application instructions - env.nm.gov web view250 word maximum. marketing research. ... drywall...

32
Recycling and Illegal Dumping Grant Application Form Recycling New Mexico Environment Department Solid Waste Bureau 2013-2014

Upload: tranthuan

Post on 30-Jan-2018

217 views

Category:

Documents


0 download

TRANSCRIPT

Recycling and Illegal Dumping Grant Application Form

RecyclingNew MexicoEnvironment DepartmentSolid Waste Bureau

2013-2014

2

ContentsApplication Instructions....................................................................................................3Recycling Grant Application Form.....................................................................................4

Contact Person..............................................................................................................4Type of Organization.....................................................................................................4Project Team.................................................................................................................4Description of Project (5 Points)...................................................................................5Project Work Plan (5 Points)..........................................................................................7Need and Urgency for the Project (20 Points)................................................................9Organizational Commitment (10 Points)........................................................................9Community Recycling Plan (10 Points)........................................................................10

Status of Recycling in the Community......................................................................11Long-Term Vision for Community Recycling Program...............................................11Economic Assessment..............................................................................................12Local and Political Support for Recycling..................................................................12Regional Partnerships...............................................................................................13Marketing Research.................................................................................................14Collection Methods...................................................................................................15Processing and Storage............................................................................................16Education.................................................................................................................17Target Materials.......................................................................................................18Recycling Plan Timeline............................................................................................19

Budget Proposal.............................................................................................................20Matching Funds...........................................................................................................20

Litigation, Liabilities, and Land Information....................................................................21Certifications..................................................................................................................22

Authorized Agent.........................................................................................................22Responsible Financial Officer.......................................................................................22

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

3

Application Instructions All applicants must read and understand the Recycling and Illegal Dumping Grant

Fund Application Instruction booklet. To be considered for a grant, an applicant must complete the entire form, answer all

narrative questions, and note any attachments. If a question is not applicable, note "N/A" in the appropriate location. Do not leave any question blank.

Clearly describe your grant project. Provide enough narrative details so committee members may fully understand what you plan to use the funds for, or what you plan to accomplish if you are awarded a grant. In past grant cycles, several applicants did not receive funding because the description of what the funding would be used for was confusing or unclear.

To be considered for additional funding you must provide an itemized budget for committee members to consider for partial or possible full funding. Additionally, if you itemize task costs, if a grant is withdrawn from another applicant, you may be allowed to amend your contract to receive additional funds for those tasks that were not funded. The committee is not able to make decisions based on lump sums provided in a budget. If possible, attach a budget estimate from a consultant or contractor to support your application.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

4

Recycling Grant Application Form

Organization Name

Click here to enter text.Date

Choose date.Project Title

Click here to enter text.Total Amount Requested

Contact PersonName

Click here to enter text.

Position

Click here to enter text.Address

Click here to enter text.

State

  

Zip

     Email

Click here to enter text.

Phone

Click here to enter text.

Type of Organization Municipality Land Grant Community

County Cooperative Association (See Definition in Grant Instructions)

Indian Nation, Pueblo, or Tribe

Solid Waste Authority

Project TeamRole Name Organization

Project Leader (Grantee

Click here to enter text. Click here to enter text.

Team Members

Click here to enter text. Click here to enter text.Click here to enter text. Click here to enter text.Click here to enter text. Click here to enter text.Click here to enter text. Click here to enter text.Click here to enter text. Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

5

Description of Project (5 Points)Please respond to the following bullets:

Clearly and briefly state what you want to do, the project location and what you intend to achieve.

Attach photographs of any equipment to be purchased. Describe end-markets or local uses for recycled materials.

150 word maximum

Click here to enter text.

What type of material(s) will be recycled using this grant funding? ( all that apply)

Motor Oil Newspaper ONP #7 Lead acid car batteries Other(s): Click here to enter text. Cardboard - Corrugated

Do 95% or more of the recyclable materials come from sources in New Mexico?

Yes No

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

6

Describe how the project fits into existing recycling infrastructure in the region.

150 word maximum

Click here to enter text.

Will the project lead to other community benefits and if so, how? For example, will it foster regional cooperation, lead to increased land values due to improved services, or increase community pride?

150 word maximum

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

7

Project Work Plan (5 Points) Describe what actions you will take to achieve the stated goals. The quality of the

work plan is not determined by the number of actions, but the ability of your community to achieve them.

