Laserfiche WebLink
' 1 - 03 <br /> APPNUM 04 <br /> SJRWMD office use <br /> ST. JOHNS RIVER WATER MANAGEMENT DISTRICT ��►► <br /> ALTERNATIVE WATER SUPPLY CONSTRUCTION COST-SHARING PROGRAM U <br /> APPLICATION FORM <br /> FY 2003-2004 <br /> Submission deadline: Applications must be received by the St. Johns River Water Management <br /> District (SJRWMD) or dated by the U. S . Postal Service or a commercial carrier no later than Friday, <br /> October 3 , 2003 . Submit three copies of this form and all supporting materials to Elizabeth Thomas, c% <br /> Cheryl Keel, St. Johns River Water Management District, 4049 Reid Street, Palatka, FL 32177. For <br /> application assistance, contact Elizabeth Thomas at (407) 6594868 or ethomasgsjrwmdcom. You <br /> may add up to one additional page of supporting material for any answer that needs further explanation . <br /> Applications that are substantially incomplete or not completed according to instructions will be <br /> disqualified. Excess materials will not be considered. Read and follow instructions . Selected <br /> evaluation criteria accompany questions pertaining to them in the application. Complete evaluation <br /> criteria are provided in the separate instruction document. <br /> Type or print clearly the requested information in the spaces provided. <br /> Title of Project North County RO Concentrate/Stormwater to Reclaimed Water <br /> A. Applicant Information <br /> 1 . Name of applicant Indian River County Utilities <br /> (may be utility, local government, agency, company, individual, or other) <br /> 2. Name, address, email address, and phone numbers of project manager or contact person. <br /> SJRWMD will send correspondence concerning this application ONLY to this person. <br /> Name Michael C . Hotchkiss, P .E. <br /> Email address mhotchkiss@ircgov. com <br /> Mailing address 1840 25h Street <br /> City and zip code Vero Beach, FL 32960 <br /> Phone (772) 567-8000, ext . 1821 Fax (772) 770- <br /> 5143 <br /> 3. Name, address, and phone numbers of person with authority to enter into a contractual <br /> agreement, if other than project manager or contact person. <br /> If same as 2 above, check box. ❑ <br /> Name Kenneth R. Macht, Chairman_ Indian River County Board of County Commissioners <br /> Email address kmacht@ircaov. com <br /> Mailing address 1840 25th Street <br /> City and zip code Vero Beach. FL 32960 <br /> A4 <br />