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096 <br />N.C. Parks and Recreation Trust Fund (PARTF) <br />2004-2005 Basic Facts and AssurancesL0~'` FGGI ti .7 <br />Applicant: County of Lee <br />County: Lee <br />Federal Employer I.D. Number: 56- <br />Contact Person: <br />Chief Elected Official: <br />Name: John W. Payne <br />Name: Herbert A. Hincks <br />Title: Director <br />Title: Chairman, Board of Commission <br />Address: 225 S. Steele St. <br />Address: P. 0. Box 1968 <br />C4YI~St3te2P Sanford, NC 27330 <br />City/State/Zip: Sanford, NC 27331 <br />Telephone: 919-775-2107 <br />E-mail: john.payne@leecountync.com <br />Local Government Manager: <br />Type of project: (check all that apply) <br />Name. David SmiLnennai, <br />Title: Manager ❑ Acquisition <br />Address: P. 0. Box 1968 <br />City/State/Zip: Sanford, NC 27331 <br />x❑ New Construction <br />Telephone dsmitherman@leecountync.com <br />❑ Renovation <br />E-mail: <br />Site Control: <br />Costs rounded to nearest dollar: <br />❑x Owned by local government. <br />PARTF funds requested. 500,000 <br />❑ Owned by school board: <br />❑ Leased applicant for 25 years or more <br />Local government's matching funds: $ 975,450 <br />(Date lease e)pires: ) <br />Total cost of project: $1,475,450 <br />Recreation Resources Service (RTES) regional consultant: Jennifer MacDougall <br />Title of project: Tramway Road Park Phase II <br />Provide a brief description of the project: Project consists of 2 little league fields, light <br />fields, concession/restroom building, paved parking area, 0.7mile paved trail, & play <br />Approval by local governing board: (The local governing board must approve this certification.) <br />I hereby certify the information contained in the attached application is true and correct and the 50% required <br />matching funds will be available during the project period <br />Adopted this day of (give date): i I a v I 0S <br />~~~~GGGG <br />Chief Elected Official: <br />" <br />e' <br />~A <br />Herb <br />Hincks, Chairman <br />r <br />t <br />(Signature) (Print or Type Name and Title) <br />(For applications sponsored by two or more local governments, or a local government and school <br />administrative unit, one copy of this form must be completed and signed by each applicant. One of the <br />i,,,-ter ,,,,,o hP irler,tified n~ the nrimarv snonsor of each oroiect.) <br />rs <br />.ng <br />,round. <br />