LAND billing form- Rocky Hill_RedactedLocal Acquisitions for Natural Diversity (LAND) Program BILLING FORM
Municipality: Northampton
LAND Project #:.24
Contract: CT ENV 110719 0000 0000001507
Project Name:Rocky Hill Greenway-Nashawannuck Northampton
Indicate any changes that may have affected answers to questions in your original LAND application previously submitted to the Division of Conservation Services:NONE
PROJECT COSTS
EEA use only
Item
Cost($)
Date of Expenditure
Eligible?
Proo/of
navment?
Acquisition
$650,000
01/24/2020
Title exam(s)
Recording fees
Survey
Project total
$650,000
-
Reimbursement rate: LAND award: Reimbursement request:
64%
$400,000 (64% is $416,000, but cap is $400,000)
$400,000Didyouapplyforotherstateorfederalfunding?No (not for purchase, we have MVP for restoration)Amountreceived- - - - --
Amountreceived=$--------
Agency: _ Agency:_
_ _ _
_ _ _
_ _ _ _
_ _ _KevinLake4/7/2020Signature of the Chair of theConservationCommissionPrintNameDate
DCS use only:
Reimbursement request received
Approved/denied
Reviewed
Sent to fiscal office
Further information requested
,_..
I I