Ontario Small Town and Rural Development (OSTAR) Infrastructure Program

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Ontario Small Town and Rural Development (OSTAR) Infrastructure Program Round 1: Public Health and Safety Application Guidebook August 2000 The Ontario SuperBuild Corporation 7 Queen s Park Crescent 6 th floor, Frost Building South Toronto, Ontario M7A 1Y7 Tel: 1-866-306-7827 Fax: (416) 325-8851 Email: Info@SuperBuild.gov.on.ca

Applicant s Guide to Submitting A Proposal The Ontario Small Town and Rural Development (OSTAR) Infrastructure Program The purpose of the SuperBuild OSTAR Infrastructure Program is to improve the quality of infrastructure in Ontario s agricultural and rural areas, small towns and small cities. SuperBuild s objectives for OSTAR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OSTAR is a five-year, $600 million program. Several rounds of funding will take place. The timing, purpose and funding for each round will be announced prior to the round. The priority for Round 1 of OSTAR is public health and safety infrastructure. Who may apply? All upper and lower tier municipalities in Ontario may apply, except for the regional municipalities in the Greater Toronto Area, the new City of Hamilton, the Region of Waterloo, the new City of Ottawa, the new City of Greater Sudbury, the Region of Niagara, the City of Thunder Bay, the City of London, and the City of Windsor. These large urban areas will be eligible for SuperBuild s Millennium Partnerships initiative. twithstanding the ineligibility of large urban areas, municipalities with a population of less than 100,000 in any of the regional municipalities in the Greater Toronto Area or in the other eight large urban areas (listed above) are eligible to apply to OSTAR. Local Services Boards in rthern Ontario are also eligible to apply. In some circumstances, the lead applicant may be a non-governmental or private sector organization rather than the municipality itself. In these situations, the municipal council must endorse the application as its highest public health and safety priority. How many applications can be submitted to Round 1? Each municipality may submit only one application in Round 1. An application will normally consist of one project. If projects are reasonably related to each other, an application may include more than one project. If a municipality has to improve more than one water system in order to comply with the new Drinking Water Protection Regulation (DWPR), it can include all of the projects in its application. If a municipality chooses to include more than one similar project in its application (i.e., several bridges), the quality of the business case for the application as a whole will be evaluated. What kinds of infrastructure are eligible in Round 1? All projects must create or improve public infrastructure and must be consistent with the public health and safety priority for Round 1. Municipalities may choose to apply for funding to comply with the DWPR or with orders from the Ministry of the Environment (Option 1: Compliance 2

with DWPR) or for another public health and safety priority (Option 2: Public Health and Safety). The approval process will be non-competitive for Option 1 and competitive for Option 2. A municipality may only apply for infrastructure projects in its area of responsibility (i.e., a municipality that does not have responsibility for water services may not apply for a water project). Certificate of Approval and/or Ministry of the Environment policy; or, A significant number of individual septic systems are contaminating surface and/or groundwater or causing sewage to pond on the ground surface. Transportation structures Option 1: Compliance with DWPR Eligibility criteria include: Any municipality that needs to undertake capital projects to comply with the DWPR or with any other orders issued by the Ministry of the Environment (e.g., Director s Orders, Control Orders) must either submit those projects as its application to OSTAR or agree to undertake the projects without Provincial assistance (in order to apply under Option 2). The DWPR requires a mandatory municipal engineering study of the existing water supply system and treatment process. This study will identify any capital projects needed to comply with the new regulation. Capital projects to comply with any other orders issued by the Ministry of the Environment may also be submitted under Option 1. te: A bridge or structure (e.g., a large culvert) that does not adhere to the requirements of the Bridges Act, the Highway Traffic Act, the Public Transportation and Highway Improvement Act and associated regulations amended in 1997; Bridge deficiencies (i.e., extent below current standards) that limit traffic volumes or permissible vehicle weight or create unsafe conditions. For a bridge project to be eligible, all bridges within a municipality must have been inspected in accordance with the Ontario Structure Inspection Manual (required every two years) and the need for major repair or reconstruction verified through the inspection. Option 2: Public Health and Safety Other public health and safety projects Water and Sewer Systems Municipalities may submit water and sewer infrastructure projects to address current or foreseeable human health issues where: Contaminants are above Maximum Acceptable Concentrations, as defined by Ontario Drinking Water Standards, in treated drinking water systems; Drinking water is contaminated at the water supply source and/or due to current treatment processes; Municipal sewage treatment plant discharges chronically exceed effluent criteria specified in a Municipalities may choose another public health and safety priority for Round 1. These priorities could include: te: Projects to remedy unsafe municipal building conditions (excluding sports, cultural, and tourism facilities because those projects will be eligible for the SuperBuild Sports, Culture and Tourism Partnerships initiative); or, Other public health and safety infrastructure projects identified by a municipal council (e.g., providing barrier-free access, disaster prevention relating to structures such as dams and storm sewers). The business case for other public health and safety projects should clearly describe 3

