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Project Submission Form

  1. Project Overview

  2. The project name will be used for future reference.

  3. To the extent known, provide an estimated cost. (It is recognized that as a project is developed and implemented, the costs associated with the project may change; costs stated on the SEP Idea Form are estimates.)

  4. Project Details

  5. To the extent known, provide an estimated cost. (It is recognized that as a project is developed and implemented, the costs associated with the project may change; costs stated on the SEP Idea Form are estimates.)

  6. Explain the expected environmental benefit of this project. Please provide a 200 word or less description of the environmental or public health benefits such as size of population at risk that will be helped and/or types of pollutants that will be reduced. Wherever feasible, please quantify the environmental benefits to be achieved (e.g. amount of each pollutant or waste that is expected to be reduced or amount of land that is intended to be environmentally restored).

  7. Additional Materials

    Check this box if there are any additional materials that may help to better illustrate your project idea. LRAPA will contact you to discuss and obtain copies of these materials.

  8. Organization, Institution, or Individual

    Please provide the name and mailing address of the group or individual submitting the project idea.

  9. Contact Person

  10. Please provide a contact name, telephone number, and email address so we may contact the submitter for questions and followup information.

  11. Leave This Blank:

  12. This field is not part of the form submission.