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Cont'd from pg 2 . <br /> CK I <br /> Application Evaluation Review Sheet <br /> Applicant Name : App . # 322C : Robert J . Lindsey, Lindsey Citrus Management <br /> Address : 3487 So . Us#1 Unit #6 Ft. Pierce , FL 34982 <br /> Tract Number(s) : 11 1 <br /> Field Number(s) : West Vero W, West Vero E , West Vero M <br /> Date : November 7 , 2003 <br /> V1. Review Summa <br /> Land Use/Field : Acres . <br /> Micro-irrigated Citrus Grove 123 <br /> Best Management Practices Applied For: <br /> 2. Install 3 FBR H2o Control Structure. <br /> Total BMP Costs: 75% Cost Share: Div By Total Eval Points : = Applicant's Score: Applicant Cost: <br /> $ 16, 0881 $ 12 , 066 175 160 . 88 $4 , 022 <br /> �L ,a�terriarlcs : . <br /> VII. Designatecl 9piriservationisto <br /> (Signature) D e: (Checked By) Date: <br /> jR*PAO3W-4eVApproval Date <br /> i <br /> l ! 6J <br /> (Applica Si ature) p We <br /> Pri acy Act to ent: The following statements are made in accordance with the Privacy Act of 1974 (5U . S .C . 522a) . <br /> ITKe authorities f 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 />