and quantify the risk to public health and safety arising from the current situation and identify options for remediation. What municipal council resolutions are required? The municipal council or the appropriate local authority, such as Local Services Boards in rthern Ontario, must pass a resolution that the application submitted is its highest public health and safety priority. If the applicant is a non-governmental or private sector organization rather than the municipality itself, such a resolution is still required. If the municipality needs to undertake capital projects to comply with the new water regulations but wishes to submit a different project to OSTAR, it must obtain agreement from the Ministry of the Environment on the adequacy of its plan to comply with the DWPR and pass an appropriate municipal council resolution assuming financial responsibility for the required projects. What criteria will be used to evaluate proposals? Six criteria will be used to evaluate proposals: The need for the project; The technical quality and innovative features of the project; The cost-efficiency of the proposed infrastructure; Partner contributions; The quality of the financial plan for the project; and, Municipalities are encouraged to consider innovative solutions such as area-wide water servicing systems or county-level servicing models. Projects required to comply with DWPR or orders from the Ministry of the Environment will be considered the highest priority under the OSTAR program. How will the size of the grant be determined? The Province will apply a cost-sharing formula to determine how much assistance a municipality is eligible to receive. The cost-sharing formula will adjust the municipal share based on municipal ability-to-pay and the participation of the federal government. The formula will take into account: Estimated total project cost; and, Variables that influence a municipality s abilityto-pay, including its financial capacity in relation to other municipalities. The Province is seeking the federal government s participation in the OSTAR program through its Infrastructure Canada program. Projects approved by the Province will be referred to the federal government for funding under the Canada-Ontario Infrastructure Program. If the federal government chooses not to participate, the Province will still provide its share as determined by the formula. Municipalities will be required to provide any data needed by the Province to calculate its share under the formula. The adequacy of the municipality s long-term capital asset management plan for the project, including plans to recover the full operating and capital costs through water and sewer service charges where appropriate. 4

What costs are eligible? Eligible Costs Eligible investment expenditures must be directly related to the project and be expenditures that would not have otherwise been incurred by the applicant. In general, eligible costs include: Acquisition of fixed capital assets including all applicable taxes but excluding any tax rebates for which the applicant is eligible; Business planning costs directly related to the proposed capital project; Professional fees (design, engineering, legal and accounting); Transportation and delivery costs; Installation and renovation costs; Specialized training costs directly related to the project; Project management fees; and Certain studies directly related to the project. Expenditures must be actual cash outlays to third parties that can be documented through paid invoices or receipts. Evidence of payment (e.g., cancelled cheques and/or bank statements) and supporting documentation must be made available for administrative purposes to the Province and maintained for audit purposes. Costs must not exceed fair market value. Satisfactory evidence demonstrating that the cost of services does not exceed fair market value may be required. Where the value of sub-contracts for work or services exceeds $25,000, applicants must demonstrate that a competitive process has been used. At least three written tenders must be obtained, unless the supplier has previously been chosen through a competitive process, or the supplier is expected to provide specialized expertise that is not otherwise readily available. Where professional services are used, evidence of a contract may be required. Ineligible costs The following costs are not eligible for OSTAR funding: General feasibility studies or other costs not directly related to the proposed project; Costs related to the operation and maintenance of capital assets; Costs associated with obtaining a necessary approval (e.g., updating an existing Certificate of Approval); and, Land acquisition costs. Are studies to determine needs eligible? To meet the program requirements for identifying cost-effective and innovative solutions, the cost of studies that are directly related to the proposed project will be considered eligible expenses under the OSTAR program. The following studies are eligible: The municipal engineering study required under the DWPR; A study of water efficiency and system optimization, and area/joint servicing arrangements; Groundwater management studies; Environmental assessments and related studies; Studies related to demonstrating the need for a bridge repair or reconstruction (i.e., traffic volumes and vehicle weights); and, 5

