[2022-74 Grant State Capital Improvement Program EQ Basin Attachment.pdf] ie SEWER e SEPTIC e WASTEWATER e WATER PRIMARY INFRASTRUCTURE PROJECT If there are coordinated infrastructure components to the project, such as a replacement of the sanitary and storm sewers that will also require a road rehabilitation, determine the primary infrastructure component based on why the project is being completed. *Note: This criteria should not be confused with Project Type identified in the OPWC application, which is based on highest financial component. Indicate the Primary Infrastructure Project (Check Only One): WATER SUPPLY WASTEWATER STORMWATER Indicate any additional infrastructure components to be repaired (Check all that apply) es BRIDGE CJ CULVERT CL] ROAD CL] L] LJ WATER SUPPLY WASTEWATER STORMWATER O Provide a brief description of the work for secondary infrastructure components. Applicants must submit one (1) DOPWIC Application Supplement based on the Primary Infrastructure Project. District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 1 SEWER e SEPTIC e WASTEWATER e WATER PROJECT DESCRIPTION South Interceptor Equalization Tank Project Name: Project Location(s) and Limits: If there are additional locations, please add another page with locations and limits. For Multi-Jurisdictional Projects, in which more than one subdivision will receive SCIP/LTIP funds, list the municipalities participating in the project and the percentage of the project by cost. Applicants must provide a cooperative agreement or letter of intent from the collaborating subdivisions that the required cooperative agreements indicating a subdivision’s financial participation will be submitted before February 15, 2022. See the OPWC website at https://www.pwc.ohio.gov/Programs/infrastructure- Programs/infrastructure-Application for the link to the template for cooperative agreements. District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 2 SEWER e SEPTIC © WASTEWATER e WATER Existing Condition: Describe the existing infrastructure that is proposed to be modified and the reason the infrastructure requires changes The City of North Olmsted's sanitary sewer system in the vicinity of the south interceptor area roughly serves 4,867 parcels which also includes connections to Olmsted Township, which has been experiencing increased wet weather flows. This is due to several reasons, changes in rain patterns, system design, development over the years and ultimately aging infrastructure (the age of the infrastructure ranges from 1925 through the 1960's) This has resulted in storm water infiltrating into the sanitary sewers, which causes capacity and surcharging issues which triggers repeat sanitary sewer overflows and basement flooding - as evidenced by the newspaper articles (Attachment 1) memorializing the flooding events that have occurred, including a class action lawsuit filed against the City. Below is a city report on the number of Water in basement incidences that were recorded. SSO and WIB 11-year analysis for the south interceptor Year SSO dates WIBs (S. zone only) 2011 7/19/2011,10/20/2011 31 2012 11/6/2012 6 2013 none 3 Proposed Changes: Explain changes in terms of the amount of right-of-way, the number or width of lanes, traffic control devices, street lighting, type or size of drainage, type or size of potable water services, type or size of sanitary sewer service. Describe how the proposed infrastructure changes will eliminate the problems caused by the existing infrastructure. The City of North Olmsted then initiated an effort to examine the sewer system by flow metering at selected locations in the system tributary to the Southwest Interceptor. The City engaged an engineering consultant who utilized the flow metering data to conduct a hydraulic analysis and model to determine what improvements would mitigate the surcharging and WIB. The recommendation from this study was storage to lower the hydraulic grade line from wet weather events. By utilizing historical as-built information and through system inspections, its recognized that the system can gain additional capacity if modifications are made to manage or eliminate inflow and infiltration sources. The City proceeded with a Site Selection Analysis examining four (4) different sites for the construction of an equalization tank. The