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Grant Application Check List GRANT APPLICATION CHECK LIST MANDATORY: ☐ Signed letter of resolution from Governing Body that includes resources/support committed to the project ☐ Exhibit A – Application ☐ Exhibit B – Budget (Unprotected Excel CPW form) ☐ Environmental Forms (not required for Planning grants) ☐ Maps/Photos/Graphics [Separate PDF document(s)] DO NOT combine with application ☐ Letters of Support (maximum of 5). No letters from clubs, groups or individuals who are specifically working on the project ☐ Project can be completed within 2.5 years from receiving grant ☐ Required MATCH funding is secured, including CASH match funds ☐ CPW Area Manager was contacted about the project by Sept 1st and applicant has discussed the project with them. (Not required for support grants) Note: ALL projects will be reviewed by CPW for wildlife impacts ☐ (Construction only) Project area is owned by public land agency or has easement that designates the area to be open to public outdoor recreation for at least 25 years ☐ (Construction Only) Formal Environmental Assessment (EA) or NEPA has been completed with final approval for the project area (federal lands only, include link to EA) ☐ Construction projects have been evaluated for required permits and if required, permits have been acquired (404 permit, etc.) ADDITIONAL PROJECT HIGHLIGHTS: ☐ Youth Corps or youth organization will be used on the project (name of organization) ☐ Volunteers will be utilized on the project (West End Trails Alliance) Montrose tYest Recreation, lnc PO Box 281 27 July,2A18 Nucla,C0 81424 Phone: 97O.864.2190 To: Colorado Parks and Wildlife State Trails Program 13787 US Hwy 85 North Littleton, CO 80125 Re: Resolution Supporting the Application for Funding Greetings, Let it be known on this date, the Board of Directors of Montrose West Recreation, lnc. did approve the application for funding through the Colorado Parks and Wildlife State Trails program for a Colorado the Beautiful trails planning grant. The MWR Board takes administering all grant funds seriously and intends to administer such funds in a financially secure and sound manner. yoyo, your consideration, iTn*i.;{ \1 Paul Koski, Board President Montrose West Recreation, lnc, MWR goard Paul (oski, President Brianne Bonaquista, VP Allie Sutherlan4 Secretary Darcy W€imer, Treasurer Mike Epright Melissa Johnson Paula Browo, E.D. wlnrvr. r'n erltro$ewest.com montrosewestrec@gmai l.com EXHIBIT A NON-MOTORIZED PLANNING/SUPPORT APPLICATION Applicant or Organization Name: Mailing Address: Applicant Lead Contact Name: Title: Is this the primary contact Telephone: Email: for this grant: YES NO OFFICIAL USE ONLY – DUNS # (IF REQUIRED): PROJECT MANAGER (this person will have day-to-day responsibility for the project) Name: Mailing Address: Telephone: Email: PRIMARY PARTNER INFORMATION (IF APPLICABLE) Name: Mailing Address: Partner Contact Name: Title: Is this the primary contact Telephone: Email: for this grant: YES NO Project Title: Grant Request: $ Required Match: $ Total Project Cost: $ Project Description: Please write a 3-4 paragraph description of your project and the expected accomplishments. Be sure to include Who, What, When, and Where.) This is your scope of work. (This section is not the place to talk about the project background, the benefits, the funding, or anything other than the actual work to be accomplished. Please address this information in question #1 of the Selection Criteria.) WHO? Who will complete the work and who will oversee the project? Provide a description of your community or organization, highlighting its mission and purpose. WHAT? Explain what you are going to do or accomplish. What is the goal or the reason for your project? Break down the project into a list of specific activities to be completed. These should be quantifiable items that correspond to the categories on your budget page. Include quantity or quality as part of your description of work to be performed. How long? How many? How many feet? How many miles? What materials will be used? Is a specific standard or guideline being used? WHERE? Explain in detail the location of your project. Where is the project located? What county? What National Forest/ BLM Field Office? Provide the names of the trail(s) or trail system and where the work will be performed? What agency manages or is responsible for the land the project is on? DEFINITIONS? Please define all acronyms and specialized terms that are used in your project description. EXHIBIT A Project Description: EXHIBIT A LAND OWNERSHIP 1. Provide the name/s of the property owners: 2. The trail corridor is controlled by: Fee Simple Lease Easement License Right-of-Way Other: Public Lands PROJECTED USER INFORMATION (Please check all that apply) Hiking Motorcycling Equestrian