1. GENERAL DESCRIPTION OF LAND USE / COVER TYPES (SEE GENERAL DESCRIPTIONS ON PAGE 7) A 2. ADJACENT LANDS & EASEMENTS 3. FAMILY AGRICULTURAL LEGACY

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1 CONSERVATION EASEMENT PROJECT: COUNTY: NAME OF LANDOWNER: CELL/OFFICE PHONE: NAME OF FARM / SITE MANAGER: CELL/OFFICE PHONE: GENERAL DESCRIPTION OF LAND USE / COVER TYPES (SEE GENERAL DESCRIPTIONS ON PAGE 7) A DESCRIBE THE LAND USE / COVER TYPES ON THE PROPERTY? (ESTIMATED ACRES) (PLEASE VERIFY ALL ACRES CORRECTLY ADD UP TO PROJECT TOTAL) AGRICULTURAL LAND USE IMPROVED PASTURE NATIVE PASTURE ACRES AGRICULTURAL LAND USE 3. HAY / SILAGE 7. OTHER (LIST) ACRES AGRICULTURAL / FOREST USE 5. ROW CROPS 8. NATURAL FOREST (UPLAND) PROJECT TOTAL (1-11) ACRES NATURAL WETLANDS ACRES 10. NATURAL FOREST (WETLAND) 6. CITRUS 9. PLANTED TIMBER 1 MARSH, WET PRAIRIE, OPEN WATER 4. SOD TOTAL UPLAND (1 9) TOTAL WETLAND (10-11) ADJACENT LANDS & EASEMENTS A. DESCRIBE ANY ADJACENT OR NEARBY PUBLIC CONSERVATION LANDS OR CONSERVATION EASEMENTS (EXAMPLE: DACS RURAL & FAMILY LANDS, NRCS-WRP, FLORIDA FOREVER PROJECTS, WMD EASEMENTS): 3. FAMILY AGRICULTURAL LEGACY A. SUMMARIZE OVERALL FAMILY HISTORY OR LEGACY OF PROPERTY AS IT RELATES TO AGRICULTURE OR FORESTRY: (NOTE: IF PROPERTY UNDER APPLICANT OWNERSHIP FOR LESS THAN 30 YEARS, THEN DESCRIBE FAMILY S HISTORY IN AGRICULTURE / FORESTRY ELSEWHERE AND THE AGRICULTURAL / FORESTRY HISTORY OF THE PROJECT UNDER PREVIOUS OWNERS) DESCRIBE ANY HISTORICAL STRUCTURES / SITES OBSERVED OR KNOWN ON PROPERTY: (EXAMPLE: HOMESTEADS, OLD RANCH BUILDINGS / INFRASTRUCTURE, HISTORIC ROADS / BRIDGES, ARCHEOLOGICAL SITES, CEMETERIES) 1 Page

2 4. RECREATION / HUNTING ACTIVITIES A. DESCRIBE RECREATION ACTIVITIES (INCLUDING HUNTING) BY FAMILY: HUNTING OR RECREATION LEASES: 3. GENERAL PUBLIC VISITATION OCCURRING ON THE PROPERTY: 5. NATURAL RESOURCES HABITAT, PLANTS & WILDLIFE, AND WATER A. GENERAL OBSERVATIONS OF CONDITION OF NATIVE HABITATS, PLANT COMPOSITION / STRUCTURE, AND OVERALL NATURAL RESOURCE ATTRIBUTES: B. DESCRIBE TYPICAL WILDLIFE SPECIES COMMONLY OBSERVED ON THE PROPERTY: C. DESCRIBE ANY RARE SPECIES (PLANTS AND ANIMALS) KNOWN TO OCCUR ON THE PROPERTY: RELATED MONITORING OR SPECIES HABITAT MANAGEMENT ACTIVITIES: D. DESCRIBE WETLANDS & WATERBODIES: GENERAL HYDROLOGIC FUNCTION ON PROPERTY: 3. IMPACTED WETLAND SYSTEMS: 2 Page

