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Cont'd from pg 2 . tE xh� b I �3 Application Evaluation Review Sheet Applicant Name : App #322 : Robert J . Lindsey, Lindsey Citrus Management Address : 3487 So . Us#1 Unit #6 Ft . Pierce , FL 34982 Tract Number(s) : 1 Field Number(s) : H2-A1E , H2-A1M , H2-A1W, HIM , A3&4W -p2, Date : November 7 , 2003 Vi. ,Review Summary: Land Use/Field : Acres : Micro-Irrigated Citrus Grove 295 Best Management Practices Applied For: 2. Install 6 FBR H2o Control Structure. Total BMP Costs : 75% Cost Share: Div By Total Eval Points : = Applicant's Score: Applicant Cost: $ 321110 $24 , 082 1 150 160 . 55 $8 , 027 VII . Remarks: V11L Designated C ationist: 6 &000 h ij s3 (Signature) Date: F (Checked By) ate: jy l5gWpp, B(pr proval Date Applica ure) ate Priv y Act Sta nt: The following statements are made in accordance with th Privac Act of 1974 (5U .S .C . 522a) . The authorities for requesting the information to be applied on this form are: 16 U .S . C . 590a-f (Soil and Water Conversation) ; 16U . S .C . 3801 et seq . (Food Security Acto of 1985 , as ammended) , and the regulation promulgated theruder. The information requested is necessary for the evaluation of an application , development and implementation of a conservation plan as the basis for satisfying program eligibility and compliance requirements , and for providing technical education , or financial assist- ance under the previously mentioned authorities . Furnishing this information is voluntary; however, failure to furnish correct, complete information will result in the withholding or withdrawal of such technical, educational , or financial assistance. This information may be furnished to other USDA agencies , the Internal Revenue Service, the Department of Justice, or the other State or Federal law enforcement agencies , or in response to orders of a court, magistrate, or administrative tribunal . IRSWCD Page 3 ( 10-26-01 )