Key Peninsula-Gig Harbor-Islands Watershed 2016 Lu Winsor Memorial Environmental Grant Application It is important to fill out the application completely. The deadline for grant submission is November 20th, 4PM. If you have any questions about filling out this application or about the grant program, please contact Barbara Ann Smolko at 253-798-6156 or by e-mail at bsmolko@co.pierce.wa.us. Applications can be mailed to Barbara Ann Smolko, Pierce County Surface Water Management, 2702 South 42 nd Street, Suite 201, Tacoma, WA 98409, Mailed applications need to arrive on or before the November 20th deadline. You will be asked to submit a report at the end of your project due to the address above, by December 1, 2016, and make a brief presentation to the KGI Watershed Council on Tuesday, December 20, 2016. Please print clearly. Applicant Name: Project Focus: (check all that apply) Date: Education Protection Restoration Project Description: (Include explanation of how the project will meet the focus area(s) checked.) Project Location: Project Timeline: (When do you expect to start and complete the project?) Page 1 of 3 10/23/2015 Budget: Please describe how the money will be used. List all of the transportation, equipment, facilities, materials, supplies, or other costs you would like the grant to cover. Who will be managing the funds? school district private, non-profit organization government agency neighborhood group other:__________________________________ Requested Amount of Funding ($2,000 max) $ Are there other funding sources for this project? (Matching funds aren’t required, but are encouraged.) Please list: In the case that your project is not fully funded, would you accept a lower amount? Yes No Yes No Evaluation Criteria – The following questions directly reflect the criteria that will be used to evaluate proposed projects. Please answer the questions below with enough detail for reviewers to accurately score your proposal. Successful grant applications will be consistent with the Key Peninsula-Gig Harbor-Islands Watershed Action Plan and/or KGI Watershed Council Action Agenda. These documents can be found online at www.piercecountywa.org/kgi. Hard copies may also be requested. How does your project address water quality, drainage, habitat protection or restoration, and/or implement the KGI Watershed Action Plan, KGI 5-Year Action Agenda, Pierce County Shellfish Partners Strategic Plan, or improve Minter Creek? Why does the project have a good likelihood of successful completion before the end of 2016? (If your project includes any land clearing or construction activity, please discuss permit needs.) What lasting impacts or benefits to the natural environment will result from this project? Page 2 of 3 10/23/2015 Does this project have community support and/or how will it build partnerships? How will this project benefit citizens of the local watershed or enhance understanding of KGI Watershed issues? You may provide additional information explaining how your project meets the funding criteria. Please limit this description to no more than 2 typed pages. Applicant Signature Date Print Name Organization Address Telephone Number – Day City Telephone Number – Evening State Zip E-mail Address For Office Use Only Approval Signature Grant Amount Date $ Comments Sponsored by: Page 3 of 3 10/23/2015