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• Staff time 20hrs @ $100 per hr = $2,000 (contact City of Anoka re <br />wells in East well field located on Coolidge St; Contact MDH new <br />permits issued in DWSMA; Update ownership records of DWSMA) <br />#9 Prepare and send underground tank info to known tank owners in the <br />West DWSMA <br />• Staff time to prepare an article and mailings 4 hr @ $100/hr= $400 <br />$400 <br />#10 Prepare and send agricultural chemical info to known users of such <br />chemicals in the West DWSMA <br />• Staff time to prepare two article and mailings 4 hr @ $100 /hr= WO <br />$400 <br />#11 Conduct Site inspections to locate storage tank facilities within the two <br />DWSMAs <br />• Staff time by fire marshal to focus extra inspection time within the <br />DWSMAs to indentify unknown chemical and underground storage <br />facilities. 4 hrs@ $100 /1n = $400. <br />$400 <br />Note: The total must match the grant amount <br />$8,774 <br />Date this form was filled out (month - day -v ear l ...10 -25 -10 <br />Please check one: <br />X❑ I request to receive an advance of ...$4000 (not to exceed 50% of the requested <br />grant amount). You will need to fill out the Advance Invoice that will be sent out with the <br />grant award documents. <br />Annex <br />I do not need an advance <br />M I N N E S O T A <br />MDH <br />DEPARTMENTor HEALTH <br />