Fort Walton Beach — 03-08-11 regular — reading text

Required Attachments - - - a. Cover Letter: application transmittal cover letter (Identify priority rank with multiple applications). b. Application: One (1) application with original signature from authorized individual. c. Resolution: An adopted resolution, by the Governing Body, authorizing that the Project Manager has the authority to apply for and administer the grant on behalf of the applicant. If the Applicant is applying on behalf of another public entity, then a Memorandum of Understanding between the Applicant and the public entity must also be submitted. d. Boundary Map: indicate boundary of the project area. Site Control Documentation: (c.g. a deed, lease, results of title search, etc. for the project site.) e. f. Existing Condition Photographs (sufficient to depict the physical characteristics of the project area) g. Aerial Photographs (marked with the approximate boundaries of the project site) h. Navigational Chart: An 8.5” x 11” photocopy of a current NOAA North American Datum 83 nautical chart (provide the NOAA chart name and number) indicating the precise location of the project site. ojo o jor --- Optional Attachments - - - i. Detailed Cost Estimate: Cost estimate in the form of a formal bid, written quote from proposed vendor or an engineer’s cost estimate. j. Plans: preliminary design/engineering plans (if completed). O00 k. Permits: Photocopies of necessary project permit(s) or permit application(s). If exempt, provide notification of exemption from permitting agency. (1 | 1. Support/Opposition: Attach letters of known public support or known public opposition. APPLICANT SIGNATURE Application is hereby made for the activities described herein. I certify that I am familiar with the information contained in the application, and, to the best of my knowledge and belief, this information is true, complete, and accurate. I further certify that I possess the authority including the necessary requisite property interests to undertake the proposed activities. Talso certify that the Applicant’s governing body is aware of and has authorized the Project Manager as the official representative of the Applicant to act in connection with this application and subsequent project as well as to provide additional information as may be required. By signature below, the Applicant agrees to comply with all applicable federal, state, and local laws in conjunction with this proposal and resulting project so approved. Print/Type Name Title Applicant Signature Date WARNING: “Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor of the second degree, punishable as provided in s. 775.082 or s. 775.083.” § 837.06, Florida Statutes. NOTE: Instruction and further information regarding this application and the Florida Boating Improvement Program can be found in the Florida Boating Improvement Program Procedure Guide or you may contact the Program Administrator at: Florida Fish and Wildlife Conservation Commission, Florida Boating Improvement Program, 620 South Meridian Street, Tallahassee, FL 32399-1600; or call (850) 488-5600; or email foip@MyFWC.com. FWC/FBIP-B (02/10) Page 11 of 8 Attachment: FBIP Application (1165 : Resolution 2011-5 Boating Improvement) FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION FLORIDA BOATING IMPROVEMENT PROGRAM Instructions for completing the Grant Application for Boat Access Facilities General Instructions: Submit one (1) original and seven (7) copies. Submit an electronic copy of application on CD or floppy disk. Staple application in upper left-hand corner, or clip with one binder clip. DO NOT SPIRAL BIND OR PLACE IN A THREE-RING BINDER OR REPORT COVER. Please place a tabbed divider between each attachment. Please make all photocopies of attachments on paper no larger than 11” x 17”. 1- APPLICANT INFORMATION a. Applicant: Enter the name of the county, municipality, or other governmental entity applying for the grant. b. Federal Employer Id. No.: Enter the applicant’s Federal Employer Identification (FEID) Number. Payment will be sent to the address associated with this FEID number. c. Project Manager Name: Enter the name and title of the person in charge of the Title: project. All correspondence will be sent to this person. d. Mailing Address: Enter the mailing address for the Project Manager. All correspondence will be sent to this address. e. Shipping Address: If mailing address is a P.O. box, please include a street address for overnight deliveries. f. Telephone No.: Enter the telephone number, fax number, and email Fax No.: address where the Project Manager may be contacted E-mail: during regular business hours. g. District Numbers: Enter the District numbers for the State House, State Senate and the County Commission for the project location. Page 1 of 6 e @ & o > 3S 2 a E a = & 3 oO 2 = Ss a < g 3 ° ® Q oe in ° = c £ = 3 2 a i < 2 o irs a4 G — s £ 4 Il - PROJECT SUMMARY a. Project Title: Provide a brief title for the project. b. Type of Application: Check “New” if you have never applied for FBIP funding for this project. Check “Reconsideration” if you have applied before but did not receive funding. Check “Phased Continuation” if the project has previously received FBIP funding. c. Project Category: Check only one project category. Refer to the guidelines for project category descriptions. Application will compete only against other applications within the same project category. The Commission reserves the right to re-assign the application to a different project category to maximize funding. d. Project Cost: Enter total amount of project cost, including only the eligible project elements where grant funds will be used. Enter the amount of funds requested from FBIP (rounded to the nearest dollar). ¢, Project Summary: Provide a brief description of the goal of the project, the work to be done and the