"Provincial Trail Infrastructure Fund Application Form" - New Brunswick, Canada

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Download "Provincial Trail Infrastructure Fund Application Form" - New Brunswick, Canada

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Provincial Trail Infrastructure Fund Application Form
A -
APPLICANT
New Brunswick Federation of
New Brunswick ATV
New Brunswick Trail Council and
Snowmobile Clubs
Federation
other Non-Motorized Trail Groups
Federation Region/Zone
Date:
Club/Organization Name
Contact Name
Club/Organization Address
Telephone (home)
Telephone (work)
Cellular phone
Contact Address
Contact Telephone (home)
Telephone (work)
Cellular phone
Language
English
Email
French
B– GNB DESIGNATED TRAIL NETWORK
Is the proposed project along a trail segment which is part of the GNB Designated Trail
B1
Network? Please explain how this has been determined.
B2
If the proposed project is along a proposed GNB Designated Trail segment, how does the
proposed project assist with meeting each of the requirements of the Market-Readiness
Criteria?
B3
If the proposed project is along a proposed GNB Designated Trail segment, please indicate how
you plan to address any Market-Readiness Criteria requirements that have not yet been met
(provide an action plan with timelines).
Reset
Provincial Trail Infrastructure Fund Application Form
A -
APPLICANT
New Brunswick Federation of
New Brunswick ATV
New Brunswick Trail Council and
Snowmobile Clubs
Federation
other Non-Motorized Trail Groups
Federation Region/Zone
Date:
Club/Organization Name
Contact Name
Club/Organization Address
Telephone (home)
Telephone (work)
Cellular phone
Contact Address
Contact Telephone (home)
Telephone (work)
Cellular phone
Language
English
Email
French
B– GNB DESIGNATED TRAIL NETWORK
Is the proposed project along a trail segment which is part of the GNB Designated Trail
B1
Network? Please explain how this has been determined.
B2
If the proposed project is along a proposed GNB Designated Trail segment, how does the
proposed project assist with meeting each of the requirements of the Market-Readiness
Criteria?
B3
If the proposed project is along a proposed GNB Designated Trail segment, please indicate how
you plan to address any Market-Readiness Criteria requirements that have not yet been met
(provide an action plan with timelines).
C – PROJECT SUMMARY
C1
Provide a short description of the type of work proposed
Check all that apply:
on existing or new GNB Designated Trails:
Trail Construction
New GNB Designated
Repair existing GNB
Designated
Bridge/Water Crossing
New
Existing Repair/Upgrade
Existing/Replacement
Signs
Trail Resurfacing/Brushing
Trailhead
Groomer
C2
Has your organization applied for and received a TIF grant in the past year? 5 years?
if yes, specify which projects:
C3
Is the proposed project located along a managed trail as defined in the Off-Road Vehicle Act or
along a trail segment in the process of obtaining managed trail status? If so, explain the current
status of the approval process and outline any outstanding issues that need to be addressed.
For non-motorized trails, has landowner consent been obtained for use of the property as a trail?
C4
When will the trails be used
Year-Round
Spring, summer, fall
Winter only
D - PROJECT LOCATION
Total estimated length of proposed GNB Designated Trail (km):
D1
Estimated length of proposed GNB Designated Trail on Crown Land (km):
D2
Estimated length of proposed GNB Designated Trail on Private Land (km):
D3
D4
PID number(s) for Crown Land:
D5
PID number(s) for Private Land:
D6
Identify the Region (ATV), Zone (Snowmobile) or location (Non-Motorized) and existing or new
trail numbers/names (if applicable):
D7
Name the public roads (DTI) and municipal streets and estimated distances within any
proposed new GNB Designated Trails:
Road/street Name
Distance along road/street
County:
Municipality:
D8
D9
Identify any connection(s) to any existing GNB Designated Trails including trail
numbers/names:
Connects To Trail #/name:
At (Location)
D10
Describe the general location of the project(place name, local name):
D11
If the project is within municipal boundaries, have the municipal officials been contacted? Are
letters of support available?
Municipality
Authorization (written only)
D12
Describe any construction plans including details of trail design, number of shelters, highway
or watercourse and wetland crossings and their locations. For watercourse crossings, specify
locations, dimensions, work required, and whether the crossing is new or existing. Please
attach maps, plans or sketches as appropriate.
E-
ATTACHMENTS
Required documents
E1
Map
Electronic copy of differentially corrected Global Positioning System (GPS) Coordinates for any
proposed GNB Designated trails. This should be provided in either an ArcInfo shape file or a
E2
Google Earth file (.kml or .kmz file)
E3
Letters of support, e.g. municipalities, adjacent landowners, etc., if applicable.
P
LEASE SEND THIS COMPLETED FORM AND OTHER DOCUMENTATION TO
THE
:
APPROPRIATE TRAIL USER GROUP
New Brunswick Federation of Snowmobile Clubs
147-B Houlton Road
Woodstock, N.B.
E7M 1Y4
Email:
info@nbfsc.com
Website:
http://www.nbfsc.com/
New Brunswick All-Terrain Vehicle Federation
1925 Hanwell Road
Hanwell, N.B.
E3C 1M4
Email:
info@nbatving.com
Website:
http://nbatving.com/
New Brunswick Trails Council Inc.
SentierNBTrail
1350 Regent Street
Fredericton, N.B.
E3C 2G6
Email:
info@sentiernbtrail.com
Website:
http://www.sentiernbtrail.com/index.php/en/home
Parks and Attractions Branch
Department of Tourism, Heritage and Culture
P.O. Box 6000
Fredericton, N.B.
E3B 5H1
thctpcinfo@gnb.ca
Email:
http://www2.gnb.ca/content/gnb/en/departments/thc/services/
Website:
services_renderer.201344.Trail_Infrastructure_Fund.html
Proposed Budget
P
C
A - TOTAL
ROJECTED
OST
$
Total Estimated Project Cost
A
C
B -
PPLICANT
ONTRIBUTIONS
Applicant Contribution
Source
Amount
Approved
Pending
Fundraising
Cash Available
Bank Loans
Donated Materials
Donated Labour
Donated Equipment
Projected Revenues
Other (Specify)
Total Applicant Contribution
$
F
F
O
S
C -
UNDING
ROM
THER
OURCES
Agency
Program
Amount
Approved
Pending
Federal
Provincial
Municipal
Other (Specify)
Total Funding From Other Sources
$
F
F
A
S
D - Total
UNDING
ROM
LL
OURCES
Total Project Funding
$
A
R
T
I
F
E -
MOUNT
EQUESTED FROM THE
RAIL
NFRASTRUCTURE
UND
Total Amount Requested
$
Applicant’s Declaration:
On behalf of, and with the authority of the organization, we certify that the information
given in the application of a grant is correct in every respect and that the organization
understands the conditions of the Provincial Trail Infrastructure Fund.
Signature of applicant
Date
20
(Club or Local Trail Organization)
Date
20
(Provincial Trail Organization)
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