Permanent Address
Name
Street
City, State, Zip __
Phone _____________________ Email
Watershed Property Address (if different than above)
Street
City, State, Zip __
DESCRIPTION OF WATER RUN OFF ISSUE at the Watershed Property:
Street
City, State, Zip __
DESCRIPTION OF WATER RUN OFF ISSUE at the Watershed Property:
DESCRIBE PROPOSED SOLUTION (if known):
PLEASE ATTACH AVAILABLE DOCUMENTATION, IF ANY, THAT CLARIFIES THE
SITUATION.
How much grant money are you seeking?
Will you need a contractor? Yes ______ No _______
Who will you use (if known?) ____________________________________
_____________________________________
Will you need a contractor? Yes ______ No _______
Who will you use (if known?) ____________________________________
_____________________________________
A site visit by a WWC representative is required to assess the situation, photograph the affected area, and gather site information as needed. When is the best time and way to contact you to coordinate the visit? ________________________________
UNDERSTANDINGS
1. Grants are available to Waukewan watershed property owners who are WWC members.
2. WWC Grants provide funding assistance up to 50% of the cost of the project, not to exceed a grant of $500.00.
3. Funds will be provided upon completion of the project.
4. Project must be completed within one year of Board approval.
5. By accepting this grant the grantee agrees to the release, and use by WWC, of all photographs of the issue and its solution.
1. Grants are available to Waukewan watershed property owners who are WWC members.
2. WWC Grants provide funding assistance up to 50% of the cost of the project, not to exceed a grant of $500.00.
3. Funds will be provided upon completion of the project.
4. Project must be completed within one year of Board approval.
5. By accepting this grant the grantee agrees to the release, and use by WWC, of all photographs of the issue and its solution.
Applicant Signature: ____________________________________________
WINDY WATERS CONSERVANCY USE:
WWC Contact Representative:
Project Area within reference line of waterbody? Y/N
WWC Contact Representative:
Project Area within reference line of waterbody? Y/N