Application Form

McCurdy Smokehouse, Lubec. September 2024. Photograph by C. Chapman-Mitchell

Documentation Guidelines

Attachments to include when submitting application

Refer to the Grant Manual when compiling documentation and refer to our website for required forms available for download.www.maine.gov/mhpc/grants

A. Required for ALL submittals
a. Completed Application on Power Pages
b. HPF Budget Worksheet
c. Completed Application Checklist
d. Signed and notarized Application Certification

B. Required for Survey (Architectural or Archaeological), Planning, Public Education or National Register only
a. Completed Form 424B (Rev.7-97), Assurances- Non- Construction Programs. This form must be
signed and dated, then saved and uploaded as a PDF.

C. Required for Development, Pre-Development, Archaeological Stabilization Projects only
a. Completed Form 424D (Rev.7-97), Assurances- Construction Programs. This form must be signed
and dated, then saved and uploaded as a PDF.
b. Environmental Screening Worksheet (NEPA). Complete as fully as possible. This form must be
signed and dated, then saved and uploaded as a PDF.
c. Copies of completed pre-development plans and specifications, assessments, stabilization plans or
historic structure reports as applicable.

D. Supplemental Materials for Project Types B and C (if known/applicable)
a. Estimates from Contractors, Consultants, Architects, Engineers
b. Resumes for Volunteer Labor
c. Resumes for Contracted Labor
d. PDF Maps of project location
e. Photographs of historic property or proposed project area submitted as one PDF photo log.
See Chapter 7 of the Grant Manual.

Jonathan Fisher House, Blue Hill. Photograph by Brian Vandenbrink, Courtesy of Jonathan Fisher House Memorial

Colonial Theater, Augusta, June 2020. Photograph by Gary Peachey

REFER TO THE HISTORIC PRESERVATION FUND GRANT MANUAL WHEN COMPLETING THIS APPLICATION

APPLICATION IS UNABLE TO BE SAVED AND EDITED LATER. CHOOSING SUBMIT AT THE END OF THE FORM COMPLETES THE APPLICATION.

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

Grant Type

Project Name

Location

Project Contact Person

Contact Person Mailing Address

Contact Person Telephone Number

Contact Person Email Address

Property Owner Name and Mailing Address (for Pre-Development and Development projects only)

Property Owner Telephone Number (for Pre-Development and Development projects only)

Property Owner Email Address (for Pre-Development and Development projects only)

Project Type

If Project Type is Pre-Development, choose one from following options

Funding Request

The minimum grant request is normally $5,000 and the maximum request is $50,000.

Grant Amount Requested

Match Amount

Total Project Cost

Match Source

Project Information

Project Summary

Provide a project summary statement that describes this project. Example: “The 1860 Smith House, owned by the George Historical Society and located in Smith, Maine is requesting support to: repair a roof, insulate the entry and upgrade wall insulation.” (60 words maximum).

Is the subject property listed in the National Register of Historic Places?

NoYes

Is this a continuing project that the Commission has previously funded?

NoYes

Is this a multi-phased project? If so, please describe where the grant funded work fits into the overall project and timeline.

Describe the subject of the project? (i.e “historic neighborhood” or “historical museum” or “archaeological site”).

Does the project reflect the funding priorities in Chapter 2 of the Grant Manual? Be specific and cite the applicable priority and explain how the project reflects the funding priority.

For Survey projects only:

Estimate number of acres to be surveyed

For Development projects only:

Is there going to be any ground disturbance that will require archaeological testing? Have plans and specifications or site plans been completed for the project? Have they been reviewed by MHPC staff to determine if they meet the Secretary of the Interior’s Standards for the Treatment of Historic Properties?

For Archaeological Survey and Testing projects only:

What are the research goals? Utilizing limited testing, how is the project designed to collect sufficient information to identify a resource and to assess its eligibility for listing in the National Register of Historic Places?

Project Methodology

Describe the “how”, the “why”, the “when” and the “by whom” of the project. Be specific in terms of the timeline and sequence of activities to be undertaken. For archaeological projects, describe the amount and kinds of information required to address the documentation objectives and the methods to be used to find the information. Be specific regarding proposed field methods. (750 word max)

Are any architects, consultants, contractors, archaeologists or trades people already under contract for this project? If so, were they selected as part of a bidding or request for proposal process?

Which of the Secretary of the Interior’s Standards for the Treatment of Historic Properties apply to this project? (Choose all that apply)

See Appendix C of the Grant Manual for Standards definitions.

Products and Deliverables

Describe what the project will accomplish. Be specific and provide details. What will be the product of the project? (i.e “preservation plan” or “repaired siding” or “archaeological survey report”). Will the products be publicly available or visible? (750 word max)

Public Benefit

Describe how the public will benefit from the project funded by this grant. (750 word max)

Estimated Project Schedule

Provide an estimated project schedule based on a XXX XX, 2027 completion date. Include time for contracting, procurement, project work, billing, and report preparation. All tasks, reporting and billing must be completed, including billing and reporting, by this date. No extensions will be given.

Administration (please provide resumes if available)

A. Name and contact information of the grant administrator, Name and contact information of the project manager, Name and contact information of person in charge of financial management?

Please list up to five prior grant projects administered by this organization and address the following questions for each project:

1. Was it completed on schedule? 2. Was it completed within the approved budget? 3. Provide a reference with email or phone number.

Do you already have all the required match for this project?

NoYes

If no, what % is already in hand, and describe how any remaining match will be raised

Describe what steps you have taken to determine the project budget and ensure its accuracy.

See Chapter 8 in the Grant Manual for more information.

Attachments

Supporting DocumentsYou can upload a maximum of 15 files, each up to 90MB.

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Documentation Guidelines

​​​​​REFER TO THE HISTORIC PRESERVATION FUND GRANT MANUAL WHEN COMPLETING THIS APPLICATIONAPPLICATION IS UNABLE TO BE SAVED AND EDITED LATER. CHOOSING SUBMIT AT THE END OF THE FORM COMPLETES THE APPLICATION.

​​​Funding Request

​Project Information​

Attachments

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REFER TO THE HISTORIC PRESERVATION FUND GRANT MANUAL WHEN COMPLETING THIS APPLICATION

APPLICATION IS UNABLE TO BE SAVED AND EDITED LATER. CHOOSING SUBMIT AT THE END OF THE FORM COMPLETES THE APPLICATION.

Funding Request

Project Information

You’re over the file size limit

File upload limit reached

Unsupported file formats