FY2022_205j_Application (2)

2022 Application for Section 205(j)
Water Quality Planning Grant
Division of Water Resources North Carolina Department of Environmental Quality
Submit the completed application as a Word document to [e-mail] with “[Your COG’s name] 205(j) Grant Proposal” in the subject line by Monday, October 3, 2022. Any signed letters of support may be scanned and included as a separate attachment.

1. Basic Information
Project Title
Project Start Date Project End Date
Project Abstract Please limit abstract to the space provided.

205(j) Grant Funds Requested $
Match (optional, recommended) $
Total Project Cost $

NC Application for Section 205(j) Planning Grant

2b. Administrative Address
Address where contract will be mailed for signature
Name
Title
Organization Name
Mailing Address
City State ZIP
Email Address
Telephone FAX No.
Federal Tax ID Number

2c. Payment Address
Address where invoice payments will be mailed
Name
Title
Organization Name
Mailing Address
City State ZIP
Email Address
Telephone FAX No.

2a. Primary Contact or Project Manager
A one-page Statement of Qualifications must be provided in Item 4 to confirm that anyone designing, installing, or monitoring the proposed project is qualified to do so.
Name
Title
Organization Name
Mailing Address
City State ZIP
Email Address
Telephone FAX No.
NC Application for Section 205(j) Planning Grant

3. Project Partner Information If further space is needed to adequately describe partners’ role/contribution to project, please include in
the Statement of Qualifications (Item 4).
Organization Name
Organization Address
Role/contribution to Project
Contact Person Phone No.
E-mail address
Organization Name
Organization Address
Role/contribution to Project
Contact Person Phone No.
E-mail address
Organization Name
Organization Address
Role/contribution to Project
Contact Person Phone No.
E-mail address
Organization Name
Organization Address
Role/contribution to Project
Contact Person Phone No.
E-mail address

NC Application for Section 205(j) Planning Grant

4. Statement of Qualifications for Project Manager and Primary Partners
Please include qualifications of people, not organizations. Do not copy and paste entire CVs. Briefly describe relevant experience, noting any relevant 205(j) grant funded projects.

NC Application for Section 205(j) Planning Grant

6. Map of Project Area
Please copy map into document as a small image file.

5. Project Area
Results Site-Specific, Regional, or Statewide?
River Basin(s)
Need identified in Basin Plan? (Y/N; note plan name, date, pg#)
Watershed name(s)
Watershed size square miles
12-digit USGS HUC(s) (For site-specific projects only)
County
NC Application for Section 205(j) Planning Grant

8. Detailed Description of the Project Explain how the project will fill a need. Provide detailed information about the approach/method, project
outcomes, and specific project deliverables. If developing a Watershed Restoration Plan, please also
complete Item 18.

7. General Goal of the Project (per the Clean Water Act Section 604(b)/205(j) grant purpose)
Identify most cost-effective and locally acceptable facility and nonpoint source measure(s) to meet and maintain water quality standards
Develop implementation plan to obtain state and local financial and regulatory commitments to implement measures identified
Determine the nature, extent, and cause of water quality problems in various areas of the state
Other—please specify water quality planning purpose

NC Application for Section 205(j) Planning Grant

9. Photos or Diagrams (optional)
Include photos or diagrams if they would supplement project narrative and improve reviewers’ understanding of your project.

NC Application for Section 205(j) Planning Grant

10. BIGGER PICTURE BENEFITS (CO-BENEFITS) Describe your project’s benefits to each of the items below. If there
are no associated benefits type “NA.”
Climate Resilience: Provide a
short description on how this
project will address climate
change impacts (e.g., adapting for
more variable rainfall patterns,
greater runoff volumes, longer dry
periods; or lower stream flows
during dry months and higher
stream flow during wet months;
or sea level rise and sea water
intrusion, etc.).

Benefits to underserved
communities: Provide a short
description of whether the project
is located in underserved
communities. If so, discuss
whether the underserved
communities or organizations are
engaged in the project, and how
the project would benefit them.
Refer to NCDEQ’s Community
Mapping System to determine the
location of underserved
communities.

Impacts to downstream
communities

Other (Specify if any)
NC Application for Section 205(j) Planning Grant

11. Project Evaluation
Please describe how you will evaluate whether this project successfully met its outcomes and provided
the intended deliverables. Evaluation methods for any information/education activities should also be
identified.

