Karner Blue Butterfly Habitat - U.S. Department of Agriculture

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Karner Blue Butterfly Habitat - U.S. Department of Agriculture Powered By Docstoc
					Instructions for CRP Plan Sheet Usage

1. Go to the tab named 'Signature Page'
2. Enter Contract Name, County, Contract Number and Total Acres
This will transfer these items to all worksheet pages.
3. Go to the appropriate worksheet page for the planned practice
4. Enter the Tract number and acres of the practice for each component.
NOTE: Some components do not have a cost shown on the worksheet I.E. Lime and Fertilizer per Soil Test.
You will need to enter the cost for these items in the Component List tab.
5. Do this for each practice on the tract.
6. The spreadsheet will automatically total the cost-sharing for each practice and the total cost-share for the contract.

Note: If hardwood trees are being planted over more than one year, the cost share entries and year will need to be typed in
order for them to be correct.
Be sure to save a copy of this spreadsheet with no tract information entered so that you will always have a blank one
to start from.

REMEMBER: YOU ARE REQUIRED TO ENTER THE PRACTICE LAYER IN TOOLKIT AS A PLAN LAYER!
ALSO: BE SURE TO NOTIFY LANDOWNERS THAT THESE COSTS ARE ESTIMATES AND MAY CHANGE!
Producers need to refer to the FSA contract for exact dollar figures.
AD-1156 is included in this spreadsheet. It is found between the CP33 tab and the Component List tab. Only the
header information is automatically populated.

Pen-and-ink changes are allowed for the following:
Rescheduling mid-management
Adding or changing contract number
Adding or deleting participants
Changing the year of practice implementation
Changing the quantity or dollar amount of a component code

Modifications (AD-1156) should be made for:
Switching to a different mid-management practice
1. To be completed by NRCS; check appropriate box:                                  This transaction is for CCC.                                  This transaction is for NRCS.                                                                                        OMB No. 0578-0013
U.S. DEPARTMENT OF AGRICULTURE                                                                                              CONSERVATION PLAN                                                                                                                     2.     Page          of
                                                                                                                          SCHEDULE OF OPERATIONS
The above statements are made in accordance with the Privacy Act of 1974 (5 U.S.C. 522a). Furnishing this information is voluntary; however, failure to furnish correct, complete information will result in the withholding or withdrawal of such technical or financial assistance. The
information may be furnished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or other State or Federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribunal.

3. NAME                                                                   4. COUNTY                                      5. STATE     6. CONTRACT OR                                                                                                   7. TOTAL ACRES UNDER
                                                                                                                                      AGREEMENT NO.                                                                                                         CONTRACT
                                                                                                                             WI

                                                                                                                                                                                                    COMPLETION SCHEDULE AND ESTIMATED
                                                                                                                            COST
  ITEM          FIELD                    PLANNED CONSERVATION                                    ESTIMATED       COST                                                                                 COST-SHARE OR PAYMENT BY YEAR
                                                                                                                           SHARE
                                                   TREATMENT
                                                                                                                             OR                                                                        (For Non-Cost Share Items Show Units)
   NO.                                                                                            AMOUNT         BASIS
                                                                                                                          PAYMENT
                                                  (Record of Decisions)                            (UNITS)         $        RATE
                                                                                                                             %                    14                      15                   16                17              18             19          20           21       22   23    REF. NO.
                                                                                                                                                 Year                   Year                Year               Year             Year           Year        Year         Year     Year Year

                                                                                                                                                2011                   2012                 2013               2016             2017           2021       2022
     8             9                         10                                                       11           12         13                  24                     25                   26                 27              28             29          30           31       32   33       34

                         A. Total Cost-Share or Payment by Year:
                                                                                                                                                $0.00                  $0.00               $0.00              $0.00            $0.00           $0.00      $0.00
                         B. Total Contract Payment:                                     $0.00

