Merced Subbasin
Groundwater Sustainability Plan 
Project Information Sheet

Instructions: For each project, please complete the fields below to the best of your ability. The purpose of collecting this information is to identify projects and management actions in the Merced Subbasin to be considered for inclusion in the Groundwater Sustainability Plan under development. Please send via email to contact@mercedsgma.org 

1)	Basic Information

Project Title: Click here to enter text.
Submitting Entity / Project Owner: Click here to enter text.
Other Participating Agencies (if applicable): Click here to enter text.
2)	Project Description
Please provide a description of your project, including the project size (please provide estimated annual water supplies if available), area and/or entities that will be affected by or will benefit from the project, and any potential obstacles to implementation. Attach extra pages if necessary. If feasible, please attach copies of all relevant project literature.
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3)	Project Location
Please describe the project location, and feel free to attach maps if available.
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4)	 Readiness to Proceed
Please indicate your project’s readiness.  In the text box, please provide more information on timing, such as when design may be complete, when permits/environmental documentation may be acquired, or when construction may begin.
 Planning/Initial Study
 Conceptual Design
 In Design
 Design Complete
 In Environmental Review 
 Environmental Review Complete
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5)	Planning Horizon 
Please indicate expected project completion date.
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6)	Project Costs
Please provide estimated project costs (capital, operations and maintenance, and replacement) and estimated project life.  
Capital Cost: $ Click here to enter text.
Annual O&M Costs: $ Click here to enter text.
Replacement Costs, Description of Equipment to be Replaced, & Frequency of Replacement (e.g., every 5 years): Click here to enter text.
Estimated Project Life (Years): Click here to enter text.
Cost Basis (if not 2018 dollars): Click here to enter text.
What is the basis for your project costs? At what stage in the project were they developed? If a cost estimate has been prepared, please provide.
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7)	Financing
How will your project be financed? What are the funding sources for your project?
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