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11 <br /> rd9m AL <br /> 01°ange Count)1.Agricultural Preservation Board <br /> OWNER[S]CERTIFICATION: <br /> I[We], the>apphcant[s]and iandowner(s), hereby certify that, to the best of my <br /> [our)kndw)edge, the foregoing application is complete and accurate <br /> tl 7 , . <br /> Signature f' -lt€v; - _ Date /2�/3o/4 <br /> Signature Date. <br /> SUPPLEMENTARY INFORMATION: <br /> Pie ase v.6 lete this inforrn'ation for general information about your farm <br /> Alas t Complete-this,sec ioh: <br /> If you are ffi participating,in the farm present use taxation program; , <br /> if you do Q have a plan on file with the Natural Resources Conservation Service or <br /> i <br /> the NC Forest Service <br /> 1 How long have you owned your farm? 3 years(in March 2014) <br /> 2 How long have you lived on your farm? 0 vears <br /> 3 Has your farm exceeded$1,000 in gross income in each of the past three years? <br /> Yes No x <br /> 4 How many acres on your farm are under cultivation? 40_Acres(estimated) <br /> 5 What are the major crops that you plant each year? <br /> Hay(leased),Vegetables(50 varieties), fruit(20 annuals and perennial), shitake <br /> mushrooms, small grains <br /> 6, How many acres on your farm are used for pasture? Acres (estimated) <br /> For questions or more information, please contact, <br /> Gail M Hughes <br /> Orange County Department of Environment,Agriculture,Parks and Recreation <br /> Soil and Water Conservation Division <br /> PO,Box 8181-306 Revere Road <br /> Hillsborough, NC 27278 <br /> (919)245-2763 Office <br /> (919)644-3351 (fax) updated July <br /> 2012 <br />