  NOTES: A. All Items numbered in column 8 on form AD-1155 must be carried out as a part of this contract to prevent violation.
         B. When established, the conservation practices listed in Column 8 must be maintained by the participant at no cost to the government
         C. Enter total cost per unit in column 12 unless the method of cost-share is flat rate. When flat rate, enter the amount per unit to be paid to the participant
         D. All cost share rates in column 13 are based on average cost with the following exceptions:
            AA = Actual costs not to exceed average cost
            FR = Flat Rate
            NC = Non cost-shared.
            AM = Actual cost not to exceed a specified maximum
            AP = Annual Payment
         E. Modifications will be referenced by number in column number 34 on form AD-1155.
         F. By signing, the participant acknowledges receipt of this conservation plan including form AD-1155 and agrees to comply with
            the terms and conditions hereof.
35. CERTIFICATION OF PARTICIPANTS
A. SIGNATURE                                                              B. Date               C. SIGNATURE                                                                         D. Date              E. SIGNATURE                                                           F. Date


36. REVIEWING OFFICIALS SIGNATURE
A. District Conservationist - Technical Adequacy Certification                                                                        B. Date                   C. APPROVED BY (Conservation District Representative)                                                  D. Date

SIGNATURE                                                                                                                                                       SIGNATURE

                                                                                                                     OMB DISCLOSURE STATEMENT
Federal Agencies may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Public reporting burden for this collection is estimated to average 37.5 mins. per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden to Department of Agriculture, OIRM, Stop 7630, Wash. DC
                                                                                                                                     NONDISCRIMINATION STATEMENT

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual
orientation, genetic information, political beliefs, reprisal or because all or part of an individuals income is derived from any public assistance program.. (Not all prohibited bases apply to all programs). Persons with disabilities who require alternative means for
communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue,
SW., Washington D.C. 20250-9410, or call (800) 795-3272 (voice) or (202)720-6382 (TDD).




                                                                                                                                                                                                                                                                                   AD-1155A
         USDA is an equal opportunity provider and employer                                                The signature by the NRCS representative signifies a CCC or NRCS transaction as indicated above                                                                     Exp. 9/30/2009
1. To be completed by NRCS; check appropriate box:                                                         This transaction is for CCC.                          This transaction is for NRCS.                                                OMB No. 0578-0013
U.S. DEPARTMENT OF AGRICULTURE                                                                                       CONSERVATION PLAN                                                                                                     2. Page            of
                                                                                                           SCHEDULE OF OPERATIONS for the SAFE PROGRAM
1. NAME                                                                                           2. COUNTY                                         3. STATE                    4. CONTRACT OR AGREEMENT NO. 5. TOTAL ACRES UNDER CONTRACT
                                               0                                                                         0                                Wisconsin                           0                               0

CP38E Rare and Declining Habitat Restoration, Karner Blue Butterfly Habitat SAFE. These fields will be seeded to permanent native grasses and forbs/legumes according to
Wisconsin Job Sheet 135. To establish the seeding, control weeds and brush as needed by spraying, burning, or mowing until the seeding is certified as established (may require up to 3
years of intensive management). Once the seeding is established, the entire contract acreage and type of permanent cover will be maintained as required by Job Sheet 397. CRP rules do
not allow disturbance of cover including maintenance or required management during the primary nesting season recorded in the CRP contract (May 15 through August 1). Spot
clipping or spot spraying may be done during the primary nesting season with prior approval from the local FSA Service Agency (FSA) County Committee. Managed and emergency
haying and grazing is NOT authorized for this practice. The CP38E cover requires a management practice as specified on the CRP contract. See attached Required Management Job
Sheet _____ for details.
                                                                                                                                                                     COMPLETION SCHEDULE AND ESTIMATED COST SHARE OR PAYMENT BY YEAR
                                                                                                                                         COST
                                                                                                   ESTIMATED                  COST                                                    (For Non-cost-Share Items Show Units)
                              PLANNED CONSERVATION TREATMENT                                                                           SHARE OR                                                                                                                      REF.
ITEM NO.    FIELD                                                                                   AMOUNTS                   BASIS                        14          15         16           17             18             19   20   21               22     23
                                      (Record of Decisions)                                                                            PAYMENT                                                                                                                       NO.
                                                                                                     (UNITS)                    $                         Year        Year       Year         Year           Year           Year Year Year             Year   Year
                                                                                                                                        RATE %
                                                                                                                                                          2011        2012      2016         2017            2021           2022
    8         9                              10                                                       11                       12           13             24           25            26          27           28             29         30     31      32    33      34
                     CRAA    LABORATORY SOIL ANALYSIS FEE                                                          AC         $1.56        50            $0.00
                     CRAB    LIME & FERTILIZER PER SOIL TEST                                                       AC         $0.00        50            $0.00
                     CRAC    SEEDBED PREPARATION                                                                   AC        $51.78        50            $0.00
                     CRAD    SEEDING OPERATION >3 ACRES                                                            AC        $56.82        50            $0.00
                     CRAL     CP38E SEED                                                                           AC        $379.30       50            $0.00
                     CRAO SEEDING RATE SMALL ACREAGE <3 ACRES                                                      AC        $109.82       50            $0.00
                     CRBA    TEMPORARY SEEDING                                                                     AC        $69.80        50            $0.00
                     CRAN    WEED/INSECT CONTROL - GRASS                                                           AC        $23.42        50            $0.00
                     Choose 6th/7th Mid Management Practice                                                        AC         $0.00        50                                       $0.00
                     Choose 6th/7th Mid Management Practice                                                        AC         $0.00        50                                                    $0.00
                     Choose 11th/12thYear Management Practice                                                      AC         $0.00        50                                                                $0.00
                     Choose 11th/12thYear Management Practice                                                      AC         $0.00        50                                                                               $0.00
                                                                                        Totals:                                                           0.00         0.00          0.00        0.00         0.00          0.00



