ATTACHMENT 1
Santa Clara Valley Water District
Grant Application Form
SAFE, CLEAN WATER AND NATURAL FLOOD PROTECTION PROGRAM
This Form and Required Attachments Must Be Submitted for Each Application
Project Overview
Project Name (limit to 25 words):
Amount of Safe, Clean Water Program Funds Requested:
$
Project Duration (in Months):
Estimated Total Project Cost (all other funds):
$
Project Benefits
For trails project:
Miles of new publicly accessible trails:
Miles for Trails(Paved)____ Miles for Trails(Unpaved)____
Area of newly created open space adjacent to a creek(Acres for Open Space):
Total Length or Area of Linkages:
Miles for Trails Acres for Open Space:
Population or neighborhoods served:
Other measurable benefits:
Project Location
Nearest Cross Street at the Starting Point:
Nearest Cross Street at the End Point:
Nearest Watershed Area (Check One):
____ Coyote; ___Guadalupe; ____West Valley; ____Lower Peninsula; ___ Uvas-Llagas;____CountyWide
Name of nearest creek or water body:
Name of the nearest existing trail or parks:
Nearest City:
Project Address:
Grant Applicant (We are a Government ___ or 501c(3)___entity)
Name and Address of the Entity:
Representative Authorized in Resolution
Name:
Title:
Phone:
Email address:
Project Manager: day-to-day responsibility for project (if different from authorized representative)
Name:
Title:
Phone:
Email address:
Brief description of project (Limit to 150 words)
Distance to the Nearest District Fee and Easement:
Does the Project need to have a Joint Use Agreement with the Water District? ___YES or ____NO
I, ___________certify that the information contained in this form and application requirements is accurate.
I also acknowledge that I have read and understand that the standard provisions and requirements or its
refined versions along with other forms for reporting will be incorporated into the Grant Agreement if the
proposed project is awarded the grant funding.
Signed ______________________________________
Project Proposal’s Authorized Representative
______________
Date
I, ___________certify that the information contained in this form and application requirements is accurate.
Signed
________________________________________________________
Appropriate Level Manager (for external projects)
DOO or AOO (for District projects)
______________
Date