Stearns Road site north of |-480 was selected. The goal of the South Interceptor Equalization Tank project is to install a new 1.5 million gallon cast-in-place tank partially buried and covered with an aluminum geodesic dome. The storage tank will store excess flow during heavy rain events and releasing it at a controlled rate after the rain event is over- thus mitigating sanitary sewer overflows (SSO's) to the design storm event. District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 3 SEWER e SEPTIC e WASTEWATER e WATER Engineer's Plan Status Certification Project Name 2OUth Interceptor Equalization Tank Item Necessary Status Completion for project? Date Met Completion dates for Items A - C Met Completion dates for items A-H | Final Construction Plans In Process 75% E | Permit to Install Issued 6 Sl NPDES Issued Ne Other Permits Issued , H Executed Right of Way N/ Option or Agreement O @® | hereby certify that the information above is true and correct to the best of my knowledge and belief. Eric Fallon > © O OO > KD Oo > <1IOD<!IO« ex > a PEE yy i cam i i gH OE Oy Engineer's Printed Name * (+) x ERIC * I Digitally signed by Eric Fall Eric Fallon igitally signed by Eric Fallon Date: 2022.08.10 10:12:02 -04'00' FALLON 388 S e751 gg S s ~~ S POON Ty, | patatng Engineer's Signature 08/10/2022 Date ge a \ wy Engineer's Stamp/Seal District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT SEWER e SEPTIC e WASTEWATER e WATER USERS - MAXIMUM 10 POINTS What is the impact on the households, businesses, and/or the environment? Refer to Application Supplement Instructions: Users, on page 12, in the FY 2023 Applicant Manual for more Information. NUMBER OF DIRECT USERS # OF REPORT COMPONENT(S) HOUSEHOLDS YEAR COUNT SOURCE NUMBER OF INDIRECT USERS COMPONENT(S) COUNT TYPE COUNT COUNT SOURCE INFRASTRUCTURE AGE - MAXIMUM 17 POINTS Depending on the infrastructure and related life expectancy, points will be determined for the Primary Infrastructure Project based on the year of original construction year or the last major improvement. Refer to Infrastructure Age, on page 13, of the FY 2023 Applicant Manual for more information. District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 5 SEWER e SEPTIC e WASTEWATER e WATER Sanitary Sewer System 1925-1960 2016 Pump station rehabil INFRASTRUCTURE CONDITION - MAXIMUM 45 POINTS The condition is based on the amount of deterioration that is documented by the applicant, field verified by the staff, and only in the defined project limits. See Infrastructure Condition, on page 14, in the FY 2023 Applicant Manual for more Information. aS ae ESS eS ee losed Or The condition is unusable, dangerous and unsafe. The primary ae e Not Operating components have failed. Imminent The infrastructure is functioning at seriously diminished capacity and C) Failure imminent failure is anticipated. Major repair or replacement is needed to maintain integrity. © Critical The infrastructure is functioning at diminished capacity. Repair or replacement is needed to maintain integrity. O Poor Partial reconstruction/extensive rehabilitation is needed to maintain integrity. Fair Minor deficiencies exist requiring repair to continue to function as originally intended Routine maintenance and periodic repairs required to maintain Good integrity. The condition is new, or requires no repair. Or, no supporting New documentation has been submitted. District One Public Works integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 6 SEWER e SEPTIC e WASTEWATER e WATER Condition Rating: Provide field verified and documented conditions as indicated. See page 15 in the Applicant Manual for eligible documentation. f Sanitary Sewer System Study Recommend |] NO South Side Interceptor Study Sanitary Sewer System Study Recommende| NO EQ Site Assessment Hydraulic 1. Describe the Structural Deficiency Provide the Five (5) Year Breakrate as described on page 15 of the Application Manual for water projects. N/A - Wastewater project District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 7 SEWER e SEPTIC e WASTEWATER e WATER HEALTH AND SAFETY - MAXIMUM 55 POINTS If the infrastructure is believed to cause an unsafe or unhealthy situation, it is necessary to describe the settings. Stating that the situation is unsafe or unhealthy without offering any supporting evidence