SRS Title II Application fillable.pdf

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ORWA Secure Rural Schools and Community Self Determination
Opportunity number
L20AS00029
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SRS Title II Application fillable

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PKG00263429-instructions.pdf PDF
Proposal Template 092319.docx DOCX document
Budget Detail and Narrative 092319.docx DOCX document
PKG00263429-instructions.docx DOCX document
NOFO 15.234 FY20 ORWA Secure Rural Schools Master Funding Announcement Final.pdf PDF
PKG00262102-instructions.pdf PDF

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Attachment A: Project Proposal

SECURE RURAL SCHOOLS – Title II Project Submission Form

FY 2017-2020 Elections SECURE RURAL SCHOOLS AND COMMUNITY SELF DETERMINATION ACT OF 2000, Public Law

106-393 (16 U.S.C. 500) as amended by the “Further Consolidated Appropriations Act, 2020” (Public Law

116-94)

10. Project Location (Attach project area map)

a. 4 th

Field Watershed Name and HUC #

b. Township Range Section(s)

Township Range Section(s)

Township Range Section(s)

Township Range Section(s)

Township Range Section(s)

c. BLM District d. BLM Resource Area

e. State / Private / Other lands involved? Yes No If yes, specify:

11. Project Goals and Objectives [Sec. 203(b)(1)] * (max. 7 lines)

Person Submitting Proposal: Date:

E-mail : Phone:

Organization Name:

FOA No.:

FOA Title:

Recipient Project Title:

Estimated Period of Performance:

BLM Contact Name:

BLM Field and District Office:

County Project is Located:

12. Project Description [Sec. 203(b)(1)] (max. 30 lines.)

13. Coordination of this project with other related project(s) on adjacent lands? Yes No

If yes, then describe (max. 10 lines)

14. How does proposed project meet purposes of the Legislation? [Sec. 203(b)(1)] (check all that apply)

Improves maintenance of existing infrastructure. [Sec. 2 (2)(A)(i)]

Implements stewardship objectives that enhance forest ecosystems. [Sec. 2 (2)(A)(ii)]

Restores and improves land health and water quality. [Sec. 2 (2)(A)(iii)]

Improves cooperative relationships between people that use and care for Federal land and the agencies that manage

Federal land [Sec. 2 (3)]

15. Project Type [Sec. 203(b)(1)] (check one)

Road Maintenance [Sec. 2 (2)(C)(i)] Trail Maintenance [Sec. 2 (2)(C)(i)]

Road Decommission/Obliteration [Sec. 2(2)(C)(i)] Trail Obliteration [Sec. 2 (2)(C)(i)]

Soil Productivity Improvement [Sec. 2 (2)(C)(ii)] Forest Health Improvement [Sec. 2 (2)(C)(iii)]

Watershed Restoration & Maintenance. [Sec. 2 (2)(C)(iv)] Fish Habitat Restoration [Sec. 2 (2)(C)(v)]

Control of Noxious Weeds [Sec. 2 (2)(C)(vi)] Wildlife Habitat Restoration [Sec. 2 (2)(C)(v)]

Reestablish Native Species [Sec. 2 (2)(C)(vii)] Fuels Management/Prevention [Sec. 2 (2)(C)(iii)]

Other Infrastructure Maintenance [Sec. 2 (2)(C)(i)] Conservation Education [Sec. 2 (3)]

Other Project Type [Sec. 2 (2)(C)] (Specify)

16. Measure of Project Accomplishments/Expected Outcomes [Sec. 203(b)(5)]

a. Total Acres b. Total Miles c. Number of Structures

d. No. Laborer Days e. Estimated People Reached (for conservation education projects):

f. Other (specify)

17. Merchantable Material Contracting Pilots [Sec. 204(e)(3)]

Will the project generate merchantable wood products? (circle one) Yes No

18. Proposed Method(s) of Accomplishment (check those that apply

Contract Federal Workforce Other (specify below)

County Workforce Volunteers

19. Estimated Completion Date [Sec. 203(b)(2)]

20. Anticipated Project Costs [Sec. 203(b)(3)] (Double click on table to enter spreadsheet)

Column A Column B Column C Column D

Item

Federal

Agency

Appropriated

Contribution [Sec.

203 (b) (4)]

Requested

Title II

Contribution

[Sec.

