NRCS CPA W Site Identification Tracking by FoodInspect

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									                                                                                                NRCS-CPA-30W
                                                                                                      (6-9-06)

                                WETLAND APPEAL DOCUMENTATION RECORD
                                        Site Identification Tracking
                                     (use one sheet per site on the tract)


    Owner/Operator ___________________________________________                 Date ____________________

    Tract No.__________     Farm No.______       Section No._______     Township T____N         Range R_____

    Address _______________________________________________ County _____________________

    Site Identification No.* _________________________ - _______________ (Tract No. + Site No.)

    Site Location Map with Site Identification No.(s) attached?     Yes       No

                                        Wetland Determination Record
                                   FSA Wetland       Wetland Size      Determination       Recorders
           Organization Level
                                   Designation           (Ac)              Date             Initials
           FO Original
           FO Appeal
           SO Appeal

    •   Was the wetland determination verified using on-site procedures?       Yes      No
    •   Was the wetland determination made from an approved offsite wetland mapping convention?     Yes    No
    •   Photographs, slides, videos, other (specify): ____________________________________________

*The Site Identification No. is a unique number within one county and shall not be used for another site
 within the same county.

                                       HEL Determination Record

    INITIAL FINDINGS
               Field No.          Finding                   Practice that Finding Applies to:




    RECONSIDERATION FINDINGS




            Reconsideration Decision for Tract: __________
    STATE FINDINGS




            State Appeal Decision for Tract: ____________

								
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