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Cont'd from pg 2 . I - <br /> �XfII � tT' <br /> Application Evaluation Review Sheet <br /> Applicant Name . Appl .# 329 : Ryall Groves , Inc. <br /> Address : P . O . Box 95 , Wabasso , FL 32970 <br /> Tract Number(s ) : <br /> Field Number(s ) : Chase - 3113 <br /> Date : Nov . 6 , 2003 <br /> VI . Review Summary: <br /> Land Use/Field : Acres : <br /> Micro-Irrigated Citrus Grove 347 <br /> Best Management Practices Applied For: <br /> 2. Install 1 FBR H2o Control Structure. <br /> Total BMP Costs: 75% Cost Share: Div By Total Eval Points: = Applicant's Score: Applicant Cost: <br /> $6 , 660. 00 $4 , 995 25 199. 80 $ 1 , 665 . 00 <br /> VII. Remarks : <br /> Vlll . Designatea nservationist: <br /> 6114PV W f <br /> I jj) )qo^x iJ; <br /> (Signature) bati: (Checked By) Dater <br /> Z2GG C j — lG2 <br /> IR Board proval Date <br /> (Applicant Sign re Date <br /> Privacy Act Statement: he 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 />