3 6. FOREST RESOURCES & FORESTRY OPERATIONS A. TIMBER PRE-MERCHANTABLE PLANTED PINE: A SUPPLEMENTAL PAGE MAY BE ATTACHED, IF NEEDED MERCHANTABLE PLANTED PINE: 3. CUTOVER, PLANTABLE STANDS (TO REMAIN IN TIMBER PRODUCTION): ACRES 4. NATURAL TIMBER (MANAGED FOR TIMBER RESOURCES): ACRES 5. NARRATIVE DESCRIBING OBSERVED STAND CONDITIONS, STOCKING, LOGGING ACCESS: PINE STRAW / CABBAGE PALM HARVESTS, OTHER PRODUCTS DESCRIBE SPECIES, ACRES, AND NATURE OF OPERATION: B. DESCRIBE FORESTRY OPERATIONS DURING LAST THREE (3) YEARS (SPECIES, ACRES, TYPE OF HARVEST, ETC) TIMBER HARVEST(S): SITE PREPARATION / REFORESTATION: 3. FERTILIZATION / HERBICIDE CONTROLS: C. DESCRIBE ACRES, YEAR(S), IMPACTS OF ANY PAST WILDFIRES: DESCRIBE AMOUNT, FREQUENCY OF ANY PRESCRIBED BURNING IN NATURAL TIMBER AND/OR PLANTED PINE: D. DESCRIBE ANY NON-NATIVE INVASIVE SPECIES (PLANTS AND ANIMALS) PRESENT AND TREATMENT ACTIONS: SPECIES (NAME) ESTIMATE POPULATION SIZE DESCRIBE PAST TREATMENT ACTIONS / SUCCESS 3. E. EFFORTS / ACTIVITIES TO COMPLY WITH SILVICULTURAL BMPS DURING TIMBER / FOREST MANAGEMENT: F. DO YOU WORK WITH A FORESTER (FFS OR PRIVATE)? (YES/NO) IF YES, PROVIDE NAME AND CONTACT INFORMATION: PHONE / 3 Page

4 7. RANCHING / LIVESTOCK / GRAZING OPERATIONS A. COW CALF BEEF / SEEDSTOCK BEEF, DAIRY CATTLE, DESCRIBE LIVESTOCK RESOURCES AND OPERATIONS: BREED(S) UTILIZED AND APPROXIMATE NUMBER OF ADULT CATTLE: A SUPPLEMENTAL PAGE MAY BE ATTACHED, IF NEEDED AVERAGE BODY CONDITION SCORE OF CATTLE OBSERVED: (DESCRIBE ANY MITIGATING CIRCUMSTANCES) 3. GRAZING PROGRAM, MINERAL SUPPLEMENTATION, WINTER SUPPLEMENTATION: 4. CONTROLLED BREEDING PROGRAM: 5. ANIMAL IDENTIFICATION: 6. HERD HEALTH PLAN, VACCINATION PROGRAM, PARASITE MANAGEMENT: 7. RECORDKEEPING - PRODUCTION, HERD HEALTH, AND VACCINATION RECORDS: 8. MANAGEMENT PRACTICES RELATED TO FOOD SAFETY, QUALITY ASSURANCE, COMPLIANCE WITH LABEL INSTRUCTIONS, INJECTION SITE LOCATION, WITHDRAWAL PERIODS AND RECORDKEEPING. OTHER LIVESTOCK: 9. HORSES, DOMESTIC SWINE, OTHER: B. DESCRIBE PASTURE / RANGE RESOURCES AND MANAGEMENT: ACRES OF IMPROVED PASTURE: PASTURE GRASS TYPE(S): ACRES OF NATIVE RANGE: 3. SEASONAL STOCKING RATES AND ADEQUACY FOR GRAZING CONDITIONS: 4. ROTATIONAL GRAZING: 5. PASTURE FERTILIZATION, TILLAGE, RESTORATION, WEED CONTROL ACTIVITIES: 6. FREQUENCY AND TIMING OF ANY PASTURE BURNING: 7. RECORDKEEPING - FERTILIZATION, TREATMENTS, AND PASTURE ROTATION RECORDS: 8. WATER SOURCES / SUPPLEMENTAL WELLS: 9. TYPE AND EXTENT OF NON-NATIVE OR INVASIVE PLANTS OBSERVED IN PASTURES / TREATMENT SUCCESS: C. DESCRIBE FENCING AND IMPROVEMENTS RELATED TO FARM / RANCH OPERATIONS: CONDITION OF FIELD FENCING, PENS AND GATES: CONDITION OF OTHER RANCH BUILDINGS AND FARM STRUCTURES: 4 Page

