ROMANIAN GOVERNMENT MINISTRY OF TRANSPORTS

FINANCING APPLICATION FORM SECTORAL OPERATIONAL PROGRAMME - TRANSPORT 2007 2013 PRIORITY AXIS 1, 2, 3

APPLICATION CONTENT A. Applic !" I!#$%& "i$! '. P%$()c" *)+c%ip"i$! C. P%$()c" C$!")," *. P%$()c" M "-%i". E. F) +i/ili". S"-0. F. C$+" /)!)#i" ! l.+i+ G. E!1i%$!&)!" I&p c" A++)++&)!" 2. 3-+"i#ic "i$! #$% "4) p-/lic c$!"%i/-"i$! I. Fi! !ci!5 pl ! 3. A!),)+

REGISTRATION OF T2E FINANCING APPLICATION1 M ! 5i!5 A-"4$%i". G)!)% l *i%)c"$% ") #$% F$%)i5! Fi! !ci l A## i%+ * ") $# %)5i+"% "i$!6 N &) $# "4) p)%+$! 74$ & 0) "4) %)5i+"% "i$!6 N-&/)% $# %)5i+"% "i$!6 Si5! "-%)6

A. APPLICANT INFORMATION
1. N &) $# "4) pplic !"26 ............................................ 2. Fi+c l c$0)6 .......................................................... 3. Fi+c l I0)!"i#ic "i$! N-&/)%6 ........................................ 8. N-&/)% $# "4) A++$ci "i$! !0 F$-!0 "i$! R)5i+"%. 974)%) pplic /l):6 ....................... ;. A00%)++6 ....................................................... <. T.p) $# "4) pplic !"6 public juridical entity3 private juridical entity private juridical entity of public utility 7. V l-) A00)0 T , Does the applicant organisation pay the VAT? Yes No

Do you have activities in the project for which you apply for the financing, to this re uest, for which the applicant organisation is paying VAT? Yes No !f the organisation is paying VAT for the whole activity, or only for project activities to be done, please, indicate the VAT code" """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" =. T4) Y) % $# "4) )!"i". #$-!0 "i$! 9$!l. #$% "% 0i!5 c$&p !i)+ !0 i!0)p)!0)!" 0&i!i+"% "i$!:
# %

To be fill in by the $anaging Authority The Applicant could be an individual juridical entity or an association of juridical entities for &anaging the project " 3 'overn&ent insitutions, public institutions, territorial(ad&inistrative units, co&&ercial societies with &ajority capital"

>. Applic !" +i"- "i$! 9$!l. #$% "% 0i!5 c$&p !i)+ !0 i!0)p)!0)!" 0&i!i+"% "i$!: Y) % !8-1 Nu&ber of e&ployees )usiness figures )alance sheet profit 10. L)5 l %)p%)+)!" "i1)*6 Na&e + ,osition+ Telephone+ -a.+ /(&ail+ 11. C$!" c" p)%+$!6 Na&e + ,osition+ Telephone+ -a.+ /(&ail 12. ' !?6 )an01branch office+ Address+ 2od !)AN+ 13. P%)1i$-+ ),p)%i)!c) i! & ! 5i!5 p%$()c"+ #i! !c)0 #%$& "4) p-/lic #-!0+ 3ave you previously benefited of non rei&bursable assistance fro& public funds 4/5 funds included6 or of loan fro& !-! for the last * years? Yes No Y) % ! - 2 Y) % ! - 3

!f yes, please specify the following infor&ation for the &a.i&u& * projects 4the projects will be presented starting with the recently approved project through the signing a &e&orandu&1agree&ent1financing4loan6 contract6+ o Title of project and the reference nu&ber 4where applicable6 o ,roject i&ple&entation stage 4&a.i&u& #7 lines6 + o ,roject total value 4in euro6+ o 8ource1 financing sources+

9 *

:n; < the year of registration the present application !f the person who signed this application is different fro& the legal representative of the applicant, he &ust have a legal e&power&ent"

18. P%$()c" & ! 5)&)!"< The project &anage&ent structure ,lease, present the organisational structure which will be responsible with the project &anage&ent, showing how the functions separation is assured in order to avoid any potential conflict of interest" !n addition, please specify if the structure responsible with the project &anage&ent have proper procedures for this scope and how the audit trial will be assured" 3u&an resources involved in &anaging the project" The esti&ative nu&ber of personnel involved in &anaging the project, 0ey( personnel ualification and professional e.perience, infor&ation regarding the source of the personnel re&uneration ,roject &aterial resources" The space for the ad&inistrative activities 4including the project docu&ents archiving6 , the e uip&ent, the access to utilities and co&&unications, infor&atic syste&s 4including infor&ation regarding to accountancy syste&, which has to ensure a distinct accountant evidence of project6

