/ \ YL. NYE COUNTY AGENDA INFORMATION FORM. U No financial impact FM #

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1 NYE COUNTY AGENDA INFORMATION FORM IX! Action Li Presentation Li Presentation & Action Department: Public Works / Board of County Commissioners Agenda : Category: Consent agenda Item August 16, 2011 Contact: Dave Fanning, Phone: Continued from meeting of: Commissioner Wichman Return to: Dave Fanning Location: Pahrump Phone: Action requested: (Include what, with whom, when, where, why, how much ($) and terms) Approval to apply for the State of Nevada Division of Environmental Protection (NDEP), Nevada Drinking Water State Revolving Fund (DWSRF) for improvements to the Gabbs water system in the amount of $806, There is no match required by Nye County. Complete description of requested action: (Include, if applicable, background, impact, long-term commitment, existing county policy, future goals, obtained by competitive bid, accountability measures) The proposed project consists of drilling and connecting a new municipal well to the existing water distribution system that services the community approximately two (2) miles NW of the Town of Gabbs, Nevada. The groundwater source of supply currently exceeds the State Drinking Water Secondary Standard Maximum Contaminant Level (MCL) of 2.0 mu for fluoride. Fluoride levels in the town municipal well are currently 2.5 mg/l. The new well is needed to comply with the drinking water standard. Through sponsorship of Commissioner Wichman an application was submitted to NDEP for consideration. The next DWSRF board meeting will be held in September at which time the County will present the project in anticipation of receiving a principle forgiveness loan for the above mentioned project. Any information provided after the agenda is published or during the meeting of the Commissioners will require you to provide 20 copies: one for each Commissioner, one for the Clerk, one for the District Attorney, one for the Public and two for the County Manager. Contracts or documents requiring signature must be submitted with three original copies. Expenditure Impact by FY(s): (Provide detail on Financial Form) Routing & Approval (Sign & ) 1. Dept 2. U No financial impact 6. 7 HR Legal 9. Finance / \ County Manager lagenda Board of County Commissioners Action I Approved IJ Disapproved J Amended as follows: Clerk of the Board FM # YL.

2 Nevada Drinking Water State Revolving Fund (DWSRF) Project Loan Application Nevada s Solutionfor Public Water Sjstem Financing State of Nevada Division of Environmental Protection

3 NEVADA DRINKING WATER STATE REVOLVING FUND (DWSRF) PROJECT LOAN APPLICATION Refer to Nevada Administrative Code (NAC) 445A (Available at Legislative Counsel Bureau s Internet Web Site: Section 1: Applicant Description and Required Attachments A. Applicant Information (NAC 445A.67613, Sub. 3(a)) Name of Applicant: Nye County Name of water system: Gabbs, NV Water system # NV Contact person: Vice-Chair Commissioner Lorinda Wichman & Public Works Director, David Fanning Mailing address: 250 N. Hwy 160 Suite 2, Pahrump, NV Telephone: (775) FAX: (775) Iawichman@gmail.com dfanning@co.nye.nv.us Applicant s Signature: Lorinda Wichman, Vice-Chair Nye County Commissioner B. County or counties in which service area is located: Nye County C. Description of project including its anticipated effect on the public water system (NAC 445A.67613, Sub. 3(b)): D. Gabbs New Municipal Well The proposed project consists of drilling and connecting a new municipal well to the existing water distribution system that services the community of Gabbs approximately two (2) miles NW of the Town of Gabbs, Nevada. The groundwater source of supply currently exceeds the State Drinking Water Secondary Standard Maximum Contaminant Level (MCL) of 2.0 mu for fluoride. Fluoride levels in the town municipal well are currently 2.5 mci/l. The new well is needed to comply with the drinking water standard. (Attach additional documentation as necessary) see Exploratory Well Drilling and Monitoring Well Final Completion Report, prepared April 2011 by Day Engineering E. Number of service connections currently served (NAC 445A.67613, Sub. 3(c)): 1) Residential: 114 2) Commercial: 18 3) Industrial: 0 4) Other: 0 Estimated population currently served (NAC 445A.67613, Sub. 3(c)): 304 F. Estimated future service connections (NAC 445A.67613, Sub. 3(d)): 1) Residential: 119 DWSRF Loan Application Page 1 of 8

