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1989-08 8 RECEIVED JAN 2 5 1989 8 BOB MARTINEZ Governor .'. ' Sta te of Florida DEPARTMENT OF NATURAL RESOURCES J 1M SMITH Secretary ot State BOB BUTTERWORTH Attorney General Marjory Stoneman Douglas BUIlding 3900 Commonwealth Boulevard Tallahassee, Florida 32399 GERALD LEWIS State Comptroller BILL GUNTER State Treasurer TOM GARDNER Executive Director DOYLE CONNER CommissIOner of Agriculture BETTY CASTOR CommissIOner of EducatIon January 20,1989 PLEASE ADDRESS REPLY TO. 5ì9-00~ Mr. Wayne Saunders City Manager City of Clermont Post Office Box 219 Clermont, Florida 32711 Re: 12th St. Recreation Site LWCF Project No. 12-00289 Dear Mr. Saunders: Enclosed is a copy of the fully executed state/local agreement for the above-referenced project. Enclosed also is information highlighting major state and federal program requirements, but not addressing them all. You are encouraged to use this as a guide but also become thoroughly familiar with the program requirements contained in the Land and Water Conservation Fund Grants Manual and Chapter 16D-5, Florida Administrative Code. Please call with any questions. 488-7896 and Suncom 278-7896. My numbers are (904) ß¡;Z/~ Richard A. Halvorsen Grants Specialist Office of Recreation Services Division of Recreation and Parks RAH/re "WorkIng together to protect Florida's future" 1" , 8 8 C --~bý5 (DNR Contract Number) 12-00289 (LWCF Project Number) FLORIDA DEPARTMENT OF NATURAL RESOURCES LAND AND CONSERVATION FUND PROGRAM ACQUISITION PROJECT AGREEMENT This Project Agreement entered into on this 1'~ day of ~¿~ -- , 1981, by and between the Florida Department of Natural Resources, (hereinafter referred to as "Department"), and the City of Clermont, (hereinafter referred to as "Project Sponsor"), in furtherance of an approved outdoor recreation Project. In consideration of the mutual covenants contained herein, the Department and Project Sponsor do hereby agree as follows: 1. This Agreement shall be performed pursuant to Chapter 16D-5, Part V, Florida Administrative Code, as amended, (hereinafter referred to as "Rule"), the Land and Water Conservation Fund (LWCF) Act of 1965, 78 Stat. 897 (1964), as amended, (hereinafter referred to as "Program" ), and in accordance with the general provisions for such Agreements prescribed by the United States Department of the Interior (USDI) in the LWCF Grants Manual, (hereinafter referred to as "Manual"). The Project Sponsor agrees to become familiar with all provisions and comply with the Rule, which is incorporated into this Agreement by reference, as if fully set forth herein. In the event a dispute should arise between the parties concerning the intent of any language herein contained, the same shall be resolved by the adoption of that meaning which furthers the intent and purpose of the above referenced Acts of Congress and the general provisions governing this Agreement as set forth in the Manual to the extent that said Manual is not inconsistent with the Rule. No construction shall be contrary to the requirements of the Acts of Congress or of the regulations of the Secretary of the Interior. Any difference of opinion which may not be resolved Page 1 of 9 DNR 42-020 Revised 9/15/88 " - . '; 8 8 by provisions of such Acts of Congress and the interpretations or regulations of the Secretary of the Interior or of the USDI shall be resolved between the parties by negotiation. By acceptance of the grant, the Project Sponsor agrees to comply with the requirements of Title VI of the Civil Rights Act of 1964 and Section 504 of the Rehabilitation Act of 1973, as amended. The Project Sponsor further agrees to cooperate with the Department in all aspects of compliance with all laws applicable to use of Program funds. It is the intention of the parties hereto that none of the provisions of Section 163.01, F. S., shall have application to this Agreement. 2. The Department has found that outdoor recreation is the primary purpose of the Project known as 12th Street Recreation Site (LWCF Project number 12-00289), and enters into this Agreement with the Project Sponsor for acquisition of that real property, the legal description of which is set forth in Exhibit A. 3. The Project Sponsor shall complete acquisition of the Project site by December 31,1989. All Project close-out documentation shall be submitted to the Department prior to release of Program funds pursuant to requirements of the Rule. 4. Within three (3) years following the date of final Project reimbursement, the Project Sponsor will construct, or cause the construction of, certain outdoor recreation facilities and improvements upon the acquired real property, which facilities shall be designed and constructed substantially in accordance with the conceptual site development plan and the recreation and support facilities described in the Project application, which is incorporated into this Agreement by reference, as if fully set forth herein. Upon completion of development, the Project Sponsor shall provide to the Department an as-built plan for the Project site along with a list identifying the number and types of recreation and support Page 2 of 9 DNR 42-020 Revised 9/15/88 ~,' ' 8 8 facilties constructed and improvements made. Any and all utility lines installed within the park shall be placed underground. In the event the Project Sponsor fails to complete development of the subject property in the manner described in this Agreement on or before the date specified herein, the Project Sponsor agrees that upon demand it will return to the Department the total Program contribution including applicable interest. 5. Execution of this Agreement does not relieve the Project Sponsor of the responsibility to comply with all applicable federal, state, county, or municipal laws, ordinances or rules nor is the Project Sponsor relieved of the responsibility to obtain any permits, management agreements or leases which are required by the Department or any federal, state, county or municipal agency. 