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'Exhibit B' <br /> Application Evaluation Review Sheet <br /> Applicant Name: IDan Dempsey Applicant NEWO <br /> Address: 6910 33rd Street, Vero Beach , FL 32966 <br /> Tract Number(s): 44207 ' <br /> Field Number(s) : <br /> Date : March 20, 20061 <br /> VI, Review Summary: <br /> Land Use/Field : Acres : <br /> Micro-irrigated citrus 7 <br /> Best Management Practices Applied For: <br /> 2. Conversion to Flashboard Riser <br /> 1 structure <br /> Total BMP Costs: 75% Cost Share: Div By Total Eva[ Points: = Applicant's Score: Applicant Cost: <br /> $2, 076 $ 1 , 557 25 62.28 $519 <br /> VII. Remarks: <br /> VA si nated rvationist <br /> G'1ti < u <br /> (Si nature) Date: (Ch ked By) Date: <br /> IRSWCD Board Approval Date <br /> u w104 <br /> (Applicant Signature) Date <br /> Privacy Act Statement: The following statements are made in accordance with the Privacy Act of 1974 (51-I .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 el 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 />