Describe how you will know if you have succeeded (performance measures). Describe how your proposed budget items correspond with achieving each goal.

Goal 1 Action Performance Measure

Target Date

Responsibility

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Expense items from Budget Proposal that relate to Goal 1: Click here to enter text.

Goal 2 Action Performance Measure

Target Date

Responsibility

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Expense items from Budget Proposal that relate to Goal 2: Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

8

Goal 3 Action Performance Measure

Target Date

Responsibility

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Expense items from Budget Proposal that relate to Goal 3: Click here to enter text.

Goal 4 Action Performance Measure

Target Date

Responsibility

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Click here to enter text.

Click here to enter text. Choose date.

Click here to enter text.

Expense items from Budget Proposal that relate to Goal 4: Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

9

Need and Urgency for the Project (20 Points)Please consider the following questions in describing the need and urgency of the proposed project:

How will this project increase access to recycling? Were there alternative solutions considered and if so, why were they not chosen? What are the challenges to recycling addressed by the project? How will the project be implemented if it can be only partially funded by this grant

program?

150 word maximum

Click here to enter text.

Organizational Commitment (10 Points)Please consider the following questions in describing organizational commitment to the proposed project:

How will this project succeed and continue after grant funds are expended? Has the applicant proven sustainability with any other program(s)? What type of communication and education activities will sustain this project? How will this project be funded in the future?

150 word maximum

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

10New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

11

Community Recycling Plan (10 Points)This Community Recycling Plan was based on a document developed by the NM Recycling and Illegal Dumping (RAID) Alliance as part of the RAID grant application.

This plan can be written as a stand-alone document or as a resolution for your community to adopt, use in steering solid waste plans, etc.

For technical assistance, such as end-market contacts, equipment recommendations, and other help, please call the New Mexico Recycling Coalition, 505-983-4470.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

12

Status of Recycling in the CommunityPlease describe current recycling activities. For example, consider answering the following questions:

What existing recycling programs, activities, and services are available? What are the current recyclables collection and processing activities? What are current diversion rates?

100 word maximum

Click here to enter text.

Long-Term Vision for Community Recycling ProgramPlease describe your long-term vision. For example, consider answering the following questions:

Do you need program startup funding? What are your recycling rate goals? How can you provide increased recycling access to the community? How can you expand materials collection? How can you improve the quality of materials collected? How can you improve education and outreach? How can you reduce reliance on landfilling?

200 word maximum

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

13New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

14

Economic AssessmentPlease give an economic assessment of your recycling program. For example, consider answering the following questions:

What are current solid waste program costs and funding? What funding is available for program improvements (self-funded, grant funds,

loans, etc.)? How much money can be saved by avoided landfill tipping fees if materials are

diverted to recycling?

150 word maximum

Click here to enter text.

Local and Political Support for RecyclingPlease describe the support for recycling that exists in your community. For example, consider answering the following questions:

Is the community asking for more recycling? Are your community leaders in support of recycling? Are they willing to invest staff time and funds towards this endeavor?

150 word maximum

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

15

Regional Partnerships Please describe any existing or potential partnerships for your community. For example, consider answering the following questions:

Have neighboring communities been contacted to assess their recycling opportunities?

Is there a nearby transfer station where residents take their trash already that could be the locale for the recycling collection equipment?

Are there potential partnering opportunities to maximize the efficiency of recycling equipment (such as a nearby community or business with a horizontal baler to which your community could deliver material)? Would a Memorandum of Understanding (MOU) be needed to outline the recycling relationship?

Are there local schools or civic groups that could aid and support the community recycling program to enhance success?

250 word maximum

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

16

Marketing ResearchPlease describe any research you have done regarding markets for your recyclable materials. For example, consider answering the following questions:

Have you identified where the material will go for recycling? Will you have to deliver the material? Will the end-market pick-up the material?

What is the distance to market? What materials do they accept? What are the requirements for that recyclable item?

No lids? Sorted by material type or mixed together with other materials? Definition of papers accepted?

Does the end-market pay for materials? Do you have to pay to have the recyclables accepted (e.g. tires)?

If the material you are collecting has a fee to process it, can you plan to pass this cost on to your customers?

