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Home My WebLink About1992 12 31 - Farmer's Home Admin Preapplicationi�BOARD OF COUNTY COMMISSIONERS 1840 25th Street, Vero Beath, Florida 32960 Telephone:(e07) 567$000 February 25, 1993 Ian G. McDonald, Regional Planner Treasure Coast Regional Planning Council 3228 S.W. Martin Downs Boulevard P. O. Box 1529 Palm City, FL 34990 Suncom Telephon 2141011 J MAR -11993 RIM TREASURE CO.A5_1 pLAkkiYG COUNCIL RE: 93 -IR -02-01: City of Sebastian Water and Sewer System Improvements Dear Mr. McDonald: Please be advised that the Indian River County planning staff has reviewed the above referenced item. It is staff's position that the proposed pre -grant application for the City of Sebastian to pursue financial assistance from the Farmers Home Administration to purchase some existing private water and sewer facilities within the city limit and serve the existing service areas will not directly affect Indian River County; therefore county staff has no comment. Sincerely, Sasan Rohani Chief, Long -Range Planning cc: Robert M. Keating, AICP Community Development Director Ruth Jefferson TM#93-424 u\v\s\mcdonald.ltr qa-oa3.a3 cc'. GCI ti E -s R7o MAR 2 2 1903 CCT J Mr "�i Gary' -J-' ReVoir Hartman and Associates, Inc. 201 East Pine Street, Suite 1000 Orlando, FL 32801 Subject: 93 -IR -02-01: Water and Wastewater Facilities Improvements Dear Mr. Revoir: This office has complied with the regional clearinghouse requirements of the State of Florida's Intergovernmental Coordination and Review Procedures (ICR) in review of your project. At its regular meeting, March 19, 1993, the Treasure Coast Regional Planning Council approved the following statement to summarize its position regarding your proposal: The funding of this program is consistent with Council's Regional Comprehensive Policy Plan Health Policy 8.1.1.7 which calls for better management of the Region's water resources by encouraging the use of centralized water and sewer services; Regional Hazardous and Nonhazardous Materials and Waste Goal 13.2.1 which is to eliminate the negative impact of wastewater disposal on the environment; and Regional Public Facilities Goals 17.1.1 and 17.2.1 which are to optimize the use of existing public facilities and to efficiently provide for public services concurrently with need. Comments have been solicited from affected jurisdictions, agencies, and organizations. A copy of this letter is to be attached to your application on submission to the funding agency, together with responses from the affected agencies listed below. This will complete your responsibilities under the ICR process. COMMENTS RECEIVED FROM: Indian River County Commissioners Ddniel M. Executive DMC/IGM:bsh Enclosure 3228 lw. maMn downs blvd sotto 205 • p,o_ box 1529 palm city, ffo.Ido 34990 phone (407) 221-4060 = 269-4060 fax 14071 221-4067 March 19, 1993 regio planno counc qa-oa3.a3 cc� GQ+ t 4 Es DPF K.11 KT° CCT Clip, MAR 2 2 139; Mr: Gary J:. ReVoir^ Hartman and Associates, Inc. 201 East Pine Street, Suite 1000 Orlando, FL 32801 Subject: 93 -IR -02-01: Water and Wastewater Facilities Improvements Dear Mr. Revoir: This office has complied with the regional clearinghouse requirements of the State of Florida's Intergovernmental Coordination and Review Procedures (ICR) in review of your project. At its regular meeting, March 19, 1993, the Treasure Coast Regional Planning Council approved the following statement to summarize its position regarding your proposal: The funding of this program is consistent with Council's Regional Comprehensive Policy Plan Health Policy 8.1.1.7 which calls for better management of the Region's water resources by encouraging the use of centralized water and sewer services; Regional Hazardous and Nonhazardous Materials and Waste Goal 13.2.1 which is to eliminate the negative impact of wastewater disposal on the environment; and Regional Public Facilities Goals 17.1.1 and 17.2.1 which are to optimize the use of existing public facilities and to efficiently provide for public services concurrently with need. Comments have been solicited from affected jurisdictions, agencies, and organizations. A copy of this letter is to be attached to your application on submission to the funding agency, together with responses from the affected agencies listed below. This will complete your responsibilities under the ICR process. COMMENTS RECEIVED FROM: Indian River County Commissioners Daniel M. Executive DMC/IGM:bsh Enclosure 3228 s.w. martin downs blvd. suite 205 • p.o. box 1529 palm cW, tloddo 34990 phone (407) 221-4060 sc 269-4060 tox r4nn 2J1.dn67 Florida .Department of Environmental Regulation Twin Towers Office Bldg. a 2600 Blair Scone Road • Tallahassee, Florida 32399-2400 halon Chiles. Governor 17 March 1993 Janice L. Alcott Director, State Clearinghouse Office of Planning and Budgeting Executive Office of the Governor Room 411, Carlton Bldg. Tallahassee, Florida 32399-0001 RE: FmHA/Water & Sewer System Acquisition City of Sebastian, Indian River County Dear Ms. Alcott, Vlroals a. Wetherell, $ecreury Based on the information provided, we find the funding request for the acquisition of the General Development Utilities, Inc. Water and Wastewater systems by the City of Sebastian to be consistent with our authorities in the Florida Coastal Management Program at this time. The applicant will need to coordinate with the DER Central District office in Orlando ((407)894-7555) in order to modify the facilities' permits to reflect the change in ownership should the funding be approved. If you have any questions concerning these comments, please feel free to call me at 488-0784. Sincerely, Susan Goggin Environmental Specialist Office of Intergovernmental Programs SEG/: cc: Lee Miller, DER Central District Office of n� sem, - o„ i< b FLORIDA DEPARTMENT OF STATE Jim Smith PFN: 930398 Secretary of State DIVISION OF HISTORICAL RESOURCES R.A. Gray Building 500 South Bronough February 17, 1993 Tallahassee, Florida 32399-0250 Directors Office Telecopier Number (FAX) (904) 488.1480 (904) 488-3353 Ms. Janice L. Alcott, Director State Clearinghouse Executive Office of the Governor-OPB Room 411, Carlton Building Tallahassee, Florida 32399-0001 In Reply Refer To: Susan Nammersten Compliance Review Section, DIB (904) 487-2333 RE: SAI# FL9302030169C