Program Questions:
Water Quality Improvement Project (WQIP) Program

Q_6650

Is this an implementation project that will address water quality impairment or protect a drinking water source?

Q_7189

Is the applicant a municipality, a municipal corporation, a soil and water conservation district, regulated traditional Municipal Separate Storm Sewer Systems (MS4) or a Not-for-Profit Corporation?

Q_7190

Does the applicant have available as local match: -at least at least 25% of the requested grant amount for nonpoint source abatement and control, land acquisition projects for source water protection, aquatic habitat restoration, municipal separate storm sewer system (MS4), or high priority wastewater treatment projects, or -at least 60% of the requested grant amount for general wastewater infrastructure improvement projects, or -at least 50% of the requested grant amount for salt storage projects?

Q_928

Project Street Address: Please input the project street address (Street Number and Street Name only).

If the project has multiple locations, please input the primary street address of the project. If the project does not have a definite street address, please input the approximate street address of the project (Street Number and Street Name only).

Q_565

Project City

Q_568

Project State
  • AA,AL,AK,AZ,AR,CA,CO,CT,DE,FL,GA,HI,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI,WY,AS,DC,FM,GU,MH,MP,PW,PR,VI

Q_1034

Project ZIP Code. (please use ZIP+4 if known)

Q_972

Project county or counties.

Q_616

For more than one project location, please provide full address(es) for each location. If Not Applicable, indicate "NA".

Q_572

Project Latitude (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_573

Project Longitude (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_3527

US Congressional District where the project is located.
  • 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27

Q_184

NYS Assembly District where the project is located. (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_190

NY Senate District where the project is located. (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_552

Applicant City

Q_975

Estimated Project Timeline: including project start/completion dates, estimates for design, permitting and construction or other major steps. (You may enter N/A for non-Project related applications)

Q_550

If you are a DBA, what is your DBA name?

Q_549

Type of Applicant (select all that apply)
  • Federal, State, County, City, Town, Village, Tribal, School District, County or Town Improvement District, District Corporation, For-Profit, Not-For-Profit, Individual, S Corporation, C Corporation, IDA, LDC,LLC,LLP, Public Authority, Public Benefit Corp, Sole-Proprietorship. HDFC,BID, LP,Boards Of Cooperative Educational Services (BOCES), Fire District, Regional Planning and Development Board, Public Library, Association Library,College/University/Community College

Q_556

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.
  • Charity Reg #, Duns Number, Federal Tax ID Number, NYS Unemployment Insurance Tax Number, Social Security Number, NYS Vendor Identification Number (SFS)

Q_2655

Based on your selection from the previous question, enter your applicant ID number. (Please do not provide your social security number).

Q_969

If you are a business, have you been certified as a New York State Minority or Women-owned Business Enterprise (MWBE)?
  • Yes, No, N/A

Q_546

Legal Name of Applicant

Q_5416

Applicant First Name

Q_5417

Applicant Last Name

Q_551

Applicant Street Address

Q_553

Applicant State

Q_554

Applicant ZIP Code. (please use ZIP+4 if known)

Q_651

Applicant Telephone Number, (please include area code)

Q_555

Applicant Email Address

Q_5257

Contact Salutation
  • Mr., Mrs., Ms., Dr.

Q_547

Contact First Name

Q_1049

Contact Last Name

Q_1050

Contact Title

Q_5490

Primary Organization

Q_3688

Contact Street Address

Q_3689

Contact City

Q_3690

Contact State

Q_3691

Contact ZIP Code

Q_562

Primary Contact Phone Number. (please include area code)

Q_3692

Contact Email

Q_5475

Contract Salutation
  • Mr., Mrs., Ms., Dr.

Q_5476

Contract First

Q_5477

Contract Last

Q_5478

Contract Title

Q_5491

Authorized Organization

Q_5479

Contract Street

Q_5480

Contract City

Q_5481

Contract State

Q_5482

Contract Zip

Q_5483

Contract Phone

Q_5484

Contract Email

Q_5493

Additional Salutation
  • Mr., Mrs., Ms., Dr.

Q_1052

Additional Project Contact First Name

Q_970

Additional Project Contact Last Name

Q_1051

Additional Contact Title

Q_5492

Additional Organization

Q_3693

Additional Contact Street Address

Q_3694

Additional Contact City

Q_3695

Additional Contact State

Q_3696

Additional Contact ZIP Code

Q_3697

Additional Contact Telephone Number

Q_561

Additional Contact Email Address

Q_4199

Please select the primary sector or characterization that best defines this project.
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_4198

Please select the secondary sector or characterization that best defines this project.
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_3762

Does your project directly address the needs of people in your region who are living in poverty and who seek resources for inclusion in the economic life of New York State?