5 8. CROPS / OTHER AGRICULTURE USES & PRODUCTION / MARKETING A. CROP FIELDS / PLANT NURSERY OPERATIONS OVERALL FIELD SIZE AND CROP / SPECIES ALLOCATIONS: FERTILIZATION / HERBICIDE TREATMENTS: 3. WELLS, DITCHES, IRRIGATION PRACTICES: A SUPPLEMENTAL PAGE MAY BE ATTACHED, IF NEEDED SODDING OVERALL FIELD SIZE AND TURF ALLOCATIONS: FERTILIZATION / HERBICIDE TREATMENTS: 3. WELLS, DITCHES, IRRIGATION PRACTICES: CITRUS / VINEYARD / BLUEBERRY OPERATIONS OVERALL GROVE(S) AGE, CONDITION, AND FRUIT TYPE ACREAGE ALLOCATIONS: FERTILIZATION / HERBICIDE TREATMENTS: 3. WELLS, DITCHES, IRRIGATION PRACTICES: B. DESCRIBE SUPPLEMENTAL USE OF AGRICULTURAL FIELDS (IF APPLICABLE) HAY ACRES, GRASS SPECIES, AND FREQUENCY OF CUTTING: APIARY LEASES: 3. FALLOW AREAS / OUT OF PRODUCTION: 4. FISH PONDS / OTHER: C. DESCRIBE SUCCESSFUL PRACTICES AS IT RELATES TO AGRICULTURAL / FORESTRY PRODUCTION (INCLUDING BMPS): AGRICULTURAL / FORESTRY PRODUCT MARKETING STRATEGY: 5 Page

6 9. GOVERNMENT PROGRAMS & PARTICIPATION / DACS BMP PROGRAM PARTICIPATION A. PARTICIPATION IN THE DACS BMP PROGRAM(S): (PROVIDE INFORMATION FOR ALL APPLICABLE BMP ENROLLMENTS) TYPE/OPERATION ENROLLMENT DATE ** NOTICE OF INTENT # ACRES DACS CONTACT PERSON A. COW/CALF B. DAIRY C. EQUINE D. POULTRY E. CITRUS F. NURSERIES G. SOD H. FRUIT/NUT I. VEGETABLE/CROP J. SILVICULTURE K. WILDLIFE (STATE IMPERILED) ** NOTE: IF ENROLLMENT NOT FINALIZED SHOW APPLICATION DATE AND STATE IN PROCESS IN NOI # COLUMN B. IS PROPERTY WITHIN THE GEOGRAPHIC REGION PROTECTED BY A BASIN MANAGEMENT ACTION PLAN (BMAP) ADOPTED BY DEP EXECUTIVE ORDERS? YES NO NAME OF WATER BODY: DATE OF BMAP APPROVAL: (SEE FOR MORE INFORMATION) C. LIST ANY GOVERNMENT ASSISTANCE / GRANTS RECEIVED DURING THE PAST THREE (3) YEARS: (NRCS, DACS, FFS, IFAS, ETC.) YEAR AGENCY TYPE OF ASSISTANCE ACRES $ FUNDING LEVEL 3. D. LIST ANY FORMAL MANAGEMENT PLANS / MAPS PREPARED FOR PROPERTY: (EXAMPLE: FARM PLAN, CONSERVATION PLAN, STEWARDSHIP PLAN, TREE FARM PLAN) YEAR WRITTEN PREPARER NAME OF PLAN / MAP ACRES COVERED 3. PLEASE PROVIDE A COPY OF ANY FARM FIELD, PASTURE, AND/OR STAND MAPS ASSOCIATED WITH ANY PLANS 6 Page

