Project Funding Application: Sewer Lateral Rehab Pilot

Project Submittal Request Form Instructions

The Save Our Indian River Lagoon Project Plan (SOIRLPP) is being adaptively managed to ensure that the projects implemented are as cost-effective as possible. This form must be filled out completely to provide information on each potential project for inclusion in the next annual update to the plan. Projects should deliver comparable nutrient removal benefits at similar costs as those projects listed in the SOIRLPP for each sub-lagoon. Projects submitted will be reviewed by the Citizen Oversight Committee to evaluate the potential for inclusion in the plan. The projects recommended by the Citizen Oversight Committee for inclusion in the plan will be presented to the Brevard County Board of County Commissioners for approval.

All required fields are indicated with an * asterisk.

Contact Us

* Entity Name

* Contact Person Name

* Phone Number

* Email Address

Project Details

Project Name

Lagoon Segment Where Project is Located

Basin Management Action Plan Zone

Basin Management Action Plan Identification Number

Brief Project Description

Location

Provide GPS coordinates and if applicable a street address.

Describe any Education and Outreach Associated with Project

Current Project Status

Select completed tasks.

Land / Easements Owned / Acquired
Design Completed
All Necessary Permits Obtained
Construction Plans and Specs are Bid Ready

Estimated Project Schedule

Design Start Date

MM/DD/YYYY

Design Completion Date

MM/DD/YYYY

Targeted Construction Date

MM/DD/YYYY

Estimated Construction Completion Date

MM/DD/YYYY

Estimated Water Quality Benefits

Number of Homes Smoke Tested

All missing clean out caps must be replaced.

Total Nitrogen Reduction (Pounds per Year)

lbs / yr

Other Indian River Lagoon Benefits (biochemical oxygen demand,reduced risk of overflows bacteria, etc.)

Costs

Permitting and Design Costs

$ US Dollars

Smoke Testing Cost

$ US Dollars

Education and Outreach Cost (not including staff)

$ US Dollars

Total Cost

$ US Dollars

Estimated Cost per Pound TN Removed

$ US Dollars

Eligible Tax Funding Cost Share

$ US Dollars

Project Funding

Amount of funding requested for this fiscal year (prior to October 2025)

$ US Dollars

Local Project Match is in Adopted Budget

Source(s) of Local Cost Share

Dollar Amount of Local Cost Share

$ US Dollars

Source(s) of Secured Grant(s)

Dollar Amount of Secured Grant(s)

$ US Dollars

Source(s) of Requested Grant(s)

Dollar Amount of Requested Grant(s)

$ US Dollars

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Check the box if you want a copy of your submission emailed to you.

Yes, please email me a copy of this submission.