(07) 4968 4200 | info@reefatchments.com PROJECT APPLICATION FORM GROUP DETAILS Group/Organisation Name Contact Person Contact Phone Number Contact Email Contact Mobile Number Project location address with Lot Plan (if known) Funding applied for Total estimated project cost E.g. $5000 E.g. $10,000 Postal Address ABN Number Suburb Is your group registered for GST? Yes Post Code No Are you having troubles with this application? For assistance contact Reef Catchments P (07) 4968 4200 E info@reefcatchments.com (07) 4968 4200 | info@reefatchments.com 1. PROJECT PRIORITY AREAS Please indicate (below) the funding criteria/ areas your project encompasses (please tick as many boxes as applies): Vegetation management (fencing and watering points). Riparian management (revegetation and weed control). Fire management. Weed control in priority coastal habitats. Removal of marine debris from priority turtle nesting beaches. Riparian fencing (creeks and rivers and watering points). Revegetation and weed control of native vegetation. Protection and restoration of native vegetation. Public access management, and management planning for priority coastal habitats. Building local landcare community awareness. Facilitating increased adoption of sustainable agricultural, fishing and aquaculture practices to conserve and protect biodiversity. Building community knowledge, skills, engagement, participation and awareness of the local landcare community and industry. Building Indigenous people’s capacity for planning and delivering natural resource management and sustainable agricultural activities. Projects that complement current natural resource management activities. Activities that address priorities identified in regional natural resource management plans. Facilitating the uptake of sustainable agricultural practices by landcare community groups. (07) 4968 4200 | info@reefcatchments.com 2. PROJECT SNAPSHOT Title (maximum 10 words) Project Partners. List all partners in the project (other community groups, local council etc) Provide response here: Land ownership Who is/are the owner/s or land manager/s for your proposed project site/s? Provide response here: 3. PROJECT DESCRIPTION What asset (s) do you intend to protect/enhance? Example: Shoal Point beach covers nearly four kilometres of coastline from Reliance Creek to the Shoal Point rocks. The dunes from Shoal Point to Shoal Point rocks retain a significant proportion of remnant vegetation, including over three hectares of microphyll vine forest on coastal dunes (RE 8.2.2 ‘beach scrub’), which is listed as ‘Critically Endangered’ under the EPBC Act. Beach scrub ecosystems are considered to provide habitat for the listed northern quoll (Dasyurus hallucatus), rusty monitor (Varanus semiremex), and coastal sheathtail bat (Taphozous australis) Provide response here: What are the threats facing the asset(s)? Describe the process and issues causing damage to, or problems for, the asset(s). Example: Inappropriate access and weed invasion are reducing the condition of this community and mown parklands border the beach scrub community in part, preventing expansion of the scrub through natural regeneration. Provide response here: Describe the activities you intend to undertake to address the treats and protect the asset(s) Example: Define park boundaries and revegetate outside of this to supplement remnant revegetation and return shrub layer. Undertake weed management within the reserve areas and revegetate to replace removed weed species, assist dune stabilisation, and supplement coastal vegetation along frontal dune. Educate coastal community on local weed species and promote the use of local native species in residential gardens. Provide response here: Describe the specific aim/outcome of the project Example: this project will focus on increasing the quality of two patches of remnant vegetation (approximately 2ha) in the Shoal Point reserve Provide response here: (07) 4968 4200 | info@reefatchments.com 4. PROJECT LINKAGE TO RELEVANT PLANS List relevant plans (including those related to Matters of National Environmental Significance) that your project aligns with, and intends to deliver against. For example: Reef Water Quality Protection Plan 2013, National Wildlife Corridors Plan, Australia's Biodiversity Conservation Strategy 2010-2030,RCL Natural Management Plan 2014-2021, Mackay Whitsunday Water Quality Improvement Plan, Regional Pest Management Strategy, Recovery Plan for Marine Turtles in Australia, National Recovery Plan for the Water Mouse (Xerom ys myoides) Provide response here: 5. PROJECT OUTPUTS What are the outputs you expect your project to achieve? If your application is successful, your agreement will include a list of agreed outputs that you will need