6. Upon completion of Project acquisition, the Department shall transfer, on a reimbursement basis to the Project Sponsor, such eligible Program funds not to exceed $145,365.00, which will pay said Program's share of the cost of the Project. Program fund limits are based upon the following: Total Project Cost $ 290,730.00 Program Amount $ 145,365.00 Sponsor Match $ 145,365.00 Type of Match Cash Program funds may be released at the discretion of the Department, upon the request of the Project Sponsor's duly authorized Liaison Agent. The Project reimbursement request shall include all documentation required by the Department for a proper preaudit and postaudit review. The Department's Contract Manager shall, within sixty (60) days after receipt of the payment request, review the submitted documentation and, if complete pursuant to requirements of the Agreement, approve the request for payment. Page 3 of 9 DNR 42-020 Revised 9/15/88 , . ' 8 8 7. The Project Sponsor agrees to adhere to the Department's Grant and Contract Accountability Policy, Chapter 16A-11, Florida Administrative Code, (hereinafter referred to as "Accountability Policy"), incorporated into this Agreement by reference as if fully set forth herein. The Accountability Policy establishes uniform guidelines and procedures to be utilized by the Department and the Project Sponsor in accounting for grant funds disbursed under the Program and sets forth principles for determining eligible costs, supporting documentation and minimum reporting requirements. Expenses, representing the grant amount and required match, shall be reported to the Department and summarized on certification forms provided by the Department. The Project Sponsor shall retain all records supporting Project costs for three (3) years after the fiscal year in which the final Program payment was released by the Department except that such records shall be retained by the Project Sponsor until final resolution of matters resulting from any litigation, claim, or audit that started prior to the expiration of the three-year retention period. The Department and other authorized governmental agencies shall have the right to audit such records throughout the retention period described above. 8. This Agreement may be canceled by the Department without prior notice for refusal by the Project Sponsor to allow public access to all documents, papers, letters, or other material made or received by the Project Sponsor in conjunction with the Agreement, subject to the provision of Chapter'l19, Florida Statutes. 9. If the Project Sponsor has been granted a Waiver of Retroactivity and all applicable Manual requirements have been satisfied, the full Program amount may be reimbursed upon completion of the Project if such costs are identified in Paragraph 10 herein as eligible costs incurred prior to execution of the Agreement. Page 4 of 9 DNR 42-020 Revised 9/15/88 .' ' " 8 8 10. The Department and the Project Sponsor fully understand and agree that there shall be no reimbursement of funds by the Department for any obligation or expenditure made prior to the execution of this Agreement with the exception of $145,365.00, for: Acquisition of the real property described in Exhibit A. 11. Competitive open bidding and purchasing for the future construction of any Project site facilities or improvements shall comply with all applicable law. 12. All moneys expended by the Project Sponsor for the purposes contained herein shall be subject to preaudit review and approval by the Comptroller of Florida in accordance with Section 17.03, Florida Statutes. Supporting documentation for expenditures shall be provided by the Project Sponsor in accordance with the Accountability Policy. 13. The Department and USDI shall have the right, through its agents, servants, and employees designated for that purpose, to inspect the site of the Project and the facilities thereon at any reasonable time. 14. Following receipt of an audit report identifying any refund due the Department for non-compliance by the Project Sponsor with said Agreement, the Project Sponsor will be allowed sixty (60) days to submit additional pertinent documentation to offset any amount identified as being due the Department. The Department, following a review of the documentation submitted by the Project Sponsor, will inform the Project Sponsor of any refund due the Department. 15. The Department shall have the right to demand a refund, either in whole or part, of the funds provided to the Project Sponsor for noncompliance with the terms of this Agreement and the Project Sponsor upon notification from the Department agrees to refund and will forthwith pay directly to the Department the amount of money demanded including applicable interest. Page 5 of 9 DNR 42-020 Revised 9/15/88 . ,. ' 8 8 16. If the United States, acting through the USDI, the Secretary of the Interior, or any other branch of the government of the United States, acting within the scope of its lawful authority, should for any reason demand a refund from the Department, in whole or in part, of the funds provided to the Project Sponsor under terms of the Agreement, the Project Sponsor, upon notification from the Department, agrees to refund and will forthwith repay directly to the Department the amount of money demanded. 17. The State of Florida's performance and obligation to pay under this Agreement is contingent upon an annual appropriation by the Legislature. 18. Richard A. Halvorsen, Grants Specialist, or successor, hereby designated as the Department's Contract Manager for the purpose of this Agreement, shall be responsible for ensuring performance of its terms and conditions and shall approve any reimbursement request prior to payment. The Project Sponsor's Liaison Agent shall act on behalf of the Project Sponsor relative to the provisions of the Agreement and shall submit signed quarterly Project status reports on a calendar basis summarizing acquisition negotiations to date, percentage of development described in Paragraph 4 herein completed, problems encountered and other pertinent information. Photographs shall be submitted with status reports, when appropriate, to reflect construction work accomplished. 19. By acceptance of the provisions of this Agreement, the Project Sponsor does hereby dedicate the Project site and all land within the Project boundaries described in Exhibit A, to the public in perpetuity as an outdoor recreation area available to the general public for recreation purposes only. The Project Sponsor further agrees that the execution of this Agreement by the Department shall constitute an acceptance of said dedication on behalf of the general public of the State. Page 6 of 9 DNR 42-020 Revised 9/15/88 , ,. 8 8 20. The Project Sponsor agrees to operate and maintain the Project site in perpetuity and to operate and maintain the recreational facilities developed thereon at its own expense for a,minimum period of twenty-five (25) years or the life of the facilities, whichever is greater, from the date of their completion. The Project site and facilities shall be open for public use, maintained in accordance with applicable health and safety standards, and kept in good repair to prevent undue deterioration and provide for safe public use. The Project Sponsor covenants that it has full legal authority and financial ability to develop, operate and maintain all Project site facilities and improvements as specified within the terms of this Agreement. 