Capital Improvement Project Request Form
For budget beginning Fiscal Year 2024-2025
D. New project that was not previously requested
Previously requested project that WAS NOT FUNDED in the CIP Project Name/Designation
Priority (Public Agency Use Only): Rank No. of
1. Project Type
C.
Requested By
A.
2. Project Description
Briefly describe the primary reason for the request as well as the project’s physical attributes if known(such as objective/goal, type/size, design size of storm, floodplain involved, etc.).
Attach an exhibit with the proposed project location/alignment and any additional relevant information. *If Project Type B, specify what aspect of the scope has changed and detail the changes in the attached exhibit.
Previously requested project that WAS FUNDED in the current CIP and the project scope/amount HAVE NOT changed from the project descriptions listed HERE
*If Project Type A, please skip to section 4. Funding
B. Previously requested project that WAS FUNDED in the current CIP and the project scope/amount HAVE changed from the project descriptions listed HERE
Approximate Length/Extent
Project Location (cross streets or address)
P8/233531
District Zone # _______
To submit please email form and attachments to [email protected] District
1. 2.
Remaining Cost to be Funded by Others
Cost Share (% or $)
Mitigation
Monitoring
R/W Acquisition
Total Funds Requested from District
Design
Water conservation/recharge ( ____ ac-ft/yr)
Reduce street flooding
Reduce community flooding ( ____ parcels)
New parkland ( ____ acres)
New trails ( ____ miles)
Control debris/sediment
Onsite stream/habitat restoration ( ____ acres)
Other partners/grants ____________________________
Construction
Title: Phone:
5. Contact information for this project request:
Name: E-Mail:
Capital Improvement Project Request Form
For budget beginning Fiscal Year 2024-2025
CEQA/Regulatory Permits
Who will be the lead agency responsible for pursuing the project (including Design, CEQA, Right of Way Acquisition, Regulatory, Permits, Mitigation, Monitoring, Construction, etc)?
3. District City
TOTAL COST OF PROJECT
Cost Breakdown
(if available)
Reduce FEMA floodplain ( ____ acres)
Urban water quality improvement ( ____ offsite acres treated) City
3. Multi-Benefit Checklist
Who will be the lead agency responsible for operations and maintenance (O&M)?
*If multiple are selected, please explain in section 2. Project Description
4. Funding
P8/233531
Mailing Info: If mailing your request form, please send it to:
1995 Market Street
Riverside, CA 92501
Attn: Design & Construction Division
E-mail Info: If e-mailing your request form, please send it with any exhibits to: [email protected] • The District desires to pursue projects that achieve multiple benefits. Definitive secondary benefits or uses that will be incorporated into the project should be identified here. • Wherever possible, include the requested metrics to help the District understand the scale of the benefits anticipated.
• If the project will provide water quality treatment for offsite areas, or integrates onsite habitat/stream restoration, identify those in the applicable check boxes. HOWEVER, required project mitigation (i.e., water quality treatment of the project’s onsite flows, or offsite mitigation for project impacts on habitat, etc.) should NOT be identified.
4. Funding
5. Contact
Information
• Lead Agency: Please check in the adjacent boxes who will be in charge of this project. • Cost: Enter the project costs with as much detail as known. If not known, leave the field empty. • Cost Share: Enter the percentage or dollar value proposed to be covered by the District as well as by other entities. If a third party will be involved, enter their name in the ‘other’ column as well as their share of the cost.
• Enter the name of the person that can be contacted for more information/details about the project/request.
Questions? Contact Toni Irvin at [email protected], 951.955.1612 Requested By
Project Name/
Designation
Section Instructions
• Enter the name of the agency submitting the request. For requests submitted by individuals, enter the name of the individual.
• If a name has been established for the project, enter it here. For District Master Drainage Plan (MDP) facilities, enter the MDP and facility name from the MDP. If you don’t have a name, enter N/A.
Priority
1. Project Type
2. Project
Description
• If you are requesting multiple projects, assign each requested project a sequential priority with Rank No. 1 signifying the highest priority.
• Describe the reason for the request as well as the physical attributes of the project.
Characterize the severity and frequency of the problem that the project will address. Attach an exhibit showing the project location/alignment, and photos of the problem if available. • Describe any timing constraints for your request. Such as when you anticipate completion or if there are grant funding constraints.
• Select the check the box that best applies to the project being requested.
Please submit the attached form and exhibits to [email protected]. You may also mail your form to the address specified below or provide it in person at the scheduled budget hearing for your project location.
Hearing Info: Hearing schedules and locations can be found at: https://rcflood.org/cip The goal of this form is to provide the District with adequate information to understand and evaluate each project for consideration in budgeting, and ensure that the scope and objectives are known.
Capital Improvement Project Request Form
For budget beginning Fiscal Year 2024-2025
Form Instructions
3. Multi-Benefit
Checklist
P8/233531