III.  Application Form

Please complete the following questions.  If there is insufficient information to respond to a particular question, simply leave the section blank.  Expand the response spaces as necessary. 

Your name:       Richard Herring, John Brogan                Date: Sept. 30^th, 2002/Jan. 11^th, 2003

Your title: Executive Director, EWB-USA, Project Coordinator, EWB-USA

Address: 11098 Prospect Rd

Telephone: 303-746-0284                                                           Fax:     

Email: RNHerring@AOL.com

Community Name: Santisuk      

District:            

Region: Chiang Mai Province                

Country: Thailand                     

            1. Project Definition

1.1 Project title:             Spring Box/Reservoir Construction-Santisuk / 02-TH-02

1.2 Briefly describe the need or problem that the proposed project will address:                

Santisuk’s current water source, a spring in the hills approximately one mile from Santisuk, is piped directly from a surface pool.  This water source is unprotected and subject to erosion, and contamination from algal growth as well as environmental and human contaminants.

1.3 Briefly describe how the idea for the project arose:

Leaders of several hill tribe communities of Santisuk, Samli, and Mae Nam Khun are engaged in a partnership with Joni Morse, a third generation missionary whose organization works to improve water and sanitation, health and educational conditions in the Chiang Mai Province.  Mr. Morse is a resident of Chiang Mai and has worked as a development worker in Thailand for over 30 years. 

1.4 Briefly describe the nature of the project, its goals and objectives:

EWB-USA proposes to design and install a spring box filtration system at the site of the source; and to design and install a spring box filtration system at the site of the source to increase efficiency and improve water quality.  The main objectives of the proposed actions are as follows:

• Protection of natural water source from contamination
• Provision of safe water storage infrastructure
• Reduction in evaporative water loss
• Minimization of health risks associated with consumption of non potable water
• Improvement of the designs for water filtration and storage appropriate to rural communities in the Chiang Mai Province
• Promotion of cultural and technical exchange between the beneficiaries of the community of Santisuk, Thai engineering students from the University of Chiang Mai, and involved members of EWB-USA (students and professionals)

1.5 Beneficiaries

1. What community groups in particular will benefit from the proposed action?  The whole community will benefit from the proposed action.
2. How many people (approximately) will benefit directly from the project?  250 to 350        
3. How many people (approximately) will benefit indirectly from the project? Visitors and down stream Thai villagers (100 to 500)             

2. Context of Community Involvement

2.1 EWB-USA-Community Connection

1. How did your community/organization learn of EWB-USA? 

Dick Herring knows Joni Morse through his church’s activities in Thailand.

2. If a separate organization (NGO, Interest group) is involved in the proposed project, describe the organization’s mission, history, and present involvement with the community.  If available, attach supporting documentation from the organization. 

See supporting documentation on FAITH International.

2.2 Context of Local Leadership

1. What local leaders and/or governing bodies are involved with the project? 

The community leader, a man named Eliya or Elija, supports the direction of the project, and accompanied me on our tour of the source and reservoir.

2. Has the project been approved by these individuals/groups? (If so, describe the process of approval)          The community support for the past projects through FAITH International is evident in the contribution of labor and other resources.        

2.3 What project outcome is expected by the beneficiary community?  Cleaner water and adequate water supply for the entire year.

2.4 What local resources (local expertise, labor, funding, organizational support, etc.) are available for realization of the project?  Please categorize and itemize, providing as much detail as possible.

The locals will provide labor as necessary. Some funding may be available through Rotary International and some churches that support the Faith International. 

2.5 Project Operations and Maintenance

1. Who will oversee, administer, operate, and maintain the project once the project is complete and the EWB-USA team is no longer present in the community? 

The community mission group currently maintains a piping system from the source and a mediocre storage tank.  EWB-USA will work through this organization.  Given the history of community implemented water projects, involving the community in the construction will promote ownership.

2.   Will project oversight and administration fit within an existing community structure?  If so, describe the structure and how it will finance and maintain the proposed project:

See above.

3. If a new organization (e.g., water board, technical guild) is to be established, how will it be organized, trained, and financed?

2.6 Identify any additional organizations/donors (past/present) apart that support the beneficiary community and describe their activities:          

The FAITH International, American churches, and, occasionally, the Province leaders.

2.7 Of the organizations identified in 2.6, which, if any, would assist EWB-USA planning and implementation of the proposed project?

FAITH International.

2.8 National Context

1. What local, regional, national, or international policies/programs should be taken into consideration during project planning and implementation?

None in particular.

b.       What, if any, security and/or safety issues should be considered by EWB-USA members traveling in the country? 

It is a safe area and the villagers and local Thai people are more than friendly and hospitable.

