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Application Evaluation Review Sheet <br /> Applicant Name: Schacht Groves __ _ __ <br /> Address : 16100 12th Street, Vero Beach , FL 32966 <br /> Tract Number(s): ! 7_07 <br /> Field Numbe ast Block <br /> Date : March 20, 2006 <br /> VI. Review Summary: <br /> Land Use/Field: Acres : <br /> Micro-irrigated Citrus 10 . <br /> Best Management Practices Applied For: <br /> 10. Conversion to Micro-irrigation. 10 <br /> 1 system <br /> Total BMP Costs: 75% Cost Share: Div By Total Eval Points: = Applicant's Score: Applicant Cost: <br /> $ 13, 800 $ 10,350 10 11035. 00 $3,450 <br /> VII. Remarks: <br /> II. De n CQ rvationist <br /> (Signal ) Date; (C eck By) ate: <br /> I SWCD Board Approval D e <br /> 4(Applicant Signature) <br /> Date <br /> PAfacy Act Statement: The 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 <br />