250 word maximum

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

17

Collection MethodsPlease describe the methods in use or proposed for your community to collect trash and recyclables. For example, consider answering the following questions:

How are you currently collecting recyclables? Collecting trash? Where are the drop-off facilities or services? Will you need to consolidate recyclables at a central location before getting to end-

market? What equipment would be needed to expand recycling collection? E.g. mixed

material roll-off, single material roll-off, small dumpster, shed with 55-gallon drums for oil/antifreeze, multi-bin covered roll-off, multi-bin portable trailer. Plan equipment according to the end-market and their requirements and the necessity for transport or consolidation locations in your community.

Will the drop-off recycling location be manned? If not, will it be covered or provide small slots to avoid illegal dumping and material contamination?

Do markets allow mixed materials? Or do they require pre-sorted recyclables?

250 word maximum

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

18

Processing and StoragePlease describe how you propose to process and store the materials collected through your recycling program. For example, consider answering the following questions:

Will your community bale any materials for the end-market? Balers create large, compressed rectangular bundles of material, creating benefits in transportation. Cardboard is often baled when large quantities are available for recycling.

Will you deliver materials to a neighboring community to have the material baled? (Note, most end-markets provide better prices for baled material, but your community must decide the level of investment to make, amount of materials produced, etc. before making the decision to bale)

For the end-market to pick-up material, will you have to store material until a truckload has been collected? Does the material need to be covered, kept under roof or have any other special storage requirements?

250 word maximum

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

19

Education Please describe how people in your community will learn about recycling. For example, consider answering the following questions:

What type of communication and education activities do you have in place to support your programs?

What expanded educational outreach do you have planned? Detailed signage on what can and cannot be recycled at the drop-off area is

essential. It is recommended that education to residents occur around the year via newsletter

info, bill inserts, flyers, print or radio ads (many times these venues provide this for free in smaller communities) and outreach at community meetings.

Public education and program promotion are key to program success.

250 word maximum

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

20

Target Materials

Recyclable material

all that apply Collection device or equipment needed

End market to deliver to

Existing program

Timeline to expand collection

Motor Oil / Antifreeze Click here to enter text.

Click here to enter text.

Click here to enter text.Lead-acid car batteries Click here to

enter text.Click here to enter text.

Click here to enter text.Cardboard - Corrugated Click here to

enter text.Click here to enter text.

Click here to enter text.Newspaper ONP #7 Click here to

enter text.Click here to enter text.

Click here to enter text.Aluminum Cans Click here to

enter text.Click here to enter text.

Click here to enter text.Glass containers Click here to

enter text.Click here to enter text.

Click here to enter text.Scrap metals Click here to

enter text.Click here to enter text.

Click here to enter text.Green waste and/or

woody landscaping waste (e.g., for producing compost or

Click here to enter text.

Click here to enter text.

Click here to enter text.

Mixed paper Click here to enter text.

Click here to enter text.

Click here to enter text.Office Paper Click here to

enter text.Click here to enter text.

Click here to enter text.Phone Books Click here to

enter text.Click here to enter text.

Click here to enter text.Concrete Click here to

enter text.Click here to enter text.

Click here to enter text.Electronics (E-Waste) Click here to

enter text.Click here to enter text.

Click here to enter text.Household hazardous

wasteClick here to enter text.

Click here to enter text.

Click here to enter text.Textiles/Clothing Click here to

enter text.Click here to enter text.

Click here to enter text.Reuse Exchange Area Click here to

enter text.Click here to enter text.

Click here to enter text.Batteries – rechargeable Click here to

enter text.Click here to enter text.

Click here to enter text.Building Materials (Reuse

exchange)Click here to enter text.

Click here to enter text.

Click here to enter text.

Carpet Click here to enter text.

Click here to enter text.

Click here to enter text.Cell Phones Click here to

enter text.Click here to enter text.

Click here to enter text.Disk Click here to

enter text.Click here to enter text.

Click here to enter text.Drywall (Gypsum Board) Click here to

enter text.Click here to enter text.

Click here to enter text.Lumber, wood waste Click here to

enter text.Click here to enter text.

Click here to enter text.Food waste Click here to

enter text.Click here to enter text.

Click here to enter text.Animal waste Click here to

enter text.Click here to enter text.

Click here to enter text.Plastic Bags Click here to

enter text.Click here to enter text.

