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Attachment 4 17 <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: John H. Pope Jr. and Kimberly K. Pope <br />Address: 6712 Efland Cedar Grove Rd. <br />City: Cedar Grove State: NC Zip Code: 27231 -9762 <br />Phone Number (Day): 991-451-7663 (cell) (Evening) 919 - 732 -9278 <br />E -Mail: <br />PROPERTY INFORMATION: <br />Property Location /Address: John Pope Farm LLC Cal Hurdle Mills and Stewart Rd. <br />Township: Cedar Grove District <br />Parcel Identification Number (PIN): 9859383249 = 61.37 Parcel Identification Number (PIN) <br />Parcel Identification Number (PIN): 9859279231 = 13.9 <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Parcel Identification Number (PIN): <br />Number of Acres: 75.27 Deed Book: 1922/349 1775/1 Page: <br />Does this land have a plan on file with the Natural Resources Conservation Service or <br />NC Forest Service? <br />Yes: XX No: If "No ", please complete back of form <br />Is this land listed for Present Use taxation with the Orange County Tax Office? <br />Yes: XX No: If "No ", please complete back of form <br />I [WE] ARE SEEKING DESIGNATION AS A VOLUNTARY AGRICULTURAL DISTRICT V <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 />