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' Exhibit B' <br /> Application Evaluation Review Sheet <br /> Applicant Name : Dan Dempsey Applicant <br /> Address: 6910 33rd Street, Vero Beach , FL 32956 <br /> Tract Number(s): 1 44207 <br /> Field Number(s) : IFarm 531 <br /> Date : I March 20, 2006 ' <br /> VI. Review Summary: <br /> Land Use/Field : Acres: <br /> Micro-irrigated citrus <br /> Best Management Practices Applied For: <br /> f On-site Water retention Detention <br /> 1 pond <br /> Total BMP Costs: 76% Cost Share: Div By Total Eval Points: = ApplicanPs Seore: Applicant Cost: <br /> $ 11 , 059 $87294 1 100 82. 94 $2, 765 <br /> VII. Remarks: <br /> I . i na d nservationist: <br /> (Signature) Date: (Checked By) Date: <br /> IRSWCD Board Approval Date <br /> -/O d <br /> (Applicant Signature) Date <br /> Privacy 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 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 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 />