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Exhibit B' <br /> Application Evaluation Review Sheet <br /> Applicant Name : Matthew Wayne Collier <br /> Address: 720 NE 3rd Street_ Pompano Beach, FL 33060 <br /> Tract Number(s): 736 <br /> Field Number sl: 504 <br /> Date: March 20, 2006 <br /> VI. Review Summary: <br /> Land Use/Field : Acres : <br /> Micro-irrigated citrus 80 <br /> Best Management Practices Applied For: <br /> 2. Conversion to Flashboard Riser <br /> 4 structures <br /> Total BMP Costs: 750,6 Cost Share: Div By Total Eval Points: = Applicant's Score: Applicant Cost: <br /> $ 12,2641 $9, 198 100 91 .98 $3 , 066 <br /> Vg. Remarks: <br /> Vi8 si ato ervationist: <br /> L n ( 7� <br /> (Si nature) Date: Check By)or 7 Date: <br /> �Allvtezj <br /> % e t1L - 1 . <br /> SWCD Board Approval e <br /> (Applicant Signature5 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 (Sal and Water Conversation); <br /> 16U.S.C . 3801 at 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 <br />