12. Related Projects in the Watershed Please note any other current or recent projects in the same watershed that contribute to the same
goals as the proposed project. These could be your own or partners’ related water quality planning or implementation projects.
• How might these projects benefit or complement the proposed project?
• When were they completed?
• Who implemented/maintains them?

NC Application for Section 205(j) Planning Grant

13. What funding sources exist to implement the results of the project?

NC Application for Section 205(j) Planning Grant

14. Project Milestone Schedule If planning to start the project in the second quarter, the first quarter can be left blank. Please note anticipated
dollar amount, percent of grant spent that quarter, and cumulative percent of grant spent for project. Quarterly invoices will only be reimbursed up to the percent indicated. Unused funds will carry forward to next quarter. Note
that 10% of grant will be held until receipt of Final Project Report.
Quarter Activities or outputs to be accomplished
Anticipated funds requested
Quarter $ Quarter % Cumulative $ Cumulative % Fiscal Year 1 First Quarter Jan-Mar 2023

Second
Quarter Apr-Jun 2023
Fiscal Year 2 Third Quarter
Jul-Sep 2023

Fourth Quarter Oct-Dec 2023

Fifth Quarter Jan-Mar 2024

Sixth Quarter Apr-Jun 2024
≥10%
NC Application for Section 205(j) Planning Grant

Indirect (facilities and administrative) costs: Administrative costs include salaries, overhead, and direct or indirect costs for services provided and charged against activities and programs carried out with 205j funds. Only 10 percent of funding in a 205 j grant may be used for administrative costs. Direct costs: Direct costs are costs directly related to accomplishing the project, and they may include administrative costs. Direct costs include personnel, the purchase of equipment, supplies, materials, contracts, and travel. Equipment only refers to items that cost at least $5,000. Anything that costs less than $5,000 will be categorized as supplies.
15. Funding Requested *If a significant portion of funding is in contractual line, please break down contractual line items in Item 16.
Budget Categories (itemize all categories)
Section 205(j) Funds Please ensure consistency with
Milestone funds (Item.14)
Section 205j Funds Total
Non-Federal Match (recommended, not required)
Total including match
Justification
Include explanation for each budget line item
Fiscal year 1 (Must equal Quarters 1&2 in Item 14)
Fiscal year 2 (Must equal Quarters 3-6 total in Item 14)

Personnel/ Salary
Fringe Benefits
Supplies
Equipment
Travel
Contractual*
Other
Total Direct
Indirect (max. 10% of direct costs, per 40 CFR 35.268)

Annual Totals
Grand Total
% of Total Budget % % 100%
NC Application for Section 205(j) Planning Grant

16. Contractual budget (if applicable)
If a significant portion of funding is in contractual line, please break down contractual line items here.
Budget Categories (itemize all categories)
Section 205(j) Non-Federal Match (recommended, but not required)
Total Justification (Include explanation for each budget line item)
Year 1 Year 2
Personnel/Salary
Fringe Benefits
Supplies
Equipment
Travel
Contractual
Other
Total Direct
Indirect (max. 10% of direct costs, per 40 CFR 35.268)

Annual Totals
Grand Total
% of Total Budget % % 100%
NC Application for Section 205(j) Planning Grant

17. Match summary (if applicable - recommended, but not required)
Total Match amount $
Cash Match $
Source(s):
In-kind Match $
Source(s):
18. 9-Element Plan Sources (only for applicants developing a 9-Element Watershed Restoration Plan)
Please indicate below what sources you will use to find or develop the information necessary to meet
EPA’s 9 Key Elements.
1 An identification of the causes and sources or groups of similar sources that will need to be
controlled to achieve needed load reductions

2 A description of the NPS management measures that will need to be implemented to achieve load reductions and other watershed goals identified in the plan
3 An estimate of the load reductions expected from the management measures
4 An estimate of the amount of technical and financial assistance needed, associated costs, and/or sources and authorities that will be relied upon to implement the plan

NC Application for Section 205(j) Planning Grant

If you have questions or need assistance filling out this application, please do not hesitate to contact Rishi Bastakoti at [phone] or [e-mail].
5 An information/education component that will be used to enhance public understanding of the
project and encourage participation

6 A schedule for implementing the NPS management measures identified in the plan that is
reasonably expeditious

7 A description of interim, measurable milestones for determining whether NPS management measures or other control actions are being implemented

8 A set of criteria that can be used to determine whether loading reductions are being achieved over time and substantial progress is being made toward attaining water quality standards

9 A monitoring component to evaluate the effectiveness of the implementation efforts over time, measured against the criteria established under item 8.