energy Field and the Niobrara Play. WCR 90 is the only paved east -west road in the area and also serves the Purcell community. With traffic continuing to increase, this roadway is on the County's FDR program list, which involves a 20 -year life roadway design. The FDR program uses direct distribution severance dollars on roads significantly impacted by oil and gas activity. However, the County struggles to keep up with road damage. The County cannot afford to pave every road and increased truck traffic is making it difficult to maintain existing roads. Therefore, Public Works now uses cement -treated base in new road projects to reinforce the subgrade (below the asphalt) in order to support truck traffic. We call this program Full Depth Reconstruction (FOR). 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 her. . Page 1 of 10 c??0/7,59,M, 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? 254,240 304,671 DOLA 359,390 DOLA 2. Financial In the benefiting the application column from Information below labeled the application. is being submitted (Current "Applicant" In the (if applicable;. columns Year): provide the financial below labeled information for the municipality, "Entity", provide the financial county, school district or special district directly information for any public entities on whose behalf Complete items "a through k" for ALL project types: Applicant Lead Co -applicant Co -applicant a. Assessed Valuation (AV) Year: Most Recent $8,983,976,390 b. Total Mill Levy 15.80 c. (mill Property Tax levy Revenue x AV / 1,000) Generated $141,946,827 d. Sales Tax (Rate/Estimated Annual Revenue) 0% / $0.00 % / $ % / $ e. General Fund Budgeted Revenue $130,117,497 f. General Fund Budgeted Expenditures $129,8213749 g. the General previous Fund year Balance as General of Fund December Balance: 31St of $19,892,049 Portion of (meets h. statement General the definition below) Fund identified which is Unassigned in the GASB AA $12,295,748 i. Total Budgeted Revenue (All Funds)* $427,155,575 j. Total Budgeted Expenditures (All Funds)* $320,175,402 k. Total Fund Balance (All Funds)* $125,217,000 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). ^^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 1 in _c to locate GASB Fund Balance definitions) For Fund) . o": projects or to be managed managed through through an Enterprise a Special Fund Fund (e.g. other water, than the sewer, General county airport), Fund (e.g. County complete Road items "k and through Bridge Complete items "I through p" for ALL project types: Identify Fund: the relevant Special Fund or Enterprise Public Works Fund Fund Fund m. Special or Enterprise Fund Budgeted Revenue $100,452,590 $ $ n. Special Expenditures or Enterprise Fund Budgeted $81,400,232 $ $ o. Special or Enterprise Fund Outstanding Debt** $0.00 $ $ p. Special Fund Mill Levy (if applicable) 1.444 $ $ q. Special December or Enterprise 31st of the Fund previous Balance as of year $35,600,000 $ $ Page 2 of 10 Undated 10.20.2017 For Water and Sewer Project Only complete items "q through s": Complete items "q through s" for ALL project types: Water Sewer 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 protect. The totals on each side of the ledger must equal. Expenditures List Budget Line Items (Examples: architect, engineering, construction, equipment items, etc.) Line Item Expenditures Line Item Costs WCR 90 FDR Improvements 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 equal total expenditures Energy/Mineral Impact Fund Grant $1,500,000 Request Cash In -Kind Funding Committed List Yes or No next to each line item $750,000 Yes *Energy/Mineral Impact Fund Loan Request (If applicable) No Weld County Cash $750,000 Yes TOTAL $1,500,000 II TOTAL $1,500,000 Please attach a more detailed budget if available (If 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 $ 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 0 N7OR ATION. 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." t Demtnstration I Need: a. Why is the project needed at this time? WCR 90 is an import: nt east/west c DDect b. How does the implementation of this pro r rad y serving th - west central ect address the need? i n G f Weld County. By paving;NCR 90, eld County provides mar with a local c•-immnunity cof Purcell. resilient r ad c nn -action serving the oil gas in ustry Song c. Does this project, as identified in this application, cornp0eeDy 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, paving WC requesting additi IADZ c., 90 addresses the safety need for this p- }nal funding for future prc•,jects c• n this p rtion *f the ma rti n of WCR 9 I. Weld County will not be 0. d. What other implementation options have been considered? el County is trying to be proactove n improving this .il & g s I gravel mining corrid a What are the consequences if the project is not awarded funds? Cr90 is t: more direct, safer c nnecti 'n and cut=off between SH 14 ;Ind DEWY 85 as well as VCR 39. Of funding is not awarded, this section will cntinue t* deteriorate and become an even worse safety problem than it currently is today. 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.)