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r nis ruin'Is avnnauie erecrrunicany. (See Page 2 for Privacy Act and Paperwork Reductrcn Act Statements)
<br /> r.1U-1026 ' U.S.DEPARTMENT OF AGRICULTURE ( .1(10-30--14) Farm Service Agency 0 4. " r HIGHLY ERODIBLE LAND CONSERVATION (HELC) AND V`,
<br /> WETLAND CONSERVATION (WC) CERTIFICATION
<br /> `Read attached AD-1026 Appendix before completing form.
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<br /> PART A-BASIC INFORMATION
<br /> 1. Name of Producer 2. Tax Identification Number(Last 4 digits; 3. Crop Year
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<br /> 4 Names of tooted persons with farming interests. Enter'None,'if applicable ?i u
<br /> Affiliated persons w i t h f a r m i n n I n t e r e s t s mist a l s o f i l e A D item Tin the Appendix for a definition of an affiliate. fir .I. ) 47,alb
<br /> 5. Check one of these boxes if the statement applies:otherwise continue to Part B. 1-700A
<br /> A. 11 The producer in Part A does not have interest in land devoted to agriculture. Examples include bee keepers who place their hi • +�i
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<br /> per son's land. producers of crops grown in greenhouses,and producers of aquaculture AND these producers do not own/lease any agra;
<br /> and themselves. Note: Do not check this box if the producer shares in a crop.
<br /> 8 1 J The producer in Part A meets all three of the following:
<br /> • does not participate In any USDA program that is subject to HELC and WC compliance except Federal Crop Insurance
<br /> • only has interest in and devoted to agriculture which is exclusively used for perennial crops,except sugarcane,and
<br /> • has not converted a wetland alter February 7,2014.
<br /> Perennial crops include,but are not limited to,tree fruit,tree nuts,grapes olives,native pasture and perennial forage A producer that produces alfalfa
<br /> should contact the Natural Resources Conservation Service at the nearest USDA Service Center to determine whether such production qualifies as
<br /> production of a perennial crop.
<br /> Note: It either box is checked and the producer in Part A does not participate in Farm Service Agency(FSA)or Natural Resources Conservation Service
<br /> (NRCS)programs,the full tax identification number of the producer must be provided,but establishment of detailed term records with FSA is not
<br /> required Go to Part 0 and sign and dale
<br /> PART B -HELC/WC COMPLIANCE QUESTIONS
<br /> Indicate YES or NO to each question.
<br /> if you are unsure of whether a HEL determination, wetland determination, or NRCS evaluation has been completed,contact your local YES NO
<br /> USDA Service Center.
<br /> 6 During the crop year entered in Part A or the term of a requested USDA loan,did or will the producer in Part A plant or produce an I ,,—
<br /> agricultural commodity(including sugarcane)on land for which an HEL determination has not been made?
<br /> 7. Has anyone performed(since December 23, 19
<br /> 85),or will anyone perform any activities to: µ.
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<br /> V.
<br /> A Create new drainage systems conduct land leveling,filling,dredging.land clearing or excavation that has NOT been evaluated
<br /> by NRCS?If"YES",Indicate the year(s):
<br /> B Improve or modify an existing drainage system that has NOT been evaluated by NRCS? If"YES",indicate the year(s):
<br /> C. Maintain an existing drainage system that has NOT been evaluated by NRCS?If"YES",Indicate the year(s): iI'
<br /> Note:Maintenance is the repair,rehabilitation, or replacement of the capacity of existing drainage systems to allow for the _
<br /> continued use of wetlands currently in agricultural production and the continued management of other areas as they
<br /> were used before December 23, 1985. This allows a person to reconstruct or maintain the capacity of the original
<br /> system or install a replacement system that is more durable or will realize lower maintenance or costs.
<br /> Note:if"YES"is checked for Item 7A or 713, then Part C must be completed to authorize NRCS to make an HELCANC and/or certified
<br /> wetland determination on the identified land. If"YES"is checked for Item 7C,NRCS does not have to conduct a certified wetland
<br /> determination.
<br /> 8. Check one or both boxes,if applicable;otherwise,continue to Part C or D.
<br /> A. Check this box only if the producer in Part A has FCIC reinsured crop insurance and filing this form represents the first time the producer in
<br /> Part A,Including any affiliated person,has been subject to HELC and WC provisions.
<br /> B. El Check this box if either of the following applies to the producer and crop year entered in Part A:
<br /> • Is a tenant on a farm that is/will not be in compliance with HELC and WC provisions because the landlord refuses to allow compliance.but all
<br /> other farms not associated with that landlord are In compliance.(A0-10268.Tenant Exemption Request,must be completed),
<br /> • Is a landlord of a farm that is/will not be in compliance with HELC and WC provisions because of a violation by the tenant on that farm,but all
<br /> other farms not associated with that tenant are in compliance.(AD.1026C,Landlord or Landowner Exemption Request,must be completed),
<br /> PART C - ADDITIONAL INFORMATION
<br /> 9. If"YES"was checked in Item 6 or 7.provide the following information for the land to which the answer applies:
<br /> A Farm and/or tract/field number: A`:' ,, ,#92 riji- i� -j
<br /> If unknown,contact the Farm Service Agency at the nearest USDA Service Center,
<br /> B Activity: 9,42.41.2„,,,r OA ‘r ditemA %, l`t4` 4.1i .le- VA( 11 41-1~,1 *1C __
<br /> C. Current land use(specify crops): LoitiLL
<br /> ..LL: ®...
<br /> D. County: 1:11,4-10•
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