Farmers Home Administration Funding Application Acquisition of General Development Utilities Plants Sebastian, Indian River County, Florida Dear Ms. Alcott: In accordance with the provisions of Florida's Coastal Zone Management Act and Chapter 267, Florida Statutes, as well as the procedures contained in 36 C.F.R., Part 800 ("Protection of Historic Properties"), we have reviewed the referenced project(s) for possible impact to historic properties listed, or eligible for listing, in the National Register got Historic Places. It is the opinion of this agency that because of the project's nature it is unlikely that any archaeological or historic sites will be affected. Therefore, it has been determined by this office that the proposed project will have no effect on any historic properties listed, or eligible for listing, in the National Register, or otherwise of archaeological, historical or architectural value. The project is consistent with the historic preservation aspects of Florida's Coastal Management Program, and may proceed without further involvement with this agency. If you have any questions concerning our comments, please do not hesitate to contact us. Your interest in protecting Florida's historic properties is appreciated. Sincerely, GWP/Hsh Archaeological Research ron„� neo.,,nn George W. Percy, Director Division of Historical Resources and State Historic Preservation officer Florida Folklife Programs Historic Preservation Museum of Florida History FLORID u%TO C"iL( GOKMO" Ms. Janice L. Alcott, Director DEPARTMENT OF TRANSPORTATION EL" G. WAITS State Clearinghouse ? Office of Planning and Budgeting Budget Management and Planning Policy Unit Executive Office of the Governor =>- Room 411, Carlton Building Tallahassee, Florida 32399-0001 Subject: SAI No.: FL9302030169C Dear Ms. Alcott: 780 Southwest 24th Street sec"TA Fort Lauderdale, Fla. 33315 February 19, 1993 Based upon the information provided, we find the subject project to have no impact on the State Transportation System. The project has been reviewed under the Presidential Executive Order 12372 and the Florida Coastal Zone Management Program for consistency with only the following plans and policies: * Intergovernmental Coordination Based upon our review, we have no comments at this time relative to this project. A re-evaluation of this project will be conducted during the environmental documentation or permitting stage, if required. If you have any questions regarding this response, please contact Cynthia Ratoff at (305) 797-1750. Sin`Prely, nthia Ratoff Environmental Specialist III Department of Environmental Office Dept. of Transportation District IV RECYCLED VAKA LAWCON CHILES GOVERNOR March 18, 1993 Mr. Gary J. ReVoif°If Project Engineer Hartman and Associates, Incorporated 201 East Pine Street Suite 1000 Orlando, Florida 32801 STATE OF FLORIDA f®ffire of t4z (Svi Ernur THE CAPITOL TALLAHASSEE. FLORIDA 37399-0001 RE: Water and Waste Disposal Systems for Rural Communities - Sebastian, Indian River County, Florida SAI: FL9302030169C Dear Mr. ReVoir: The Florida State Clearinghouse, pursuant to Presidential Executive Order 12372, Gubernatorial Executive Order 83-150, the Coastal Zone Management Act Reauthorization Amendments of 1990 and the National Environmental Policy Act, has coordinated a review of the above referenced project. Pursuant to Presidential Executive Order 12372, the project will be in accord with State plans, programs, procedures and objectives when consideration is given to and action taken on the enclosed comments and requirements of our reviewing agencies. The Department of Environmental Regulation (DER) indicates that permits may be required prior to start of construction. Sound development practices should be maintained during all phases of construction and early coordination with DER's district office in the project area may help to eliminate problems in the permitting process. Please refer to the enclosed DER comments. We have reviewed the referenced application for financial assistance and do not object to the Project based on the information available at this time. Tnerefore, the project, at this stage, is consistent with the Florida Coastal Management Program. However, our reviewing agencies have identified several issues which cannot be addressed by the applicant until the project proceeds to later stages of design and permitting. All subsequent funding decisions for this project will be reviewed for consistency by the State. The final consistency review of this project will be the State's permitting review, if applicable. We strongly encourage you to resolve the identified concerns with permitting agencies through early, pre -application coordination. 91F,1117 1993 i Mr. Gary J. ReVoir II Page Two Please attach a copy of this letter and any enclosures to your application facesheet or cover form and forward to the federal funding agency. (If applicable, enter the State Application Identifier (SAI#) number, shown above, in box 3A of Standard Form 424 or where appropriate on other cover form.) This action will assure the federal agency of your compliance with Florida's review requirements and reduce the chance of unnecessary delays in processing your application by the federal agency. Sincerely, Q Director Jam e L. Alcott, Direr State Clearinghouse MAN Enclosure(s) cc: Department of Environmental Regulation Department of State Department of Transportation M MJ 2AND JM DATE: October 27, 1993 TO: Farmers Home Administration (FmHA) Loan & Grant Application File //�- / FROM: Richard Votapka, Utilities Director /vim V SUBJECT: Filing of the FmHA Loan & Grant Application for the Purchase of the GDU Sebastian Highlands Water and Wastewater Systems Th'e issue of filing the FmHA Loan and Grant Application was brought up for discussion in the latter part of the afternoon at the Bond Financing Team working group meeting today. Both Arthur Ziev of Raymond James (Bond Underwriter) and Robert Freeman of Squire, Sanders & Dempsey (Underwriter's Counsel) informed the group that FmHA would have to be notified of the City's pursuit to seek bond financing. Most likely, with the bond financing, a grant to the City would not be approved. If a loan was issued by FmHA, then the interest rate on the borrowed funds would be approximately 2% higher than