                                                                                                          OMB DISCLOSURE STATEMENT
Federal Agencies may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Public reporting burden for this collection is estimated to average
37.5 mins. per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Agriculture, OIRM, Stop 7630, Wash. DC
                                                                                                             PRIVACY ACT STATEMENT
The above statements are made in accordance with the Privacy Act of 1974 (5 U.S.C. 522a). Furnishing this information is voluntary; however, failure to furnish correct, complete information will result in the withholding or withdrawal of such technical or financial
assistance. The information may be furnished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or other State or Federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribunal.
                                                                                                                NONDISCRIMINATION STATEMENT

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, and where applicable, sex, marital status, familial status, parental
status, religion, sexual orientation, genetic information, political beliefs, reprisal or because all or part of an individuals income is derived from any public assistance program.. (Not all prohibited bases apply to all programs). Persons with
disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write
USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW., Washington D.C. 20250-9410, or call (800) 795-3272 (voice) or (202)720-6382 (TDD).




                                                                                                                                                                                                                                                                    AD-1155
                                                                                        The signature of the NRCS representative signifies a CCC or NRCS transaction as indicated above                                                                       Exp. 9/30/2007
1. To be completed by NRCS; check appropriate box:                     This transaction is for CCC.                                                                 This transaction is for NRCS.                                            OMB No. 0578-0013
U.S. DEPARTMENT OF AGRICULTURE                                                                                          REVISION OF PLAN OR SCHEDULE OF OPERATIONS                                                                         2. Page             of
                                                                                                                             OR MODIFICATION OF CONTRACT
The above statements are made in accordance with the Privacy Act of 1974 (5 U.S.C. 522a). Furnishing this information is voluntary; however, failure to furnish correct, complete information will result in the withholding or withdrawal of such technical or financial
assistance. The information may be furnished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or other State or Federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribunal.

3. NAME                                                    4. COUNTY                                                                5. STATE           6. CONTRACT OR                                                       7. REVISION OR
                            0                                                                0                                             WI          AGREEMENT NO.                                0                       MODIFICATION NO.
                                                                                                                                                                                               COMPLETION SCHEDULE AND ESTIMATED
  ITEM       FIELD                              PLANNED CONSERVATION                                       ESTIMATED       COST       COST SHARE                                                 COST-SHARE OR PAYMENT BY YEAR
   NO.                                               TREATMENT                                              AMOUNT         BASIS      OR PAYMENT                                                  (For Non-Cost Share Items Show Units)
                                                      (Record of Decisions)                                  (UNITS)         $           RATE
                                                                                                                                           %                       14                     15         16      17       18       19     20       21     22       23   REF. NO.
                                                                                                                                                                  Year                Year          Year    Year     Year     Year   Year     Year   Year   Year


     8          9                                              10                                               11           12             13                     24                     25         26      27       28       29     30       31     32       33      34




35. CERTIFICATION OF PARTICIPANTS
A. SIGNATURE                                               B. Date                                        C. SIGNATURE                                                           D. Date                   E. SIGNATURE                              F. Date



36. REVIEWING OFFICIALS SIGNATURE
A. District Conservationist - Technical Adequacy Certification                                                                                         B. Date                   C. APPROVED BY (Conservation District Representative) Date
                                                                                                                                                                                                                                    D.

