Pioneer Canal and Laramie River by Tony Bergantino

PROJECT APPLICATION FOR LEVEL III CONSTRUCTION FUNDING
FOR AGRICULTURAL PROJECTS

WYOMING WATER DEVELOPMENT COMMISSION
6920 Yellowtail Road
Cheyenne, Wyoming 82002
Telephone: (307) 777-7626 Fax: (307) 777-6819

Funding for projects is based on WWDC recommendations and is appropriated by the legislature from the Water Development Accounts. Legislative authorization is required before the WWDC can begin project work. Applications for all Level III construction projects must be submitted no later than September 1st.

In order to receive consideration for Level III construction funding, the project sponsor must be an entity of local government with taxing and/or assessment authority. Private corporations and individuals are not eligible for assistance. Note: If you are seeking Level III funding for a project new to the Program, you must provide a feasibility study with detailed cost estimates prepared by a professional engineer registered in the State of Wyoming that has been reviewed and approved by the planning division of the WWDO.

APPLICATION REQUIREMENTS

  • The person signing the application must have authority to commit the entity to a binding contract.

  • A notarized copy of a resolution supporting this application passed by the board or other governing body of the entity must be provided (PDF preferred).

  • For new projects, a single check for the combined total of the $1,000.00 application fee and the reimbursement fee of (9,000 irrigated acres or less: $1,000.00; 9,001 to 20,000 irrigated acres: $2,000.00; or 20,001 or more irrigated acres: $3,000.00 whichever applies to the Sponsor) must accompany the application or be sent to the office if using an online application. If the application is denied, 75% of the application fee and 100% of the reimbursement fee will be refunded to the applicant. Projects advancing from Water Development Program studies, which were completed within the last 5 years, are exempt from both the application and reimbursement fees.

  • A project area map (8.5" x 11" required, PDF preferred) showing the district boundaries, project location and features should be provided. Include any reports or other supporting information available.

  • Written verification from any municipality, county, joint powers board, irrigation district, or special district that is impacted by the project that they understand and accept those impacts.

  • Include a copy of your bylaws and the document (PDF preferred) which created your entity.

  • Written verification that the system includes a minimum of 1000 irrigated acres.

  • Application may also be scanned and submitted by PDF if preferred. Please send PDF files to WDO-PayRequest@wyo.gov if this is preferred method of submitting.
I acknowledge that I have read and understand the application requirements as stated above.

  
Authorized Official - Name and Title      Digital Signature of Authorized Official (Typing your name here constitutes a digital signature.)



ENTITY INFORMATION

Type of Entity - Irrigation District, Conservancy District, etc
Year of Formation


Applicant - Name of Entity

              P.O. Box and/or Street Address:

             City/Town:   State: Zip Code: County:

         Phone Number

     (Contact Person)
    (Contact Phone)*

*The best time to reach the contact person is from:
(Please include a.m. or p.m.)
to Monday
to Tuesday
to Wednesday
to Thursday
to Friday

Email for Contact Person 

If the application was prepared by someone other than the contact person, please provide:

(Name)           (Phone Number)      (Email)

REQUIRED INFORMATION

The purpose of this section is to gather information necessary for the development of the financing plan for the Level III construction project. Answer all questions as completely and accurately as possible. If you need help, please call the Water Development Office at 307-777-7626.

A. REQUESTED FINANCING PLAN Please provide the following specifics regarding the financing plan you are seeking. Contact the WWDO for questions regarding specifics relating to existing Program criteria.

1. Please provide a brief statement describing the project for which you are seeking funding, including the reasons the project is needed. Describe the current situation with your water supply that will be improved by the project. (Attach additional information if you wish):


a. Is this request for a material only project?  Yes No
b. What feasibility study is this project originating from?


2. What is the total estimated cost of the project?

a. Attach a current sealed professional engineer's cost update in the format as shown in the last page of application (PDF is preferred).

3. Total project costs eligible for WWDC funding:

4. Total project costs not eligible for WWDC funding:

5. Amount of eligible funding requested from WWDC:

6. WWDC Grant (Percentage of total WWDC eligible project costs):

7. WWDC Loan (Percentage of total WWDC eligible project costs):

a. Please note: By submitting this application, you are acknowledging that you have reviewed the state statutes for your type of entity outlining the requirements for obtaining a loan.

8. If you are planning to obtain alternate loans or additional grants from other agencies to supplement your request from the WWDC, please describe your financing plans:
a. Is the additional funding available at this time? Yes No
b. If not, when will the funding be available? 

9. Is the project eligible for any federal funding? (Watersmart, etc.)? Yes No

If yes, please list which funding:

10. Please describe your financing plans and the schedule for the acquisition of the costs not eligible for WWDC funding:
11. Are additional right-of-way, access, or land purchases needed for the project? Yes No

If yes, please describe what may be needed and when it will be obtained:

12. Are there any other items that will have to be completed prior to bidding? Yes No

If yes, please describe what may be needed and when it will be completed:

13. Are any environmental assessments or clearances needed for the project? Yes No
If yes, have they been obtained? Yes No

If they have not been obtained when will they be obtained?

