WPC  77WPC >?}A?v'@'??JN???N?kO?N+?DOz?t 0=,<$^oZc7>p  (  (Untitled)'3,, , ,   UB ) 3    *    d +    d ,    d /0ghjklmnopqrstuvwxyz{|}~P* * c:\inf42\forms\ad1006.wpf c:\inf41\forms\ad1006.wpfUS&&&&&&&& >?f+ eh Terminal 1 ! d !  d      Terminal eb Arial " ! 2     d    Arial ev Times New Roman  ! 2 F  d    Times New Roman ex Helvetica-Narrow " ! &     d    Helvetica-Narrow eb Roman  ! 2    B    Roman eh Helve-WP " ! ?     d     Helve-WP ej Wingdings  ! } F  d     Wingdings eX  ! ? !  d     eh MS Serif  ! ? !  d     MS Serif ed Modern 2 ! 2    B    Modern ej Bodoni-WP  ! ? !  d     Bodoni-WP er MS Sans Serif " ! ? !  d    MS Sans Serif ed System " ! XS  d    System er CG Times (WN)  ! ? !  d    CG Times (WN) ef Courier 1 ! d !  d     Courier en Univers ATT " ! ? !  d     Univers ATT ep Times CG ATT  ! ? !  d     Times CG ATT ep Arial Narrow " ! &     d     Arial Narrow en Courier New 1 ! 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X# A  d    WP IconicSymbolsB eh Terminal 1 ! d !  d      Terminal ef Hobo-WP  ! ? !  d    Hobo-WP e~ BroadwayEngraved-WP R ! } F  d    BroadwayEngraved-WP er WPPR Japanese  ! ? !  d    WPPR Japanese eh CG Times  ! ? !  d     CG Times ej Helvetica " ! 2     d     Helvetica e WPHelve-IconicSymbolsA " ! ?     d    WPHelve-IconicSymbolsA ?Ad A{?v'z jW c:\inf41\database\ AD1006.DBFHISTORY   i$DOL     h DOL i$NOP  <   h NOP< i*fedagency  <   h FEDAGENCY< i)proposed  <   h PROPOSED< i'county  <   h COUNTY< i(daterec     h DATEREC i)part2yes      h PART2YES  i(part2no      h PART2NO  i(acresir     h ACRESIR i(avgfarm     h AVGFARM i*majorcrop  <   h MAJORCROP< i)farmland     h FARMLAND i(amtland     h AMTLAND i(NOLused  <   h NOLUSED< i&NOloc  <   h NOLOC< i+dateretSCS     h  DATERETSCS i(T_4[C1]     h T_4_C1_ i(T_4[D1]     h T_4_D1_ i(T_4[E1]     h T_4_E1_ i(T_4[F1]     h T_4_F1_ i(T_4[C2]     h T_4_C2_ i(T_4[D2]     h T_4_D2_  i(T_4[E2]     h T_4_E2_  i(T_4[F2]     h T_4_F2_  i(T_4[C3]     h T_4_C3_ i(T_4[D3]     h T_4_D3_ i(T_4[E3]     h T_4_E3_ i(T_4[F3]     h T_4_F3_ i(T_6[C1]     h T_6_C1_ i(T_6[D1]     h T_6_D1_ i(T_6[E1]     h T_6_E1_ i(T_6[F1]     h T_6_F1_ i(T_6[C2] !    h T_6_C2_ i(T_6[D2] "    h T_6_D2_  i(T_6[E2] #    h T_6_E2_  i(T_6[F2] $    h T_6_F2_  i(T_6[C3] %    h T_6_C3_ i(T_6[D3] &    h T_6_D3_ i(T_6[E3] '    h T_6_E3_ i(T_6[F3] (    h T_6_F3_ i(T_6[C4] )    h T_6_C4_ i(T_6[D4] *    h T_6_D4_ i(T_6[E4] +    h T_6_E4_ i(T_6[F4] ,    h T_6_F4_ i(T_7[B1] -    h T_7_B1_ i(T_7[C1] .    h T_7_C1_ i(T_7[D1] /    h T_7_D1_ i(T_7[E1] 0    h T_7_E1_ i(T_9[C1] 1    h T_9_C1_ i(T_9[D1] 2    h T_9_D1_ i(T_9[E1] 3    h T_9_E1_ i(T_9[F1] 4    h T_9_F1_ i(T_9[G1] 5    h T_9_G1_ i(T_9[C2] 6    h T_9_C2_  i(T_9[D2] 7    h T_9_D2_  i(T_9[E2] 8    h T_9_E2_  i(T_9[F2] 9    h T_9_F2_  i(T_9[G2] :    h T_9_G2_  i(T_9[C3] ;    h T_9_C3_ i(T_9[D3] <    h T_9_D3_ i(T_9[E3] =    h T_9_E3_ i(T_9[F3] >    h T_9_F3_ i(T_9[G3] ?    