HomeMy WebLinkAbout6-A-1_Project TemplateAppendix 6-A: Project Information Form
Tahoe-Sierra IRWM Plan, July 2014 Appendix 6-A - Page 1 of 10
Section 6 – Project Review Process
\\Sac2\job\2018\1870012.00_SoTahoePUD-2018TahoeSierraIRWMP Upd\09-Reports\9.09-Reports\_For WP\Appendices\6-A-1_Project Template.doc
Project Template
Please provide information in the tables below:
I. Project Proponent Information
Agency/ Organization
Name of Primary Contact
Name of Secondary Contact
Mailing Address
E‐mail
Phone (###)###‐####
Other Cooperating
Agencies/Organizations/Stakeholders
Is your agency/organization
committed to the project through
completion? If not, please explain
II. General Project Information
Project Title
Project Category Water Supply/Wastewater Restoration
Storm Water/Flood Control
Project Description
(Briefly describe the project, in 300
words or less)
Project Prioritization:
Total number of projects
submitted by your Agency:
Agency Prioritization of this
project (e.g., 3 of 5)
Does this project contribute to a larger
Project (e.g., TMDL, EIP, Phase 2 of 3) ?
If so provide description.
Political Support – List related MOUs,
agreements or TACs currently in place.
Project Location:
Latitude:
Longitude:
Project Location Description (e.g., along
the south bank of stream/river
between river miles or miles from
Towns/intersection and/or address):
Appendix 6-A: Project Information Form
Tahoe-Sierra IRWM Plan, July 2014 Appendix 6-A - Page 2 of 10
Section 6 – Project Review Process
\\Sac2\job\2018\1870012.00_SoTahoePUD-2018TahoeSierraIRWMP Upd\09-Reports\9.09-Reports\_For WP\Appendices\6-A-1_Project Template.doc
III. Plan Objectives Addressed
For each of the objectives addressed by the project, provide a one to two sentence description of how
the project contributes to attaining the objective and how the project will be quantified. If the project
does not address any of the draft IRWM plan objectives, provide a one to two sentence description of
how the project relates to a challenge or opportunity of the Region.
Objectives: Will the project
address the
objective?
Brief explanation of project
linkage to selected Objective
Quantification
(e.g. acres of
streams/wetlands
restored or enhanced)
WQ1 ‐ Meet approved TMDL
standards in accordance with the
attainment date, and participate in
the development of future TMDLs.
Yes
N/A
WQ2 – Reduce pollutant loads by
implementing measures such as
stormwater LID retrofits, erosion
control/restoration to meet Water
Quality Objectives (WQOs) for
receiving water bodies established in
the Basin Plan within the planning
horizon.
Yes
N/A
WQ3 ‐ Implement water quality
monitoring programs through
planning horizon, and coordinate
annually throughout the Region.
Yes
N/A
WQ4 ‐ Ensure that drinking water
supplied by public water systems
continues to meet Federal and State
standards.
Yes
N/A
WQ5 ‐ Restore degraded streams,
wetlands, riparian and upland areas
to re‐establish natural water filtering
processes.
Yes
N/A
WQ6 ‐Operate and maintain, build, or
replace infrastructure for reliable
collection, treatment and disposal of
wastewater.
Yes
N/A
Appendix 6-A: Project Information Form
Tahoe-Sierra IRWM Plan, July 2014 Appendix 6-A - Page 3 of 10
Section 6 – Project Review Process
\\Sac2\job\2018\1870012.00_SoTahoePUD-2018TahoeSierraIRWMP Upd\09-Reports\9.09-Reports\_For WP\Appendices\6-A-1_Project Template.doc
Objectives: Will the project
address the
objective?
Brief explanation of project
linkage to selected Objective
Quantification
(e.g. acres of
streams/wetlands
restored or enhanced)
WS1 ‐ Provide water supply to meet
projected demands for a 20‐year
planning horizon.
Yes
N/A
WS2 ‐ Operate and maintain, build, or
replace infrastructure to reliably
supply water.
