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  • Eligibility Intake Form

    Eligibility Intake Form

    Technical Assistance Services for Mendocino County Cultivators

  • The Rural Resilience Project (RRP) Technical Assistance Services is open to eligible cultivators located in Mendocino County who hold either a provisional or annual outdoor or mixed light tier 1 license issued by the Department of Cannabis Control. Technical Assistance Services are limited to those with outdoor or mixed light tier 1 cultivation canopy areas of 10,000 square feet or less, although cultivators with ownership or financial interest in up to 20,000 square feet may also qualify.

    Funding provided by California Department of Fish and Wildlife l Cannabis Restoration Grant Program. 

  • Based on the Intake Form, which service categories are recommended?

  • Cultivator Information

    Please provide the name of the Designated Responsible Party (DPR) listed on your DCC (Department of Cannabis Control) license. This information helps us verify eligibility and ensure the designated individual is authorized to receive services.
  • Format: (000) 000-0000.

  • Diversity, Equity and Inclusion

  • Are you a Local Equity Entrepreneur Program (LEEP) verified cultivator?*
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  • Is your cultivation site located within a disadvantaged community?*
  • If you feel comfortable, please share your race or ethnicity with us.
  • If you are comfortable, please share your gender identity.

  • Agent Consent

    By completing this section, the Designated Responsible Party authorizes the appointed agent to act on their behalf in matters related to the services. 
  • Format: (000) 000-0000.

  • Cultivation Site

    Please verify that your cultivation site location and address are correct by using the mapping tool, linked below. Click on the link to open a separate window. Enter your cultivation site address into the search prompt. https://gis.mendocinocounty.org/portal/apps/webappviewer/index.html?id=255d7af6ece142b9962e92181d0f4ad9
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  • Does the Diagram or Site Map reflect the current conditions?*
  • Did you make any changes to the Cultivation Site after August 2023?
  • Is your cultivation site located in a Cannabis Priority Watershed? https://waterboards.maps.arcgis.com/apps/View/index.html?appid=f109fd642aaa4fee9eb90f48475e0991

  • Landowner

    For the cultivation site listed above, please submit the landowner information. If more than one landowner, list the names of all and contact details for one. If landowner is an entity, please list its name and the legal representative for the entity.
  • Is the Designated Responsible Party (DRP) the current landowner?*

  • Cannabis Cultivation Business License (CCBL)

    The RRP Technical Assistance Services are available exclusively to cannabis cultivators in Mendocino County who hold an active provisional or annual license. Cannabis Cultivation Business Licenses (CCBLs) are issued by the Mendocino Cannabis Department (MCD). Previously, the MCD referred to CCBLs as a “local permit.” Currently, “application receipts” or “embossed receipts” are classified as “local provisional licenses,” while the “local permit” is now categorized as a “local annual CCBL.”
  • Is this cultivation site located in Mendocino County?*
  • What type of Mendocino County Cannabis Cultivation Business License(s) (CCBLs) are held at this cultivation site?*
  • Do you have a local provisional authorization or annual Cannabis Cultivation Business License (CCBL) from Mendocino County at the cultivation site?*

  • Department of Cannabis Control

    The link below provides access to the official California cannabis license search tool, which helps verify and ensure accurate information about cannabis licenses issued by the Department of Cannabis Control. https://cannabis.ca.gov/resources/search-for-licensed-business/
  • What is the license term of the DCC cultivation license at this site?*
  • What is the license status of DCC cultivation license at this site?*
  • Which type of DCC license(s) are held at this site located in Mendocino County?*
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  • When does your provisional DCC cultivation license expire?*
  • Are you a Designated Responsible Party (DRP), owner, or do you hold a financial interest in ANY other DCC cultivation licenses located anywhere else in the state?*

  • Project Priorities

    We understand that maintaining an ACTIVE license can be a complex process, with many potential challenges along the way. To better assist you, we’ve outlined common barriers that cultivators face. Please take a moment to select the items that are currently impacting your progress.
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  • What barriers are you currently experiencing in maintaining an ACTIVE license?*
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  • Biological Assessment

  • Is a Biological Assessment required for your Cultivation Site?*
  • If yes, where is the Biological Assessment requirement mentioned?
  • Has a Biological Assessment been completed at the Cultivation Site?*
  • If yes, what is the current status?
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  • For the Biological Assessment, have you modified, expanded or proposed changes to the cultivation site area after August 2, 2023?

  • Sensitive Species Habitat Review

  • Have you received a Sensitive Species Habitat Review (SSHR) Project Referral Comments document from CDFW?*
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  • Lake and Streambed Alteration Agreement (LSAA)

    An LSAA "compliance plan" is any plan that was included in the reporting requirements of your LSAA, ie. water management plan, diversion infrastructure plan, bullfrog management plan, erosion control plan, annual diversion reporting, etc.
  • Which of the following was provided by California Department of Fish and Wildlife in response to your Notification to California Department of Fish and Wildlife:*
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  • When does the Final Agreement or Op-Law expire?
  • California Department of Fish and Wildlife cannot extend or amend an Op-Law letter. If you have a Final Agreement, have you submitted:
  • Were you provided an Extension letter signed by California Department of Fish and Wildlife on letterhead?
  • What project types are included in the LSAA?
  • Are ALL of the projects included in your Final Agreement (and Amendment(s) or Op-Law letter COMPLETED?
  • If you had to do "work" on a project per an LSAA, and the work is complete, did you submit a Project Inspection Report and receive a "Work Completed Letter" or other similar type letter from California Department of Fish and Wildlife. Did this letter get uploaded to the DCC portal and provided to the MCD?
  • Select all of the LSAA projects that have been COMPLETED.
  • Select all of the LSAA projects that are NOT COMPLETED.
  • What is the status of your the LSAA compliance plans?

  • Point of Diversion

  • Does your LSAA Final Agreement (and Amendment(s)) or Op-Law letter include a Point of Diversion?*
  • If your site includes a Point of Diversion (POD) for cannabis or domestic use purposes, do any of these apply?
  • If your site includes a Point of Diversion (POD) for cannabis or domestic use purposes, are you in the South Fork Eel Watershed? Please use the mapping tool to verify: https://waterboards.maps.arcgis.com/apps/View/index.html?appid=f109fd642aaa4fee9eb90f48475e0991

  • Water Source

  • What is your current water source for cultivation?
  • Have you implemented any rainwater harvesting systems?
  • Do you have a dedicated fire water storage tank with nozzle?

  • Challenges

  • To help us better understand the challenges you face as a licensed cultivator, please list the common barriers to your economic success.
  • What is your preferred language? (Please select the language you are most comfortable using.)
  • To better serve you, please select any of the contractors you have received services from within the last two years.

  • Cannabis Restoration Grant Program

    Please indicate whether this Cultivation Site has previously participated in a CRGP-funded project or is currently pursuing CRGP funding. Note: Prior participation in a CRGP-funded project does not disqualify you from receiving Technical Assistance. Projects can be found here: https://wildlife.ca.gov/Conservation/Cannabis/Restoration-Grants#projects
  • Has this Cultivation Site benefited from a CRGP-funded project?
  • Has an application for CRGP funding been submitted on behalf of this Cultivation Site?

  • Attestation

    By submitting below, I attest that the information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that any misrepresentation or omission of facts may result in the denial of this application or termination of any assistance provided.I further acknowledge that submission of this application does not guarantee approval or receipt of Technical Assistance. I agree to comply with all program requirements and provide any additional information or documentation requested to support this application.I consent to the Rural Resilience Project (RRP) using the information provided in this application solely for the purpose of determining eligibility and administering Technical Assistance.
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