Q_3763

How does your project seek to apply CFA funds for the purpose of eliminating barriers to skilled employment by poor people in your region, as identified by the Opportunity Agenda? Please describe any efforts to collaborate at the local or regional level (i.e. public, private, labor, philanthropic sectors).

Q_3764

How does your project build workforce development programs, improve physical infrastructure, and/or establish social services that connect people living in poverty in your region with skilled employment, in correspondence with the economic revitalization priorities, distressed community targets, and the industry growth areas identified in the Opportunity Agenda and Strategic Plan?

Q_4200

Does your project provide opportunities for Veterans’ to participate in the workforce, or improve services to the Veterans’ and military families in New York?

Q_4201

If Yes, please explain how your project impacts the Veterans’ and military families in New York.

Q_6048

Does your project advance downtown revitalization?

Q_6047

If Yes, please detail how it will attract and retain residents, visitors and businesses and transform neighborhoods.

Q_575

Project Description. Concisely describe the project, indicating the location, what will be planned, designed, acquired, and/or constructed, the issues/opportunities to be addressed, and expected outcomes and deliverables. Additional details will be collected later in the application process.

Q_976

Statement of Need

Q_930

Explain what makes your project a regional economic priority - for example creates jobs, economic investment, sustainability and community revitalization, government efficiency or consolidation etc.

Q_2366

How does your project align with the Regional Economic Development Council’s Strategic Plan/Upstate Revitalization Initiative Plan? (strategic plans are located at https://regionalcouncils.ny.gov/ )

Q_929

Current State of Project Development (i.e. planning, preliminary engineering, final design, etc. You may enter N/A for non-project related applications)

Q_580

Provide a list of all federal, state, and local reviews, approvals, or permits needed or completed, including the dates when they are expected to be completed or were completed. If Not Applicable, indicate "NA".

Q_2364

What is the status of State and/or Federal Environmental Review? If review of the project is underway or completed pursuant to the State Environmental Quality Review Act (SEQRA) or National Environmental Policy Act (NEPA), please indicate the lead agency (if applicable).

Q_1054

If National Environmental Policy Act (NEPA) Record of Decision has been issued, please explain (include date of Record of Decision).

Q_2362

If funding was awarded in prior CFA rounds, what were the CFA numbers for which funding was awarded? (separate multiple CFA numbers with commas)

Q_4160

For each program to which you are applying under the CFA, explain your strategy for proceeding if the full amount of requested funding, required matching funds, and temporary financing are not secured as expected, or committed sources become unavailable.This explanation must address any proposed project phases, and both CFA and non-CFA sources of funds.

Q_6213

Please download and complete the budget template provided (fillable pdf), and then upload the completed budget as part of your application.

Q_6946

Please provide Letters of Support for your project (if applicable). All letters should be scanned into a single PDF file and their total size cannot exceed 10 Megabytes (MB).

Q_7342

Attach a map with the project area clearly identified. Map must be a 1:24,000 scale USGS or DOT planimetric map. For Land Acquisition Projects for Source Water Protection, refer to Appendix B of the RFA for required map elements.

Q_6003

Project review pursuant to the State Environmental Quality Review Act (SEQRA) must be completed prior to the award of any state funds. For projects classified as Type I or Unlisted actions, submit a short or long Environmental Assessment Form. See "View Scoring Tips" for links to forms.

Q_1057

If review of the project has been completed pursuant to State Environmental Quality Review Act (SEQRA) or National Environmental Policy Act (NEPA), please submit the Negative Declaration or Findings Statement, or Finding of No Significant Impact or Record of Decision.

Q_7141

For all Wastewater Treatment Improvement project applications, attach an engineering report. This is REQUIRED for all projects in the Wastewater Treatment Improvement category.

Q_7151

For Wastewater Treatment Improvement projects to construct municipal systems to serve multiple properties with inadequate on-site septic systems that address an impairment documented in a completed sanitary survey conducted or approved by the Department of Health, attach the sanitary survey that was conducted and/or approved by the Department of Health.

Q_7107

For Nonpoint Source Abatement and Control Green Infrastructure or Stormwater Retrofit projects, attach a completed feasibility study for the proposed project, existing conditions plan or diagram, AND conceptual site plan with this electronic application. Refer to Appendix A of the RFA for specific documentation requirements.

Q_7103

For all Nonpoint Source Abatement and Control projects, attach pictures clearly showing the proposed site and documenting the need for the project (e.g. stream bank erosion, stormwater runoff, etc.).

Q_7104

For Nonpoint Source Abatement and Control Projects, attach any site assessments, permits, feasibility studies, or other documentation that demonstrates the likelihood of project success and/or feasibility.

Q_7093

For Nonpoint Source Abatement and Control Beach Restoration projects that are the main focus of a beach restoration report funded independently, attach the beach restoration report.

