Cypress Creek Project Partner Activity Report Form

Please fill out this form to the best of your knowledge. The in-kind goods and services documented on Partner Activity Report (PAR) forms are used by The Cypress Creek Project to match federal funds the program receives from the Federal 319 Program. This PAR covers activity for the three months prior to the month the report is completed. You must provide documentation for any match you are reporting. We report this information quarterly to the Texas Commission on Environmental Quality and want to make sure everyone is getting credit for their efforts.

Please note that you are not contributing monetary funds, but rather reporting the services and contributions to the watershed protection plan that have monetary value. You will not be liable or responsible for your contributions in any way.

Report completed by (full name) *

Email Address *

Name of Organization *

Reporting Period (choose one) *

Quarter 1 (September – November)

Quarter 2 (December – February)

Quarter 3 (March – May)

Quarter 4 (June – August)

Staff Time

Staff time spent on implementation of plan or watershed plan related efforts (related meetings, time spent preparing/reading/researching documentation, site visits for BMP locations, briefing elected officials and members of the public, participating in plan related activities, etc.)

Indicate total non-federally supported staff efforts in dollars ($)

Please give a brief description of staff efforts being reported (please include the total hours contributed)

Please attach documentation of staff efforts below (timesheets, paystubs, etc.)

Contractor Services

Expenses related to services done by a contractor to implement watershed activities (construction work, engineering consulting, planning, etc.)

Indicate total non-federally supported contracted efforts in dollars ($)

Please give a brief description of contracted services efforts being reported

Please attach documentation of contracted services here (paid invoices)

Volunteer Hours

Volunteer hours spent on education and outreach events, clean ups, restoration, and other watershed related activities.

Indicate the total number of volunteer hours

Please give a brief description of the volunteer events conducted

Please attach documentation of volunteer contribution here (Sign-in sheets, volunteer advertisements, photos, etc.)

Services and Supplies

Includes but not limited to: lab services for water quality analyses, water quality monitoring supplies and expenses. General supplies related to: pollution prevention, mitigation efforts, water quality, education and outreach supplies, purchase of rain barrels, purchase or donation of plants and materials for restoration/pollution prevention/mitigation efforts, etc. Other expenses related to Watershed Planning and implementation.

Indicate total non-federally supported services and supplies in dollars ($)

Please give a brief description of services and supplies being reported

Please attach documentation of expenses here (receipts, invoices, etc.)

Expenses

Expenses related to plan activities (use of conference room to host WPP Committee or public meetings, workspace, rental space, etc.).

Indicate total non-federally supported expenses in dollars ($)

Please give a brief description of expenses being reported

Please attach documentation of expenses here (receipts, invoices, etc.)

Please provide any additional comments or questions below

Verify and Submit

I certify to the best of my knowledge and belief that the hours being contributed are not being paid for by federal funds or are being used for in-kind support to another federal grant. *

Electronic Signature *

If you happen to see this, do not fill this field.