Yes
N/A
WS3 ‐ Implement and promote water
conservation measures and practices
to meet state goals.
Yes
N/A
GWM1 ‐ Maintain and monitor
groundwater supply to assure future
reliability.
Yes
N/A
GWM2 ‐ Promote groundwater
protection activities for high quality
groundwater, and advocate for
improvements to impacted
groundwater quality through public
education.
Yes
N/A
GWM3 ‐ Manage groundwater for
multiple uses (e.g.
municipal/industrial/agricultural
supply and environmental use).
Yes
N/A
ER1 ‐ Enhance and restore water
bodies, wetlands, riparian areas and
associated uplands to support healthy
watersheds, viable native fish, wildlife
and plant habitats.
Yes
N/A
ER2 ‐ Develop and implement
programs to prevent the spread of
existing invasive species and
colonization of potential future
invasive species.
Yes
N/A
Appendix 6-A: Project Information Form
Tahoe-Sierra IRWM Plan, July 2014 Appendix 6-A - Page 4 of 10
Section 6 – Project Review Process
\\Sac2\job\2018\1870012.00_SoTahoePUD-2018TahoeSierraIRWMP Upd\09-Reports\9.09-Reports\_For WP\Appendices\6-A-1_Project Template.doc
Objectives: Will the project
address the
objective?
Brief explanation of project
linkage to selected Objective
Quantification
(e.g. acres of
streams/wetlands
restored or enhanced)
ER3 ‐ Implement, in coordination with
public and private landowners,
activities to manage forest health and
wildfire risks.
Yes
N/A
ER4 ‐ Minimize ecosystem impacts
caused by existing and new
development.
Yes
N/A
IWM1 ‐ Conduct local and regional
water‐related planning activities
within the planning horizon as
supported by current and future
watershed science.
Yes
N/A
IWM2 ‐ Ensure collaboration among
multiple jurisdictions within the
Region for information exchange.
Yes
N/A
IWM3 ‐ Increase public education and
awareness of watershed functions,
protection and restoration needs to
encourage stewardship by the public.
Yes
N/A
IWM4 ‐ Promote activities that
reduce flood risk. Yes
N/A
IWM5 ‐ Address climate change (e.g.
water quality, water supply,
groundwater recharge, flood
management) in local and regional
planning efforts and support efforts
to continue improving the science.
Yes
N/A
IWM6 ‐ Monitor water storage,
release and exchange activities in
order to improve coordination with
regional planning.
Yes
N/A
Appendix 6-A: Project Information Form
Tahoe-Sierra IRWM Plan, July 2014 Appendix 6-A - Page 5 of 10
Section 6 – Project Review Process
\\Sac2\job\2018\1870012.00_SoTahoePUD-2018TahoeSierraIRWMP Upd\09-Reports\9.09-Reports\_For WP\Appendices\6-A-1_Project Template.doc
If no objectives are addressed; describe how the project relates to a challenge or opportunity of the Region:
Project Impacts and Benefits
Please provide a summary of the expected project benefits and impacts in the table below or check N/A
if not applicable; do not leave a blank cell.
If applicable describe benefits or impacts of the project with respect to:
a. Native American Tribal Community
considerations.
N/A
b. Disadvantaged Community considerations1. N/A
c. Environmental Justice 2 considerations. N/A
d. Assist the Region in adapting to effects of
climate change3.
N/A
e. Generation or reduction of greenhouse gas
emissions (e.g. green technology).
N/A
f. Other expected impacts or benefits that are
not already mentioned elsewhere.
N/A
1. A Disadvantaged Community is defined as a community with an annual median household (MHI) income that is less than 80
percent of the Statewide annual MHI. A map has been provided with the Project Template Instruction for reference.
2. Environmental Justice is defined as the fair treatment of people of all races, cultures, and incomes with respect to the
development, adoption, implementation and enforcement of environmental laws, regulations and policies. An example of
environmental justice benefit would be to improve conditions (e.g. water supply, flooding, sanitation) in an area of racial
minorities
3. Climate change effects are likely to include increased flooding, extended drought, and associated secondary effects such as
increased wildfire risk, erosion, and sedimentation.