Q_7110

For Nonpoint Source Abatement and Control In-Waterbody Control of Nutrient projects, attach a plan that has been completed or is underway for controlling external sources and documentation that the plan is being implemented.

Q_7111

For Nonpoint Source Abatement and Control In-Waterbody Control of Nutrients hypolimnetic aeration or withdrawal projects, attach a plan for long term operation and maintenance of the BMP. THIS IS REQUIRED FOR ALL HYPOLIMNETIC AERATION AND WITHDRAWAL PROJECTS IN ORDER TO BE ELIGIBLE.

Q_7112

For Nonpoint Source Abatement and Control In-Waterbody Control of Nutrients projects, attach a study, completed by a qualified professional that identifies significant internal waterbody loading and justification for the use of the BMP. THIS IS REQUIRED FOR ALL IN-WATERBODY CONTROL OF NUTRIENTS PROJECTS IN ORDER TO BE ELIGIBLE.

Q_7113

For Nonpoint Source Abatement and Control Beach Restoration projects, attach a completed beach sanitary survey with this electronic application. Also attach topographic surveys, borehole/percolation test information, permits, construction designs, feasibility studies, or other documentation that demonstrates the likelihood of project success and/or feasibility. THIS IS REQUIRED FOR ALL BEACH RESTORATION PROJECTS IN ORDER TO BE ELIGIBLE.

Q_7123

For Land Acquisition PROGRAMS for Source Water Protection, upload fiscal information, such as an annual report, that demonstrate your organization’s ability to sustain the level of effort being funded under this grant if grant funding will be used for personal services

Q_7138

For Land Acquisition projects or programs for Source Water Protection, attach a detailed protocol for monitoring and enforcement of properties or easements. The protocol must include all “Monitoring and Enforcement Protocol Required Elements” listed in Appendix B of the RFA. THIS IS REQUIRED FOR ALL LAND ACQUISITION FOR SOURCE WATER PROTECTION PROJECTS AND PROGRAMS IN ORDER TO BE ELIGIBLE.

Q_7139

For Land Acquisition projects or programs for Source Water Protection, if commitment from landowners who will be selling or donating their development rights or land has been obtained, attach one PDF file of all letters of commitment.

Q_7173

For MS4 projects, attach a list of all cooperating MS4s. If a signed commitment from each participating MS4 has been received, include the signed commitment letters in the attachment. If awarded, a signed commitment from all participating MS4s must be obtained by the applicant by the date of contract execution.

Q_7340

For which WQIP category are you applying?
  • Wastewater Treatment Improvement, Non-agricultural Nonpoint Source, Land Acquisition for Source Water Protection, Salt Storage, Aquatic Habitat Restoration, Municipal Separate Storm Sewer Systems (MS4)

Q_6834

For all projects impacting surface water, which segment of the Waterbodies Inventory/Priority Waterbodies List (WI/PWL) is the project nearest to? Please include the PWL segment number and name.

Q_7280

Which pollutant listed on the WI/PWL segment that you identified in Q_6834 is the source of the impairment that will be addressed by this project?

Q_7281

If you have not identified a WI/PWL segment that is nearest to this project, please explain why.

Q_7236

What HUC 12 watershed is the project located in?

Q_6330

How will the proposed WQIP project help improve water quality?

Q_5695

Does the municipal system have a State Pollutant Discharge Elimination System (SPDES) permit?
    1. If Yes is selected then Q_5696 will be displayed

Q_5696

List the SPDES permit number.

Q_3926

Has the applicant previously applied for funding through the Water Quality Improvement Project (WQIP) Program?

Q_6041

Outline project schedule and explain steps completed at each stage.

Q_6001

Describe your plan for the long-term operation and maintenance of the project. Provide a detailed explanation of the workforce (e.g. municipal staff), funding, frequency and maintenance activities that will ensure the success of the project throughout its estimated useful life.

Q_6042

Describe how the WQIP project will be redesigned if it does not meet the project goals after five years.

Q_6351

Explain how the WQIP project is cost effective and an appropriate solution to address a water quality impairment or protect a drinking water source?

Q_6352

Explain how the WQIP project will contribute to a comprehensive and coordinated approach to solving water quality impairments, restore aquatic habitat, or protect a drinking water source?

Q_7238

Is the project an implementation projected listed in a TMDL, Nine Element Watershed Plan, or DEC HABs Action Plan?
    1. If Yes is selected then Q_7239 will be displayed

Q_7239

Identify the TMDL, Nine Element Watershed Plan, or DEC HABs Action Plan and indicate the page number of the document on which the project is listed.