the long term interest rate on the bonds at this time. However, the bond monies would subrogate the FmHA loan funds. Arthur Ziev said that possibly the Farmer's Home Administration could loan money for expansion of the system, i.e. the distribution system into residential areas, if the City couldn't fund the expansion. The general consensus at the meeting was that there was no need to file the FmHA Grant and Loan Application unless a problem arose with bond financing and the City had to file for alternative funding. Hal Schmidt advised me to hold the application and not send it off unless our bond financing did not go through. ■enoUsbe HARTMAN & ASSOCIATES, INC. engineers, hydrogeologists, surveyors & management consultants December 31, 1992 HAI x/92-034.04 Mr. Robb McClary 3ar'67 $ s 70�7772 City Manager City of Sebastian P.O. Box 780127 Sebastian, FL 32978-0127 pie Ma age=s Subject: Farmer's Home Administration Preapplication Dear Mr. McClary: Enclosed for the City's review is the Farmer's Home Administration Preapplication, which is being prepared to provide funds for the acquisition of the utility assets of General Development Utilities, Inc. The preapplication is essentially complete with the exception of the 1992 Balance Sheet information for the City of Sebastian and General Development Utilities, Inc. This information from the City is currently unavailable due to a variety of events which have taken place. However, based on recent discussions with the City's auditors, we anticipate that this information will be forthcoming in the near future and we have noted this on the preapplication. We have also noted that the balance sheet information for General Development Utilities, Inc. is unavailable due to the fact that they operate on a calendar year basis. We would appreciate the City's review of the enclosed preapplication and provide us any comments which the City may have. Also, it may be beneficial to have the City's auditors review the financial information relative to the City for additional comfort. If you have any questions or comments, please contact either Robert Ori or me. I hope you had a happy holiday season! Very truly yours, Hartman & Associates, Inc. Harold E. Schmidt, P.E. Vice President cc: Gerald C. Hartman, HAI Robert Ori, HAI Gary ReVoir, HAI Christie Tomlinson, HAI 201 EAST PINE STREET • SUITE 1000 • ORLANDO, FL 32801 HES/CCT/cl/C-4/McC1ary.cct TELEPHONE (407) 839-3955 • FAX (407) 839-3790 PRINCIPALS: JAMES E. CHRISTOPHER • CHARLES W. DRAKE • GERALD C. HARTMAN • MARK I. LUKE • MARK A. RYNNING • HAROLD E. SCHMIDT, JR. U.S. DEPARTMENT OF AGRICULTURE APPLICATION FOR FEDERAL ASSISTANCE (For construction) Standard Form 424.2 (4/88) __ _. OMB Approval No. 0348-0063 -APPLICATION FOR 2. DATE SUBMITTED Applicant Identifier FEDERAL ASSISTANCE 1. TYPE OF SUBMISSION: 3. DATE RECEIVED 8Y STATE Slate Application Identifier Application Preapplicanon ❑ construction � Cpn6lietlipn 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier ❑ Nen-(.'On51rut1ipn ❑ Npn Construcion 5. APPLICANT INFORMATION Legal Name Organizational Unit City of Sebastian A Public Body Address (give city. county. state. and zip code) Name and telephone number of the person t0 be contacted on matters involving P. O. BOX 780127 this application (give area code) Sebastian, FL 32978-0127 Rob McClary (407)589-5330 6. EMPLOYER IDENTIFICATION NUMBER IEINI: 7. TYPE OF APPLICANT: (enter appropriate /Offer M b0X) 5 9 — 6 0 0 0 4 2 7 A State H Independent School Dist. B County L State Controlled Institution of Higher Learning C Municipal J Pnvate University a. TYPE OF APPLICATION: D Township K Indian Tribe W New ❑ Continuation ❑ Revision E. Interstate L Individual F Intermunicipal M Profit Organization It Revision. enter appropriate lettedsl in box(es). ❑ ❑ G Special District N Omer (Specify) A Increase Award 8 Decrease Award C Increase Duration D Decrease Duration Other (specify/ 9. NAME OF FEDERAL AGENCY: Farmer's Home Administration 10 DOMESTIC 1 CATALANOF 4 I 8 11. DESCRIPTIVE TITLE OF APPLICANTS PROJECT: ASSISE NUMBER ■ Water / Sewer System TITLE: Water and Waste ?disposal Improvements Systems 12. AREAS AFFECTED BY PROJECT (cities. Counties. States. iii City of Sebastian 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Dale Ending Date a Applicant : b Project 2/93 8/93 District 11 District 11 15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a YES THIS PREAPPLICATIOMAPPLICATION WAS MADE AVAILABLE TO THE a Federal E .00 3,410,000 STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON DATE b Applicant S .00 100,000 c State S .00 0 b NO. ❑ PROGRAM IS NOT COVERED BY E O 12372 If Local S .00 0 ❑ OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e Other S .00 0 1 Program Income S .00 17. IS THE APPLICANT OELINOUENT ON ANY FEDERAL DEBT? 0 ❑ Yes If -Yes.- attach an explanation ® No g TOTAL E .DO 31510,000 _ 16. TO THE BEST OF MY KNOWLEDGE AND BELIEF. ALL DATA IN THIS APPLICATIONIPREAPPucAnoN ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED a Typed Name of Authorized Representative b Title c Telephone number d Signature of Authorized Representative a Oate Signed •• — Previous Editions Not Usable lancard Form a24 IQEV e 88; Prescnbed by OMB On.ular A-102 Authorized for Local Reproduction INSTRUCTIONS FOR THE SF 424 This is a standard form used by applicants as a required facesheet for preapplications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review the applicant's submission. Item: Entrv: 1. Self-explanatory. 2. Date application submitted to Federal agency (or State if applicable) & applicant's control number (if applicable). 3. State use only (if applicable). 4. If this application is to continue or revise an existing award, enter present Federal identifier number. If for a new project, leave blank. 5. Legal name of applicant, name of primary organizational unit which will undertake the assistance activity, complete address of the applicant, and name and telephone number of the person to contact on matters related to this application. 6. Enter Employer Identification Number (EIN) as assigned by the Internal Revenue Service. 