DNR Form 542-0964 "Water Recreation Access Cost-Share Program Project Application" - Iowa

What Is DNR Form 542-0964?

This is a legal form that was released by the Iowa Department of Natural Resources - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Iowa Department of Natural Resources;
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Download a fillable version of DNR Form 542-0964 by clicking the link below or browse more documents and templates provided by the Iowa Department of Natural Resources.

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Download DNR Form 542-0964 "Water Recreation Access Cost-Share Program Project Application" - Iowa

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WATER RECREATION ACCESS COST-SHARE PROGRAM
INFORMATION PACKET
Applications must be received by the appropriate Department of Natural Resources office no later than 4:30 pm on
th
September 30
of the year applying to be eligible for review at the next water access committee meeting. Addresses are
provided below. Submit the applications to the District Fisheries Supervisor for the county in which the project will be
located. Project received in January will be field reviewed in February and reviewed by the committee in early March.
You will be notified of the results of the committee shortly after the meeting. Projects requesting a grant of $25,000 or
more must also be reviewed by the Natural Resource Commission at its next meeting. Expenses cannot be incurred by
the applicant before notification of grant approval has been received; therefore, be sure to figure in these programmed
time delays before you plan your initiation date.
If your grant request is approved, your agency and the DNR will need to enter into a formal cooperative agreement. A
copy of our standard agreement is part of this document for your review. This sample should not be completed and
attached to your application. You will be contacted by our office to work out the details of the agreement after your
project has been approved.
STATE OWNED PROPERTY MANAGED BY OTHER ENTITIES
State owned areas managed by other local agencies will be reviewed for inclusion on the DNR’s 5-year capital plan. If
you manage a state-owned property and would like to use MFT funding for a project on that property, please contact eh
DNR District Fisheries Supervisor for your area. Let the supervisor know what kind of project you have, the necessity of it
and the estimated cost. The Supervisor will review all projects submitted and determine which ones will be included in
the DNR’s 5-year capital plan. Submit these projects by May 1 of each year.
APPLICATION MAILING ADDRESSES
Southwest Iowa District
Northeast Iowa District
Southeast Iowa District
Northwest Iowa District
Fisheries Supervisor
Fisheries Supervisor
Fisheries Supervisor
Fisheries Supervisor
Cold Springs State Park
NE Regional Office
SE District Office
nd
611 252
Ave
th
57744 Lewis Rd
22693 205
Ave
110 Lake Darling Rd
Spirit Lake, IA 51360
Lewis, IA 51544-5103
Manchester, IA 52057
Brighton, IA 52540
(712) 336-1840
(712) 769-2587
(563) 927-3276
(319) 694-2430
DNR Form 542-0946
WATER RECREATION ACCESS COST-SHARE PROGRAM
INFORMATION PACKET
Applications must be received by the appropriate Department of Natural Resources office no later than 4:30 pm on
th
September 30
of the year applying to be eligible for review at the next water access committee meeting. Addresses are
provided below. Submit the applications to the District Fisheries Supervisor for the county in which the project will be
located. Project received in January will be field reviewed in February and reviewed by the committee in early March.
You will be notified of the results of the committee shortly after the meeting. Projects requesting a grant of $25,000 or
more must also be reviewed by the Natural Resource Commission at its next meeting. Expenses cannot be incurred by
the applicant before notification of grant approval has been received; therefore, be sure to figure in these programmed
time delays before you plan your initiation date.
If your grant request is approved, your agency and the DNR will need to enter into a formal cooperative agreement. A
copy of our standard agreement is part of this document for your review. This sample should not be completed and
attached to your application. You will be contacted by our office to work out the details of the agreement after your
project has been approved.
STATE OWNED PROPERTY MANAGED BY OTHER ENTITIES
State owned areas managed by other local agencies will be reviewed for inclusion on the DNR’s 5-year capital plan. If