Q_7154

Is the project a Wastewater Treatment Improvement project?
    1. If Yes is selected then these questions will be displayed:
      - Q_7142
      - Q_7145
      - Q_7147
      - Q_7149
      - Q_7153
      - Q_7155
      - Q_7156

Q_7142

Is the project a wastewater effluent disinfection project needed to meet new wastewater treatment effluent disinfection requirements? Applicants must have been notified by the Department that their system requires an upgrade to add effluent disinfection.
    1. If Yes is selected then these questions will be displayed:
      - Q_7143
      - Q_7144

Q_7143

Select the type of disinfection project.
  • New disinfection system, Repair or upgrade to existing disinfection system

Q_7144

Does the project include the installation of backup power?

Q_7145

Is the project an upgrade to a municipal system needed in order to meet CSO/SSO discharge requirements?
    1. If Yes is selected then Q_7146 will be displayed

Q_7146

Select the type of CSO/SSO project.
  • CSO project listed in Long Term Control Plan, SSO project included in a Capacity Management Operation and Maintenance (CMOM) program, SSO project listed in a sanitary sewer evaluation survey plan, SSO project identified as a Type 1 outfall in a SPDES permit

Q_7147

Is the project for the purchase and installation of equipment needed to meet watershed plan requirements (such as chemical addition to remove phosphorus)?
    1. If Yes is selected then Q_7148 will be displayed

Q_7148

Indicate the watershed plan and page number of the document on which the project is listed.

Q_7149

Is the project to construct municipal systems to serve multiple properties with inadequate on-site septic systems?
    1. If Yes is selected then these questions will be displayed:
      - Q_7150
      - Q_7152

Q_7150

Does the project address an impairment documented in a completed sanitary survey conducted or approved by the Department of Health?

Q_7152

Has the process for forming a sewer district been completed?

Q_7153

Is the project for the reduction and/or elimintation of nitrogen impairments in shellfishing waters?

Q_7155

Is this project designed to meet the requirements in a finalized consent order or a finalized compliance schedule associated with the facility’s SPDES permit required by a State Pollutant Discharge Elimination System (SPDES) permit or SPDES permit modification to protect the receiving water?
  • Yes,No,N/A-No Permit

Q_7156

Is the applicant a certified Climate Smart Community?
    1. If Yes is selected then Q_7157 will be displayed

Q_7157

Has the applicant taken Action 3.31, 3.32, 7.1 and/or 7.10?
    1. If Yes is selected then Q_7158 will be displayed

Q_7158

Select Action(s) taken.
  • Action 3.31,Action 3.32,Action 7.1,Action 7.10

Q_7058

Is the project a Nonpoint Source Abatement and Control project?
    1. If Yes is selected then these questions will be displayed:
      - Q_7060
      - Q_7061
      - Q_7062
      - Q_7064
      - Q_7066
      - Q_7070
      - Q_7076
      - Q_7082
      - Q_7089
      - Q_7099
      - Q_7100
      - Q_7101
      - Q_7109

Q_7060

Provide a detailed list of best management practices that will be implemented as part of the project. Refer to DEC’s Nonpoint Source Best Management Practice (BMP) Table for a full list of eligible BMPs.   

Q_7099

Provide a detailed quantitative (measurable) description of the project including metrics of BMPs that will be implemented, such as number of acres of riparian buffer planted, miles of road ditches hydroseeded, feet of shoreline stabilized, etc. The quantitative description must match the required BMP units listed in DEC’s Nonpoint Source Best Management Practice (BMP) Table.  

Q_7061

What nonpoint pollutant type(s) will be reduced by the project (i.e. nitrogen, phosphorus, pathogens)

Q_7100

How many pounds of nutrient reduction will result from this project?

Q_7101

Will the proposed project address a pollutant source identified as the primary or secondary source identified in a Total Maximum Daily Load (TMDL) or Nine Element Watershed Plan, or DEC HABs Action Plan? Refer to DEC’s Watershed Plan Pollutant Source Prioritization Table for source rankings.
    1. If Yes is selected then Q_7102 will be displayed

Q_7102

Please identify the pollutant source and its prioritization ranking (primary or secondary) identified in DEC’s Watershed Plan Pollutant Source Prioritization Table.
  • Primary, Secondary

Q_7062

Will the proposed project address a documented nonpoint source of pollution impacting an active public drinking water supply?
    1. If Yes is selected then Q_7063 will be displayed

Q_7063

Identify the documentation and the active public drinking water supply.

Q_7064

Will the proposed project support an action or multiple actions identified in a Watershed Action Agenda?
    1. If Yes is selected then Q_7065 will be displayed

Q_7065

List the Action Agenda, specific action(s) and identify the section(s) of the Watershed Action Agenda where the action(s) are listed.

