Page 1 | SEB Grant application Significant Environment Benefits Grants Application Form Applications must be forwarded to: Mark Morris Community Landcare Coordinator Natural Resources Centre KI PO Box39 KINGSCOTE SA 5223 Closing date for the Significant Environmental Benefit Grants: 5:00pm 31 March 2014 1 Project number (admin use only) 2 Project title (in 8 words or less) 3 NRM Region/s the project will be delivered in (please mark ‘X’ in appropriate box) Kangaroo Island 4 Specific project location Include X and Y coordinates Area of project site: District Council (if applicable) Please provide a map of the project location (i.e. http://www.naturemaps.sa.gov.au provides maps which are user friendly) showing the area of on-ground works. It is also desirable that Shapefile/s that can be added as a graphics layer (shp, .shx and .dbf.) are attached. Additional information such as maps, photos, etc are not required but can be included as attachments if required. Page 1 | SEB Grant application 5 Applicant details Name Contact ABN person Address Is your group incorporated? Yes No Phone If no, please attach a signed letter of endorsement from an incorporated sponsoring organisation Date incorporated Mobile Incorporation number Is your group GST registered? 6 Fax Yes No Email Applicant experience List the names, qualifications and experience of person/s undertaking the work. Include details of previously completed research or biodiversity conservation projects should be included and status of previous grants indicated (Duplicate table or use attachment if necessary). Name Qualifications Experience Details of prior projects Status of any prior grants Name and contact details for two referees Referee one Referee two Name Name Address Address Postcode Postcode Phone Phone Mobile Mobile Fax Fax Email Email Note: Delete/add in table rows as required. Page 2 | SEB Grant application 7 Project description Include a detailed description of the project (attach additional sheets if required). The following headings are provided as a guide to the type of information required. Please ensure that any acronyms used (i.e. Significant Environmental Benefit – SEB) are defined. 7.1 Project summary (150 to 250 words) Note: this will form part of an assessment used by the NVC to review applications 7.2 SEB information Please explain how this proposal will achieve a significant environmental benefit over a landscape scale 7.3 Background information(150 to 250 words) Include literature reviews, what is already known about the subject and what can be known. Page 3 | SEB Grant application 7.3 Aims and Objectives Well written aims and objectives will help to provide a sound basis for identifying the content of the project and will assist in assessing whether or not the project has been successful. The aims of a project are broad statements of its purpose or intent. They encompass the purpose and philosophy of the project, specifying its overall direction and content. Well written objectives are much more specific and should clarify the aims in more detail. Objectives give the project a clearly defined target and enable the applicant/s to measure the progress towards to its stated aims. The most effective objectives meet the following criteria: S – Specific – objectives are aimed at what the project does M - Measurable – the project can put a value to the objective A – Agreed - by all those concerned in trying to achieve the objective. R - Realistic – the objective should be challenging, but it should also be able to be achieved by the resources available. T- Time specific – they have a time limit of when the objective should be achieved, e.g. by the end of the year. Performance indicators are measurable indicators that demonstrate the achievement of an outcome. They enable decision-makers to assess progress towards the achievement of intended outputs, outcomes, goals, and objectives, and are chosen to reflect the critical success factors of a project. Note: Delete/add in table rows as required. Aim/s e.g.: 1. Rehabilitate degraded areas to support healthy ecosystems and improve biodiversity Objective 1: e.g.: Restore biodiversity of plant community within specified area Targets No. Key Performance Person Responsible Indicator e.g. Plant 100,000 trees 1. Number of trees planted Environmental contractors No. Key Performance Person Responsible between 2010 and 2011 Objective 2: Targets Indicator Page 4 | SEB Grant application 7.4 Methodology Page 5 | SEB Grant application 7.5 Expected Outcomes a. NVC & SOL priority (s) addressed List all relevant NVC & SOL priority(s) and discuss how the project will address these. Note: Delete/add in table rows as required. NVC priority(s) Discussion b. Benefits of the project to regional vegetation conservation and management in South Australia Please provide appropriate output codes for your project activities (see Attachment 1) Please quantify anticipated outputs against your project activities using output measure 1 and output measure 2 where applicable (see orange and green columns in Attachment 1) Project activity Output code Output measure 1 Output measure 2 12ha 10km (see Attachment 1) e.g. Revegetation of degraded land Page 6 | SEB Grant D4 application c. Relevance to Regional biodiversity priorities List all relevant Regional biodiversity priority(s) ( Regional NRM plans, Interim NRM plans and Biodiversity Plans) and discuss how the project will address these. Please provide hyperlinks where applicable of cited priorities. Relevant regional Description Discussion hyperlink