20120285_Appendix I_Farmland Conversion Impact Rating Forms_20101222

APPENDIX I APPENDICES

APRIL 2009 GASTON EAST-WEST CONNECTOR DEIS

APPENDIX I
FARMLAND CONVERSION IMPACT RATINGS FORMS

U.S. DEPARTMENT OF AGRICULTURE
Natural Resources Conservation Service
/is/ qo do
FARMLAND CONVERSION IMPACT RATING
FOR CORRIDOR TYPE PROJECTS
MRCS-CPA-108
(Rev.1a1}
PART I (To be completed by Federal Agency)
3. Date of Land Evaluation Request 1215)07 + t t st . or 1
I. Name of Pmted Gaston East-West Connector (TIP# U-3321)
5' FederalLHlghwa Administration
2. Type of Project Freeway on New Alignment
8. County and S Gaston nd Mecklentwrg Counties, NC
PART 11(Ta be completed by NRCB) ' - . :. -,
1 Dad Ragiatet�eaFee� by NRca
(Z .'�j- Lra07
2. Pe��QQ
. .
3.Doe.thrconNa.mnWn prime,odg9e wuw:d.« IaW inglmfarq famdand? -'
' (Ono. the FPPAdonnot apply Do not complete ddRionalpadsofOMrum} •. ,ct NR Q:
A•
4'. tm9e •
0
veragparm Sias • ';
2
' ' 93
S: Me* CrcP(a) -:'
C-D/-/0 .
t�Prneeletudllfevr99999 i.dmon''. '.
Aar.*./57@/2:: x(07.3
? Aawunt.otFamaen41400tedk h .
.. I 0.o:2 :: %6'
EvslusSonSystem
A
.:.,
9- Nam. of LaoS Sit S$'n. ..
10 Dabtgod Ev enRa*unedbYNRC3::
G. /T S
PART III (To be completed by Federal Agency)
Alternative Corridor For Segment Mee 84ts tea TaWa1
OSA `f
DSRS
DS9 9
13sW'2.2.
A. Total Acres To Be Converted Dimly (See Attached Table)
B. Total Acres To Be Converted Indirectly, Or To Receive Services (See Attached Table)
C. Total Acres In Corridor Mee Attached Tablet)
0
0
0
PART 4Y(ie tie ..
�N9! ?4 Ls»At BYabntloQ Jtdormatlw . ':L.ii,.
.. -,
A::TotrtlaesPnmaAe0;06i taFtanamdi:-
-.STD:t-/4
•.S3.A33
`S: .L4f.
fa5"Gs:.Se
S- Tchl`Acrn Stafexid.AridLant(mpa6dt Fannlsed .::' -:';
VI: 4. Q7
' /etit; :'--2
O2'. 2
Z/S 9t
C. PercentageOfFeredendim;CeortlyOiLocWtGovLUnit ToBeCcnvr%di:
-O• SOSI-.
0:44. Or/:
;0.4)13:f.
-C�. 59/:
o.PemrdbgpOtFaitraeadh Gook Jwadiyon With Same Or era$WRelaUus Vane
'....(a7 . :.::
67 ..--
6.7 ,.`-.
-. fo'7.
PART bin* prrdM►wc4Ith,dsNtnrrortanAr.todRrru.
/2
. tars
�
:•
Oh
•. .:
'Lot, ,
vpb
abeotts,,Jrib Be**Modartbnwtd(l if0-1011Ptht,$--
PART VI (To be completed by FederalAgerwy) Candor
Assessment Criterte(Tfrse altos are alyWndln 7CFR $58.5(c))
Maximum
Points
1. Area in Nonlaban use
is
/0
/ 0
/0
/0
2. Perimeter In Nonurban Use
10
}
4
1
.7
3. PetcentOfCorridor Being Permed
20
0
0
O
b
4. Protection Provided SyStateAnd Local Gowmmi d
20
*
2
a
3
5. Size of Present Farm Unit CompandtoAverage
10
10
/0
/0
/0
8. Creation Of Nanfarmable Farmland
2$
4
4
4
6
7. Avallab0l1y Of Fan Sopped Services
a
5
5
§'
5'
a. On -Farm Investments
20
/S
/S
/f
/5'
9. Effects Of Conversion On Farm Support Services
25
0
0
0
0
10. Compatibility With Existing AgricAturai Use
10
4
4
I-
7-
TOTAL CORRIDOR ASSESSMENT POINTS
1%
(p 3
te I
G a
to 3
PART VI (To be completed by Federal Agency)
Relative Value Of Farmland (From Pad V)
100
(0,-
(a 3
(0 y
(it I
Total Conidor assessment) Aseeesmani (Front Part VI above era local site
1N
I
L
TOTAL POINTS (Total ctabove 2 tines)