Q_7066

Is the project a decentralized wastewater treatment facilities project?
    1. If Yes is selected then these questions will be displayed:
      - Q_7067
      - Q_7068
      - Q_7069
      - Q_7105
      - Q_7106

Q_7105

Detail how any necessary approvals and agreements needed to complete the process of sewer district formation will be in place within 12 months of grant award.

Q_7106

Will the project serve properties located directly on the PWL waterbody segment?

Q_7067

Does the proposed decentralized wastewater treatment facility consist of a subsurface treatment and disposal system?

Q_7068

Was the proposed decentralized wastewater treatment facility designed in accordance with DEC standards?

Q_7069

Select the proposed system's form of collection:
  • Septic Tank Effluent Pump (STEP), Septic Tank Effluent Gravity (STEG), Grinder Pump, Gravity Sewer System

Q_7070

Is the project a Green Infrastructure or Stormwater Retrofit project?
    1. If Yes is selected then these questions will be displayed:
      - Q_7071
      - Q_7072
      - Q_7074
      - Q_7075
      - Q_7108

Q_7071

Is the project designed in conformance with the New York State Stormwater Design Manual?

Q_7108

What is the total water quality volume treated or reduced (in cubic feet)?

Q_7072

Is the project a retrofit project required under an MS4 permit?
    1. If Yes is selected then Q_7073 will be displayed

Q_7073

Identify the SPDES permit number and the project requirement listed in the permit.

Q_7074

Does the project reduce stormwater flow to a combined sewer system?

Q_7075

Describe how the green infrastructure project goes above and beyond the water quality volume treatment and/or reduction requirements listed in the SPDES Construction General Permit.

Q_7076

Is the project a Great Lakes Nature-Based Shoreline project?
    1. If Yes is selected then these questions will be displayed:
      - Q_7077
      - Q_7078
      - Q_7080

Q_7077

Which nature-based technique(s) or method(s) will be used, and how will the project manage erosion and stabilize shorelines, while enhancing aquatic habitat, natural coastal process and access (as practicable or desired)?

Q_7078

Does the project protect infrastructure (such as roads, water treatment facilities, school or parks) vulnerable to impacts of coastal erosion or flooding?
    1. If Yes is selected then Q_7079 will be displayed

Q_7079

Describe how the project will protect infrastructure (such as roads, water treatment facilities, school or parks) vulnerable to impacts of coastal erosion or flooding.

Q_7080

Does the project address a water quality impairment not listed on the PWL that has been reported and substantiated by a credible agency?
    1. If Yes is selected then Q_7081 will be displayed

Q_7081

Describe the impairment, the manner in which the impaired was reported and which credible agency the impairment was reported to.

Q_7082

Is the project a streambank stabilization/restoration or riparian buffer project?
    1. If Yes is selected then Q_7083 will be displayed

Q_7083

Will the project implement riparian buffers, streambank stabilization, or both riparian buffers and streambank stabilization?
  • Riparian Buffers, Streambank Stabilization, Both Riparian Buffers and Streambank Stabilization
    1. If Both Riparian Buffers and Streambank Stabilization is selected then these questions will be displayed:
      - Q_7114
      - Q_7115
      - Q_7116
    2. If Riparian Buffers is selected then these questions will be displayed:
      - Q_7084
      - Q_7086
    3. If Streambank Stabilization is selected then Q_7085 will be displayed

Q_7084

What type of vegetation (i.e. grasses, hardwood trees, bushes, etc.) will be used to plant the riparian buffer?

Q_7085

Which bioengineered technique(s) or method(s) will be used (i.e. staking, erosion control matting, root wads), and how will the project manage erosion and stabilize streambanks?

Q_7086

What will the average width (in feet) of the riparian buffer be after planting?

Q_7109

Is the project for In-Waterbody Control of Nutrients?
    1. If Yes is selected then these questions will be displayed:
      - Q_7087
      - Q_7088

Q_7088

Is the project a hypolimnetic aeration or withdrawal project?

Q_7087

Have all necessary permits been secured for the project at the time of application?

Q_7089

Is the project a beach restoration project?
    1. If Yes is selected then these questions will be displayed:
      - Q_7090
      - Q_7092
      - Q_7094
      - Q_7096
      - Q_7097
      - Q_7098

Q_7090

Is the project specifically listed as a priority in a beach restoration report funded by Ocean and Great Lakes EPF pilot beach closure project funding?
    1. If Yes is selected then Q_7091 will be displayed

Q_7091

Describe the priority in the report and indicate the page number or section of the report.

Q_7092

Is the project a main focus of a beach restoration report funded independently (funded other than Ocean and Great Lakes pilot beach closure project funding)?

Q_7094

Is the project based on a completed beach sanitary survey?
    1. If Yes is selected then Q_7095 will be displayed

Q_7095

Describe the section of the beach sanitary survey the project is based on and indicate the page number of the report.