21. The Project Sponsor shall not, for any reason, convert all or any portion of the park for any purpose other than outdoor recreation without prior approval of the Department and USDI pursuant to Section 6(f)(3) of the LWCF Act. If a conversion is approved, the Project Sponsor agrees to provide at its sole expense, without further contribution from the Program, replacement property of equal or greater value, quality, size and utility to that which was converted for other purposes. This replacement shall be in close proximity to the property converted and meet with Department and USDI approval. In lieu of such replacement, the Project Sponsor shall return to the Department the entire Program contribution with any interest required by the USDI. 22. Should the Project Sponsor elect to implement a user fee system for the Project site or for any recreational facilities within its boundaries, the Project Sponsor shall impose such fees uniformly upon all users without regard to age, sex, race, other condition, or the political subdivision in which the user may reside. If requested by the Project Sponsor and authorized by the Department, special allowances may be made for certain classes or groups of users. , Page 7 of 9 DNR 42-020 Revised 9/15/88 '. 8 8 23. The Project Sponsor agrees to provide the Department with annual attendance reports. 24. The Project Sponsor shall save and hold harmless and indemnify the State of Florida against any and all liability, claims, judgements or costs of whatsoever kind and nature for injury to or death of any person or persons and for loss or damage to any property resulting from the use, service, operation or performance of work under the terms of this Agreement, resulting in whole or in part from the negligent acts or omissions of the Project Sponsor, his contractors, or any of the employees, agents or representatives of the Project Sponsor or contractors to the extent allowed by law, while executing obligations contained herein to acquire, construct, operate and maintain the Project site and facilities. 25. If the Project Sponsor is subject to the provisions of Office of Management and Budget (OMB) Circular #A-128, then the Project Sponsor shall furnish a copy of the required independent financial and compliance audit to the Department within 30 days after furnishing the original audit to OMB. 26. If through any cause the Project Sponsor should fail to fulfill in a timely manner the obligations under this Agreement or if the Project Sponsor should violate any of the covenants, agreements or stipulations of this Agreement, the Department shall thereafter have the right to terminate this Agreement without prior notice. In the event the Department so terminates this Agreement for such violation, the Department is not required to compensate the Project Sponsor for any expenses incurred. 27. The Project Sponsor and Department mutually agree to the following special terms and conditions incorporated as part of this Agreement: N/A Page 8 of 9 DNR 42-020 Revised 9/15/88 - 8 8 28. This Agreement has been delivered in the State of Florida and shall be construed in accordance with the laws of Florida. Any action hereon or in connection herewith shall be brought in Leon County, Florida. IN WITNESS WHEREOF, the parties have caused these presents to be duly executed, the day and year first above written. Attest: L RESOURCES ~ 'th, f2.u;~ Ney C. Landrum, Director Division of Recreation and Parks State Liaison Officer (Its Agent for this Purpose) CITY OF CLERMONT Attest: ~ iì¡. ~ ~~~~ By: Name~ TITLE: City Manager (Its Agent for this Purpose) DATE:12-30-88 ~~ Depa ment Contract Admihistrator Approved as to Form and Legality: Department Attorney ~ Project Sponsor Page 9 of 9 DNR 42-020 Revised 9/15/88 N ~ ,f SCALE ,-. ZOOO' .. Lake Minnehaha LAKE MINNEHAHA LOCATION MAP DESCRIPTION: Blocks 134 anð 135 according to the map of the town site of Clermont as recorded in Plat Book 3, Page 5, Public Records of Lake County, Florida; and the South 310.00 feet of Government Lot 7, section 23, Township 22 South, Range 25 East; and also the North 430.00 feet of Government Lot 2, Section 26, Township 22 South, Range 26 East. All lying and situated in Lake County, Florida. SUBJECT TO all easements, rights-of-way and rescricti=s -'~ £1","\1 of record. Lake scaled from aerial. FLOR~A DEPARTMENT OF NATURAL RttOURCES LAND AND WATER CONSERVATION FUND ACQUISITION PROJECT IMPLEMENTATION Purpose: This document will provide the sponsor OT a Tunded Land and Water Conservation Fund Program (LWCF) grant project instructions Tor implementation as well as inTormation regarding program requirements. Introduction: The grant is a joint venture between the sponsor, DNR and National Park Service (NPS), the Tederal administering agency Tor the program, Tor the purpose OT acquiring an outdoor recreation area Tor general public use. To accomplish this task, DNR has entered into a contract with the NPS similar to the agreement between DNR and the sponsor. ThereTore, it is important that the sponsor adhere to the terms OT its agreement with the state which incorporates many OT the Tederal program requirements. The Tollowing instructions are divided into topical areas related to the grant implementation process which, iT closely Tollowed, will ensure adherence by the sponsor to the conditions OT the grant award. 1. Proiect Commencement and Proqress Upon receiving the executed grant agreement, start negotiations immediately so the project time Trames identiTied in the agreement will be met. A. Page 1 oT 4 GENERAL INSTRUCTIONS 1 . CareTully read the entire grant agreement to become aware OT grant conditions and program requirements. (Remember that the LWCF grant program rule (160-5, Part V, F.A.C.) is part OT the grant agreement.) 2. IT you do not have a copy OT the Tederal Land and Water Conservation Fund Grants Manual (loose leaT book), order one immediately. Write: Superintendent OT Documents, U.S. Government Printing OTTice, Washington, D.C. 20402, Tor LWCF GRANTS MANUAL, Document #024-016-81001-5. Send money order or check Tor speedy service as use OT a purchase order may cause delays OT up to six months. The cost OT $45 also entitles the recipient to receive copies OT all updates. 3. Set up an independent Tile Tor the project so that copies OT correspondence, cancelled checks, etc. are easy to Tind in the event that the project is audited by DNR. 4. Assure that all necessary Tunds are available, as the project is Tunded on a reimbursement basis. IT donated land value will be utilized as matching, then be certain that the appraised value OT the matching parcel will equal or exceed the value OT the parcel to be purchased. IT not, then make certain that SuTTicient Tunds are available to cover the diTTerence. 