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 Antelope




Rehab Application Forms

The following forms on this page require Adobe Acrobat and Microsoft Word.

Application for Federal Assistance (PDF; 110 Kb)
Sample of Application for Federal Assistance (PDF; 106 Kb)

Application Signature page (DOC; 30 Kb)

Application must also have the following attached to SF-424
  1. Project Name.
  2. Dam Number.
  3. Original Project Authority.
  4. Dam Location (legal description).
  5. List of current SLO(s).
  6. Name(s) and Address(es) and contact information for person(s) designated as contact for each of the SLO(s).
  7. Year Dam was constructed.
  8. Description of existing condition and known rehabilitation needs of the dam.
  9. Description of current benefits provided by dam.
  10. Dam Safety Agency information, permit needs, comments, and recommendations on rehabilitation needs for specific dam. If State Dam Agency ordered any action on dam, attach a copy of the order.
  11. Statement that SLO(s) will commit to:
  • Assist in leading locally-led planning effort,
  • Obtain needed landrights including the use of power of eminent domain, if necessary,
  • Provide local cost-share funds and/or in-kind services to provide the required 35% of total project costs,
  • Provide funds for continuing O & M actions,
  • Enter into a new O & M agreement with NRCS,
  • Obtain and bear the cost of required permits and approvals,
  • Provide leadership to assure adequate land use controls are enacted or required for downstream areas prior to construction if a low or significant hazard dam is involved,
  • Provide leadership to assure adequate land treatment measures have been installed on at least 50% of the watershed area above the dam,
  • Statement that the SLO(s) that plan to provide in-kind services and/or acquire landrights will sign a MOU with NRCS before being credited with the value of any in-kind contribution.
Addresses for SF 424

Rex Isom, Executive Director
Texas State Soil and Water Conservation Board
311 North 5th
P.O. Box 658
Temple, TX 76503

(State Single Point of Contact)
Denise S. Francis, Group Director
Federal Grants Assistance
Governor’s Office of Budget, Planning and Policy
P.O. Box 12428
Austin, Texas 78711

State Conservationist
USDA-NRCS
101 South Main St.
Temple, TX 76501

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