? *(Livabuiaty means increasing the vak Me and/ r benefit in the areas that re commitniy Oinked in community development such as jobs, housing, transnortftion, education, emergency mitigation, heall h and envirinment) fi Due to the limited number of paved roads in the vicinity, the value if improving VVCR 90 is significant because th,ire are no paved east/west county ma r• s in the vicinity, nd par icularly ti the north. Improving WCR 90 will enhance the paved road connectitns between Sig '4 and HWY N The improvements wHO make the area safer or all motorists and add years of life to the existing roadway by using in.novatir: technology at thA subgrade level, which will help with truck traffic deterioration. b. How will the outcome of the project be measured to determine whether the anticipated benefits to this population actually occur? U p • n completi n, Public Works will cntinue c Olect traffic counts c., determine traffic increas n� s. c. Does this project preserve and protect a registered state historic building, facility or structure? If yes, please describe. Year of construction: N/A, n •, histric building, f.cillilty, or structure is involved in the project. 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. y utilizing Concretr-Treahed Base (CTB) v���ith which reduces pllutin and providing an imp r a GPS quipped grader it will reduce the number c•;f grader p.'sses, veil air quality benrefit. ..' 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. Yes, this project will be constructed with a Resiliency Framework by utilizing r -:cycled asphalt mate rials intthe subgrade to create a more durabDe subgrade t* accommodate heavy ES L truck traffic and provide a better substructure. to withstand natural .r man-made disasters for a long perritd of time. . Ret tionship 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? Yes, this pr,•.ject has been identified in th Public rks general fund budget. Page 5 of 10 Updated 10.20.2017 4. Lical Commitment and Ability to Pay/Local Effort a Why can't this project be funded locally? Weld County reduced funding the H,; ;RP Program, which means less reads can be impr:•,ved. ith l =,ss funding available, Weld County is trying to find other *pportunities to fund projects directly impacted by the rill and gas hidussry. In order to accomplish this project, Weld County is looking for funds to assist with purchasing additional matrif Is, sn; the county crws can construct the improvements rather than contracting them. b. Has this project been deferred because of lack of local funding? If so, how long? Yes, this project has been deferr e d f r a number of y- ars. 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 •f Public rks 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 proect monitoring report. All motorists utilizing these roads recognize, the value of this safety project. This project is an impc•rtant py rallel arterial route to SH 14. It is an important fire protection radway for Purcell and is the boundary between the Nunn Fire Protection District and the GaOeton Fire Protection District. This roadway alsassists the .A\.ult- Highland E-9 School District as well as the Eaton RE -2 School istrict. i. Please describe the level of commitment by each collaborator. (e.g. fee waivers, in -kind services, fundraising, direct monetary contribution, policy changes.) eld County is extremely committed to this project because the funds will b m. terials, which county crews will use to c nstruct thy- improvements. used to purchase additional ii. Please list the value of the resources that each collaborator is bringing to the program. Weld County equipment and labor is at least half of the cost if the project. a 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 srject funds are identified as pert *f the Haul Route (HARP) Program which Weld Cunty will fund as the cash match fr•ym Public korks budget. Constrructi•:n -could begin in early summer of 20118. Pub lic i/or‘s designed .the project in-huse and no additional right -r f -way is needed for the project. This project will be compfrtaNd befc•;re the end of 2018. f. Have the applicant's tax rates, user charges or fees been reviewed recently to address funding for the proposed pros ect? Id County has so many impacted oil and gas roads that all available funding is going into the PW General Fund/HARP program ti help mitigate the impacts to as many county roads as possible. The grant ould allw Public Works to complete a significant c• it and gas / miming read, which 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 revenu =s frc•.rn the Specifi 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. Ownership Tax Public Works since 1985. Yts, HARP roads are discussed at Weld County's Iil and Gas rr ing Gr\1i up regular meetings. Th el & Gas Working Group consists if industry partners discussing impacts affecting everyone and problem solves h • .::r can all work togethr to minimize or mitigate these problems. 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? but the industry typically helps Weld C trucking and stock piling. unty projects with in -kind support such as wat r hauling, gravel, 5 ead i ness to Go a. Assuming this project is funded as requested, how soon will the project begin? Select One (jWithin 3 months, (X)3-6 months, ( )6-9 months or (_)9-12 months? What is the time frame for completion? Select One (jWithin 3 months, (X) 3-6 months, (_)6-9 months, (_)9-12 months or (J >12 months. b. Describe how you determined that the project can be completed within the proposed budget as outlined in this application? Of warded, this project can start at the beginning of summer (May) when the asphalt plans start producing the polymer asphalt we would need to this project. Anticipate construction being completed by the end of summer nd clseut by the end if 3rd quarter repoLing. ;1 c. Has the necessary planning and design been completed? How? What additional design work remains? How did the Page 6 of 10 Updated 10.20.2017 applicant develop project cost estimates? Are any or permitting must still be completed, if any? When? How did the applicant develop project cost estimates? [s the project supported by bids, professional estimates or other credible information? Please attach a copy of any supporting documents. The errgi eering r quir