Program Questions:
Engineering Planning Grant Program

Q_5707

Will the municipality provide a local match of at least 20% of the requested grant amount?

Q_6043

Is the applicant a municipality as defined by 21 NYCRR 2602 New York State Clean Water Revolving Fund Regulations (http://www.nysefc.org/DocumentCentral.aspx)?

Q_1397

Is this a planning project that will lead to either the restoration or protection of a surface waterbody?

Q_6549

Will this project address improvements to a publicly owned treatment works?

Q_7365

Is this planning project in the 2018 Clean Water State Revolving Fund (CWSRF) Intended Use Plan (IUP) listed on the Annual Project Priority list?

Q_6641

Does the applicant have more than two (2) active EPG awards?

Q_928

Project Street Address: Please input the project street address (Street Number and Street Name only).

If the project has multiple locations, please input the primary street address of the project. If the project does not have a definite street address, please input the approximate street address of the project (Street Number and Street Name only).

Q_565

Project City

Q_568

Project State
  • AA,AL,AK,AZ,AR,CA,CO,CT,DE,FL,GA,HI,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI,WY,AS,DC,FM,GU,MH,MP,PW,PR,VI

Q_972

Project county or counties.

Q_1034

Project ZIP Code. (please use ZIP+4 if known)

Q_3527

US Congressional District where the project is located.
  • 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27

Q_616

For more than one project location, please provide full address(es) for each location. If Not Applicable, indicate "NA".

Q_572

Project Latitude (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_573

Project Longitude (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_184

NYS Assembly District where the project is located. (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_190

NY Senate District where the project is located. (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_552

Applicant City

Q_975

Estimated Project Timeline: including project start/completion dates, estimates for design, permitting and construction or other major steps. (You may enter N/A for non-Project related applications)

Q_550

If you are a DBA, what is your DBA name?

Q_549

Type of Applicant (select all that apply)
  • Federal, State, County, City, Town, Village, Tribal, School District, County or Town Improvement District, District Corporation, For-Profit, Not-For-Profit, Individual, S Corporation, C Corporation, IDA, LDC,LLC,LLP, Public Authority, Public Benefit Corp, Sole-Proprietorship. HDFC,BID, LP,Boards Of Cooperative Educational Services (BOCES), Fire District, Regional Planning and Development Board, Public Library, Association Library,College/University/Community College

Q_556

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.
  • Charity Reg #, Duns Number, Federal Tax ID Number, NYS Unemployment Insurance Tax Number, Social Security Number, NYS Vendor Identification Number (SFS)

Q_2655

Based on your selection from the previous question, enter your applicant ID number. (Please do not provide your social security number).

Q_969

If you are a business, have you been certified as a New York State Minority or Women-owned Business Enterprise (MWBE)?
  • Yes, No, N/A

Q_546

Legal Name of Applicant

Q_5416

Applicant First Name

Q_5417

Applicant Last Name

Q_551

Applicant Street Address

Q_553

Applicant State

Q_554

Applicant ZIP Code. (please use ZIP+4 if known)

Q_651

Applicant Telephone Number, (please include area code)

Q_555

Applicant Email Address

Q_5257

Contact Salutation
  • Mr., Mrs., Ms., Dr.

Q_547

Contact First Name

Q_1049

Contact Last Name

Q_1050

Contact Title

Q_5490

Primary Organization

Q_3688

Contact Street Address

Q_3689

Contact City

Q_3690

Contact State

Q_3691

Contact ZIP Code

Q_562

Primary Contact Phone Number. (please include area code)

Q_3692

Contact Email

Q_5475

Contract Salutation
  • Mr., Mrs., Ms., Dr.

Q_5476

Contract First

Q_5477

Contract Last

Q_5478

Contract Title

Q_5491

Authorized Organization

Q_5479

Contract Street

Q_5480

Contract City

Q_5481

Contract State

Q_5482

Contract Zip

Q_5483

Contract Phone

Q_5484

Contract Email

Q_5493

Additional Salutation
  • Mr., Mrs., Ms., Dr.