Q_7096

Does the project combine two or more practices to reduce pollutants/restore the waterbody?

Q_7097

Is the proposed project located on the beach or within the beach/park property?

Q_7098

Is the proposed project located on a tributary adjacent to the beach that has been identified as a source of pollution?

Q_7130

Are you applying for a Land Acquisition project or program for Source Water Protection?
    1. If Yes is selected then these questions will be displayed:
      - Q_7117
      - Q_7118
      - Q_7119
      - Q_7120
      - Q_7121
      - Q_7131
      - Q_7132
      - Q_7134
      - Q_7135
      - Q_7137
      - Q_7140

Q_7117

Identify if the application is for a land acquisition project or program. For land acquisition projects, specific parcels must be identified prior to submitting an application.
  • Project, Program
    1. If Program is selected then Q_7126 will be displayed
    2. If Project is selected then Q_7124 will be displayed

Q_7118

Does the drinking water source(s) proposed for protection fit the definition of an active public drinking water supply as defined by the New York State Department of Health?

Q_7119

Identify the active public drinking water source(s) targeted for protection. Include the system ID number, if known.

Q_7120

Will the land acquisition project or program target protection of a surface waterbody(s) used for drinking water or groundwater well(s) used for drinking water?
  • Surface Waterbody, Groundwater Well
    1. If Groundwater Well is selected then Q_7127 will be displayed
    2. If Surface Waterbody is selected then Q_7122 will be displayed

Q_7134

Provide a detailed quantitative description of the project or program including, municipality(s) served by the drinking water source, number of parcels targeted for protection (if known), number of acres targeted for protection, acreage of riparian buffers or wetlands that will be restored, etc.

Q_7135

Have specific parcels been identified for protection or restoration?
    1. If Yes is selected then Q_7136 will be displayed

Q_7136

Describe the parcels proposed for protection in detail (location, acreage, adjacent waterbody name, etc.) Indicate the proximity of the parcels to the active public drinking water supply identified in Q_7119.

Q_7137

List any parcels proposed for protection that are specifically identified in the New York State Open Space Plan for drinking water protection. Include the page number of the plan.

Q_7121

List any watersheds proposed for protection that are specifically identified in the New York State Open Space Plan for drinking water protection. Include the page number of the plan.

Q_7140

Are you a land trust that has received accreditation from the Land Trust Accreditation Commission?

Q_7122

For surface water projects or programs, will riparian buffer or wetland restoration be included as part of the project or program? Describe the restoration activities anticipated to be completed as part of the project or program. For wetland restoration, describe how the work in and near wetlands will protect the drinking water supply and improve wetland function.

Q_7124

Is at least 50% of the proposed parcel(s) located within an area designed for the protection of source water identified in a conservation overlay district, wetlands protection plan, Nine Element Watershed Plan, TMDL, DEC HABs Action Plan or other plan produced by a licensed geologist, Rural Water Authority or Regional Planning authority?
    1. If Yes is selected then Q_7125 will be displayed

Q_7125

Describe the plan where the protection of source water is identified and identify the page number(s) of the document where source water is mentioned.

Q_7126

Describe how the land acquisition program will prioritize the acquisition of parcels (for example, based on a scientific methodology or tool, based on proximity to the drinking water supply or based on land vacancy)

Q_7127

For groundwater well projects, select the distance from the parcel(s) to a water supply permitted as an active public drinking water source?
  • Within 1000 feet, Between 1001-1500 feet, Greater than 1500 feet

Q_7131

Is parcels have been selected, are any parcels currently protected by a federal or state easement program?

Q_7132

Does the applicant plan to allow public access to any parcels or easements obtained using funding through this grant program?
    1. If Yes is selected then Q_7133 will be displayed

Q_7133

Provide a detailed description of the type of public access activities, access points, proximity to the active public drinking water supply and justification for the public access.

Q_7220

Is the project a Salt Storage project?
    1. If Yes is selected then these questions will be displayed:
      - Q_7222
      - Q_7224
      - Q_7226
      - Q_7227
      - Q_7228
      - Q_7229
      - Q_7232

Q_7232

Is the project for a new structure or replacement structure?
  • New Structure, Replacement Structure

Q_7222

What are the dimensions of the shed to be built?

Q_7224

What is the storage capacity (tons of salt) of the shed to be built?

Q_7226

Does the structure meet Office of General Services (OGS) Salt Storage specifications?

