TMDL GRANT PROJECT APPLICATION EVALUATION FORM
RANKING MONTH. July 2015 APPLICATION NO. .
PROJECT NAME:
AMOUNT REQUESTED: $ TOTAL PROJECT VALUE: $
LEAD AGENCY: .
REVIEWER: .
PROJECT DESCRIPTION:
NAME OF RECEIVING WATER BODY: .
POLLUTANT(S) OF CONCERN: .
TMDL STATUS: .
BMAP STATUS: .
URBAN ACRES TREATED: .
ESTIMATED POLLUTANT OF CONCERN LOAD REDUCTIONS (Convert from kg/yr to lbs/yr)
Project Total
Pre-Project
TP (lb/yr) TN (lb/yr)
Post-Project
Load Reduction
(lb/yr (lb/yr)
% Reduction % %
(lbs)
 Note: multiply kgs by 2.2 to convert to lbs (use lbs in question #10)
ELIGIBILITY
1.
Is this an urban stormwater project?
(or a research project to demonstrate pollutant load reductions from urban nonpoint sources of pollution?) (if no, do not continue scoring)
YES or NO
2.
Is this project permitted (or is the permit slated for approval by WMD) and at least 60% design phase completed?

APPLICATION NO. _______
YES or NO
3.
Is the project phase to be funded scheduled to be completed within 3 years? YES or NO
4.
Is the overall match at least 50%?
(Grant funds may only be used for construction, monitoring, or public
5.
education.) YES or NO
Is local government matching at least 25% YES or NO
6.
Does this project include storm event monitoring to determine the actual load reduction associated with implementation of the BMP?
NA – If such data already exists for the applicable BMP YES or NO or NA
(i.e. baffle boxes)
7. Status of Impaired Water Body (check one box) NUMERIC POINTS
1999 TMDL Consent Decree Only (10 pts)
On planning List (20 pts)
On adopted list of impaired waters (50 pts)
Adopted TMDL (75 pts)
Project identified in an adopted BMAP (100 pts)
.
(0-100)
8. Average Stormwater Load Reduction of Pollutant of Concern(s) (check one box)
(If neither TN/TP are Pollutants of Concern, Score = 0)
0 to 19% (10 pts)
20 to 39% (30 pts)
40 to 59%
(50 pts)
60 to 79% (75 pts)
80 to 100% (100 pts)
9. Percentage of Local Matching Funds (check one box)
(0-100)
≤ 25% (0 pts)
26 to 30% (20 pts)
31 to 40%
(40 pts)
41 to 50% (60 pts)
>50% (80 pts) (0-80)
10. Cost Effectiveness
( total project cost ÷ lbs of pollutant of concern removed ÷ urban acres treated)
Total Phosphorus Total Nitrogen
≥ 1,111.94 (10 pts) ≥ 347.00 (10 pts)
1,111.93 to 206.24 (25 pts) 346.99 to 64.34 (25 pts)
206.23 to 85.53 (50 pts) 64.33 to 15.97 (50 pts)
85.52 to 11.37 (75 pts) 15.96 to 2.53 (75 pts)
≤ 11.36 (100 pts) ≤ 2.52 (100 pts)
V6 updated – 3/12

APPLICATION NO. _______
If both TP and TN are pollutants of concern, average the Score
If neither TN/TP are Pollutants of Concern, Score = 0 (0-100)
11. Educational Component a. No public education (0 pts) b. Printed materials only (10 pts) c. Kiosks and at least one other activity (20 pts) d. Kiosks, conduct at least 1 workshop/field day at the site, airing public
service announcements, and printed materials. (30 pts)
12. Local government has implemented stormwater utility or other recurring
(0-30) dedicated fee a. No stormwater utility or other fee (0 pts)
b. Stormwater utility or other fee ERU < $4.30/month (40)
c. Stormwater utility or other fee ERU > $4.30/month (80) (0-80)
TOTAL OVERALL SCORE .
COMMENTS:
V6 updated – 3/12