Recycling and Illegal Dumping Grant Application Form
New Mexico
Environment Department
Solid Waste Bureau
2015-2016
ContentsApplication Instructions3RAID Grant Application Form4Contact Person4Type of Organization4Project Team4Project Description (100 Total Points)5Long-Term Planning (75 Total Points)10Sustainability (25 points)11Partnerships (50 Total Points)12Financial Aspects of Proposal (75 Total Points)13Budget Proposal (25 points)13Litigation, Liabilities, and Land Information16Certifications17Authorized Agent17Responsible Financial Officer17
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 Additionally, if you itemize task costs, if a grant is withdrawn from another applicant, you may be allowed to amend your contract to receive additional funds for those tasks that were not funded.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.
Grant Submittal Checklist
|_| Signed Application
|_| Photos of sites to clean up (if applicable)
|_| Locally-adopted resolutions, ordinances or plans (if available)
|_| Letters of Support or MOUs
|_| Equipment Quotes and Photos to Support Budget Proposal
|_| Consultant or Contractor Quote to Support Budget (if applicable)
RAID Grant Application Form
Organization Name
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Date
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Type of Project (Check one box only)
|_| Tire Project
|_| Recycling Project
|_| Illegal Dumping Project
Project Title
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Total Amount Requested
$ Enter amount.
Contact Person
Name
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Position
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Address
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State
Zip
Email
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Phone
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Type of Organization
|_| Municipality
|_| Land Grant Community
|_| County
|_| Cooperative Association (See Definition in Grant Instructions)
|_| Indian Nation, Pueblo, or Tribe
|_| Solid Waste Authority
Project Team
Role
Name
Organization
Project Leader
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Team Members
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Project Description (100 Total Points)
Please respond to the following bullets:
Clearly and briefly state what the goal(s) of this project are and what tasks are needed to accomplish these goals.
Describe the project location, specific equipment/supplies needed and plans for project implementation. Include relevant information on safety, contamination avoidance, educational efforts, transportation needs and efficiency planning tactics involved.
Describe how materials collected in this project will be managed, including preparation for end-markets or local uses, if relevant.
Describe existing related programs, activities and services in your community, outlining your entitys role in these activities.
How does this project expand on or complement existing services?
400 word maximum
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Do 95% or more of the materials in this project come from sources in New Mexico?
|_| Yes
|_| No
Has your entity received RAID grant funds in the past? Please refer to the grant website to see a list of past funded entities. 20 points are awarded to new applicants that have not yet received funding from this program.
|_| Yes
|_| No
If your entity has received grant funding from the RAID program, please describe your past performance, e.g. were all monies spent, project successfully completed on time, submitted reports as required, etc. Up to 20 points are awarded in regard to successful past performance on RAID grant projects.
100 word maximum
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For recycling projects only: What type of material(s) will be recycled using this grant funding in regard to the 2015 NM Solid Waste Management Plan tier system? ( all that apply)
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Tier 4: HHW, food waste, single stream
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Tier 3: C&D, boxboard / paperboard, #3-#7 plastic, reuse area
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Tier 2: Brush and green waste, glass, electronics, tires
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Tier 1: Traditional household recyclables: old corrugated cardboard, paper, #1 and #2 plastic, aluminum, tin cans, scrap metal
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Tier 0: lead acid batteries, used motor oil
Please describe below how you currently manage materials in the tiers below the tier you checked for this project:
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For scrap tire and illegal dumping clean-ups only: Answer each of the following questions for each site or stockpile that will be abated through this proposal. This section must be completed for all abatement projects including stockpiles at landfills and other registered or permitted facilities.
How many sites are you proposing to clean up? You will need to fill out that number of For Abatement Projects forms.
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Attach at least one and no more than three photos of each site.
Name of site
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Location and/or physical address
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Name of property owner (if known)
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Number of scrap tires or estimated cubic yards of MSW at the site
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Length of time the illegal dump site or stockpile has been in existence
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Population within a five-mile radius of the site
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Schools, hospitals, businesses, and industries within a five-mile radius of the site
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Distance to the nearest river, stream, and/or arroyo
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What fire hazard or vector problems does the site pose?
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Is the site active, and if so, is it still growing?
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Is there pending litigation or other contingent liabilities that have a bearing on this project or application?
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Has a Notice of Violation or other enforcement action been taken? If so, please attach a copy to this application.
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If your community is awarded a RAID grant to abate this site, will you prepare a resolution in accordance with section 3-18-5 NMSA 1978 authorizing your community to abate the site and to file a lien against the property for the abatement cost if the owner, occupant or agent in charge of the property fails to abate the site?
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Project Work Plan
Describe what actions you will take to achieve the stated goals. The quality of the work plan is not determined by the number of goals or actions, but the ability of your community to achieve them within the grant funding time period.
Describe how you will know if you have succeeded (performance measures).
Goal
Action/Task to Accomplish Goal
Performance Measure
Target Date
Responsibility
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Long-Term Planning (75 Total Points)
Please consider the following questions in describing the long-term planning that provides guidance in the development of this proposed project:
Planning (25 points for long-term planning and 25 points for attaching adopted strategic plans, ordinances or resolutions)
Outline specific goa
