Great Lakes Protection Initiative:
Restoring Areas of Concern
Application Form
For Office Use Only
Project No.[Project number]

Project Title:

[English Title]

Section 1: Project Background
Please enter the required information in the fields available. There is no limit to the number of characters that can be
used. The fields will expand as you type or copy/paste.

The following details about the project will be used to inform the Minister’s Office and may also be posted on
Environment and Climate Change Canada's website.

Project Title (must not change for ongoing projects):
Area of Concern (AOC):
Lake:

Watercourse:

Watershed:
Primary Contact:
Name:

Title:

Address:
Phone:

Fax:

E-mail:

Legal Name of Business or Organization:

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 GST or Business Number, if applicable:
Name of Individual with Signing Authority for Financial Agreements:
Project Start Date:
Project End Date:
Project Status (new or ongoing):
Member(s) of Parliament and Riding(s):
Please refer to the “Electoral Districts” page at “www.elections.ca”.

Section 2: Project Details
1. Total Project Value (Both cash and in-kind contributions):

2. Amount of Funding Requested from Great Lakes Protection Initiative for the 2018/19 Fiscal Year:
Amount of matching funding from other sources for the 2018/19 fiscal Year:
Is this a multi-year Proposal?
3. Other Supporting Organizations
List committed and proposed organizations (please spell out all acronyms).
4. Project Purpose
(Enter a brief project purpose; 1 or 2 sentences maximum):

5. Priority Focus
Habitat rehabilitation, rural non-point source control, contaminated sediment remediation, municipal wastewater
treatment, urban stormwater/combined sewer overflow control, or monitoring to address status of beneficial use
impairment and delisting targets.

6. Beneficial Use Impairment (BUI)
Please check the latest RAP Implementation Workplan or Current Stage 2 Report for the BUIs that apply to your project.
Explain how the project will assist with the restoration of beneficial uses within your AOC and achievement of delisting
targets.

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 7. Remedial Action Plan Recommended Action
Please check the latest RAP Implementation Workplan or Current Stage 2 Report. If the project is not on the workplan,
please check with your local RAP Coordinator or Federal Lead to determine whether it warrants consideration. Explain
how the project will assist with the completion of RAP recommended actions.

8. Key Project Activities
List the key project activities that the project will focus on; maximum of one or two sentences for each activity.

9. Location Map
Show project/site location(s) on an accompanying map. Please provide longitude and latitude coordinates.

10. Site Description
Describe conditions within and adjacent to the area in which your project will be located. An overarching map showing
the broader AOC restoration strategy is also recommended where possible. Provide aerial photographs showing outline
of project to be rehabilitated.

11. Activities to be undertaken in fiscal year 2018/2019:
Describe in detail the activities, methods and funding requirements related to each phase of the project (e.g. planning,
planting, construction). If your project involves planting, please supply a planting plan outlining the species you will be
using and where they will be planted on the site. For further information contact your AOC’s RAP Coordinator or Federal
Lead (see Appendix 2).

Identify if your project involves the further disbursement of funds (e.g., landowner stewardship programs). Describe the
desired outcomes of the disbursements, proposed recipients, process for determining successful recipients and criteria
for funding.

12. Results
Itemize project activities, accomplishments, and final products for each year (e.g. for habitat projects: restore X
kilometres of riparian habitat, implement X number of rural nutrient management plans, convert X hectares of land to
conservation tillage, reduce annual phosphorus loading by X tonnes to X watershed(s), prepare final report). Ensure that
you link planned activities to current RAP Implementation Workplans/Stage 2 reports.

13. Schedule of Activities
Include a schedule of project activities and a timeline for your project. If the information is in a table format, include as a
separate document to this proposal.

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 14. Performance Monitoring
Describe monitoring, or other follow-up activities, designed to assess the project’s performance for 2018/19, and/or for a
longer-term period. (Note: It is important to describe monitoring in the context of delisting criteria/targets/performance for
your AOC).

15. Supporting Documentation
Provide a list of other relevant information available such as water and sediment quality data, planting plans and
construction designs, environmental assessment reports, and scientific publications.