T3.1 Lose no species This project.... http://saplan.org.au/images/TargetFacts Sheets2008/t3.01%20target%20fact%20sh eet.pdf biodiversity priority e.g. State Strategic Plan d. Publication Will the project’s results be published, and if so, where? Publication type Name of publication Estimated date of publication (where relevant) E.g. Scientific Journal, fact sheet, website e. Does this project fall within the National Reserve Please specify… system? f. Does this project form part of a regional project? g. Community Engagement Please provide any documentation or description of community engagement. Page 7 | SEB Grant application Please specify… Please specify… 8 Work schedule Project activity Person Year responsible Jan a. b. c. Page 8 | SEB Grant application Feb Mar Apr May June July Aug Sept Oct Nov Dec 9 Monitoring and Evaluation Monitoring project performance and environmental change - describe how you will measure and evaluate the success of your projects. On ground monitoring programs should be discussed with Regional NRM Boards to minimise the potential duplication for resources and maximise the potential for information to support other projects across a region. General monitoring datasheets are available from the Native Vegetation and Biodiversity Management Unit if required Monitoring activity Method used 1. e.g. Native Vegetation cover 1. Photopoints Page 9 | SEB Grant application Person responsible Frequency 1. Annually 10 Risk Management Risk management involves identifying, assessing and responding to project risks in order to minimise the likelihood and impact of the consequences of adverse events in the achievement of the projects’ objectives. Risk Consequence e.g. Rain on day of volunteer event Page 10 | SEB Low attendance Incur financial loss Grant Chance of Occurrence (L,M,H) M application Impact (L,M,H) H Action Trigger Weather forecast two days before event Responsibility Response plan Revegetation Consultant Reserve indoor space Recruit extra volunteers Develop detailed plan 11 Detailed budget summary and work plan timetable Refer to attachment 2. for list of activities. Project costs (for each activity to be undertaken, please itemise the costs involved) for salaries, materials, travel, accommodation etc. Include also the value of donated resources. When filling out this table please separate different types of expenditure. e.g. equipment and consumables, travel and accommodation, salaries etc. The aim of the table is to separate out those items where GST is payable and those where there is not a GST component. Vehicle costs to be computed for: motor car, station wagons and utilities (petrol, diesel or LPG) at 83 cents/km and motorcycles at 33 cents/km (adapted from the Commissioners Determination 3.2). Accommodation outside metropolitan Adelaide to be calculated at $117.00/night and camping at $24.80/day (adapted from the Commissioners Determination 3.2). Please note: Salary costs must be justified. Funding will not be provided to support the establishment of new positions. Funding that will contribute to support portions of existing positions that assist in achieving the agreed outcomes may be considered. The hourly rates must be itemised and justified using up to $27.50/hour as a guide. Academic supervision will be considered an ‘in kind’ contribution of the applying body. Administrative costs and in-house expenditures will be seen by the NVC as an ‘in kind’ contribution of the applying body and should not form part of the funding sought in the grant application. Please refer to the ‘Guidelines’ for further information in relation to budgetary requirements. Describe what will be done, how, the estimated cost and the timing of each activity (refer to table 8) Clearly identify the intended use of the funding sought from the SEB grants. See the guidelines for items that cannot be funded through Itemise contributions from all sources, including all cash and ‘in kind’ this grants program. contributions. Volunteer time to be costed at $20 per hour. Provide totals for each activity. All costing is to be GST exclusive. Provide totals for each column. Milestone period – initial payment, 6 months, 12 months, beyond 12 months. Page 11 | SEB Grant application Project activity (refer to Table 8) Start Mth/Yr Timing Finish Mth/Yr a. Volunteer hours Your group contribution inc. ‘in-kind’ ($) Other contributions inc. ‘in-kind’ ($) SEB grant funding sought ($) Total activity costs ($) Mile Stone period Initial payment Column totals Page 12 | SEB Grant application 12 Project status Is this work part of a larger project? Yes No Has the project commenced? (If yes when?) Yes No Proposed commencement date: Proposed completion date: If Yes, please provide further details, including project partners and any links to other current or planned future projects. Please attach any letters of support. Other contributing organisations Please provide details of all other contributors to this project, including the applicant Name of contributing organisation Page 13 | SEB Grant Name of representative application Position in organisation Phone number PROJECT SITE APPROVALS If the project involves works on properties other than those owned by the applicant all landowners and land managers must agree to the proposed activities occurring on their property. Please provide details of each property and a contact and signature for each landowner or manager. For example, if the project works will be undertaken on roadsides, which is managed by the local government and on adjoining privately