you manage a state-owned property and would like to use MFT funding for a project on that property, please contact eh
DNR District Fisheries Supervisor for your area. Let the supervisor know what kind of project you have, the necessity of it
and the estimated cost. The Supervisor will review all projects submitted and determine which ones will be included in
the DNR’s 5-year capital plan. Submit these projects by May 1 of each year.
APPLICATION MAILING ADDRESSES
Southwest Iowa District
Northeast Iowa District
Southeast Iowa District
Northwest Iowa District
Fisheries Supervisor
Fisheries Supervisor
Fisheries Supervisor
Fisheries Supervisor
Cold Springs State Park
NE Regional Office
SE District Office
nd
611 252
Ave
th
57744 Lewis Rd
22693 205
Ave
110 Lake Darling Rd
Spirit Lake, IA 51360
Lewis, IA 51544-5103
Manchester, IA 52057
Brighton, IA 52540
(712) 336-1840
(712) 769-2587
(563) 927-3276
(319) 694-2430
DNR Form 542-0946
WATER RECREATION ACCESS COST-SHARE PROGRAM PROJECT APPLICATION
This application constitutes a formal request for a cooperative agreement to acquire, develop or maintain a Marine Fuel
Tax Fund project.
Mail Applications To:
See Map for Appropriated Mailing Address
SUBMITTED BY:
Agency:
DATE:
Contact Person:
Title:
Address:
City/State/Zip:
Telephone:
E-mail:
Signature:
Name of Project Area:
Type of Project:
Location of Area:
County:
Section:
Township:
Range:
(NOTE: Attach County Map Showing Location)
(For Development Projects Only:)
Project Site Control
:
Fee Title
Lease
(Check One)
Easement
Management Agreement
Expiration Date of Lease, Easement or Agreement:
Project Justification: (Narrative)
DNR Form 542-0946
Work Planned: (Brief narrative)
Please Attach Site Plan of Area
Complete And Detailed Drawings Should Be Provided For All Construction Projects.
Construction/Materials/Labor Cost Estimates:
Total Cost:
Marine Fuel Tax Grant Request:
DNR Form 542-0946
SAMPLE COPY
DO NOT FILL OUT
STATE OF IOWA
DEPARTMENT OF NATURAL RESOURCES
WALLACE STATE OFFICE BUILDING
DES MOINES, IA 50319-0034
WRAC Project #: XX-XXXX
COOPERATIVE AGREEMENT
WATER RECREATION ACCESS COST-SHARE PROJECT
Grantee:
PROJECT TITLE:
CONTACT PERSON:
GRANT AWARD:
$XX,XXX.XX
DNR CONTACT/PHONE #:
Kathleen Moench 515-725-8213
THIS AGREEMENT, entered into by the Department of Natural Resources, hereinafter referred to as the Department
and the
hereinafter referred to as the Local Entity,
WITNESSETH:
WHEREAS, the Department has established a program (Administrative Rule 571, Chapter 30) known as the Water
Recreation Access Cost-share Program, hereinafter referred to as the Program, to assist the local entity in the project as
follows:
Total Estimated Costs $: XX,XXX.XX
100% Cost-Share $: XX,XXX.XX
NOW THEREFORE, be it mutually agreed by the Parties hereto as follows:
The Department agrees to reimburse the Local Entity a sum equal to 75 percent of the actual cost, unless an exception
has been provided for, of the project after completion and upon proof that costs have been liquidated by the Local
Entity. In no case shall the costs to the Department exceed that of the grant award.
It is further agreed by the Parties hereto:
1. That the project described herein shall be completed by December 31, XXXX
2. That the Local Entity shall be responsible for maintenance and all expenses related thereto after completion of
the project.
3. That is it understood and agreed that this agreement is not a permit to construct and that the local entity shall
be responsible for obtaining any permits required by the federal, state, or local authority having jurisdiction over
such projects.
4. That the area or facility herein described shall be open to the public for lawful recreation boating purposes
without tariff and shall not be used for commercial purposes directly or indirectly, without written approval
from the Department. The site shall be posted with a public access sign as provided by the Department.
DNR Form 542-0946
5. That any addition to this agreement is herein written as follows and that there are no verbal additions hereto:
CHECK THESE FOR EACH GRANT, ONE MAY BE INCLUDED
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
THIS AGREEMENT entered into under the authority of action taken at an official meeting of the
of
County, Iowa, on the
day of
,
20
, all as shown in the minutes thereof, and by approval of the Department of Natural Resources.
Fed ID #
Grantee Signature
Print Name
Alex Moon, Deputy Director
Date
Iowa Department of Natural Resources
DNR Form 542-0946