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APPENDIX B <br /> Form 2 : REQUEST FOR COST SHARE PAYMENT <br /> THE PARTICIPANT LISTED BELOW ATTESTS THAT THE IDENTIFIED BMPS <br /> HAVE BEEN IMPLEMENTED IN ACCORDANCE WITH APPLICABLE <br /> STANDARDS AND THAT THESE PRACTICES WILL BE MAINTAINED FOR THE <br /> IDENTIFIED MAINTENANCE PERIOD PURSUANT TO THE "INDIAN RIVER <br /> CITRUS AREA — WATER QUALITY/QUANTITY PROTECTION PROGRAM." <br /> THE PARTICIPANT FURTHER ATTESTS THAT THE LEVEL OF COST SHARE <br /> REQUESTED IS BASED ON ACTUAL COSTS AND IS CONSISTENT WITH THE <br /> COST SHARE PERCENTAGES IDENTIFIED IN THE APPLICANTS HANDBOOK. <br /> NAME: <br /> PROJECT REFERENCE # <br /> BUSINESS NAME: <br /> PRACTICE #(s) (REFER TO HANDBOOK) : <br /> DATE WORK COMPLETED: <br /> TOTAL PROJECT COST (INCLUDE COPY OF ALL PAID INVOICES, and COPIES <br /> OF CANCELLED CHECKS) : $ <br /> PORTION OF COST SHARE PAID BY GROWER: $ <br /> PORTION OF COST PAID BY USDA-EQIP (Include copy of Form 1245): $ <br /> PORTION OF COST TO BE PAID BY PROGRAM: $ <br /> SIGNATURE OF PARTICIPANT <br /> DATE <br /> CADocuments and Settingslbrendad\My Documents\FDACS BMP 20061Water Quality Quantity Applicants 1 <br /> Handbook Rev Aug 06.doc <br />