Form 511 - Request For Alternate Project - Kentucky Division Of Emergency Management - 2000
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1REQUEST FOR ALTERNATE PROJECT
KENTUCKY DIVISION OF EMERGENCY MANAGEMENT
Applicant Name
PA ID #
Date
__ __ __ - __ __ __ __ __
Disaster Number FEMA-
-DR-KY
DSR/PW # (original project)
Category
Approved Amount
All alternate projects must be approved by FEMA. Such projects are only eligible for 90% of the Federal share of the costs that would be
associated with the repairing of the damage facility to its predisaster condition or the actual costs of completing the alternate project whichever
is less. The State does not share the cost with the applicant on Alternate projects. Funding may not be used for operating costs or to meet the
State or local share requirement on other projects.
Location (Alternate Project)
County
1.
DESCRIPTION OF THE ALTERNATE/PROJECT TO BE REPAIRED OR CONSTRUCTED (DIMENSIONS AND TYPE OF MATERIALS, ETC).
Latitude
Longitude
2.
SCOPE OF WORK.
SPECIAL CONSIDERATIONS ISSUES INCLUDED:
The grantee has the authority to approve an “Alternate Project”. The subgrantee must receive approval before beginning the project. However,
if the Alternate project involves a new site, as might be the case in the event of total replacement of the facility, an Environmental Assessment
may be required. This type of an Alternate project proposal is required to undergo an EA because the project will not meet the criteria for an
exception from an EA in Section 316 of the Stafford Act. An EA must be obtained before the start of construction.
FEMA Form 90-120, Nov 98
YES
NO
3.
Work to be performed by:
a. Contract
b. Force Account (Own employees and equipment)
c. Combination of a. and b.
4. a. Estimated date the above work will be completed
Date
b.
Estimated cost of the above project $
c.
Engineering estimate of the cost of repair or replacement as shown on the Damage Survey Report (DSR)/Project Worksheet (PW)
$
Approval of this request is based on above information. Any changed conditions should immediately be brought to the attention of the State Public
Assistance Officer.
Authorized Applicant Agent (Representative) Signature: _________________________________________________
Official Use Only:
5. Amount Recommended $
Amount Approved $
Public Assistance Officer
Signature:
Date
Governor’s Authorized Representative
Signature:
Date
FEMA Representative
Signature:
Date
KyDEM FORM 511 09/00
References: 44 CFR 206.203 (c) (1) of the Stafford Act 44 CFR 206.203 (d) (2)
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