Viridor Application Form 2008

8/14/2019 Viridor Application Form 2008

1/13

1

Project Application Form

For consideration by the East Sussex / West Sussex / Whitehead / Sheffield /Hampshire / Dorset / Thames / Essex / Kent / Somerset (Walpole) or Somerset (Dimmer)

panel(please circle as appropriate)

Total Project Cost

Amount Applying For

% of total cost %

It is important to read the Guidance Notes before you fill out this form. Ifthe form is not completed in full it will be returned and your application

delayed.

Please return form to: For Office Use OnlyDate Received

Reference No

Bob Attwood

Administrator

Viridor Credits Environmental Company

Aintree House

Blackbrook Park AvenueTaunton

Somerset

TA1 2PX

01823 624 656 : [email protected]

Applicant


2/13

2

SECTION 1 ORGANISATION DETAILS

a. Name of Organisation or Applicant

___________________________________________________________________________________

b.Contact Details

Name_______________________________________________

Address_____________________________________________

___________________________________________________

___________________________________________________Postcode_________________

Position____________________________________________

Telephone________________________ Fax__________________ E-Mail_______________________________

______________________________________________________________________________________________________

c. How is your group constituted? E.g. Voluntary organisation, company, trust, other(please specify)

______________________________________________________________________________________________________

d. Provide details on the background to your group and its aims and objectives

______________________________________________________________________________________________________

e. Date of establishment of your organisation_____________________________

f. Provide details of relevant insurance policies

_____________________________________________________________________________________


3/13

3

SECTION 2 PROJECT DETAILSA. GENERAL

Name of Project

____________________________________________________________________________

Name of and Distance from landfill site. ______________________We only look at applications that are within a maximum 10 mile radius of a Viridor Waste Landfill Site. Inthe case of the Thames, Beddington Landfill site this radius is reduced to 5 miles.

Location of Project e.g. Address, Post code etc.

____________________________________________________________________________________

Is your project registered with ENTRUST? If yes, please give project approval number.

(Please provide copy of approval) (Registration with ENTRUST is not a prerequisite as wecan register for you).

_____________________________________________________________________________________

Describe your project including its aims and objectives

_____________________________________________________________________________________

Describe why there is a need for the project

_____________________________________________________________________________________

Provide a proposed timetable of work including project start date and date of completion(projects must be started within 12 months of application)

____________________________________________________________________________


4/13

4

Indicate which objectives your project contributes to (you may tick more than one box)

Reclamation, remediation, restoration or decontamination of land

for economic use for environmental use

for social use to reduce or prevent pollution

_____________________________________________________________________________________

Public Amenities and Parks

provide a new local amenity protect an existing amenity

improve an existing amenity other

_____________________________________________________________________________________

Building / Type of Facility

of historical interest for residential use

of architectural interest for educational use

for social or recreational use other

____________________________________________________________________________

Environment

improve local environment a improve access

increase public awareness increase biodiversity

habitat environment other

____________________________________________________________________________

Community Involvement

encourage local participation allow local decision making

involve community in development meet a local need

take into account under-represented groups other

____________________________________________________________________________


5/13

5

CATEGORYd/da ONLY

Category d allows for the provision and maintenance of public amenities and parks.Such projects must be within the vicinity of a Viridor Waste landfill site and the facility

must be open to the public and not operated for profit. We are unable under theregulations to fund school projects.

Category da allows for the conservation and promotion of biological diversity. Thismust be connected to a specific natural habitat or a specific species. Such projects mustbe within 10 miles of a registered landfill site. We are unable under the regulations tofund school projects.

How large a community will benefit?

____________________________________________________________________________

Could this community be considered an adversely affected or deprived area?

____________________________________________________________________________

Does the project cover the natural or social environment?

____________________________________________________________________________

Is the ongoing maintenance of the projects focus or the projects area already agreed?

____________________________________________________________________________

What proportion of the total funding for the project are you applying to Viridor Creditsfor?

____________________________________________________________________________

What steps have been taken to ensure community support for the project?

____________________________________________________________________________


6/13

6

CATEGORYda ONLY complete if relevant

What type of habitat and/or species are you working upon or with at this site? Projects mustbe linked to specific areas at a site or a specific species. We cannot register multi site applications.

____________________________________________________________________________

The protection of the environment. Please explain how this project will be for theprotection of the natural environment ?

____________________________________________________________________________

The conservation of biodiversity. Please explain how your project will lead toconservation or promotion of biodiversity in relation to this specific habitat or species ?

____________________________________________________________________________

Please indicate what support you have from partners in the biodiversity or conservationsphere?

___________________________________________________________________________

CATEGORYeONLY

Category e allows for the restoration and repair of buildings and structures that are forreligious worship or of architectural or historical interest. To qualify under this categorythe project must be within the vicinity of a Viridor Waste Management landfill site, be

open to the public and must be operated on a not for profit basis.

Why is this building or architecture unique? How special? How high profile?

____________________________________________________________________________

How urgent are the repairs and if not undertaken how significant would any damage beto the whole structure?

____________________________________________________________________________


7/13

7

ALL CATEGORIES

Does the project have spin-offs in other categories?

____________________________________________________________________________

Indicate how the project will be managed, maintained and funded in the long term

____________________________________________________________________________

How do you intend to promote and publicise the project and in particular the award thatwe may make towards it?

