Homeowner/Conservation District Agreement For

HOMEOWNER/CONSERVATION DISTRICT AGREEMENT FOR

Septic Improvement Project

This agreement dated this day of , 2004 is between the (INSERT DISTRICT NAME), hereinafter referred to as "District" and (INSERT HOMEOWNER NAME), hereinafter referred to as "Homeowner".

This agreement sets forth the terms and conditions of the animal feeding operation demonstration project implementation and cost-share funds availability.

Terms of Agreement

1. The District agrees to perform the following pursuant to this agreement:

a) Coordinate with the local county authority/Wyoming DEQ to develop project implementation plan(Attachment B).

b) The District agrees to reimburse Homeowner for costs associated with the implementation of the project as outlined in the project implementation proposal attached hereto (Attachment A). Costs will be reimbursed to Homeowner as stated in the District policy on cost-share reimbursement attached hereto. (Attachment C). Payments to homeowners will be provided after final inspection of project by the District.

c.) Provide Homeowner with operation/maintenance guidance.

2.) The Homeowner agrees:

a) The homeowner agrees to implement project as per the engineering and design specifications provided the local county authority/Wyoming DEQ.

b) The homeowner agrees to provide documentation of expenditures including receipts, to the District no less than three months after the signing of this agreement, and at a minimum on a quarterly basis thereafter until project completion utilizing Homeowner tracking sheets provided by the District. Homeowner agrees to provide match documentation for non-federal cash or in-kind costs incurred to implement the project. Non-federal cash or in-kind match shall be provided at a minimum of (INSERT LEVEL OF COST SHARE) of total project cost. Homeowner match sheets will also be provided by the District.

c.) Abide by all applicable state and federal laws.

d.)Agrees to properly maintain installed septic system.

e.)Ensure that subcontractors are adequately licensed and insured.

INSERT HOMEOWNER NAME/INSERT DISTRICT NAMEagreement

Septic Project

INSERT DATE

Page 2

IT IS MUTUALLY AGREED AND UNDERSTOOD

A. Any cost incurred by the Homeowner not specifically provided for or related to approved plan designs and engineering provided by the local County Authority/Wyoming DEQ.(Attachment B) and detailed in project application (Attachment A) will not be reimbursed by the District.

B. The District will provide cost-share reimbursement to Homeowner not to exceed $INSERT COST SHARE AMOUNT (WRITE OUT COST SHARE AMOUNT). Any expenditures above this amount must have prior approval from the District if Homeowner is requesting cost-share reimbursement. Total cost-share reimbursement funds provided by District shall not exceed INSERT COST SHARE AMOUNT percent of the total project cost.

C. Project will be completed no later than INSERT COMPLETION DATE. Any delay in project implementation will result in an amendment to this agreement.

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INSERT DISTRICT NAME

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Homeowner