*
First & Last Name:
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Property Owner Name *If different than name above, property owner must sign off on application and agree to maintain practice for 10-year lifespan.
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Address *Must be in Henrico County
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Phone Number
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Email Address
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For VCAP: Are you planning to stay at this location for at least 10 years? * The VCAP program requires a 10-maintenance agreement (starting January 1 after payment.)
Yes
No
N/A
*
For VCAP: This Process can take on average 9 to 12 months from site visit to reimbursement. Is this timeline appropriate for you?
Yes
No
N/A
*
For VCAP: Are you able to pay for 100% of costs upfront? *This is a reimbursement program and must get all approvals and follow specifications to get reimbursed up to a certain amount.
Yes
No
N/A
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What is the priority issue with site conditions?
Erosion
Excessive flow during rain events
Standing/pooling water for more than 48 hours
Bare soil, no vegetation
Turf runoff/compacted soil
Mosquitoes
Current drainage pipe issues
stormwater ditch maintenance issues
No issues
Other
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What other concerns are occurring on site?
Erosion
Excessive flow during rain events
Standing/pooling water for more than 48 hours
Bare soil, no vegetation
Turf runoff/compacted soil
Mosquitoes
Current drainage pipe issues
stormwater ditch maintenance issues
No issues
Other
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How long has issue been going on?
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Have any changes been made to the landscape in the past year such as: tree removal, addition to house/road/impervious surface, downspouts rerouted, drainage path rerouted
Yes
No
Other
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What are the landowner's main goals and objectives?
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Is the area of concern located along a road ditch/culvert?
Yes
No
Not sure
*
Do you know where your downspouts or any other pipes are located and where they let out to?
Yes
No
N/A
*
Are there any underground utilities in the areas that you are interested in installing a practice? *Please confirm with Miss Utility 811
Yes
No
*
Is there a specific practice you are interested in? If interested in multiple practices, please select your Priority practice. *VCAP practices are listed in the VCAP Manual: https://vaswcd.org/wp-content/uploads/2019/07/PY2020-VCAP-BMP-Manual.pdf
Rain Garden (RG)
Conservation Landscaping (CL)
Dry Well (DR)
Constructed Wetland (CW)
Vegetated Stormwater Conveyance (VSC)
Rainwater Harvesting (RWH)
Bioretention (BR)
Infiltration (IF)
Permeable Pavement (PP)
Green Roof (GR)
Not sure
N/A
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If your site is selected for a visit, What day do you prefer to meet for a site visit? Please note that site visits will not be scheduled until fall 2024.
Tuesday
Wednesday
Thursday
.
.
*
If your site is selected for a visit, Do you prefer a morning or afternoon time to meet for a site visit?
Morning
Afternoon
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Has a district staff, Henrico employee or other professional been to the site before? If so, when?
Yes
No
Other
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Acknowledgement Section: Please read the following statements carefully for VCAP and check off that they have been read.
I understand that by filling out a site visit request form, it does not guarantee a visit this season.
I understand that if interested in pursuing VCAP, projects may not be installed on a property that is less than 3 years old. If there is an addition on the property that is less than 3 years old, the VCAP project may not treat runoff from this addition.
I understand that if interested in VCAP, an infiltration test is required for all structural practices. I also understand that if my infiltration test does not yield 0.5 inches or more per hour, I will need to have revised plans or change project types.
I understand that if interested in pursuing VCAP, this is a reimbursement program, meaning that the project must be completed before submitting paperwork for project reimbursement.
I understand that if interested in VCAP, upon project approval, I am allocated a certain amount of cost-share and cannot apply for more in the event my project expenses increases
I understand that if interested in VCAP, I may not begin a project prior to application approval and application approval will be revoked if any applicable work pertaining to the project has been initiated before receiving this approval
I understand that VCAP is a grant-based program and a submission of an application does not guarantee funding approval.
I understand that VCAP is a program aimed at improving water quality in our local watersheds and ultimately, the Chesapeake Bay. I also understand that priority will be given to projects that correct a drainage and erosion issue.
I understand that if interested in pursuing VCAP,permit fees and "VCAP Preparation" fees are not eligible for reimbursement
I acknowledge all previous statements and will abide by these policies set forth by Henricopolis Soil and Water Conservation District for the Virginia Conservation Assistance Program (VCAP) and local partner conservation programs.
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Pictures of proposed practice areas or areas of concern and where downspouts let out to/ any other significant pictures of site Must be sent in after this form is completed. Please consider uploading to a Google Drive link or Dropbox and email the link to
[email protected]
. Another option is to paste pictures onto a Word Document and email to
[email protected]
. Please post a link to pictures below and allow a few weeks for a response after pictures are sent in. Thank You!
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