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Cont'd from pg 2 . AB > T <br /> Application Evaluation Review Sheet <br /> Applicant Name : Applicant #414 C ; Hammond Groves <br /> Address . P . O . Box 3278 , Vero Beach , FL 32964 <br /> Tract Number(s) : Heritage Block, Hubert Graves Block. <br /> Field Number(s) . <br /> Date . July 9 , 2004 <br /> VI. Review Summa <br /> Land Use/Field . Acres : <br /> Micro-Irrigated Citrus Grove 50 <br /> Best Management Practices Applied For. <br /> Install 1 FBR H2o Control Structure. <br /> Total BMP Costs: 75% Cost Share: T Div By Total Eval Points: = Applicant's Score: Applicant Cost: <br /> $6 , 926 $5 , 195 25 207 . 78 $ 1 , 732 <br /> VII. Remarks .• <br /> Vlll . Designated CorAervationist. <br /> ignature) I DO: (Checked By) Date: <br /> G ! 7 —6 <br /> IRSWCD Board Approval Date <br /> (Applicant Signature) Date <br /> Privacy Act Statement: The following statements are made in accordance with the Primacy Act of 1974 (5U .S.C. 522x). <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 />