Appendix 6-A: Project Information Form
Tahoe-Sierra IRWM Plan, July 2014 Appendix 6-A - Page 6 of 10
Section 6 – Project Review Process
\\Sac2\job\2018\1870012.00_SoTahoePUD-2018TahoeSierraIRWMP Upd\09-Reports\9.09-Reports\_For WP\Appendices\6-A-1_Project Template.doc
IV. Resource Management Strategies (RMS)
For each resource management strategy employed by the project, provide a one to two sentence
description in the table below of how the project incorporates the strategy. A description of the
Resource Management Strategies can be found in Volume 2 of the 2009 California Water Plan here:
http://www.waterplan.water.ca.gov/cwpu2009/index.cfm
Resource Management Strategy Will the Project
incorporate
RMS?
Description, of how RMS to be
employed if applicable
Reduce Water Demand
Agricultural Water Use Efficiency Yes No
Urban Water Use Efficiency Yes No
Improve Operational Efficiency and Transfers
Conveyance ‐ Regional / local Yes No
System Reoperation Yes No
Water Transfers Yes No
Increase Water Supply
Conjunctive Management & Groundwater Yes No
Desalination Yes No
Precipitation Enhancement
Recycled Municipal Water Yes No
Surface Storage ‐‐ Regional / Local Yes No
Improve Water Quality
Drinking Water Treatment and
Distribution
Yes No
Groundwater and Aquifer Remediation Yes No
Matching Water Quality to Use Yes No
Pollution Prevention Yes No
Salt and Salinity Management Yes No
Urban Runoff Management Yes No
Practice Resources Stewardship
Agricultural Lands Stewardship Yes No
Economic Incentives (Loans, Grants, and
Water Pricing)
Yes No
Ecosystem Restoration Yes No
Forest Management Yes No
Land Use Planning and Management Yes No
Appendix 6-A: Project Information Form
Tahoe-Sierra IRWM Plan, July 2014 Appendix 6-A - Page 7 of 10
Section 6 – Project Review Process
\\Sac2\job\2018\1870012.00_SoTahoePUD-2018TahoeSierraIRWMP Upd\09-Reports\9.09-Reports\_For WP\Appendices\6-A-1_Project Template.doc
Resource Management Strategy Will the Project
incorporate
RMS?
Description, of how RMS to be
employed if applicable
Recharge Areas Protection Yes No
Water‐dependent Recreation Yes No
Watershed Management Yes No
Improve Flood Management
Flood Risk Management Yes No
Note: The following RMS have been omitted from the list: Conveyance‐Delta and Surface Storage – CALFED.
Other RMS addressed and explanation:
Appendix 6-A: Project Information Form
Tahoe-Sierra IRWM Plan, July 2014 Appendix 6-A - Page 8 of 10
Section 6 – Project Review Process
\\Sac2\job\2018\1870012.00_SoTahoePUD-2018TahoeSierraIRWMP Upd\09-Reports\9.09-Reports\_For WP\Appendices\6-A-1_Project Template.doc
V. Project Cost and Financing ‐ Please provide any estimates of project cost, sources of funding,
and operation and maintenance costs, as well as, the source of the project cost in the table below.
a. Project Costs Requested
Grant
Amount
Cost Share: Non‐
State Fund Source
(Local/Federal
Funding Match)
Cost Share:
Other State
Fund Source
Total Cost
1. Capital (2013 Dollars)
$
OR
DAC
2. Annual Operations and
Maintenance (O&M)
b. Can the Project be phased? Yes No
1. If so provide cost
breakdown by phase(s)
Project Cost O&M Cost Description of Phase
Phase 1
Phase 2
Phase 3
Phase 4
c. List secured source(s) of funding for Project
cost
Source(s) Amount
d. List proposed source(s) of unsecured funding
and certainty of the sources for Project cost.
e. Explain how operation and maintenance costs
will be financed for the 25‐year planning
period for project implementation (not grant
funded).
f. Basis for project cost1 (e.g. conceptual,
planning, bid, etc.)
g. Has a Cost/Benefit analysis been completed? Yes No
h. Please describe what impact there may be if
the project is not funded. (300 words or less)
1. For the grant application a detailed project cost estimate will need to be provided with the following cost categories; per the
IRWM PSP for Round 2, Implementation Grants: Direct Project Administration, Land Purchase/Easement,
Planning/Design/Engineering/Environmental Documentation, Construction/Implementation, Environmental
Compliance/Mitigation/Enhancement, Construction Administration, Other Costs, and Construction/Implementation
Contingency.
