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 Harvesting a field in Arkansas





2006 Environmental Quality Incentives Program

Arkansas Environmental Quality Incentives Program Application Priority Self-Assessment

Name: ________________________________

FSN/Tract: _____________________________

County: _______________________________

Complete this form for each application. Information will be used to determine the priority of an application. Changes made during ranking or contracting that lower an application's priority may result in withdrawal of an offer to fund the contract. Check with local NRCS employees for guidance on completing any part of this form.

A. Check any items below that describe a special concern where the intent is to treat the problem on the entire area being included in this application.

_____  1. Install structures to decrease current use of ground water for irrigation.

_____  2. Protect or improve water quality through proper storage and handling of animal manures, including closure of a liquid storage structure.

_____  3. Install measures to control existing erosion and/or reduce sediment from entering adjacent streams, water bodies, or wetlands.

_____  4. None of the above.

B. Indicate practices you are applying for in this application. Any item checked in A must have at least one practice picked below that addresses that concern. Several practices have restrictions on use. If you need help understanding which practice you will need, or what restrictions might apply, check with a local NRCS employee.

Practice Name Practice Name
_____  Access Road / Forest Trails and Landings _____  Irrigation System, Tailwater Recovery
_____  Amendments for Treatment of Ag. Waste _____  Irrigation Water Conveyance

_____  Brush Management

 _____  Irrigation Water Management
_____  Closure of Waste Impoundment _____  Land Leveling
_____  Composting / Animal Mortality Facility _____  Pasture and Hayland Planting
_____  Conservation Cover _____  Pond / Water Facility / Spring Dev. / Well (Livestock)
_____  Cover Crop _____  Prescribed Burning
_____  Critical Area Planting _____  Prescribed Grazing
_____  Dike _____  Pumping Plant for Water Control

_____  Diversion

 _____  Riperian Forest Buffer / Riparian Herbaceous Cover
_____  Fence

_____  Roof Runoff Structure
_____  Field Border / Filter Strip _____  Stream Crossing
_____  Firebreaks _____  Streambank and Shoreline Protection
_____  Forest Site Preparation _____  Tree/Shrub Establishment
_____  Forest Stand Improvement _____  Upland Wildlife Habitat Mgt. (Establishment) / Restoration and Mgt. of Declining Habitats
_____  Grade Stab. Strct. / Strct. for Water Control _____  Waste Storage Facility
_____  Grassed Waterway _____  Waste Treatment Lagoon / Constructed Wetland
_____  Heavy Use Area Protection _____  Water and Sediment Control Basin
_____  Hedgerow Planting _____  Waste Facility Cover
_____  Herbaceous Wind Barrier _____  Waste Utilization (Transfer)
_____  Irrigation Land Leveling _____  Well (Alt. Crop)
_____  Irrigation Regulating Reservoir _____  Wetland Wildlife Habitat Mgt. (Establishment) / Shallow Water Management for Wildlife
_____  Irrigation Storage Reservoir _____  Wetland Restoration
_____  Irrigation System, Micro-irrigation (Alt. Crop) _____  Windbreak/Shelterbelt Establishment
_____  Irrigation System Sprinkler (Waste Mgt.)  


C. I am applying for EQIP in one of the following special categories. Check with an NRCS employee for details.

_____  Alternative Crops

_____  L'Anguille TMDL 319 Project

_____  Small Scale Farm Initiative

_____  Waste System Closure

Applicant Signature:________________________________

Date:___________________________

Application Priority (NRCS employee circle one and initial)  HIGH    MEDIUM    LOW

DRAFT November 16, 2005

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