Risk assessment and technical studies (i.e., relating to disaster prevention structures such as dams and storm sewers). available upon request from SuperBuild or the field offices of the ministries listed at the end of this guide. How will the approval process work? Project proposals received by SuperBuild will be evaluated by technical staff from the following ministries: Environment (DWPR, water and wastewater); Transportation (bridges and structures); Municipal Affairs and Housing and Natural Resources (disaster prevention); and, Other ministries according to the nature of the proposal. The Ministry of rthern Development and Mines will be consulted in the review of all applications in rthern Ontario. The applications will be assessed according to SuperBuild s evaluation criteria for the OSTAR program. Following the review of the applications, final decisions on the level of funding for Round 1 and the applications to be supported will be announced. Successful applicants (and their partners) will be required to sign a Letter of Agreement (i.e., a contract with the Province of Ontario). How to apply? Applications may be submitted to: The Ontario SuperBuild Corporation 6 th Floor, Frost Building South 7 Queen s Park Crescent, Toronto, Ontario M7A 1Y7 Tel: 1-866-306-7827 Fax: (416) 325-8851 Email: Info@SuperBuild.gov.on.ca This guide can be downloaded from the SuperBuild web site (http://www.superbuild.gov.on.ca) and is The deadline for submitting applications for support for eligible studies under Round 1 is October 6, 2000. This includes the engineering studies required under DWPR. Municipalities planning to apply under Option 2 (Public Health and Safety) must submit a letter of intent by October 6, 2000. The letter of intent should include a brief description of the project, how it meets OSTAR s public health and safety objectives, the total cost of the project, and potential partner contributions. A municipal council resolution should be included with the letter. The deadline for submitting project applications for OSTAR Round 1 is January 31, 2001. Applications may be submitted prior to that date. Municipalities whose engineering studies are not due to be completed until after January 31, 2001 according to the Ministry of the Environment s schedule will be permitted to submit Option 1 applications (projects to comply with the DWPR) within four weeks of the completion of the engineering study. Applicants must submit a business case and the accompanying schedule(s) required for their infrastructure proposal. Schedules will be available by August 28, 2000 on the SuperBuild web site or upon request from SuperBuild or the field offices of the ministries listed at the end of this guide. Applicants are required to complete all components of the business case and the appropriate schedules. The complexity of the business case should reflect the value of the project and the funds required. The business case for the project should include the following material: 1. Title Page listing the name, address, date prepared, contact name, telephone and fax numbers, and e-mail address. 6

2. Table of Contents listing all sections and page numbers. 3. A Project Summary, describing what the project proposes to accomplish, why it is needed and how it meets OSTAR s public health and safety objectives. 4. The Objective(s) of the proposed project and how they relate to the objectives of OSTAR. 5. An Applicant Profile including the names, addresses, and contact information for all partners (individuals, businesses, organizations, communities) in the proposed project. Describe each partner s role, experience and capabilities related to infrastructure projects and their financial contributions (cash and in-kind). 6. A Needs Assessment outlining the research conducted and evidence of the need for the project. 7. A Technical Analysis, which identifies and explains: The technical features of the project in clear, easy-to-understand language; Why the proposed project is the best technical solution; The innovative characteristics of the proposed project; and, Why the project is the most cost-efficient solution. 8. A Detailed Project Work Plan, including a description of key milestones and activities, activity locations, timelines and costs. Indicate the knowledge, skill and expertise of required project staff and management and the roles and responsibilities that they will be assigned. Include knowledge and skill sets of consultants or any other technical experts contributing to the project. 9. Performance Measures, including a list of performance objectives for the project and a plan for their measurement. Suitable measures of the successful and timely completion of the project are required. Contingency plans covering all key risks to the project should be included. 10. An Impact Statement clearly describing the benefits and any potential adverse effects of the project. 11. A Financial Plan detailing the sources and uses of funds for the project. Sources include the applicant, non-governmental partners (the source of all donations, sponsorships or other partner funding must be identified), other governments (municipal, provincial and federal), and the funds expected from OSTAR. Contributions must be classified either as cash or in-kind (non-cash contributions to the project by the applicant or others). Totals must be provided. In-kind contributions will not be counted towards an applicant s share. A detailed budget describing each of the major costs must be included. A cash flow statement must be included. 12. Any municipal council resolutions that are required. 13. Other Required Information that may be requested as part of the application: a. Proof of ability to raise other funds; b. Proof of ability to cash flow the project; c. Proof that the required permits and approvals have been obtained; and, d. Copies of the most recently reviewed or audited financial statements for all project applicants. 14. A Long-Term Capital Asset Management Plan for the infrastructure created or improved by the project, demonstrating that your municipality will ensure that funds are provided for the operating, maintenance and future replacement of the infrastructure and that full costs are recovered through service charges where appropriate. Please submit five (5) unbound copies of the complete application to SuperBuild. The complete application includes the business case and any 7