h T_9_G3_ i(T_9[C4] @    h T_9_C4_ i(T_9[D4] A    h T_9_D4_ i(T_9[E4] B    h T_9_E4_ i(T_9[F4] C    h T_9_F4_ i(T_9[G4] D    h T_9_G4_ i(T_9[C5] E    h T_9_C5_ i(T_9[D5] F    h T_9_D5_ i(T_9[E5] G    h T_9_E5_  i(T_9[F5]! H    h T_9_F5_! i(T_9[G5]" I    h T_9_G5_" i(T_9[C6]% J    h T_9_C6_% i(T_9[D6]& K    h T_9_D6_& i(T_9[E6]' L    h T_9_E6_' i(T_9[F6]( M    h T_9_F6_( i(T_9[G6]) N    h T_9_G6_) i(T_9[C7], O    h T_9_C7_, i(T_9[D7]- P    h T_9_D7_- i(T_9[E7]. Q    h T_9_E7_. i(T_9[F7]/ R    h T_9_F7_/ i(T_9[G7]0 S    h T_9_G7_0 i(T_9[C8]3 T    h T_9_C8_3 i(T_9[D8]4 U    h T_9_D8_4 i(T_9[E8]5 V    h T_9_E8_5 i(T_9[F8]6 W    h T_9_F8_6 i(T_9[G8]7 X    h T_9_G8_7 i(T_9[C9]: Y    h T_9_C9_: i(T_9[D9]; Z    h T_9_D9_; i(T_9[E9]< [    h T_9_E9_< i(T_9[F9]= \    h T_9_F9_= i(T_9[G9]> ]    h T_9_G9_> i)T_9[C10]A ^    h T_9_C10_A i)T_9[D10]B _    h T_9_D10_B i)T_9[E10]C `    h T_9_E10_C i)T_9[F10]D a    h T_9_F10_D i)T_9[G10]E b    h T_9_G10_E i)T_9[C11]H c    h T_9_C11_H i)T_9[D11]I d    h T_9_D11_I i)T_9[E11]J e    h T_9_E11_J i)T_9[F11]K f    h T_9_F11_K i)T_9[G11]L g    h T_9_G11_L i)T_9[C12]O h    h T_9_C12_O i)T_9[D12]P i    h T_9_D12_P i)T_9[E12]Q j    h T_9_E12_Q i)T_9[F12]R k    h T_9_F12_R i)T_9[G12]S l    h T_9_G12_S i)T_10[C1] m    h T_10_C1_ i)T_10[D1] n    h T_10_D1_ i)T_10[E1] o    h T_10_E1_ i)T_10[F1] p    h T_10_F1_ i)T_11[C2] q    h T_11_C2_ i)T_11[D2] r    h T_11_D2_  i)T_11[E2] s    h T_11_E2_  i)T_11[F2] t    h T_11_F2_  i)T_11[C3] u    h T_11_C3_ i)T_11[D3] v    h T_11_D3_ i)T_11[E3] w    h T_11_E3_ i)T_11[F3] x    h T_11_F3_ i)T_11[C4] y    h T_11_C4_ i)T_11[D4] z    h T_11_D4_ i)T_11[E4] {    h T_11_E4_ i)T_11[F4] |    h T_11_F4_ i(sitesel } <   h SITESEL< i&DOsel ~    h DOSEL i'locyes      h LOCYES  i&locno      h LOCNO  i'reason      h REASON  ?@d @}?JN^^$  &    U.S. Department of Agriculture    ?4  FARMLAND CONVERSION IMPACT RATING  N !"#                             P  &&&&    ^~$T 1 T_1#$( ),-.N/012456789                                    P ! u,"a$%&&')*                    @  Y@$.,!  ( &&&& 3 && &    A,     A,     A,     A,     ?u&    ?u&    su, &  PART I (To be completed by Federal Agency)"$%&&')*                     @  Y@$.,!  ( &0&    hu, }& Date Of Land Evaluation Request"$%&&')*                     @  Y@$.,!  ( H& &    Xu, }& Name Of Project"$%&&')*                     @  Y@$.,!  ( & &    Tu, }& Federal Agency Involved"$%&&')*                     @  Y@$.,!  ( H& &    Nu, }& Proposed Land Use"$%&&')*                     @  Y@$.,!  ( & &    Mu, }& County And State"$%&&')*                     @  Y@$.,!  ( H& &    xu, &   PART II (To be completed by NRCS)"$%&&')*                     @  Y@$.,!  ( &H    hu, }& Date Request Received By NRCS" $%&&')*                     @  Y@$.,!  ( H& &    @~` , & DOL DOL!"- ./5<6789:;>?@ABCG                         P #      $      ' %  Y@$.,! *  < &&&& = &&&&    - , NOP!"- ./56789:;>?@ABCG                         P #      $      ' <  Y@$.,! *  < &&&& = &&&&    3, , fedagency!"- ./576789:;>?@ABCG                         P #      $      ' <  Y@$.,! *  < &&&& = &&&&    2 , proposed!"-./56789:;>?@ABCG                         P #      $      ' <  Y@$.,! *  < &&&& = &&&&    0d , county!"-./566789:;>?