203(b)(4)]

Other

Contributions

[Sec.

203(b)(4)]

Total Available

Funds

a. Field Work & Site Surveys

b. NEPA

c. ESA Consultation

d. Permit Acquisition

e. Project design & Engineering

f. Contract/Grant Preparation

g. Contract/Grant Administration

h. Contract/Grant Cost

i. Salaries

j. Materials & Supplies

k. Monitoring

l. Other

m. Project Sub-Total

n. Indirect Costs

o. Total Cost Estimate

21. Is the Project Scalable?

a. Yes or No (Circle one)

b. If Yes - What is the minimum amount needed? $

c. Explanation about the scaling of the project:

22. Identify Source(s) of Other Funding Identified in Column C Above [Sec. 203 (b)(4)] Explain whether or not they are secured and clarify any other aspects that might be useful in evaluating the application.

23. BLM District Office jurisdiction of your project? Refer to map at https://blm-egis.maps.arcgis.com/apps/webappviewer/index.html?id=a446ec91307c45898cafe57a5f26982e

Circle all that apply:

Northwest Oregon District Roseburg District Coos Bay District Medford District Lakeview District (Klamath Falls Field Office)

24. If project was also funded in previous Fiscal Years show amounts below

FY2014 FY2015 FY2016

25. How will cooperative relationships between the people that use federal lands and the agencies that manage them be improved? List known partnerships or collaborative opportunities [Sec. 2 (3)]

26. How is this project in the best interest of the community? [Sec. 203 (b)(7)]

27. How does project benefit O&C or Coos Bay Wagon Road or National Forest lands/resources?

28. Target Species Benefited (if applicable) https://blm-egis.maps.arcgis.com/apps/webappviewer/index.html?id=a446ec91307c45898cafe57a5f26982e https://blm-egis.maps.arcgis.com/apps/webappviewer/index.html?id=a446ec91307c45898cafe57a5f26982e

30. Monitoring Plan [Sec. 203(b)(6)]

a. What methods and measures of evaluation will be made to determine whether or not the proposed project meets or exceeds the desired ecological conditions? [Sec. 203(b)(6)(B)(i)]

Who is responsible for this monitoring item?

b. How will the project be evaluated to determine whether or not the proposed project contributes towards creating local employment and/or training opportunities, including summer youth jobs programs such as the Youth

Conservation Corps? [Sec. 203(b)(6)(B)(i)]

c. What methods and measures of evaluation will be established to determine how well the proposed project improves the use of, or added value to, any products removed from federal lands consistent with the purposes of this Act?

[Sec. 203(b)(6)(B)(ii) and Sec. 204(e)(3)]

d. Identify total funding needed to carry out specified monitoring tasks (Item k., Column D in

Project Costs table)

What are the sources for funding?

31. What are the plans, analyses, legislation or other supporting documents that support your application? (E.g., a watershed analysis, Oregon Plan for Salmon, Watershed Council plan, Resource Management Plan or other document that provides context within your group or agency)

32. Who are the other key people responsible for the success of this project? (list their names and titles)

29. Status of Project Planning [Sec. 204 (b)]

a. NEPA Complete?

Yes

No

b. If no, give estimated date of completion

c. NOAA Fisheries Sec. 7 ESA Consultation Complete? Yes No Not Applicable

d. USFWS Sec. 7 ESA Consultation Complete? Yes No Not Applicable

e. DSL/ODFW Permits for In-stream Work Obtained? Yes No Not Applicable

f. DSL/COE 404 Fill/Removal Permit Obtained? Yes No Not Applicable

g. SHPO Concurrence Received? Yes No Not Applicable

h. Project Design(s) Completed? Yes No

i. If you answered no to any of the questions above, please describe who will accomplish the work and when it will be complete:

NEPA=National Environment Policy Act, NOAA=National Oceanic and Atmospheric Administration, USFWS=United States Fish and Wildlife Service, DSL = Dept. of State Lands, ODFW = Oregon Department of Fish and Wildlife, COE = Army Corps of Engineers, SHPO

= State Historic Preservation Officer

33. Project location map(s): insert as last page of application

At a minimum, the map should show the project location, roads, and streams; private versus BLM ownership; all maps should be printed on 8.5 x 11” paper. The photograph should show the project site or a representative portion of it. More than one photograph can be submitted, but they must all fit on an 8.5 x 11” page and be incorporated into this document.