expected outcome or final product. TI - GENERAL FACILITY INFORMATION Describe existing conditions by checking all that apply. For new facilities, provide information as facility is proposed to be and check “New” for questions about condition of facility. IV - PROJECT DESCRIPTION a. List Primary Need for Project: Check the category that is most applicable. b. Need Statement: Briefly describe why this project is needed. Explain any existing problems and how this project will correct the problem. ¢c. Project Tasks: Describe in detail the exact work to be completed. For example, Task | - Construct onc-lane, conercte boat ramp, Task 2 — Construct 20 boat/trailer parking spaces. d. Project Benefits: Describe how this project will enhance boating in the local community. Page 2 of 6 = i= o E o > £ Q £ o £ g o ao 4 = S N i= 2 3 [-} a oa x Ltd 3 i 2 rs g 4 a < a a a € o £ = oO £ < V —- PROJECT ELEMENTS: BOAT RAMPS & PUBLIC LAUNCHING FACILITIES Check only those elements of the project that will use grant funding. Note: elements must be completed before FWC will reimburse costs. Indicate the type of project: = Engineering/Planning only = no grant funds will be used for construction = Renovate/Repair = replacement or repair of existing facilities with no increased capacity = Expansion = increased boat access by adding more boat launch lanes, more docks, or increased parking, etc. "New = construction of a facility where none currently exists, or adding a new amenity to an existing facility where none existed before VI - PROJECT ELEMENTS: MARINAS & OTHER MOORING FACILITIES Check only those elements of the project that will use grant funding. Note: elements must be completed before FWC will reimburse costs. Indicate the type of project: = Enginecring/Planning only = no grant funds will be used for construction * Renovate/Repair = replacement or repair of existing facilities with no increased capacity = Expansion = increased boat access by adding more boat launch lanes, more docks, or increased parking, etc. » New = construction of a facility where none currently exists, or adding a new amenity to an existing facility where none existed before VII - PROJECT ELEMENTS: AMENITIES Check only those elements of the project that will use grant funding. Note: elements must be completed before FWC will reimburse costs. Indicate the type of project: Engineering/Planning only = no grant funds will be used for construction = Renovatc/Repair = replacement or repair of existing facilities with no increased capacity = Expansion = increased boat access by adding more boat launch lanes, more docks, or increased parking, etc. « New = construction of a facility where none currently exists, or adding a new amenity to an existing facility where none existed before Page 3 of 6 Attachment: FBIP Application (1165 : Resolution 2011-5 Boating Improvement) Packet Pg. 59 10-1.a VIIE- PERMITS Check status of all permit applications. If project type does not require permits, or project is exempt from permitting requirements, check “N/A”. If applicable, attach a a. Florida Department of Environmental Protection photocopy of all permits or permit applications. If project is b. Florida Fish and Wildlife cxempt, attach a copy of exemption notification. Conservation Commission Note: For projects involving mooring buoys, a Florida c. U.S. Army Corps of Engineers | Uniform Waterway Marker Application must be submitted to FWC prior to submittal of the grant application. A copy of the Florida Uniform Waterway d. Local and Others (If needed) Marker Application may be downloaded at http://MyF WC.conyboating/waterways/ IX - PROJECT ENGINEERING AND CONSTRUCTION a. Who is or will be completing project Please check as appropriate. design/engineering? b. Level of engineering completed at time of Please check as appropriate. If engineering is application: complete (conceptual, preliminary, or final), please include a copy of the plans with your application. X - BUDGET a. Has a detailed cost estimate Indicate whether a preliminary or final cost estimate has been developed for this been developed. If yes, attach a copy of the estimate to the project? application. Enter amount of in-kind match for each cost item. Amounts in “Other” column should include in-kind match from any b. CRT MATOuE ~ NON- third-party agreements (provided by someone other than the applicant). *Please note: All applications must include some form of non-cash match. Attachment: FBIP Application (1165 : Resolution 2011-5 Boating Improvement) ¢. PROJECT COST - CASH Enter amount of funding to be provided by the applicant and FUNDS other sources. Enter the amount of funding requested in the column labeled “FBIP Grant Request.” d. TOTAL COST Sum of non-cash match and cash funds for each column. Page 4 of 6 XI - OTHER SOURCE OF FUNDS (Partnerships) Include information on funding from sources other than FBIP or the applicant. Enter information for each funding source. a. Funding Source / Agency: Enter the name of the funding source or the partner b. Type of funding: Check source of funds: Federal grant, State/Local grant, or loan. c. Grant Name: Enter the name of the grant program (if applicable). d. Approval Status: Enter status of grant/loan application. If “Intending to Apply”, enter date of application deadline. XII - ENVIRONMENTAL ASSESSMENT a. Will the project significantly or adversely affect the environment? b. If Yes, please explain key issues and describe any mitigation actions proposed. Explain how the project will have a significant or adverse affect on the environment and include information on the impacts to water quality, wetlands, seagrasses, imperiled species, etc. XIII - BOATER SAFETY a. Explain how the project may affect boater safety whether positively or negatively. Provide explanation of how the project may improve boater safety (i.e. increased education, increased law