7. Enter the appropriate letter in the space provided. S. Check appropriate box and enter appropriate letter(s)in the space(s) provided: —"New" means a new assistance award. —"Continuation" means an extension for an additional funding/budget period for a project with a projected completion date. —"Revision" means any change in the Federal Government's financial obligation or contingent liability from an existing obligation. 9. Name of Federal agency from which assistance is being requested with this application. 10. Use the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested. 11. Enter a brief descriptive title of the project. if more than one program is involved, you should append an explanation on a separate sheet. If appropriate (e.g., construction or real property projects), attach a map showing project location. For preapplications, use a separate sheet to provide a summary description of this project. Item: Entrv: 12. List only the largest political entities affected (e.g., State, counties, cities). 13. Self-explanatory. 14. List the applicant's Congressional District and any District(s) affected by the program or project. 15. Amount requested or to be contributed during the first funding/budget period by each contributor. Value of in-kind contributions should be included on appropriate lines as applicable. If the action will result in a dollar change to an existing award, indicate only the amount of the change. For decreases, enclose the amounts in parentheses. If both basic and supplemental amounts are included, show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item 15. 16. Applicants should contact the State Single Point of Contact (SPOCY for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. 17. This question applies to the applicant organi- zation, not the person who signs as the authorized representative. Categories of debt include delinquent audit disallowances, loans and taxes. 18. To be signed by the authorized representative of the applicant. A copy of the governing body's authorization for you to sign this application as official representative must be on file in the applicant's office. (Certain Federal agencies may require that this authorization be submitted as part of the application.) $F 424 IPEV 4.881 Back OMB Approved No. 0348-0041 BUDGET INFORMATION -Construction Programs NOTE: Certain federal assistance programs require additional computations to arrive at the Federal share ofproject costs eligible for participation. If such is the case you will be notified. Authorized for Local Reproduction Standard Form 424C (4-88) Prescnbed by OMB Circular A-102 COST CLASSIFICATION a. Total Cost b. Costs Not Allowable for Participation c. Total Allowable Costs (Columna -b) 1. Administrative and legal expenses $ 175,000 .00 S 0 .00 S 175,000 .00 2. Land, structures, rights-of-way, appraisals, etc. $ 175,000.00 $ 0 .00 $ 175,000 .o0 3. Relocation expenses and payments $ 0.00 S 0 .00 S 0 .00 4. Architectural and engineering fees $ 175,000.00 S 0 .00 $ 175,000 .00 5. Other architectural and engineering fees S 75,000.00 S 0 .00 S 75,000 .00 6. Project inspection fees S 50,000.00 S 0 .00 S 50,000 .00 7. Site work $ 175,000.00 s 0 .00 $ 175,000 oo B. Demolition and removal $ 0.00 S 0 .00 S 0 .00 9. Construction S 2,000,000 .00 S 0 .00 $ 2,000,000 .00. 10. Equipment $ 50,000.00 S 50,000 .00 S 0 .00 11. Miscellaneous $ 50,000 .o0 $ 50,000 .o0, s 0 .00 12. SUBTOTAL $ 2,925,000 .00 S 100,000 .00 S 2,825,000 .00 13. Contingencies (sum of lines 1-11) $ 585,000 .00 $ 0 .00 $ 585,000 .00 14. SUBTOTAL f 3,510,000 .00 s 100,000 .00 S 3,410,000 .00 15. Project (program) income $ 0 .00 $ 0 .00 $ 0 .00 16. TOTAL PROJECT COSTS (subtract X15 from X 14) $ 3,510,000 .o0 S 100,000 .00 $ 3,410,000 .00 FEDERAL FUNDING 17. Federal assistance requested, calculate as follows: Enter eligible costs from line 16c Multiply X (Consult Federal agency for Federal percentage share). Enter the resulting Federal share. 100 % S 3,410,000 .00 Authorized for Local Reproduction Standard Form 424C (4-88) Prescnbed by OMB Circular A-102 INSTRUCTIONS FOR THE SF -424C This sheet is to be used for the following types of applications: (1) "New" (means a new [previously unfunded] assistance award); (2) "Continuation" (means funding in a succeeding budget period whicF Aemmed from a prior agreement to fund); and (3) "Revised" (means any changes in the Federal government's financial obligations or contingent liability from an existing obligation). If there is no change in the award amount there is no need to complete this form. Certain Federal agencies may require only an explanatory letter to effect minor (no cost) changes. If you have questions please contact the Federal agency. Column a. — If this is an application for a "New" project, enter the total estimated cost of each of the items listed on lines 1 through 16 (as applicable) under "COST CLASSIFICATIONS." If this application entails a change to an existing award, enter the eligible amounts approved under the previous award for the items under "COST CLASSIFICATION." Column b. —If this is an application for a "New" project, enter that portion of the cost of each item in Column a. which is not allowable for Federal assis- tance. Contact the Federal agency for assistance in determining the allowability of specific costs. If this application entails a change to an existing award, enter the adjustment [+ or HI to the previously approved costs (from column a.) reflected in this application. Column c. — This is the net of lines 1 through 16 in columns "a." and "b." Line I — Enter estimated amounts needed to cover administrative expenses. Do not include costs which are related to the normal functions of government. Allowable legal costs are generally only those associated with the purchase of land which is allowable for Federal participation and certain services in support of construction of the project. Line 2 — Enter estimated site and right(s)-of-way acquisition costs (this includes purchase, lease, and/or easements). Line 3 — Enter estimated costs related to relocation advisory assistance, replacement housing, relocation payments to displaced persons and businesses, etc. Line 4 — Enter estimated basic engineering fees related to construction (this includes start-up services and preparation of project performance work plan). Line 5 — Enter estimated engineering costs, such as surveys, tests, soil borings, etc. Line 6 — Enter estimated engineering inspection costs. Line 7 — Enter estimated costs of site