or rationale is not sufficient. What is the health and safety situation that is being caused by the current infrastructure? Describe the frequency and magnitude of the problem. Refer to Application Supplement Instructions: Health and Safety, on page 15, in the FY 2023 Applicant Manual for more Information. Provide evidence and documentation of combined sewer overflows or illicit discharges of contaminated water, non-point source pollution from sewer overflows or septic systems, breaks of sewer and/or waterlines, etc specific to the project area. The information, provided by a public official or consultant qualified to make this assessment, must be included. All documents must contain the source material and the name and contact information of the preparer. For water main projects, the City of Cleveland’s Water Department (CWD) will provide technical support in evaluating the health and safety criteria based on the criteria for their Suburban Water Main Renewal program. Please include a CWD Review Form along with your supporting documentation. The health and/or safety situation and its frequency and/or magnitude: Describe the health and safety situation that is being caused by the current infrastructure. Summarize the frequency and magnitude of the problem(s) on the following pages. District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 8 SEWER e SEPTIC e WASTEWATER e WATER Ongoing documented health and safety problems with multiple critical factors, or the nature of the problem warrants additional consideration and the the project will greatly reduce or eliminate the health and safety risks. Ongoing documented health and safety problems, and the Continuous project will greatly reduce or eliminate the health and Safety risks. Intermittent documented health and safety problems with Intermittent critical factors, or the nature of the problem warrants with Severe additional consideration, and/or the project will improve the Factors infrastructure condition but does not reduce or eliminate the health and safety risks. Intermittent documented health and safety problems, and/or CQ Intermittent the project will improve the infrastructure condition but does Continuous with Severe Factors not reduce or eliminate the health and safety risks. Minor/Potential | Minimal or insignificant documentation provided or the project Problem has been submitted to avoid a potential problem. Preventitive Insufficient documentation provided or the project has been Measures submitted to avoid a potential problem | Application does not indicate a health or Safety problem District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 9 SEWER e SEPTIC e WASTEWATER e WATER Findings/Orders/Mandates Citing Deficiences or Violations Flooding with Structural and/or Property Damage Sanitary sewer overflows results in basement back up of sewage/contaminated water - See Attachments: Water in Basement (WIB) reports which results in costly clean up and deterioration to private properties. Undersized Structures or Structural Breaks Service Capacity Issues Combined Overflows or Illicit Discharge of Contaminated Water Sanitary sewer overflows results in basement back ups - See Attachments: Water in Basement (WIB) reports Deficient Fireflow, Fire Hazards and/or Boil Alerts Due to Inadequate Flow or Pressure Water Quality Issues Lead Connections Other District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 10 SEWER e SEPTIC e WASTEWATER e WATER 1. Describe the Health and Safety Deficiencies and provide information that the health and safety issue will be reduced by the proposed project: Due to the age of the infrastructure, inflow and infiltration found in the system and the design of the system (90 degree turns) has caused deficiencies in the system, the surges from significant rain events causes flooding and ultimately leading to basement back ups. Although there have been several improvements undertaken within the sanitary system, and the number of water in basements reported has reduced. The City as part of its overall capital improvements plan that in order to eliminate basement backups, requires the installation of this equalization tank. Sewage back-ups pose a health and safety risk to an individuals health as it can spread illness and disease as its full of contaminants, viruses and