LCHIP : Call for Projects

NH Land & Community Heritage Register

This is NOT an application but is a mandatory form for all potential applicants to determine eligibility for funding. If you are a new project, please skip the first section for existing projects and begin with the County field.

This is an update to a previously submitted project
Project Name :

*County:
*Town:
*Project Name:
*Applicant Organization:
*Type of Organization:
*Mailing Address:
*City:
*Zip:	-
*Primary Contact First Name:
*Primary Contact Last Name:
*Contact Phone:	()- x
*Primary Contact Email:
*Physical Address of Resource:
State Plane Coordinates (for Natural Resource projects only):
*Type of Project:
Number of Acres:
*Resource Details:
*Estimated Total Project Value (TPV):	$
*Estimated Amount to be Requested from LCHIP (cannot exceed 50% of Total Project Value):	$
The Resource has been identified for Protection
Description of Protection Plan:
*Brief Description of Potential Project:
I have read the Criteria, Guidelines, and Procedures and understand the criteria for the Program.