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C� <br />r <br />GRANT NAME: LIT TT t f C.?NTROL & PREVL- TrION GRAPNr BRANT 4 YEr '117 BE ASSIGNED <br />AMOUNT OF GRANT: S YET TQ BE DLTER14INM <br />DEPARTMENT RECEIVING GRANT: SOLID WASTE DISPOSAL DISTRICT <br />CONTACT PERSON: RONALD R. BROOKS PHONENUMBER: 561-770-5113 <br />L HOW long is the grant for? ONE YEAR Starting Date: OCTOBM 1, 2000 <br />2. Rocs the grant require you to fWW this function alter the grant is over? —Yes --Y—No <br />3. Does tho grant require a match?— Yes __X_No <br />If yes, does the grant allow the match to be in In Kind Sevices? Yes No <br />4. Pereentage of match to gran[ ya <br />S. Grant match amount required S <br />6. Where arc the matching funds coming from (i.r In kind Services; Reserve for Contingency)? <br />7- Does the grant cover capital costs or start-up costa? X Yes No <br />If no, how much do you think will be needed in capital costs or start up costs? <br />(Attach a detail listing of costs) S <br />S. Are you adding arty additional positions utilizing the grant funds? Yes X No <br />Ifycs, please list. (if additional space is needed, please attack it sehcdule) <br />Acct. <br />DescriptionPosition Position Position Position Posilion <br />01L12 <br />Re larSalarics. <br />011.13 <br />Other Salaries & Wages P <br />012,11 <br />Social Security+ <br />012.12 <br />Retirement -Contributions <br />Ot2.13 <br />Insurance -Lire & Health <br />012,14 <br />WorkePa Compeftsation <br />Ot2.17 <br />S/Sec. Medicare Malchin_ <br />I S <br />TnTAI <br />9. What is the total cost of each position including benefits, capital, start-up, auto expense, travel and operating? <br />Salary and Benefits Operating Costs Capital Total Costs <br />10. What is the estimated cost of the grant to the county over five years? S ti0_ <br />First Year <br />Grant <br />Amount <br />S <br />mer Matchcosts <br />Not Covered <br />S <br />Match <br />S <br />'total <br />S <br />Second Year <br />S <br />S <br />S <br />S <br />Third Year <br />S <br />S <br />f <br />s� <br />Fourth Year <br />I S <br />$ <br />$ <br />S <br />5ignaturcof preparcr: �! r.rE- /.1 /' d.. Date: _ V r <br />