!f the project i&ple&entation will be i&ple&ented by another entity than the Applicant, it &ust be &entioned the respective structure and provide details about how the )eneficiary will ensure the achieve&ent of the project objectives"

'. PRO3ECT *ESCRIPTION

1;. Ti"l) $# "4) p%$()c"6 .................................................................................................. 1<. I!"%$0-ci!5 "4) p%$()c" i! "4) S)c"$% l Op)% "i$! l P%$5% &&) T% !+p$%" 8elect the priority a.is and the &ajor 0ey area of intervention for which the project is proposed to be financed" P%i$%i". ,i+ 1 - $oderni>ation and develop&ent of T/N(T priority a.es ai&ing at sustainable transport syste& integrated with /5 transport networ0s ?ey areas of intervention # ( $oderni>ation and develop&ent of road infrastructure along the T/N(T priority a.is @ ?ey areas of intervention % ( $oderni>ation and develop&ent of railway infrastructure along the T/N(T priority a.is %% ?ey areas of intervention 3 ( $oderni>ation and develop&ent of water transport infrastructure along the T/N(T priority a.is #A

P%i$%i". ,i+ 2 ( $oderni>ation and develop&ent of the national transport infrastructure outside the T/N(T priority a.es ai&ing at sustainable national transport syste&
@). %) + $# i!")%1)!"i$! # < $oderni>ation and develop&ent of the national

road infrastructure
@). %) + $# i!")%1)!"i$! % ( $oderni>ation and develop&ent of the national

rail infrastructure
@). %) + $# i!")%1)!"i$! 3 < $oderni>ation and develop&ent of the Danube

and &ariti&e ports

@). %) + $# i!")%1)!"i$! 9 < $oderni>ation and develop&ent of the air

transport infrastructure P%i$%i". ,i+ 3 ( $oderni>ation of transport sector ai&ing at higher degree of environ&ental protection, hu&an health and passenger safety
@). %) + $# i!")%1)!"i$! # ( ,ro&ote inter(&odal transport @). %) + $# i!")%1)!"i$! % ( !&prove traffic safety across all transport &odes @). %) + $# i!")%1)!"i$! 3 ( $ini&i>e adverse effects of transport on the environ&ent

8tructural !nstru&ents for co(financing the project 2ohesion -und 42-6 /uropean Begional Develop&ent -und 4/BD-6 17. TYPE OF T2E PRO3ECT technical assistance for preparing the projects invest&ents with a total esti&ated value higher or e ual to *7 &il"/5B 4&ajor projects6@ invest&ents with a total esti&ated value to less than *7 &il" /5BA 1=. P%$()c" l$c "i$! o 2ounty 1countiesCCCCCC 1>. P%$()c" $/()c"i1)+ ,lease, detail the project objectivesD and its contribution to achieve the specific objectives of the priority a.is and finally the general objective of ,E8 < T" """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" !n case of projects with an eligible value &ore than %7 &il /5B 4inclusive6, please detail the following aspects+ ,resent situation of the infrastructure and the project i&pact 8ocio(econo&ic objectives 20. P%$()c" c ")5$%.#7 21. T)c4!ic l 0)+c%ip"i$! $# "4) p%$()c" Describe the &ain activities of the project and, provide details of its &ain co&ponents and characteristics ele&ents of the invest&ent infrastructure project"4eg" construction the highway, &oderni>ation of the national road, construction1 &oderni>ation of the railway, railway station, &oderni>ation1e.tend ports1airports etc"6 """"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""
@

The rate e.change for /5B is the latest related to the /uropean 2entral )an0 published on the last day of the previous &onth for preparing this financing application" A The rate e.change for /5B is the latest related to the /uropean 2entral )an0 published on the last day of the previous &onth for preparing this financing application" D The objectives should be established so as they could be &easured with a set of indicators" #7 ,rovide reference if the project is a phase to a co&ple. operation and criteria used to deter&ine the operation phases, as the fact that these phases are independent fro& technical and financial point of view"

-or each of the activities1 wor0s &entioned above, please identify and uantify the 0ey output indicators to be used##" Although, please indicate the source and &odality to deter&ine the value of indicators" IN*ICATORS !&&ediate results#% !&pact results#3 !dentify the &ain beneficiaries of the infrastructure 4target population served, possible6 uantified where V l-) $# "4) i!0ic "$% " "4) /)5i!!i!5 $# "4) i&pl)&)!" "i$! V l-) $# "4) i!0ic "$% " "4) )!0 $# "4) i&pl)&)!" "i$!