SIGNATURE                                                                                                                                                                        SIGNATURE

                                                                                                              OMB DISCLOSURE STATEMENT
Federal Agencies may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Public reporting burden for this collection is estimated to average 37.5
mins. per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Agriculture, OIRM, Stop 7630, Wash. DC
                                                                                                             NONDISCRIMINATION STATEMENT
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, and where applicable, sex, marital status, familial status, parental
status, religion, sexual orientation, genetic information, political beliefs, reprisal or because all or part of an individuals income is derived from any public assistance program.. (Not all prohibited bases apply to all programs). Persons with
disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write
USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW., Washington D.C. 20250-9410, or call (800) 795-3272 (voice) or (202)720-6382 (TDD).




                                                                                                                                                                                                                                                                     AD-1156
Former CCC-1253, NRCS-LTP-12                                                           The signature by the NRCS representative signifies a CCC or NRCS transaction as indicated above.                                                                              04-2002
        Component List   11/14/2011

COMPONENT                                                            Unit_Type Unit_Cost Share_Rate Calculation
CRAA     LABORATORY SOIL ANALYSIS FEE                            1      AC       $1.56       50        $0.78
CRAB     LIME & FERTILIZER PER SOIL TEST                         1      AC       $0.00       50        $0.00
CRAC     SEEDBED PREPARATION                                     1      AC       $51.78      50       $25.89
CRAD     SEEDING OPERATION                                       1      AC       $56.82      50       $28.41
CRAE     CP1 SEED (SEE JOB SHEET 134)                            1      AC       $43.02      50       $21.51
CRAF    CP2 SEED (SEE JOB SHEET 135)                             1      AC      $177.26      50       $88.63
CRAG CP4B, CP4D, CP11, CP32 SEED (SEE JOB SHEET 134 OR 135)      1      AC      $177.26      50       $88.63
CRAH CP9 SEED (SEE JOB SHEET 134 OR 135)                         1      AC      $143.04      50       $71.52
CRAI   CP21, CP22 SEED (SEE JOB SHEET 134 OR 135)                1      AC      $195.84      50       $97.92
CRAJ    CP15A SEED (SEE JOB SHEET 134 OR 135)                    1      AC      $177.26      50       $88.63
CRAK CP27 SEED (SEE JOB SHEET 134 OR 135)                        1      AC      $177.26      50       $88.63
CRAL    CP25 CUSTOM SEED MIX (SEE JOB SHEET 135)                 1      AC      $379.30      50       $189.65
CRAM COMPANION CROP                                              1      AC       $11.58      50        $5.79
CRAN     WEED/INSECT CONTROL - GRASS                             1      AC       $23.42      50       $11.71
CRAO SEEDING RATE SMALL ACREAGE 3 ACRES OR LESS/CONTRACT         1      AC      $109.82      50       $54.91
CRAQ     CP33 REQUIRED MANAGEMENT PRACTICE DISKING (CP1, CP10
                                                                 1      AC                   50
SIGN-UP 26 & 29 ONLY)                                                            $14.34                $7.17
CRAR REQUIRED MANAGEMENT PRACTICE                                1      AC       $20.66      50       $10.33
CRAS REQUIRED MANAGEMENT PRACTICE                                1      AC       $90.84      50       $45.42
CRAT    CP33 SEED                                                1      AC      $231.24      50       $115.62
CRAU CP33 REQUIRED MANAGEMENT - STRIP HERBICIDE APPLICATION      1      AC       $16.80      50        $8.40
CRAV CP1,CP2,CP10,CP21,CP23,CP23A,CP25,CP28,CP29 REQUIRED
                                                                 1      AC                   50
MANAGEMENT - HERBICIDE APPLICATION                                              $16.80                 $8.40
CRAW CP1,CP10,CP23,CP23A,CP28 REQUIRED MANAGEMENT DISKING AND
                                                                 1      AC                   50
INTER-SEEDING                                                                   $89.12                 $44.56
CRAX CP1,CP10,CP23,CP23A,CP28 REQUIRED MANAGEMENT DISKING AND
                                                                 1      AC                   50
INTER-SEEDING                                                                   $100.00                $50.00
CRAY CP1,CP2,CP10,CP21,CP23,CP23A,CP25,CP28,CP29 REQUIRED