5. Keep up with project progress. The acquisition should be completed no later than 90 days prior to the completion date speciTied in the project agreement. IT there is good cause, circumstances leading to delays were beyond sponsor control and the property is nearing closure, a short time extension may be requested. Coordinate this closely with the DNR Project Manager. Any time extension should be requested no later than 90 days beTore the completion date speciTied in the project agreement, as approval and processing are time-consuming and must be completed prior to the expiration OT the agreement. 6. IT the negotiated price is less than the lowest approved appraisal or any property is donated, develop a "Waiver oT Right to Just Compensation" to be signed by the property owner at closure. B. 7. As soo4lÞas negotiations are comPI~ed' prepare the "Notice of Limitation of Use" statement. Attach the ~tatement and a copy of the project agreement and project boundary map to the project site deed at closure and file in public property records. 8. If residents or businesses are located on the project site, requirements of the Uniform Relocation Act (P.L. 91-646) must be met before the project can be closed out. (See LWCF Grants Manual.) Coordinate closely with DNR. 9. Immediately after closure install a permanent project sign crediting, by full name, the Land and Water Conservation Fund Program, U. S. Department of the Interior, National Park Service and the Florida Department of Natural Resources. DOCUMENTATION TO BE SUBMITTED TO DNR 1 . Quarterly Status Reports should be sent every 3 months, starting at the end of the quarter in which the project agreement was executed. Scheduled dates for mailing are: January 1, April 1, July 1, and October 1. The first status report should specifically identify the date when negotiations commenced. The ending status report should specifically identify the date when title was transferred and the estimated date when final documentation will be submitted. Failure to submit required status reports is a violation of the project agreement. II. Prolect Closeout To close out a project properly and to ensure the final reimbursement can be released by DNR the following process is extremely important. A. B. Page 2 of 4 GENERAL INSTRUCTIONS 1 . Be certain that your project file is complete and in order. 2. Take photos or slides of permanent project sign. 3. Be certain that you have the LWCF Manual. DOCUMENTATION TO BE SUBMITTED TO DNR Required documents will be submitted at two different times. Please follow instructions carefully. 1 . Write to the DNR Project Manager to state that the acquisition has been completed. Attach the following: a. Close-up photo or slide of permanent project sign. b. Certification of sponsor possession of LWCF Grants Manual. c. Certification that the "Notice of Limitation of Use" was filed with the property deed in public property records. d. Florida Recreation and Parks Inventory Form (DNR 42- 065) completed. e. Copy of the recorded Warranty Deed or applicable court order vesting title in the project sponsor. f. Copies of closing statement and cancelled checks (front and back) to seller. g. Copy of Title Insurance. h. Proof of compliance with Chapter 689, F.S., Section 286.23, F. S., Subsections 375.031(1) and 380.08(2), F. S. i . ¡"Jr i ~n offer to purchase, i nc l.i ng a "Statement of Just Compensation," Purchase Agreement/Bill of Sale. j . Documentation of condemnation.* k. Mean High Water or Ordinary High Water Survey.* 1. Status Report Statement (If quarterly Status Reports- were not submitted, as required, please write a statement giving reasons why.)* m. "Waiver of Right to Just Compensation"* n. Proof that relocation plan was implemented where displacement has occurred.* o. Proof that occupants of property were furnished adequate information regarding Title II of the Uniform Relocation Act.* p. Contractual Purchases Schedule (DNR-42-062) completed. * If applicable for the project 2. After receiving project closeout authorization from DNR, submit the following documentation: a. Project Completion Certificate (DNR 42-070) b. Actual Cost Contract Payment Request (DNR 15-032 ( 16) ) 3. After Department review and approval of the payment request, reimbursement will be requested from the National Park Service. Following receipt by the state, a state warrant will be requested of the Comptroller and will be mailed to you after issuance. At that time, the project will be officially closed out. I I I . Post Completion Responsibilities After the project is completed both the state and project sponsor have a number of ongoing program compliance responsibilities. These are identified in the project agreement, program rule (16D-S, Part V, F.A.C.) and LWCF Grants Manual. DNR must assure that the project site is operated and maintained in an equitable and safe manner, and other program requirements are met. The LWCF project sponsor must also meet program requirements including the following: A. B. Page 3 of 4 GENERAL REQUIREMENTS 1 . Cooperate with the state in efforts to maintain the State Comprehensive Outdoor Recreation Plan (e.g., answer surveys, complete recreation inventory updates, etc.) 2. Respond to DNR requests for information to update grants records, sponsor eligibility, etc. 3. Contact DNR in advance if the possibility arises that any enclosed or non-recreational facilities are planned for the project site. This must be approved by NPS. 4. Develop the site for outdoor recreation and open it for public use within S years following closure. 5. Keep LWCF grant project site in use for outdoor recreation in perpetuity. If any possibility of sale, lease, trade or non-recreational use of any portion of the LWCF grant site arises, contact DNR immediately. CONSTRUCTION 1 . All construction should conform to a site plan developed by a certified architect/engineer and be in accord with C. 8 8 the conceptual site plan submitted with the acquisition application (same project elements). 2. Ir an archaeological or historic area is accidentally discovered during construction, cease work in that area immediately and contact the State Historic Preservation Orricer (Florida Department or State) tor assistance. 3. Assure that all utility lines are buried. 4. Ir necessary erect a new permanent project sign giving recognition or runding assistance rrom the Land and Water Conservation Fund, U.S. Department or the Interior National Park Service and the cooperation or the Florida Department or Natural Resources. 