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Attachment 1 4 <br /> Clean Fuel Advanced Technology LPG Proposal Application <br /> Overview <br /> Organization: Orange County NC <br /> Project Coordinator: Brennan Bouma <br /> Address: 131 W. Margaret Lane <br /> City: Hillsborough County: Orange Zip: 27278 <br /> Telephone: 919-245-2626 FAX: 919-644-3001 <br /> Email: bbouma @orangecountync.gov <br /> Alternate Contact Person/Telephone/Email: <br /> Alan Dorman / 919-245-2627 / adorman @orangecountync.gov <br /> Project location (if different than applicant location) <br /> Address: Motor Pool Facility, 600 NC Highway 86 North <br /> City: Hillsborough County: Orange Zip: 27278 <br /> Applicant type (check one): Public❑X Private ❑ <br /> Total Project Cost: $106,613 Amount Requested: $84,840 <br /> Matching Funds: $21,773 (minimum 20% of total project cost) <br /> Project type/specifics: <br /> 1. Alternative Fuel or Advanced Technology Vehicles: <br /> Vehicle type (make, model, year): <br /> Dedicated ❑ Bi-fuel ❑ <br /> Number of vehicles: <br /> Estimated per-vehicle annual mileage: <br /> Estimated % miles driven in eligible counties <br /> Estimated % miles using alternative fuel (bi-fuel applications): <br /> Average conventional fuel economy (MPG): <br /> Alternative fuel station(s) where vehicle(s) will refuel (address): <br /> 1 <br />