14. What is the expected bid date for construction? (design is complete and all required lands, permits, etc. are complete):
15. Does the Sponsor have the authority to adequately assess fees or collect funds to cover operation and maintenance expenses related to the water development project? Yes No


B. FINANCIAL INFORMATION
1. Service Area Information (whole numbers)
Pre-Project          Post Project

a. How many total acres are in the District?
    

b. How many acres are assessed?
    

c. How many acres are irrigated?
    

d. What is the annual water delivery in acre-feet per acre assessed?
    

e. How many individual landowners receive water?
    

f. What type(s) of on-farm irrigation water application is used? (e.g. center pivot, side roll, flood, etc.):

g. Briefly describe the main crops and cropping patterns:

h. Describe the water measuring devices currently in use:

i. Percentage of farm turnouts with measuring devices:          
%
Are water devices recorded? Yes No

2. Water Usage (whole numbers):
Pre-Project          Post Project

a. Estimate the total water (AF) provided by your system annually:
    

b. Average Day Demand (AF):
    

c. Peak Day Demand (AF):
    

3. System Capacity: (whole numbers)
Pre-Project          Post Project

a. Maximum capacity of the water supply system (acre feet per day):
    

b. Increased capacity needed (acre feet per day):
    

c. Estimated system water losses (percentage):
%     %

d. Identify the water rights, existing or needed, for the project. Describe the status of the water rights (eg. filings, permits, adjudicated water rights):


e. What is the factor (bottleneck) that is presently limiting your ability to provide water (supply, canals, etc.):


f. What will be the post-project factor (bottleneck) that will limit your ability to provide water (supply, canals, etc.):


g. Describe water conservation efforts (canal-lining, on-farm pivots, etc.):


 

4. District Financing
a. Is your assessment based on acres, acre-feet delivered, acre-feet of storage space, or other?:


b. How is voting authority delegated to water users? (shares, individuals, number of acres, etc.) :


 

 
Pre-Project          Post-Project

c. What is the per unit amount of the current assessment (dollars & cents)?
    

d. If there is a basic service charge or first acre assessment in addition to assessments,
how much is it (dollars & cents)?
    

5. Financial Statement (Whole Dollar only)
Pre-Project          Post-Project

Annual revenues generated from assessments:
    

Annual revenues from other sources:
    

Total annual revenues (Auto Populates):
$   $

 

Annual payments for debt retirement:
    

Annual budget for typical operation and maintenance expenses:
    

Annual payments to a repair and replacement fund:
    

Annual payments to an emergency fund:
    

Annual payments for other purposes:
    

Total annual payments (Auto Populates):
$   $

 

Balance in repair and replacement fund:
    

Balance in emergency fund:
    

Explanation (if needed):


Is the operation of the water supply system self supporting in terms of revenues offsetting costs for operation, maintenance, debt retirement, replacement funds and emergency funds? Yes No


If not, how is the difference subsidized?     

C. EXISTING WATER SUPPLY SYSTEM
1. Description of Direct Flow Supply (if any):
a. Direct flow diversion right in cubic feet per second:

b. Direct flow source (Name of river, stream, etc.):

c. Type of diversion (Gravity headgate, pumps, etc.):

d. Water transmission system (Canal, pipeline, etc.):

2. Description of Stored Water Supply (if any):
a. Name of storage facility (reservoir):
Location:

b. Amount of stored water right in acre-feet:

c. Is any of your supply received from a federal facility? Yes No

i. Name of federal facility:
Percent of total supply: %

ii. Acre feet from federal facility:

3. Description of Groundwater Supply (if any):
a. Number of wells:

b. Maximum well depth (ft):
  Minimum well depth (ft):

c. Total production capacity of all wells in gallons per minute:
 

D. CONSTRUCTION DELIVERY METHOD
1. Please indicate the construction delivery method the Sponsor will use if the project is approved by the legislature. Please talk to your attorney if you have questions about the construction delivery methods.


Design-Bid-Build
Design-Build
Construction Manager At Risk

WWDC PROJECT COST ESTIMATE
PLEASE FILL IN * ITEMS

• For Material Only Projects an itemized list of materials and expected costs is all that is required.•

WWDC ELIGIBLE PROJECT COSTS

*CONSTRUCTION COSTS

$

$

$

$

$

$

$

$

$

$

Cost of Project Components TOTAL
(subtotal #1) $


Construction Engineering Cost (subtotal #1 x 10%)
$

Components + Construction Engineering Costs
(subtotal #2) $


Contingency (subtotal #2 x 15%)
$

Construction Cost Total (subtotal #2 + Contingency)
(subtotal #3) $
PRE-CONSTRUCTION COSTS
Preparation of Final Designs & Specifications (subtotal #1 x 10%)
$

*Site Access Permit Fees (BOR, USFS, etc.)
$

*Title Opinion
$

*Acquisition of Access and Rights of Way
$

Pre-construction Costs Total
(subtotal #4) $
TOTAL WWDC ELIGIBLE PROJECT COST
Total WWDC Eligible Project Cost (subtotal #3 + subtotal #4)
(subtotal #5) $

WWDC INELIGIBLE PROJECT COSTS

*CONSTRUCTION COSTS

$

$

$

$

$

$

$

*Additional Cost for Construction Engineering
$

*Additional Cost for Preparation of Final Designs & Specifications
$

Total WWDC Ineligible Project Costs Total
(subtotal #6) $

TOTAL PROJECT COSTS

Total Project Cost (subtotal #5 + subtotal #6)
$

If you wish to retain a copy of your form, please print this page before pressing the Submit Information button below

Thank you for your participation!
Dept. 3943 | 1000 E. University Ave. | Laramie, WY 82071
Office: (307) 766-6651 email: wrds@uwyo.edu

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