"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" Decribe the project respect the principle of :e ual chances;" """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" !f the construction of the infrastructure to be delivered is a public(private partnership 4,,,6, describe the for& of the ,,, 4i"e", selection process for private partner, structure of ,,,, infrastructure ownership arrange&ents, ris0 allocation arrange&ents, etc"6+ !n addition, please give details of how the infrastructure is to be &anaged after the project is co&pleted 4i"e", public &anage&ent, concession, other for& of ,,,6 """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" 22. Ti&)" /l) #$% "4) 0)1)l$p&)!" $# "4) $1)% ll p%$()c" Ac"i1i".18 -easibility studies+ 2ost(benefit analysis /nviron&ental i&pact assess&ent Design studies Fand ac uisition ,reparation of Tender docu&entation Tender procedure4s6 2onstruction phase Eperational phase *-% "i$! $# "4) $1)% ll p%$()c" 9&$!"4+:
## #%

S" %" 0 ") dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy

C$&pl)"i$! 0 ") dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy dd1&&1yyyy

The indicators should be correlated with those presented in the -ra&ewor0 !&ple&enting Docu&ent" !&&ediate results fro& the project i&ple&entation 4eg" G 0& of highway, G 0& of railway, G trained persons etc"6 #3 !&pact results fro& project targets objectives 4eg" reducing with G hours the ti&e of &ove&ent fro& A to ), reducing with G H the nu&ber of accidents, i&proving the ad&inistrative capacity etc"6 #9 ,resented activities are e.a&ples" The applicant will detail the activities ti&etable related to described activities at %#"# 8ection"

23. T4) p%$c-%)&)!" pl ! N%. C$!"% c"A#% &)7$% ? 5%))&)!" $/()c"i1) E+"i& ")0 Aplli)0 1 l-)1; p%$c)0-%) 9l)i: E+"i& ")0 0 ") "$ +" %" "4) p%$c)0-%) >>1ll1aaaa E+"i& ")0 0 ") "$ #i! li+) "4) p%$c)0-%) >>1ll1aaaa O##ici l 3$-%! l $# EC1<

28. I!#$%& "i$! !0 P-/lici". 'ive details of the proposed &easures to ensure the publicity of the 2o&&unity assistance for the project+ !nfor&ation and publicity activity Eutdoor publicity ,ress release Enline publicity Audio(video """"""""""""""""""""""""""""""" /sti&ated duration1period /sti&ated costs

C. PRO3ECT CONTEXT
2;. R)l "i$! 7i"4 $"4)% p%$5% &&)+A+"% ")5i)+Ap%$()c"+ Na&e ,rogra&&e 8trategy ,roject Ether relevant docu&ent < national level1regional 2<. Fi! !ci!5 ++i+" !c) #$% p%$()c" 3as an application been &ade for assistance fro& any other 2o&&unity source for this project? Yes No Belation description

!f yes, please detail the following infor&ation+ o ,rogra&&e Title o ,roject Title and reference nu&ber 4where applicable6
#*

-or the procure&ent procedures contracted before the date of this registration it will presented the real value , not the esti&ated value" #= !n case of publishing the procure&ent notice in the /2 Efficial Iournal, plpresent the reference nu&ber"

o -inancing source1sources !s this project co&ple&entary to any project already financed or to be financed by the /BD-, /8-, 2ohesion -und, T/N(T )udget, other source of 2o&&unity finance? Yes No

!f yes, give detail the following infor&ation+ o ,rogra&&e Title o ,roject Title and reference nu&ber 4where applicable6 o -inancing source1sources 3ASPERS C$!"%i/-"i$! 3as IA8,/B8 technical assistance contributed to any part of the preparation of this project? Yes No