240
12-5
I at
1.34
(1ti
1. Condor Selected:
2. Total Acres or Fenmands to be
Converted by Project
3. Date Of Selection:
4. WasA Local SteAssassment Used?
yes ❑ n0
5. Reason For Selection:
_lgnab:re of Person Completing this Part
DATE
NOTE: Complete a form for each segment with more than one Alternate Corridor
r0

U.S. DEPARTMENT OF AGRICULTURE
Natural Resources Conservation Service
FARMLAND CONVERSION IMPACT RATING
FOR CORRIDOR TYPE PROJECTS
67557479 CO
NRCS-CPA-100
(Paa r-to
PART I (To be completed by Federal Agenry)
3. Oats of Land Evaluation Request 12l5107 a. stem f of 1
I. Name of dmiadt Gaston East-West Connector (TIP* U-3321)
5. FFedetal
invoaye Administration
2. Type or Project Freeway on New Alignment
a. County
Mecklenburg Counties, NC
and strna�LF sn> ond
PART If (To be completedhy NRC3): .
1 Date Re** Receiveddy racks
2.Ps Csmp+stlrp Faro .LT '
wAt
3. Does Ms corritscr conten mine unlgW snfswidaor kcal Imported fenra nd7 - fa� • i
(It no, dn. FPPA donnot apply • Do not mmpiete add/donepans of Ibis tarn). ' YES pl •
4. Antoo . a Fannon', . . .
..tsr • IA:•.' Cf 3 7
5, Major Crap(a} - ... -
CA/2N
0.: Fermentsl.Laodtln Govemrnent srlaridka - .. '
.Aerie` /s. q it. . 147.0
1 Amalrtle Faerdand As:befinea M FPPA :.
Ae:«;'/Sfo0i2 %%7
a. Nang 4x Lend
A' G
emulation system Ume :.
STD/0. ::.4...:
g. Ron. of tanan cm age Ar9ein System
a':. ,rt//f}..: .. •
1E bale Leod gta Evabm RNurn.dOy NRCS"
.: . ! 6:'. .
PART III (To be completed by Federal
Agency)
Alternative Corridor Far Segment Mee *nettled Tads
DSA 23
aSA•2-7
OSA e
asAglati
A. Total Acres To Be Convened Directly
(See Attached Table)
B. Total Acme To Be Converted Indirectly, Or To Receive Services (Sea Attached Table)
C. Total Athos In Corridor (Sae Attached Table)
0
0
0
PART H (Ta bi mop7ete12§it RCSL(,ind;vi(uetlonlefommisdon-::':
�'GZL/
A. TotatAeiesPrmt.Mdalio kFmnleM• _-
2i
rizo 3$
41;( 6 /
4in7. 9 T
B. Total -Acme Stateeide Arid Thai lmoortwiEnamrand . ..
:/7::3, b7-
nq ?'3t
22/. SS
/414i.
:0n.qC
C.Perc«erneOFFmmtandM.ComityotLxalGrnt.Unit TOBeConuatedf
_0,S7t0'
-O:5396.
0.-CO 2.D•
D. Percentage O(Peimlend.in Bret Jurisdiction Web Same Or 160her Rehths Value
' .. 47 :
'.:.4 7 ,...
. 47 .
. in7 .
PART V )WCJ)Latd
ESiaiaiar,
.:'•
.,•.
