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APPI MATIAN FnR <br />101 <br />OMB Approval No. 0348.0043 <br />FEDERAL ASSISTANCE <br />2. DATE SUBMITTED <br />Applicant Identifier <br />March 23, 2004 <br />HMGP- 1448-0210 -1 <br />1. TYPE OF SUBMISSION: <br />3. DATE RECEIVED BY STATE <br />State Application Identifier <br />Application <br />Preapplication <br />4. DATE RECEIVED BY FEDERAL AGENCY <br />Federal Identifier <br />Construction <br />BX Non - Construction <br />BConstruction <br />Non - Construction <br />5. APPLICANT INFORMATION <br />Legal Name: <br />Organizational Unit <br />Orange County <br />County Government <br />Address (give city, comfy, State, and zip code): <br />Name and telephone number of person to be contacted on matters involving, <br />P.O. Box 8181 <br />this application (give area code) <br />Hillsborough, Orange County, NC 27278 <br />Eric Griffin 919 - 968 -2050 <br />6. EMPLOYER IDENTIFICATION NUMBER (EIN): <br />7. TYPE OF APPLICANT: (enter appropriate letter in bar) <br /> <br />A State H. Independent School Dist- <br />B. County 1. State Controlled Institution of Higher Learning <br />8. TYPE OF APPLICATION: <br />[F]MM 1:10ontlnwtion <br />FiRevision <br />C. Municipal J. Private University <br />D. Township K. Indian Tribe <br />N Revision, enter appropriate letter(s) in boges) <br />El El <br />E. Interstate L Individual <br />F. intermuniapal M. Profit Organtzation <br />A Increase Award B. Decrease Award <br />C. Increase Duration <br />G. Special District N. Other (Specify) <br />D. Decrease Duration Other (spwW). <br />9. NAME OF FEDERAL AGENCY: <br />Federal Emergency Management Agency <br />10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: <br />11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: <br /> <br />Mitigation project involving the installation of permanent generators to <br />TITLE HMGP <br />provide redundant power to critical facilities to maintain operations <br />during power outages. <br />12. AREAS AFFECTED BY PROJECT (CUles, Counties, States, e/C.): <br />Orange County, Town of Hillsborough, Town of Chapel Hill, Town of Carrbo <br />13. PROPOSED PROJECT: <br />14. CONGRESSIONAL DISTRICTS OF: <br />Start Date Ending Date <br />a. Applicant <br />b. Project <br />7/01/2004 6/30!2005 <br />4 <br />4 <br />15. ESTIMATED FUNDING: <br />16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE <br />ORDER 12372 PROCESS? <br />a. YES. THIS PREAPPUCATIOWAPPLICATION WAS MADE AVAILABLE <br />TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR <br />a. Federal <br />$ 83,282.25 <br />.00 <br />b. Applicant <br />$ 27,760.75 <br />.00 <br />REVIEW ON: <br />c. State <br />$ <br />•00 <br />DATE: <br />b. No. X PROGRAM IS NOT COVERED BY E.O. 12372 <br />OR PROGRAM HAS NOT BEEN SELECTED BY STATE <br />d. Local <br />$ <br />•00 <br />e. Other <br />$ <br />.00 <br />FOR REVIEW <br />f. Program Income <br />$ <br />•00 <br />17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br />❑Yes if "Yes; attach an explanation. ❑X No <br />g. TOTAL <br />$ 111,043.00 <br />.00 <br />18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN'THIS APPLICATIOWPREAPPLICATION ARE TRUE AND CORRECT, THE <br />GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE <br />DOCUMENT HAS BEEN DULY AUTHORIZED BY THE <br />ATTACHED ASSURANCES IF T1W ASSISTANC AWARDED. <br />a. Type Name of Aufhorl R sen 've <br />b. Title c. Telephone Number <br />John L. Link <br />County Manager 919 -732 -8181 <br />d. Signature of Authod a <br />e. Date Si <br />inn 424 (Rev. ) <br />rremous eaecn useae <br />A Prescribed by OMB Circular M102 <br />Authorized for Local Reproduction <br />