!f Yes, please describe the ele&ents of the project where IA8,/B8 had an input" """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" ,rovide the principal conclusions and reco&&endations of the IA8,/B8 contribution and which of these were ta0en into account in the finalisation of the project" """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" D" PRO3ECT MATBRITY17 27. T)c4!ic l +" 5)1= feasibilityCCCCCCCCCCCCCCCCCCCCCC design studies+CCCCCCCCCCCCCCCCCCCCCCCCCC others4detail6+ """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" 2=. A0&i!i+"% "i1) +" 5)1> planning certificate+CCCCCCCCCCCCCCCCCCCCCCCC environ&ental per&it+CCCCCCCCCCCCCCCCCCCCCCCCC land purchase+ """"""""""""""""""""""""""""""""""""""""""""""""
#@ #A

8ection D will be filled only for invest&ents projects , no &atter of their esti&ated total value !ndicate the finalised stages with relevant details 4finalisation date, references and docu&ents6 #D !ndicate the finalised stages with relevant details 4finalisation date, references and docu&ents6

building per&it+CCCCCCCCCCCCC /.pected date for tendering+CCCCCCCCCCCCCCCCCCCC others 4detail6+ """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" 2>. Fi! !ci!5 %)+$-%c)+
%7

3ave any budgetary arrange&ents been &ade for financing the project? Yes No

,lease, &ention if+ 3as a nor&ative act already been pro&oted for the approval of the project technical econo&ic indicators, of the total esti&ated value and of the financing resources? 3as a loan agree&ent already been signed for 4co6 financing the project? 3as an agree&ent been &ade regarding a co&&ercial credit for co financing the project 4co&fort letter6? others 4detail6+ """"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" 30. I# "4) p%$()c" 4 + l%) 0. +" %")0, i!0ic ") "4) c-%%)!" +" ") $# 7$%?+6 """"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""

/"

B/85FT8 E- -/A8!)!F!TY 8T5D!/8 21

,rovide a su&&ary of the de&and analysis, including the predicted utilisation rate on co&pletion and the de&and growth rate" 32. Op"i$!+ c$!+i0)%)0 Eutline the alternative options considered in the feasibility studies"

31. T% !+p$%" 0)& !0 ! l.+i+

33. P%$1i0)

+-&& %. $# "4) & i! c$!cl-+i$!+ $# "4) #) +i/ili". +"-0i)+ c$!0-c")0

The selected alternative and the reasons for which it has been selected" Technical solutions4where applicable6 /nviron&ental i&pact
%7

,lease have in view the 8E,T financing principle is based on the rei&bursable e.penditure" Therefore, the funds necessary for financing the project have to be covered fro& the e.isting budgetary co&&it&ents before the signature of the financing contract" %# 8ection / will be filled in only for invest&ent projects, no &atter of their esti&ated total value"

#7

38. Fi! !ci!5 "4) #) +i/ili". +"-0i)+22. 'ive precise references if /BD-, 2ohesion -und, !8,A or other 2o&&unity assistance is1was involved in the financing of the feasibility studies"

-"

2E8T()/N/-!T ANAFY8!8 23
This section should be based on the 'uidelines on the &ethodology for carrying out the cost(benefit( analysis of &ajor projects"

3;. Fi! !ci l ! l.+i+ ,lease &ention if the project is esti&ated to generate revenues, please &ention" Yes < continue section No"3* No < continue with section No" 3= 8hort description of &ethodology and specific assu&ptions &ade Main elements and parameters used for financial analysis

El)&)!"+ !0 p % &)")%+

V l-) N$" 0i+c$-!")0 F/! /5B

V l-) *i+c$-!")0 9N)" P%)+)!" V l-): F/! /5B

Beference period 4years6 -inancial discount rate 4H6 Total invest&ent cost Total invest&ent cost Besidual value Besidual value Bevenues Eperating costs Net revenue J revenues < operating costs K residual value J 4@6 < 4A6 K 4=6 /ligible e.penditure J

3 9 * = @ A D

#7
%% %3

!nfor&ation will be correlated with the above presented infor&ation at 8ection %* of this application" 8ection - will be fill in only for invest&ent projects, no &atter of their esti&ated total value"

##

invest&ent cost < net revenue J 496 < 4D6 ## -unding gap rate 4H6 J 4#76 1 496 L The costs and revenues should be based on figures e.cluding VAT Main results of the financial analysis

Ci"4$-" C$&&-!i". ++i+" !c) -inancial rate of return Net present value Bevenues generated over its lifeti&e