.et
,
(lb bRovnJJ!Ldhy
PART VI (To be completed by Federal Apsncy) Corridor
Assessment endedealien criteria an explained In 7 CFR a58.5(c))
Maximum
Feints
1. Area In Nonurnan Use
15
/0
/0
10
/0
2 Perimeter in Nonurban Use
10
to
4
6
b
3. PerceM Of Corridor Being Farmed
20
0
0
0
0
4. Protection Provided By State
And Local Gdvemmerrt
20
a,
a.
a
8
To Average
10
/0
/0
/O
/0
5. Size offloamrt Farm Unit Compared
a. Creation Of Nanfermmte Farmland
25
4
4
4
4
7. Avaitebgify Of Farm Support Services
5
t7
J!
S
,S
a. On-FannInvestments
20
/S
/5
/5
/S-
9. Erects Of Conversion On Fsm Support Services
25
0
0
0
0
10. Compatibility With Existing Agricultural Use
10
t
;
4
4-
TOTAL CORRIDOR ASsFSSMENT POINTS
160
(p I
C/Z,
CPO
(oas
PART Vii (To be completed by Federal Agency)
Ratetive Value Of Fem4and (From Pen V)
100
59
GI
.3
59
Total Corridor
assessment) Assessment (Fran Pan VI above or oca a tome site
160
(0'
t/l
0
1., 2
TOTAL POINTS (Total of above 2 lines)
260
1 ao
10)-3
I a 3
/01/
1. Corridor Selected:
2 Told Acres or Farmlands to ea
Convened by Project
3. Date Of Selection:
4- was A Local SiteAssessoent Used?
Yes D dd ❑
o. Heason Fa Solomon:
ignanure or Person Comasuna mis Part:
DATE
NOTE: complete a form. for eacn seoment with more than one Alternate Corridor

U.S. DEPARTMENT OF AGRICULTURE
Natural Resources Conservation Service
FARMLAND CONVERSION IMPACT RATING
FOR CORRIDOR TYPE PROJECTS
CA-57-0/0 CD
NRCS-CPA-108
(Rev. 1911
PART I fro be completed by Federal Agency)
3. Oats of Land Evaluation Request r
12/5(07 af..t t at 1
1. Name of Prefect Gaston East-West Connector (TIP# U-3321)
5. Fedwat Agency mvotved
Federa Highway Admintsfration
2. Type of Ptojed Freeway on New Alignment
a. County end state : tad Mecklenburg Counties, NC
PART IL(To be completed by WS), . ..
1.1V* Regireet by ARCS
2. Ps . A . . .. F. :.
3. Does m conidor.conmin p!ime. tutkue MOWS orlead Nyonrq ierm!and4 ..,(
(If no, tin FPPA does not aptly - Do net complete eddKtanai pacts oftta form} � .: YEN �`1' : tp "
•. rgateo :.vatage
.; 11., :. 93 4c::r'e,:eb
5: Major Crcp(s} ' . - :...
. • GD A
IL: Fmelabja Laurin Gavetnment:Naladitlbn - .
Ace«: /SI' / 2_` % lob .0
7.Mtta*ot mmiand . a """k :.
-/S6o 22 % 7
6. ,ritenss,.Of Land Evsio . Systole_Uad 1,.....
..:6% •S AP..:VM 143 •
V. Name d Loai Sitm/Asmassmwlt Syt�m
.t;. .: • I7(/.
10 Dam taodEvsj*,on Rsturmd � ARCS..
-T. QrJ..-:' ..
PART III fro be completed by federal Agency)
Alternative Corridor For Segment 13es 4lfraed TaWe1
[n. Ae
P a
7,
DS-a..
OS A ,
A. Total Acres To Se Convened Directly (See Attached Table)
B. Total Acres To Be Convened Indirectly, Or To Receive Services (See Attached T.
C. Total Acres In Conldor See Attached Table
0
0
0
0
PART IV (Zetie .t+f�??1-XRCSattd ErsWee{0lnlwmarlae:.:`:
....'
A TontpersaPrinsMdtlnqueFelmlane :
ta';iRialla
sj
XflT ..
/O-/:.
8. Tdal'Acres Statewide Loaf fmcondiif Farmland -: .::.:. -
I.N i�i�.s%i
O' i s
C. Pei gm OtFatmfandi InCowitY Or tameGovt. Unit To Se Canvetled. -
:0- 53' '.'.•fir'
a5illlinnilla
'it : ..
0. .- f01
at . .
