FY21 Cross Boundary application.docx

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Forest Service Cross-Boundary Wildfire Hazard Mitigation RFA 2021
Opportunity number
USDA-FS-2021-CB
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Cross Boundary application form

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FY 2021 Cross Boundary Hazard Fuels Proposal Narrative

STATE:

BENEFITING NATIONAL FOREST:

PROJECT TITLE:

PROJECT CATEGORY: (type of treatment, i.e. mechanical, Rx fire, timber harvest)

PROJECT COORDINATOR:

ADDRESS:

PHONE NUMBER:

FAX NUMBER:

E-MAIL ADDRESS:

STATE FORESTRY AGENCY CONTACT:

NATIONAL FOREST AGENCY CONTACT:

AMOUNT OF FUNDS REQUESTED:

RECIPIENTS OF FUNDING AWARD: (If not the State Forestry Agency, provide name, address and contact information)

NATIONAL FOREST PROJECT LIAISON: (If applicable, provide the name, position on Forest, and contact information of the individual that would serve as the project liaison.)

PROJECT BUDGET (Display partner in-kind, non-cash, cash contributions. Funding match is not required.):

DESCRIPTION OF PROJECT (Include map(s) describing the project area including relationship to national forest projects.):

PROJECT OBJECTIVES (How does the project address the goals of the Cohesive Strategy? How does this project link to the State Forest Action Plan or to Hazard Mitigation and Wildland/Urban Interface issues within your state?):

EXPECTED OUTCOMES OR PRODUCTS:

MEASURES OF SUCCESS (List your criteria for evaluation of the success and completion of this project) Examples: Monitoring Plan, Acres Treated, Change in condition class.

PROJECT TIMELINE (Include projected start and completion dates, milestones, or phases. Project completion should complement adjacent fuels reduction/maintenance timeframes.):

Hazardous Fuels Treatment Information

Date:

State:

Project Name:

Local Identifier (State/District Name):

Estimated Cost:

Estimated Duration in Years:

Latitude:

Longitude:

Decision Record Date (Grant Approval Date):

Project Partners:

Bureau of Land Management

Private

Bureau of Indian Affairs

State

County

Tribes

Municipal

Fish & Wildlife Service

National Park Service

USFS

Nonprofit

Volunteer

Other Federal

Fire Department

Project Objectives:

(Check as many as apply)

Defensible Space

Fuel Reduction

Wildland Urban Interface

Restore and Maintain Landscape

Non-Federal acres to be treated:

Treatment Category:

Treatment Type:

Communities at Risk and Communities of Interest Impacted by this Treatment:

Additional Information requested:

1. Is there a Community Wildfire Protection Plan or similar document in place, or in the process of being developed?

2. Has environmental analyses and documentation been completed on both sides of the National Forest Boundary?

3. Is there a Cooperative Agreement in place with the state and or local jurisdictions?

4. Do you currently have a mechanism in place to transfer money to your cooperators (i.e Wyden)?

5. If not, does your forest have the ability to set up an agreement that allows funds to be transferred to your cooperators?

State Forester’s Signature: ______________________________________________

Forest Supervisor’s Signature: ____________________________________________

Include a statement from the State Forester where he/she requests the Forest Service to provide funds to if project funding will be directed to an agency other than the state forestry agency.

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