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-5- <br /> 3. , Site, easement, and rights-of-way information: <br /> a. If acquired, describe the precise interest which has been acquired and date of <br /> acquisition. <br /> N/A <br /> b. If not acquired, describe the proposed method and time required for. acquisition. <br /> The County ihtends to negotiate with the Orange County School Board for land on the <br /> Efland Cheeks School property for the treatment plant site. Approximately 15 sewez <br /> line easements will be needed, but have not yet been acquired. <br /> 4. Engineering services (name, address, and telephone number of Applicant's engineer). <br /> The John R. McAdams Company, Inc. <br /> Post Office Box 2896 (919) 967-7079 <br /> Chapel Hill, North Carolina 27514 <br /> SECTION VI -- SUPPORTING DOCUMENTS AND NARRATIVE STATEMENTS <br /> 1. Resolution or resolutions of governing body providing required assurances and <br /> agreements and designating an authorized representative. <br /> a. Certification by recording officer <br /> b. Affidavit of compliance with Federal, State and local laws, rules, <br /> regulations and ordinances <br /> 2. Environmental impact statement <br /> 3. Preliminary engineering report <br /> 1 4. Financial feasibility analysis <br /> 5. Agreements with other units of government <br /> 1 x 1 6. Engineering and other professional services agreements and contracts executed <br /> as of date of application <br /> I x j 7. Copy of "Notification to Clearinghouse of Intent to Apply For Assistance," <br /> OMB Form #424, as submitted and <br /> I I a. State clearinghouse comments <br /> b. Regional clearinghouse comments <br /> 8. Resolution establishing capital reserve fund (if applicable) <br /> [.�_ 1 9. Sewer use ordinance (wastewater projects only) <br /> j X I 10. Other documents, narrative statements or data in support of application <br /> Report from Orange County Health Department <br /> Additional copies of this application form and instructions may be obtained from the Divisior. <br /> of Environmental Management, Department of Natural Resources and Community Development, <br /> P. 0. Box 27687, Raleigh, North Carolina 27611; or the Water Supply Grants Unit, Sanitary <br /> Engineering Section, Division of Health Services, Department of Human Resources, P. O. Box <br /> 2091, Raleigh, North Carolina 27602. <br /> DHS Form 2102 (10-74) (revised 2/79) <br /> Clean Water Bond Administration <br />