Application Instructions - env.nm.gov Web view250 word maximum. Timeline . ... Yes (Please explain...

Recycling and Illegal Dumping Grant Application Form

Illegal DumpingNew MexicoEnvironment DepartmentSolid Waste Bureau

2013-2014

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ContentsApplication Instructions....................................................................................................3Illegal Dumping Grant Application Form...........................................................................4

Contact Person..............................................................................................................4Type of Organization.....................................................................................................4Project Team.................................................................................................................4Description of Project (5 Points)...................................................................................5Project Work Plan (5 Points)..........................................................................................7Need and Urgency for the Project (20 Points)................................................................9Organizational Commitment (10 Points)........................................................................9Community Illegal Dumping Plan (10 Points)...............................................................10

Status of Illegal Dumping in the Community............................................................10Long-Term Vision for Community Illegal Dumping Program.....................................11Economic Assessment..............................................................................................12Local and Political Support to Eliminate Illegal Dumping..........................................12Regional Partnerships...............................................................................................13Education.................................................................................................................13Timeline...................................................................................................................14

Budget Proposal.............................................................................................................15Matching Funds...........................................................................................................15

Litigation, Liabilities, and Land Information....................................................................16Certifications..................................................................................................................17

Authorized Agent.........................................................................................................17Responsible Financial Officer.......................................................................................17

New Mexico Recycling and Illegal Dumping Alliance ▪ Illegal Dumping Grant Application

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Application Instructions All applicants must read and understand the Recycling and Illegal Dumping Grant

Fund Application Instruction booklet. To be considered for a grant, an applicant must complete the entire form, answer all

narrative questions, and note any attachments. If a question is not applicable, note "N/A" in the appropriate location. Do not leave any question blank.

Clearly describe your grant project. Provide enough narrative details so committee members may fully understand what you plan to use the funds for, or what you plan to accomplish if you are awarded a grant. In past grant cycles, several applicants did not receive funding because the description of what the funding would be used for was confusing or unclear.

To be considered for additional funding you must provide an itemized budget for committee members to consider for partial or possible full funding. Additionally, if you itemize task costs, if a grant is withdrawn from another applicant, you may be allowed to amend your contract to receive additional funds for those tasks that were not funded. The committee is not able to make decisions based on lump sums provided in a budget. If possible, attach a budget estimate from a consultant or contractor to support your application.


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Illegal Dumping Grant Application Form

Organization Name

Click here to enter text.Date

Choose date.Project Title

Click here to enter text.Total Amount Requested

Contact PersonName

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Position

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State

Zip

Email


Phone


Type of Organization Municipality Land Grant Community

County Cooperative Association (See Definition in Grant Instructions)

Indian Nation, Pueblo, or Tribe

Solid Waste Authority

Project TeamRole Name Organization

Project Leader (Grantee

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Team Members

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Description of Project (5 Points)Please respond to the following bullets:

Clearly and briefly state what you want to do, the project location and what you intend to achieve.

Attach photographs of illegal dumpsites. Describe prevention tactics.

150 word maximum


Will any of the following materials from the illegal dumpsites be recycled? ( all that apply)

Motor oil Appliances Lead acid car batteries Other(s): Click here to enter text. Scrap metal

Describe how the project fits into existing abatement and prevention infrastructure in the region.

150 word maximum



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Will the project lead to other community benefits and if so, how? For example, will it foster regional cooperation, lead to increased land values, or increase community pride?

150 word maximum



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Project Work Plan (5 Points) Describe what actions you will take to achieve the stated goals. The quality of the

work plan is not determined by the number of actions, but the ability of your community to achieve them.

Describe how you will know if you have succeeded (performance measures). Describe how your proposed budget items correspond with achieving each goal.

Goal 1 Action Performance Measure

Target Date

Responsibility



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Expense items from Budget Proposal that relate to Goal 1: Click here to enter text.


Target Date

Responsibility
















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Target Date

Responsibility
















Target Date

Responsibility
















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Need and Urgency for the Project (20 Points)Please consider the following questions in describing the need and urgency of the proposed project:

How will this project increase prevention of illegal dumping? Were alternative solutions considered and, if so, why were they not chosen? What are the challenges to illegal dumping addressed by the project? How will the project be implemented if it can be only partially funded by this grant

program?

150 word maximum


Organizational Commitment (10 Points)Please consider the following questions in describing organizational commitment to the proposed project:

How will this project succeed and continue after grant funds are expended? Has the applicant proven sustainability with any other program(s)? What type of communication and education activities will sustain this project? How will this project be funded in the future?

150 word maximum


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Community Illegal Dumping Plan (10 Points)Status of Il legal Dumping in the CommunityPlease describe current illegal dumping activities. For example, consider answering the following questions:

How many existing illegal dumpsites do you have in your community? How do you track dump sites?

Estimate of the amount of material in the dumpsite(s)? Composition of materials in the dumpsite(s)? How does your community handle illegal dump prosecution? What prevention methods are in place to stop illegal dumping? Has your community created any special objectives or ordinances regarding illegal

dumping?