accompanying schedules required for the project. Keep a copy for your records. Allow approximately six to eight weeks for the review of your application. Should you require additional information about OSTAR, please contact SuperBuild or the field offices of the Ministry of Agriculture, Food and Rural Affairs, the Ministry of Municipal Affairs and Housing, or the Ministry of Transportation, or the Environmental Partnership Branch of the Ministry of the Environment. In rthern Ontario, please contact the Ministry of rthern Development and Mines. Confidentiality Application forms and supporting material submitted to the Province of Ontario will be subject to the Freedom of Information and Protection of Privacy Act. Any information submitted in confidence should be clearly marked CONFIDENTIAL by the applicant. Inquiries about confidentiality should be directed to SuperBuild. List of Application Schedules Schedule A. Projects to Comply with the Drinking Water Protection Regulation Schedule B. Water Construction Projects Schedule C. Sewage Construction Projects Schedule D. Groundwater Management Studies Schedule E. Bridge Projects and Related Structures Schedule F. Applications for Other Studies 8

Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation Municipality Community/System Date August, 2000

INSTRUCTIONS 1. Each municipality can submit one application (business case) which may encompass more than one water system. For the purpose of the schedules, please complete a separate one for each water system. 2. Please enclose all supporting documentation requested. Submissions will not be evaluated until all information is received. 3. If there is not enough space in this document to convey all the necessary information, please attach the material separately and refer to it in the relevant question(s). 4. For technical questions relating to this schedule, please contact the Ministry of the Environment s Environmental Partnerships Branch at (416) 314-4612. i

INTRODUCTION The purpose of the SuperBuild OSTAR Infrastructure Program is to improve the quality of infrastructure in Ontario s small towns, rural communities, and small cities. SuperBuild s objectives for OSTAR include: - Addressing infrastructure investment needs, including public health and safety priorities; - Investing in strategic infrastructure projects that support rural and urban economic development; - Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, - Improving infrastructure planning and management. OSTAR is a five-year $600 million, program. The priority for Round 1 of OSTAR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to Alarge water works@: - Serves 6 or more private residences; or - Provides more than 50,000L per day; or - Capable of supplying water at a rate greater than 250,000 litres per day. The key requirements under the regulation for water works include: - Health based standard - Minimum level of treatment and enhanced chlorination requirements - Mandatory sampling requirements - Analysis by accredited laboratories - tification for exceedence/indicators of adverse water quality - Public notice - Quarterly reports - Public access to information - Document and record retention - Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. ii

TABLE OF CONTENTS Section A: Pre-qualification... 1 Section B: Project Schedule and Financing... 3 Section C: General Information... 7 Section D: Problem Definition... 11 Check Sheet... 13 Definitions... 14 iii

SECTION A PRE-QUALIFICATION This section will be used to determine if your proposed project is eligible to be considered for funding under the Ontario Small Town and Rural Development Infrastructure Program. All questions in this section must be answered. A.1 Is this application for a project involving the: preparation of an Engineer s Report for Water Works, as required under the Drinking Water Protection Regulation; preparation of an Environmental Assessment; or construction of Water Works (project may include detailed design)? A.2(a) Does the existing water works supply more than 50,000 litres of water on at least 88 days in every 90-day period? (b) Is the existing water works capable of supplying water at a rate greater than 250,000 litres per day? (b) Does the existing water works supply more than 5 private residences with water? A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include disinfection of the water supply? For every well in the water treatment and distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water as it moves through the distribution system? For surface source water supplies: Does the existing treatment system include chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment s (MOE) opinion, of producing water of equal or better quality)? 1

