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<br />FCRM APPROVED
<br />OMB NO. 0560-00B2
<br />
<br />------------------------------~---------------------------------~-------------------------------------------------------------------
<br />
<br />AD-245 U,S, DEPARTMENT OF AGRICULTURE 'ST, . CO, . C/O! CONTROL NO. (F/Y.. NO,) !
<br />~1-95) . PRACTICE APPROVAL MID PAYMENT APPLICATION ! 08'123 3 I 960079. !
<br />-----------------------------------------------------------~--------------------------------~----------------------------------
<br />(A 7245 replaces ACP-245 and SIP-24S) .... . .. . . .. .
<br />- .. . ;'_0 , " '".., '
<br />
<br />,-;
<br />
<br />.. - --- -- ----- - -- - ----------------- -- ------ -- ------ --- _ -- ---------~ - ---------------- --..- - - -- - - --- - -- -- -- - - --- --- - - --- --------- -- ------
<br />
<br />FARM NO,
<br />288
<br />TRACT No,
<br />
<br />NAME AIIO ADDRESS
<br />ROBERT A WARDLAW
<br />30B96 COUNTY ROAD 57
<br />GILL, CO .80624-9103
<br />
<br />FARMLAND
<br />
<br />PROGRAM !
<br />
<br />CONTRACT/LTA
<br />. ITEM NO,
<br />
<br />, PRIiIAn 'EXPIRATION NOTICE
<br />I PURPOSE ! Practice must be
<br />I ..! completed and reported
<br />, .' by .12-30-96
<br />.! WATER .!. '
<br />!CONSERVATION!-----------------------
<br />! ! 10 521 82 3737 . 5
<br />
<br />CODE
<br />
<br />FUriO
<br />, CODE
<br />,
<br />,
<br />I
<br />, 00
<br />I
<br />
<br />CROPLAND :..
<br />
<br />Telephone No,
<br />
<br />. ACP~ANA
<br />
<br />. . .
<br />----------------------------------------------------------------~----------------------------------~--------------------------------
<br />
<br />Y"r request for program cost-sharing to perform the practice shown belo" is approved for the farm identified above, If yOU decide
<br />not to perform this practice, or if you cannot complete it by the' expiration datel please notify the A?proving Official's office in
<br />writing at once.
<br />
<br />------------------------------~---------------------------------~---------------------_____________~____________________w___________
<br />
<br />DESCRIPTION OF PRACTICE OBJECTIVE
<br />WILL ELIMINATE AN OPEN LATERAL DITCH, SEVER UATER LOSS AND SOIL EROSION PROBLEMS .356-4836' ..'
<br />------------------------------~------~-------------------------------------------------------------~----------~---------------------
<br />FOR APPROVING OFFICIAL USE .
<br />
<br />. . . .
<br />------------------------------~--------------------------------------------------------------------~~------------------------------.
<br />
<br />~ 'Extent ~ Extent .! ~ c"sf-'Shares ~ Exte~,t ! C1I3t-Share:
<br />i-h:1lU2f : Practice Title, ~ R;zquested ~ Approved ~ R::te ~ APF'roved ! ParfllrIIH~d! Ear-rled
<br />--. A __1______________ B -----------------~---------------_..__I___,- C ----1---- 0 ___1__ E __--1_____ F _____1____ G ____,____ W _____
<br />WC4 ; Irrigation water cons~rvation (AS) ; 1920,0 i 1920,0; ; 68150* ; ;"
<br />CDC CONCRETE DITCH FT, I 5700,0' 5700,0' SOX! 33375!
<br />STC. STRUCTURE NO, I 4.0 ' 4,0 I SOX! . 1400 !
<br />PPL PIPELINE FT ':.2200,0 I . 2200.0' SOX! . 33375 I
<br />. I. I !. .r"':".!, _', I
<br />1 I ! !' _! .
<br />
<br />.--~--~-------------------,------------------------------~--------_._:_---------~--------~-----,-------~-----------~-,--------_.
<br />- Total Cost-Shares Approved For Practice, Coaponent Figures Shown Are Included In This Amount
<br />CDC - 50X of cost not to exceed aaount in coluln F, STC - SOX of cost not to ejceed amount in coluan F,
<br />PPL SOX of cost not to exceed a.ount in coluon F.