preparation and restoration which are not included in the basic construction contract. Line 9 — Enter estimated cost of the construction contract. Line 10 — Enter estimated cost of office, shop, laboratory, safety equipment, etc. to be used at the facility, if such costs are not included in the construction contract. Line Il — Enter estimated miscellaneous costs. Line 12 —Total of items 1 though 11. Line 13 — Enter estimated contingency costs. (Consult the Federal agency for the percentage of the estimated construction cost to use.) Line 14 — Enter the total of lines 12 and 13. Line 15 — Enter estimated program income to be earned during the grant period, e.g., salvaged materials, etc. Line 16 — Subtract line 15 from line 14. Item 17 — This block is for the computation of the Federal share. Multiply the total allowable project costs from line 16, column "c." by the Federal percentage share (this may be up to 100 percent; consult Federal agency for Federal percentage share) and enter the product on line 17. SF 424C (4 88) Back OMB Approved No. 034"042 ASSURANCES —CONSTRUCTION PROGRAMS Note: Certain of these assurances may not be applicable to your project or program, If you have questions, please contact the Awarding Agency. Further, certain federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant 1 certify that the applicant: 1. Has the legal authority to apply for Federal 8. Will comply with the Intergovernmental assistance, and the institutional, managerial and Personnel Act of 1970 (42 U.S.C. §§ 4728-4763) financial capability (including funds sufficient to relating to prescribed standards for merit systems pay the non -Federal share of project costs) to for programs funded under one of the nineteen ensure proper planning, management and statutes or regulations specified in Appendix A of completion of the project described in this OPM's Standards for a Merit System of Personnel application. Administration (5 C.F.R. 900, Subpart F). 2. Will give the awarding agency, the Comptroller 9. Will comply with the Lead -Based Paint Poisoning General of the United States, and if appropriate, Prevention Act (42 U.S.C. §§ 4801 et seq.) which the State, through any authorized representative, prohibits the use of lead based paint in access to and the right to examine all records, construction or rehabilitation of residence books, papers, or documents related to the structures. assistance; and will establish a proper accounting statues 10. Will comply with all Federal ses relating to system in accordance with generally accepted nondiscrimination. These includestate but are not accounting standards or agency directives. limited to: (a) Title VI of the Civil Rights Act of 3. Will not dispose of, modify the use of, or change 1964 (P.L. 88-352) which prohibits discrimination the terms of the real property title, or other on the basis of race, color or national origin; (b) interest in the site and facilities without Title IX of the Education Amendments of 1972, as permission and instructions from the awarding amended (20 U.S.C. §§ 1681-1683, and 1685 - agency. Will record the Federal interest in the 1686) which prohibits discrimination on the basis title of real property in accordance with awarding of sex; (c) Section 504 of the Rehabilitation Act of agency directives and will include a covenant in 1973, as amended (29 U.S.C. § 794) which prohibit the title of real property acquired in whole or in discrimination of the basis of handicaps; (d) the part with Federal assistance funds to assure Age Discrimination Act of 1975, as amended (42 nondiscrimination during the useful life of the U.S.C. §§ 6101-6107) which prohibits discrimi- project. nation on the basis of age; (e) the Drug Abuse 4. Will comply with the requirements of the Office and Treatment Act of 1972 (P. L. 93-255), as assistance awarding agency with regard to the the amended, relating to non-discrimination the drafting, review and approval of construction basis of drug abuse; (Il the Compreheenn plans and specifications. Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 5. Will provide and maintain competent and 91-616), as amended, relating to nondiscrimi- adequate engineering supervision at the nation on the basis of alcohol abuse or alcoholism; construction site to ensure that the complete work (g) §§ 523 and 527 of the Public Health Service conforms with the approved plans and specifica- Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as tions and will furnish progress reports and such amended, relating to confidentiality of alcohol and other information as may be required by the drug abuse patient records; (h) Title VI11 of the assistance awarding agency or State. Civil Rights Act of 1968 (42 U.S.C. § 3601 et seq.), as amended, relating to non-discrimination in the 6. Will initiate and complete the work within the sale, rental or financing housing; any other applicable time frame after receipt of approval of in the specific non=discrimination provisions t h the awarding agency. statute(s) under which application for Federal 7. Will establish safeguards to prohibit employees assistance is being made, and (j) the requirements from using their positions for a purpose that on any other non-discrimination Statute(s) which constitutes or presents the appearance of personal may apply to the application. or organizational conflict of interest, or personal gain. slandf "! F: n.n 42.117 M. ,xf4m1 !.v 1M3 Lip'.w A i' I., Authorized for Local Reproduction 11. Will comply, or has already complied, with the requirements of Titles lI and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provides for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 12. Will comply with the provisions of the Hatch Act (5 U.S.C. §§ 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 13. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. §§ 276a to 276a- 7), the Copeland Act (40 U.S.C. § 276c and 18 U.S.C. § 874), the Contract Work Hours and Safety Standards Act (40 U.S. §§ 327-333) regarding labor standards for federally assisted construction subagreements. 14. Will comply with the flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 15. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. H 1451 et seq.); (fl conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. § 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523): and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205). 