bacteria. The addition of the equalization tank gives the system capacity, as its designed to buffer flows to the wastewater treatment plant by holding and equalizing the flow rate variations thus reducing water in basement back-ups from occurring. Please see Attachment 2 Water in Basement reports. Please also reference newspaper articles reflecting impacts to citizens health and private property. District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 11 SEWER e SEPTIC e WASTEWATER e WATER LOCAL MATCH - MAXIMUM 20 POINTS Section 1.0 of the OPWC Application for Financial Assistance will be used to determine Local Match. Refer to page 25 in the Evaluation Points in the FY 2023 Application Manual for more Information. LOAN INCENTIVE - MAXIMUM 10 POINTS Section 1.0 of the OPWC Application for Financial Assistance will be used to determine the Amount of Loan Requested. Refer to page 26 in the Evaluation Points section in the FY 2023 Application Manual for more Information. If the DOPWIC awards all the grant money and has loan money remaining, the DOPWIC will offer a loan in the amount requested as a grant. Please check one. (ml Yes, if this application is not successful on obtaining grant money, would the applicant consider a loan. CJ No, not interested in a loan. [| Not applicable. ACCESS TO FUNDS - MAXIMUM 3 POINTS* To ensure an equitable distribution of the funds, Applicants that have not received assistance in at least three (3) years will receive points. Please check the last time your subdivision received funding. Refer to page 26 in the Evaluation Points section in the FY 2023 Application Manual for previous SCIP and LTIP awards by Applicant. J 1-2 Years CJ 3-4 Years CJ 5 - 6 Years (ml 27 Years *All bridge projects are exempt from Access to Funds. District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 12 SEWER e SEPTIC e WASTEWATER e WATER COMMUNITY AND ECONOMIC DEVELOPMENT - MAXIMUM 3 POINTS Indicate whether the project is a Community Development Project or Economic Development Project. Refer to Application Supplement Instructions: Community or Economic Development/Benefit, on page 19, for more information. Check the level of community or economic development that best applies to your project. Provide a brief description of development efforts and submit supporting documentation. Community Development Project: Infrastructure project is needed to redevelop unutilized or under-utilized parcels into a community asset. Infrastructure project is located in or along an existing commercial district. ‘O) Neighborhood preservation project. Speculative development project or one that will cause the transfer of jobs from one community to another community. Ecomomic Development Project: Infrastructure project is required to restore an unutilized, under-utilized, or vacant parcel into an economic development asset — commercial, office, industrial, or manufacturing. Infrastructure project is required for a new economic development asset- office, industrial, or manufacturing. _ Infrastructure project is needed for a new commercial development on undeveloped Speculative development project or one that will cause the transfer of jobs from one ity to another community. Explain Community or Economic Development/Benefit: Provide a statement detailing how the project will enhance community or economic development. The improvements proposed will affect both community and economic development in the project area as the addition of the equalization tank (designed to hold and slow down wet weather flows) will reduce sanitary sewer overflows (SSO's), thus minimizing water in basements. Thus reducing impacts to property valuations, and lessening any negative connotation about investing in property in the project vicinity. District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 13 SEWER e SEPTIC e WASTEWATER e WATER MULTI-JURISDICTIONAL PROJECTS - MAXIMUM 2 POINTS Points will be based on the information provided in the Multi-Jurisdictional Projects table on page 2 and supporting documentation. A letter of intent or the required cooperative agreements must be submitted with the application materials in order to receive points. Refer to Application Supplement Instructions: Multi-Jurisdictional Projects on page 20 in the FY 2023 Applicant Manual for more information. ECONOMIC HEALTH - MAXIMUM 25 POINTS The most current Per Capita Income (PCI) from the U.S. Census Bureau American Community Survey 5-Year Estimate 2012-2016 will be used to calculate 12.5 points of the Economic Health score. The Percentage of Households Below Poverty Level from the U.S. Census Bureau American Community Survey 5-Year Estimate 2012-2016 will be used to calculate 12.5 points. The sum of the two will be the total Economic Health Score. Refer to page 29 in the Evaluation Points section for Economic Health scores by community. A project submitted by the Cuyahoga County Department of Public Works, on behalf of a County community, will be awarded the Economic Health Points based on the owner of the asset. A Multi-Subdivision project score in Economic Health will be the average scores for PCI and Percentage of Households Below Poverty based on the percentage of the partnering communities, as provided in the Project Description section. COORDINATED INFRASTRUCTURE PROJECTS - MAXIMUM 4 POINTS Points will be based on the information provided in the Secondary Infrastructure Components and verified in the Engineer's Estimate. Refer to Application Supplement Instructions: Coordinated Infrastructure, on page 20, for more information. GENERATION OF USER FEES - MAXIMUM 5 POINTS The proposed project will be reviewed to see if revenue in the form of user fees is generated. Refer to Application Supplement Instructions: Generation of User Fees, on page 21, for more information. The Project Type selected on page 1 of the OPWC Application will determine the points. District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 14 SEWER @ SEPTIC e WASTEWATER e WATER SMALL GOVERNMENT SUPPLEMENT All applications from Small Government subdivisions will also be scored according to the Small Government methodology. Please submit the OPWC Small Government Checklist and required supporting documentation along with the DOPWIC application. Refer to FY 2023 Application Manual: Small Government, on page 33. for more information. For the Small Government Applicants Manual which details OPWC Small Government policies, procedures, and required materials, see the OPWC Small Government website at https://www.pwe.chio.gov/Programs/Infrastructure-Programs/Small-Government. [Note: If an Engineer's Plan Status Certification is supplied and more tasks are completed prior to the Small Government deadline for this item, a revised Certification will need to be submitted to the state to obtain credit.] Be aware that the DOPWIC Small Government score may not be the same as that calculated by the Small Government Administrator. The DOPWC Small Government score is only used as an indicator as to which applications are likely to be more competitive at the state level. District One Public Works Integrating Committee (DOPWIC) | FY 2023 APPLICATION SUPPLEMENT 15 OHIO State of Ohio WORKS Public Works Commission FOR YOU Application for Financial Assistance _ Applicant: City of North Olmsted Subdivision Code: .035-56882 “ =a § District Number: 1s County: Cuyahoga County Date: 08/09/2022 > Contact:_Max Upton Phone: (440) 716-4118 < (The individual who will be available during business hours and who can best answer or coordinate the response to questions) Email: UptonM@north-olmsted.com _ FAX: (440) 777-2345 - Project Name: South Interceptor Equalization Tank Zip Code: 44070 _ Subdivision Type _ Project Type Funding Request Summary (Select one) (Select single largest component by $) (Automatically populates from page 2) : (1. county [-] 1. Road Total Project Cost: 6,016,875 .00 2. City [] 2. Bridge/Culvert 1. Grant: 250,000 .00 [| 3. Township [] 3. Water Supply 2. Loan: ___ 250,000 .00 [| 4. Village 4. Wastewater 3. Loan Assistance/ _ 00 Credit Enhancement: [_] 5. Water (6119 Water District) [_] 5. Solid Waste [] 6. Stormwater Funding Requested: __ 500,000 .00 _ District Recommendation (Tobe completed by the District Committee) Funding Type Requested SCIP Loan - Rate: _...