For MWA Use Only

For MWA Use Only

MWA Project #:

Date Received:

Approved: Yes No

Date:

MWA Project Application Form

Minnesota Waterfowl Association

907 First Street North Hopkins, MN 55343

952/767-0320 phone 952/767-0324 fax

Rev. 12/08

Applicant Information

Name: / Address:
City: / State: / Zip:
Phone (home): / Phone (work): / Is Applicant Landowner?
YES NO

Application Information (Please check all that apply)

Acquisition*

Fee-Title

Easement - Perpetual

Easement -Limited

Other

HabitatProjects*

Wetland Restoration

Wetland Enhancement

Wetland Creation excavation

Wetland Creation impoundment

Nesting Cover -Grass seeding

Vegetation Management –

Wild Rice or Other

Predator Management

Other

Other Projects*

Nesting Structures–

Wood Duck Box

Nesting Structure - Other

Natural Resources

Study/Inventory

Education

MWA Project Sign

Equipment

Other:

* Please include with application: Location map and an aerial photo identifying project site, structure location(s), property/easement lines, etc. Aerial photos are available from county USDA office or DNR

Project Information/Location (complete only applicable portions)

Project Name:
County: / Township Name:
Township #: Range: Section: / Project/Tract Size (acres):
MWA Funds Requested: / Est. Total Cost: / Est. Completion Date:

Project Proposal/Narrative

(Include Description of: Project/Proposal, Use of MWA’s Funds, Other Project Partners & Contributions, Ownership Status, etc., attach additional sheet(s) as necessary)

For MWA Use Only

MWA Project #:

Date Received:

MWA Project Application Form

Minnesota Waterfowl Association

907 First Street North Hopkins, MN 55343

952/767-0320 phone 952/767-0324 fax

General Information

Project Name:
Reviewer’s Name: / Title/Employer:
Do You Recommend MWA Funding?
YES NO / Reviewer’s Signature: / Date:

Project Review

(Attach additional sheet(s) as necessary)

Project Evaluation: (Please discuss: Project ownership/protection, public access, visibility, project acres - upland vs. wetland, project benefits, etc.):

Biological Evaluation: (Please discuss: Waterfowl producing factors of the project (i.e. shape, depth, vegetation, available nesting cover, etc.) and the project’s proximity to other public/private waterfowl producing facilities or natural resource areas.):

Technical Evaluation: (Please discuss: Structural/technical requirements of the project, management potential/concerns, construction status, cost/acquisition concerns, legal/environmental issues, etc.):

Other Comments:

For MWA Use Only

MWA Project #:

Date Received:

MWA Project Application Form

Minnesota Waterfowl Association

907 First Street North Hopkins, MN 55343

952/767-0320 phone 952/767-0324 fax

General Information

Project Name:
MWA Chapter Name:

Chapter Members Reviewing Project:

Comments:

Funding Recommendation *

Chapter Funding Commitment $: / Chapter Commitment Includes:
Project Signs / Are Additional MWA Funds Needed?
YES NO

* A chapter commitment for the above designated project will be paid from the chapter’s designated

Project account and will be subject to approval by the MWA Executive Committee. Chapters are

encouraged to provide an article and photos (black & white) of the project upon completion.

______

Chapter OfficerDate

______

Chapter OfficerDate