34. All project proposals from nonfederal applicants MUST BE SUBMITTED through the Grants.gov portal and comply with all deadlines and requirements of the Secure

Rural Schools, Title II Funding Opportunity Announcement. Internal BLM project must be submitted through SRS Title II SharePoint by September 30, 2020

Person Submitting Proposal:
Date:
Email:
Phone:
Organization Name:
FOA No:
FOA Title:
Recipient Project Title:
Estimated Period of Performance:
BLM Contact Name:
BLM Field and District Office:
County Project is Located:
10 Project Location Attach project area map:
a 4 th Field Watershed Name and HUC:
b Township:
Range:
Sections:
Township:
Range_2:
Sections_2:
Township_2:
Range_3:
Sections_3:
Township_3:
Range_4:
Sections_4:
Township_4:
Range_5:
Sections_5:
c BLM District:
d BLM Resource Area:
Yes:
No:
If yes specify:
11 Project Goals and Objectives Sec 203b1 max 7 linesRow1:
12 Project Description Sec 203b1 max 30 linesRow1:
Yes_2:
No_2:
If yes then describe max 10 lines:
14 How does proposed project meet purposes of the Legislation Sec 203b1 check all that applyRow1:
14 How does proposed project meet purposes of the Legislation Sec 203b1 check all that applyRow2:
14 How does proposed project meet purposes of the Legislation Sec 203b1 check all that applyRow3:
14 How does proposed project meet purposes of the Legislation Sec 203b1 check all that applyRow4:
Road Maintenance Sec 2 2Ci:
Road DecommissionObliteration Sec 22Ci:
Other Project Type Sec 2 2C:
Specify:
a Total Acres:
b Total Miles:
c Number of Structures:
d No Laborer Days:
e Estimated People Reached for conservation education projects:
f Other specify:
Yes_3:
No_3:
18 Proposed Methods of Accomplishment check those that applyRow1:
Contract:
18 Proposed Methods of Accomplishment check those that applyRow2:
County Workforce:
Other specify belowVolunteers:
19 Estimated Completion Date Sec 203b2:
Federal Agency Appropriated Contribution Sec 203 b 4a Field Work Site Surveys:
Requested Title II Contribution Sec 203b4a Field Work Site Surveys:
Other Contributions Sec 203b4a Field Work Site Surveys:
Total Available Fundsa Field Work Site Surveys:
Federal Agency Appropriated Contribution Sec 203 b 4b NEPA:
Requested Title II Contribution Sec 203b4b NEPA:
Other Contributions Sec 203b4b NEPA:
Total Available Fundsb NEPA:
Federal Agency Appropriated Contribution Sec 203 b 4c ESA Consultation:
Requested Title II Contribution Sec 203b4c ESA Consultation:
Other Contributions Sec 203b4c ESA Consultation:
Total Available Fundsc ESA Consultation:
Federal Agency Appropriated Contribution Sec 203 b 4d Permit Acquisition:
Requested Title II Contribution Sec 203b4d Permit Acquisition:
Other Contributions Sec 203b4d Permit Acquisition:
Total Available Fundsd Permit Acquisition:
Federal Agency Appropriated Contribution Sec 203 b 4e Project design Engineering:
Requested Title II Contribution Sec 203b4e Project design Engineering:
Other Contributions Sec 203b4e Project design Engineering:
Total Available Fundse Project design Engineering:
Federal Agency Appropriated Contribution Sec 203 b 4f ContractGrant Preparation:
Federal Agency Appropriated Contribution Sec 203 b 4g ContractGrant Administration:
Federal Agency Appropriated Contribution Sec 203 b 4h ContractGrant Cost:
Federal Agency Appropriated Contribution Sec 203 b 4i Salaries:
Federal Agency Appropriated Contribution Sec 203 b 4j Materials Supplies:
k Monitoring:
l Other:
m Project SubTotal:
n Indirect Costs:
o Total Cost Estimate:
a Yes or No Circle one:
fill_18:
c Explanation about the scaling of the project:
22 Identify Sources of Other Funding Identified in Column C Above Sec 203 b4 Explain whether or not they are secured and clarify any other aspects that might be useful in evaluating the applicationRow1:
Circle all that apply:
Northwest Oregon District:
Roseburg District:
Coos Bay District Medford District Lakeview District Klamath Falls Field Office:
undefined:
undefined_2:
FY2014:
FY2015:
