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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

  • 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

August 2017 Application Training Presentation

 

 

Common Forms Used for All Programs

Funding Program

Priority Points Rating Sheet and Guidance

Additional Program-Specific Forms

Division Application Form Updated 7/25/17 


Supplemental Guidance for Additional Consideration 

 

Affordability Criteria Information Added 7/25/17

 

Resolution Template


Financial Information Form Added 2/21/17

 

 

 

 

CWSRF 

DWSRF 

State Project Grants (WW) 

State Project Grants (DW) 

 

Combined Priority Rating System Guidance and Form for Construction Projects Updated 7/25/17

 

Asset Management Plan Guidance Updated 2/22/17

AIA  

Asset Inventory and Assessment Grant Guidance and Form  Updated 7/25/17

 

 

 

MRF 

Merger Regionalization Study Grant Priority Rating System Guidance and Form Updated 7/25/17

 

 

 

CDBG-I 

 

(Except For Public Schools Infrastructure Program. Go HERE

CDBG-I Priority Rating System Guidance and Form Updated 7/24/17 

Appendix A Determining LMI Percentages Updated 3/20/17 

 

Appendix B Public Hearings Updated 3/20/17 

 Appendix C IDIS Form Instructions Updated 3/20/17 

 

 

TAB 1

Resolution Updated 3/20/17 

TAB 2

Commitment of Other Funds   Updated 3/20/17 

Interactive Scorecard

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

2016 Income Limits

2017 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

 

 

 

 

 

 

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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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