Q_7227

Select the distance of the salt or salt/sand mixture pile from a groundwater well or surface waterbody used as a public drinking water supply.
  • Less than 300 feet, between 300 feet and 1000 feet, between 1000 feet and 2000 feet, between 2000 feet and 4000 feet, greater than 4000 feet

Q_7228

Is the salt or salt/sand mixture pile located within a primary or sole source aquifer?
  • Primary Aquifer, Sole Source Aquifer

Q_7229

Select the distance of the salt or salt/sand mixture pile from private groundwater wells used for drinking water.
  • Less than 500 feet, between 500 feet and 1000 feet, between 1000 feet and 1500 feet, greater than 1500 feet

Q_7031

Is the project an Aquatic Habitat Restoration project?
    1. If Yes is selected then these questions will be displayed:
      - Q_7030
      - Q_7032
      - Q_7033
      - Q_7034
      - Q_7035
      - Q_7036

Q_7030

Is the project to replace a culvert or bridge?
    1. If Yes is selected then these questions will be displayed:
      - Q_7037
      - Q_7039
      - Q_7040
      - Q_7041
      - Q_7042
      - Q_7043
      - Q_7044
      - Q_7045
      - Q_7046
      - Q_7048
      - Q_7382

Q_7037

Has an approved NAACC survey been conducted at this site?
    1. If Yes is selected then Q_7038 will be displayed

Q_7038

What is the survey ID and AOP score? Data taken from this NAACC survey may be used to complete any following questions. Projects which include multiple sites should provide information specific to each location. All following dimensional questions must reflect current conditions before project completion.

Q_7039

What is the internal height and width of the structure? Please select N/A if this question does not apply to your project.

Q_7040

What is the length of stream through the structure? Please select N/A if this question does not apply to your project.

Q_7041

Please provide the following on the structure outlet: the distance between the bottom of the structure and the water surface (if perched), the distance between the bottom of the structure and the bottom of the stream bed, and the depth of water within the structure at the outlet. Please select N/A if this question does not apply to your project.

Q_7042

What is the depth of water within the structure in inches and when compared to the stream; Comparable, Deeper, Shallower? Please select N/A if this question does not apply to your project.

Q_7043

Is the velocity of water within the structure equal to the stream, Yes, No (faster), No (slower)? Please select N/A if this question does not apply to your project.

Q_7044

If the outlet of the structure is perched, is it a free fall (unimpeded drop) or cascade (water flows across rocks)? Please select N/A if this question does not apply to your project.

Q_7045

Is there substrate within the structure? If so, is it similar to or different from the natural stream bed? What percentage of the structure does it cover?

Q_7046

Are there any physical barriers within the structure, such as deformation, baffles/weirs or debris?
    1. If Yes is selected then Q_7050 will be displayed

Q_7050

Describe the types of physical barriers present including approximate size?

Q_7048

Is there a tailwater scour pool below the structure?
    1. If Yes is selected then Q_7051 will be displayed

Q_7382

What is the natural bankfull width of the stream? What is the width of the current structure and expected replacement structure?

Q_7051

Is the pool small (1-2 times average stream depth, width or length) or large (greater than 2 times average stream depth, width or length)?
  • Small, Large

Q_7032

Describe the objectives of the project and how it relates to improving aquatic connectivity.

Q_7033

Identify any specific Threatened & Endangered species, State Species of Greatest Conservation Need or other notable species known to occur in this waterbody and how this project will benefit them.

Q_7034

Identify the number of stream miles that will be opened to aquatic species. This should cumulatively total the accessible tributaries and the natural terminus of all upstream streams. Calculations should stop at any known barriers to aquatic organisms Please select N/A if this question does not apply to your project.

Q_7035

If the project is for a dam, what is the crest height to the surface of the stream? Please select N/A if this question does not apply to your project.

Q_7036

If the project is for a dam, indicate if there are any fish passage devices currently installed on the dam? Please select N/A if this question does not apply to your project.

Q_7172

Is the project a Municipal Separate Storm Sewer Systems (MS4) project?
    1. If Yes is selected then these questions will be displayed:
      - Q_7159
      - Q_7165
      - Q_7166
      - Q_7167
      - Q_7169
      - Q_7170
      - Q_7174

Q_7159

Does the applicant participate in an area-wide municipal cooperative stormwater group (i.e. coalition), if one exists?
    1. If No is selected then Q_7161 will be displayed
    2. If Yes is selected then Q_7160 will be displayed

Q_7160

Name the area-wide municipal cooperative stormwater group.

Q_7161

If an area-wide municipal cooperative stormwater group does not exist, provide a detailed description of steps that are being taken to develop such a group. The group must be in place prior to receiving a grant award.