Are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water as it moves through the distribution system? A.4(a) Has your municipality consulted with the local office of the MOE and/or the Medical Officer of Health to determine whether an immediate public health and/or environmental problem exists? (b) If, identify the person(s) consulted and, where available, provide supporting documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). MOE contact person Date of Contact MOH contact person Date of contact If, consult prior to filling out the rest of this application. A.5 For Study Projects Only: (a) Are terms of reference for the study project attached? (b) Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? 2

SECTION B PROJECT SCHEDULE AND FINANCING B.1 Proposed project initiation date: B.2 Anticipated project completion date: B.3(a) Complete the following table: ESTIMATED COSTS 1. Construction Project phase 2. Preliminary engineering (environmental assessment, engineering report) 3. Engineering (final design, supervision) 4. Project management 5. Land, easements 6. Legal, surveys 7. Miscellaneous (equipment) 8. GST (after tax credit) 9. Sum of (1 to 8) 10. Grants from other sources. Source: 11. Total eligible cost (9 minus 10) (b) Total project cost. Column A + B = $ B.4 Complete the following table: Treatment works (A) Distribution system (B) ESTIMATED QUARTERLY CASH FLOW Year (April - June) (July - Sept.) (Oct. - Dec.) (Jan.- March) 2000/01 2001/02 2002/03 3

B.5 Provide the following information regarding the municipal reserve fund. (a) How long has the fund been in existence? Water Sewage Both (b) What is its current value? (c) What is the estimated replacement cost of the system? (d) What is the current annual contribution to the fund? (e) What is the value of your other discretionary reserve funds? (f) What portion of your other discretionary reserve funds is presently committed by council resolution? $ $ $ $ $ B.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR SERVICE Total Annual Charges ($) CAPITAL ($) BREAKDOWN OPERATING & MAINTENANCE ($) RESERVE FUND ($) Water Sewage Total 4

B.7 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. Pricing System Residential Commercial Institutional Industrial Increasing Block ($/unit) (The charge per unit of water increases as water consumption increases) Fixed Rate ($/unit) (The charge per unit of water is constant regardless of water consumption) Declining Block ($/unit) (The charge per unit of water decreases as water consumption increases) Flat Rate ($/period) (There is no charge per unit of water consumed, the charge to the consumer is constant regardless of water consumption) Other If other, please provide details: B.8 What is the total taxable assessment* per household in the municipality? $ * See Definitions section te: Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31, 2000. B.9(a) Is your municipality currently applying or planning to apply to other programs for funding for this project? (b) If, under what program will the application be made? 5

B.10(a) Has the municipality previously applied for financial assistance for this project? (b) If, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason(s) for this re-application. 6

SECTION C C.1 Provide the following information. GENERAL INFORMATION Local municipal population Number of households te: Use the Ontario Municipal Directory, 2000. Population Gross area in hectares Residential premises Industrial premises Commercial premises Institutional premises PROBLEM AREA INFORMATION Problem Area C.2 Does this project consist solely of AApproved Activities@ as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? N/A (b) (c) If, when will it be completed? If the EA process has not started, when will it start and when will it be completed? C.4(a) Does the specific problem affect more than one municipality? (b) If, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? 7

(c) If, will the proposed solution resolve the problem being experienced in all affected municipalities? (d) If, provide details and supporting documentation. C.5(a) Does your municipality have a preventative maintenance program for the existing system? N/A (b) If or N/A, provide details. C.6(a) Is the project consistent with, or recommended by, an engineering study? (b) If, provide a copy of the study report if it has not been previously submitted. (c) If previously submitted, specify the date of submission and the project number. C.7(a) Describe the existing water services in the problem area and in the municipality/ community. C.8 What is the source of the water supply? Groundwater Surface water Name of surface water body: 8

C.9 List the average day and maximum day flows of the water supply system for the last three years using the following table. (t for private systems.) January February March April May June July August Month September October vember December Yearly average 1 Population serviced Maximum day 2 # of days max. day exceeded design max. day flow # of days max. day exceeded 85% design max. day flow Average day design flow (m 3 /day) Uncommitted hydraulic reserve capacity 1 2 Ave. day (m 3 /day) Max. day (m 3 /day) Ave. day (m 3 /day) Max. day (m 3 /day) Ave. day (m 3 /day) Max. day (m 3 /day) Year Year Year m 3 / day Yearly average of average day flow Highest monthly maximum day Maximum day design flow (m 3 /day). C of A. Date of issue 9