Q_1052

Additional Project Contact First Name

Q_970

Additional Project Contact Last Name

Q_1051

Additional Contact Title

Q_5492

Additional Organization

Q_3693

Additional Contact Street Address

Q_3694

Additional Contact City

Q_3695

Additional Contact State

Q_3696

Additional Contact ZIP Code

Q_3697

Additional Contact Telephone Number

Q_561

Additional Contact Email Address

Q_4199

Please select the primary sector or characterization that best defines this project.
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_4198

Please select the secondary sector or characterization that best defines this project.
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_3762

Does your project directly address the needs of people in your region who are living in poverty and who seek resources for inclusion in the economic life of New York State?

Q_3763

How does your project seek to apply CFA funds for the purpose of eliminating barriers to skilled employment by poor people in your region, as identified by the Opportunity Agenda? Please describe any efforts to collaborate at the local or regional level (i.e. public, private, labor, philanthropic sectors).

Q_3764

How does your project build workforce development programs, improve physical infrastructure, and/or establish social services that connect people living in poverty in your region with skilled employment, in correspondence with the economic revitalization priorities, distressed community targets, and the industry growth areas identified in the Opportunity Agenda and Strategic Plan?

Q_4200

Does your project provide opportunities for Veterans’ to participate in the workforce, or improve services to the Veterans’ and military families in New York?

Q_4201

If Yes, please explain how your project impacts the Veterans’ and military families in New York.

Q_6048

Does your project advance downtown revitalization?

Q_6047

If Yes, please detail how it will attract and retain residents, visitors and businesses and transform neighborhoods.

Q_575

Project Description. Concisely describe the project, indicating the location, what will be planned, designed, acquired, and/or constructed, the issues/opportunities to be addressed, and expected outcomes and deliverables. Additional details will be collected later in the application process.

Q_976

Statement of Need

Q_930

Explain what makes your project a regional economic priority - for example creates jobs, economic investment, sustainability and community revitalization, government efficiency or consolidation etc.

Q_2366

How does your project align with the Regional Economic Development Council’s Strategic Plan/Upstate Revitalization Initiative Plan? (strategic plans are located at https://regionalcouncils.ny.gov/ )

Q_929

Current State of Project Development (i.e. planning, preliminary engineering, final design, etc. You may enter N/A for non-project related applications)

Q_580

Provide a list of all federal, state, and local reviews, approvals, or permits needed or completed, including the dates when they are expected to be completed or were completed. If Not Applicable, indicate "NA".

Q_2364

What is the status of State and/or Federal Environmental Review? If review of the project is underway or completed pursuant to the State Environmental Quality Review Act (SEQRA) or National Environmental Policy Act (NEPA), please indicate the lead agency (if applicable).

Q_1054

If National Environmental Policy Act (NEPA) Record of Decision has been issued, please explain (include date of Record of Decision).

Q_2362

If funding was awarded in prior CFA rounds, what were the CFA numbers for which funding was awarded? (separate multiple CFA numbers with commas)

Q_4160

For each program to which you are applying under the CFA, explain your strategy for proceeding if the full amount of requested funding, required matching funds, and temporary financing are not secured as expected, or committed sources become unavailable.This explanation must address any proposed project phases, and both CFA and non-CFA sources of funds.

Q_1552

Maps: Submit a 1:24,000 scale USGS or DOT planimetric map with the subject property circled.

Q_6946

Please provide Letters of Support for your project (if applicable). All letters should be scanned into a single PDF file and their total size cannot exceed 10 Megabytes (MB).

Q_7362

If this planning project is required by an Order on Consent executed between the NYS Department of Environmental Conservation and the municipality, attach a copy of the Order on Consent.

Q_7359

What type of project are you applying for? Check all that apply.
  • New Wastewater Treatment Plant, Existing Wastewater Treatment Plant Improvements or Upgrades, Disinfection, Collection System Improvements, Pump Station Improvements, Regional Consolidation, Collection System Extension, Inflow and Infiltration (I&I), Combined Sewer Overflows (CSO), Sanitary Sewer Overflows (SSO), Identified in a Total Maximum Daily Load (TMDL) Implementation Plan, Combined Sewer Separation, Addressing Documented Failing On-Site Septic Systems, Upgrade or Replacement of Existing System, Part of Long-Term Control Plan (LTCP), Green Infrastructure, Currently Unsewered Area, Other

Q_7360

If you selected "Other" in question 7359, please explain.

