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North Carolina Department of Environment Quality

NC Department of Environment and Natural Resources
Water Infrastructure - Application Forms

Water Infrastructure

 Application Forms & Resources

  • Please note: The Division of Water Infrastructure recognizes that Hurricane Florence-related issues have impacted the ability of some communities to complete their applications for Fall 2018 water infrastructure funding by the Sept. 28 deadline. The division has extended the deadline to 5:00 p.m. on Oct. 31, 2018 for all funding programs. Applications must be delivered by that date and time to the division office as follows:

    Application Information: http://portal.ncdenr.org/web/wi/application-forms

    Application submittal information:

    Physical Address: For Fed Ex and UPS, please use the physical address, as having applications delivered to the mailing address will delay delivery.

    Division of Water Infrastructure-8th floor

    Archdale Building

    512 North Salisbury Street

    Raleigh, NC 27604

    Mailing Address: When using the mailing address, please allow ample time for delivery, as the Division of Water Infrastructure cannot assure timely delivery using this method.

    Division of Water Infrastructure

    1633 Mail Service Center

    Raleigh, NC 27699-1633

     

    For additional information, call 919-707-9160 or visit http://portal.ncdenr.org/web/wi/homeThis information will also be posted on the UNC Environmental Finance Center listserv  at https://efc.sog.unc.edu/content/nc-water-listserv-ncwater.

  • The table below includes all of the application forms for each program except for CDBG-I Public Schools Infrastructure Program. That program's forms can be accessed at http://portal.ncdenr.org/web/wi/cdbg-i-public-schools-infrastructure
  • Complete all forms in the first column for every program.
  • For each program, complete the Priority Points Rating Sheet for that program only following the appropriate guidance.
  • Some programs will have additional forms that must be completed as noted in the table.
  • Additional resources to use while completing applications are found to the right.
  • Contact us if you need assistance preparing your application.

 

Guidance Document for Recovery Funding under the CDBG-I Program 

May 2017 CDBG-I Application Training Presentation

Fall 2018 Application Training Presentation Updated 8/22/18

 

 

Common Forms Used for All Programs

Funding Program

Priority Points Rating Sheet and Guidance

Additional Program-Specific Forms

Division Application Form Updated 7/26/18 


Supplemental Guidance for Additional Consideration 

 

Resolution Template


Financial Information and Fund Transfer Certification

 

 

 

 

CWSRF 

DWSRF 

State Project Grants (WW) 

State Project Grants (DW) 

 

Combined Priority Rating System Guidance and Form for Construction Projects Updated 7/31/18

 

Asset Management Plan Guidance Updated 2/22/17

AIA  

Asset Inventory and Assessment Grant Guidance and Form  Updated 7/26/18

 

 

 

MRF 

Merger Regionalization Study Grant Priority Rating System Guidance and Form Updated 7/26/18

 

 

 

CDBG-I 

 

(Except For Public Schools Infrastructure Program. Go HERE

CDBG-I Priority Rating System Guidance and Form Updated 3/20/18 

Appendix A Determining LMI Percentages Updated 3/20/18 

 

Appendix B Public Hearings Updated 3/20/18 

 

Appendix C IDIS Form Instructions Updated 3/20/17 

 

 

TAB 1

Resolution Updated 3/20/17 

TAB 2

Interactive Scorecard Updated 3/27/18

Commitment of Other Funds   Updated 3/20/17 

 

TAB 3

Income Survey Questionnaire  Updated 3/20/17

Income Survey Questionnaire (Spanish) Updated 3/20/17

Income Survey Questionnaire Instructions Updated 3/20/17

Income Survey Questionnaire Instructions (Spanish) Updated 3/20/17

Income Survey Sample (1) Updated 3/20/17

Income Survey Sample (2) Updated 3/20/17

Income Survey Summary Updated 8/30/17

2017 Income Limits

2018 Income Limits

 

TAB 6

CIP Guidance

Asset Management Plan Guidance Updated 2/22/17

Water & Sewer Rate Form Updated 3/20/17

Financial Information Form Added 2/21/17

 

TAB 8

Public Hearing Checklist 

Public Notice for Hearing Updated 4/5/17

Public Notice for Hearing - Spanish Updated 3/20/17

Public Hearing Script Updated 8/4/17

Public Hearing Minutes Template
Updated 8/4/17

Certification of Understanding Roles and Responsibilities Updated 3/20/17

Certification Regarding Debarment, Suspension, and Other Responsibility Matters

Conflict of Interest Disclosure Updated 3/20/17

Federal Performance and Procurement Requirements Certification Updated 3/20/17

Disclosure Report Updated 3/20/17

Infrastructure National Objective Form 

IDIS Form

 

 

 

 

 

 

Additional Resources

 

  *Datasets include poverty rates and median household income

 

 

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 For assistance contact us at   

 919.707.9160

         

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N.C. Division of Water Infrastructure 

Mailing Address (USPS): 1633 Mail Service Center, Raleigh, North Carolina, 27699-1633    

Street Address (FedEx, UPS): 512 N. Salisbury St. 8th Floor, Raleigh, North Carolina, 27604

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