5. Conduct a rinal inspection to assure that all work is complete, the permanent sign is in place, all utility lines are buried and there are no enclosed racilities at the project site. 6. Ir problems exist, make corrections immediately, berore DNR starr conduct post-completion inspections. DOCUMENTATION TO BE SUBMITTED TO DNR 1 . Arter completion or construction, write to the DNR Project Manager and send the rollowing: a. List or constructed project elements, racilities, etc., signed and dated by Liaison Agent. b. As-Built Site Plans (two copies, signed and dated by both the project engineer/architect and liaison agent.) c. Photographs (close-up and readable) or constructed racilities and acknowledgement sign. d. Florida Recreation and Parks Inventory Form completed. e. Provide annual attendance rigures tor the site to DNR every July. (Covering the preceeding 12 months attendance.) D. OPERATION AND MAINTENANCE 1 . Keep the site equally open and available to all regardless or age, sex, race, religion, national origin, physical or mental handicap, place or residence or other ractor. 2. Ir tees are to be charged at the site, coordinate in advance with DNR. 3. Maintain the site in a condition sate tor public use. 4. Ir subsequent phases or construction take place, provide updated inrormation about the additional racilities to DNR along with rinal signed and dated site plans. 5. Assure that no overhead utility lines are erected at the project site. Ir old overhead lines are to be replaced, they must be placed underground. The DNR Project Manager may be reached by Phone: (904) 488-3621 488-6321 278-3621 278-6321 Mail: Florida Department or Natural Resources Division or Recreation and Parks Orrice or Recreation Services 3900 Commonwealth Boulevard Tallahassee, Florida 32303 Page 4 or 4 , , F~DA DEPARTMENT OF NA~UR~ RES9IIJES Division of Recreation and Parks Land and Water Conservation Fund ACQUISITION PROJECT CLOSE OUT REVIEW PROJECT NAME: NUMBER: APPLICANT: Address: Telephone: Completion Date: MATERIALS SUBMITTED FOR REVIEW: Allowable: Only cost of property Rec'd. Date Map & Driving instructions for inspection of project site. Project and sign photos and/or slides. Florida Recreation & Parks Inventory Form (DNR 41-037). certification of possession of LWCF Manual. Contractual Purchases Form (DNR 42-037-062). Grant Payment Request ~DNR 42-066). Grantee documentation of condemnation where applicable. Copies of closing statment and cancelled checks (front & back) to seller for acquisition project. Proof that acquired property has been officially dedicated to recreation for use by the general public in perpetuity. (Certification of "Notice of Limitation of Use"). Copy of recorded warranty deed or applicable court order vesting title in project sponsor. Proof of project sponsor compliance with Section 286.23, F.S., Subsections 375.031(1) & 380.08(2), F.S., and Chapter 689, F.S.. Written offer to purchase -- including a "Statement of Just Compensation", Purchase Agreement/Bill of Sale. A "Waiver of Right to Just Compensation", if price is less than lowest approved appraisal. Relocation plan and other requirements of LWCF Manual where residents would be displaced. (Compliance with P.L. 91-646). Proof that occupants of property were furnished adequåte information - Re: Title II of Public Law 91-646. Required Status Reports. Project Completion Certificate. Project Inspection Report. Final Inspection. Inspector: Rating: Date: I have reviewed the project file and all submitted data and approve final payment for this project: project Manager Date Fiscal Ass~stant Date DNR 42-072 8 8 ~'I'^'l'¡': OF FLO1l1U^ FLORIDA DEPARTMENT OF NATURAL RESOURCES Land and Water ConservaLion Fund Program Project Completion Certificate PROJECT TITLE: I hereby certify that the above mentioned project has been completed in accordance with the Project Agreement between and the Florida Department of Natural Resources dated the day of 19----, and all funds allocated for the project were expended pursuant to the Project Agreement. Signed: Liaison Agent for Land and Water Conservation Fund Program (Project Sponsor) Date: DNR 42-044 Revised 5/14/85 8 FLORIDJ\ DEI'J\R'J'MENT OF NATURAL RESOURCES 8 ~~'I'^NI )^!{I) 1 ANCLIN ;1': I"()!{ I'I\OI'I':I~l'Y HI':C'OI{ )S lAND l\ND WATER CONSERVATION FUND Notice of Limitation of Use The property identified in the attached grant agreement and project boundary ma.p has been acquired or developed with Federal financial assistance provided '. by the National Park Service of the Department of the Interior in accordance with the Land and Water Conservation Fund Act of 1965, as amended, 16 V.S.C. Š 460!-5 et~. (1970 ed.). Pursuant to a requirement of that law, this prop3rty may not be converted to other than public outdoor recreation uses (whether by transfer, sale, or in any other manner) without the express written approval of the Secretary of the Interior. By law, the Secretary shall approve such conversion only if he finds it to be in accord with then existing canpre- hensive statewide outdoor recreation plan and only upon such conditions as he deems necessary to assure the substitution of other recreation properties of at least ~al fair market value and of reasonably equivalent usefulness an~ location. I certify that the Notice of Limitation of use has been filed in the County Courthouse with the deed to the Land and Water Conservation Fund grant project site known as: LWCF Project Number: 12-00 Signature of Liaison Typed Name & Title (Date) 8 STATEMENT OF JUST COAltNSATION 'J'II I 1\ JII1'(lJIII.,1.1011 IIhuuld )/1' lllcJul.h~d 111 l1 lellt!l flOlll the project sponsor to the owner of the project site prior to closing on all acquisition projects: is now in the process or (Acquiring Agency) acquiring property necessary for recreational purposes. Title records indicate that you are the record owner(s) of real property located in the State of Florida, County of more particularly described as tollows: (or as attached) (Either include or attach a legal description - the survey and boundary map from the application could be used.) Since your property is within the project area, to acquire the property for this project. it lS necessar" We are prepared to commence negotiations with you for the purchase of your property subject to any existing Easements or Restrictions of record and excepting and reserving the following interests which will not be acquired and for which no value is included in our estimate of just compensation: In compliance with Section 301 of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, Public Law 91-646, an estimate of just compensation in the amount of $ has been made for the interest to be acquired in the above-described (or referenced) property. This amount is based upon a State-approved appraisal prepared under contract for the (Acquiring Agency). The appraisal takes into consideratio¡, the location of your property, its highest and best use, current land sales of properties similar to your property and