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Cont'd from pg 2 . Application Evaluation Review Sheet Applicant Name : Appl . # 46 : The Kerr Center for Sustainable Agriculture , Inc. Address : 7055 33rd St . Vero Beach , FI . 32966 Tract Number(s) : Field Number(s) : All in Kerr Centers Indian River County Groves Date : Nov. 16 , 2002 VLA. evie* Sur111n t"y: - . Land Use/Field . Acres : Micro-Irrigated Citrus Grove 120 Best Management Practices Applied For: 3 . Precision Application Equipment Total BMP Costs : 60% Cost Share: Div by Total Eval Points: Div by Acres, times 100 = Applicant Score Applicant Cost: $ 101980 . $67588 . , 20 8213S VO $4 , 392 Vila:Remclrlrs: h VIII,-,Designated Conservationist: AZ7 , :of 1112.15 G,2- (Signature) Date: (Checked By) Date: z RSWCD Board Approval Date (Applicant Signature) Date Privacy Act Statement: 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 . IRSWCD Page 3 ( 10-26-01 )