2.9 What, if any, potential for local/national/international opposition to the project exists?    None  

3. Project Design

3.1 Based on the project objectives, define the preliminary technical approach for the project (if known) and in what way this approach is appropriate to the context of the community and environment:           

Classical spring box filter, with intermediate storage design, using the extant kilometer of PVC piping system to gravity feed water to the community.  Also required is a reservoir to replace the existing structure (approximate capacity 60m^s) designed to the standards of modern engineering.

3.2 Are local supplies, manufacturers, labor (skilled and unskilled), or materials (e.g. sand, gravel, bricks, dimensional lumber, PVC pipe) available in the community or at a nearby regional capital?  If yes, please list the materials and their location.  If unavailable, what arrangement will be made for supplying inputs/parts for construction and maintenance?

Appropriate supplies are available locally. The villagers will provide manual labor and any mechanized work can be hired locally. 

3.3 Describe any opportunities to increase the educational component and value of cultural and technological exchange between the host country and EWB-USA through the involvement of local and regional university engineering students in the project implementation:                        

Possible collaboration has been explored with Professor Wasan Jompakdee, Ph.D. of the Faculty of Engineering and Chiang Mai University.  The first set of EWB-USA projects in Thailand will provide an opportunity to team Thai and American students and mentors.

3.4 Based on community activity schedules, climatic conditions, and traditional holidays, what is the best time(s) of year to implement the project?

Between November and April. Work can be done in April and May before the rain begins, but it is quite warm, but manageable in the hills.

3.5 What is the estimated period of time necessary to implement the project? Two–three weeks

3.6 What is the estimated effective lifespan of the project? 10 or more years

3.7 How will operations and maintenance costs be met?             

By the villager collections and the missionary group.

            4. Impact Assessment

What are the potential impacts (positive and negative) of the proposed project, its technology, and the presence of EWB-USA in the community?  Define the following, if possible:

a. Cultural impact:  None, all technology is appropriate to the culture; no major practices are changed by the project.

b. Environmental impact: Better environmental water quality, better use of resources.  Water  usage of current flow, about 6 liters per minute, does not disrupt natural habitat.

c. Economical impact:  A healthier community is a more productive community.

d. Educational impact:    Better quality and supply of water to the school, training of locals in new construction methods.

e. Social/political impact:  Santisuk is a hub for hill tribe meetings.  Better infrastructures provide more comfortable forums at such gatherings.

Other potential impacts:

            5. Financial Considerations

5.1 What is the estimated overall project budget in USD? $10,000

5.2 Community-Based Funding

a.       List any community-raised monetary contributions, financing from local lending institutions, partner donor investment, and community in-kind contributions (labor, materials, transportation, hosting, etc.) included in the budget.

TBD, community in-kind labor and hospitality are available. 

b.       List and identify any organizations involved in community-raised funds.

            6. Project Coordination and Logistics

6.1 Define the roles, responsibilities and accountability between the community, EWB, and any other partner groups/organizations; if available, include supplementary documentation for partner organizations:              

The solid partnership between EWB-USA, Joni Morse, and the beneficiary communities will ensure community participation in the program.  Santisuk leaders have agreed to provide, where possible, skilled and unskilled labor for construction and maintenance of infrastructures, as well as room and board for the EWB-USA team.  Such contributions will promote community ownership of project successes, thus empowering local leaders to maintain the project and envision similar projects in neighboring communities. 

6.2 Describe the need for translators between EWB-USA team members and the beneficiary community.  What provisions are planned to meet this potential need?

Joni Morse’s intimate knowledge of the culture, language, and environment, makes affiliation with his organization, FAITH International, invaluable for project design, implementation, and monitoring.  Joni, his wife, Nangsar, and nephews, Deeram and Pungsar, facilitated translations for our evaluation team, and are willing to do the same during project implementation.

6.3 How can the host community or partnering organization meet and/or assist the logistical needs of the EWB-USA team in the following ways: Food, Lodging, Medical Infrastructure, Local transportation, Tools, Materials, Equipment?

 Missionary group will support all logistics in the country. Lodging and adequate water and food is available, as are rental vehicles or Missionary vehicles and construction tools.  A small donation for per diem and transport may be necessary. The Chiang Mai hospital will provide the health care in emergency. 

6.4 List the names and contact information of local materials/technology suppliers:  Once a list of materials is determined, an order can be placed through contact with Joni Morse, currently in Thailand.

6.5 Describe the best method of shipping materials/components within the country; in particular, describe the logistics of transporting project materials directly to the beneficiary community: Materials can be ordered from Thailand and delivered to the site with missionary vehicles or rented vehicles from a distance of 15-20 miles.

7. Attestations

I certify that the information provided herein is accurate and reflects the best interests of the community I represent.

Name and title of community project manager:   

Signature of community project manager:           

Date:   

And/or

Name and title of community partner:                

Signature of community partner:                        

Date:   

Name and signature of EWB-USA contact, if any: