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r <br /> Cont'd from pg 2 . <br /> Application Evaluation Review Sheet <br /> Applicant Name : jApp . #29 Hammond Groves <br /> Address : 13885 41st Street , Vero Beach , FI . 32967 <br /> Tract Number(s) : <br /> Field Number(s) . <br /> Date : INov . 18 , 2002 <br /> Land Use/Field . Acres : <br /> Micro-Irrigated Citrus Grove 360 <br /> Best Management Practices Applied For: <br /> 2 . Install 9 FBR H2o Control Structures . <br /> Total BM P Costs: 75% Cost Share: Div By Total Eval Points : = Applicant's Score: Applicant Cost: <br /> $ 36 , 793 . $27, 595 225 122 . 64 $ 9 , 198 . Uk <br /> VO.' arks . <br /> (Signature) Date: (Checked By) Date: <br /> 3 -- o <br /> IRSWCD Board Approval Date <br /> S o3 <br /> (Applicant Signature) Date <br /> Privacy Act Statement: 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 />