Infrastructure Needs Survey

In anticipation of potential legislation regarding President Trump's infrastructure outline, Buckeye Hills is seeking information on specific projects that may be candidates for potential programming. This effort is focused on gathering information to build a regional case for investment; completing this form does not constitute an application for funding.

For further information or questions about this effort, please contact Development Director Bret Allphin at .

Project Name:Click here to enter text.

Project Description:Click here to enter text.

Do not repeat the name or describe the location; be as specific as possible.

Project Location:Click here to enter text.

Please provide the nearest street address for the location of the propose project.

Project County:☐Athens County☐Hocking County

☐Meigs County☐Monroe County

☐Morgan County☐Noble County

☐Perry County☐Washington County

Project City/Village:Click here to enter text.

City or Village where the project is located, if outside a municipality record as ‘unincorporated.’

Is this a Regional Project:Choose an item.

Indicate whether multiple counties or communities will benefit from this project.

Responsible Entity:Click here to enter text.

Which entity will be the potential funding applicant and responsible for the successful implementation of this project?

Responsible Entity Type:☐City Government☐Village Government

☐County Government☐State

☐Federal☐Special District

☐Joint (multiple levels)☐Non-Profit

☐Private Entity

Type of Activity:☐Surface Transportation (road, bridge, etc.)☐Airports

☐Rail – Cargo☐Rail – Passenger

☐Ports and Waterways☐Flood Control

☐Drinking Water☐Wastewater

☐Stormwater☐Energy

☐Transit☐Broadband

☐Redevelopment (brownfield revit., etc.)☐Public Housing

☐Public Safety☐Education

☐Recreation☐Health Care

☐Arts/Culture☐Other

Primary Need for the Project:☐Economic Development☐Comm. Dev.

☐Population Growth☐Public Health/Safety

☐Federal Mandate☐State Mandate

☐Other

When is the Project Needed:☐FY 2019 - (October 1 2018 - September 30, 2019)

☐FY 2020 - (October 1 2019 - September 30, 2020)

☐FY 2021 - (October 1 2020 - September 30, 2021)

☐FY 2022 - (October 1 2021 - September 30, 2022)

☐FY 2023 - (October 1 2022 - September 30, 2023)

☐FY 2024 - (October 1 2023 - September 30, 2024)

Estimated Total Project Cost:Click here to enter text.

Are Matching Funds Available:Choose an item.

IF YES – What are the status of the funds?Choose an item.

IF NO – Are you aware of potential sources? Click here to enter text.

Current Project Status:Choose an item.

Project Contact Name:Click here to enter text.Contact Title:Click here to enter text.

Contact Organization:Click here to enter text.

Contact Email:Click here to enter text.

Contact Phone:Click here to enter text.