Laserfiche WebLink
APPENDIX B - REQUEST FOR COST SHARE PAYMENT <br /> THE PARTICIPANT LISTED BELOW ATTESTS THAT THE IDENTIFIED BMPS HAVE <br /> BEENIMPLEMENTED IN ACCORDANCE WITH APPLICABLE STANDARDS AND <br /> THAT THESEPRACTICES WILL BE MAINTAINED FOR THE IDENTIFIED <br /> MAINTENANCE PERIODPURSUANT TO THE "INDIAN RIVER CITRUS AREA — <br /> WATER QUALITY/QUANTITYPROTECTION PROGRAM . THE PARTICIPANT <br /> FURTHER ATTESTS THAT THE LEVEL OFCOST SHARE REQUESTED IS BASED <br /> ON ACTUAL COSTS AND IS CONSISTENT WITH THECOST SHARE PERCENTAGES <br /> IDENTIFIED IN THE APPLICANTS HANDBOOK . <br /> NAME : <br /> PROJECT REFERENCE # <br /> BUSINESS NAME : <br /> PRACTICE #(s) (REFER TO HANDBOOK) : <br /> DATE WORK COMPLETED : <br /> TOTAL PROJECT COST ( INCLUDE COPY OF ALL INVOICES ) : $ <br /> PORTION OF COST SHARE PAID BY GROWER : $ <br /> PORTION OF COST PAID BY USDA EQIP (include copy of Form 1245): $ <br /> PORTION OF COST TO BE PAID BY PROGRAM : $ <br /> SIGNATURE OF PARTICIPANT DATE <br />