<br />
<br />------------------------------~---------------------------------------------------_________________J--____________________~_________
<br />
<br />INSTRUCTIONS Tn PARTICIPANT To receive payoont or credit for any cost-shares! APPROVAL ISSUED BY APPROVING OFFICIAL I DATE
<br />earned on th. is practice, report.performance in co!. G andcomplete ITEMS X. ! (Fti:R . ") APPROVAL MA~EB'Y CEO I
<br />,nd Y belo": date and sIgn the certIfIcatIon below; and fIle with the IssuIng! I
<br />
<br />::'. ~:: . ~~-~~:-~ :~: - ~~~::j- ~~-::~: ~~:: ~~ - ~~: :~~~. --- --.--- -- - - - -- -- - -------- ----~------- - _ ...____....._,.. _ _ __: _____ __ _ _ ____. :_~:!_r::X _ t
<br />
<br />X, Did you be;, ill the e,pon,e (e,cept for program c,.t-sharing) for pe,-
<br />f~rmi~g this practice? (If No) report narue(s) and address(es) of other
<br />person(s) or agency who bore any p.rt of the expenses, Also show kind,
<br />extent and value of their. contribution,)
<br />
<br />I Tot~l Cnst-Shar85 Earned
<br />,
<br />,
<br />,
<br />.,
<br />,
<br />I Spt,lff
<br />
<br />PaYm~nt Advanrp (P~rtial P~Ympnt)
<br />,
<br />Is Partie, on FSA Oebt Roo,? Y / / N f /
<br />
<br />.:'CS / j NO /j
<br />..-.. - ---- -- - - --- -- - -- - --- - ----;- ------- ------- - - -- ..-- - - ~ -- ----- - - - ---~ -------- -- - (
<br />
<br />Y. Ouring the current fiscal year Oct, 1 - Sep, 30, h~Ye you received or
<br />. will you receive a cost-share payment under the same program on thjs or '
<br />any other farm other th.n through this AD-245?
<br />tIf yes, report Sfate, County, and amount by f.rm),
<br />
<br />Dphf ~:;':.iqnliler;f
<br />
<br />Net Payment
<br />
<br />YES /_ /
<br />
<br />NO / _ /
<br />
<br />! Payment Approved (initials)
<br />! (For 5IP) C/S E.rned Approved By/O.te
<br />,
<br />
<br />! Check Number
<br />'(For SIP) Calc,
<br />,
<br />
<br />Verif, By/Date
<br />
<br />..--____________M_______________~_________________________________~---_--____________________________~_______________________________
<br />
<br />::~alL~F...iIIW PY PARTTf'T.PMlI. I certi(,' th3t thE ab,)'....e infl)rm~tilJn is true and COl'f2CC I flllthEr CEf'tify H;:,t the erlt.r..,.. in C~luii,r
<br />:~ ~nuu~ th~t the practice W3S performed in ;cc~rd~n(E with th~ pr3(tic~ specificati~~s ~~~ ~~!:2r pl.~grae t~quirements, r h2rebf .
<br />JPply r~r p~yme~t ~J the e:tent.that the ApprijJi~s Official hiS determIned that th~ vra~tlc2 has been p2rformad a~d further certify
<br />that tnIs payment IS not a dtlPl1cate of arlj' lJther eQrn.:d bJ' !IV~, 1 Q~r\:e tc ltl~l\,talri t:I:'; n-;cl1ce for- at l.:ast lQ. y2ji.S follc'.iiilj
<br />}he ye~r the ~r~ctic~ is Cllffiplete9', ~ agree to refun~ all,or part of ~h~ cost-share assistance paid t~ fue; ~s determinec by the
<br />.pprovlng OffICIal, If before e'Plratlon of the practice lIfespan specIfied above, I la) destroy the pr.ctice installed, or
<br />(blluntarilY relinquish control or title to the land on which the installed practice has been established and the new owner
<br />J' operator of the land does not agree in writing to properly maintain the practice for the remaind2r of its sy2ciried lifespan.
<br />I UI er~tand that form ~CONTINUATION FOR AD-245M is by reference incGrporated herein and with this pase cllnstit~tes t~c ~ntire
<br />d;r22ment between the parties.
<br />
<br />SI!~~iATlIRE'
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<br />! Mlli
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