Backup Documents 07/09/2013 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 2
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office r ( g 13
4. BCC Office Board of County
Commissioners ��
5. Minutes and Records Clerk of Court's Office � .1-112-)1
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Melissa Hennig/Parks and Recreation Phone Number 252-2957
Contact/ Department
Agenda Date Item was July 9,2013 ✓ Agenda Item Number 16D2 1�
Approved by the BCC
Type of Document Agreement ✓ Number of Original 1✓
Attached Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) pplicable)
1. Does the document require the chairman's original signature?
Does the document need to be sent to another agency for additional signatures? If yes, %rte N/A
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be �W_ (�
signed by the Chairman,with the exception of most letters,must be reviewed and signed )
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the 4 fb•
document or the final negotiated contract date whichever is applicable. J"
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's f,
signature and initials are required. I!
7. In most cases(some contracts are an exception),the original document and this routing slip /A
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines! '
8. The document was approved by the BCC on nd all changes made during the - § a
meeting have been incorporated in the attache ocument. The County Attorney's q If ;,i(
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC, all changes directed by the BCC have been made,and the document is ready for the 1r
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16ff ?
MEMORANDUM
Date: July 15, 2013
To: Melissa Hennig, Environmental Specialist
Parks and Recreation Department
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Control of Agricultural Land Agreement for NRCS Farm Bill
Programs
Attached for your records is a certified copy of the agreement above, (Item #16D2)
approved by the Board of County Commissioners Tuesday, July 9, 2013.
The Minutes and Record's Department has held the original agreement for the
Board's Official Record.
If you have any questions please call me at 252-8411.
Thank you.
Attachment
16D2
CONTROL OF AGRICULTURAL LAND AGREEMENT
FOR NRCS FARM BILL PROGRAMS
X Environmental Quality Incentives Program (EQIP)
❑ Wildlife Habitat Incentives Program (WHIP)
❑ Conservation Stewardship Program (CStP)
As owner of the land identified as USDA-Farm Service Agency (FSA)
Farm# 448, Tract # 577, and/or Sections 30, Township 46 S, and Range 28 E
located in Collier county, I hereby state and affirm that Hugh Starnes is the
producer/lessee on this land and currently has control over its use through December
2017 for NRCS Farm Bill Program purposes.
❑ I hereby agree with and authorize this producer to install, operate, and
maintain any structural or vegetative practice as defined in the Natural
Resources Conservation Service (NRCS) Field Office Technical Guide associated
with the NRCS Farm Bill Program listed above for this property.
The below structural practices are planned to be installed in the property:
Structure for Water Control (Code 587).
See NRCS-CPA-1155 form enclosed for specific details of the practices.
DATED: I
AT :EST.:, BOARD • ,Ct'UNTY COMMISSIONERS
DWI HT E. BROCK, CLERK OF CO I;' 0 , FLORIDA
By:
Ch�dif niO
ttESt a�� VEPUTY CLERK Geoltr�. iller, Esq.,
signore only. CHAI'WOMAN
Approval for form and legal
ol-
3£N%3 V_A. A . BE-L- PE6r a
Assistant County Attorney
Producer Signature: /411 �� �fLN�'✓
Date: 6P 7//3
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