Q_7174

Select the type of MS4 project you are applying for.
  • Purchase of vacuum truck, Comprehensive System Mapping/Program Mapping, Purchase of vacuum truck and Comprehensive System Mapping/Program Mapping
    1. If Comprehensive System Mapping/Program Mapping is selected then Q_7162 will be displayed
    2. If Purchase of vacuum truck is selected then Q_7168 will be displayed
    3. If Purchase of vacuum truck and Comprehensive System Mapping/Program Mapping is selected then these questions will be displayed:
      - Q_7175
      - Q_7178

Q_7162

Does the project include creation of a new electronic or GIS system of mapping?
    1. If No is selected then Q_7163 will be displayed

Q_7163

Does the project include the expansion of an existing electronic or GIS system of mapping?

Q_7165

Does the project address Basic Comprehensive Map items? List the specific comprehensive map elements that the project will address.

Q_7166

For projects that address Required Map items, list the specific required map elements that the project will address.

Q_7167

For projects that address Additional Map items (items beyond the required permit elements), list the specific additional map elements the project will address.

Q_7168

Have all of the basic comprehensive mapping (red column in RFA Table 1) and required mapping elements (yellow column in RFA Table 1) been completed?

Q_7169

Select the percentage of regulated MS4 communities in a county or Urbanized Area that will be working on activities listed in Table 1 of the RFA.
  • 85% or more, 40%-84%, less than 40%

Q_7170

Does the waterbody that will be impacted by the proposed mapping items have a TMDL, Nine Element Watershed Plan, or DEC HABs Action Plan?
    1. If Yes is selected then Q_7171 will be displayed

Q_7171

Indicate the TMDL, Nine Element Watershed Plan, or DEC HABs Action Plan.

Q_7178

Have all of the basic comprehensive mapping (red column in RFA Table 1) and required mapping elements (yellow column in RFA Table 1) been completed?

Q_1059

Does the proposed project use, maintain, or improve existing infrastructure? Y/N/Not Relevant. Please explain all responses.

Q_6256

Will the proposed project mitigate future physical climate risk due to sea-level rise, and/or storm surges and/or flooding, based on available data predicting the likelihood of future extreme weather events, including hazard risk analysis data, if applicable?

Q_1060

Is the proposed project located in a municipal center? Y/N/Not Relevant. Please explain all responses.

Q_1061

Is the proposed project located in a developed area or an area designated for concentrated infill development in a municipally approved comprehensive land use plan, local waterfront revitalization plan and/or brownfield opportunity area plan? Y/N/Not Relevant. Please explain all responses.

Q_1063

Will the proposed project foster mixed land uses and compact development, downtown revitalization, Brownfield redevelopment, the enhancement of beauty in public spaces, the diversity and affordability of housing in proximity to places of employment, recreation and commercial development and the integration of all income and age groups? Y/N/Not Relevant. Please explain all responses.

Q_1064

Will the proposed project provide mobility through transportation choices including improved public transportation and reduced automobile dependency?Y/N/Not Relevant. Please explain all responses.

Q_1062

Will the proposed project protect, preserve and enhance the State’s resources, including agricultural land, forests, surface and groundwater, air quality, recreation and open space, scenic areas, and significant historic and archeological resources? Y/N/Not Relevant. Please explain all responses.

Q_1066

Will the proposed project involve participation in community based planning and collaboration? Y/N/Not Relevant. Please explain all responses.

Q_1067

Will the proposed project ensure predictability in building and land use codes? Y/N/Not Relevant. Please explain all responses.

Q_1065

Will the proposed project involve coordination between state and local government and inter-municipal and regional planning? Y/N/Not Relevant. Please explain all responses.

Q_1068

Will the proposed project promote sustainability by strengthening existing and creating new communities which reduce greenhouse gas emissions and do not compromise the needs of future generations, by among other means encouraging broad based public involvement in developing and implementing a community plan and ensuring the governance structure is adequate to sustain its implementation? Y/N/Not Relevant. Please explain all responses.

Q_1037

By entering your name in the box below, you certify and agree that you are authorized on behalf of the applicant and its governing body to commit the applicant to comply with the requirements of Article 15-A of the New York State Executive Law: Participation By Minority Group Members and Women With Respect To State Contracts by providing opportunities for Minority-owned Business Enterprise (MBE)/Woman-owned Business Enterprise (WBE) participation. You further certify that the applicant will maintain such records and take such actions necessary to demonstrate such compliance throughout the completion of the project.

Q_1038

By entering your name in the box below, you certify that you are authorized on behalf of the applicant and its governing body to submit this application. You further certify that all of the information contained in this Application and in all statements, data and supporting documents which have been made or furnished for the purpose of receiving assistance for the project described in this application, are true, correct and complete to the best of your knowledge and belief. You acknowledge that offering a written instrument knowing that the written instrument contains a false statement or false information, with the intent to defraud the State or any political subdivision, public authority or public benefit corporation of the State, with the knowledge or belief that it will be filed with or recorded by the State or any political subdivision, public authority or public benefit corporation of the State, constitutes a crime under New York State Law.