The recipient entity's physical address:
           6252 Hwy 561, Columbia, LA 71418

The recipient entity's mailing address (if different):
           6252 Hwy 561, Columbia, LA 71418

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:  6352

What is the dollar amount of the request?  $4,772,695

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:
           Debbie Mullinex,President - 6252 Hwy 561, Columbia, LA 71418
Regina Kincaid, 6252 Hwy 561, Columbia, LA 71418
Shannon Franklin, 6252 Hwy 561, Columbia, LA 71418
Mark Howard, Vice-President, 6252 Hwy 561, Columbia, LA 71418

Provide a summary of the project or program:
           The project has been allocated $1,213,583 in P1 funds, $2,000,000 in Direct Non-Recurring Revenues, and $1,500,000 in P5 funds. The proposed project is located outside of Columbia in the Hebert community, which is a rural, farming, ranching and forested area. The System serves 1,047 customers in Caldwell Parish and Richland Parish. This request will ask for the $1,213,583 in P1, $2,000,000 to remain in General Funds, request $750,000 of the P5 funds to be moved to P1 funds, and the $750,000 to
remain in P5 funds. With the current P1 funds ($1,213,585), the project is currently under construction with a new pumping plant with a ground storage tank (LA 561), painting of an existing elevated tank, replacing a failing tank at the well site (LA 576), and constructing a new 12'x18' pump station at the well site (LA 576). The project will address outstanding LDH Sanitary Survey Violations. In 2027, $2,000,000 of General Funds will start the next phase of the project, which will plan and construct a new elevated storage tank and distribution lines to that tank, which will increase pressures on the North end of the system. Year Two
and Year Three will use the $1,500,000 for upsizing the remaining distribution mains. The System has grown over the years, and
the distribution lines need to be replaced with larger water mains, as the distribution system cannot transmit the proper water volume or pressure to all of their customers. These problems if not addressed can place the system in violation of Title 51- Public Health- Sanitary Code, Part XII Water Supplies, Chapter 1. Hebert Water System requests financial assistance from the State to make the following improvements to correct water volume and pressure, bringing it back into LA Sanitary Code requirements. The System intends to combine the Capital Outlay funds with funding from the Louisiana Department of Health and Hospitals
Drinking Water Revolving Loan Fund. The DWRLF funds will provide more than the required 25% match for the project. A parcel
of land will be required for the new elevated tank, estimated at $25,000. Items included in equipment costs include DWRLF requirements,
permitting, elevation certificates, soil boring and report for the new elevated tank, and inspection. Since these are public facilities
supplying the public, potable water, it is important that an inspector is present to ensure that construction of the facilities meet
all approved plans, specifications and codes. Inspection costs are estimated at 3.5% of the construction cost per State allowance
under other grants.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $390,125
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $4,307,009
          Operating Services. . . . $0
          Other Charges. . . . . . . $75,381

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?
          Install two pump stations, two ground storage tanks, and a new elevated tank. Increase distribution line sizes, and paint existing elevated tank.

What are the goals and objectives for achieving such purpose?
          Provide reliable water service, replace leaking tanks, and increase pressures throughout water system.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           36

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:
                 Not Applicable
    
     (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:
                 Not Applicable

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

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  Not Applicable

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: 
               Not Applicable

(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:
               Not Applicable

          Provide the name, address, and office of the official to whom the person is related:
                Not Applicable

          What is the nature of the relationship? 

(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:
                 Not Applicable

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               Not Applicable


Contact Information
name:  Debbie Mullinex 
                                       address:  6252 Hwy. 561, Columbia, LA 71418
                                       phone:  318-649-0409
                                       fax: 
                                       e-mail:  heberth2o@aol.com
                                       relationship to entity:  President