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§ 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 17. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and preservation of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 18. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984. 19. Will comply with all applicable requirements of all other Federal laws, Executive Orders, regulations and policies governing this program. SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL I TITLE APPLICANT ORGANIZATION DATE SUBMITTED FLORIDA INSTRUCTION 1942-1, GUIDE 6 INFORMATION ON EXISTING WATER & SEWER SYSTEMS ..AME City_of Sebastian_______________ PROJECT COUNTY Indian River ___— ------- ----------------- DISTRICT OFFICE 5 No. No. Av. Gallons Average Average Meter Size Water Sewer Water Used Mo. Mo. Water Mo. Sewer 5/8" X 3/4" Users Users Per User Bill Bill Residential 1,133_ _ 554_ -- 51635 ------ 4�-- — 21_54 _ Motels & Hotels ---- ---- ------------ ------- No. Rooms ---- ------- Apartment Bldgs --- _ _____ — ----------- _ ------ __No. No. Rooms Schools --_— Colleges Public Bldgs. Churches Service Stations—_ -- Restaurants Launderettes Retail Stores Trailer Parks No. Spaces — ---- _ --_— —_ Campgrounds_—_— No. Spaces Aho I esa I e Bus.Marinas Wholesale Water__— Other N 36 3 4,019 $19.25 $20.47__ N General Service Customers: detail not provided by General Development Utilities, Inc. as of date of preapplication. No. No. Av. Gallons Average Average Meter Size Water Sewer Water Used Mo. Mo. Water Mo. Sewer 1" Users Users Per User Bill Bill Residential Motels & Hotels No. Rooms Apartment Bldgs._ No. Rooms Schools Colleges Public Bldgs. Churches Service Stations___ Restaurants Launderettes _ Retail Stores _^ Trailer Parks No. Spaces :ampgrounds No. Spaces _ Wholesale Bus. ----- Marinas Wholesale Water Othor 2 --------- ---- Motor Size 1-1/2" CitX of Sebastian Food Lion ------------- Total No. Water Users L 1 2 No. Meter Size Water 2" Users Sebastian Elementary_ 1 - No. Water Other Size Users 3" - Indian River School Board 1 6" - Citrus Utility 1— 6" - Indian River —1 6" - Sebastian Lakes Assoc. 1 Total 6" 3 No. Av. Gallons Sewer Water Used Mo. Users Per User Average Mo. Water Mo_ Sewer Bill Bill ---- --28,556------ No. Av. Gallons Sewer Water Used Mo. Users Per User _ 0 __ —_72,556 No. Av. Gallons Sewer Water Used Mo. Users Per User 1 128,333 0 --------- 0 426,259 FLORIDA INSTRUCTION 1942-A GUIDE 6 Mo. Water PAGE 2 Bill Average Average Mo. Water Mo_ Sewer Bill Bill $101.23 N/A -- Average Average Mo. Water Mo. Sewer Bill Bill $193.71 N/A Average Average Mo. Water Mo. Sewer Bill Bill $368.84 $379.92 $1,182.20 N/A First Next Next ---____-- Next All Over Maximum Bill S FLORIDA INSTRUCTION 1942—A GUIDE 6 PAGE 3 EXISTING RATE SCHEDULE M WATER -- RESIDENTIAL gallons for $ _______ per _ gallons for S ________ per gallons for $ ________ per gallons for $ ____ per _ gallons for S per for g _ ------ gallons WATER -- COMMERCIAL gallons gallons First gallons for $ per gallons Next ___ _ gallons for $ per gallons Next gallons for $ per Next ___ gal Ions for 5 per AI I Over gal Ions for g per ___ Maximum Bill S for ... _.... gallons SEWER RESIDENTIAL SEWER.COMMERCIAL MSee attached schedule. xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ETHIC BREAKDOWN OF USERS Type Water Sewer Wh i to 97,x% 97�4Ja° Negro/Black American Indian Spanish American Other 1.3% _ls� General Development Utilities, Inc. Sebastian Highlands Water Rates Class/Meter Sizes Present Monthly Rates Residential BFC - 5/8" x 3/4" $13.05 1st 10,000 gals 1.24 over 10,000 gals 1.55 BFC - 1" 32.63 1st 25,000 gals 1.24 over 25,000 gals 1.55 BFC - 1 1/2" 65.27 1st 50,000 gals 1.24 over 50,000 gals 1.55 BFC - 2" 104.43 1st 80,000 gals 1.24 over 80,000 gals 1.55 General Service (Commercial di Multiple Service) BFC - 5/8" x 3/4" 13.05 1st 10,000 gals 1.24 over 10,000 gals 1.55 BFC - 1" 32.63 1st 25,000 gals 1.24 over 25,000 gals 1.55 BFC - 1 1/2" 65.27 1st 50,000 gals 1.24 over 50,000 gals 1.55 BFC - 2" 104.43 1st 80,000 gals 1.24 over 80,000 gals 1.55 BFC - 3" 208.88 1st 160,000 gals 1.24 over 160,000 gals 1.55 BFC - 4" 327.31 1st 250,000 gals 1.24 over 250,000 gals 1.55 BFC - 6" 652.72 1st 500,000 gals 1.24 over 500,000 gals 1.55 * BFC - Base Facility Charge Class/Meter Sizes Present Monthly Rates STANDBY CHARGES - FIRE HYDRANT AND/OR SPRINKLER SYSTEMS 4" Mains - Annual Charge $1,164.00 6" Mains - Annual Charge 2,328.00 8" Mains - Annual Charge 3,724.00 General Development Utilities, Inc. Sebastian Highlands Sewer Rates Class/Meter Size Present Monthly Rates Residential Base Facility Charge (BFC) $15.12 Plus Gallonage per MG 1 .07* General Service (Commercial & Multiple Service) Base Facility Charge 5/8" x 3/4" 15.12 V 37.12 1 1/2" 75.59 21' 120.95 311 241.89 4-1 377.95 61' 755.90 Plus Gallonage per MG 1.07 *Maximum of 12,000 gals. Water Sales New Connections FLORIDA INSTRUCTION 1942—'A GUIDE 6 PAGE 4 SUMMARY OF WATER AND SEWER FACILITIES FOR PAST THREE FISCAL YEARS General Development Utilities, Inc. Sebastian Highlands INCOME Reconnection Fees Other Total Income Operation & Maintenance Debt Repayment 1989 1990 1991 312,328 32,520 323.251 334.030-344,847 19-L9 1990_ 19_91 Sewer Charges N/A N/A 151,741 EXPENSES 170,273 167,499 169,745 0 0 0 Capital Improve— ments NLA N/A N/A Depreciation Expence 132,225 125,169 123,909 CERTIFIED TRUE AND CORRECT OFFICIAL TITLE 144,877 145,159 151,741 128,833 134,861 104,150 0 0 0 N/A N/A N/A 62,364 59,875 59,862 FORM APPROVED OMB NO. 0575-0015 SDA-FmHA a11L Form FmHA 442-3 City of Sebastian ( Rev. 9-89) BALANCE SHEET Addreas P. O. Box 780127 General Development Utilities, Inc. Sebastian, FL 32978-0127 _ 12 31 91 ASSETS Month Day Year Month Day Year Current Year Prior Year CURRENT ASSETS N/A N 3,105,634 1. Cash on Hand in Banks................................................................................... 0 2. Time deposits and short-term investments ............................................ .......................................„ 3. Accounts receivable ............................................ ,,- 2,415,665 4. Less: Allowance for doubtful accounts ................................... .............. 