Ci"4 C$&&-!i". ++i+" !c)

!f the project is e.pected to generate revenues through tariffs or charges borne by users, please give details of charges Do the charges cover the operational costs and depreciation of the project? Do the charges differ between the various users of the infrastructure? Are the charges proportional to the use of the project? Are the charges proportional to the pollution generated by users

"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" !f no tariffs or charges are proposed, how will operating and &aintenance costs be covered? 4give references6

3<. S$ci$-)c$!$&ic ! l.+i+ ,rovide a short description of &ethodology 40ey assu&ptions &ade in valuing costs and benefits6 and the &ain findings of the socio(econo&ic analysis+ """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" 'ive details of &ain econo&ic costs and benefits identified in the analysis together with values assigned to the&+

B!i" 1 l-) 97 4)%) ')!)#i"

pplic /l):

T$" l 1 l-)
9i! )-%$, 0i+c$-!")0:

D $# "$" l /)!)#i"+

F/!

/5B

F/!

/5B #%

""""" Total C$+" B!i" 1 l-) 97 4)%)

pplic /l):

#77 T$" l 1 l-) D $# "$" l c$+"+ F/! /5B #77

F/! """"" Total

/5B

M i! i!0ic "$%+ $# "4) )c$!$&ic ! l.+i+

I!0ic "$%+ #" 8ocial discount rate 4H6 %" /cono&ic rate of return 4H6 3" /cono&ic net present value 4in euro6 9" )enefit(cost ratio

V l-)+

E&pl$.&)!" )##)c"+ $# p%$()c" ,rovide an indication of the nu&ber of jobs to be created 4e.pressed in ter&s of full(ti&e e uivalents 4-T/66 N-&/)% $# ($/+ 0i%)c"l. c%) ")0 #" During i&ple&entation phase %" During operational phase !dentify the &ain non( uantifiable 1 non valuable benefits and costs+ N$ 9FTE: A1)% 5) 0-% "i$! $# "4)+) ($/+ 9&$!"4+:

"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" 37. Ri+? !0 +)!+i"i1i". ! l.+i+ 8hort description of &ethodology and su&&ary results

8ensitivity analysis 8tate the percentage change applied to the variables tested+ CCCCCC" #3

,resent the esti&ated effect on results of financial and econo&ic perfor&ance inde.es" Variable tested -inancial Bate of -inancial Net /cono&ic Bate /cono&ic Net Beturn variation ,resent Value of Beturn ,resent Value variation variation variation

Mhich variables were identified as critical variables? 8tate which criterion is applied" """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" Mhich are the switching values of the critical variables? """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" Bis0 analysis Describe the probability distribution esti&ate of the projectNs financial and econo&ic perfor&ance inde.es" ,rovide relevant statistical infor&ation 4e.pected values, standard deviation6 """"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""

'" ANAFY8!8 E- T3/ /NV!BEN$/NTAF !$,A2T%9

3=. 2$7 0$)+ "4) p%$()c"6 a6 contribute to the objective of environ&ental sustainability 4/uropean cli&ate change policy, halting loss of biodiversity, other C6 b6 respect the principles of preventive action and that environ&ental da&age should as a priority be rectified at source c6 respect the Opolluter paysO principle

3>. C$!+-l" "i$! $# )!1i%$!&)!" l -"4$%i"i)+ 3ave the environ&ental authorities li0ely to be concerned by the project been consulted by reason of their specific responsibilities? Yes No

!f yes, please give na&e4s6 and address4es6 and e.plain that authorityPs responsibility !f no, please give reasons
%9

8ection ' will be filled in only for invest&ent projects, independent of their value

#9

80" E!1i%$!&)!" l I&p c" A++)++&)!"

/nviron&ental ,er&it 3as the environ&ental per&it been already issued for this project? Yes !f yes, on which date+ dd1&&1yyyy !f no, when was the environ&ental per&it for&ally re uested? )y which date is the final decision e.pected? No

8pecify the co&petent authority or authorities which have issued or will issue the environ&ental per&it" """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" APPLICATION OF COUNCIL DIRECTIVE 8 !""#!EEC ENVIRONMENTAL IMPACT A$$E$$MENT %EIA& !s the project a class of develop&ent covered by+ Anne. ! of the Directive 4go to uestion 97"%"%6 Anne. !! of the Directive 4go to uestion 97"%"36 Neither of the two anne.es 4go to uestion 97"36 Mhen covered by Anne. ! of the Directive, include the following docu&ents+ the infor&ation referred to in Article D 4#6 of the Directive the non(technical su&&ary of the /nviron&ental !&pact 8tudy carried out for the projectQ infor&ation on consultations with environ&ental authorities, the public concerned and, if applicable, with other $e&ber 8tates" ON