d for th se projects are z:Il tone in-house. In addition, W&d County crews co9nstruct the imprernents. he purpose of these funds is S acquire enough materials to pave the road. Weld County is extremely proficient with knowing exactly how much material is needed for proving roads, so no over or under runs are anticipated. i. What additional design work remains? min&l d sign is ne -ded for this project and it is done in-house. ii. How did the applicant develop project cost estimates? Estimates were developed by professional engineers inv d with the project design. iii. Is the project supported by bids, professional estimates or other credible information? Please attach a copy of any supporting documents. Estimates were developed using prrofessionm.l engineers and the hist 0 rr'ical csts of similar projects. iv. Are any Local, State or Federal permits required before the project can proceed? If yes, please describe. No additional o-rmits are r quired for his p r ject because it will occur within th existing right-of-way lirn�it 6. Energy & incral 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 is the #1 producing oil and gas county in the entire state and ther ffic is due to oil and gas trucks. Much of the rroA9s tr f 0 (-.1 is extre sly impacted. 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. C. orpanies with oil and gas operrati Energy Operating C�•� LLC. • ns in the area include: Edge Energy II LLC, N••ble Energy, Bonanza Creek 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." W CR SO is a local rp�rRo�nadwrca�y. Current traffic v traffic. This IJ is count LS was to keLl on 5/16/2017. o lures on WCR 90 are 506 vehicles per day (vpd) with 50% truck 70 :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 Cou nty5s ccou nting partm nt is recognized as a Tier 3 local g all ifvoicinintimation through Banner Accounting System. In additi, management software Puibvorks t•D assist in admrnisterrr1g he grant. �vernrnent by the State and can manage n, Public Works will use the project b. Describe the funding plan in place to address the new operating and maintenance expenses generated from the project? ing from a gray sl to a paved road will increase maintain this corridor. he amou n f HUTF funding Weld ou Ety will rreceiv e in order 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 n staff and proven - p -. rtise in roadway improvement pro$cts. Barbara Connolly is the point of c.•;ntactt for this grans and Elizabeth Belford will be responsible ror managing the construction project. d. Does the project duplicate service capacity already established? Is the service inadequate? Has consolidation o services with another provider been considered? This is a safety project and does nit duplicate service capacity, but enhances it. Current service is inadeq and inefficient to meet, existing truck traffic demands. uate Page 7 of 10 Updated 10.20.2017 E. HIGH PERFORMANCE CERTIFICATION (HPCP) PROGR M 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 ® 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 o 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( ) 4e If you answered "yes" to questions 1 2, 35 and if applicable, 49 then your project meets the HPCP applicability criteria. Compi te the HPCP registration form and preliminary checklist and submit with this gr :=nt application. (See DOLA's HPCP web page for registration and checklist form.) fit 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:$ . 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( ) 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( ). Explain. No 3. Has the applicant jurisdiction been subject to any refund under TABOR or statutory tax limitations? Yes( ) No( ). Explain. No 4. Has the applicant sought voter approval to keep revenues above fiscal spending limits? Yes( ) No( ). Explain. Yes 5. Are there any limitations to the voter approved revenues? (e.g., Can revenues only be spent on law enforcement or roads?) YesC) No( ). Explain. All Weld County ad valorem tax levies for county purpses, when applied to the total valuation for assessment of th County, shall be reduced so as to prohibit the levying of a greater amount of tax revenu F than was levied from ad valorem taxation in the preceding year plus five percent (5%) except to provide fr the payment of bonds and terest 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. 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( ) No( X ). List flood plain maps/studies reviewed in reaching this conclusion. Describe alternatives considered and mitigation proposed. 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 LN:ATION SUBMISSION INSTRUCTIONS AND BOARD ACTION DATE (REQUIRED) Application and attachments must be submitted electronically in WORD .DOC (Preferred) or .PDF Format (Unsecured) to: J mac G rants state Daus Please Cc yur Dr LA RegLtna8 a gager all documents as well to ensure receipt In email subject lin include: Applicant Local Government name and Tier fir which you are applying -example- Subject: Springfield County EIAF Grant Request, Tier 1 NOTE: Please co 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 Map showing location of the project X Attorney's TABOR decision HPCP Registration, modification Or Waiver Form Dt- pe iq s&&on Official Board Action taken on t--isfor rTh rid} in th Novmrnber27 I Date icates official action by the applicant's governln bo oohing application f> .r these funds Page 10 of 10 rd 1/4 I7+as '�/` lie . a titret. 4� .t•1ei.•�`�1 � re i•p •�r"��4 Alto (6 6 "• , .., ry A; 66 i 1 6711)1(.7,4'7,•+;. i t • rJ \ ta_ �� tt) +� ►\ iJ milt • �.1•. i ! dam,.)(•1•)1; - � l-• Jbr.- • lijoi tsi- lip -i o! •a f �i. 1� )., l •1� •• • )�P i • r9:�.t rte: �r • ,o w►- 1- x fir,' .�a Hello