Fillable WLCI HABITAT PROJECT FUNDING APPLICATION DUE APRIL 15 (US Geological Survey)

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WLCI HABITAT PROJECT FUNDING APPLICATION DUE APRIL 15 (US Geological Survey)

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WLCI
HABITAT PROJECT FUNDING APPLICATION
DUE APRIL 15
Please submit this form and any attachments (e.g., shape files, maps, photos) to:
BLM_WY_WLCI_WYMAIL@BLM.GOV
(BLM_WY_WLCI_WYMAIL@BLM.GOV)
1. PROJECT LEAD
Title:
Name:
Agency/Organization:
Address:
Phone:
Email:
Project Lead: If the project is funded, you are responsible for annually reporting the workload measures to WLCI in a draft
report by September 15th with a final report due November 15th (using the Annual Project Report Form). Other obligations
include future monitoring results. Future funding for any project is dependent upon fulfilling these responsibilities. A WLCI
Project Tracking Checklist can be found on the WLCI website or provided upon request.
2. DATE SUBMITTED
3. PROJECT TITLE
4. LOCAL PROJECT DEVELOPMENT TEAM
5. PROJECT TYPE
Access
Aspen
Easement
Invasive
Riparian/Wetland
Fencing
Other
If other, Please Describe:
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6. PROJECT OBJECTIVES
Provide brief narrative on the importance of this project and project objectives.
7. PROJECT DESCRIPTION/SYNOPSIS
Include: strategies, immediate threats or stressors, animal and plant species, habitat classification (winter
range, migration corridor, etc.), management relevance, additional (ecological, educational, socioeconomic,
etc.), and benefits.
8. GEOGRAPHIC DESCRIPTION
Provide map(s) and shape file(s) showing location of project. These may need to be submitted separately
from this form.
Please Note: this is a mandatory requirement to receive future funding from WLCI.
UTM Coordinates:
Local Name & County:
Surface Ownership (Check All That Apply)
Federal State
Private
9. INFORMATION FOR BLM REPORTING
Please identify the number of acres, miles or other units of measurement by property ownership for each
project activity area you accomplished this year. Project activities might include: NEPA, assessments,
monitoring, mowing, spraying, and fencing. If your project is funded, the BLM Coordinator will contact
you with details regarding units of measurement required for completing the reporting process.
Unit Measurement by Property Ownership
Project Activities
Private State BLM USFS BOR USFWS Other
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10. FOCUS COMMUNITIES and ACTIONS
A. Which Focus Communities are being addressed? (check all that apply)
Aspen
Riparian
Mountain Shrub
Sagebrush
Aquatic
B. Within each Focus Community, list the actions and anticipated unit of measure (e.g., burn, thin, water,
seeding, noxious weeds, fencing, etc. and acres, miles of fencing, etc.)
11. HOW DOES THIS PROJECT RELATE TO THE WLCI CONSERVATION ACTION PLAN (CAP)?
Landscape priorities are listed in the CAP (https://www.wlci.gov/lpdt-resources). If in a geographic priority
area, how does this address the issues and conservation objectives listed (Part I)? If so, how do these actions
contribute to landscape goals (Parts II and III)?
HOW DOES YOUR PROJECT ADDRESS LANDSCAPE PRIORITIES LISTED IN PART I OF THE CAP?
HOW DOES YOUR PROJECT ADDRESS THE ISSUES AND CONSERVATION OBJECTIVES LISTED IN PART II AND PART
III OF THE CAP?
12. DESCRIBE HOW THIS PROJECT RELATES TO OTHER MANAGEMENT PLANS or PROJECTS?
Include WGFD Strategic Habitat Plan, BLM Resource Management Plans, etc. Relationships to other management
plans can also be found in the WLCI CAP.
LIST OTHER MANAGEMENT PLANS
13. PROJECT LENGTH AND SCHEDULE
A. Project Length
New Single Year
New Multi-Year Continuing/Phased
B. Project Timeline
List scheduled expectations for the life of the project
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C. Project Implementation Schedule
• If New Multi-Year, please list scheduled expectations for each year of project; each subsequent year until
completion requires an updated application for the next year’s goals and objectives including maps and photos.
• If this application is for a Continuing/Phased project, list past accomplishments and future scheduled actions.
For this project year:
Future Year
Future Year
Future Year
Future Year
14. PROJECT FUNDING
A. WLCI Funding Requested by Year (if applicable)
For this project year
Future Year
Future Year
Future Year
Future Year
B. Total WLCI Funding Requested
For the life of the project
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C. How will WLCI Funds Be Used?
Include a breakdown of how WLCI funds will be used (supplies, equipment, labor, etc.).
Include estimates for each year of multi-year projects.
This Project
Year
Future Year Future Year Future Year Future Year Total
Materials/
Equipment
Engineering
Labor
NEPA or
Permitting
Requirements
Other
Total
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D. Project Partner Contributions
For each partner associated with this project, list the dollar amount requested as cash, personnel, in-kind
matches, or any other (e.g., equipment or supplies).
Project Partners Cash Match Personnel Match In-Kind Match Other Total
Total
Describe Other:
E. Total Project Contributions (including all partners)
15. DESCRIBE ANY YOUTH INVOLVEMENT OR EMPLOYMENT WITH YOUR PROJECT
If you anticipate youth involvement, identify groups associated with your project (e.g., Boy Scouts, high school,
conservation corps). List their roles, responsibilities, and an accounting of their hours. Photos and release forms
are required for the Annual Report(s).
16. MONITORING ASSESSMENT
Describe the monitoring planned for this project (how and when). Detail how the monitoring will be shared
with your local project development team and contribute to future projects.
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17. PHOTOS OF PROJECT AREA
Please submit photographs separately from this form. Include description or caption for each photo.
Provide pre-treatment photo points depicting the issues being addressed.
Post-treatment photos will be required in future reports.
Year-End Reporting Reminder
Year-End report DRAFT due September 15 of every year of project
Year-End report FINAL due November 15
Use Year-End Project Report Form
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WLCI HABITAT PROJECT FUNDING APPLICATION DUE APRIL 15 (US Geological Survey)

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Completed 26 January 2021

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