Section 1 - Property Information County(Required) Adams Asotin Benton Chelan Clallam Clark Columbia Cowlitz Douglas Ferry Franklin Garfield Grant Grays Harbor Island Jefferson King Kitsap Kittitas Klickitat Lewis Lincoln Mason Okanogan Pacific Pend Oreille Pierce San Juan Skagit Skamania Snohomish Spokane Stevens Thurston Wahkiakum Walla Walla Whatcom Whitman Yakima
Section 2 - Owner Information If the cemetery is abandoned, skip to Section 3: Applicant Information.
Section 3 - Applicant Information Owner authorization(Required) Preferred Contact(Required) Check all that you are comfortable with:
Section 4 - Cemetery Description Historical and Cultural Significance(Required) Describe the historic and cultural significance of the cemetery. If a comprehensive history exists in another document, please summarize the significance here and include the supplemental history as an attachment to your application. Consider if the cemetery contains burials of persons of transcendent importance (including veterans and others of great eminence in their field of endeavor or had a great impact upon the history of their community, state, or nation); the relative age in a particular geographic or cultural context (example: oldest cemetery associated with a town or community’s original settlement period); if there are distinctive design features; or if the cemetery is associated with historic events. Please also describe any known military burials and monuments.
Site Condition and Change Over Time(Required) Describe the existing conditions of the cemetery and any significant changes (site size, etc) over its history. Please also explain the cemetery’s present value to the local community or organization.
Designation Status of the Property(Required) If you have questions about your building’s eligibility or if it is not yet listed on a historic register, please contact Michael Houser, the State Architectural Historian, before completing this application: michael.houser@null dahp.wa.gov or (360) 890-2634. Check all that apply:
Section 5 - Project Proposal & Budget
Work Types(Required) Check all that apply:
Protection & Security - Are the funds fully committed yet? Restoration & Preservation - Are the funds fully committed yet? Interpretative Displays - Are the funds fully committed yet? Other - Are the funds fully committed yet? Experience & Qualifications(Required) Describe similar projects that you (or the applicant organization) have completed in the past ten years with special attention to previous projects involving historic cemeteries or historic preservation projects. Describe prior experience managing grant awards or projects of a similar size that help the Advisory Committee understand your qualifications related to delivering a successful project. If volunteers will conduct a significant amount of work, please indicate your experience managing volunteer projects. If you are hiring a consultant or contractor, please include a summary of their experience and qualifications working on historic cemeteries as an attachment. If work will be performed by multiple people, please indicate the scope they will work on.
Will the project require ground disturbance or excavation?(Required) Any proposed work on cemetery grounds that includes GROUND DISTURBANCE may require obtaining a PERMIT from the Department of Archaeology and Historic Preservation (DAHP). Depending on the location and scope of work, you may be required to hire an archaeologist to monitor the site or complete the permit and include those costs in your budget.
null dahp.wa.gov , (360) 790-1633, for preliminary feedback prior to submitting this application. More information: https://dahp.wa.gov/archaeology/archaeological-permitting
Section 6 - Public Benefit
Preservation Easement(Required) If a grant is awarded to a private property owner (including nonprofit owners), the owner will be required to enter into an easement on the property to ensure the cemetery is not adversely impacted by future action. The term of the easement will be 10 years. If awarded a grant, will you agree to enter into this easement?
Additional Information Please add any additional information pertaining to the proposed scope of work and the overall preservation of the cemetery that you were unable to include in other sections.
Section 7 - Attachments Please be sure to upload all required application materials listed below. Incomplete applications may risk being scored lower and/or delayed review. If you encounter technical difficulties, please continue to submit the application, but then reach out to grants@null preservewa.org immediately to let us know that you intend to submit attachments separately.
Historic Cemetery Grants - Attachments Checklist File Preferred file naming: "Cemetery Name - Descriptive Title" such as "Trust Cemetery - Right-of-Way Photo".
Section 8 - Certification and Submission I certify to the best of my knowledge that the information provided in this application is complete and accurate.
