Fillable Form G - Residential: STORMWATER GRANT REQUEST APPLICATION (City of Newark)

Fill Online, Printable, Fillable, Blank Form G - Residential: STORMWATER GRANT REQUEST APPLICATION (City of Newark) Form

Use Fill to complete blank online CITY OF NEWARK (DE) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form G - Residential: STORMWATER GRANT REQUEST APPLICATION (City of Newark)

On average this form takes 18 minutes to complete

The Form G - Residential: STORMWATER GRANT REQUEST APPLICATION (City of Newark) form is 3 pages long and contains:

  • 1 signature
  • 12 check-boxes
  • 64 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Newark

BROWSE CITY OF NEWARK (DE) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Form G - Residential
CITY OF NEWARK, DELAWARE
STORMWATER GRANT REQUEST APPLICATION
Revised Date: March 2020 G-1
Request Number
Parcel ID: _________________________ Account#:___________________Date: _________________
Parcel Owner: __________________________________________________________________________
Service Address: ________________________________________________________________________
________________________________________________________________________
Mailing Address: ________________________________________________________________________
________________________________________________________________________
Email: _____________________________________________ Phone: ____________________________
REQUESTED SUPPORT: (Check one of the following)
Rain Barrel Request
Design Service Support: Please describe the subject property’s stormwater issue and/or desired
stormwater best management practice (BMP). Attach additional sheets if necessary.
Stormwater Project Cost Sharing: Please describe the subject project for which matching funds are
being requested. Attach additional sheets if necessary.
B
enefits: Please describe the anticipated benefits of the proposed project.
Check if any of the following attachments are included:
Site Map / Plan Photos
Drainage Area Maps Other:______________________________
Form G - Residential
CITY OF NEWARK, DELAWARE
STORMWATER GRANT REQUEST APPLICATION
Revised Date: March 2020 G-2
Request Number
Cost
Information : Please provide the following cost information. Note – Unless otherwise stated,
matching funds are provided based upon 25% of the estimated construction costs up to a maximum
$5,000 per parcel.
Estimated Construction Costs: $____________________________________________
Requested Grant Amount: $____________________________________________
Other Anticipated Grants (if any): $____________________________________________
Applicant Declaration:
The following statements are true to the best of my knowledge:
1. The Applicant is requesting assistance to improve or construct stormwater related
infrastructure on his or her own personal property.
2. The Applicant accepts any and all future maintenance responsibility for the infrastructure and
agrees to maintain/repair/operate the improvement for the balance of the useful life of the
facility.
3. The Applicant agrees to allow City of Newark personnel access to inspect the facility in
perpetuity.
4. The Applicant agrees to provide documentation of completed work and receipts detailing
expenditures for which the grant is intended prior to release of funds by the City.
5. The Applicant agrees to transfer the responsibilities listed above to any future owner of the
subject property.
6. The City does not offer advice on the taxability of the grant funding and advises the Applicant
to consult a tax advisor for items related to the grant.
7. In the event Applicant and/or future owners fail to perform the obligations set forth in #1-6
above, that Applicant and/or future owners acknowledge and agree they will be liable to the
City for a pro-rata share of any Assistance Grant, plus all attorney’s fees and Court costs
incurred by the City in collection of same.
Che
ck if any of the following attachments are included (recommended):
Site Map / Plan Stormwater Facility Details
Drainage Area Maps Engineer’s Cost Estimate / Contractor Quote
Engineering Drawings Photos
Engineering Calculations Other:______________________________
8.
The Applicant agrees to use the rain barrel they are given, and not resell it for personal gain.
In the event that it is no longer needed, the Applicant agrees to return it to the City of Newark.
Form G - Residential
CITY OF NEWARK, DELAWARE
STORMWATER GRANT REQUEST APPLICATION
Revised Date: March 2020 G-3
Request Number
Owner Signature: ____________________________________________
Printed Name: ____________________________________________
FOR CITY USE ONLY (To be completed by City):
Application Received By:_______________________________Date Received: ________________
Application Reviewed By:______________________________Date Reviewed: ________________
A
pplication Status (as applicable):
Rain Barrel Request Approved:_______ Denied:________
Design Service Support: Approved:_______ Denied:________
Stormwater Project Cost Sharing:
Final Decision: Approved:_______ Denied:________
M
atch: $________
Remarks:
Send the Completed Application and Supporting Documentation To:
The Director of Public Works and Water Resources
C
ity of Newark
220 South Main Street
Newark, DE 19711
For inquiries, please call: (302) 366-7000
Yes
No
Date
Public Works Approval:
Recommend to CAC:
CAC Approval:
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form G - Residential: STORMWATER GRANT REQUEST APPLICATION (City of Newark)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document