ࡱ> UWT%` &EbjbjNN fH,,w#$ZZZP4|[&.fffffAAAqsss5!%$'h)%9AAAAA%ff&)))AXffq)Aq)))fZ ݲZp) d+&0[&)* *)*)AA)AAAAA%%XAAA[&AAAAZZ Michigan Department of Environmental Quality Jennifer M. Granholm, Governor Steven E. Chester, Director  http://www.michigan.gov/deq Clean Water Revolving Funds SRF/SWQIF Project Plan Submittal Form 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) Brief Description of the SRF Project Estimated Total Cost of the SRF Project SRF Construction Start Target Date Brief Description of the SWQIF Project Estimated Total Cost of the SWQIF Project SWQIF Construction Start Target Date Name and Title of Applicants Authorized Representative Address of Authorized Representative (if different from above) Telephone FAX  E-Mail Address Signature of Authorized Representative Date Joint Resolution(s) of Project Plan Adoption/Authorized Representative Designation attached check here % A final project plan, prepared and adopted in accordance with the Department s Clean Water Revolving Funds (SRF and SWQIF) Project Plan Preparation Guidance, must be submitted by July 1st in order for a proposed project to be considered for placement on a Project Priority List for the next fiscal year. Please send your final project plan with this form to: REVOLVING LOAN AND OPERATOR CERTIFICATION SECTION WATER BUREAU MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY PO BOX 30273 LANSING MI 48909-7773 A RESOLUTION ADOPTING A FINAL PROJECT PLAN FOR WASTEWATER SYSTEM IMPROVEMENTS AND DESIGNATING AN AUTHORIZED PROJECT REPRESENTATIVE WHEREAS, the ________________________________________ (legal name of applicant) recognizes the need to make improvements to its existing wastewater treatment and collection 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 No. ______). 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 revolving fund loan to assist in the implementation of the selected alternative. Yeas: Nays: Abstain: Absent: I certify that the above Resolution was adopted by _______________________________ (the governing body of the applicant) -9AL]hiju}~ ҴpppcXMXh!"5CJOJQJhB65CJOJQJhr~hB6OJQJaJhKhB6CJ$OJQJaJ$hKhRBCJ$OJQJaJ$h>fhB6CJOJQJaJh>fCJOJQJhKhCJOJQJhKhB6CJOJQJ!jhKhKCJOJQJUhB6CJOJQJhKhF#OJQJaJhF#CJOJQJhKhB6OJQJaJ-Lhj  dh$IfgdRB$If$a$E%E   ( 2 5   8 i j  " H I J K p r      A ù޹޹޹޹ޞ޹ކ{p{epeeehar5CJOJQJh!"5CJOJQJhr~5CJOJQJhRB5CJOJQJhB8h2mCJOJQJhB8h2m5CJOJQJheYh2mCJOJQJh2mCJOJQJhA8h2mCJOJQJhA8h2m5CJOJQJh2m5CJOJQJhB65CJOJQJhA85CJOJQJ&     7 8 i j {ooco d$Ifgd2m dh$Ifgd2m dh$IfgdRB$Ifqkd $$Ifl0$Z04 la  H I J qskd $$Ifl40$`Z04 la $Ifgd2m$If dh$IfgdRBJ K p q r s $IfgdKskdd $$Ifl40$ Z04 las t dh$IfgdRB $IfgdK^kd $$Ifl$h%04 la $Ifqkdz $$Ifl0$Z04 la    ? @ $Ifgdar dh$IfgdRB$If^kd $$Ifl$h%04 la@ A y z { x dh$Ifgd{b $Ifgd{bqkd $$Ifl0$Z04 la{ | $Ifgd{b $IfgdA8^kd $$Ifl$h%04 laA |   " % n o p q { Ĺpe[PhRB6CJOJQJhB6CJOJQJhB65CJOJQJ h?`rhtQCJOJQJ^JaJhtQCJOJQJh?`rhtQCJOJQJh 5CJOJQJh!"5CJOJQJhtQ5CJOJQJhRB5CJOJQJh2mhA8CJOJQJh2mh2mCJOJQJhA85CJOJQJh2m5CJOJQJh{b5CJOJQJ znneee $Ifgd{b dh$Ifgd{bkd $$IflF $~ 0    4 la   zqe\qq $IfgdB6 dh$IfgdRB $IfgdNkdh$$IflF $~ 0    4 la  #`kd$$Iflh$h%04 la $IfgdtQqkdV$$Ifl0 $04 lalm)P;< $d,a$gd@\$a$gdr $da$gdr $d,a$gdr $dha$gdr $da$gd@\$a$gdr$a$$a$gdK]@BlmvùvvvjeaeaXRXRX hraJh:whraJhr hr5h%I$CJOJQJaJhMfCJOJQJaJhr~hP|CJOJQJaJhr~hK]CJOJQJaJhr~hB6CJOJQJaJhRBCJOJQJhB6CJOJQJhCJOJQJhh6CJOJQJh>f6CJOJQJhRB6CJOJQJhhB66CJOJQJ<CIRSadr[_gi!",./ż֜֜֜hGhr6aJ h:naJh:wh|6aJ h|aJh:wh|aJh| h|5h@\hY- hr6aJh:whraJ hr5hr hraJh:whr6aJ:hi\]dkuDDrDDDDDEEEEE $d,a$gd@\dhgd@\ $dha$gd@\$a$gdr $dha$gdr $d,a$gdr/1  Z]kDDDDrDsDDDDDEEEEE E E EEEEEE E!E"E#E$E%E&EwhY-hedaJ h@\hedhed hhedCJOJQJ^JaJ hhCJOJQJ^JaJh Ejh EU hr6aJhNhraJUh]DhraJhuhr6aJh@\ hgh@\hKhr hraJh1hraJ.on _________________________. 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