% Term: Yrs Amount: .00 (Select one) [| State Capital Improvement Program RLP Loan - Rate: % Term: ___ Yrs Amount: .00 [ ] Local Transportation improvement Program Grant: Amount: 00 [ ] Revolving Loan Program [| Small Government Program LTIP: Amount: ‘00 District SG Priority: = Loan Assistance / Credit Enhancement: . Amount: .00 For OPWC Use Only STATUS Grant Amount: .00-~=— Loan Type: [_] sciP [_] RLP Project Number: Loan Amount: .00 Date Construction End: Total Funding: .00 Date Maturity: _ Release Date: Local Participation: _... == Ss % Rate: ___ OPWC Approval: OPWC Participation: = Term: —.. Yrs Form OPWC0001 Rev. 12.15 Page 1 of 6 1.0 Project Financial Information (All Costs Rounded to Nearest Dollar) 1.1 Project Estimated Costs Engineering Services Preliminary Design: .00 Final Design: 404,325 00 Construction Administration: .00 Total Engineering Services: a.) 404,325 00 8% Right of Way: b.} .00 Construction: c.) 5,212,550 00 Materials Purchased Directly: d.) 00 Permits, Advertising, Legal: e.) .00 Construction Contingencies: f) _______ 400,000 00 8 % Total Estimated Costs: g.) 6,016,875 00 1.2 Project Financial Resources Local Resources Local In-Kind or Force Account: Cr 018 Local Revenues: a Other Public Revenues: c.) .00 ODOT/ FHWA PID: ou a d.) .00 USDA Rural Development: Ce) 100 OEPA/ OWDA: f.) 4,800,000 oo CDBG: g.) .00 [_] County Entitlement or Community Dev. “Formula” [] Department of Development Other: h.) .00 Subtotal Local Resources: i.) 5,516,875 00 92 % OPWC Funds (Check all requested and enter Amount) Grant; __90 % of opwc Funds i.) 250,000 90 Loan: 50 % of OPWC Funds k.) 250,000 00 Loan Assistance / Credit Enhancement: 1.) 0 00 Subtotal OPWC Funds: m.) 900,000 99 8 % Total Financial Resources: n.) 6,016,875 00 100 % Form OPWC0001 Rev. 12.15 Page 2 of 6 1.3 Availability of Local Funds Attach a statement signed by the Chief Financial Officer listed in section 5.2 certifying all local resources required for the project will be available on or before the earliest date listed in the Project Schedule section. The OPWC Agreement will not be released until the local resources are certified. Failure to meet local share may result in termination of the project. Applicant needs to provide written confirmation for funds coming from other funding sources. 2.0 Repair / Replacement or New / Expansion 2.1 Total Portion of Project Repair / Replacement: 0.00 0% | enra ; _ Fequired for any : 2.2 Total Portion of Project New / Expansion: 6,016,875 .00 100 % | impactio farmland | 2.3 Total Project: __________ 6,016,875 .00 _100 % 3.0 Project Schedule 3.1 Engineering / Design / Right of Way Begin Date: 02/01/2022 End Date: __11/30/2022 _ End Date: __U' 3.2 Bid Advertisement and Award Begin Date: 3.3 Construction Begin Date: 08/01/2023 End Date: __08/01/2025 __ Construction cannot begin prior to release of executed Project Agreement and issuance of Notice to Proceed. Failure to meet project schedule may result in termination of agreement for approved projects. Modification of dates must be requested in writing by project official of record and approved by the Commission once the Project Agreement has been executed. 4.0 Project Information If the project is multi-jurisdictional, information must be consolidated in this section. 4.1 Useful Life / Cost Estimate / Age of Infrastructure Project Useful Life: 0. _ Years Age: ____ 1925 (Year built or year of last major improvement) Attach Registered Professional Engineer's statement, with seal or stamp and signature confirming the project's useful life indicated above and detailed cost estimate. 4.2 User Information Road or Bridge: Current ADT __. _ Year. Projected ADT _. ss Year Water / Wastewater: Based on monthly usage of 4,500 gallons per household; attach current ordinances. Residential Water Rate Current $___ 65.00 Proposed $_ Number of households served: __—S— Residential Wastewater Rate Current $ _ 86.00 — Proposed $ Number of households served: _ 39,888 Stormwater: Number of households served: Form OPWCO0001 Rev. 12.15 Page 3 of 6 4.3 Project Description A: SPECIFIC LOCATION (Supply a written location description that includes the project termini; a map does not replace this requirement.) 