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Cont'd from pg 2 . <br /> Application Evaluation Review Sheet <br /> Applicant Name : App. #1 , Whiteface Acres <br /> Address : 14150 11 Place S . W. Vero Beach , FI . 32978 <br /> Tract Number(s) : <br /> Field Number(s) . <br /> Date . l2 8 03 <br /> VI. Review Summary: <br /> Land Use/Field : Acres : <br /> Micro-Irrigated Citrus Grove 79 <br /> Best Management Practices Applied For. <br /> 1 . Installation of Micro-irregation System . <br /> Total BMP Costs : 16.923% Cost Share: Div By Total Eval Points : = Applicant's Score: Applicant Cost: <br /> $81 , 923 . 00 $ 13 , 864 79 175 . 49 $ 38 , 452 . 00 <br /> Revised : 1218/03 28.47% Cost Share: <br /> $81 , 923 . 00 $231326 <br /> Vll . Remarks: <br /> This Review Sheet has been revised to reflect contract year end moneys not spent and offered to <br /> under funded Cooperator. Cooperator accepts this portion of unspent contract m ne s. <br /> Vlll, jpesignated Conservationists <br /> C� Z � <br /> (Signature) Date: (Checked By) Date: <br /> 45 <br /> - d3 <br /> IRSWCD Board Approval Date <br /> Dfatp <br /> Privacy ct S tement: The following statements are made in accordance with the Privacy Act of 1974 (5U .S .C . 522a) . <br /> The authorities for requesting the information to be applied on this form are: 16 U . S . C . 590a-f (Soil and Water Conversation) ; <br /> 16U .S .C . 3801 et seq . (Food Security Acto of 1985 , as ammended) , and the regulation promulgated theruder. The information <br /> requested is necessary for the evaluation of an application , development and implementation of a conservation plan as the <br /> basis for satisfying program eligibility and compliance requirements , and for providing technical education , or financial assist- <br /> ance under the previously mentioned authorities . Furnishing this information is voluntary; however, failure to furnish correct, <br /> complete information will result in the withholding or withdrawal of such technical, educational, or financial assistance. This <br /> information may be furnished to other USDA agencies , the Internal Revenue Service, the Department of Justice, or the other <br /> State or Federal law enforcement agencies , or in response to orders of a court, magistrate, or administrative tribunal . <br /> IRSWCD <br /> Page 3 ( 10-26-01 ) <br />