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' Exhibit B' <br /> Application Evaluation Review Sheet <br /> Applicant Name: Merribeck, Inc. <br /> Address: 10880 Orange Avenue , Fort Pierce , FL 34945 <br /> Tract Number(s): 44673+44675 <br /> I <br /> Field Number(s): 970 Jim Bar 1 & Merribeck _ <br /> Date: _ March 20, 2006 '1 <br /> VI, Review Summary: <br /> Land Use/Field : Acres: <br /> Micro-irrigated citrus 120 <br /> Best Management Practices Applied For: <br /> 2. Conversion to Flashboard Riser <br /> 2 Structures <br /> Total BMP Costs: 75% Cost Share: Div By Total Eva] Points: = Applicant's Score: Applicant Cost: <br /> $8, 148 $62111 50 12222 $2, 037 <br /> VII. Remarks: <br /> I. Des' onservationist: <br /> Cl t1 <br /> (Sign re Date: ( he Iced By) Date: <br /> IRSWCD oard r Date - <br /> (Applic nt Signature) Date <br /> Privacy- Act Statement: Th ollowing 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 (_Sal and Water Conversation); _ <br /> 16U.S.C. 3801 at 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 prev]ous]y 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 />