____________________________________________________________________________

Has LCF funding been received before. If so how much, from whom and when?

____________________________________________________________________________

Have you applied to other LCF funders for this project? If so who and when do youexpect to hear?

____________________________________________________________________________

Please indicate below whether the project will result in any volunteer, training oremployment benefits

Output EstimatedNumber

Detail

Voluntary Opportunities

Vocational Training opportunities

Full-Time Jobs

Part-time/Seasonal Jobs

Other


8/13

8

Youth VolunteeringIn 2006 the scheme was challenged by the Government to create new youth volunteeringopportunities. Consequently all applicants are required to provide the following information withregard to the project.

Outline definition for use with youth volunteering statistics:

A youth is someone who is between the ages of 16 and 25 when they start working on a project.

A volunteer is somebody who has offered their time to participate in the project and will receive nothing morethan reasonable out of pocket expenses whilst carrying out works on the project site.

Number of youth volunteers working on this project

Number of youth volunteering days created by this project

SECTION 3 SITE BASED/BUILDING PROJECTS ONLY

Who owns the land and/or building on which the project is sited?

_____________________________________________________________________________________

If you do not own the land and/or building, who has control over the land?

____________________________________________________________________________

If you have a lease or tenancy agreement please advise how many years remain we areunable to fund projects where short-life ownership rights exist.

Does the project require planning permission or other form of consent? Give details(attach copy)

____________________________________________________________________________

Designation of land eg. SSSI, AONB or of building eg. Grade II listed

____________________________________________________________________________

Do you have the relevant permission to carry out the Project?(provide details)

____________________________________________________________________________


9/13


10/13

10

SECTION 4 FINANCE

How is your organisation currently funded? Give details of general income and funding,and of grants received in the past year. Also list contacts and partnership organisationswhich contribute to your income.

Income/grant Source/contact Timescale

What is the total cost for this particular project?(Please demonstrate how the total was calculated inquotes section at end)

____________________________________________________________________________

How much are you applying for from Viridor Credits?

____________________________________________________________________________

Third Party Contribution This is payable to Viridor Waste Management as they do not get100% tax relief (Only 90%) for the amount they give to the scheme. Therefore a third partycontribution, equal to 10% of the grant awarded, is required. (This means that this sum is notavailable for the project)

Who will make this contribution?

____________________________________________________________________________


11/13

11

If the grant you are applying for is greater than 5,000 also enclose a detailed costingbudget with timeframes clearly identified. If requesting more than 20,000 a morecomprehensive business plan will be required._____________________________________________________________________________

List other funding for this project

Source of funding Amount requestedAmount confirmed/expected date of decision

Total

Please give details of the organisations bank account

Bank Sort Code

Branch Account No

Title of Account

If you are applying for a grant of less than 5,000, specify expenditure below, withtimescales

Item Cost Timescale


12/13

12

Enclosures (Tick if supplied)

Constitution, Trust Deed or Memorandum & Articles of Association (compulsory)

Note of formal agreement of the organisation to apply for funding, e.g. relevantminute of meeting (compulsory)

ENTRUST Enrolled Environment Body registration letter (if registered) in mostinstances Viridor Credits will act as the Environmental body for you

ENTRUST Project registration letter (if obtained)

Evidence of other contributions and specific partner support for project(compulsory)

Evidence of Local Support (compulsory) this shows evidence of the projects worth to thelocal community

Documentation in evidence of the need and support for the project (compulsory)

Audited annual accounts (for last 2 years, where appropriate)

Quotations(s) for work to be undertaken on the project (compulsory) -aMinimum of3 Quotes are required by ourselves to satisfy the scheme regulations. Failure to providethese may lead to a delay in consideration of your projectPlease provide details below (Breakdown)

Grant Payments Schedule (if more than 5,000)

Capital works specifications (if requesting more than 5,000, if appropriate)

Job description/s for salaried posts please note however that only in very exceptionalcircumstances will we provide funding for salaried posts.

Budget and Cash flow plan (if requesting more than 5,000)

Business plan (if requesting more than 20,000)

Planning permission/consents/other relevant permission (if appropriate)

Site plans (if available)

Photographs(if available) Please include a few relevant photographs of the project site/area etc.They always help give our panels a feel for what you are asking for

Other relevant material (please specify)

Access Statement (provide on headed paper) this is compulsory for all projects and failure toprovide will lead to your application being delayed


13/13

13

If the committee agrees to provide funding will you:

Be prepared to sign a formal agreement guaranteeing the proper use ofsuch funds in accordance with the Landfill Tax regulations;

Agree to provide progress reports to an agreed format and frequency;

Provide any information required by ENTRUST;

Provide and put in place an agreed publicity programme;

Keep proper audited accounts for the project and make them available tous or our advisors on request;

Make the first draw down of payment within 3 months of award approval,subject to project start date.

Yes/No

Yes/No

Yes/No

Yes/No

Yes/No

Yes/No

Declaration

I confirm to the best of my knowledge that the above information is correct and that theproject will be carried out as described.

Signature Date

Name

Position

QuotesFrom

Details Total

1 Name

2 - Name

3 - Name

Documents

Viridor Application Form 2008