Ohio Development Services Agency

Lakes in Economic Distress Application for Grant Funds

Ohio Development Services Agency

Lakes in Economic Distress

Application for Stormwater Grant

Senate Bill 8 of the 132nd General Assembly, effective March 23, 2018, provides that $500,000 in funding previously set aside for loans for businesses affected by a distressed lake may now be used “for grants to support stormwater drainage infrastructure improvements at the Buckeye Lake Dam or forgrants to complete a stormwater drainage study at the Buckeye Lake Dam.”

This application is to be completed by an entity that is proposing to complete a stormwater drainage infrastructure project or complete a stormwater drainage infrastructure study at the Buckeye Lake Dam.

A complete application (including all required attachments) should be submitted to the following address:

Ohio Development Services Agency

Office of Strategic Business Investments

Attn: Jennifer Spohr, 28th Floor

77 S. High St.

Columbus, OH 43215

If you have any questions about this application, please contact Jennifer Spohr, Program Manager, at (614) 466-4184 or .

Part I: Applicant Information

Type of Funding Requested (check one):

☐ Grant to support stormwater drainage infrastructure improvements

☐ Grant to complete a stormwater drainage study

Applicant Legal Name:Click or tap here to enter text.

Applicant Address: Click or tap here to enter text.

Applicant City, State, Zip:Click or tap here to enter text.

Applicant FEIN:Click or tap here to enter text.

Applicant ContactName:Click or tap here to enter text.

Applicant Contact Address:Click or tap here to enter text.
Applicant Contact City, State, Zip:Click or tap here to enter text.

Applicant Contact Phone:Click or tap here to enter text.

Applicant Contact Email:Click or tap here to enter text.

Part II: Project Information

Project/Study Start Date:Click or tap here to enter text.

Project/Study End Date:Click or tap here to enter text.

Describe the proposed infrastructure improvement/drainage study:

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Describe the problem(s) to be addressed by the infrastructure improvement/drainage study:

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Describe how the proposed infrastructure improvement/drainage study will solve the problem(s) identified above:

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Describe any work that has already been undertaken by the Applicant with respect to the proposed infrastructure improvement/drainage study (include information on any costs already incurred):

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Describe how the Applicant will complete the infrastructure improvement/drainage study, including information such as securing additional sources of funding to complete the project, identification of contractors, collaboration with local/state government entities, etc.:

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Indicate whether or not the proposed infrastructure improvement/drainage study has been reviewed or approved by any state or local governing body with jurisdiction over the project:

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Part III: Project Budget

Total Project Cost:Click or tap here to enter text.

Total Funding Secured:Click or tap here to enter text.

Grant Funds Requested:Click or tap here to enter text.

***Please include as an attachment to the application a full project budget including sources and uses and a detailed breakdown of how the grant funds will be spent.

Part IV: Certification

I certify to the State of Ohio, through the Ohio Development Services Agency (ODSA), that I hold the position and title setforth below and that I am duly authorized by the Applicant to submit this application for grant funds.

I further certify to the State that the information provided by the Applicant in this application is true, correct, and complete. I understand that ODSA will rely on the information provided in this application to make a determination with respect to an award of economic development assistance, and I acknowledge that certain false statements made in this application or failure to provide requested information may cause the Applicant to be ineligible to receive the economic development assistance requested in the application or any future economic development assistance from the state.

I acknowledge that the application for grant funds must be complete and accompanied by all required supporting documentation to be considered by ODSA.

Authorized Representative:Click or tap here to enter text.

Position/Title:Click or tap here to enter text.

Signature:

Date:Click or tap here to enter text.

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