Colorado Parks and Wildlife
Habitat Partnership Program
Game Damage Project Application
HPP Committee:
DWM:
I. CONTACT INFORMATION
Landowner/Manager Name
Mailing Address
Daytime Phone #
Alternate Phone #
Email
II. PROPERTY and PROJECT INFORMATION
Property
Name and
Address
Project Name
Project
Location
County
UTM
Property and
Project
Acreage
Information
Private
Total Acres Owned
Public
Acres
Township
N or
S
E
Range
N
E or
BLM
USFS
W
¼ Section
Section
CPW
SLB
Other
III. PROPOSED PROJECT FUNDING
1. TOTAL HPP Contribution Being Requested
2. Project Cooperators/Partners
HPP is paying for labor
materials
or reimbursing
the landowner
$
Match $
In Kind $
Landowner/Land Manager
$
$
Partner 1
$
$
Partner 2
$
$
Partner 3
$
$
$
$
GRAND TOTAL (1+2)
Hours
Hours
$ - real dollars paid to a 3rd party as a part of the cooperator’s contribution
In Kind $ - the value of services or labor that the landowner or cooperator contributes as determined by them.
Hours – the amount of time that a cooperator contributes to the project as their partnership contribution. Do not count
kind $ and in kind hours for the same work.
both in
NOTE: Your local committee may have specific project requirements, ie. before and after photos, soils
test for fertilizer requests, ‘wildlife friendly’ fence specifications, minimum acreage, hunting allowed, DWM
review, etc. Please check with them to see if your property and your project meet their specific conditions.
NOTE: The US Fish and Wildlife Service has listed the Gunnison Sage Grouse as a ‘threatened
species’. If your project is within any federal or state designated habitat, it must be reviewed and
approved by CPW and the FWS. Although not listed, projects within Greater Sage Grouse habitat
also need review. Please check with your DWM about this. HPP cannot approve your project until
needed reviews and approvals are in place.
EVALUATION AND JUSTIFICATION OF PROPOSED PROJECT
HPP is a conflict resolution program designed to resolve conflicts between deer, elk, pronghorn, moose and
agricultural operators. A conflict is defined as a problem that has occurred, is occurring or is reasonably
foreseeable to occur. Your project must address this requirement.
Please describe what you want
to do for your project.
Please explain the need for this
project. What are the conflicts?
Describe how the project will
be monitored for success.
What are the benefits to the
landowners?
What are the benefits to wildlife
and/or habitat?
Will your project change biggame distribution? Describe.
Will your project reduce or
eliminate game damage or the
filing of claims? Explain.
If on private land, does the
landowner allow hunting?
Additional comments - use
additional page(s) if needed
Is your project within
designated habitat for either
Gunnison Sage Grouse or
Greater Sage Grouse?
Yes
No
Explanation:
Conflict Wildlife
Elk
Deer
Pronghorn
Ag Crop
Aspen
Mtn Shrub
Pinyon/Juniper
Moose
Conifer Forest
Irrigated Hay Meadow
Habitat Type
Winter
Habitat Use
Riparian
Sagebrush
Summer
Fall
Wetland
Spring
Elk
Deer
Pronghorn
Moose
Please mark the box that best describes your proposed game damage project:
Hazing
Scare Devices
Forage Purchase
Wire Panels
Baiting
Hunt Coordinators
New Stack yard
Stack yard Repair
What are you asking HPP to Buy?
Quantity
Unit
Description
Unit Cost
Amount
TOTAL (must match HPP Funding Request from Page 1)
Tentative Start Date:
Probable Completion Date:
Landowner/Land Manager/Applicant Signature and Date:
HPP is only providing funding for your project. I understand
that local, state and/or federal permits may be required for this project. It is my sole responsibility to have the appropriate permits in place prior to the
project starting.
DWM Review/Approval:
HPP Committee Review/Approval/Comments:
Materials Obtained from: _____ Private Vendor
Final Approval if different from Request:
Project Notes:
Project Estimate different than Vendor Quote:
Preferred Vendor:
10/2016
____ Game Damage
Is vendor a former or current state employee?
Y
N