C.10 Complete the following table. PROFILE OF WATER USERS Breakdown of yearly water production Residential Institutional Commercial Industrial Unaccounted Total Year Year Year Population serviced Average yearly consumption (m 3 /year) % metered Population serviced Average yearly consumption (m 3 /year) % metered Population serviced Average yearly consumption (m 3 /year) % metered 10

SECTION D PROBLEM DEFINITION D.1 Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach). D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc. Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach.) 11

D.4(a) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? (b) If, attach a copy and complete questions D4(c) to (f). (c) Is the public health advisory related to: Microbiological contamination Chemical contamination at the plant in the distribution system at the plant in the distribution system (d) How long has the public health advisory been in place? (e) Has corrective action been requested by the local MOE office? (f) If, provide details. 12

CHECK SHEET Have you attached: All relevant supporting documentation? Schedule completed by: Date: Name (please print): Title: Signature: Employer: Contact person: Phone: ( ) Fax: ( ) Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: Name (please print): Title: Signature: Municipality: Contact person: Phone: ( ) Fax: ( ) 13

DEFINITIONS ODWS: AO: MAC: IMAC: MMAH: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). Aesthetic Objective as per ODWS. Maximum Acceptable Concentration as per ODWS. Interim Maximum Acceptable Concentration as per ODWS. Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc., and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences, industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year s revenues so that funds are available as required. 14

Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule B WATER WORKS PROJECTS CONSTRUCTION EFFICIENCY STUDIES OPTIMIZATION STUDIES PRIVATE SYSTEMS STUDIES ENVIRONMENTAL STUDY REPORTS Municipality Community/System Date August, 2000

INSTRUCTIONS 1. Please ensure that your project is eligible to be considered for funding before completing this schedule (see Section A). 2. Please enclose all supporting documentation requested. Submissions will not be evaluated until all information is received. 3. If there is not enough space in this document to convey all the necessary information, please attach the material separately and refer to it in the relevant question(s). 4. Please include a copy of the resolution of council certifying that all of the municipal water systems are in full compliance with the Drinking Water Protection Regulation dated August 2000 or that the municipality will undertake the necessary works to achieve full compliance of all its water systems by December 2002. 5. In the case of a project converting from private water systems to a communal water system, please include a resolution of council indicating that the municipality is willing to own and operate the system. 6. For technical questions relating to this schedule, please contact the Ministry of the Environment s Environmental Partnerships Branch at (416) 314-4612. i

INTRODUCTION The purpose of the SuperBuild OSTAR Infrastructure Program is to improve the quality of infrastructure in Ontario s small towns, rural communities, and small cities. SuperBuild s objectives for OSTAR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OSTAR is a five year, $600 million program. The priority for Round 1 of OSTAR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewage infrastructure). This schedule applies to Option 2 as it is directed towards addressing health and safety issues with municipal water infrastructure. Applicants for assistance with projects to solve an immediate public health or safety problem with municipal water or sewage infrastructure are required to investigate and commit to costeffective solutions. Environmental studies to identify such a solution are supported under the OSTAR program. Depending on specific circumstances, applicants should undertake the following: Investigate and report on the feasibility of using neighbouring municipal infrastructure, including area/joint servicing schemes, as a cost-effective option to constructing separate treatment facilities to resolve serious public health or safety concerns. Investigate and report on the nature of the problem, past practices, and potential efficiency and system optimization improvements to mitigate or eliminate the problem. Performance objectives and a business case will form part of each study to document how economic and environmental objectives will be achieved at least cost. Communities applying for assistance to undertake an environmental study must complete and submit a questionnaire and terms of reference. Applications are processed on the basis of the completeness of the information provided, documented need, and program priorities. Applicants seeking assistance for Option 2 are eligible to apply for funding for the initial engineering studies and the resulting capital works required to solve the health and/or safety problems. For application deadlines, please refer to the application guidebook. ii

