Florida Department of Environmental Protection

Attachment 1 – SECTION 319(h) EDUCATION GRANT APPLICATION FOR NONPOINT SOURCE EDUCATION PROJECTS Florida Department of Environmental Protection

PROJECT NAME:

PROJECT FUNDING REQUEST: $ MATCH COMMITMENT: $

PROJECT COST (Sum of Funding Request and Match Commitment): $

LEAD ORGANIZATION:

CONTACT INFORMATION: Name: Street Address: City, State, Zip: Tel: Fax: Email:

Expand writing areas as needed when completing application.

PROJECT LOCATION and ELIGIBILITY:

1. Is the education project, or any elements of it, required in a municipal separate storm sewer system (MS4) permit? If yes, the elements listed in the permit are not eligible for Section 319(h) grant funds or match (education funded with the 319 grant cannot be used to meet federal permit requirements, such as MS4 permit requirements).

2. Is the education project in an adopted basin management action plan (BMAP) area? Yes No If yes, answer 2a and 2b. If no, answer 2c.

2a. List the adopted BMAP(s):

2b. What are the top priority nonpoint source issues specified in the adopted BMAP document and which of those does this project address? Include plan page numbers where applicable.

of 6 Attachment 1 – December 2017, Section 319(h) Education Grant Application for Nonpoint Source Education Projects 2c. For education projects outside the adopted BMAP area, what are the top priority nonpoint source issues and which of those does this project address? If the project is addressing a plan developed by a governmental entity in Florida, include the name of the plan.

PROJECT INFORMATION: Please provide responses to the questions below. The questions in the section pertain to only the grant funded and match funded activities unless otherwise specified.

Include a full description of the project. Project elements that are described on other submitted attachments but are not described on the application form may not be considered as part of the project when funding is awarded.

1. What is the subject matter of the education outreach listed above? Example: Septic maintenance education in two workshops, reducing nonpoint source pollution from stormwater in one workshop; and reducing personal nonpoint source pollution through a public service announcement (PSA).

2. What are the methods and frequency of outreach? Example: Develop one PSA, to be aired on local television twice a month for 6 months; and provide 3 workshops in one year, one every 4 months.

3. What is the size and type of the target audience for each method of outreach listed above? Example: PSA on local television aired in X, Y, and Z counties reaching an estimated 5,000 people per airing (all age groups); Workshops – 100 adults per workshop.

4. What is the type of audience for each outreach method listed above? Example: Workshop on reducing nonpoint source pollution in stormwater for developers of residential and business areas; Two workshops on septic maintenance for the general public; providing an education curriculum to students in primary and secondary schools.

of 6 Attachment 1 – December 2017, Section 319(h) Education Grant Application for Nonpoint Source Education Projects 5. Does any of the outreach described above include education on low impact development (LID)? If yes, describe what types of LID will be the subject matter, the method of outreach, and the type and size of the audience.

6. Describe any materials, not already listed above, that will be developed or published under this project and the associated outreach method they will be used in. Example: Presentation, fact sheet, and flyer for workshops.

7. Explain how this project is cost-effective.

8. Is this application for a new education project or an existing/ongoing project?

9. Do you have any other pending applications for state or federal funding for this project? Yes No If yes, describe.

10. Do you have any existing Florida Department of Environmental Protection (DEP) agreements for state or federal funding for this project? Yes No If yes, describe (including agreement number).

of 6 Attachment 1 – December 2017, Section 319(h) Education Grant Application for Nonpoint Source Education Projects PROJECT OVERVIEW Provide a more detailed narrative description of the project, keeping in mind the following items to address in the description (limit to 2 pages).

 Include more details on the subject matter for each type of outreach listed above.  How will you encourage public participation?  How does this project address the issues in the BMAP or the priorities in a non-BMAP area?

PROJECT EFFECTIVENESS Measuring project effectiveness is a requirement under this grant. Describe how the effectiveness of the project will be measured. Provide a detailed description of the method(s) used. Include estimated number of participants in the effectiveness measurement (limit to 2 pages). Examples of methods: surveys, monitoring changes in behavior.

of 6 Attachment 1 – December 2017, Section 319(h) Education Grant Application for Nonpoint Source Education Projects PROJECT FUNDING AND TIMELINE (for only the grant and match funded portions) In the table below, list the estimated funding amounts and timeline (in months) for each grant and committed match funded step in the project. The sum of the grant and match funded steps should equal the amounts listed on Page 1.

Number of Months for Method of Outreach Grant Funding Match Funding Each Outreach Method $ $ # $ $ # $ $ # $ $ # $ $ #

Total Number of Months for the Project: Total number of only the grant and committed match portion:

Provide any additional pertinent information about the project that was not addressed in the above questions.

of 6 Attachment 1 – December 2017, Section 319(h) Education Grant Application for Nonpoint Source Education Projects PART IV – CERTIFICATION, ATTACHMENTS, AND REFERENCES

I, the undersigned Authorized Representative of the Applicant, hereby certify that all information contained herein and in the attached is true, correct, and complete to the best of my knowledge and belief. I further certify that I have been duly authorized to file the application and to provide these assurances.

Authorized Representative______(Signature) (Name typed)

Signed this ______Day of ______, 20______

List the file names for all attachments that are included with this application (such as maps, design plans, etc.), a description of what the attachment contains, and the total number of attachments submitted, including the application.

Filename: Description:

Total Number of Files Submitted (include the application in the total number): _____

of 6 Attachment 1 – December 2017, Section 319(h) Education Grant Application for Nonpoint Source Education Projects