other indicators of value. The amount is not less than the appraiser's opinion of fair market value which he determined after a personal inspection of your property, at which ti~, you or your representative were given the opportunlty to accompany him. This amount includes compensation for the land, improvements, severance, if any, and any other elements of value. The separate amounts established for each of these elements are as follows: .' STATEMENT OF JUST COMPENSATION -2- 8 8 LAN ): ----"-- IMPROVEMENTS: Buildings Structures DAMAGE TO THE REMAINDER: OTHER: TOTAL: Any increase or decrease in the market valuation caused by the! public improvement or project for which the property is to be acquired, or by the likelihood that the project would be acquired for such improvement or project, other than that due to physical deterioration within the reasonable control of the owner, has been disregarded in making the determination of just compensation. The proposes to purchase your property (Acqulring Agency) for the amount indicated above. In this regard, you will be contacted by a representative of this agency soon with a view towards completing the details of the acquisition. Also, at that time, you will be advised as to relocation benefits available to you or any others that may be using or occupying the property. Please note that these benefits are separate from, and in addition to, the sum proposed as the purchase price for your property. 8 8 WAIVER OF RIGIl'l' ']'0 JUST COMI'ENSA'J'JON With reference to the acquisition of my real property, County, Slate of consir.ting of Florida: acres in ( 1 ) I have been informed of all of my rights and benefits under the Uniform Relocation Assistance and Real Properties Acquisition Policies Act of 1970 (Public Law 91-646). ( 2 ) I have been provided with a written statement of just compensation and a written offer to purch'ase for that amount .Þ of $ ( 3 ) I am accepting the sum of $ in full for sa>A real property, and am satisfied that the price, even though it is less than the amount of just compensation and the approved appraisal of fair market value. The reasons why I have elected to accept this lesser amount are as follows: ( 4 ) I do hereby waive all of my right to the amount by which the just compensation and fair market value exceeds the purchase price I am accepting. Dated: Witness to Signatures Owner's Signature: Spouse's Signature: , A<Idress: , .-- I \ ~ l .,. i- "-£1- " , '--r'~] , I I ; j I I ¡ I I I L , I I I il ,/ , I -.1,., J I ' -, .J va I " " ---- 8 ,: ',' l' ,\ ',::"'", "1 " '. ' >' ~~~~,:.. ' . t'c,,",,~, ~(I." " ~~~<: ~ ...'...~. "'. . ,¡. '"I ¡ '1(:"" , , '\ . ¡- 't, .. -i.,.d': "'n' '1 'f' ~'J(~ ;¡S~. ¡';:'::~§)~~ì;,:,:': I ' ,6 , '. > » t .'~ ',",: , - '.. _h_.__-. ~ ( / J -if) ~~fJ ~.: . THE CITY OF HIALEAH FLORIDA SOUTHEAST PARK 'EXPANSION A _1'1 PUBLIC OUT DOOR RECREATION SITE ~ DEVELOPMENT PROJECT AIDED BY 71œ {aMi cwi (jJaiÞA ~..ðe/lil{¡k1'- Fljj{d ;; FLORIDA DEPTOF NATUQAL QESOUQCE~ J ADMINISTERED BY THE f'iATIONAL ~QK S:.~V ~ u.~, DEPARTMENT ~b THE INTER~OR ]' FUNDII'G 1 L & WCF, CITYOFHtALEAH 50lz RECREATION TRUST FUND 50/ ¡~ 1. TOTAL PROJECT ~ !:: 9 042 ,', -~.-- . -- ,- ~~. ..-.....~- <~-'- .: , ' ~"";--'" ", "c,.,,-,"',~.,-=r,-,., -'--', I "'"~ ~' -?):I'~:-:;::("'~~"-~'-"~W' .' ,~~ ~""-'" ,-. ....,:"" ' " ~.'o!..,,~.-,....,.~--;..,.,:,,-.......' -.'...... ',~ '. ,~, ~~- .... ;,~,=...,:, -,;. '~" ~'...'~.::.":r.,,"'_<>::"'¡~':'"->.~,'.:~ ;:"'", \, ,- "-~l:;....~-" ';;;'*~~'~~'?f¡.-Y' -~ r),~"C. -~r-.."~' - -.-:':.:." ~ ~-" ,:.I, ~., , ~.~'~~~ :.r¡';':~~~.i~"';i,,,:,._,;'~~~~"':' ~-~~~~-..;_:- -'. ,_I~ -, . ',,' :....?~ ;0;. .."", ;J.' ;1.~".,~...<, ~ ~~. o;....~.~.....::¡,-~ \.¡._--:~.'" -,' Ii' ",-'. '- ","~ '¡'>A~"'. "..,.,..,~:"":.,,,,~" '~~'-o:'..... .'.-, :'~3': . !.þ ~,,--:,,~þ;.,~~~~~~~~-::::Æ-.\~."~"">J:-" '¡~,.~,:.~,- ,'" \~::~~\i'..:i." ~~~~~~~~~~':..::7~"«i~f' ,::-~:;:~-~; 'I,;:':'::.: f',': .... ",..~.'i,'t!..~~ ') ~-::-~¡:..~;~:s,:,:-..,.,¡.,...::ti~.~~,"<.~"_~'=' ::'",;";,, 'I'" ~ ..',- ¡:'!!"\,-J-"'I~,}:;~~~i$.~~r!~~'1'.i~~~"".qg;...J.--y,:.,...-,,: !.~ ,. '.~ '~-'~"-}-¡::: I::;W~~-_'.r-.~<,;.'" .r'~~~'i,"!:"~.s ': -;=:~;""-:-..,.:~.,:,:, ¡ ~',' :~: ,1f>'.~' .. --...., ..., .. ,"1:' -- -, ,'. .:!# 1'_".,,-..$' '~""Ÿ'..,~~~!:):~~,'t:'1I.,.,..,,~,,~,. ~- '-.'-: " -,' ',~ ,.~:,...",,-,.. ..cr,'" ();:.";.>-¡,~.i-},.'o~"'" -....f"';:<- ,:"-:.öA""....... '.. .. , .,Io,:~' ;;':~"."'-'-"'!~~"Ñ"".',-i,., ':'~-' ..~'I'I""""-- ~.:.. '." "" ; ",1'- ..,-, -.-' .¡. ,,~,\~:,",,-,t;.~-;. ,.~~ "",":--'...-...:J:. <"- "'-v,.- i. .;; ,-.. ~ > "J;;r..."",...,;I'£..)-'~:"I'I,.1:'.'~~,,---:- <:-"i~""~':"':-""":J'Jj' ~ ..'.. :::~:'- !:-:,:':'~~I~J~;1~~~:::f.~~~,i(~~.\,~Y~:;~~:,~¿;":~~;:~~~!'~?; ~,'~ >'~ ,,},......\U~" ~"~"'¡^"""""<ÞLL~~.$..""";'~""."~' "".',,~"':' . . "!":---:).,,-' .,;.:,.' I'\',~..«:<';;\-~'-', ..,:.: J,j'...~ '-...';",.: ,"" '..,c' .. '~'-y 0.' . ,-, " ',' X"'~""'(" "'I""":"~"'. ,~,""",-&""t'.,'" - . ,r';,'~ . ,";..' .~;!..;;) š":':'- .:,- -' ~t:i',\~ j:';!.:~'ir,&'4 'ò~ -.:;--:... <';..,~.: '\ -' ~ ~. ',".. -- :;:..' . 1;;:;.!;.I~'l't~lti.~~~"_i:......:'l'~~ ~~':L'--W;'..'t_......:,~:~..,~\.::r.... ,-: ,.' ~, ~ ' ...- . I ' ¡ r I I I .....-- ~t; ~ -,~~~~~.,."".-.~.:.-. :I~. ~ ~ ~--._.- --- '-;-~ ,.. . ~~. "" '" <, ., :' , ~ - -::¡--, ~=-_::>':::I :>3521 . , .' 8 REQUIRED PROJECT SIGN MUST ACKNOWLEDGE THE LAND & WATER CONSERVATION FUND PROGRAM. A large routed sign is preferred. Wording is optional, wood but the Land & Water Conservation Fund Program, National Park Service and Florida Department of Natural Resources must be named in full. An aluminum plaque can be such as the attached, one at right. A brass plaque may be attached, such as the one below. " , ' ,~~-' ,. ' , . , " ,-- ,- :';'5',:.t-\:- "..;, The State of Tennessee has made arrangements for the development of the brass plaque illustrated at left. It can be obtained at a nominal cost from: CAST CO PRODUCTS P.O. Box 497 Petoskey, Mich. 49770 (616) 347-7222 ----- - Todays Date DIVISION OF RECREATION AND PARKS FLORIDA RECREATION AND PARKS PUBLIC FACILITY INVENTORY Please complete all applicable information- * NOTE: Asterisks indicate special instructions on reverse side Facilities before grant__p_r,olect- j.mprovements: ACRES (NO.) ) TOTAL ) LAND ) WMER HUNTING ACRES (NO.) ) TOTAL ) LAND ) WATER CAMPSITES (NO. )* ) RV/TRAILER SITES ) TENT SITES ) CAßINS/SIIELTERS ) PRIMITIVE ACRES PICNIC lABLES (NO.) ) TABLES ) SIIELTERS HIST/ARCH SITES AND AREAS (NO.)