Is the State assistance request for grant funding equal to or more than the required $50,000?

Are you a Municipality (county, city, town, village) located within the Long Island South Shore Estuary Reserve as defined by the Long Island South Shore Estuary Reserve Comprehensive Management Plan and NYS Executive Law, Article 46 as the land draining into the Long Island south shore bays; the Suffolk County Soil and Water Conservation District; the Nassau County Soil and Water Conservation District; The Shinnecock Indian Nation, Unkechaug Indian Nation; Academic Institutions; and Not-for-Profit 501(c)3 organizations.

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).

Project City

Project county or counties.

Project State

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

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

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

US Congressional District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)

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

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

Type of Applicant (select one)
Applicants will first select a single applicant type from the categories below and then a subtype based on their initial selection. Applicants should review the selections below which provides a list of subtypes by main applicant type.

1. For Profit entity options:
Limited Liability Corporation (LLC)
Limited Liability Partnership (LLP)
Sole Proprietorship
S Corporation
C Corporation
Limited Partnership (LP)
Other- applicant will be required to list their other for-profit designation.

2. Not-for profit entity options:
501(c)(1) Any corporation that is organized under an act of Congress that is exempt from federal income tax;
501(c)(2) Corporations that hold a title of property for exempt organizations;
501(c)(3) Corporations/funds/foundations that operate for religious/ charitable/ scientific/ literary/ educational purposes;
501(c)(4) Nonprofit organizations that promote social welfare;
501(c)(5) Labor, agricultural, or horticultural associations;
501(c)(6) Business leagues/chambers of commerce/etc. that are not organized for profit;
501(c)(7) Recreational organizations; and
Other- applicant will be required to list their other not-for-profit designation.

3. Government entity options:
Federal
State
County
City
Town
Village
Tribal
School District
County or Town Improvement District
District Corporation
Public Authority
Business Improvement District
Fire District
Board of Cooperative Education Services (BOCES)
Public Library
Association Library
Other- applicant will be required to list their other government designation.

Select the not-for-profit entity of the applicant applying for funding:

Enter the applicant's 'Other' not-for-profit entity designation.

Select the government entity of the applicant applying for funding:

Enter the applicant's 'Other' government entity designation.

Is the applicant a DBA?

What is the applicant's DBA name?

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.

Based on your selection from the previous question, enter the associated ID number.

Organization Legal Name

Applicant First Name

Applicant Last Name

Applicant Street Address

Applicant City

Applicant State

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

Applicant Telephone Number (please include area code)

Applicant Email Address

Contact First Name

Contact Last Name

Contact Title

Primary Organization

Contact Street Address

Contact City

Contact State

Contact ZIP Code (please use ZIP+4 if known)

Primary Contact Phone Number. (please include area code)

Contact Email

Contract First

Contract Last

Contract Title

Authorized Organization

Contract Street

Contract City

Contract State

Contract Zip (please use ZIP+4 if known)

Contract Phone (please include area code)

Contract Email

Additional Project Contact First Name

Additional Project Contact Last Name

Additional Contact Title

Additional Organization

Additional Contact Street Address

Additional Contact City

Additional Contact State

Additional Contact ZIP (please use ZIP+4 if known)

Additional Contact Telephone Number (please include area code)

Additional Contact Email Address

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

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".

Does this project require State and/or Federal Environmental Review?

What is the status of State and/or Federal Environmental Review?

Please indicate the lead agency (if applicable).

Has a National Environmental Policy Act (NEPA) Record of Decision been issued?

Please explain decision and include date of Record of Decision.

Submit the Long Island South Shore Estuary Reserve Local Assistance Grants Budget Summary & Detail to demonstrate eligible costs and required local match – only include costs that would be eligible for funding or will be used for local match (see Question Requirements link for instructions).

Submit one or more map(s), to scale, identifying the project location(s) or delineating the project area.

