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"""" .::~1f! ",,~, ..""., .....i.i;;~, f:fi) l-CRS~L~f' "b/'l' ~ waSt-- i"-f',c#ofrC'.(" (PAR. EXHIBIT 13 r- 110. 118, 256) Q Q N ". This is _ word processor designed torm. Use printed copies of this form distributed by State Oftices. Form APproved - OMS No. 0560-0128 U.S. Department ot Agriculture 11. Page 12. Contract No. Agricultural Stabilization and Conservation service I of I 13. Contract Type: Individual I Joint 14. Stat. 15. county I I 17. Installation 18. I Period I If'Y Year I Frolll: I I 1 I liTo, 1 I t December 31, 19 I D. 19. Phone No. 110. O~H A1!....nt !!quired 1 1 Ye. 1 I No I 1 The following statements are $ade in accordance with the Priv<<cy Act of 1974 15 use 552a): ~h. authority tor requesting the information to be supplied on this torm is the Colorado River Basin Salinity Control Act. as amended 43 U.S.C. 1592(c), and the regulations promulgated thereunder (1 crR Part 702) and the Internal Revenue Code (26 USC 6109). Th. information requested is necessary I tor county ~C Cc>_ittee (cae). to consider and process the request to enter into a CRSC Contract. tol assist in deter.ining eligibility, and to determine the correct parties to the contract. The I inforMation .ay be turnished to other USDA agencies, IRS, Depart.ent ot Justice. or other State and I rederal law entorce.ent agencies, and in response to orders of a court Magistrate, or adainistrative' tribunal.. Furnishing all other intonaation is voluntary; however, failure to furnish the correct. I complete information requested will result in rejection of the request ta enter into the contract. I SECTION I. CRSC CONTRACT PROVISIONS Each undersigned person agrees to participate in the Colorado River salinity Control (CRSC) progra. and to co~ply with the teras set torth in this contract and the requlations qoverninq the Droqra. (see 7 CFR Part ~(copy available upon request) tor the periOd covered by this contract. Such regulations are hereby .ade a part of this contract. Each undersigned person also represents and agrees that each participant is jointly and severally responsible for: CRSC-2 (05-12-87) I_I 1 1 COLORADO RIVER SALINITY CONTROL PROGRAM CONTRACT 6. Farm No. IName I 1 I and Address 1 I 1 1 'NOTE: 1 1 I 1 1 Ca) compliance with ter.s and conditions of this contract by all participants, inclodinq the provisions on the reverse side of this tor., as to the salinity proble.(s) described on CRse-l. Request for Contract, with respect to which corrective Salinity Reduction Practices (SRP) are to b. p.rfor~ed on tract(sJ ot land on which the ondersiqned is an owner. operator, or tenant; and . (b) In the event of failure by any participant to fully comply with the ter~s and conditions of this contract and applicable progra. regulations, refund of all or part, as deterMined by the cac pursuant to the pro- gr.. regulations, of any pay.ents .ade by or on behalt of ASCS under or pursuant to this contract. Such re.edy shall be in addition to any other in tavor of the United States or its instrumentalities as .ay apply. All participants signing this contract agree to carry out all SRP's as scheduled on the attached Salinity control Plan (SCP). or approved modification thereof. The sCP or approved modification thereat and all attach- ...nts are hereby aade a part of this contract. All persons signing this contract. or attach.ents thereof, certify that the infor.ation supplied on this contract and-attach.ents is true and accurate in all respects includinq the stated percentage contribution of each individual participant to the project. . stCTI,ON II. PARTICIPART SIGNATURE AND CERTIFICATION Each undersigned participant certifies that such participant has reviewed the provisions ot the contract inCluding-the provisions on the reverse stde of this contract. I SOCIAL SECURITY 1 NU>lBER I C 1 1 I 1 1 I 1 1 1 1 1 1 I 1 ~ I //////////////////////////////////////////////////////////1 ///////////////////////////////////////////////////////////1 TOTAL SECTION III. AGENT CERTIFICATION II. as agent of the participant. certify that each partici- Ipant siqninq Section XI did review the provisions of the 'contract includinq the provisions on the reverse. I B. Signature , Date I SECTION IV. COUNTY A$c COMMITTEE Signature of County Committee Person . SIGNATURE A CON'J'RIBUTION (tinancialt \: D DATE OF SIGNATURE & APDRESS B I 1 1 I I 1 I I 1///////////// 1///////////// A. Name and Address I Date Approved 5-13-87 Amend. 1 paq. 3 ~,