Clean Water Funds Application

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Clean Water Funds Application

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Application Process

Submit electronic application with aerial photo/map attached for crew project or draft work plan for individual placement. After clicking "Submit" on the final page of this application, you will be prompted to review your responses and click "Confirm" to finalize your request. A copy of the submission will be sent to the contact email address provided. Additional details available on our website.

NOTE: If agency is applying for both crew and individual placement, you will submit two separate applications.

Timeline

October 15 - December 15: Project application period

December 15: Application deadline

December 15 - January 15: Application review

January 15-30: Award notices sent out to applicants

March-December: Project implementation period
May-August/December: Placement position duration

Contact Brian Miller at 651.209.9900 with questions.

Are you applying for crew funding or an individual placement?

Contact & Agency Information

Local Government Unit

Contact First Name

Contact Last Name

Contact Title

Contact Phone Number

Contact Email Address

A copy of this application will be sent to the email address provided here.

Contact Street Address

Contact City

Contact State

Contact Zip Code

Agency Needs

Name of Position

Preferred Length of Position

In two-three sentences, summarize the scope of work in which the member will be involved.

Provide a detailed description and purpose of the projects the member will be a part of, including desired outcomes.

Safety is a top priority at the Corps. Please identify any safety concerns inherent in your proposed project and discuss any safety training provided as well as your organization’s approach to risk mitigation.

Member Experience

Explain how the member will develop professionally from this placement. What training/experience they will acquire under your guidance?

Identify the staff member(s) in your organization who will be responsible for day-to-day supervision and mentorship, including an estimate of the amount of staff time that will be devoted.

Conservation Corps strongly values justice, equity, diversity and inclusion. As a project partner in the Individual Placement program, you will have the most direct day-to-day contact with members and will significantly shape their service experience. How does your organization reflect the values of justice, equity, diversity and inclusion and how will you ensure these values are an integral part of member experience?

Operations

Members will need their own adequate workspace, equipment and supplies. Site will be responsible for providing:

Desk/workspace
Computer with standard Windows Office Suite programs and access to online distant learning with Skype.
Phone
Email access
Access to: printer and fax machine

Describe any other type of support, supplies and/or equipment that your site expects to provide for the member.

Consider anticipated field gear needs, specialized tools, etc.

What transportation will the member need to complete service activities?

	Yes	No
A site partner vehicle driven by site partner staff.
A site partner vehicle driven by the member.
Personal vehicle may be necessary: Site partner can reimburse mileage.
Personal vehicle may be necessary: Site partner cannot reimburse mileage.
Member’s service will not require much, if any, travel.

Project Location Information and Description

Project Name

60-character limit

Water Resource(s) of Concern

Project Street Address

If location has no street address, skip to the Project Location field below.

Project City

Project State

Project Zip Code

Project Location (area, site, etc.)

Attach aerial photo/map with project location

Additional file upload, if applicable

Upload supporting file

Aerial photo, map, draft work plan, etc.

Project Coordination & Scheduling

Detailed description and purpose of project, including desired outcomes:

Describe the project's educational value and/or on-site education provided to the crew.

Estimated Crew Time Required

# of days based on a 5-person crew

Preferred Season/Dates

Crews are available March 1 - December 10

Description of crew responsibilities and tasks to be carried out:

Safety concerns or potential "watch-out" situations related to project. List any specialty safety equipment requirements.

List hand tools needed for the project:

List power tools needed for the project:

BMP Installation

Select up to three best management practices:

BMP #1

Indicate Priority Level for BMP #1

Projects will be funded based on priority level

BMP #2

Indicate Priority Level for BMP #2

Projects will be funded based on priority level

BMP #3

Indicate Priority Level for BMP #3

Projects will be funded based on priority level

Pollution Reduction Estimate

Select up to four pollutants:

Pollutant #1

Pollutant #1

Amount #1

Estimation Method #1

Other estimation method #1

Pollutant #2

Pollutant #2

Amount #2

Estimation Method #2

Other estimation method #2

Pollutant #3

Pollutant #3

Amount #3

Estimation Method #3

Other estimation method #3

Pollutant #4

Pollutant #4

Amount #4

Estimation Method #4

Other estimation method #4

Community Planning Information

Is all permitting, contracting, and landowner consent completed?

If not, what is still required which may cause delay or cancellation of this project? Please explain.

Has a TMDL implementation plan, watershed management plan, county comprehensive local water management plan, local surface water management plan, metro groundwater plan, surface water intake plan or well head protection plan been approved and locally adopted? Please explain.

1000 character maximum

How will this project ensure practices implemented will be of a long-lasting public benefit with a minimum 10 years effective life?

Local financial contribution - itemized description and amount:

While there is no required match minimum, local financial contribution is still desired. Input in-kind staff time, non-state funds and/or project materials and total $ amount

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