500 character limit. The proposed equalization tank project will be located in the City of North Olmsted, Cuyahoga CO. on vacant land (parcel #'s 234-22-020, 234-22-063,234-22-064 ,234-22-066,234-22-09 -does not have an address assignment) located North of | 480 (exit 3) and East of Stearns Rd. Please see attached map identifying project location. B: PROJECT COMPONENTS (Describe the specific work to be completed; the engineer’s estimate does not replace this requirement) 1,000 character limit. The goal of the South Interceptor project is to install a new 30” overflow pipe that will be connected from the interceptor to the transfer pump station to limit the hydraulic grade line (HGL) in the interceptor to elevation 764.0. The relief sewer will take flows up to 12 MGD to the new flow equalization tank. The pipe will be sloped from the pump station to the interceptor and will function as a submerged conduit when filling and will function as a tank drain as well. The return flow from the tank will be regulated to again limit the interceptor HGL to 764.0 using a flow control gate. The tank will be 1.5MG.The top of the tank is at elevation 780.0, which is 4 ft above grade (776.0). The tank floor will be flat and sloped to fully drain when the interceptor level returns to normal level after rain events. Attachment illustrates the transfer pump station, tank plan and section. C: PHYSICAL DIMENSIONS (Describe the physical dimensions of the existing facility and the proposed facility. Include length, width, quantity and sizes, mgd capacity, etc in detail.) 500 character limit. The project is a new 1.5MG equalization tank, it includes a 30” overflow pipe, 4 transfer pumps, remote monitoring & control system, gates, checks, plug valves, a control building w/ 3 finished floor levels. The upper level at grade will feature a garage w/hatches for equipment extraction from lower level, electrical, toilet, mechanical, the intermediate level for suction lift pumps access, and the lower level below a stair well for access to tank drain pipe and meter and wet well instruments. Form OPWCOG001 Rev. 12.15 Page 4 of 6 5.0 Project Officials Changes in Project Officials must be submitted in writing from an officer of record. 5.1 Chief Executive Officer 5.2 Chief Financial Officer 5.3 Project Manager Form OPWC0001 Rev. 12.15 (Person authorized in legislation to sign project agreements) Name: Nicole Dailey Jones Title: Mayor Address: 5200 Dover Center Rd City: North Olmsted State: OH Zjp:44070 Phone: (440) 777-8000 FAX: E-Mail: (Can not also serve as CEO) Name: Carrie Copfer Title: Director of Finance Address: 5200 Dover Center Rd City: North Olmsted State: OH Zip: 44077 Phone: FAX: E-Mail: Name: Eric Fallon Title: Sr. Project Engineer Address: CT COnsultants 3875 Embassy Parkway Suite 200 City: Akron State: OH Zip: 44333 Phone: (330) 375-0800 FAX: E-Mail: _efallon@ctconsultants.com Page 5 of 6 6.0 Attachments / Completeness review Confirm in the boxes below that each item listed is attached (Check each box) A certified copy of the legislation by the governing body of the applicant authorizing a designated Official to sign and submit this application and execute contracts. This individual should sign under 7.0, Applicant Certification, below. A certification signed by the applicant's chief financial officer stating the amount of all local share funds required for the project will be available on or before the dates listed in the Project Schedule section. if the application involves a request for loan (RLP or SCIP}, a certification signed by the CFO which identifies a specific revenue source for repaying the loan also must be attached. Both certifications can be accomplished in the same letter. A registered professional engineer's detailed cost estimate and useful life statement, as required in 164-1-13, 164-1-14, and 164-1-16 of the Ohio Administrative Code. Estimates shall contain an engineer's seal or stamp and signature. [| A cooperative agreement (if the project involves more than one subdivision or district) which identifies the fiscal and administrative responsibilities of each participant. CJ Farmland Preservation Review - The Governor's Executive Order 98-llV, “Ohio Farmland Protection Policy” requires the Commission to establish guidelines on how it will take protection of productive agricultural and grazing land into account in its funding decision making process. Please include a Farm Land Preservation statement for projects that have an impact on farmland. Capital Improvements Report. CIR Required by O.R.C. Chapter 164.06 on standard form. Supporting Documentation: Materials such as additional project description, photographs, economic impact (temporary and/or full time jobs likely to be created as a result of the project), accident reports, impact on school zones, and