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• Cont'd from pg 2 . Application Evaluation Review Sheet Applicant Name : iApplicant #401 -Cal Streetman ; The Fred Tuerk Grove , LLC Address : P . O . Box 1904 , Vero Beach , FL 32961 Tract Number(s) : Field Number( s ) : All Date : July 9 , 2004 VI . Review Summary : Land Use/Field : Acres : Micro-Irrigated Citrus Grove 347 Best Management Practices Applied For: 2. Install 4 FBR H2o Control Structures . Total BMP Costs: 75% Cost Share: Div By Total Eval Points: = Applicant's Score: Applicant Cost: $35 , 744 . 001 $26 , 808 100 268 . 08 $8 , 936 . 00 VII . Remarks : V L Designate4 Co rvationist: 7 /67t, Sig (ture) I D e: (Checked By) v Date: IRSWC B Approval I Date L?d I/ 1 91161o (Applicant Signature) Dat Privacy Act Statement: The following statements are made in accordance with the Privacy Act of 1974 (SU . S .C. 522x). The authorities for requesting the information to be applied on this form are: 16 U. S. C . 590a-f (Soil and Water Conversation); 16U . S.C . 3801 et seq. (Food Security Acto of 1985, as ammended), and the regulation promulgated theruder. The information requested is necessary for the evaluation of an application, development and implementation of a conservation plan as the basis for satisfying program eligibility and compliance requirements, and for providing technical education , or financial assist- ance under the previously mentioned authorities. Furnishing this information is voluntary; however, failure to fumish correct, complete information will result in the withholding or withdrawal of such technical, educational, or financial assistance. This _ information may be fumished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or the other State or Federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribunal. IRSWCD Page 3 (101,,26-01 )