10
a Percentegt Of Farmland In Govt Jurisdiction With Sites Or Hotter RemW. Va es
PAR7Vrib bcmmpMYd byAYiC9)ZadSiitdfatialqusptiin
mks ofFaSid to Ea Settyled
GS(Wirrsighidi�
'./O �-
. (aD -:
(pZ...,
artailed -Faye-fa0Ponta ;
PART
Assess entCm(TO be a pleted by (MsaliWra t explained dor
AseeammwltCyflerb (Ms aPYmrla are sAP:alrMd ln7 cFR t%&3(c))
MPoints
Points
1. Area In Nonutban Use
15
10
/O
/O
/0
Z Perimeter in No Men Use
10
6
ft
t}
3. Percent Of Corridor Being Fanned
20
0
0
0
0
A. Pmtsc0on Provided Sy Slate And Local Government
20
a,
y
0-
a
5. Slut ofPresent Farm Unit Compared1bAvsrage
10
/O
0
0
/o
& Cie on Of Nonfannable Farmland
25
4
11111n111111nalli
/ S
4
/5
4
/T
le
/ r
7. Avaimblll Of Farm Su.:-. Services
5
S. OnFaml Investmanle
20
S. Effects Of Conversion On Farm •...n Services
®
0
O
/
0
D. Commdblky With Existing Agriadmral Use
10
E'
t
IIIIMIMI
TOTAL CORRIDOR ASSESSMENT POINTS
160
(00
(i3,
Li I
�
IV
PART "RI (To be completed by Federal Agency)
Ranee Value Of Farmland (From Pert V)
100
(F A-
(p a-
Co t)
to --
a` ) Assessment iFran Pan VI above oralocal site
assonmentTOTAL
1�
40
(0 L
(p I
to a-/
POINTS (Total of above 2 lines)
200
/P.. a-
)1f.f
I a I
Iif-f
:. talndor elated:
2. Tot l Acres of : em,Iands to oa
Converted by Project:
3. Date Of SNecaon:
d. WasALoal Sim
YES ❑
Assessment Used?
MO 0
�. Reason
on:
iagesture of Person C3molsarg cue Pare
DATE
NOTE: Gomoiate a form for aeon segment with more than one Alternate Corridor

U.S. DEPARTMENT GE AGRICULTURE
Natural Reseurcua Conservation SawIca
FARMLAND CONVERSION IMPACT RATING
FOR CORRIDOR TYPE PROJECTS
CS-CPA-106
Caw 1-e1)
PART I (To be completed by Federal Agency)
3. Date of Land Evaluation Request 12J5107 Slh..t h a
1
1. Name of Prated Gaston East-West Connector IP# U-3321)5.
(T
Fr el Agency b;;d
Federal Highway Administration
2. Type of Project Freeway on New Alignment
6. county and State Gaston and Mecklenburg Counties, NC
PART If (To be completedhy WRCS) • • • ;
1. Date RegiuoatRncelved by NRCS.
2. G PornF/ orm.
Gr* FiP-S
3. Don thecarekcoonteln Perna, uthiqu. suba4d.ar local Important farmland?
(II no, the FPPA does not eppty 06 6Nt r mpleta addifional Pr. . of t 1. (am). YIEs 1
4. Ac ors geb0 ...verepp Farm S`2e ...
.: : 0 • . I.
'Q ✓E'S
3. Meter C+N(s)' . . , :' "•�
Co .
t Frmenatsndln GoeemmenMJul.dcton •. ' .
Acres:Z39ydq %&)9:/
7 Mount of Farmland .D.Powd is FPPA. • ..
Atnt 22-/4/19 '% 3
a. tame
OrLad•Eva anon System Used ' .
S. Name of Locals Aneasnrnt Syron
10 Pats t.etd Evaa+ehm R1104/n.4
by NRCS:
PART III (To be completed by Federal Agency)
memo,. Corridor For Segment fan A.arhad
Tshtal
DSA L"
OSA-S
0-5A 9
OSA 22-
A Total Atlas To Be Converted Directly (See .Attached Table)
B. Total Acres To Be Convened Indlrecdy. Or To Receive Services (See Attached Table)
C. Total Acres In Corridor !See Attached Table)
0
0
0
0
PART N (Fa be cirbJl.)IIRCS 'Ltrtd =1rslNedpit lrslwit adoa .::_
..
