Publicly Available Site Type Application

Level 2 Chargers & DC Fast Chargers Eligible

Public Charging: To be considered publicly available, an EV charging station must not be located behind a fence or in a gated parking lot, such that the general public is unable to access or is deterred from accessing during normal operational hours for the site (generally excluding 10pm-5am). Businesses may clarify their operational hours and will be held responsible should actual access does not align with this provision and may be asked to provide documentation supporting their operational hours. Operational hours to be identified in application.

100% of eligible costs for projects on Tribal lands are covered. For all other public projects, 75% of eligible costs are covered.

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Provide site name, Ex. Winthrop Red Apple.
Property manager/municipality/tribe
Location

Legal Owner Contact

Name, phone, email for legal owner

Name (Legal Owner)
Has the legal owner agreed to the charger installation and willing to attest to supporting this project? Yes/No

Site Contact Person

Name, phone, email of person managing the installation

Name (Site Contact)
Local utility serving the site
Note operational hours and any other restrictions
Total number of ports that applicant is seeking funding for (Maximum allowable ports (20)
All sites must have either J1772 or NACS
Total number of ports that applicant is seeking funding for (Maximum allowable ports (6)
All sites must have either CCS or NACS
Total number of DCFC chargers at site.
Number of total parking spaces at site
Number of L2 EV parking spaces to be installed
Number of DCFC EV parking spaces to be installed
Indicate commitment to electrician apprentices - the percentage of crew to be apprentices.
Indicate commitment to use MWBE contractor.
Number of stub-outs for Level 2
Number of stub-outs for DCFC