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Source Water Protection Semi-Annual Status Report Form
This information is provided by the Nebraska Department of Environment and Energy to assist the public and regulated community.
Semi-Annual Report form.pdf
Status Report Form.doc
Filling out the Source Water Protection Status Report:
(Enter your project name)
(Enter name of community/organization who requested the grant)
(select the period you’re reporting for)
The information in this report should address:
Any progress to date;
Significant findings or events;
Corrective actions taken to resolve any problems that may have been encountered; and
Activities planned for the next reporting period.
Refer to the Work Plan (Attachment A) that is attached to the Intergovernmental Agreement (contract).
(Discuss how the work plan objectives have been addressed in this reporting period.)
List each task as specified in the intergovernmental agreement (contract) work plan. Identify whether each of those tasks are “to be initiated”, “completed”, or “on-going.” For tasks that were completed in the reporting period or are considered on-going, please give a
about the activities toward that task.
For additional information, contact the Source Water Protection coordinator at 402-471-6988
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Nebraska Department of Environment and Energy, 245 Fallbrook Blvd, P.O. Box 98922, Lincoln, Nebraska 68509, phone (402) 471-2186, toll-free 877-253-2603