Submit site plans and design drawings, permits, SEQRA determination, photographs of existing site conditions, as applicable, and if available, to support your project work plan. For applications only seeking funds for project construction, the applicant must submit draft or final design documents with the application. If permits have been received or SEQRA determination completed, the applicant should submit these items.

For projects that are final design, design/construction, or construction only, applicant must submit proof of site control for all properties where improvements will be made. Applications that do not provide site control documentation will be found ineligible. See Question Requirements link for more information on acceptable documentation of site control.

Attach resolutions, municipal agreements, executed Intermunicipal Agreements or other items to the submission to help illustrate support for the application/project.

Applicants are required to submit the MWBE Compliance Form with their application confirming their understanding of the MWBE requirement and agreeing to show due-diligence and make good faith efforts to provide meaningful participation by MWBEs, whenever possible, if awarded the contract. The MWBE Compliance Form is available at https://dos.ny.gov/funding-bid-opportunities.

Applicants are required to complete and submit the Gender-Based Violence and the Workplace Certification to certify that their organization has in place and has implemented a Gender-Based Violence and the Workplace Policy and has provided such policy to all of its employees, directors and board members. The certification may be found here: https://dos.ny.gov/procurement-forms. Such policy shall, at a minimum, meet the requirements of subdivision 11 of section five hundred seventy-five of the executive law. If the bidder cannot make this certification, they must include a signed statement setting forth in detail the reasons therefor.

Non-municipal applicants must comply with Executive Order No. 16, prohibiting State agencies and authorities from entering into any new contract or renewing any existing contract with an entity conducting business in Russia. This requirement does not apply to municipalities, however, all non-municipal applicants must complete and attach the Certification Form which can be found at https://ogs.ny.gov/system/files/documents/2022/04/eo16_certification.pdf

Is applicant the legal owner of the property? Please identify and provide documentation of the legal property owner(s). If applicable.

For construction-only projects please provide a Letter of Intent, A letter of intent from the property owner must be submitted indicating their intent to move forward with an easement or similar legal instrument granting permanent public interest in the property. All letters should be scanned into a single PDF file and their total size cannot exceed 30 Megabytes (MB).

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 30 Megabytes (MB).

Provide a concise press-ready project description (500 characters or less) which identifies the grant recipient and other major project partners, provides a brief description of the project scope of work and describes the project goals/objectives.

Identify the primary focus area of the proposed activity that is being applied for with this application. Select from the following list:

Describe how the project supports the goals of the South Shore Estuary Reserve Comprehensive Management Plan. Identify how the project advances Comprehensive Management Plan recommendations or other emerging council priorities including improving water quality, living resources, estuary economy, public use and enjoyment and resiliency in the Reserve.

Describe and document how the budget meets eligibility requirements of the program and supports the activities identified in the proposed workplan. Include how the project complements other projects/activities in the Reserve. If applicable, describe how the project leverages additional resources (e.g., NYS grants, federal grants or public, nonprofit or private funds) to complete the project.

Describe and document how the budget and costs were determined.

Describe how the project will be implemented using a complete scope of work. Identify the set of discrete tasks necessary to complete the project and for each task provide relevant deliverables, anticipated timeframe, key personnel or parties responsible for completion, and cost per task.

Briefly describe what project development has been completed to date. Include any planning, analysis, design, permitting, or construction activities that have progressed the project work.

Estimated Project Timeline: Demonstrate how the project will proceed upon award. Include project start/completion dates, estimates for final design, permitting and construction or other major steps.

Describe the necessary local capacity and effective organizational structure to manage and complete the project, and if applicable, the quality work on past projects with State or Federal funds

What is the level of stakeholder engagement that will take place as part of this project? Will the outreach or training with this project reach a broad or limited group of stakeholders, in diversity and/or geography?