                                                                 1      AC                   50
MANAGEMENT BURNING AND INTER-SEEDING (COOL MIX)                                 $100.00                $50.00
CRAZ CP1,CP2,CP10,CP21,CP23,CP23A,CP25,CP28,CP29 REQUIRED
                                                                 1      AC                   50
MANAGEMENT BURNING AND INTER-SEEDING (WARM MIX)                                 $100.00                $50.00
CRDF CP25 REQUIRED MANAGEMENT BURNING AND INTER-SEEDING
                                                                 1      AC                   50
(CP25 MIX)                                                                      $100.00               $50.00
CRBA     TEMPORARY SEEDING                                       1      AC       $69.80      50       $34.90
CRBB     LIGHT SITE PREPARATION                                  1      AC       $78.42      50       $39.21
CRBC     MEDIUM SITE PREPARATION                                 1      AC      $137.70      50       $68.85
CRBD     TREE/SHRUB PLANTING (HAND OR MACHINE)                   1     100       $53.50      50       $26.75
CRBE     DNR TREES/SHRUBS                                        1     100       $61.20      50       $30.60
CRBF    PRIVATE NURSERY TREES/SHRUBS                             1     100      $110.24      50       $55.12
CRBG CONTAINERIZED TREES                                         1     100      $240.50      50       $120.25
CRBH CUTTINGS & TRANSPLANTS, ASPEN                               1     100      $232.20      50       $116.10
CRBI    SEEDING FIREBREAKS                                       1      AC       $62.74      50       $31.37
CRBJ    WEED/INSECT CONTROL - TREES                              1      AC       $50.64      50       $25.32
CRBK FENCING                                                     1     ROD       $46.90      50       $23.45
CRBL ANIMAL DAMAGE CONTROL DEVICE                                1     NO.       $6.50       50        $3.25
CRBM TREE SEED/HEAVY SEEDED SPECIES                              1      BU       $29.50      50       $14.75
CRBN     TREE SEED/LIGHT SEEDED SPECIES                          1      LB       $45.80      50       $22.90
CRBO DIRECT SEEDING - TREES (BROADCAST OT DRILL)                 1      AC       $52.88      50       $26.44
CRCA ESTABLISHING FIELD DIVERSION SYSTEM                         1      FT       $0.00       50        $0.00
CRCB EROSION CONTROL STRUCTURE                                   1      NO       $0.00       50        $0.00
CRCC     ESTABLISHING SOD WATERWAYS                              1      AC       $0.00       50        $0.00
CRCD     SUBSURFACE DRAINS                                       1      FT       $0.00       50        $0.00
CRCE INSTALL & REMOVE BERMS FOR CRP Waterway                     1      AC       $0.00       50        $0.00
CRCF    SHALLOW WATER AREAS FOR WILDLIFE                         1      NO       $0.00       50        $0.00
CRCG GRADING, LEVELING, FILLING                                  1      AC       $0.00       50        $0.00
CRCH ROCK FILLED INFILTRATION TRENCH                             1     ROD       $0.00       50        $0.00
CRCI    PIPELINE                                                 1      FT       $0.00       50        $0.00
CRCJ    WATER FACILITIES                                         1      NO       $0.00       50        $0.00
CRCK LIVESTOCK CROSSINGS                                         1      FT       $0.00       50        $0.00
CRDA NO C/S AUTH. OR COVER ALREADY ESTAB.                        1      AC       $0.00       0         $0.00
CRDB WETLAND RESTORATION (NO C/S)                                       AC       $0.00       0         $0.00
CRDC CP12-WILDLIFE FOOT PLOT (NO C/S)                            1      AC       $0.00       0         $0.00
CRDD WATER DEVELOPMENTS (spring,well,pond)                       1      NO       $0.00       50        $0.00
CRDE BOUNDARY MARKER                                             1      NO       $0.00       50        $0.00
CRDG CP1, CP10, CP21, CP23, CP23A, CP28 REQUIRED MIDMANAGEMENT
                                                                 1      AC      $83.58       50        $41.79
HERBICIDE AND INTERSEED (COOL MIX)
CRDH CROP TREE RELEASE - SLASH LEFT ON SITE                      1      AC       $100.00     50       $50.00
CRDI EVERY OTHER ROW THINNING - SLASH LEFT ON SITE               1      AC       $450.00     50       $225.00
CRDJ EVERY OTHER ROW THINNING - SHALSH REMOVED FROM SITE         1      AC       $500.00     50       $250.00
CRDK PRUNING TO 12'                                              1      AC        $90.00     50       $45.00
CRDL PRUNING TO 17'                                              1      AC       $180.00     50       $90.00
CRDM POLLINATOR HABITAT                                          1      AC       $462.38     50       $231.19
1. To be completed by NRCS; check appropriate box:                                                          This transaction is for C
U.S. DEPARTMENT OF AGRICULTURE

