HomeMy WebLinkAbout1997-05-15 NAC Fax to Andy Weaver Forwarding Grant Application with Notations N ` . >« >: o RTHWEST ASSOCIA•D CC NSULTANTS
INC 5775 WAYZATA BOULEVARD, SUITE 555
ST.LOUIS PARK, MINNESOTA 554 16
TRANSMITTAL PHONE (6 1 2)595 -9636
DATE: 15May1997 NUMBER
OF PAGES
TO: INCLUDING
Andy Weaver COVER:
351 -8049
5
FROM: Scott Richards
QUANTITY: MATERIAL /DESCRIPTION: DATED:
VIA: REMARKS:
MAIL Please find a copy of the grant application with notations
on the information I need from you.
Thanks for your assistance.
FAX
X
PICK UP
DELIVERY
PROJECT: Oak Park Heights - Valley View Park Grant
JOB NUMBER: 798.04 -97.05
r • •
Grant Application
Conservation Partners and Community Environmental Partnerships
ITEM 1 - APPLICATION SUMMARY
Applicant
Organization Name:
Contact Person:
Title:
Address:
City: State: Zip:
Telephone: ( ) -
•
Project
Title:
Location: County Section/Township /Range _ / /
Total Cost: $ Grant Requested: $
•
Grant Program
Which grant program are you applying for? Check one only.
❑ Conservation Partners
❑ Community Environmental Partnerships
page 1
• •
ITEM 2 - PROJECT NARRATIVE
Attach one sheet with a general overview of what the project involves and what will be
accomplished by the completion of the project. Include the time frame for its completion. All
components must be completed by December 31, 1998. Please limit your narrative to one page.
If your project is for education or research, please describe the methodology you will use.
ITEM 3 - BREAKDOWN OF TOTAL PROJECT COST
Identify each major component being proposed for funding, provide a quantitative description and
the total estimated cost for each. When you estimate the costs, be sure to include not only cash
expenses but also the value of donated supplies and labor needed to produce it. Donated labor is
valued at up to $5.00 /hr.
You can fill in the table below or make your own.
Component Description Cost
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Total Project Cost
page 2
• •
ITEM 4 - NON -STATE CONTRIBUTIONS (MATCH)
At least one half of the total project cost shown in Item 3 must be contributed by non -state
sources. Non -state sources include cash, the value on donated services and materials, and
volunteer labor.
List each donor, the type of contribution, and its value. Volunteer labor is valued at up to
$5.00 /hr. Attach a letter from each donor stating their commitment to provide the contribution
and that the contribution is from non -state sources.
Donor Name Type of Contribution Value
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Total contribution a $
� ITEM 5 - OTHER PARTNERS HELPING WITH YOUR PROJECT
In addition to the contributors you listed in Item 4 above, we need to know who else is helping
you with your project.
� Please provide a letter from each institution, government, organization, or professional that will
cooperate with or advise you on your project. The letter should describe their qualifications and
their role in the project.
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ITEM 6 - ACKNOWLEDGEMENT OF LANDOWNER
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If your organization does not own the land on which the project will be conducted, please provide
�,. a letter from the landowner granting you permission. S
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page 3
• •
ITEM 7 - MAPS
Please provide one or more maps with the following , eographic inforthation about your project:
All Projects (Research, Community Education, and Habitat Enhancement)
• How to drive to your project - be sure to label the roads on your map.
• Location and titles of the project components.
• Legend including a north direction arrow, county name and date.
For Habitat Enhancement Projects, add the following:
• Use either a US Geological Survey (USGS) Topographic or an Agricultural
Stabilization Conservation Service map (available at your county ASCS office for a
nominal charge).
• Boundary showing the project area.
• Adjacent land uses (farming, residential, etc.).
• Location of water (streams, lakes, wetlands etc.) within the boundary.
page 4