_ -:; --.
A. TotaAereePrentMdUniyuaFamlaret :: :: .
aS/ ZS
/71J9
-, -./ 28
23r -:2S
B.ToarAae. Statewide Andt_ogarlinobrtentFenr/arid -•:
tpro 19
/:/.S',424r
_!of :19
/aro1
C. PercentageOfFarelanclnCao(y Or ComtGovt-Utdt To Be Caromed
:O. (SV/
0: f$2' .
Q,f"SZ.41
-:o. /J•2 4)
o. P«denmgeaFarmland In3.cJudedksahWith Sarno Or Nigher Ratan VIG0
• ..( ,3 •
••. • 6>3 .
Co3 •
(, 3
PART V(Tebrrarprecbriwp
voted
1,andMara0ebta kinan.tt asibwr
• ,,::
is i-.
„:.
5�
62. .
es;z•:;
Famt,dto Be sandnddiCawiw *tie Ole .10OPante).:.
PART VI (To be completed by Federal
Assessment Criteria (These aliens
Maximum
Points
Agency) Cor.Ww
ate explained In 7 CFR 650S(c))
1. Area InNonubanUse
15
/O
(O
)a
/O
2. Perimeter in Nonurban Use
10
R
1.
i'
—4-
3. Percent Of Corridor Being Farmed
20
O
0
0
0
4. Protection Provided By Sate And Local Gdvernment
20
0
0
0
0
5. Size of Present Farm Unit Compared To Average
10
l0
/D
ID
10
e. Creation Of Nanfarmede Farmland
25
to
(e
to
fa
7. Availability 0f Farm Support Services
5
5
5
S
Y
a On•Fatm Investments
20
f s
I'S
PS
15
9. Effects Of Conversion On Fame Support Services
25
0
0
0
0
10. Compatibility with Existing Agricultural Use
10
4
4"
}
4
TOTAL CORRIDOR AFISFSSNENT POINTS
160
. (yQ
Sq
I/O
LO
PART VII (To be completed by FederalAgenry)
Rdetbe Value aFernand(From Pert V)
100
(p)-
ales
(p y
tip Z
Total Corridor Assessment (From Pan VI above or a sod site
assessment)
160
(pL
�-Q
-T 1
4, Q
tQ O
TOTAL POINTS (Total of above 2lines)
250
122- a-
I I S
I a a--
1 3-;.-
1. Corridor Selectee:
2 Trial Acres of Farmrands to be
Convoed by Project:
3. Oats Of Sa4o on:
4. Was ALocal SIISAssessment Used/
YES ❑ NO ❑
5. Reason For Sekdion:
S gnatt:re rn Person Como4eeng Nis Pant
;DATE
NOTE: Gomoleie a soar ror eacn Se9men1witrl more than one Aftemate Gariidor

U.S. DEPARTMENT OF AGRICULTURE
Natural Reseuroos Conservation Service
FARMLAND CONVERSION IMPACT RATING
FOR CORRIDOR TYPE PROJECTS
m&cjz le,tev/2GCd
NRCS-CPA-106
(Rw. tit)
PART I (To be completed by Federal Agency)
3. Date of Evaluation Request 12)5107 sa.a
I. Name of Project Gaston East-West Connector (TinU-3321)
.Land
5. Fe«detalel gh aw y Administre8on
2. Type of Prefect Freeway on New Alignment
5. County and Slate Gaston and Mecklenburg Counties, NC
PART i6(Te be cempMted by MRCS) : • •
1. Deb Received JJONRC
l "2-. -.
2. Parson Console,
�t
Perfumed.
Avorapp
8,572/CYe
3. Does tM taridor contain prime, oaks* sfafar(deor local Important farmland?
(If no,t eFPPA does not apgy- De not compliesadiWonal parts oftis forms $ YG L[. .'.
Ir
-.0
5.. Meier Crap(s). '' -.
•
15: Funtabe Laod:ln GaysmmSN'Judaochn • -.'.