FY2016:
25 How will cooperative relationships between the people that use federal lands and the agencies that manage them be improved List known partnerships or collaborative opportunities Sec 2 3Row1:
26 How is this project in the best interest of the community Sec 203 b7Row1:
27 How does project benefit OC or Coos Bay Wagon Road or National Forest landsresourcesRow1:
27 How does project benefit OC or Coos Bay Wagon Road or National Forest landsresourcesRow2:
Yes_4:
No_4:
b If no give estimated date of completion:
Yes_5:
No_5:
Not Applicable:
Yes_6:
No_6:
Not Applicable_2:
Yes_7:
No_7:
Not Applicable_3:
Yes_8:
No_8:
Not Applicable_4:
Yes_9:
No_9:
Not Applicable_5:
Yes_10:
No_10:
i If you answered no to any of the questions above please describe who will accomplish the work and when it will be complete:
a What methods and measures of evaluation will be made to determine whether or not the proposed project meets or exceeds the desired ecological conditions Sec 203b6Bi:
Who is responsible for this monitoring item:
Who is responsible for this monitoring item_2:
Who is responsible for this monitoring item_3:
fill_38:
What are the sources for funding:
31 What are the plans analyses legislation or other supporting documents that support your application Eg a watershed analysis Oregon Plan for Salmon Watershed Council plan Resource Management Plan or other document that provides context within your group or agencyRow1:
32 Who are the other key people responsible for the success of this project list their names and titlesRow1:
Soil Productivity Improvement Sec 2 2Cii:
Watershed Restoration Maintenance Sec 2 2Civ:
Control of Noxious Weeds Sec 2 2Cvi:
Reestablish Native Species Sec 2 2Cvii:
Other Infrastructure Maintenance Sec 2 2Ci:
Requested Title II Contribution Sec 203b4f ContractGrant Preparation:
Other Contributions Sec 203b4f ContractGrant Preparation:
Total Available Fundsf ContractGrant Preparation:
Requested Title II Contribution Sec 203b4g ContractGrant Administration:
Other Contributions Sec 203b4g ContractGrant Administration:
Total Available Fundsg ContractGrant Administration:
Requested Title II Contribution Sec 203b4h ContractGrant Cost:
Other Contributions Sec 203b4h ContractGrant Cost:
Total Available Fundsh ContractGrant Cost:
Requested Title II Contribution Sec 203b4i Salaries:
Other Contributions Sec 203b4i Salaries:
Total Available Fundsi Salaries:
Requested Title II Contribution Sec 203b4j Materials Supplies:
Other Contributions Sec 203b4j Materials Supplies:
Total Available Fundsj Materials Supplies:
c What methods and measures of evaluation will be established to determine how well the proposed project improves the use of or added value to any products removed from federal lands consistent with the purposes of this Act Sec 203b6Bii and Sec 204e3:
Fish Habitat Restoration [Sec:
2 (2)(C)(v)]:
Forest Health Improvement [Sec:
2 (2)(C)(iii)]:
Wildlife Habitat Restoration [Sec:
2 (2)(C)(v)]:
Fuels Management/Prevention [Sec:
2 (2)(C)(iii)]:
Conservation Education [Sec:
2 (3)]:
Trail Maintenance [Sec:
2 (2)(C)(i)]:
Trail Obliteration [Sec:
2 (2)(C)(i)]:
Total Available Fundsk Monitoring:
Total Available Fundsl Other:
Total Available Fundsm:
Project Sub-Total:
Total Available Fundsn:
IndirectCost:
Total Available Fundso:
Total Cost Estimate:
How will the project be evaluated to determine whether or not the proposed project contributes towards creating:
Requested Title II Contribution Sec 203b4g Other:
Other Contributions Sec 203b4j total cost est:
Requested Title II Contribution Sec 203b4j total cost est:
Other Contributions Sec 203b4g other:
Requested Title II Contribution Sec 203b4h subtotal:
Other Contributions Sec 203b4h subtotal:
Requested Title II Contribution Sec 203b4f Monitoring:
Requested Title II Contribution Sec 203b4i Indirect Costs:
Other Contributions Sec 203b4f Monitoring:
Other Contributions Sec 203b4i Indirect costs:

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