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1, Cont'd from pg 2 . b ; � Application Evaluation Review Sheet Applicant Name : App # 309 , Estes Citrus, Inc Address : 3705 20th St . , Vero Beach , FL , 32960 Tract Number(s) : 1 Field Number(s) : Johnston #25 Date : Nov . 6 , 2003 VI. Review Summary: Land Use/Field : Acres : Micro-Irrigated Citrus Grove 38 Best Management Practices Applied For: 2. Install 1 FBR H2o Control Structure. Total BMP Costs : 75% Cost Share: Div By Total Eva[ Points: = Applicant's Score: Applicant Cost., $6 , 097 . 001 $4 , 573 25 182 . 91 $ 1 , 524 VIL :Remarks : VIII. Designated 0160servationist. (Signature) I Date: (Checked By) Date: /-ice -03 RSWCD oa Approval Date nt ure) Date Privacy Act S : The following statements are made in accordance with the Privacy Act of 1974 (5U . S . C . 522a) . The authorities for requesting 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 . ( RSWCD Page 3 ( 10-26-01 )