Q_6315

Project county or counties.

Q_582

Estimated Service Life

Q_6558

Provide the population of the municipality applying for the grant. Cities and Villages should use municipal wide data from the United States Census, 2015 American Community Survey (ACS). Towns and Counties should use the United States Census, 2015 ACS data for the area that is being served. In cases where the service area has not been established, provide an estimate for the envisioned service area. Population data can be found on the EFC EPG website at www.efc.ny.gov/epg

Q_6552

Is the project located in REDC Region of Long Island, New York City or Mid Hudson?
    1. If No is selected then Q_6554 will be displayed
    2. If Yes is selected then Q_6553 will be displayed

Q_6553

Is the municipality's median household income (MHI) equal to or less than $85,000 according to the United States Census 2015 American Communities Survey?

Q_6554

Is the municipality's median household income (MHI) equal to or less than $65,000 according to the United States Census, 2015 American Communities Survey?

Q_2193

What is the name of the surface waterbody that could be restored or protected as a result of the planning project? If known, provide the latitude and longitude of the discharge causing the water quality impairment.

Q_7369

What segment of the Waterbodies Inventory/Priority Waterbodies List (WI/PWL) is the project nearest to?

Q_5695

Does the municipal system have a State Pollutant Discharge Elimination System (SPDES) permit?
    1. If Yes is selected then Q_5696 will be displayed

Q_5696

List the SPDES permit number.

Q_1374

If the municipal system discharges to a State Pollutant Discharge Elimination System (SPDES) permitted facility controlled by another municipal entity (i.e., satellite collection system) describe any water quality impacts associated with the discharge.

Q_1326

Is this planning project required by a State Pollutant Discharge Elimination System (SPDES) permit to protect the receiving water?
  • Yes,No,No Permit

Q_1330

Is this planning project required by an Order on Consent executed between the NYS Department of Environmental Conservation and the municipality?

Q_7363

Is the project specifically identified in any of the following formally adopted plans? Check all that apply.
  • Comprehensive Plan,Master Plan,Asset Management Plan,Local Waterfront Revitalization Plan,Other,Not listed in any Plan

Q_7441

If the project is specifically identified in a formally adopted plan, provide the plan's title and date of adoption and publication. If available, provide the plan's web address/URL. If the project is not identified in any plan, in the answer box please answer "Not in any plan."

Q_7364

If you selected “other” in question 7363, please identify the type of plan. Note: Unacceptable plans include: annual system reports; consent orders; REDC strategies; TMDLs; TMDL implementation plans; watershed implementation plans; and watershed action agendas.

Q_7375

Is the planning project identified in a Total Maximum Daily Load (TMDL) Implementation Plan?
    1. If Yes is selected then Q_7376 will be displayed

Q_7376

Identify the TMDL Implementation Plan.

Q_7367

Does the project address a water quality impairment identified in a TMDL, TMDL Implementation Plan, CSO Long Term Control Plan, or SSO plan?
    1. If Yes is selected then Q_7368 will be displayed

Q_7368

Please identify the plan and the water quality impairment identified in the plan that the project will address.

Q_7377

Describe how the public and stakeholders who will be affected by, or who can advance the project, have been engaged in project planning and implementation.

Q_370

Explain the strategy and resources for going forward after the project is complete; that is, for implementing grant-funded plans, developing and using grant-funded acquisitions, and maintaining grant-funded improvements.

Q_2194

Has the municipality applied for or received funding from other State or Federal agencies for the completion of an engineering report for the proposed project?

Q_1331

Is this planning project for the preparation of a Flow Management Plan as required by a State Pollutant Discharge Elimination System (SPDES) Permit?

Q_1464

Describe how local officials are committed to this planning project and its future implementation.

Q_1434

Describe the administrative structures in place to administer the requested grant. Identify individuals who will be responsible for specific tasks, such as contract and grants administration, fiscal accounting, and project management. For those managers and professionals already hired, describe their qualifications. Summarize consultant selection process and schedule, noting whether it is completed, underway or proposed. For future hires, describe qualifications sought and procurement/hiring method.

Q_2516

Is the municipality submitting more than one application for the New York State DEC/EFC Wastewater Infrastructure Engineering Planning Grant program? If so, please list the proposed projects in priority order, 1 - highest priority, 2 - second priority and 3 - third priority and so forth.