Please answer the following regarding Program Significance: 1) Does the project incorporate/advance measures to address climate change and/or hazard mitigation; enhance natural systems; improves public access and space; connects people through pedestrian, bicycle, and no-motorized vessel trails; educates the public about water quality Best Management Practices or environmentally friendly resiliency measures that can be installed on private property; and/or ensures predictability in land use regulations and procedures? 2) Does the project advance an approved or substantially completed Local Waterfront Revitalization Program (LWRP), watershed management plan, water quality initiative, harbor management plan, maritime center management plan, community comprehensive plan, or local strategy? 3) Does the project build on and advance local priorities consistent with the Long Island South Shore Estuary Reserve Comprehensive Management Plan or make efficient use of and/or protect public investment and infrastructure?

Will this project create or advance any regional, inter-municipal, intergovernmental, public, or nonprofit partnerships/collaborations within the Long Island South Shore Estuary Reserve?

Is a portion of project site (physical address) located within a municipality with a Disadvantaged Community (DAC) population? Please select one of the following.

The NYS Smart Growth Public Infrastructure Policy Act requires that a public infrastructure project meet the relevant smart growth criterion to the extent practicable. Public Infrastructure projects consist of construction or reconstruction of transportation, sewer, wastewater treatment, water, education, housing and other publicly supported infrastructure.Does the proposed project build new public infrastructure, expand public infrastructure or use, maintain, or improve existing public infrastructure?

If you are maintaining or improving existing public infrastructure, please answer “YES”. If you are building new public infrastructure or expanding public infrastructure, please answer "YES".

If this is not applicable to your project, answer “NO”.

Explain how the proposed project will use, maintain, or improve existing infrastructure.

Please explain the need to build new infrastructure instead of using or improving existing infrastructure. If n/a, please type N/A.

Please explain how the proposed project is 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. Specifically, explain how your project advances infill development or redevelopment in existing developed areas consistent with an approved plan.  Infill development includes redevelopment, rehabilitation and new development between existing buildings on vacant or under-utilized sites.

Please explain how the proposed project will 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. Beyond simply avoiding or minimizing negative environmental impacts, please indicate the resources that may be impacted by your project and how your project will preserve and enhance these resources.

Please explain how the proposed project will 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. Specifically, explain how your project advances these objectives and improves the quality of life in your community.

Please explain how the proposed project will provide mobility through transportation choices including improved public transportation and reduced automobile dependency. There are many alternatives to automobile transportation.  Please explain how your project provides or complements alternatives to automobile travel such as bikes, pedestrians, public transit, air travel or rail travel.

Please explain how the proposed project will involve coordination between state and local government and inter-municipal and regional planning. Identify any interaction between the applicant and any municipal and county governments, planning boards, regional planning associations or similar organizations. Document any outreach by the applicant to these organizations regarding the project and any relevant correspondence.

Please explain how the proposed project will involve participation in community-based planning and collaboration. Specifically, explain how the project results from an inclusive, multi-stakeholder (including traditionally underserved populations) process of community-based planning and collaboration.  To assist with your explanation, identify any affected community groups or organizations with an interest in the proposed project and if the planning process involved outreach to citizens and stakeholders at all stages of development of the project.

Please explain how the proposed project will ensure predictability in building and land use codes. Provide any additional relevant information.

Please explain how the proposed project will 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. Specifically, explain how your project promotes sustainability.  For example, does your project include buildings and plans that seek to minimize consumption of fossil fuels (coal, petroleum), reduce water usage / consumption, and encourage the use of renewable energy (wind, solar, and geo-thermal).

Please explain how the proposed project will 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.

Specifically, explain how your project demonstrates that future physical climate risk due to sea-level rise, storm surge and flooding have been considered. For example, have you demonstrated consideration of the flood risk applicable to your specific structure type? Explain how the siting and design have evaluated flood-risk considerations, including, but not limited to, human health and safety, environmental effects, cost, funding-source requirements, feasibility and community impact.

For information on the State Climate Impacts Assessment visit:
https://nysclimateimpacts.org/about-the-assessment/what-is-the-assessment/

For information on implementation of the Community Risk and Resiliency Act visit:
https://dec.ny.gov/environmental-protection/climate-change/new-york-response/crra

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.

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.