SUBMITTED: date

Section 3: Project Budget
Complete Appendix 1b - Cash Flow Statement for expenses related to your project. Note: The Great Lakes
Protection Initiative supports up to one-third of the required resources for an Area of Concern project for each fiscal
year.
On the Cash Flow Statement, drop-down menus for Contributor Type, Cost Category and Expenditure Type have
been included for your convenience.
NOTE:
IN-KIND: Include the value of “in kind” support in the appropriate column and describe it in a separate
paragraph below. In-kind support refers to equipment, material, supplies, services, personnel/volunteer
time, etc. provided to the project without cost to the project.
For habitat creation and non-point source projects, the landowner contribution for land occupied by the
project is calculated by: land rental cost/acre/year* x acreage x agreement length**
where:
* land rental cost is calculated at the average agricultural lease rate for that township
** agreement length is the length of the signed stewardship agreement (in years) or 10 years (if there is
no written agreement)
PYs (PERSON YEARS, DONATED SALARY CONTRIBUTIONS): should be indicated as an in-kind
dollar value ($35,000 = 1 PY) (e.g. A volunteer assisting for 1 day = 0.04% PY = $140; 1 week = 2% PY
= $700 ; 1 months = 8% PY = $2,800)

Section 4: Measurable Achievements, COA Annex 1 and RAP
Workplan Results
1.

HABITAT REHABILITATION PROJECTS

Identify the appropriate Remedial Action Plan result(s) and indicate specific benefits to priority sites in AOCs by
providing data as per the table below. Also provide information that shows the extent to which the project will meet
delisting criteria for the pertinent BUI (An example would be: this project addresses BUI criteria # 6 or 12 projects
needed to meet the delisting criteria for Loss of Fish and Wildlife Habitat BUI). Indicate whether there will be

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 mechanisms (such as natural heritage policies, long term project oversight, etc.) to sustain the environmental gains
of the project.
Please complete the following tables, indicating the achievements planned for 2018/19.

Type of Habitat Rehabilitated

Total completed to date **

Planned for
this fiscal year

Wetland (ha)
Riparian (km)*
Prairie/Meadow (ha)
Forest (ha)

Number of Barriers to Fish Migration
Removed/Mitigated

Planned for
entire project
(#)

*
**
2.

Mitigated or
removed to
date **

Length of Potential Fish Habitat Unlocked

Planned for
this fiscal
year (#)

Planned for
entire project
(km)

Total
completed to
date ** (km)

Proposed for
this fiscal
year
(km)

Riparian habitat
(1 km of stream rehabilitation on two shores = 2 km of riparian habitat rehabilitated).
Total completed to date since project inception.

CONTAMINATED SEDIMENT REMEDIATION PROJECTS

Identify the specific benefits for each project by site. Include whether the following are in-progress or completed: site
identification, identification of external contaminant sources, assessment of physical, chemical and biological effects,
assessment of ecological risk, assessment of sediment management options, development of a sediment management
strategy, development of an engineering design plan, demonstration of innovative technologies, clean-up implementation
and monitoring, long-term monitoring and reporting. Describe the area and proposed volume of sediment being
addressed. Indicate the potentially responsible parties, government lead agencies, funding sources and beneficial use
impairments being addressed.
Note: The Great Lakes Protection Initiative supports contaminated sediment projects from the assessment phase
through to the development of a detailed engineering design.

3. MUNICIPAL WASTEWATER TREATMENT AND URBAN DRAINAGE CONTROL PROJECTS
Identify the appropriate Remedial Action Plan result(s) and indicate specific benefits to priority sites in AOCs by providing
data on reductions in pollutant loadings (phosphorus, suspended solids, oil and grease, and other relevant pollutants) as
well as reduction in combined sewer overflows. Any data related to improvements in pertinent BUIs (particularly beach
closings, aesthetics, algae production) would be helpful. Please note that the Great Lakes Protection Initiative does not

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 support capital infrastructure projects (e.g. sewers, sewage treatment plants, stormwater ponds, etc.) Please indicate
whether the projects are recommended implementation actions as per the Remedial Action Plan for the Area of Concern,
as well as whether there will be mechanisms (such as policies, effluent limits, application of technology to other sites)
developed or established to sustain the environmental gains of the project.

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