Mhen covered by Anne. !! of the Directive, has an /nviron&ental !&pact Assess&ent been carried out for this project? Yes #*

4in this case, include the necessary docu&ents listed above6 No 4in this case, e.plain the reasons, criteria etc" considered to reach the conclusion that the project has no significant environ&ental effects6+

APPLICATION OF T2E STRATEGIC ENVIRONMENTAL ASSESSMENT *IRECTIVE 2001A82AEC 9SEA-*i%)c"i1):

Does the project result fro& a plan or progra&&e falling within the scope of the 8/A Directive? NE ( in which case please provide a short e.planation """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" Y/8 ( in which case, in order to appreciate if wider potential cu&ulative effects of the project have been addressed, please provide a copy of the non( technical su&&ary fro& the /nviron&ental Beport carried out for the plan or progra&&e" ASSESSMENT OF EFFECTS ON NATBRA 2000 SITES Is the project likely to have significant negative effects on sites included or intended to be included in the NATURA 2 net!ork" Yes, in which case ,lease provide a su&&ary of the conclusions of the appropriate assess&ent carried out according to Article = 436 of Directive D%1931//2 !n case, co&pensation &easures were dee&ed necessary according to Article = 496, please provide a copy of the for& R!nfor&ation on projects li0ely to have significant negative effect on NAT5BA %777 sites, as notified to the 2o&&ission 4D' /nviron&ent6 under Directive D%1931//2" No, in which case attach a co&pleted Anne. ! declaration filled in by the relevant authority"

A00i"i$! l )!1i%$!&)!" l i!")5% "i$! &) +-%)+ Does the project envisage, apart fro& /nviron&ental !&pact Assess&ent, any additional environ&ental integration &easures 4e"g" environ&ental audit, environ&ental &anage&ent, specific environ&ental &onitoring6 ? !f yes, specify """"""""""""""""""""""""""""""""" No #=

C$+" $# &) +-%)+ " ?)! #$% c$%%)c"i!5 !)5 "i1) )!1i%$!&)!" l i&p c"+ .I# i!cl-0)0 i! "$" l c$+", )+"i& ") p%$p$%"i$! $# c$+" $# &) +-%)+ " ?)! "$ %)0-c) !0A$% "$ c$&p)!+ ") #$% !)5 "i1) )!1i%$!&)!" l i&p c"+

G.JUSTIFICATION FOR THE PUBLIC CONTRIBUTION

81. C$&p)"i"i$! Does this project involve 8tate Aids? Yes No

!f yes, please give in the table below the necessary infor&ation + 8ources of aid 4local, regional, national and 2o&&unity6+ Approved aid sche&es, approved ad hoc aid, or aid falling under a bloc0 e.e&ption regulation + + """"" """"" Aid foreseen under pending notifications 4ad hoc aid or sche&es6 + """"" """"" Aid for which a notification is outstanding 4ad hoc aid or sche&es6 """"" """"" Total aid granted Total cost of the invest&ent project 82. I&p c" $# C$&&-!i". ++i+" !c) $! p%$()c" i&pl)&)!" "i$! Mill 2o&&unity assistance accelerate i&ple&entation of the project? Yes No #@ A&ount of aid F/!1/5B 8tate Aid nu&ber1 registry nu&ber for bloc0(e.e&pted Beference of approval letter

!f yes, e.plain in what way Mill 2o&&unity assistance be essential to i&ple&entation of the project? Yes !f yes, e.plain in what way No

3" -!NAN2!N' ,FAN

83..C$+" /%) ?0$7! N% # % 3 9 * = @ A D #7 ## #% C ")5$%. ,lanning1design fees Fand purchase )uilding and construction ,lant and &achinery 2ontingencies%= Technical assistance ,ublicity 8upervision during construction i&ple&entation Ethers4detail6 S-/-"$" l TVA T$" l T$" l c$+" $# "4) p%$()c" 9A: N$!-)li5i/l) ),p)!0i"-%)+ 9':2; Eli5i/l) ),p)!0i"-%)+ 9C:

