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FARMLAND CONVERSION IMPACT RATING

Department of Agriculture FARMLAND CONVERSION IMPACT RATING PART I (To be completed by Federal Agency) Date Of Land Evaluation Request Name of Project Federal Agency Involved Proposed Land Use County and State PART II (To be completed by NRCS) Date Request Received By NRCS Person Completing Form: Does the site contain Prime, Unique, Statewide or Local Important FARMLAND ? (If no, the FPPA does not apply - do not complete additional parts of this form) YES NO Acres Irrigated Average Farm Size Major Crop(s) Farmable Land In Govt.

STEPS IN THE PROCESSING THE FARMLAND AND CONVERSION IMPACT RATING FORM Step 1 - Federal agencies (or Federally funded projects) involved in proposed projects that may convert farmland, as defined in the Farmland Protection Policy Act (FPPA)

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