FY25 Interior, Environment - Community Project Funding Request

Email Address*

Account*

EPA - State and Tribal Assistance Grants - Clean Water State Revolving Fund

EPA - State and Tribal Assistance Grants - Drinking Water State Revolving Fund

Project Title*

Project Description (No more than 2,000 words please.)*

Estimated Start Date (MM/DD/YYYY)*

Estimated End Date (MM/DD/YYYY)*

Required Letter(s) of Community Support* (Community engagement and support is crucial in determining which projects are worthy of Federal funding. To that end, please describe or include evidence of community support that were compelling factors in the Member’s decision to submit this project request. One file only. 10 MB limit. Allowed types: pdf doc docx png jpg jpeg xls xlsx.) (If you have any community support letters that cannot be linked in the space below, please email them to kate.schisler@mail.house.gov):

Amount Requested for FY25*

Total Project Cost*

FY25 President’s Budget Request Amount (If not included in the budget request, write 0.)*

FY24 Enacted Amount (If not enacted, write 0.)*

Can the project obligate all appropriated funds within 12 months after enactment?*

YesNo

Request submitted to another subcommittee this fiscal year?*

YesNo

Is the funding requested by a governmental or non-profit organization?*

Government

Non-profit

Other

None

Recipient Point of Contact (This cannot be a lobbyist; this must be an individual employed by the grantee who will serve as a point of contact for the funding agency.)*

Recipient Phone Number*

Recipient Email Address*

Recipient Legal Name*

Recipient Street Address*

Recipient City*

Recipient State*

Recipient Zip Code*

In which congressional district(s) is the recipient located? Indicate State/District Code (SSDD)*

Is the Project Address the Same as Recipient Address?*

YesNo

If not, fill out the below:

Project Legal Name

Project Street Address

Project City

Project State

Project Zip Code

In which congressional district(s) is the project located? (Provide State/District Code (SSDD)

Is the project on the State’s most recently finalized Clean Water/Drinking Water SRF Intended Use Plan (IUP)?*

YesNo

Has the project received Federal funds previously? If so, please describe.*

Does the project have (or expects to have within 12 months) its 20% cost share requirement?*

Given the Federal nexus requirement, does the project help meet or maintain Clean Water Act/Safe Drinking Water Act standards? If so, please describe.

Are you are aware of another Member of Congress (House or Senate) making a request for this same project?*

YesNo

If yes, which Member?

Federal Nexus *