• Acres: 2391-1Zi'9.: 6:0:g I
7 Arnaud of FvmfandAs:Deflnsdm FPPA•:':.
A<:;:2Z7 J 19 J63
Name Of Lend Evaluation 5)1)5 Used:
::
D. Name of Local tteasssssmment Syab
,0 ata DLace EvaaiWan 12ea n.. nRGS::
8. t
/
PART III Co be completed by Federal Agency)
Alternative Corridor For Segment (Se. Ariaeaee Tablet
DSA 23
OSA 27
40S4.6)3
OSA•bzF
A Total Acres To Be Converted Directly (See Attached Table)
B. Total Acres To Se Convened Indireddy, Or To Receive Services (See Attached Table)
C. Total Actors In Corridor (See Attached Table)
0
0
0
0
PART lit (To,trr ccmpLtidi)Y.t1RtS Laced E1Mgatlon lt(f fVMUOe ::, .
::
- '-
'.:.
ATotatAcreePraneApatieiel Fatmlam -:
jig lei
Z31 2O=2.3!
Zl
!77rfl
9.• Tcta Anse 3tahxida And LaelFImewrfseit Fiimiali - '- •/
IS: 2
/ O fo (n1
. / OfD /
l /Jr ; J
c. PercudaWkOTPermland:)n•Caunh Or tAW:Gart-Unit To ore Convened
O•% 324
; 0. / g4/
' ..1.5.2 V
O. /S24
D. Perdertape Of Farmland In GeYL Jrafadkdorr With Sams Or Kroner Relative vase
.. . 503 : ....
/d
. .. CO.. ..
•. i0-3 •
higOrri id***laadSanilae i.6s.ien
.
.. .C.
:.'
.. S (O
,.:
•61 . -:. •
.,:.:
:. f%Oy -
560:..,.:
PART as Qifrf"a1.13YNr�
steeeaftamt WbB.Seyvknd dr ConvYd(lwUoy0:100Peivisli
PART VI (lb be compLOedby Federal Agency) Corridor
Assessment Criteria (flew criteria an explained In 7 CFR 558.5(e))
Mulmrm
Points
1. Arse In Nanurban Use
15
10
10
1 fJ
I O
2 Perimeter in Nonurban Use
10
{e
}
T
Le
3. Percent Of Corridor Being Fanned
20
0
0
0
1 0
4. Protedion Provided By Slate And Local Gdvemment
20
0
0
0
O
5. Size of Present Fenn Unit Compared To Average
10
I0
/O
10
10
6. Creation Of Nmfermable Farmland
25
L
b
ti
(o
7. Avarl il:Rite Of Farm Support Services
5
S
a;
C
S
6. On-Fannlnvesunsnts
n
15'
15
I S
1'S
9. Effects Of Conversion On Fern Support Services
25
0
0
0
0
10. Compatibility With Existing Agbcvltural Use
10
.4-
-.
x
9-
TOTAL CORRIDOR ASSESSMENT POINTS
160
64/
COD
6- 8
59
PART VII (To be completed by Federal Agency)
Relative Value Of Penland (From Pen V)
100
;10
CO l-
Le
510
Total Conidcr Assessment (From Pan VI above or a local site
assessment)
160
59
fro
st
59
TOTAL POINTS (Total of above 2 fines)
260
/ 15
(a-)-
I fO-O
/ IS
1. Candor Selectee:
2 Taal Acres of Farmlands re be
Convened by Project
3. DareOf Seiepion:
4. WesALocal SlteAssessrneol Useo?
res ❑ NO ❑
5. Reason For Se(eC.ion:
Signature or Person Cumolebnc this Pan'
( DATE
NOTE: Gam -tete a lore for each segment .vith more than one Alternate Corridor

U.S. DEPARTMENT OF AGRICULTURE
Natural Resources Conservation Service
FARMLAND CONVERSION IMPACT RATING
FOR CORRIDOR TYPE PROJECTS
NRCS-CPA-106
(aay.1J1)
PART I (To be completed by Federal Agency)
3. at of Land Request 12/5)07
. st».r t
1. Name of Project Gaston East-West Connector (TIP# U-3321)
�Evawatlon
5. FedetalgeNy�ghwaye Administration
2. Type of Project Freeway on New Alignment
a. County and Slate Gaston and Mecklenburg Counties, NC
PART IF (To be completed by MRRC$) l- .. -. ',
1. Doe Recebed ty ratt.& .
./ 2- 2007
2' P F'
V �./ <T oS...
