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'Exhibit B' Page 1 of 2 <br /> Application Evaluation Review Sheet <br /> Applicant Name: Tom Hammond <br /> Address: 3885 41st Street, Vero Beach , FL 32967 <br /> Tract Number(s): Seidel <br /> Field Number(s): #1 <br /> Date : July 6, 2006 <br /> VI. Review Summary: <br /> Land Use/Field : Acres: <br /> Micro-Irrigated Citrus Grove 80 <br /> Best Management Practices Applied For: <br /> Install 1 FBR 1­12o Control Structure. <br /> Total BMP Costs: 75% Cost Share: Div By Total Eval Points: = Applicant's Score: Applicant Cost: <br /> $ 109461 $72846 25 313. 83 1 $2,615 <br /> VII. Remarks: <br /> Applicant score qualified for partial funding of $3,892.00. Offer was made and accepted. <br /> Vlll. Designated Conservationist: <br /> (Signatyre) Date: (Ch By) Date: <br /> �1 G <br /> IRSWCD Board Appro Date <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 lheruder. 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 />