0 5. Inventories..................................................................................................... 71,945 6. Prepayments.................................................................................................. 0 0 7 0 8. ................. 593,244 9. Total Current Assets (Add 1 through 8) ................................................. , FIXED ASSETS 95,779,883 10.. Land.............................................................................................................. 11. Buildings........................................................................................................ 12. Fttfnvestmen`�utinemunic3paT'liads..........................................”"' 13. , 14. Less: Accumulated depreciation............................................................ 20,656,940 15. Net Total Fixed Assets (Add 10 through 14) ............... _................. 4 ...................... _. 75 275 943 OTHER ASSETS 16. Deferred Charges 14,441,378 17. 0 .................. 18. Total Assets (Add 9,15,16 and 17)........................................................... 95,310,565 LIAB=IES AND EQUITIES CURRENT LIABILITIES 19. Accounts payable .......... and accrued expenses 4,467,588 20. Notes payable................................................................................................. 21. Current portion of FmHA note...................................................................... 0 22. Customer deposits.......................................................................................... 0 ........................................... 23. Taxes payable..........................................4... ........ 120,000 24. Interest payableiR Am ....................................... ........................................... 56,239 25, credit facility 1.365 139 26. ................ 0 6 008 966 27. Total Current Liabilities (Add 19 through 26) ........................................ LONG-TERM LIABILITIES 28. ;I irMZ .,,,unearned,.Income„and„Reserve ........................ 4,785,808 24,556,126 29, Customer Deoosits &Deferred Expense .................. 30. Advances for construction 614,874 31. Total Long -Term Liabilities (Add 28 through 30) ................................... 29,956,808 35,965,774 32. Total Liabilities (Add 27and 31)..............4......... ..................................... EQUITY 33. Retained canrinys........................................................................................... (15,956,209 301 000 34. 'F: %aq;gWtr. Common Stock & Additional paid -in capita sp, ............... ......................... .. ..... . 75 35. Total Equity (Add Gees 33 and 34)........................................................... 59 344 791 36. Total Liabilities and Equity (Add lines 32 and 35) .................................... 95 , 310 565 Date Appropriate Official (Signature) CERTIFIED CORRECT Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing in- structions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of in- formation. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Agriculture, Clearance Officer, O1RM, Room 404-W, Washington, D.C. 20250: and to the Office of Management and Budget, Paperwork Reduction Project (OMB No. 05750015), Washington, D.C.20503. *Audit not available for preapplication due to the fact that General FmHA 442-3 (Rev. 9-89) Development Utilities, Inc. operates on a calender year basis. I General Development Utilities, Inc. Selected Balance Sheet Information Plant in Service Water Sewer Total Accumulated Depreciation Water Sewer Total CIAC Water Sewer Total Accumulated Amortization of CIAC Water Sewer Total Advances for Construction Water Sewer Total Deferred Taxes Water Sewer Total CCT/mg/MIS-5/GDU.TBL Consolidated GDU Sebastian Hi hg lands 5,321,556 2,613,383 95,779,883 7,934,939 1,396,279 782.152 20,656,940 2,178,431 1,416,967 705,417 33,466,540 2,122,384 203,683 152.141 6,269,890 355,824 39,528 0 614,874 39,528 314,575 176,756 10,468,773 491,331 Pusiuull l FORM APPROVED OMB NO. 0575-0015 SDA- mHA aO1c Form FmHA 442-3 City of Sebastian P. O. Box 780127 (Rev. 9-89) BALANCE SHEETAddrr.as City of Sebastian (Combined) Sebastian, FL 32978-0127 _ 9 31 91 ASSETS Month Day Y aC Month Day Year Current Year*/ Prior Year CURRENT ASSETS 640,468 1. Cash on Hand in Banks................................................................................... 2 354 336 2. Time deposits and short-term investments...................................................... 3. Accounts receivable........................................................................................ 0 4. Less: Allowance for doubtful accounts .................................................. 26,387 5. Inventories..................................................................................................... 61,897 6. Prepayments ....................................... ........................................................... 7, Due from other governments 6r funds 362,239 8. 0 ................. 3'710' 161 9. Total Current Assets (Add 1 through 8) ............................... FIXED ASSETS 655,546 10.. Land.............................................................................................................. 1,2 ,32 11. Buildings .................._ 110 12. Furniture and equipment............................................................................... building , , 6,595,650 13. Improvements other than .................. 14. Less: Accumulated depreciation ..................... ....................................... 1182351 15. Net Total Fixed Assets (Add 10 through 14) .............. _......... ................................ 9 193 280 OTHER ASSETS 16� rricted assets - Payment of long term debt 634,387 17. Unamortized bond issue60,507 .................. 18. Total Assets (Add 9, 1S, 16 and 17)........................................................... 13,598335 LIABILITIES AND EQUITIES CURRENT LIABILITIES 19. Accounts payable ..nd,accrued liabilities ......................................... 218 536 20, byNX�XX Rue,to other funds 131 808 21 XYXX*dhYoWXf�'rYtM -Deferred revenues ............................... 34 458 ......... ......... ......... 22. Customer deposits .................. ......... 0 23. Taxes payable................................................................................................. 