Q_1450

Will the proposed project result in the creation of construction jobs? If so, estimate the number of construction jobs to be created.

Enter zero if not applicable.

Q_1459

Will the proposed project directly or indirectly result in the creation of permanent jobs? If so, estimate the number of permanent full-time equivalent jobs that will be created.

Enter zero if not applicable.

Q_1068

Will the proposed project promote sustainability by strengthening existing and creating new communities which reduce greenhouse gas emissions and do not compromise the needs of future generations, by among other means encouraging broad based public involvement in developing and implementing a community plan and ensuring the governance structure is adequate to sustain its implementation? Y/N/Not Relevant. Please explain all responses.

Q_1059

Does the proposed project use, maintain, or improve existing infrastructure? Y/N/Not Relevant. Please explain all responses.

Q_1060

Is the proposed project located in a municipal center? Y/N/Not Relevant. Please explain all responses.

Q_1061

Is the proposed project located in a developed area or an area designated for concentrated infill development in a municipally approved comprehensive land use plan, local waterfront revitalization plan and/or brownfield opportunity area plan? Y/N/Not Relevant. Please explain all responses.

Q_1065

Will the proposed project involve coordination between state and local government and inter-municipal and regional planning? Y/N/Not Relevant. Please explain all responses.

Q_1063

Will the proposed project foster mixed land uses and compact development, downtown revitalization, Brownfield redevelopment, the enhancement of beauty in public spaces, the diversity and affordability of housing in proximity to places of employment, recreation and commercial development and the integration of all income and age groups? Y/N/Not Relevant. Please explain all responses.

Q_1062

Will the proposed project protect, preserve and enhance the State’s resources, including agricultural land, forests, surface and groundwater, air quality, recreation and open space, scenic areas, and significant historic and archeological resources? Y/N/Not Relevant. Please explain all responses.

Q_1066

Will the proposed project involve participation in community based planning and collaboration? Y/N/Not Relevant. Please explain all responses.

Q_1067

Will the proposed project ensure predictability in building and land use codes? Y/N/Not Relevant. Please explain all responses.

Q_1064

Will the proposed project provide mobility through transportation choices including improved public transportation and reduced automobile dependency?Y/N/Not Relevant. Please explain all responses.

Q_6256

Will the proposed project mitigate future physical climate risk due to sea-level rise, and/or storm surges and/or flooding, based on available data predicting the likelihood of future extreme weather events, including hazard risk analysis data, if applicable?

Q_1037

By entering your name in the box below, you certify and agree that you are authorized on behalf of the applicant and its governing body to commit the applicant to comply with the requirements of Article 15-A of the New York State Executive Law: Participation By Minority Group Members and Women With Respect To State Contracts by providing opportunities for Minority-owned Business Enterprise (MBE)/Woman-owned Business Enterprise (WBE) participation. You further certify that the applicant will maintain such records and take such actions necessary to demonstrate such compliance throughout the completion of the project.

Q_1038

By entering your name in the box below, you certify that you are authorized on behalf of the applicant and its governing body to submit this application. You further certify that all of the information contained in this Application and in all statements, data and supporting documents which have been made or furnished for the purpose of receiving assistance for the project described in this application, are true, correct and complete to the best of your knowledge and belief. You acknowledge that offering a written instrument knowing that the written instrument contains a false statement or false information, with the intent to defraud the State or any political subdivision, public authority or public benefit corporation of the State, with the knowledge or belief that it will be filed with or recorded by the State or any political subdivision, public authority or public benefit corporation of the State, constitutes a crime under New York State Law.

Q_2309

New York State DEC/EFC Wastewater Infrastructure Engineering Planning Grant Program Certification. By entering your name in the box below, you agree on behalf of the applicant that, if New York State DEC/EFC Wastewater Infrastructure Engineering Planning Grant Program funding is provided for the project described in this Application, the applicant shall comply with all laws, regulations, provisions and guidance with respect thereto, as each may be amended from time to time, including but not limited to the Clean Water Act, 33 U.S.C. 1251 et seq. , Chapter 565 of the Laws of 1989, 6 NYCRR Part 649, and 21 NYCRR Part 2602.