@ABCG                         P #      $      ' <  Y@$.,! *  < &&&& = &&&&    ^. $T 2 T_2#$(),- .N/012456789                                    P ! : "b$%&')*                       Y@$.,!  ( &&&& 3 &&&&    A     A     A     ?H     ?     ?    ?     &  Does the site contain prime, unique, statewide or local important farmland?  & (If no, the FPPA does not apply -- do not complete additional parts of this form)."$%6&')*      Z                  Y@$.,!  ( &    0 "$%&')*                        Y@$.,!  ( &&&&    Z }& Acres Irrigated"$%&')*                        Y@$.,!  ( && &    \ }&  Average Farm Size"$%&')*                        Y@$.,!  ( && &    RH  }& Major Crop(s)"$%&')*                        Y@$.,!  ( & &    b  }& Farmable Land In Govt. Jurisdiction"$%&')*                        Y@$.,!  ( && &    f  }& Amount Of Farmland As Defined in FPPA"$%&')*                        Y@$.,!  ( && &    0"$%&')*                        Y@$.,!  ( &&&&    bH  }& Name Of Land Evaluation System Used"$%&')*                        Y@$.,!  ( & &    c  }& Name Of Local Site Assessment System "$%&')*                        Y@$.,!  ( && &    f  }& Date Land Evaluation Returned By NRCS "$%&')*                        Y@$.,!  ( && &    0 "$%&')*                        Y@$.,!  ( &&&&    3` , daterec!"-./5<6 789:;>?@ABCG                         P #      $      ' %  Y@$.,! *  < &&&& = &&&&    1X  acresir! "-./5:6 789:;>?@ABCG                         P #      $      '    Y@$.,! *  < &&&& = &&&&    1@  avgfarm! "-./5B6 789:;>?@ABCG                         P #      $      '   Y@$.,! *  < &&&& = &&&&    3&T   majorcrop! "- ./56789:;>?@ABCG                         P #      $      ' <  Y@$.,! *  < &&&& = &&&&    2T @ farmland!"-!./5$67 89:;>?@ABCG                         P #      $      ' <  $.,! *  < &&&& = &&&    1LT r amtland!"-#./5>67 89:;>?@ABCG                         P #      $      ' <  $.,! *  < &&&& = &&&    1&   NOLused!"-$./56789:;>?@ABCG                         P #      $      ' <  Y@$.,! *  < &&& = &&    2    NOloc!"-%./56789:;>?@ABCG                         P #      $      ' <  Y@$.,! *  < &&&& = &&    GX   & DOL dateretSCS!"-&./5:6789:;>?@ABCG                         P #      $      ' %  Y@$.,! *  < &&&& = &&<&    r. R' & Yes No 2  !"#                             P  && &      d    } }part2yes #($%3& '()+,-.                             P   !  *  1  2      3      !@RESETOBJ (part2no)    part2no    ?S?N  d    } }part2no #)$%7& '()+,-.                             P   !  *  1  2      3      "@RESETOBJ (part2yes) !  part2yes    l  ^* & Acres:  !"#                             P  &&&&    g> E^+ & % 1 !"#                             P  &&&&    g# E^, & % L !"#                             P  &&&&    lX  ^- & Acres: : !"#                             P  &&&&    ^ J,. &  PART III (To be completed by Federal Agency) - !"#                             P  &0&     ,T 3 T_3#$(7),0-.!/012456789                                    P ! "c$%&')*                       Y@$.,!  ( &&&& 3     A     A     ?    ?    ?    ?    V }&. Alternative Site Rating"/$% &')*                        Y@$.,!  (     0 "0$%&')*                        Y@$.,!  (     0"1$%&')*                        Y@$.,!  (     ."2$%&')*                        Y@$.,!  (     C }&< Site A"3$%&')*                        Y@$.,!  (     C }&< Site B"4$%&')*                        Y@$.,!  (     C }&< Site C"5$%&')*                        Y@$.,!  (     C }&< Site D"6$%&')*                        Y@$.,!  (     ^ $XT 4 T_4#$(G),-.N/012456789                                    P ! b"d$%&')*                      Y@$.,!  ( &&&& 3 &&    A     A     A     ?    ?(    ?    ?    ?    ?    ? & A."H$%&')*                       Y@$.,!  ( &    a & Total Acres To Be Converted Directly"I$%(&')*                       Y@$.,!  ( &&    ,"J$%&')*                       $.,!  ( &&     ,"K$%&')*                       $.,!  ( &&     ,"L$%&')*                       $.,!  ( &&     ,"M$%&')*                       $.,!  ( &&     ? & B."N$%&')*                       Y@$.,!  ( &    c & Total Acres To Be Converted Indirectly"O$%(&')*                       Y@$.,!  ( &&    ,"P$%&')*                       $.,!  ( &&     , "Q$%&')*                       $.,!  ( &&     , "R$%&')*                       $.,!  ( &&     , "S$%&')*                       $.,!  ( &&     ? & C. "T$%&')*                       Y@$.,!  ( &    P & Total Acres In Site "U$%(&')*                       Y@$.,!  ( &&    ."V$%&')*                       $.,!  ( &&      @SUM (T_4[C1..C2])  T_4    k  ."W$%&')*                       $.,!  ( &&      @SUM (T_4[D1..D2])  T_4    k  ."X$%&')*                       $.,!  ( &&      @SUM (T_4[E1..E2])  T_4    k  ."Y$%&')*                       $.,!  ( &&      @SUM (T_4[F1..F2])  T_4    k  ^b$,T 5 T_5#$(`),-.N/012456789                                    P ! b,"e$%&')*                      Y@$.,!  ( &&&& 3 &&    A,     ?J,    ?    ?    ?    ?    J, &  PART IV  (To be completed by NRCS) Land Evaluation Information"[$%,&')*                       Y@$.,!  ( &0    .,"\$%&')*                       Y@$.,!  ( &&    .,"]$%&')*                       Y@$.,!  ( &&    .,"^$%&')*                       Y@$.,!  ( &&    .,"_$%&')*                       Y@$.,!  ( &&    ^$ T 4 T_6#$(b),-.N/012456789                                    P ! b"a$%&')*                      Y@$.,!  ( &&&& 3 &&    A     A     A     A     ?    ?(    ?    ?    ?    ?    A & A."c$%&')*                       Y@$.,!  ( &    d & Total Acres Prime And Unique Farmland"d$%(&')*                       Y@$.,!  ( &&    ."e$%&')*                       $.,!  ( &&     ?n?kO."f$%&')*                       $.,!  ( &&     ."g$%&')*                       $.,!  ( &&     ."h$%&')*                       $.,!  ( &&     A & B."i$%&')*                       Y@$.,!  ( &    q & Total Acres Statewide And Local Important Farmland"j$%(&')*                       Y@$.,!  ( &&    ."k$%&')*                       $.,!  ( &&     . "l$%&')*                       $.,!  ( &&     . "m$%&')*                       $.,!  ( &&     . "n$%&')*                       $.,!  ( &&     A & C. "o$%&')*                       Y@$.,!  ( &     & Percentage Of Farmland In County Or Local Govt. Unit To Be Converted "p$%(&')*                       Y@$.,!  ( &&    ."q$%&')*                       $.,!  ( &&     ."r$%&')*                       $.,!  ( &&     ."s$%&')*                       $.,!  ( &&     ."t$%&')*                       $.,!  ( &&     A & D."u$%&')*                       Y@$.,!  ( &     }&  Percentage Of Farmland In Govt. Jurisdiction With Same Or Higher Relative Value"v$%(&')*                       Y@$.,!  ( &&    ."w$%&')*                       $.,!  ( &&     ."x$%&')*                       $.,!  ( &&     ."y$%&')*                       $.,!  ( &&     ."z$%&')*                       $.,!  ( &&     ^$T 5 T_7#$(|),-.N/012456789                                    P ! b,"{$%&')*                      Y@$.,!  ( &&&& 3     A     ?J,    ?    ?    ?    ?    J &  PART V  (To be completed by NRCS) Land Evaluation Criterion  &  Relative Value Of Farmland To Be Converted (Scale of 0 to 100 Points)"}$%,&')*                       Y@$.,!  (     ,"~$%&')*                      A$.,!  ( &&&&    T_7[B1]>100  T_7  d    T_7[B1]  T_7  2@RESETOBJ (T_7[B1]);@REJECT(T_7[B1])  T_7      T_7  T_7    ]  ,"$%&')*                      A$.,!  ( &&&&    T_7[C1]>100  T_7  d    T_7[C1]  T_7  2@RESETOBJ (T_7[C1]);@REJECT(T_7[C1])  T_7      T_7  T_7    ]  ,"$%&')*                      A$.,!  ( &&&&    T_7[D1]>100  T_7  d    T_7[D1]  T_7  2@RESETOBJ (T_7[D1]);@REJECT(T_7[D1])  T_7      T_7  T_7    ]  ,"$%&')*                      A$.,!  ( &&&&    T_7[E1]>100  T_7  d    T_7[E1]  T_7  2@RESETOBJ (T_7[E1]);@REJECT(T_7[E1])  T_7      T_7  T_7    ]  ^>$T 5 T_8#$(),-.N/012456789                                    P ! b,"{$%&')*                      Y@$.,!  ( &&&& 3 &&    A     ?$    ?    ?    ?    ?    ?     &  PART VI  (To be completed by Federal Agency)  }&  Site Assessment Criteria (These criteria are explained in 7 CFR 658.5(b)"$%$&')*      i                 Y@$.,!  ( &&    o }&u  Maximum  }& Points"$%&')*      Z                 Y@$.,!  ( &&&&    ,"$%&')*                       Y@$.,!  ( &&    ,"$%&')*                       Y@$.,!  ( &&    ,"$%&')*                       Y@$.,!  ( &&    ,"$%&')*                       Y@$.,!  ( &&    ^$ T 4  T_9#$(),- .N/ 012456789                                    P ! b"$%&')*                      Y@$.,!  ( &&&& 3 &&    A     A     A     A     A     A     A     A     A     A     A     A     ?    ?!    ?    ?    ?    ?    ?    K &  1."$%&')*                       Y@$.,!  ( &&    Q & Area In Nonurban Use"$%!&')*                       Y@$.,!  ( &&    ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     K &   2."$%&')*                       Y@$.,!  ( &&    ??NV & Perimeter In Nonurban Use"$%!&')*                       Y@$.,!  ( &&    , "$%&')*                       A$.,!  ( &&     , "$%&')*                       A$.,!  ( &&     , "$%&')*                       A$.,!  ( &&     , "$%&')*                       A$.,!  ( &&     , "$%&')*                       A$.,!  ( &&     ? & 3."$%&')*                       Y@$.,!  ( &&    Y & Percent Of Site Being Farmed"$%!&')*                       Y@$.,!  ( &&    ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     ? & 4."$%&')*                       Y@$.,!  ( &&    n & Protection Provided By State And Local Government"$%!&')*                       Y@$.,!  ( &&    ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     ? & 5."$%&')*                       Y@$.,!  ( &&    ] & Distance From Urban Builtup Area"$%!&')*                       Y@$.,!  ( &&    ,"$%&')*                       A$.,!  ( &&     ,"$%&')*                       A$.,!  ( &&     , "$%&')*                       A$.,!  ( &&     ,!"$%&')*                       A$.,!  ( &&     ,""$%&')*                       A$.,!  ( &&     ? & 6.#"$%&')*                       Y@$.,!  ( &&    _ & Distance To Urban Support Services$"$%!&')*                       Y@$.,!  ( &&    ,%"$%&')*                       A$.,!  ( &&     ,&"$%&')*                       A$.,!  ( &&     ,'"$%&')*                       A$.,!  ( &&     ,("$%&')*                       A$.,!  ( &&     ,)"$%&')*                       A$.,!  ( &&     ? & 7.*"$%&')*                       Y@$.,!  ( &&    j & Size Of Present Farm Unit Compared To Average+"$%!&')*                       Y@$.,!  ( &&    ,,"$%&')*                       A$.,!  ( &&     ,-"$%&')*                       A$.,!  ( &&     ,."$%&')*                       A$.,!  ( &&     ,/"$%&')*                       A$.,!  ( &&     ,0"$%&')*                       A$.,!  ( &&     ? & 8.1" $%&')*                       Y@$.,!  ( &&    ] & Creation Of Nonfarmable Farmland2" $%!&')*                       Y@$.,!  ( &&    ,3" $%&')*                       A$.,!  ( &&     T_9[C8]>25  T_93      T_9[C8]  T_93  2@RESETOBJ (T_9[C8]);@REJECT(T_9[C8])  T_93      T_93  T_93    ]  ,4" $%&')*                       A$.,!  ( &&     ,5" $%&')*                       A$.,!  ( &&     ,6"$%&')*                       A$.,!  ( &&     ,7"$%&')*                       A$.,!  ( &&     ? & 9.8"$%&')*                       Y@$.,!  ( &&    b & Availability Of Farm Support Services9"$%!&')*                       Y@$.,!  ( &&    ,:"$%&')*                       A$.,!  ( &&     ,;"$%&')*                       A$.,!  ( &&     ,<"$%&')*                       A$.,!  ( &&     ,="$%&')*                       A$.,!  ( &&     ,>"$%&')*                       A$.,!  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P   !  * & 1  2      3       @RESETOBJ (locyes)   locyes    h!(&,\ & No H4 !"#                             P  &&&    q^)$ }&    Reason For Selection:$ reason!!"-]./5657N8 9:N;>?@ABCG                         P #      $      '    Y@$.,! *  < &&& = &&&&    ,1^ }&   (See Instructions on reverse side)  > !"#                             P  &&&&    1_ }&Z   Form AD-1006 (10-83)  2> !"#                             P  &&&    ^1 ` d This form was electronically produced by Elite Federal Forms, Inc. ? !"#                             P   &&&    ?=,defg h i =<$defg <^o elite10.DLL IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. elite10.COM IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. WPIN$ELITE10FunctionSet,4.1 ^=Z