A Does the carder contain pims,uWgoesvbiwka or !Om! Impotent farmland? '
s Ro a
(If no, d» FPPA dose not apply • DOOM tMi totaled* additional palls eith4 Corm).
4. Aaea gated:Ave Farm . .._
I C
.Q � J �i°cyeJ
6: major Crw(s)
• - Ci :2-N:.
et: Fsmaele Leatin GnvemmaerJuhambn , .:.
Act.:2239409• %6S:{
7. MtoUMet Famland As:be6nd In Mte l:
4i4e..224.(19 6
8. Name Of Land Eveluaden System Used :'.
Ana . R _)13(14&, ::
9. Name caeca( Anesonent System
_:. _ N./A• �
St Pew isteest. Eviuglpn RelumMLy NRC9r:
.• .>! q :,. .t-. .
PART III (To be completed by Federal Agenry)
AltematWe Corridor For Segment lsu Attar red Table)
DSA �i3
DSve )i,
0-SA77
D9144 1
A. Total Acres To Be Converted Directly (See Attached Table)
B. Total Acres To Be Converted Indlrecdy, Or To Receive Services (See Attached Table)
C. Total Acres In Corridor (See Attached Table)
0
0
0
0
PART tY Qo Na =.S1.0.4 y 70:44hand gii.og en.n/omudoe'
A.:TotetAcieaRre4F414tPitiooFmMaM�._:` ;.•:. ...: • ..:23.t
.243'.
• 23 E. .21$:
,,,1:1 .7q:
Z31:'24
1 D(Oi fR'
&: TetonCass sSewida AtidLOCiFfidadifm£ Pam/and .; `:: "" - ' - u':.:::': `
l' l ov t el.10zs-cle
. /JS t(0 •
C. Percentage Of Farmland:Ititanti OitautCw)tUnit Td BecpnveSd
:0. /S2'F
'D> -./ Sag
Op. 13.24 ..
70i ilSTl%
0. Percentage Of Farmland1n Gdvt JwShcdon With Seine Or ligbr Reidy* VSUe
'.. . i7 3 .
.: /o3 .
- ..43 , •
• b3 •
tslddto,1J__ t. RelMbo
'.....
(02 •.
.'. t i- .:..
-
5/O ``
.'- .
L1:', ,
PART V(lb laranpbYdbyWain GYrtoe
yobs EFantabod to So 3rNeed 60CatwMdp ndi4o: too Pettey-- -
PART VI (7b be completed by FrwrWAgency)
Assessment Cal
Corfddr
an explained In TCFR 608.5(e))
elasitmtm
Points
rbi (Than criteria
1. Area In Nonudwn Use
1s
J D
I
10
ID
2. Perimeter in Nonuser Use
10
iS
*
co
4
3. Percent Of Corildor Being Farmed
20
0
0
0
0
4. Protection Provided Sy State And Local Gcveennwe t
20
O
0
0
0
5. Size of Present Fenn Unit Compared To Average
10
/O
/O
/0
/O
6. Creation Of NanfanneGe Farmland
23
%
4
/r
L
7. Availani0lty Of Farm Support Services
S
S
S
C
S
8. OreFams Imreatmmts
20
)S
(S
)
is
9. Effects Of Conversion On Farm Support Services
ZS
0
0
0
0
10. CompadbMiry WM Existing Agnaltund Use
10
3.
-
a'
- -
TOTALCORRIOORASSFSSMENTPOINTS
160
5R"
(170
I/Q
PART VII (To be completed by Federal Agency)
Relaters Value Of Farmland (From Part V)
100
(es 2e).
C. 2
Sly
(p )
Total Corridor Aseessrnent (From Part VI above or a Tool site
assessment)
160
/ D
Cq
tat
TOTAL POINTS (Total of atom 2 fines)
2W
I a0
! act-
!I S
/ .7-0).-
1. Corridor Selected:
2. Total Aass of Fenmands to be
Convened by Pro ect
3. Date Of Selection:
4. WasA Local Sits Assessment Used?
ves 0 NO El
5. Reason For Selection:
:posture or Person Com:mono mis Iran'
I DATE
NOTE: C.:mciete a form for eacn segment with more than one Alternate Corridor
.o