5– EXISTING AND PROPOSED PROJECT COMPONENTS all that apply Existing Replacement Expansion New VESSEL WASTE Pumpout Station DISPOSAL (CVA) Potty Dump Station Portable Pumpout Pumpout Boat Floating Restroom UTILITIES Sewer Electric Sewage Holding Tank Sewage Lift Station MISCELLANEOUS Docks Piling Other (specify) Intended Location of: Fuel Dock Existing New Other (identify) Pumpout Station Dump Portable Pumpout Floating Restroom GPS Latitude: Longitude: (decimal) Pumpout Boat Service Location GPS Latitude: Longitude: (decimal) 6– PROPOSED PROJECT FUNDING MATCH Not –ADMINISTRATIVE eligible for Grant Reimbursement Applicant Other Marine TOTAL $ $ N/A $ Administration Pre-agreement costs (complete table N/A $ $ $ below) $ $ N/A $ Permit fees $ $ N/A $ Legal fees
5– EXISTING AND PROPOSED PROJECT COMPONENTS all that apply Existing Replacement Expansion New VESSEL WASTE DISPOSAL (CVA) Pumpout Station Potty Dump Station Portable Pumpout Pumpout Boat Floating Restroom UTILITIES Sewer Electric Sewage Holding Tank Sewage Lift Station MISCELLANEOUS Docks Piling Other (specify) Intended Location of: Fuel Dock Existing New Other (identify) Pumpout Station Dump Portable Pumpout Floating Restroom GPS (decimal) Latitude: Longitude: Pumpout Boat Service Location GPS (decimal) Latitude: Longitude: 6– PROPOSED PROJECT FUNDING –ADMINISTRATIVE MATCH Not eligible for Grant Reimbursement Applicant Other Marine TOTAL Administration $ $ N/A $ Pre-agreement costs (complete table below) $ $ N/A $ Permit fees $ $ N/A $ Legal fees $ $ N/A $