0 0 24. Interest payable FmHA........................... ....................................................... 25, Obligarions under capital lease 17,780 26. Accrued compensated absences .................. 169,961 27. Total Current Liabilities Add 19 through 26 572,543 LONG-TERM LIABILITIES 0 28. Notes payable FmHA.................................................................................... 29, Defered compensation liability.................. 30, Revenue bonds/Accrued interest payable1,906,472 .................. 31- Total Long -Term Liabilities (Add 28 through 30)................................... 2,132,179 2,704,722 32. Total Liabilities (Add 27 and 31)............................................................. EQUITY 33. Retained castings.AT.ld,futIIsL, 91211CCS..................................................... 2,887,030 34. yAyuXXX*sanY CtOimiiYT)uiea cnpiCalfixed,assets 8,0063 10,893,613 ................................................. 35. Total Equity (Add lines 33 and 34) .......... 335 36. Total Liabilities and Equity (Add lines 32 and 35) .................................... ' ' Date Appropriate Official (Sigmture) CERTIFIED CORRECT Public reporting burden for this collection of information is estimated to average / hour Per response, including the time for reviewing in- structions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of in formation. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Agriculture, Clearance Officer, 01RM, Room 404-W. Woshington. D.C. 20250: and to the Office of Management and Budget, Paperwork Reduction Project (OMB No. 0575-0015), Washington, D.C.20503. *Audit not complete due to internal accounting changes; expect financial FmHA 442-3 (Rev. 9-89) information to be complete by the end of January, 1993. INSTRUCTIONS Present Borrowers This form may be used as a year end Balance Sheet by Community Program and Group Farmer Program borrowers who do not have an independent audit. Submit two copies within 60 days following year end to the County Supervisor. An independently audited balance sheet will substitute for this form. Applicants In preparing this form when the application -for financing is for a facility which is a unit of your overall operation, two balance sheets are to be submitted: one for the facility being financed and one for the entire operation. Examples: (a) application to finance a sewage system which is a part of a water -sewage system or municipality, (b) application to finance a nursing home which is part of larger health care facility. Preparation of This Form Enter data where appropriate for the current and prior year. 2. Line 35, Total Equity, of this form will be the same as line 26, on Form Fm HA 442-2, "Statement of Budget, Income and Equity," when using the form. The term Equity is used interchangeably with Net Worth, Fund Balance, etc.. Balance Sheet Items Current Assets Cash on hand and in Banks. (Includes undeposited cash and demand deposits) 2. Tune Deposits and Short Term Investments. (Funds in Savings Accounts and Certificates of deposit Maturing within one year) 3. Accounts Receivable. (Amounts billed but not paid by customers, users, etc.. This is the Gross Amount before any allowances in item 4.) 4. Allowance for Doubtful Accounts. (Amounts included in item 3 which are estimated to be uncollectable) 5. Inventories. (The Total of all materials, supplies and finished goods on hand) 6. Prepayments. (Payments made in advance of receipt of goods or utilization of services. Examples: Rent, Insurance) 7 and 8 List other Current Assets not included above. Fixed Assets 10-12. (List Land, Building, Furniture and Equipment separately by Gross Value.) 13. List other Fixed Assets. 14. Accumulated Depreciation (Indicate total Accumulated Depreciation for items 10-13) Other Assets .16 — 17. List other Assets not Previously Accounted for. Current Liabilities 19. Accounts Payable. (Amounts due to creditors for goods delivered or services completed) 20. Notes Payable. (Amounts due to banks and other creditors for which a promissory note has been signed) 21. Current Portion FmHA Note. (The amount due Fm FIA for principal payment during the next 12 months. Includes any payments which are in arrears) 22. Customer Deposits. (Funds of various kinds held for others) 23. Taxes Payable. 24. Interest Payable FmHA. (Interest applicable to principal amount in line 21) 25 — 26. List other payables and accruals not shown above. Long Term Liabilities 28. Notes Payable FmHA. (List total p incipel payments to FmHA waic-'i mature after one year aae. are not included in line 21) 29-30. List all other longterm liabilities such as bonds, bank loans, etc. which are due after one year. Equity 33. Retained Earnings. (Net income which has been accumulated from the beginning of the operation and not distributed to members, users, etc.) 34. Memberships. (The total of funds collected from persons for membership type facilities, i.e.: water and sewer systems) 9 US. GPG:1989 M-168/10239 Florida Instruction 1942—A Guide 16 APPLICANT CERTIFICATION OF PRIOR INDEBTEDNESS Date District Director Farmers Howe Administration (Complete with local address) Dear Sir: This is to certify that the following constitute all of the outstanding obligations (bonded indebtedness or otherwise, exclusive of operative expense) which are liens upon the revenue of the Water and Wastewater system(s) of the (city)(town)(district) of Sebastian Florida. (Insert "None" if there are no outstanding obligations) Total Amt. Int. Amt. Name of Status of Date of Issue of issue Race Outstanding Bond Lien (1st Pri. As of Holder 2nd, etc.) None None None None None None HAYOR CHAIRMAN CLERK C1 Y1T0�:t DISTRICT) ATTORNEY f LVlt lt/A anJIKVa..1aU{V 1'J'4Z—H GUIDE 30 f PRELIMINARY ENVIRONMENTAL INFORMATION Wi 1 I the proposed project affect important land resources? No, this project is for the acquisition of an existing utility and expansion of water and sewer services throughout an existing development. If Yes, please indicate which lands will be affected. FLOODPLAIN WETLANDS IMPORTANT FARMLANDS PRIME FOREST LANDS PRIME RANGELANDS City Official Date PURPOSE: This guide will provide FmNA with a general knowledge of what important land resources, if any, will be affected by the proposed project. PN 930 (6-3-91)