The recipient entity's physical address:
           9670 Hwy. 175 – P.O. Box 28
Belmont, LA 71406

The recipient entity's mailing address (if different):
           9670 Hwy. 175 – P.O. Box 28
Belmont, LA 71406

Type of Entity (for instance, a nonprofit corporation):  Non-Profit Corporation

If the entity is a corporation, list the names of the incorporators:
          

The last four digits of the entity's taxpayer ID number:  6451

What is the dollar amount of the request?  $1,972,180

What type of request is this?  Capital Outlay Appropriation

Is this entity in good standing with the Secretary of State?  Yes

Provide the name of each member of the recipient entity's governing board and officers:
           John Adair - President
John Veuleman - Water Board Member
Troy Webb- Water Board Member
Johnnie Craig- Water Board Member
Tommy Raimond- Water Board Member
Randy Byrd - Water Operator

9670 Hwy. 175 – P.O. Box 28
Belmont, LA 71406

Provide a summary of the project or program:
           The project scope includes a new well, pump station, and ground storage tank at the site along Highway 843. The land for the
plant and well has been purchased and the well has been constructed (2016-2018). Construction of the water pumping plant, a
246,000 gallon ground storage tank, a 100 kw diesel generator, a 28'x30' pumping building and (2) 125 gpm supply pumps are
underway. The bids for the plant and tank were favorable, and there are remaining funds. The System would like to use those
funds to upgrade their pumps, which is being completed with a change order. This will cover the existing amount in P1 funds of
$257,488. The remaining portion of the project will be to make urgent improvements to the water system.To give a little more
history on the system and project, the system was constructed in 1994 and now has over 950 customers. The System currently
has a Administrative Order for violating the Disinfection Byproduct ruler, which means they have excessive TTHMs and HAA5s.
Therefore, these improvements are needed immediately. The system does not have the extra funding to make these necessary
improvements to ensure the same quality of water continues to be offered to existing and future customers. Financing would
cause the system to increase their water rates making them unaffordable for their customers, especially those on a fixed income.
The proposed project will install an aerator on the ground storage tank at the Mitchell Site and one on at the Pleasant Hill Site to
address the Administrative Order. The tank at the Pleasant Hill site has developed holes in the top of the tank, and needs
replacing. Just recently, a Sanitary Survey noted deficiencies in the existing chlorine facility, as the facility was built many years
ago and does not comply to the current codes. The proposed project will replace the ground storage tank, the pump station, the
chlorine facility and the generator at the Pleasant Hill Site.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $208,807
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $1,603,067
          Operating Services. . . . $0
          Other Charges. . . . . . . $160,306

Does your organization have any outstanding audit issues or findings?  No

If 'Yes' is your organization working with the appropriate governmental agencies to resolve those issues or findings?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          To bring water system back in compliance with EPA and LA DHH requirements for Disinfection Byproducts.

What are the goals and objectives for achieving such purpose?
          Install new equipment necessary to bring the water system back in compliance with LA DHH requirements.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           12 months

If any elected or appointed state official or an immediate family member of such an official is an officer, director, trustee, or employee of the recipient entity who receives compensation or holds any ownership interest therein:
     (a) If an elected or appointed state official, the name and address of the official and the office held by such person:
                 N/A
    
     (b) If an immediate family member of an elected or appointed state official, the name and address of such person; the name, address, and office of the official to whom the person is related; and the nature of the relationship:
                 N/A

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 N/A

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  N/A

If the recipient entity has a contract with any elected or appointed state official or an immediate family member of such an official or with the state or any political subdivision of the state:
(a) If the contract is with an elected or appointed state official, provide the name and address of the official and the office held by such person: 
               N/A

(b) If the contract is with an immediate family member of an elected or appointed state official:
          Provide the name and address of such person:
               N/A

          Provide the name, address, and office of the official to whom the person is related:
                N/A

          What is the nature of the relationship?  N/A

(c) If the contract is with the state or a political subdivision of the state, provide the name and address of the state entity or political subdivision of the state:
                 N/A

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               N/A


Contact Information
name:  Randy Byrd 
                                       address:  9670 Hwy. 175 – P.O. Box 28
Belmont, LA 71406
                                       phone:  318-256-9510
                                       fax:  318-256-9553
                                       e-mail:  belmontwaterworks1@gmail.com
                                       relationship to entity:  Water Operator