7 FOR USE ON PAGE 1 - LAND USE / COVER TYPES GENERAL DESCRIPTIONS OF THE LAND USE / COVER TYPES UPLAND IMPROVED PASTURE AREA WHERE NON-NATIVE PASTURE GRASSES HAVE BEEN ESTABLISHED. VARYING DEGREES OF ESTABLISHMENT (INCLUDING SEMI- IMPROVED ). MAY INCLUDE OCCASIONAL PINE OR OAK TREE, SUCH AS A CONVERTED (E.G. TO BAHIA) MESIC FLATWOODS SITE, WHERE MAIN PURPOSE OF MANAGEMENT OF SITE IS TO PROVIDE FORAGE FOR CATTLE. MAY INCLUDE AREAS BEING TILLED OR SODDED OCCASIONALLY IN AN EFFORT TO ENHANCE OR RESTORE FORAGE QUALITY. NATIVE PASTURE NATIVE FLATWOODS, DRY PRAIRIE, ETC. WHERE GROUNDCOVER IS COMPOSED OF NATIVE GRASSES AND FORBS AND WHERE CATTLE ARE SEASONALLY OR CONTINUOUSLY PRESENT AND RECEIVE SUBSTANTIAL NUTRIENT VALUE FROM NATIVE VEGETATION. SITES NORMALLY ARE BURNED OCCASIONALLY TO REDUCE WOODY SHRUBBY VEGETATION AND IMPROVE GRAZING QUALITY. TIMBER IS LOW DENSITY AS MAIN PURPOSE OF MANAGEMENT IS CATTLE PRODUCTION. 3. HAY / SILAGE FIELDS DEDICATED TO THE ON-GOING PRODUCTION OF HAY OR SILAGE. 4. SOD FIELDS DEDICATED TO THE ON-GOING PRODUCTION OF COMMERCIAL SOD. 5. ROW CROPS FIELDS REGULARLY TILLED AND DEDICATED TO ON-GOING PRODUCTION OF AN ANNUAL CROP OF VEGETABLES. 6. CITRUS GROVES WITH ESTABLISHED TREES ACTIVELY MANAGED FOR CITRUS OR FRUIT PRODUCTION. 7. OTHER SPECIALIZED AGRICULTURAL PRODUCTION SUCH AS FISH PONDS, VINEYARDS, PLANT NURSERIES, BLUEBERRY OPERATIONS. THIS INCLUDES ANY ABANDONED FIELDS / FALLOW CITRUS. ALSO INCLUDES ANY LARGE CLEARED OR DEVELOPED SITES, AIRFIELDS, SHOOTING RANGES, HUNT CAMPS, INFRASTRUCTURE, ETC. 8. NATURAL FOREST (UPLAND) UPLAND STANDS OF NATURAL TIMBER (E. G. WET, MESIC, SCRUBBY FLATWOODS, MESIC HAMMOCKS) WITH NATIVE GROUNDCOVER. MAIN PURPOSE OF MANAGEMENT CAN BE FOR TIMBER OR FOR NON-TIMBER PURPOSES (E.G. WATER QUALITY, WILDLIFE COVER). INCLUDES NON-PINE FOREST LAND SUCH AS XERIC HAMMOCK OR SCRUB, OR OTHER FOREST COMMUNITY TYPE WITH NATIVE GROUNDCOVER, BUT OF NO SUBSTANTIVE VALUE TO CATTLE PRODUCTION GOALS. 9. PLANTED TIMBER AREA WHERE MAIN PURPOSE OF MANAGEMENT IS TO GROW AND HARVEST TIMBER. THIS CAN INCLUDE SITES WHERE PINE STRAW IS CURRENTLY HARVESTED. MAY INCLUDE SITES RECENTLY HARVESTED AND NOT YET RE-PLANTED. WETLAND 10. NATURAL FOREST (WETLAND) WETLAND STANDS OF NATURAL PINE / HARDWOOD CANOPY (E. G. DOME, BASIN, AND FLOODPLAIN SWAMPS, HYDRIC HAMMOCKS). NO SUBSTANTIVE VALUE FOR CATTLE FORAGE. 1 MARSH / WET PRAIRIE / OPEN WATER NATURAL, NON-TIMBERED, WETLANDS, INCLUDING DEPRESSION OR BASIN MARSHES, WET PRAIRIE, LAKES, STREAMS, CATTLE PONDS, ETC. INCLUDES LARGER MARSHES AND WET PRAIRIES THAT ARE PART OF CATTLE PASTURES. MAY RECEIVE SUBSTANTIAL SEASONAL GRAZING PRESSURE AS PART OF WINTER CATTLE ROTATIONS, HOWEVER CONTINUES TO BE COMPOSED OF NATIVE GRASSES. 7 Page