250 word maximum



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Long-Term Vision for Community Illegal Dumping ProgramPlease describe your long-term vision. For example, consider answering the following questions:

How does your community plan to prevent illegal dumping in the future? (e.g. camera enforcement, fencing, signage, patrol, what else?)

How can you provide recurring education to residents on where to properly take their garbage?

If not currently accepting items most commonly found in illegal dumpsites (i.e. appliances, brush, furniture, metal, tires), how can you expand materials accepted?

Can you improve the hours of your collection sites? Can you offer clean-up days throughout the year?

250 word maximum



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Economic AssessmentPlease give an economic assessment of your illegal dumping abatement program. For example, consider answering the following questions:

What are current solid waste program costs and funding? What funding is available for program improvements (self-funded, grant funds,

loans, solid waste fees, etc.)?

150 word maximum


Local and Political Support to Eliminate Illegal DumpingPlease describe the support for eliminating illegal dumping that exists in your community. For example, consider answering the following questions:

Is the community asking for the cleanup of illegal dumpsites? Are your community leaders in support of providing resources for the abatement and

deterrence of illegal dumping? Are they willing to invest staff time and funds towards this endeavor? Do you have buy in from the local police or sheriff? What about the courts?

150 word maximum



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Regional Partnerships Please describe any existing or potential partnerships for your community. For example, consider answering the following questions:

Is the illegal dumpsite on BLM or Forest Service land? Can a partnership be forged with one of these organizations?

Have you discussed a reduction or waiver of tip fees with the local landfill or solid waste authority?

Is there a local Keep New Mexico Beautiful affiliate that can be a partner? Are there local schools or civic groups that could aid and support the community in

the clean up? 50 word maximum


Education Please describe how people in your community will learn about illegal dumping. For example, consider answering the following questions:

What type of communication and education activities do you have in place to support your program(s)?

Detailed signage on penalties or fines for illegal dumping? Or where to properly dispose of items?

It is recommended that education to residents occur around the year via newsletter info, bill inserts, flyers, print or radio ads (many times these venues provide this for free in smaller communities) and outreach at community meetings.

Public education and program promotion are key to program success. 250 word maximum


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Timeline Please consider the following questions:

What actions and timeline will you develop to achieve the stated goals? What actions does your community intend to take in the future to abate illegal

dumpsites, and prevent future illegal dumping? The quality of the action plan is not the number of actions, but the ability of your

community to achieve them. How will you know if you have succeeded (performance measure)?

Goal Action Performance Measure

Target Date

Responsibility



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16










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Budget Proposal

Task #

Expense item* Basis of budget estimate

Grant application amount

Applicant contribution

Totals

In-kind Cash

Click here to enter Click here to Click here to enter Click here to Click here to enter Click here to Click here to enter Click here to Click here to enter Click here to Click here to enter Click here to Click here to enter Click here to Click here to enter Click here to Click here to enter Click here to Click here to enter Click here to

Totals

*Equipment or supplies proposed for purchase must be documented with a quotation, estimate or public price list and photographs attached to this budget proposal.

Matching Funds Are there any other grant monies from other organizations for this project? (For information only; this is not a ranking requirement.)

Yes (If "yes," list in the table below) No

Amount Granting Organization

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Litigation, Liabilities, and Land InformationIs there pending litigation or other contingent liabilities that have a bearing on this project or application (i.e. need Army Corps of Engineer’s approval, need other NMED or other agency permits to proceed)?

Yes (Please explain below) No


Is the project on State, BLM or other lands not owned by the applicant?

Yes (Please explain below) No


Have all parcels of land and rights-of-way necessary for completion of this project been purchased, leased, or otherwise acquired by the applicant?

Yes No (Please explain below)


Has ownership of the property been verified?

Yes No (Please explain below)



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CertificationsAuthorized AgentI, the undersigned, do hereby certify that I am an authorized agent of the applicant. (Authorized agent must be a mayor; city or county manager; chairman of a county commission; director of a solid waste authority; governor of a pueblo, tribe or nation; or chairman or executive director of a cooperative association.)

I, the undersigned, do hereby certify that I or my staff has read and understand the application requirements, and the conditions contained herein that we must comply with if a grant is awarded.

If a grant is awarded as a result of this application, we will comply with all applicable local, state, and federal regulations and requirements. To the best of my knowledge and belief, the information contained in this application is accurate and complete.

Signature of Authorized Agent Title of Authorized Agent

Click here to enter text.Printed Name of Authorized Agent


Date

Click here to enter a date.

Responsible Financial OfficerI, the undersigned, do hereby certify that I am the responsible financial officer for this grant. I also affirm that I have been provided a completed copy of this application.

I, the undersigned, do also affirm that in the event of issuance of a grant award contract, I understand the quarterly reporting requirement, and that timely submission of invoices and supporting documentation for reimbursement is necessary, or we may forfeit payment for late or incomplete invoices.

Signature of Responsible Financial Officer Title of Responsible Financial Officer

Printed Name of Responsible Financial Officer

Date

Click here to enter a date.


Application Instructions - env.nm.gov Web view250 word maximum. Timeline . ... Yes (Please explain...

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