Walking Four-Wheeling ADA Accessible Running All-Terrain Vehicle Paddling Skateboarding Snowmobiling Other In-Line Skating Snowshoeing Other Biking X-Country Skiing Other TRAIL SURFACE Asphalt Concrete Other Natural Crusher Fines Other PROJECT LOCATION (For multiple project sites attach a separate list.) Nearest Town or City: County: Latitude & Longitude Coordinates: State Congressional District (https://www.govtrack.us/congress/members): Acreage of new trailhead Miles of trail grooming Miles of new trail construction Miles of trail being planned Miles of trail maintenance Miles of trail reroute Miles of trail reconstruction Miles of inter-connecting trail Miles of trail to be signed Other Miles of trail restoration Other Applicant Authorized Signature: _________________________________Date: _11/18/2018_____ (From Applicant Organization) Land Agency Authorized Signature: ___________________________________Date: _____________ (From project location land agency, if different from applicant) West End Trails Master Development Plan: Project Location Attachment 1. Nucla East Area: BLM-Uncompahgre Field Office Nearest Town: Nucla County: Montrose Location: T46N, R14W, Sec. 4,3, &2 T47N, R15W, Sec. 34, 35, 27, 26, & 23 State Senate District: #6 State Representative District: #58 Miles of Trails being planned: 9 miles Miles of trail reroute: 0 Miles of inter-connecting trail: NA Acreage of trailhead planned: ½ acre 2. Nucla North Area: BLM-Uncompahgre Field Office Nearest Town: Nucla County: Montrose Location: T47N, R15W, Sec. 29, 28, 31, 32, & 33 State Senate District: #6 State Representative District: #58 Miles of trails being planned: 12 miles Miles of trail reroute: 1.25 miles Miles of inter-connecting trail: 0 Acreage of trailhead planned: NA 3. Naturita Flattops Area: BLM-Uncompahgre Field Office Nearest Town: Naturita County: Montrose Location: T46N, R16W, Sec. 36, 35, 25, 26, 24, &, 23 State Senate District: #6 State Representative District: #58 Miles of trails being planned: 6 miles Miles of trail reroute: NA Miles of inter-connecting trail: ¾ mile Acreage of trailhead planned: ½ acre 4. Sawtooth Area: BLM Uncompahgre Field Office Nearest Town: Naturita County: Montrose Location: T46N, R16W, Sec. 10, 9, 8, 17, 16, & 15 State Senate District: #6 State Representative District: #58 Miles of trails being planned: 14 Miles of trail reroute: NA Miles of inter-connecting trail: 2 miles Acreage of trailhead planned: 1 acre EXHIBIT A TIMELINE Provide a timeline estimate using the following form. Remember that the project is to be completed within two and a half years of the award date. Any proposed changes, including extensions or modifications in the project timeline, must be requested in writing and approved in advance by the State Trails Program. PRELIMINARY TIMELINE ESTIMATE Jun- Oct- Jan- Apr- Jul- Oct- Jan- Apr- Jul- Oct- TASK Sep Dec Mar Jun Sep Dec Mar Jun Sep Dec 2019 2019 2020 2020 2020 2020 2021 2021 2021 2021 Project Initiation Mobilization Construction/Maintenance Phase Administrative Close-Out Grand Opening EXHIBIT A 1. COMMUNITY NEED & BENEFIT (20 points) EXHIBIT A 2. URGENCY (5 points) EXHIBIT A 3. CUMULATIVE IMPACTS (15 points) EXHIBIT A 4. WILDLIFE & NATURAL RESOURCES (10 points) EXHIBIT A 5. COLLABORATION (15 points) EXHIBIT A 6. IMPLEMENTATION (15 points) EXHIBIT A 7. PUBLIC COMMENT & INVOLVEMENT (10 points) EXHIBIT A 8. PLANNING PROCESS & OUTCOME (10 points) Exhibit B Pioneer's Redefined: West End Master Plan Budget Form - Project Name: CPW Trails Date Total Project Total Funding SOURCE OF FUNDS Grant Request Secured Match [B] ($) [C] [A] CASH Non-Motorized Trails Grant $ 45,000.00 $ 45,000.00 Telluride Foundation 3/12/2018 $ 1,350.00 $ 1,350.00 West End COPMOBA 1/20/2018 $ 1,000.00 $ 1,000.00 $ - IN-KIND Telluride Foudnation-VISTA Intern 7/27/2018 $ 2,250.00 $ 2,250.00 West End Trails Alliance 7/20/2018 $ 8,050.00 $ 8,050.00 Trust For Public Lands 7/31/2018 $ 5,000.00 $ 5,000.00 Montrose County 7/31/2018 $ 1,000.00 $ 1,000.00 Project Coordinator 7/31/2018 $ 700.00 $ 700.00 Montrose West Recreation 7/31/2018 $ 3,000.00 $ 3,000.00 TOTAL SOURCES OF FUNDS $ 45,000.00 $ 22,350.00 $ 67,350.00 Total Project Total Funding Balance [CASH] Description of Work Qty Unit Unit Price Total (B*D) CPW Funds Match ($) ($) [should be 0] CATEGORY 1-Contracted Services Identify as: Youth Corps, Engineering, Contractor, etc. Facilitator(s) for Stakeholder Meetings (ALL) 615.39 hour $ 32.50 $ 20,000.18 $ 20,000.00 $ 20,000.00 0 Project Coordinator(s) 461.54 hour $ 32.50 $ 15,000.05 $ 14,000.00 $ 1,000.00 $ 15,000.00 0 $ - $ - 0 $ - $ - 0 Category 2 - Salary/Wages $ - $ - 0 CATEGORY 3-Materials/Supplies Identify as: Signs, crusherfines, native seed, weed barrier, etc. Print Collatoral (maps, images) 500 map $ 10.00 $ 5,000.00 $ 4,000.00 $
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