Click here to enter text.Plastic #1 & #2 Bottles Click here to

enter text.Click here to enter text.

Click here to enter text.Printer cartridges Click here to

enter text.Click here to enter text.

Click here to enter text.Styrofoam Click here to

enter text.Click here to enter text.

Click here to enter text.Tires Click here to

enter text.Click here to enter text.

Click here to enter text.White Goods

(appliances)Click here to enter text.

Click here to enter text.

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

21

Recycling Plan Timeline Please consider the following questions:

What actions and timeline will you develop to achieve the stated goals? What actions does your community intend to take in the future to increase access to

recycling and increase your community’s recycling rate? The quality of the action plan is not the number of actions, but the ability of your

community to achieve them How will you know if you have succeeded (performance measure)?

Goal Action Performance Measure

Target Date

Responsibility

Click here to enter text.

Click here to enter text.

Click here to enter text. Click here to enter

Click here to enter text.

Click here to enter text.

Click here to enter text.

Click here to enter text. Click here to enter

Click here to enter text.

Click here to enter text.

Click here to enter text.

Click here to enter text. Click here to enter

Click here to enter text.

Click here to enter text.

Click here to enter text.

Click here to enter text. Click here to enter

Click here to enter text.

Click here to enter text.

Click here to enter text.

Click here to enter text. Click here to enter

Click here to enter text.

Click here to enter text.

Click here to enter text.

Click here to enter text. Click here to enter

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

22

Budget Proposal

Task #

Expense item* Basis of budget estimate

Grant application amount

Applicant contribution

Totals

In-kind Cash

   Click here to enter Click here to                           Click here to enter Click here to                           Click here to enter Click here to                           Click here to enter Click here to                           Click here to enter Click here to                           Click here to enter Click here to                           Click here to enter Click here to                           Click here to enter Click here to                           Click here to enter Click here to                           Click here to enter Click here to                        

Totals                        *Equipment or supplies proposed for purchase must be documented with a quotation, estimate or public price list and photographs attached to this budget proposal.

Matching Funds Are there any other grant monies from other organizations for this project? (For information only; this is not a ranking requirement.)

Yes (If "yes," list in the table below) No

Amount Granting Organization

      Click here to enter text.      Click here to enter text.      Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

23

Litigation, Liabilities, and Land InformationIs there pending litigation or other contingent liabilities that have a bearing on this project or application (i.e. need Army Corps of Engineer’s approval, need other NMED or other agency permits to proceed)?

Yes (Please explain below) No

Click here to enter text.

Is the project on State, BLM or other lands not owned by the applicant?

Yes (Please explain below) No

Click here to enter text.

Have all parcels of land and rights-of-way necessary for completion of this project been purchased, leased, or otherwise acquired by the applicant?

Yes No (Please explain below)

Click here to enter text.

Has ownership of the property been verified?

Yes No (Please explain below)

Click here to enter text.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application

24

CertificationsAuthorized AgentI, the undersigned, do hereby certify that I am an authorized agent of the applicant. (Authorized agent must be a mayor; city or county manager; chairman of a county commission; director of a solid waste authority; governor of a pueblo, tribe or nation; or chairman or executive director of a cooperative association.)

I, the undersigned, do hereby certify that I or my staff has read and understand the application requirements, and the conditions contained herein that we must comply with if a grant is awarded.

If a grant is awarded as a result of this application, we will comply with all applicable local, state, and federal regulations and requirements. To the best of my knowledge and belief, the information contained in this application is accurate and complete.

Signature of Authorized Agent Title of Authorized Agent

Click here to enter text.Printed Name of Authorized Agent

Click here to enter text.

Date

Click here to enter a date.

Responsible Financial OfficerI, the undersigned, do hereby certify that I am the responsible financial officer for this grant. I also affirm that I have been provided a completed copy of this application.

I, the undersigned, do also affirm that in the event of issuance of a grant award contract, I understand the quarterly reporting requirement, and that timely submission of invoices and supporting documentation for reimbursement is necessary, or we may forfeit payment for late or incomplete invoices.

Signature of Responsible Financial Officer Title of Responsible Financial Officer

Printed Name of Responsible Financial Officer

Date

Click here to enter a date.

New Mexico Recycling and Illegal Dumping Alliance ▪ Recycling Grant Application