Please use these Guidance Notes to assist you as you complete the application form. Please complete all of the questions. Some of your answers will be used as a basis for measuring the success of the Programme.

Project Name

This should be the name of the scheme that local people or the group best know it by.

Contact Details

Please provide all of the contact details so that we can get in touch with the main individual involved in the scheme. Please also include the full name of the community group or organisation that are applying for a grant.

Your Group or Organisation

Please provide us with a short description of your group or organisation and its activities. This will help us to understand more about your group in relation to what you are trying to achieve.

Your Project

What is the location of your project? Please give an accurate description and a grid reference.

It is important that you provide us with a precise description of the location of your project and that you give us a grid reference. If you can’t find the grid reference please include a map with your application form with the site boundary drawn on to help us.

Who owns the land and what are the arrangements for maintenance once the project is complete?

Please give the name and address of the owner and any lease details. Has the land owner agreed to the work being carried out? It is crucial that any work done under LSSRP has an appropriate maintenance plan so that the site is looked after in the future, therefore please provide details about how you propose to look after the site and who will complete any maintenance that needs to be done. We need to ensure that the funding, your time and resources, are well invested for the future.

Where do most of the people live that you hope will benefit from this funding?

Please tell us which town / city / village and district that your project’s beneficiaries live in.

Is the land Derelict, Underused, Neglected and / or Previously Developed?

Please indicate the definitions that fit your project the best. It is essential that your project fulfils at least one of the criteria for it to be considered.

• Derelict; land that is so damaged by industrial and other development that it is incapable of beneficial use without treatment.
• Underused; land that is periodically managed and that there is little evidence of consistent use either by the public or agriculture.
• Neglected; land that is uncared for, unmanaged and often subject to fly-tipping, yet may be in use by the public.
• Previously developed; is land which is or was occupied by a permanent structure (excluding agricultural or forestry buildings), and associated fixed surface infrastructure. The definition covers the curtilage of the development.

Please give a description of the project and its proposed after use (If you have plans of the scheme or site please send them).

In this section we would like to see a detailed description of the project and how your site will be used after the project is completed. This section should give us as much detail as possible. Please include information about what you hope to achieve and how you plan to do this. We want to hear about the overall aim of the project, a summary of the proposed works and activities, who will carryout the work and an indication of where you are in the planning process.

Are there any wider environmental, social or economic benefits of this project?

Please use this section to tell us about any wider benefits that your project might have. For example, if you were planning a community woodland on a previously derelict site the wider benefits might be educational because a local school may be able to use the site for nature studies. Local children might also be involved in tree planting. The benefits might also be environmental because the use of native species could create an improved habitat for wildlife.

How did you find out that there is a need for this activity?

Please talk about how you decided that this was a worthwhile project. Did you conduct a community consultation or perhaps an area of derelict land in your community has been causing concern for a while.

What is the timetable for your project?

We need to know about when you plan to start and finish your project and when you plan to claim your grant. This will help us to plan our budgets more accurately and will also give us an indication of how your project will fit in with our programme.

Will an allocation of funding from LSSRP NOW allow the project to proceed immediately? (see example below)

Financial Information

It is important that the information you give in this section is as accurate as possible.

The expenditure and income should be only those items that will actually cost the project real money. Any gifts in kind can be listed later. (Example below)

Project Cost
Expenditure Description of works/activity/service	Amount
Design Work	£1500
Site clearance	£3020
Skip hire	£200
Contractor - fencing and tree planting	£4800
Contractor - paths	£5200
Publicity leaflet	£150
Local artist fees for 2 days	£200
Total Cost	£15, 070

£15,070 is the figure required to get the project completed. This figure should equate to the figure in the table below.

Income Sources
Sources of funding secured / to be confirmed	Amount	Is this funding confirmed?
Local Council	£2500	Request made
Parish Council	£250	Yes
Single Regeneration Budget	£6000	Applied for
Club funds	£900	Yes
Rotary Club donation	£500	Yes
Required from LSSRP?	£4920
Up to 10% of any allocation from LSSRP can be used for professional fees. If this 10% is going to be used, what will it go towards?	10% £492 for survey work
Total Project Income (this figure should be equal to the Total Cost above)	£15,070

The amount required from LSSRP should include VAT when this is unrecoverable.

Outputs

These outputs are fundamentally important to the project. It is essential that your project addresses these outputs so you must be as accurate as possible. These are not costed as they are produced by the project and should be measurable.

What is the total area of your site?

This should be measured in hectares or square meters and be an accurate measurement of the entire site to be improved.

What area of your site can be described as derelict or previously developed?

The whole of your site may not be classed as previously developed or derelict. This is not necessarily of detriment to the success of your application providing that some there is some evidence of dereliction and previous use. Please indicate here how much of your site can be classified in this way.

How many people from the local community will be directly involved in your project?

Please give the total number of people who will be involved in your project. This might include a class from a local school, your parish council, your group or anybody else who might work on the project.

Number of potential local users

Please indicate a realistic figure of potential local users for your project. This number will be those people who will see, use, and enjoy what has been created. This may be the number of residents in a housing estate where a community garden has been created or the number of children in a school where a school nature garden has been implemented for example. Although this is a difficult question to answer, it might help if you tell us how you arrived at this figure.

Contractor days on site

This is an estimate of the number of days spent working on site X the number of workers, ie two fencing contractors working for six days equal 12 contractor days.

Number of learning opportunities created

This is the number of individuals who are involved in the project for more than 6 hours cumulatively or in a single block, in what could be described as a learning or development environment. Learning and development can cover both formal training courses and informal activities where people are developing new skills.

Number of Trees/Shrubs Planted

This is simply the combined number of trees and shrubs planted on the site.

Cycleways created/improved / Footpaths created/improved (metres)

Please give a calculation in metres.

Others

What else will the project achieve? Murals painted, seats and picnic tables, ponds created, training events, public meeting, new groups formed?

What additional resources i.e. gifts in kind are going into the project?

Take time to think about exactly what has gone into the entire project. (example below)

Volunteers involved in all aspects of the project , this should be the value of all those who have helped plan, design, negotiate and implement the project. Volunteer input should be costed at £6.25 per hour.

Gifts in Kind
What additional resources i.e. gifts in kind are going into the project? (Please see guidance notes)	Value
Volunteers involved in all aspects of the project (5 people for 40 hrs each = 200 hrs)	£1250
JCB lent by local farmer	£120
Wood from B&Q	£300
School hall for public meeting	£100
Hard core for path from local builder	£800
Total Cost	£2570

Please provide current photographs of your site. These must be included as they are an aid to assessment and monitoring. If you are using a digital camera please provide images on disk or via email.

I.............(person name)..............on behalf of..............(group name)..............apply for a LSSRP grant of £4920 towards the cost of the project set out in this application form. I certify that the information provided is accurate.

Signed................................ Date................................

Project Advice

If your project is approved to receive LSSRP funding an experienced Project Officer from LCC’s Environmental Projects Team will be assigned to help you to implement your project. Your Officer will be available to offer support and advice to your group, help you to resolve any issues relating to the implementation of the project, identify costs and potential funding resources, assist with filling in other application forms and help you to register with various funding bodies where appropriate.

When you have completed the application form please return it to:

Environmental Projects Team
Lancashire County Council
Environment Directorate
Guild House
Cross Street
Preston
PR1 8RD

For more information or help with your application contact the Projects and Programmes Team on 01772 530650, projectsteam@env.lancscc.gov.uk.

---

The Lancashire Small Sites Reclamation Programme is managed by Lancashire County Council and supported by the Northwest Development Agency.