88. Fi! !ci!5 %)+$-%c)+ Euro'ene Co((unity contri)ution

N% # % 3 9 * =

V l-) /ligible cost 4in euro, not discounted6 48ection 93,row ##, colu&n 26 -unding gap rate 4H6 8ection 3*"3, row ##6 /ligible public contribution 2o(financing rate of the priority a.is 4H6 2o&&unity contribution J 436L496 /ligible private contribution 4if applicable6

%* %=

The non(eligible e.penditures are those which are not included in the $/-($T Erder no" @*1%A1%77A" 2ontingencies should not e.ceed #7H of the total invest&ent net cost"

#A

#D

$ources of co*financin+
T$" l )li5i/l) c$+"+ National public National contribution%@ private contribution%A T$" l !$!-)li5i/l) c$+"+ National Ether private sources+ contribution37

Total cost E/F)F#

,ublic contribution

/uropean 2o&&ission contribution

Ether sources

/EcF0

Eut of which 4infor&ative6 loans )/!1-/! 5

National public contribution%D

Eut of which 4infor&ative6 loans )/!1-/! ?

%@

!f it is the case of in 0ind contribution, the applicant will provide infor&ation related to this issue, in accordance with the provisions of the 'oD nr" @*D1%77@ and of the $/-($T Erder no" @*1%A1%77A" %A !f it is the case of in 0ind contribution, the applicant will provide infor&ation related to this issue, in accordance with the provisions of the 'oD nr" @*D1%77@ and of the $/-($T Erder no" @*1%A1%77A" %D !f it is the case of in 0ind contribution, the applicant will provide infor&ation related to this issue, in accordance with the provisions of the 'oD nr" @*D1%77@ and of the $/-($T Erder no" @*1%A1%77A" 37 !f it is the case of in 0ind contribution, the applicant will provide infor&ation related to this issue, in accordance with the provisions of the 'oD nr" @*D1%77@ and of the $/-($T Erder no" @*1%A1%77A"

%#

E,p)!0i"-%)+ Pl ! Pl) +) #ill i! "4) #$ll$7i!5 i!#$%& "i$! %)5 %0i!5 "$ "4) )li5i/l) ),p)!0i"-%)+ #$%)c +"i!5 74ic4 7ill /) & 0) i! "4) p%$()c". 2007 T$" l ),p)!0i"-%)+ Eli5i/l) ),p)!0i"-%)+, #%$&6 Eli5i/l) p-/lic ),p)!0i"-%)+ Eli5i/l) p%i1 ") ),p)!0i"-%)+ N$!-)li5i/l) ),p)!0i"-%)+ A!!- l ll$c "i$! $# "4) )li5i/l) p-/lic c$!"%i/-"i$! 2007 Eli5i/l) #i! !ci!5 #%$& p-/lic #-!0+, #%$&6 E-%$p) ! C$&&i++i$! C$!"%i/-"i$! N "i$! l p-/lic c$!"%i/-"i$! 200= 200> 2010 2011 2012 2013 200 = 200> 2010 2011 2012 !0 !$!-)li5i/l)

2013

201 8

201;

ENDORSEMENT OF COMPETENT NATIONAL AUTHORITY

! confir& that the infor&ation presented in this for& is accurate and correct" NAME6 SIGNATBRE6 ORGANISATION 9 pplic !": *ATE6

I. ANEXES
N$ *$c-&)!" # Fegal copy of the constitutive docu&ent % Fegal copy of the registration certificate fro& The 2o&&erce Begistry 3 Fegal copy of the fiscal registration certificate 9 2opies 4 the original confor&ity6 for the official balance sheet for the last 3 years 4only for trade societies and autono&ous ad&inistration6 * Docu&ents for certifying that the applicant does not have debits to the state budget, released fro& the -inancial Ad&inistration 4only for trade societies and autono&ous ad&inistration6 = Applicant rap sheet @ Docu&ents to prove the co financing A Association Agree&ent 4in case that the applicant is a group or juridical entities6 D -easibility studies #7 2ost )enefit Analysis ## /nviron&ental !&pact" Assess&ent 8tudy #% /nviron&ental per&it or planning certificate and other per&its1authori>ations obtained #3 )usiness plan #9 Erganisational chart with the nu&ber of personnel responsible for the project &anage&ent #* The 2V s of the 0ey personnel involved in the project &anage&ent Applic /l) 9.)+A!$:

%3