TABLE OF CONTENTS Section A: Pre-qualification... 1 Section B: Financial Information... 3 Section C: General Information... 7 Section D: Problem Definition - General (D1 - D3)... 13 Problem Definition - Communal System (D4 - D10)... 14 Problem Definition - Private System (D11 - D14)... 19 Check Sheet... 22 Definitions... 23 Use the following table to determine which sections of the Schedule to complete. Type of project Existing services Complete Water Construction Communal Sections A, B, C, D(1-10) Water Construction Private Sections A, B, C, D(1-3, 11-14) Water Environmental Study Report Water Environmental Study Report Communal Sections A, B, C, D(1-10) Private water Sections A, B, C, D(1-3, 11-14) Private Water System Study Private water Sections A, B, C, D(1-3, 11-14) Water Efficiency Study Communal Sections A, B, C, D(1-10) Water Optimization Study Communal Sections A, B, C, D(1-10) iii

SECTION A PRE-QUALIFICATION This section will determine if your proposed project is eligible to be considered for funding. Please ensure that your project qualifies for funding consideration before proceeding with the remainder of the schedule. For Construction projects If the answer is "" to all of question A.2, the project is not eligible for funding assistance at this time. For Study projects If the answer is "" to all of question A.2 or A@ to all of question A.7, the project is not eligible for funding assistance at this time. All questions in this section must be answered. A.1 Does your municipality s water system have a problem, health or safety related, as follows? Contaminant levels above maximum acceptable concentration as defined by ODWS?* Parasitic contamination of drinking water supply? Other types of contamination, risk of structural failure and/or non-compliance with MOE policy, regulation, or design guideline? Specify. * See Definitions section A.2(a) Are all the existing municipal water system(s) in compliance with the Drinking Water Protection Regulation dated August 2000? N/A (b) If, will your municipality undertake the necessary project(s) to achieve compliance with the Drinking Water Protection Regulation by December 2002? (c) If N/A, please explain. (d) If to A.2(b), please provide a copy of the council resolution certifying that the municipality will undertake the necessary works to achieve full compliance of all its water systems by December 2002. 1

A.3(a) Has your municipality consulted with the local office of the Ministry of the Environment (MOE) and/or the Medical Officer of Health to determine whether a problem exists? (b) If, identify the person(s) consulted and, where available, provide supporting documentation from the Medical Officer of Health (MOH) or the MOE District Manager regarding the problem described in the schedule (Section D). MOE contact person Date of contact MOH contact person Date of contact (c) If, consult prior to filling out the rest of this schedule. A.4 Is the existing residential density* in the problem area greater than 2.5 dwellings/gross hectare or 35 dwellings/km for strip development? * See Definitions section. A.5 Are more than 50 per cent of the homes in the problem area principal residences (i.e. occupied for nine months or more per year)? A.6 Do at least 20 per cent, with a minimum of six, of the dwellings in the problem area have a health and/or safety problem as described in Section D? A.7 For Study Projects only (a) Are terms of reference for the study project attached? (b) Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities where applicable? 2

SECTION B FINANCIAL INFORMATION B.1(a) Proposed project initiation date: (b) Anticipated project completion date: (c) Fill in the following table where appropriate: ESTIMATED COSTS Project phase 1. Construction 2. Preliminary engineering (Environmental Assessment, engineering reports) 3. Final design/supervision 4. Project management 5. Land, easements 6. Legal, surveys 7. Miscellaneous 8. GST (after tax credit) 9. Sum of (1 to 8) 10. Grants from other sources (specify) 11. Total eligible cost (9 minus 10) (d) Total project cost. Column A + B = $ (e) Complete the following table: Treatment works (A) Distribution system (B) ESTIMATED CASH FLOW Quarter (April - June) (July - Sept.) (Oct. - Dec.) (Jan.- March) 2000/01 2001/02 2002/03 3

B.2 Provide the following information regarding the municipal reserve fund. Water Sewage Both (a) How long has the fund been in existence? (b) What is its current value? $ $ $ (c) What is the estimated replacement cost of the system? (d) What is the current annual contribution to the fund? (5) What is the value of your other discretionary reserve funds? (6) What portion of your other discretionary reserve funds is presently committed by council resolution? $ $ $ $ $ $ $ $ B.3 For projects with existing communal systems Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR SERVICE Total Annual Charge ($) CAPITAL ($) BREAKDOWN OPERATING & MAINTENANCE ($) RESERVE FUND ($) Water Sewage Total 4