4 2) Commercial: 18 3) Industrial: 0 4) Other: 0 Future population to be served by the water project for the useful life of the water project (NAG 445A.67613, Sub. 3(d)): 314 Growth Forecast Y percent equivalent to an increase of approximately 10 persons or five household by See PER p.7 G. Submit the following information in the form of attachments (check box LI if attached): 1) LI Maps of appropriate scale to show clearly the location of the proposed water project with respect to other identifiable topographical or geographical features in the service area of the public water system. (NAG 445A , Sub. 3(e)) 2) LI A complete and legible legal description of the entire area of service for the water project improvement, including, without limitation, a map showing the layout of the water project with clear reference to aerial or other maps showing sections and townships. (NAC 445A.67613, Sub. 3(f)) 3) LI Proof of ownership, rights-of-way, easements or agreements showing that the applicant holds or is able to acquire all land, other than public land, or acquire interests therein and any water rights necessary for the construction of the proposed water project. Copies of deeds to land to be occupied, records of surveys, easements, agreements or permits to appropriate water granted pursuant to Chapters 533 and 534 of NRS may be used as evidence of ownership. (NAC 445A.67613, Sub. 3(g)) 4) LI A description of how the water project complies with planning and zoning requirements. (NAC 445A.67613, Sub. 3(h)): 5) LI A copy of the current plan of water conservation adopted by the applicant pursuant to NRS to , inclusive, or , and , as applicable, and an analysis of the effectiveness of the plan. (NAG 445A.67613, Sub. 3(i)) 6) LI A description of the best available technology for the water project being proposed. (NAG 445A.67613, Sub. 3(j)) 7) LI An itemized estimate of the total cost of the water project that is prepared by a professional engineer. (NAG 445A.67613, Sub. 3(k 8) LI Analysis of alternatives(nag 445A.67613, Sub. 3(I)): 9) LI A water project schedule that provides a timetable for: (a) Advertising and opening bids; (b) Contract award; (c) The start of construction; (d) The estimated schedule of progress payments to the contractor and other costs related to the drawdown of funds in the account for the state revolving fund; (e) Completion of construction; and (f) Start-up of the water project. 10) (NAG 445A , Sub. 3(m)) LI A description of how the costs for construction, operation and maintenance and costs for debt service to support the loan will be recovered, including: DWSRF Loan Application Page 2 of 8

5 State of Nevada NDEP (a) A proposed revenue program that demonstrates the financial impact on users of the public water system, including any capacity fees, connection fees, or user fees; (b) Ordinances or resolutions specifying the method of loan repayment from the appropriate governing board or regulatory agency having rate jurisdiction; (c) Results of bond elections; or agenda action items concerning revenue bonds or general obligation backed revenue bonds; (d) Existing loan agreements for this or past projects: (e) Any other information necessary for the Division to understand how the applicant intends to repay the loan. (NAG 445, , Sub. 3(n)) 11) LI Estimated costs of future expansion, additional capital improvements, and longterm needs for reconstruction of facilities following their design life. (NAG 445A.67613, Sub. 3(o)) 12) LI A summary of public participation in the development of the proposed water project. (NAC 445A.67613, Sub. 3(p)) 13) LI Institutional, administrative, fiscal, legal, and management arrangements required for successful implementation of the water project. (NAG 445A.67613, Sub. 3(q)) 14) LI A report on the status of the process of environmental review for the project. (NAG 445A , Sub. 3(r)) 15) LI A list of any required permits and a schedule of when those permits will be obtained. (NAG 445A.67613, Sub. 3(s)) 16) LI The financial history of the applicant, including, without limitation, annual financial statements for the preceding three years. (NAG 445A.67613, Sub. 3(t)) 17) LI Financial projections for a period of at least 5 years after the completion of the water projects, including, without limitation, projected revenue and expenses. (NAG 445A , Sub. 3(u)) 18) LI A list of the previously approved loans to the applicant within the past ten years, including, without limitation, the terms and conditions of payment and a statement of the remaining balances of any outstanding loans. (NAC 445A.67613, Sub. 3(v)) 19) LI At least three credit references, for privately owned water systems. (NAG 445A.67613, Sub. 3(w)) 20) LI Copies of current capital improvement plans and debt management policies as provided to the Department of Taxation pursuant to chapter 350 of NRS and any applicable regulation. (NAG 445A.67613, Sub. 3(x)) 21) LI Collateral or security offered for the loan, if applicable. (NAC 445A.67613, Sub. 3(y)): 22) LI Evidence that the public water system has the capability to comply with the Safe Drinking Water Act and NAC 445A.450 to 445A.6731, inclusive. (NAG 445A.67613, Sub. 3(z)) DWSRF Loan Application Page 3 of 8

6 Section 2: Supplemental Miscellaneous Information A. Authorized representative (to be designated in loan agreement): Name: David Fanning Title: Public Works Director Telephone: (775) FAX: (775) Mailing Address: 250 N. Hwy 160, Suite #2, Pahrump, NV B. Financial officer: Name: Amy Fanning Title: Grant Administrator Telephone: (775) FAX: (775) Mailing Address: 2100 E. Walt Williams Dr, Suite 100, Pahrump, NV C. Description of legal form of organization that owns the public water system: Enterprise Fund - Nye County, NV D. Officers of the organization, corporation, or agency: Member Title Occupation Term of Position Gary Hollis Chairman County Commissioner 4 year Lorina Wichman Vice-Chairman County Commissioner 4 year Joni Eastley Commissioner County Commissioner 4 year Andrew Borasky Commissioner County Commissioner 4 year Dan Schinhofen Commissioner County Commissioner 4 year E. Professional services: 1) Design engineer: Firm: Day Engineering Engineer s Name: Martin Ugalde Telephone: (775) FAX: (775) Mailing Address: 63 Keystone Avenue, Suite 206, Reno, NV ) Construction manager/resident engineer: Name: Martin Ugalde Telephone: (775) FAX: (775) Mailing Address: 63 Keystone Avenue, Suite 206, Reno, NV ) Auditor: Name: Dan McAurthur Telephone: (702) FAX: (702) Mailing Address: 501 South Rancho Drive Suite E-30, Las Vegas, NV ) Financial Advisor: Name: Pam Webster, Nye County Comptroller DWSRF Loan AppIicaton Page 4 of 8

