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Attachment 6 25 <br />19& Orange County Agricultural Preservation Board <br />APPLICATION FOR CERTIFICATION AS QUALIFYING FARMLAND <br />AND DESIGNATION AS AN ORANGE COUNTY <br />VOLUNTARY AGRICULTURAL DISTRICT / <br />ENHANCED VOLUNTARY AGRICULTURAL DISTRICT <br />INSTRUCTIONS: Before completing the application, please review the provisions of the Orange County <br />Voluntary Farmland Preservation Program Ordinance, and fill out the form as <br />accurately and completely as possible. Please sign and date the form, and return it to <br />the Department of Environment, Agriculture, Parks and Recreation <br />Soil and Water Conservation District Division <br />PO Box 8181 — 306 Revere Road, Hillsborough, NC 27278 <br />APPLICANT: <br />Name: "� (�s� 0 t t <br />Address: <br />City: <� -( State: Zip Code: <br />Phone Number (Day): 9 19 , -O LI - 6 24 (Evening) <br />E -Mail: <br />PROPERTY INFORMATION: <br />Property Location /Address(s): �12, , Wei, 317 -3�1q OUS410rn ® 7 t176,1 i Uvi, P _/U <br />Township_ <br />Parcel Identification Number (PIN): <br />9 U -7 <br />91 4 LOS- <br />Acres <br />%0, *3 <br />�)�� <br />to V A D (R,. R Ce <br />�� <br />Parcel Identification Number (PIN): <br />�s�f 2 <br />�i7yro <br />Acres <br />�,� <br />/� C <br />Parcel Identification Number (PIN): <br />` 8 L7 <br />%o q 5�1 16 <br />Acres <br />-i _q q <br />\/A 4060 <br />Parcel Identification Number (PIN): <br />2 Z <br />c <br />Acres <br />i . q Lf <br />V A 0 <br />Parcel Identification Number (PIN): <br />4`,8`3 2 <br />� j <br />Acres <br />[ 2- -7 <br />V A D <br />Parcel Identification Number (PIN): <br />Acres <br />Total Number of Acres on all tracts of lands: <br />Does this land have a plan on file with the USDA - Natural Resources Conservation Service or <br />NC Forest Service? <br />Yes: No: If "No ", please complete back of form <br />Is this land listo for Present Use taxation with the Orange County Tax Office? <br />Yes: No: If "No ", please complete back of form <br />I [WE] ARE SEEKING DESIGNATION AS A VOLUNTARY AGRICULTURAL DISTRICT <br />I [WE] ARE SEEKING DESIGNATION AS AN ENHANCED VOLUNTARY AGRICULTURAL DISTRICT <br />Voluntary Agricultural District (VAD) conservation agreements are for a period of ten years. The <br />landowner may revoke the agreement through a written request to the County. <br />Enhanced Voluntary Agricultural District (EVAD) conservation agreements are for a period of ten years, <br />but cannot be revoked during the term of the agreement. EVAD enrollment, however, offers landowners <br />additional benefits such as a higher percentage of cost -share funds under the Agricultural Cost Share <br />Program. <br />