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Project Information and Planning Form

This form should be filled out by the project/program sponsor or consultant, with DWR staff assistance as needed. The information will be reviewed by DWR staff and added to our project/program database to assist with budgeting efforts, and completion of a Water Development Plan for future biennia.

This form will also serve as the first step in obtaining cost-share assistance. However, this form alone will not be considered as your formal request for DWR cost-share. Once a project is in more advanced stages and is ready for potential DWR cost-share, project sponsors are required to submit cost-share requests through the Web Grants portal.

Please answer the following questions as thoroughly as possible. For assistance with this form, contact Cory Drevecky in the DWR Planning & Education Division at (701) 328-4967 or email cjdrevecky@nd.gov.

Project, program, or study name

Sponsor(s)

Location (county, city, township, etc.)

Which Basin is the primary beneficiary of this project or study? Basin map

Description of Request
New Updated (previously submitted)

What type of effort is being pursued?
Project Study

What is the main focus of the project or study?

Has a feasibility study been completed?
Yes No Not Applicable

Is this a federally authorized water supply or flood control project?
Yes No Not Applicable

Does this project mitigate low head dam roller effects?
Yes No Not Applicable

Does this project involve new connections between communities and rural/regional systems that result in reduced costs through economies of scale?
Yes No Not Applicable

Does this project correct a violation of a primary water standard?
Yes No Not Applicable

Does this project address severe or anticipated water supply shortages for domestic use in a service area or city with rapid population growth?
Yes No Not Applicable

Does this project protect primary residences or businesses from flooding in population centers, or involve flood related property acquisitions?
Yes No Not Applicable

Is this project a dam safety repair or emergency action plan?
Yes No Not Applicable

Is the primary purpose of this project to add new users to an existing water system (can include industrial users)?
Yes No Not Applicable

Is this project a levee system accreditation or water retention?
Yes No Not Applicable

Is this an irrigation system construction project?
Yes No Not Applicable

Is this a new rural flood control project?
Yes No Not Applicable

Is this a bank stabilization project?
Yes No Not Applicable

Is this a snagging and clearing project located in a population center or critical infrastructure location?
Yes No Not Applicable

Is this a study, report, analysis, survey, model, evaluation, mapping project, or engineering design?
Yes No Not Applicable

Is this project an improvement or extraordinary maintenance of a water supply system?
Yes No Not Applicable

Is this an improvement or extraordinary maintenance of a rural flood control project?
Yes No Not Applicable

Is this an individual rural or farmstead ring dike construction project?
Yes No Not Applicable

Is this project a replacement of existing infrastructure?
Yes No Not Applicable

Is this a snagging and clearing project in a sparsely populated area?
Yes No Not Applicable

Describe the problem or need the project addresses (i.e., the population, area, infrastructure, etc. affected by the problem or need.):

Describe how this effort addresses each problem or need. Be specific and provide details.

Funding Timeline by Biennium (Carefully consider when DWR cost-share will be needed.)

Source	Total Cost	Prior SWC Approved Funds	July 2027 - June 2029	July 2029 - June 2031	Beyond June 2031
Federal	$	$	$	$	$
Department of Water Resources	$	$	$	$	$
Other State of ND	$	$	$	$	$
Local	$	$	$	$	$
Total	$	$	$	$	$

Funding Detail (Provide names and amounts from all potential funding sources from the table above.)

Source	Amount ($)	Grant or Loan	Term (Years)	Interest (%)
	$
	$
	$
	$
	$
Total Amount	$

Explain implementation timelines, considering all phases and current status.

Attach supporting documentation (2GB max)

Project Sponsor Contact Name :
Title:
Address :
City :
State :
Zip Code :
Telephone :
E-Mail :

Project Consultant Contact Name :
Title:
Address :
City :
State :
Zip Code :
Telephone :
E-Mail :