to report on when your project is completed. Provide response here: (07) 4968 4200 | info@reefcatchments.com 6. BUDGET For each activity, briefly describe the activity, provide details and the sources of funding, including funding from other organisations. All budget figures should exclude GST ESTIMATED TOTAL COST OF PROJECT: Provide response here Description of Activity Funding for Activity (ex GST) Details of activity including quantity and rate used to calculate costs (where appropriate) Indicate by checking the box whether funding is cash (i) or in kind (ii) Activity Details ha, m, km, $/hr Proponent contribution Other contribution Grant request Total Provide response here: Provide response here: Provide response here: Provide response here: Example 1: xha of Lantana treated along the foredunes of Shoal Point, contractor $x/hr x 20hrs Provide response here: 7. PROJECT RECORD KEEPING How will records be kept of the completed works? (E.g. Photos, Farm Diary). Provide response here: Ecological Monitoring Please describe monitoring requirements; who will undertake monitoring; and when. Provide response here: Financial Monitoring Please outline how finances and labour hours will be monitored? E.g. provision of invoices, record of hours in farm diary. Provide response here: Landholder involvement Is the landholder happy for Reef Catchments to undertake farm days, field days, case studies or media promotion of this project? Provide response here: (07) 4968 4200 | info@reefcatchments.com 8. LAND MANAGER / LOCAL COUNCIL ENDORSEMENT Permission must be sought from the land manager if the proposed works are on public land. Name of person contacted: Position: Organisation: Phone: Email: Mobile: 9. TRADITIONAL OWNER CONSENT Can you obtain the consent of the Traditional Owners by the time of contracting? If not please provide an explanation. Provide response here: 10. OCCUPATIONAL HEALTH AND SAFETY You need to make sure you have a safe system of work in place for your project to protect the health and safety of your group, volunteers and anyone else on your project site. Is your group insured? Yes No Have you included a copy of your OHS Plan? Yes No (07) 4968 4200 | info@reefcatchments.com 11. REPORTING REQUIREMENTS Groups receiving a NLP Grant will be required to lodge a progress report 4 months from being awarded the grant (approx Feb 2016) and a Final Report by the 01 June 2016. Groups will need to report on the achievement of agreed activities and outputs, including a map/spatial information for any onground works undertaken as documented in the agreement. Are you able to submit the two reports required for this grant? Yes No 12. PROJECT MANAGER DETAILS (responsible for project delivery and reporting) Name: Postal Address: Phone Number: Mobile: Email: Fax: 13. GROUP ACKNOWLEDGEMENT On behalf of the group we understand that this is a grant application and that final project approval will be subject to funding availability and project suitability. Assistance is not available for work completed prior to project approval and the signing of an agreement. If submitting this form electronically, please type your name in CAPITALS in the signature box and it will be deemed that you agree to the terms above. Landholder/Group Leader Signature: Name: Date: Project manager signature: Name: Date: Position: Successful groups will be required to enter into a signed agreement with Reef Catchments that will provide a summary of agreed works, timeframes and reporting requirements. This agreement will be a legal document. Privacy Personal information supplied by you and/or contained herein is collected, stored and maintained for the purpose of facilitating and administrating this grant process. This information maybe disclosed to relevant government organisations or other agencies for the sole purpose of administering the grant for which the information was collected. The information collected is not traded, sold, licensed nor used for commercial marketing purposes. You have the right to access to this information. Sites are to be made available for auditing, monitoring or demonstration purposes at the request of RC staff. (07) 4968 4200 | info@reefcatchments.com 14. MUD MAP Please attach a map with your application. On this map please indicate the following: • The approximate position of major features using key provided • The approximate location of your proposed works (for example weed control, revegetation, etc) • Please include approximate dimensions of project site in metres (m) or hectares (Ha) Have you included a map attachment? Yes No REMEMBER: APPLICATIONS CLOSE FRIDAY 28 AUGUST. Successful projects will be formally announced 18 September. Thank you for your application. (07) 4968 4200 | info@reefcatchments.com