other information to assist your district committee in ranking your project. Be sure to include supplements which may be required by your local District Public Works Integrating Committee. NO 7.0 Applicant Certification The undersigned certifies: (1) he/she is legally authorized to request and accept financial assistance from the Ohio Public Works Commission as identified in the attached legislation; (2) to the best of his/her knowledge and belief, all representations that are part of this application are true and correct; (3) all official documents and commitments of the applicant that are part of this application have been duly authorized by the governing body of the applicant; and, (4) should the requested financial assistance be provided, that in the execution of this project, the applicant will comply with all assurances required by Ohio Law, including those involving Buy Ohio and prevailing wages. Applicant certifies that physical construction on the project as defined in the application has NOT begun, and will not begin until a Project Agreement for this project has been executed with the Ohio Public Works Commission. Action to the contrary will result in termination of the agreement and withdrawal of Ohio Public Works Commission funding from the project. Original Signature / Date Signed Form OPWC0001 Rev. 12.15 . Page 6 of 6 --- [2022-74 Grant State Capital Improvement Program EQ Basin.pdf] CITY OF NORTH OLMSTED RESOLUTION NO. 2022 - 74 By: Mayor Jones A RESOLUTION AUTHORIZING THE DIRECTOR OF ECONOMIC AND COMMUNITY DEVELOPMENT TO MAKE APPLICATION TO THE STATE OF OHIO PUBLIC WORKS COMMISSION FOR FY 2023 STATE CAPITAL IMPROVEMENT PROGRAM FUNDING FOR THE SOUTH INTERCEPTOR EQUALIZATION TANK PROJECT, AND DECLARING AN EMERGENCY. WHEREAS, the goal of the South Interceptor project is to install a new 30” overflow pipe that will be connected from the interceptor to a pump station. A new relief sewer will take flows up to 12 million gallons a day to a new 1.5-million-gallon equalization tank; and WHEREAS, the objective is to increase capacity in the sanitary collection system and to create an underground equalization as a means to reduce basement flooding; and WHEREAS, the project is to be located in the vicinity of 6300 Stearns Road, on a part of property previously a part of Spruce School; and WHEREAS, to further assist in the completion of this project, the Administration seeks $500,000.00 of funding assistance from the Ohio Public Works Commission’s FY 2023 State Capital Improvement Program; and WHEREAS, it is the desire of this Council to authorize the Director of Economic and Community Development to apply for said financial assistance. NOW, THEREFORE, BE IT RESOLVED BY THE COUNCIL OF THE CITY OF NORTH OLMSTED, COUNTY OF CUYAHOGA AND STATE OF OHIO: SECTION 1: That the Director of Economic and Community Development be and he is hereby authorized to apply for funding from the Ohio Public Works Commission’s FY 2023 State Capital Improvement Program. SECTION 2: That the Mayor be, and she hereby is, authorized to accept the said funding, if awarded, on behalf of the City of North Olmsted and to execute a contract, if required; and that the Director of Economic and Community Development be, and he hereby is, authorized to execute all other non-contract documents necessary to effectuate receipt of the grant. SECTION 3: That this Resolution is hereby declared to be an emergency measure immediately necessary for the preservation of the public health, safety and welfare and for the further reason that it is necessary that this legislation go into effect immediately in order to meet the application deadline; and further provided that it receives the affirmative vote of two-thirds of all members of Council, it shall take effect and be in force immediately upon its passage and approval by the Mayor. PASSED: ________________________ First Reading: _______________ Second Reading: _______________ Third Reading: _______________ Committee: __________________ ATTEST: _____________________________ __________________________ BEATRICE TAYLOR LOUIS J. BROSSARD Clerk of Council President of Council APPROVED: ___________________ APPROVED AS TO LEGAL FORM: _______________________________ /s/ Michael R. Gareau, Jr. ______ MAYOR NICOLE DAILEY JONES MICHAEL R. GAREAU, JR. Director of Law