1. NAME                                                                                         2. COUNTY
                                              0                                                                                     0




                                                                                                   ESTIMATED
                                    PLANNED CONSERVATION TREATMENT
ITEM NO.      FIELD                                                                                 AMOUNTS
                                            (Record of Decisions)
                                                                                                     (UNITS)

     8           9                                        10                                           11




                                                                                      Totals:

                                                                                                                                  OMB D
Federal Agencies may not conduct or sponsor, and a person is not required to respond to a collectin of information unless it disp
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completieng ta
including suggestions for reducing this burden to Department of Agriculture, OIRM, Stop 7630, Wash. DC
                                                                                                                                     PRI

The above statements are made in accordance with the Privacy Act of 1974 (5 U.S.C. 522a). Furnishing this information is voluntary; how
furnished to other USDA agencies, the Internal Revenue Service, the Department of Justice, or other State or Federal law enforcement agenc

                                                                                                                                NONDIS
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color,
genetic information, political beliefs, reprisal or because all or part of an individuals income is derived from any public assistanc
information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). T
call (800) 795-3272 (voice) or (202)720-6382 (TDD).
       This transaction is for CCC.                                                    This transaction is for NRCS.
                                           CONSERVATION PLAN
                                         SCHEDULE OF OPERATIONS
UNTY                                                                    3. STATE                               4. CONTRACT OR AGREEMENT NO.
                                0                                                   Wisconsin                                    0




                                                                                  COMPLETION SCHEDULE AND ESTIMATED COST SHARE OR
                                                                                                   (For Non-cost-Share Items Show Units)
                             COST BASIS         COST SHARE OR
                                                                                 14          15         16         17
                                 $              PAYMENT RATE %
                                                                                Year        Year       Year       Year
                                                                                2011        2012       2013       2016
                                    12                    13                     24          25         26         27




                                                                               $0.00               $0.00          $0.00        $0.00

                              OMB DISCLOSURE STATEMENT
ollectin of information unless it displays a currently valid OMB control number. Public reporting burden for this collection is estimated to avera
  data needed, and completieng tand reviewing the collection of information. Send comments regarding this burden estimate or any other as
 , Wash. DC
                                 PRIVACY ACT STATEMENT

ng this information is voluntary; however, failure to furnish correct, complete information will result in the withholding or withdrawal of such technical o
ate or Federal law enforcement agencies, or in response to orders of a court, magistrate, or administrative tribunal.

                            NONDISCRIMINATION STATEMENT
ctivities on the basis of race, color, national origin, gender, religion, age, disability, and where applicable, sex, marital status, familial status,
 derived from any public assistance program.. (Not all prohibited bases apply to all programs). Persons with disabilities who require alterna
202) 720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Aven
                                                OMB No. 0578-0013
                                            2    Page          of


CT OR AGREEMENT NO.      5. TOTAL ACRES UNDER CONTRACT
      0                                            0




STIMATED COST SHARE OR PAYMENT BY YEAR
 st-Share Items Show Units)
                                                                      REF.
                 18         19  20   21   22   23
                                                                      NO.
               Year       Year Year Year Year Year
               2017       2021
                 28         29  30   31   32   33                      34




                $0.00       $0.00



 ollection is estimated to average 37.5 mins. per sesponse, including the
rden estimate or any other aspect of this collection of information,




r withdrawal of such technical or financial assistance. The information may be
marital status, familial status, parental status, religion, sexual orientation,
disabilities who require alternative means for communication of program
 ts, 1400 Independence Avenue, SW., Washington D.C. 20250-9410, or

				
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