* ) MUSEUMS/INTERPRETIVE BUILDINGS ) HISTORICAL/ARCHAEOLOGICAL SITES/STRUCTURES ) COMMEMORATIVE STRUCTURES TRAILS (LENGTH - MILES & TENTHS)* ) IIIKING ) BICYCLE ) INTERPRETIVE/NATURE ) HORSEBACK ) CANOE ) EXERCISE/PARCOURS ) NUMBER OF STATIONS ) MULTIPURPOSE BEACII AREAS (NO.) ) SALTWATER ) LENGTH (Ln) ) WIDTH (Ln) ) FRESHWATER ) LENGTH (Ln) ) WIDTH (LFT) FISHING FACILITIES (NO. )* PIERS (NO.) ) SALTWATER ) LENGTH (LFT) ) FRESIIWATER ) LENGTII (LFT) ßOARDWALK/CATWALK (NO.) ( ( ( ( ) SALTWATER ) LENGTH (LFT) ) FRESIIWATER ) LENGTH (LFT) JETTIES (LENGTH) ) SALTWATER (LFT) ) FRESHWATER (LFT) nOAT RAMPS (NO.)* Grant Type: FRDAP FBIP LWCF Site Name Site Address County Name of Water Body Nearest Highway Intersection- and SWIMMING POOLS (NO.)* ) TOTAL POOLS SWIMMING POOLS (NO.)* ) TOTAL POOLS LENGTII(LFT) WIIJTlI(LFT) { { ( ( ) ( ) ( ) ( ) ( ) OUTDOOR COURTS (N.Q:l LENGTH(LFT) WIOTlI(LFT) 1--' { ( ) ( ) ( ) ( ) ( ) ( ) OUTDOOR COURTS (N°.1 ) TENNIS ) BASKETBALL GOALS ) SIIUFIUßOARO ) IIANIJßALL/RAr.r1UUBALL ) HUL TlPURPOSI: PLAYING FIELDS (NO~ ) TENNIS ) BASKETBALL GOALS ) SIIUrFLEBOARU ) IIMlOnALL/RACQUF. mALL ) MUL TlPURPOSF. PLAYING FIELDS (NO,) ) SALTWATER IU\MPS ( ) MSEBALLlSOfTIJALl ) TOTAL LANES ( ) FOOTBALL/SOCr.ER/lUHìBY ) FRESIIWATER IU\MPS ( ) MULTIPURPOSE ) TOTAL lANES GOLF COURSES (NO.)* MARINAS (NO.) ) BASE!JALL/SCJ'lßALL ) FOOTBALL/SOCCER/RUGUY ) r~ULTIPURPOSE GOLF COURSES (NO.)* -- ( ) SALTWATER ( ) SLIPS/MOORINGS ( ) DRY STORAGE ) FRESHWATER ) SLIPS/MOORINGS OntER FACILITIES (NO,) ) DRY STORAGE ) 9-IIOLE IŒGULATION COURSE )18-IIOLE REGULATION COURSE ) PAR J/EXECUTIVE COURSE ) TorAL GOLF IIOLES ) 9-IIOLE REGULATION COURSE ) la-IIOLE REGULAT ION caUIlSF. ) PAR J/EXECUTIVE COU~SE ) TOTAL GOLF IIOLES OTHER FACILITIES (NO,t ) EQUIPPED PLAY AREAS ) RECREATION CENTERS ) EQUIPPED PLAY AREAS ) RECRrATION CENTERS , . Administering City or County Agency- . . " -- Liaison Agent ----- Phone Number ( ) Facilit ies éI t___,=-umplet ion of gré1l~__proi~c t: BEACH AREAS (110,) ~CRES_J.!!l!...:l ) SALTWATER ( ) TOTAL 8 ) LENGTH (lFT) ( ) LAND ) WIIHlI (LrT) ( ) WATER ) FRESIIWATER ) LENGTIJ (UT) )WIIHlI (LFT) "UNTlN~_~ÇRES(NO.) FISItlNG FACILITIES (NO.)* ( ) TOTAL ------ ( ) UINIJ PIERS (NO.) ( ) WAfER ) SAt TWA1[R ) LENGTII (LFT) CAMPSITES (NO,)< ) FRESIIWATER ) UNGlIl (LFT) ( ) RV/lRAILER SITES ) lENT SITES ßOARDWALK/CATWALK (NO.) ( ) CAßINS/SIIEl.1EIIS --- ( ) PRIMITIVE ACRES ( ) SALTWATER ( ) LENGlIl (LFT) ( ) rRESIlWATER PICNIC lABLES (NO,) ( ) LFNG1H (LFT) --,,-,- ( ) TAULES ~ JETT!..E..S (LENGrll) ( ) SIII:LrEIIS ... ) SAI.TWArER (LFT) ) FRESIIWATER (LFT) ItlST/ARCIi SITES ^~~ AREAli~!..:l< nOAT RAMPS (NO.)* ) MUSEUMS/INTERPRETIVE BUILOINGS ) HISTORICAL/IIRCIIAEOLOGICAL SITES/SIRUCTURES ) cormmoRAflVE SIRIJCTURES --- I SALTWATER RAMPS ) TOTAL LANES ) rnrSIIWATER RIIMPS ( ) TOTAL tAIIES MARINAS (N°:1. TRAilS (LEIIGTII - MILES & TENIIIS)* --------- ) SAllWllrER ( ) SLIPS/MOORINGS ( ) DRY STORAGE ( ) r RESIIWIITER ( ) SLIPS/MOORINGS ( ) DRY STOQAGE ( ( ) ItJK I NG ) B 'CYCLE ) INTERPRFTIVE/NIIIURE ) IIORSEIJACK ) CAtJ '[ ) EXIRCISE/PARCOURS ) NUMBER or SIAflOI' S ) MUt 11 PURPOSE . , GENERAL .!.~ROCTIONS Provldo lull slto nomo. streel nelll8 end number. end clly or 'own, II site hes no spec II Ie stroot ..Idress, Indlcote section, township, ond rongo. GIve no...s 01 slreets or roods et neorest Inlorsecllon. II e site Is In IIDre thon ono county, list 011 01 her counties In which silo Is locoloo. then 115t Ion seporote lorlDsI tho ocreogo end locilities 10Cðted In eorh coun'y. Round of Iocr<" 10 the n....rest tenth a' en ecro. SI1<05 s""'ller than one-tenth 01 en ecre should 1>0 Iistoo oS 0.1 ecr". ( 60 soro tho Inlormollon you provide Is given In tho conoct unll 01 moosur.....nt. In SOlll8 cooes, Infor,",IIlun on number.ol 'ecilltles Is requ",too (tonl silos, courts. flolds. etc.l. In other "d'"", Inlolmotlon on.!.!!.!.ol faclllllO5 15 roquooled (troll length. elc.l. In stili olhor Cðses, Inlormellon on ~ nonlbar ond sl,u 15 luquesled lbeoch ereos, swllNnlng (",Dls, ..t~.). Consld", I.ocklsh wotor os solheter when enlerlng d,'lo on boill remps. Inarlnes. pier>. cohalks, ond othor wotor....-eleted lecllltl.... CLASS I f_I!?-.!IONS ( 01 Mlnl-I'ork/lol lot (serves 2-} block ereel 02 Ibighborho<>d Par k (serves neighborhood I O} O>nrnunlty f"'rk (sorvos multl-f1olghborhood ar 0,'1 04 Ubðn-Ulslrlct Park Iwlthln }(J-40mln. driving Iin., 01 mosl usorsl 05 Roglon"l Park (within 40-60 min. driving t I".. 01 "... I usursl 01> Slnglelulpooo F.,clll'y le.g.. tennIs cooll. bOo,t ramp) II A'IUð I Ie P, u5urvo 11 Slate WI I ,'..,.nu.. Aroa :I/', ~t"lo no,orvo 15 Slate Pel k 16 Sial.. Hn~r"ilt Ion AI..a 1/ State SI")cl,,1 Foalure Slle 11A Slate Arrh.'o<)IOIjlcal Site 110 Sl.lle 1~)I,'nlc,>1 Silo IlliSlaloCoolc><jlcal Site till 51"t.. 1I1'lorlo Slto 10 Slalo I'I'..SOI vo 19 State '",rd,"" CLASSlf ICATIONS Icont I nued I 20 Slale Museum 2Of State Folk Culture Cenler 21 Stale Netural Feelure 22 Slate Scenic end Wild River 2} Slate Recreet lanai Trell 2. Stele Forost 26 Stel.. Envlronlll8nlolly Endangered Project IEEll 21 SIet.. Conservot Ion & Reereot Ion leods Project ICARl I 20 Florldo Recreet Ion Develop.....nt Assistance Progrem Projecl IFI(()Af') 29 Florldo 8oetlng ImprOolell1Ont Progrem Project (FOIPI }O Eros Ion Control LIne Project IECl) 41 Weysldo Perk U \Clldll Ie l4onogÞment Meo 4} Fish I4ønogoment Mee 44 \Coler I4ønagolll8nt lends Project 45 Stelo Io\JseurnllHsrorlcel Site 46 Stal.. College/l:nlverslty 41 Stete 1411110ry R...ervotlon 51 /tit lonol Perk 52 Ibt lonel Recroot Ion Aree 5} /tIllonel Seashore 54 Ibt lanai l4ooument 55 Ibt looel M""",rI el 56 Ibllonal HlslDrlc Site 51 /tit lanai Troll 51H Nallonal Hlsrorlc Trell 51n National necreatlonel Trell 51S Na1l0nal Scenic Trell 56 Ibtlonal \Clld end Sceolc Rlvor 59 F<odorel ll«:F Project 60 Ibl lone I Preserve 62 Ibl lonel Sanctuary 62E Ndtlonal htuedno Sanctuary 62M Notional Mer I no Sanctuory 64 tbtlonol Wlldorn...s Arae 65 Ibllonal Wlldille Refugo 66 tbllonol For...t 6Ð F<odarel I4l1ltery Reservetlon 69 'ndlan ",,',ervnllon n\ N:r I 1'"1,11 II, ' ~ I " I e ' I S II" CAHGORT F - Fedorel level S-5tetelovol C - County levol M - Municipal levol ( - Other Sp¡,clal Ulstrlct CN4P SITES ~T/TRAllER S I US - NoMler of camps It as for recl'e.tlonel vehIcles or trollo.... Iwlth or without woter. electricity. etc.l. TENT SIT~ - Nunoer a' cempslt... lor tont coml,lng only twlth or without weta"'. lands CNlINS/SIIELTERS - Nunl>er 01 cobl ns/shalters evolleble lor overnlgh' USO. ,!'!-!.!4.ITIVE CN4PIN:; - lIunl>er of ecr... deslg"eted for primitive ""ml)lng. AROlAEOlOG ICAl/HISTOIIC SITES AND AREAS ~!INHWRETIVE BUILDIN:;S - Nuntlor 01 laclllll... wl'h nO Inlrlnslc historic or erd,aeologlcel value, built to prOoilde Inlorpretlvo end/or exhlbltlvo displays or programs. AROIAEDlOGICAl/IIISTOIIC SITES/STRUCTlJI.ES - Nuntler 01 lortilleotioos, battlellelds, ruins, burial rounds. etc.. with Intrloslc hlstorlc/ardleeologlcol veloo. C(M4(14()\ATlVE STROCTlJI.ES - MonOer of slructures or monulll8nts Ido nat Includo signs, plaque,. or "",rkers). ~ NOTE: Indlcote total longth of trolls (mllos and tao'ho 01 mllesl on site. .!!.!.!