Project suggestion form

Small Habitat Restoration Program

This form is for identifying small Capital Improvement Projects for both the Small Habitat Restoration Program (SHRP) and the Drainage and Habitat Improvement (DHI) programs.

Instructions: Information marked with an # is required.

Online Form

Administrative Information
# Submitted by:
# Mailing Address:
# City:
# State/Zip:
# Phone:
Fax:
e-mail:
Project Name (if any):
Potential Partnerships:
Property and Location Information
# Parcel Number(s):
Street Address (if known):
Thomas Guide - date of map, map page, & grid coordinates:

# Driving Directions from know location (i.e. from Hwy. 332, take exit 12a, etc.):

# Access Instructions (are there special instructions for gaining accsss to the site? Any access restrictions?):

Property Ownership
# Property Owner(s):
# Address:
# City:
# State/Zip:
# Phone:
# Have the property owners been contacted? Yes No If they have been contacted, what is their response to the project?

Project Information
Drainage Project Habitat Project Combination
# Describe the overall project

# What is the type and source of problem being addressed?

In what context was this project recommended? (e.g. Basin Plan, Watershed Forum, restoration study or plan?) Be specific, cite a reference and include page numbers, dates of approval, etc.

What are the potential benefits of the project, including limiting factors that will be addressed, salmon species that will benefit, etc?

# Regulatory violations, history of problems on the property, if known:

Other information:

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Project suggestion form

Administrative Information

Property and Location Information

Property Ownership

Project Information

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