Appendix 6-A: Project Information Form
Tahoe-Sierra IRWM Plan, July 2014 Appendix 6-A - Page 9 of 10
Section 6 – Project Review Process
\\Sac2\job\2018\1870012.00_SoTahoePUD-2018TahoeSierraIRWMP Upd\09-Reports\9.09-Reports\_For WP\Appendices\6-A-1_Project Template.doc
VI. Project Status and Schedule ‐Please provide a status of the project, level of completion as well
as a description of the activities planned for each project stage. If unknown enter TBD.
Project Stage Check the
Current
Project
Stage
Completed? Description of Activities
in Each Project Stage
Planned/
Actual
Start Date
(mm/yr)
Planned/Actu
al Completion
Date (mm/yr)
a. Assessment and
Evaluation
Yes
No
N/A
b. Final Design
Yes
No
N/A
c. Environmental
Documentation
(CEQA/NEPA)
Yes
No
N/A
d. Permitting
Yes
No
N/A
e. Construction
Contracting
Yes
No
N/A
f. Construction
Implementation
Yes
No
N/A
Provide explanation if more
than one project stage is
checked as current status
Appendix 6-A: Project Information Form
Tahoe-Sierra IRWM Plan, July 2014 Appendix 6-A - Page 10 of 10
Section 6 – Project Review Process
\\Sac2\job\2018\1870012.00_SoTahoePUD-2018TahoeSierraIRWMP Upd\09-Reports\9.09-Reports\_For WP\Appendices\6-A-1_Project Template.doc
VII. Project Technical Feasibility ‐ Please provide any related documents (date, title, author, and
page numbers) that describe and confirm the technical feasibility of the project.
a. List the adopted planning documents the proposed
project is consistent with or supported by (e.g. General
Plans, UWMPs, GWMPs, Water Master Plans, Habitat
Conservation Plans, TMDLs, Basin Plans, etc.)
b. List technical reports and studies supporting the
feasibility of this project
c. Concisely describe the scientific basis (e.g. how much
research has been conducted) of the proposed project in
300 words or less.
d. Does the project implement green technology (e.g.
alternate forms of energy, recycled materials, LID
techniques, etc.)
Yes No N/A
1. If so please describe
e. If you are an Urban Water Supplier1:
1. Have you completed an Urban Water Management
Plan and submitted to DWR?
Yes No N/A
2. Are you in compliance with AB1420? Yes No N/A
3. Do you comply with the water meter requirements
(CWC §525)
Yes No N/A
4. If the answer to any of the questions above is “no”,
do you intend to comply prior to receiving project
funding
Yes No N/A
Provide Explanation if necessary:
f. If you are an Agricultural Water Supplier2:
1. Have you completed and submitted an AWMP (due
12/31/12)?
Yes No N/A
2. If not, will you complete and submit an AWMP prior
to receiving project funding?
Yes No N/A
Provide Explanation if necessary:
g. If the project is related to groundwater:
1. Has a GWMP been completed and submitted for the
subject basin?
Yes No N/A
2. If not will a GWMP be completed within 1 year of the
grant submittal date?
Yes No N/A
1. Urban Water Supplier is defined as a supplier, either publicly or privately owned, providing water for municipal purposes
either directly or indirectly to more than 3,000 customers or supplying more than 3,000 acre‐feet of water annually.
2. Agricultural Water Supplier is defined as a water supplier, either publicly or privately owned, providing water to 10,000 or
more irrigated acres, excluding the acreage that receives recycled water.