7 Telephone: (775) FAX: (775) Mailing Address: 2100 E. Walt Williams Drive, Suite 100, Pahrump, NV ) Legal Counsel: Name: Nye County District Attorney Telephone: (775) FAX: (775) Mailing Address: P.O. Box 39, Pah rump, NV ) Bond Counsel: Name: Not Applicable Telephone: Mailing Address: FAX: Section 3: System Survey Information (Use Supplemental Sheets if necessary) Data being obtained from Town of Gabbs and County Public Works OPERATOR CERTIFICATION # AND GRADE OPERATOR(S) ADDRESS EMERGENCY PHONE # (1) (2) OWNER PUBLIC D PRIVATE D HOMEOWNERS D GID D OTHER D TYPE: WATER SOURCES METERED: YES C NO C METERS AVERAGE DAILY CONSUMPTION COMBINED SOURCE DESIGN CAPACITY: PEAK CONSUMPTION AVERAGE DAILY PRODUCTION CAPACITY: EMERGENCY PRODUCTION CAPACITY: CROSS CONNECTION CONTROL PLAN PROGRAM? YESD NOD EMERGENCY RESPONSE PLAN? YES C NO C 0 & M MANUAL? YES C NO C COMBINED STORAGE CAPACITY: COLIFORM SITE SAMPLING PLAN? YES C NO C VULNERABILITY ASSESSMENT? WELL TAGGED? GPS ON SOURCES OBTAINED? YES C NO C YES C NO C YES C NO C SAMPLES Gross TAKEN: alphalbeta? VOCs? locs? SOCs? NITRATES? NITRITES? SECONDARY YES C YES C YES C YES C YES C YES C CONTAMINANTS? NO C NO C NO C NO C NO C NO C YES C NO C DWSRF Loan Application Page 5 of 8

8 SOURCE OF SUPPLY: WELL D SPRING D SURFACE D # # # WELL(S) CASING SIZE WELL DEPTH PUMP TYPE GPM RATING DISINFECTION? # (USE ADDITION?L SHEET IF NECESSARY) SPRING(S): FLOW RATE GPM DISINFECTED FLOW RATE GPM DIS IN FECTED. SURFACE: SOURCE NAME FLOW RATE GPM DISINFECTION STORAGE: TYPE CAPACITY PRESSURE ZONE(S) DISTRIBUTION SYSTEM: PIPE MATERIAL(S) MAIN SIZE(S) # PRESSURE ZONES DESCRIBE PUMPING POWER FACILITIES: FACILITIES/BOOSTER STATIONS, LATERAL I7F( PRESSURE RANGE(S) INCLUDING PUMPING RATES, PUMP TYPES, BACK-UP DESCRIBE TREATMENT/CHEMICAL FEED SYSTEMS: DWSRF Loan Application Page 6 of 8

9 Section 4: Supplemental Financial Information A. Existing debt: $422, ) of authorization: December 2009 (Attach appropriate debt authorization materials and describe where the project is located.) 2) Schedule of outstanding indebtedness related to the dedicated repayment source: (Complete a similar form for each outstanding indebtedness.) (a) Purpose of indebtedness: USDA RD Loan (b) Principal: See attached (c) Attach Amortization Schedule for Outstanding Indebtedness: See attached B. Project funding sources and uses: DWSRF Local Other Totals Budget Item Funding Funding by Use Planning 15,000 15,000 Design & Engineering 1 14, ,986 Land Acquisition Equipment/Materials Construction/Improvements 676, ,390 Administrative Financing Costs Totals by Source 806, ,376 C. Current Utility Rates: Project Total Type of Capacity Fee Connection Monthly Commodity Average User Fee Fee Charge/User Typical Fee Monthly Bill* Residential 3/4 $250 to $1,000 Commercial 3/4 $250 to $1,000 Industrial Other Users 3/4 $250 to (Large User) $1,000 See id=648 Select Title 21 (Gabbs) and Chapter (Water Setvice) to view ordinance * Assume 20,000 gallons/month per residential equivalent. DWSRF Loan Application Page 7 of 8

10 D. Estimated Project Schedule: TBD by Day Engineering Function Planning, Design & Specifications Estimated Contract Award Construction Commencement Project Start-up E. Estimated DWSRF Cash Draw Schedule: TBD by Day Engineering Quarter Year 1 Year 2 Year 3 First Second Third Fourth Year Totals Grand Total (equals amount of proposed loan) Submit Project Loan Application to: Adele Basham, P.E., Supervisor Drinking Water State Revolving Fund Program Nevada Division of Environmental Protection 901 S. Stewart St., Suite 4001 Carson City, NV DWSRF Loan Application Page 8 of 8