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Partnership Contract
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Date
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Part I: Project Description and Landowner(s)/Legal Agent Information
Project
*
USGS22
JRR26_KS-410-106
TFR26_KS-410-110
MLR26_KS-410-109
UWW26_KS-410-105
MKR26_KS-410-108
LKR26_KS-410-107
1. Landowner(s)/legal agent Information
Name
*
SSN/FEIN
*
Please just enter the last four digits.
Phone
*
Email
Mailing Address
Street
*
City
*
State
*
Zip
*
County
*
Multiple Landowners
*
No
Yes
Add me to email list
*
No
Yes
Permission to use photos of project
*
No
Yes
2. Land Identification
Legal Description
*
Short Description of Project
*
3. Watershed Information
Hydrologic Unit Code (HUC 12)
*
Part II - Computation of KAWS Fund Request
1. Project Components
1. Units Required
1. Units
Acres
Feet
Other
1. Please specify units:
1. Cost/Unit
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1. Total Cost
1. Landowner Contribution
1. Other Funds Non Federal
1. Federal Funds
1. Amount Requested
1. Add Another?
No
Yes
2. Project Components
2. Units Required
2. Units
Acres
Feet
Other
2. Please specify units
2. Cost/Unit
This field is hidden when viewing the form
2. Total Cost
2. Landowner Contribution
2. Other Funds Non Federal
2. Federal Funds
2. Amount Requested
2. Add Another?
No
Yes
3. Project Components
3. Units Required
3. Units
Acres
Feet
Other
3. Please specify units
3. Cost/Unit
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3. Total Cost
3. Landowner Contribution
3. Other Funds Non Federal
3. Federal Funds
3. Amount Requested
3. Add Another?
No
Yes
4. Project Components
4. Units Required
4. Units
Acres
Feet
Other
4. Please specify units
4. Cost/Unit
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4. Total Cost
4. Landowner Contribution
4. Other Funds Non Federal
4. Federal Funds
4. Amount Requested
4. Add Another?
No
Yes
5. Project Components
5. Units Required
5. Units
Acres
Feet
Other
5. Please specify units
5. Cost/Unit
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5. Total Cost
5. Landowner Contribution
5. Other Funds Non Federal
5. Federal Funds
5. Amount Requested
5. Add Another?
No
Yes
6. Project Components
6. Units Required
6. Units
Acres
Feet
Other
6. Please specify units
6. Cost/Unit
This field is hidden when viewing the form
6. Total Cost
6. Landowner Contribution
6. Other Funds Non Federal
6. Federal Funds
6. Amount Requested
6. Add Another?
No
Yes
7. Project Components
7. Units Required
7. Units
Acres
Feet
Other
7. Please specify units
7. Cost/Unit
This field is hidden when viewing the form
7. Total Cost
7. Landowner Contribution
7. Other Funds Non Federal
7. Federal Funds
7. Amount Requested
7. Add Another?
No
Yes
8. Project Components
8. Units Required
8. Units
Acres
Feet
Other
8. Please specify units
8. Cost/Unit
This field is hidden when viewing the form
8. Total Cost
8. Landowner Contribution
8. Other Funds Non Federal
8. Federal Funds
8. Amount Requested
8. Add Another?
No
Yes
9. Project Components
9. Units Required
9. Units
Acres
Feet
Other
9. Please specify units
9. Cost/Unit
This field is hidden when viewing the form
9. Total Cost
9. Landowner Contribution
9. Other Funds Non Federal
9. Federal Funds
9. Amount Requested
9. Add Another?
No
Yes
10. Project Components
10. Units Required
10. Units
Acres
Feet
Other
10. Please specify units
10. Cost/Unit
This field is hidden when viewing the form
10. Total Cost
10. Landowner Contribution
10. Other Funds Non Federal
10. Federal Funds
10. Amount Requested
10. Add Another?
No
Yes
11. Project Components
11. Units Required
11. Units
Acres
Feet
Other
11. Please specify units
11. Cost/Unit
This field is hidden when viewing the form
11. Total Cost
11. Landowner Contribution
11. Other Funds Non Federal
11. Federal Funds
11. Amount Requested
11. Add Another?
No
Yes
12. Project Components
12. Units Required
12. Units
Acres
Feet
Other
12. Please specify units
12. Cost/Unit
This field is hidden when viewing the form
12. Total Cost
12. Landowner Contribution
12. Other Funds Non Federal
12. Federal Funds
12. Amount Requested
12. Add Another?
No
Yes
13. Project Components
13. Units Required
13. Units
Acres
Feet
Other
13. Please specify units
13. Cost/Unit
This field is hidden when viewing the form
13. Total Cost
13. Landowner Contribution
13. Other Funds Non Federal
13. Federal Funds
13. Amount Requested
13. Add Another?
No
Yes
14. Project Components
14. Units Required
14. Units
Acres
Feet
Other
14. Please specify units
14. Cost/Unit
This field is hidden when viewing the form
14. Total Cost
14. Landowner Contribution
14. Other Funds Non Federal
14. Federal Funds
14. Amount Requested
14. Add Another?
No
Yes
15. Project Components
15. Units Required
15. Units
Acres
Feet
Other
15. Please specify units
15. Cost/Unit
This field is hidden when viewing the form
15. Total Cost
15. Landowner Contribution
15. Other Funds Non Federal
15. Federal Funds
15. Amount Requested
15. Add Another?
No
Yes
16. Project Components
16. Units Required
16. Units
Acres
Feet
Other
16. Please specify units
16. Cost/Unit
This field is hidden when viewing the form
16. Total Cost
16. Landowner Contribution
16. Other Funds Non Federal
16. Federal Funds
16. Amount Requested
16. Add Another?
No
Yes
17. Project Components
17. Units Required
17. Units
Acres
Feet
Other
17. Please specify units
17. Cost/Unit
This field is hidden when viewing the form
17. Total Cost
17. Landowner Contribution
17. Other Funds Non Federal
17. Federal Funds
17. Amount Requested
17. Add Another?
No
Yes
18. Project Components
18. Units Required
18. Units
Acres
Feet
Other
18. Please specify units
18. Cost/Unit
This field is hidden when viewing the form
18. Total Cost
18. Landowner Contribution
18. Other Funds Non Federal
18. Federal Funds
18. Amount Requested
18. Add Another?
No
Yes
19. Project Components
19. Units Required
19. Units
Acres
Feet
Other
19. Please specify units
19. Cost/Unit
This field is hidden when viewing the form
19. Total Cost
19. Landowner Contribution
19. Other Funds Non Federal
19. Federal Funds
19. Amount Requested
19. Add Another?
No
Yes
20. Project Components
20. Units Required
20. Units
Acres
Feet
Other
20. Please specify units
20. Cost/Unit
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20. Total Cost
20. Landowner Contribution
20. Other Funds Non Federal
20. Federal Funds
20. Amount Requested
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Grand Total Cost
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Grand Total Landowner Contribution
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Grand Total Other Funds Non Federal
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Grand Total Federal Funds
Grand Total Amount Requested
Must represent no more than 70 percent of the total project cost.
Email address of person filling out the form
*
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EntryHashID
*
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Signature
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Contract Number (old)
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Signature Date
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Ducks Unltd Signature
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Ducks Unltd Signature Date
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Ducks Unltd Signature 2
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Ducks Unltd Signature 2 Date
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