\IN:; - Palll used solelT lor beckpack','} or long distance hiking. DICTeI,!. - Ooslgnated Iroll or syst... of "'"5 u...d primarily lor bicycling. l~rERPRETIVElNATlJI.E - Troll doslgned or ..",'k,>d for Mlure Interprelatlon end study. ~!!IACK - Improved or unimproved Iroll d"519o~tod and usod primarily lor horse- Mek riding. TRAIU Icont Irlled) ~ - Olslooce olong IIOsi cannonly usod roote on e lIe519nolOO or unllesl9oolo:1 woterwey usod for conoelng. EXERCISElPARCOlfIS - Course des Ignod gonel ally for jogging. bot wh Ich mayor may nat hove exercise statloos. III.tellons ere port 01 coorse. give nu_r.1 ~~ - Trell oat deslgnoto:J exclusively for eny ono 01 the obove ect IvI1l<6. fiSHIN; fACilITIES NOTE: list brackish water lecllltl... In s.lheter ce"'gory. ~ - NunI>or 01 soltwo'er ond Ir...hoalor IIshlng piers structures }OO 1001 or longerl, ond their tolel length. IJOAADIIALKS/CAT~LKS - N,Int..r 01 sell-etor ond Ir ...hwoter boordwolks end cehlel ks c""nonl y used lor Ilshlng ond Ihelr tolal lenglh. ~ - length 01 those lecllltl... cannnnly usod lor IIshlng. BOAT ~ Nunl>..r of r""'ps. bath Improved lpaved .nd grevel I, end unlOlprOlled (send ond dirt I onll nunt.1or 01 lanes (e 2-len8 r"",p can lound> 2 bUD" ot once, etc.I. ~ N; POOt.S NunDer end she of swimming pools on slle, Ust length end width 01 eech separalely. 00 nat Include wadl"j I"'°ls. GOll OOI.IISES 'r A roguletlon 9-1>ole cwrse hos per }4 or OIOre. A rogulatlon 10-/)018 course has por 61 or IIIOre. Courses wltll pors 01 less then ~4 or 61 are c'",sldered Par} or Executlvo typos. Glwo nunner 01 eech type of cwrso on<! canbl nod tntal nuntler of holes et this silo. , :1-:' .,', ' '., .' DEPARTMENT OF NATURAL RESOURCES ACT~ COST CONTRACT PAYMENT R4iÞEST . '. --------------- (Date) ---------------------------- -------------------------- (I.3raY"lt ee) BillIng Per1od______-------- DNR DIvlslon______---------- ( Pt~oJ ect ) Billing #_---------------- DNR PrograM______--------- Pt~CIJ ect Cos. t s Th i s B 1 11 i Y"lg CuMulat1ve Project C.:ost s ------------- ------------------ Contractual Serv1ces DNR 1:=ï-37 (15) ------------- ------------------ -------------------- -------------- ------------------ Salar1es and Wages DNR 15-33(16) -------------- ------------------ Employee Benefits ( % of Salaries) -------------- ------------------ Materlals and Supplies: Direct Purchases DNR 15-03/~ ( 15) Gt~antee St cock DNR 15-035 (16) -,------------ ------------------ ------------- ------------------ Eq u 1 pme\"lt DNR 15-035 ( 15) ------------- ------------------ Tt~ave 1 DNR 15-033 ( 15) ------------- ------------------ Donated Real Property ------------- ------------------ IY"ldlt~ect C.:osts ------------- ------------------ TOTAL PROJECT COSTS ------------- ------------- ------------------ ------------------ Certlflcat]On: I hereby certlFy that the ab~ve Expenses were incurred for the work identlf1ed as being accoMplished 1n the attached progress reports. Certlflcation: I hereby certlfy that the documentatlon has been mainta1ned as required to support the project expenses reported above and 1S available for aud1t upon t~eq'-lest . -------------------------------- ------------------------------------ PrOject Admlnistrator/Date PrOject F1nancial Off1cer/Date ------------------------------------------------------------------------ DNR USE ONLY ~ ------------ ¡'. State fund1ng participation ------------------ --------~--------- Total project costs to date $ ================== State obligation to date $ ------------------ St at e reta 1 Y"lage (-----¡'.) (------------------) State obllgation remaining ------------------ State funds previously disbursed (------------------) State Funds due this billing $ ================== Revlewed and Approved by: --------------------------------------------- DNR Project Adminlstrator/Date --------------------------------------------- Bureau Ch1ef or Divls1on D1rector/Date DNR 15-032(15) (10/85) '. . . DEPARTMENT OF NATURAL RE50URC~~ CONTRACTUAL SERVICES PURCHASES ~C: :C~!J:"::-' . . °0 --------------------- (Date) -------------------------- -------------------------- (I3ra¡~ltee) Billing Period______------ DNR Divizion______-------- C f:!¡~'::'J 0;: ~ ) Bi 1] j, ¡-.;;:j ~----------------- DNn ::JI~':'::: :~a¡,;___-_..---------,- ----------- ---.- ----_..,----,------ -,----------_.---,,-._-------------------------'------------,-,--,. -,-, -. - -,.. "...-..-,---..-.,---------.,---- ---, - --,-_.. ,--- ... . -'-'.".' ,.. --,,-.., ----.---------- Cont r~ct or Nafl1r:~ Co,~,ti"'actoi~ II~lvoice Number Chec:..; or Voucher \h.liI1ber and date rl~I::O.l ec~G Cost G~i'"lera 1 De!Zc.~i~ i pt i 01"1 8 ---------------------------- ------------------- ------------------- ------------------- --------------------------- ---------------------------- ------------------- ------------------- ------------------- --------------------------- ---------------------------- ------------------- ------------------- ------------------- --------------------------- ---------------------------- ------------------- ------------------- ----------~r------- --------------------------- ---------------------------- ------------------- ------------------- ------------------- --------------------------- ---------------------------- ------------------- ------------------- ------------------- -_._----------,---,.,_.- ----,--------- ---------------------------- ------------------- --- --- --, ---- -'-' - -- ---- - '_'_--__00-"_---'--"----'--- --- --------------------------- ---------------------------- ------------------- -------.----..--,---, ---- 00__-------"- ...... n.' --,-.-,-----..---- ---""___'.00' ---. -- ,---.-.... -.-,-.. ----.'-.----- _._-----,-- .-----.,_,.._0 -,-- -,. --,-- ---,---- -------.--,-.------- ,-----.... ----------,_._-,---,----,----- -- u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e ..-,..-.-... .,..-. ..----------.---- Certi~ication: I hereby certi~y that the purchases noted abov~ were used in accomplishing the proJ~ct. C(!rti~icatioY'l: :r. ht.:-i~eb',l ce,~tify that bid t..::d::JI,.¡latic.rl5'-. e¡:ecllted CO1-ltl'~.!.c:t., c'¿-,,-.cellec.1 C:~'Iec:k.s, aY'ld .:;:.t~aï' pul^c:h as i 1"I!J d c.c: ¡_:r,1C?i.,t ::'1 t :;, '-"':'.' Ii ;.1 ve beeY'! ma i '"It...:: :"I;:"-.!:::', .? ~::;. ri:?quired tCI 5';:',:;::.-JI-,I't. "::~¡r'. c,~:~;ts l~œpol'~ted .:.:::..:"...';:! .!.I~:r.J ¡:,:^c:. .:iv'~"1)lable f,::.¡-~ ;::11_(;1"1', :j::",,',;', l"'I~c::¡ue!:St. - -- -~- ------.---- -- .'--, - --- - --'- 00 ..-, -,------.._-- _".00_'____--'--------'" ..--- __00-- ----, __n.'_-_'----"---------- -."-' ,--,_.--,---- ProJect Admi'flistrator (Date) ~:~"::'.J pct; F:i 1"I'::\1",C i .:.\J r'~f:i. i~C':~" !Da'tc: } DNR 15-037 (t 5) ( 10/8(;)