B.4 For projects with existing communal systems Please provide details of the pricing system(s) and the rates charged for water used in your municipality. Pricing System Residential Commercial Institutional Industrial Increasing Block ($/unit) (The charge per unit of water increases as water consumption increases) Fixed Rate ($/unit) (The charge per unit of water is constant regardless of water consumption) Declining Block ($/unit) (The charge per unit of water decreases as water consumption increases) Flat Rate ($/period) (There is no charge per unit of water consumed, the charge to the consumer is constant regardless of water consumption) Other If Other, please provide details: B.5 What is the total taxable assessment* per household in the municipality? $ * See Definitions section te: Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31, 2000. B.6(a) Is your municipality currently applying or planning to apply to other programs for funding for this project? (b) If, under what program will the application be made? 5

B.7 (a) Has the municipality previously applied for financial assistance for this project? (b) If, under what program (Municipal Assistance Program, Lifelines, Direct Grant, Provincial Water Protection Fund, etc.)? (c) When was the application made? (d) Summarize the reason(s) for this re-application. 6

SECTION C C.1 Provide the following information. GENERAL INFORMATION Local municipal population Number of households te: Use the 2000 Ontario Municipal Directory PROBLEM AREA INFORMATION Problem Area Population Gross area in hectares Residential premises Industrial premises Commercial premises Institutional premises C.2 For construction projects only (a) Does this project consist solely of AApproved Activities@ as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? (b) If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? N/A (c) If, when will it be completed? (d) If the EA process has not started, when will it start and when will it be completed? C.3(a) Does the specific problem affect more than one municipality? (b) If, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? (c) If, will the proposed project address the problem being experienced in all affected municipalities? 7

(d) If, provide details and supporting documentation. C.4(a) Is your municipality affected by restructuring, a boundary application or other local government study that may have an impact on boundary issues? (b) If, ensure that the Ministry of Municipal Affairs and Housing is satisfied that the boundary dispute does not impact on this project and provide a letter from MMAH. C.5(a) Does your municipality have a preventative maintenance program for the existing system? N/A (b) If or N/A, provide details. C.6(a) Has your municipality examined the following options to solve or minimize the scope of the problem(s)? Better maintenance N/A Water efficiency measures N/A System optimization N/A Other options N/A (b) If, provide details including a description of the measures undertaken and the success or failure of those measures. If a study has been conducted, attach the appropriate section of the report. C.7(a) Describe the existing water treatment and distribution system in the problem area and in the municipality/community. (b) Describe the existing sewage treatment and collection system in the problem area and in the municipality/community. 8

C.8 What is the source of the water supply? Groundwater Surface water If Surface water, please provide the name of the surface water body: C.9 (a) Has a Needs Study Report, Water Efficiency Study, System Optimization Study or similar report been previously completed? (b) If yes, was the study funded by the Provincial Water Protection Fund, Municipal Assistance Program, Direct Grant or Lifelines programs? If, provide the name, project number, type and date of the study: (c) Have all of the study recommendations been implemented? N/A If, list the recommendations that have not yet been implemented: (d) Is there a commitment to implement the outstanding recommendation(s)? If, when will all the outstanding recommendations be implemented: If, explain why: 9

C.10 (a) Does the municipality have a program to encourage: Water re-use and recycling, where practical (e.g. cooling, industrial processes)? Water audits of institutional, commercial and industrial customers? Installation of water efficient devices/fixtures (i.e. faucet aerators, low volume showerheads, low flush toilets)? (b) If to any of the above, provide details on the program(s). 10

C.11 For projects with existing communal systems (a) Use the following table to indicate the breakdown of yearly water usage and the percentage of users that have been metered for each of the past three years. PROFILE OF WATER USERS Breakdown of yearly water production Residential Institutional Commercial Industrial Unaccounted Total Year Year Year Population serviced Average yearly consumption (m 3 /year) % metered Population serviced Average yearly consumption (m 3 /year) % metered Population serviced Average yearly consumption (m 3 /year) % metered (b) If fewer than 100 per cent of the residential water consumers have water meters, is there a council approved program in place to reach 100 per cent metering? (c) If, provide a description of the council approved program and the date when 100 per cent metering will be achieved. 11

C.12 For projects with existing communal systems Complete the following table with respect to the water distribution system. NETWORK INFRASTRUCTURE SUMMARY <50 mm 50 mm 100 mm 150 mm 200 mm 250 mm 300 mm 375 mm 400 mm 450 mm 500 mm 525 mm 600 mm 675 mm 750 mm Other (specify) Pipe diameter (mm) Water distribution Total pipe length (m) 12