212-3048 "' ItI9€'lVorit.J\ )Wfr; . nCT 1 ? lon APPLICANT INFORMATION Type the information for Sections I and II. OWEB Grant Cycle Date Name of project: Greater Yamhill Watershed Action Plan OWED funds requested: $48,908.00 Total cost of projectt: $63,346.00 Ifi ,toO t This dollar amount refers only to the total cost of the technical assistance activity, and does not include the subsequent planned restoration work. Project location: This project occurs at (check one): 0 Unknown at this time o A single site I2$J Multiple sites Watershed Name s . Yamhill River and Chehalem Creek Watersheds on Counties Township, Range, Section(s) IJongitude, I"atitude (e.g •• -123.789, 45.613) Watershed code(s) - Please note the IO-digit �.,TIN, R5E, SI2) (required for federal/state reporting) hydrologic unit code, previously 5" "'ield Hl!C th Entire Watershed - see watershed -123.35, 45.17 (4 Field) 17090008 th codes (5 Field) ]709000806,1 709000807, ]70900080],1709000804, 1709000805, 1709000803, 1709000802 . A.ppllcant r P rO.lect M anaeer I Organization:Greater Yamhill Watershed Council Name:Bernadette Hansen I Address:PO Box 15]7 Organization:Greater Yamhill Watershed Council I McMinnville, OR 97128 Address:PO Box 1517 I Phone:503-474-1047 McMinnville, OR 97128 I Fax: Phone:503-474-1047 I Email: gywc administrator!alco.yamhill.or.us Fax: I Contact Person:Bernadette Hansen Email: Bernadette Hansen Fiscal Agent Organization:Greater Yamhill Watershed Council I Address:PO Box 1517 i McMinnville, OR 97128 I • Phone:503-474-1047 • Fax: Email: gywc
[email protected] I Contact Person:Bernadette Hansen CERTIFICA TION: I certify that this application is a true and accurate representation of the proposed work for watershed restoration and that I am authorized to sign as the Applicant or Co-Applicant.