owned land or land under the control of the state government in another section, you must provide contact details and a signature from an authorised representative from both the local and state governments and any private landowners involved. Name of property Area of property (ha) Name of project site Landowner or manager Name of contact Signature certifying agreement for proposed activities Area of project site (ha) number Phone Name of property Area of property (ha) Name of project site Landowner or manager Name of contact Area of project site (ha) number Phone Signature certifying agreement for proposed activities Date Page 14 | SEB Grant Position (if applicable) Date Position (if applicable) application FOR ALL APPLICANTS, INDIVIDUALS, GROUPS AND SPONSORS by signing below you certify your agreement to the following: I certify that -·to the best of my knowledge, the information provided in this application is complete and correct and no information is false or misleading. I have the agreement of all parties identified in the application to include their details within this application; I/the organisation I represent supports this application and if successful agree to enter into a contract with the South Australian Government to manage the project and administer the project funding; I have obtained the agreement from other organisation(s), if any, to contribute the resources outlined in the project budget. I will spend the funding and implement the project in the ways described in the application, unless otherwise agreed by all parties; the project has not already received funding in part or in full by any other funding source, unless identified within the application; the project will not commence until all relevant conditions have been met and permits or approvals obtained. I consent, on behalf of all parties, to this application being referred to third parties for assessment purposes. I understand that the information provided in this application may be disclosed to various parties as deemed necessary by the Native Vegetation Council, and I understand it is an offence under the Criminal Code Act 1995 to provide false or misleading information. APPLICANT GROUP/INDIVIDUAL Name of representative Position Signature Phone number Date NRM BOARD POLICIES AND REGIONAL PLANS The Regional Manager of the NRM Board supports/does not support the alignment of this application with the priorities and the regional plans of the NRM Board. Endorsed Not endorsed Name Position/NRM Board Signed Dated AUTHORISATION To be completed by the Department Head or Chief Executive Officer or delegate or by the applicant if the application is a private project. If the Native Vegetation Council awards the SEB grant, work will be undertaken pursuant to grant conditions. The Native Vegetation Council’s SEB Grant Conditions have been read and accepted by the organisation requesting SEB funds. Total amount sought from Native Vegetation Fund (GST Exclusive) Total value of contributions from other sources, including ‘in-kind’ (GST Exclusive) Name: Position/Organisation: Signed: Page 15 Dated: | SEB Grant application Attachment 1 Outputs for SEB Grant Applications Please note: some activities will not fit into the outputs below. This list is not designed to report on every activity, but to capture the most common outputs. Codes Output Output description/ examples Output measure 1 (if applicable) A Resource Assessment A1 Decision support tool/information management systems/models Number of systems/tools/models completed A2 Studies/reports/research Number of studies/reports completed A3 Monitoring programs A4 Mapping Number of new monitoring programs established Area (ha) B Planning B1 resource management plans/strategies/best practice guidelines C Capacity Building C1 Training/awareness raising events C2 Awareness raising materials e.g. factsheet, new websites D On-ground works D1 Conservation agreements Includes biophysical, economic, social, specie recovery, property, catchment etc plans and strategies Output measure 2 (if applicable) Number of plans/strategies/guidelines completed Includes field days, study tours, Number of events workshops No of participants Number of Awareness raising materials developed Includes voluntary agreements Native vegetation Includes fire management protected/enhanced/rehabilitate practice, exclusion fencing d/managed etc. Number of agreements Area protected Area (ha) protected Km of fencing (if applicable) D3 Cultural Heritage Site protection and maintenance e.g rock holes No. of sites Area (ha) (if applicable) D4 Revegetation Includes native pastures Area (ha) revegetated D5 e.g fencing, translocation programs, Area (ha) managed D6 Management of native animal species Pest plant control Km of fencing (if applicable) Km of fencing (if applicable) Species D7 Pest animal control D8 Sustainable land management D9 Improving water quality D10 Improved water use efficiency D2 Page 16 | SEB Grant Area (ha) where pest plant control measures implemented Area (ha) where pest animal control measures implemented species Includes public and private Area (ha) treated land, soil and wind erosion management Includes sewage plants, Number of construction works stormwater quality control devises, constructed wetlands No. of landholders involved (if applicable) Includes improved irrigation practices, capping groundwater bores, new stormwater reuse systems. No of landholders involved (if applicable) application Volume (ML) of water saved per year Volume (ML) of water that is improved in quality per year