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Cont'd from pg 2 . b + r Application Evaluation Review Sheet Applicant Name : App. #3226 : Robert J . Lindsey , Lindsey Citrus Management Address : 3487 South . U . S .#1 Unit #6 , Ft . Pierce , FL 34982 Tract Number(s) . Field Number(s) : CW1 &2West, CW 4 East, Bowens East Date : November 7 , 2003 Vl. Review Summary: Land Use/Field . Acres : Micro-Irrigated Citrus Grove 117 Best Management Practices Applied For: 2. Install 3 FBR H2o Control Structure. Total BMP Costs: 75% Cost Share: Div By Total Eval Points : = Applicant's Score: Applicant Cost: $ 161776 $ 127582 75 1 167. 76 $4 , 194 Vil. Remarks : VIII. Designated rgoofervationist, 1411 l( P} M // to e (Signature) Date. (Checked By) ate: IRSWOD Boa p oval ate (Applicant Si atu ) Date Priv cy Act State n The following statements are made in accordance with the(Privady Act of 1974 (5U . S .C . 522a) . The authorities for req esting 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 furnish correct, complete information will result in the withholding or withdrawal of such technical, educational, or financial assistance. This information may be furnished 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 ( 10-26-01 )