Date:   
Owner/Agent:   Phone:   
911 Address         
Street City State Zip
SS # or Federal ID #:   
Tract    Section   Township   Range  
SELECT SELECT SELECT
(Attach an aerial photo and mark area)
Cost share %   Soil loss before  
Soil loss after  
Assisted by:   Acres Benefited  
 
ESTIMATE ACTUAL
 $    1.45 ft NB terraces    $                        -      $                        -  
 $    1.45 ft BB terraaces    $                        -      $                        -  
 $    1.45 ft GBS terraces    $                        -      $                        -  
 $    1.45 cu yd ponds/grade stabe    $                        -      $                        -  
 $    0.95 cu yd basin    $                        -      $                        -  
 $ 130.00 each  5" Intakes    $                        -      $                        -  
 $ 155.00 each  6" Intakes    $                        -      $                        -  
 $ 175.00 each  8" Intakes    $                        -      $                        -  
 $ 120.00 each  6 x 20 outlets    $                        -      $                        -  
 $ 140.00 each  8 x 20 outlets    $                        -      $                        -  
 $ 180.00 each  10 x 20 outlets    $                        -      $                        -  
 $ 225.00 each  12 x 20 outlets    $                        -      $                        -  
 $    1.25 ft 4" tile    $                        -      $                        -  
 $    1.45 ft 5" tile    $                        -      $                        -  
 $    1.75 ft 6" tile    $                        -      $                        -  
 $    2.60 ft 8" tile    $                        -      $                        -  
 $    3.90 ft 10" tile    $                        -      $                        -  
 
$5.30 ft 12" tile    $                        -      $                        -  
Total Project  Estimate  $                        -   Actual  $                        -  
Total Cost-share Estimate    $                        -   Actual    $                        -  
Keep in mind that existing terraces must meet specifications. If they do not, we will start with the top terrace and work down.Terraces MUST BE STARTED no later than 30 days after layout. Funds may be cancelled if work is not started within 30 days of layout. No extensions will be granted without prior approval by Fremont County Soil and Water Conservation District. The landowner is only guaranteed up to 50%  of bill or estimate, whichever is less. If you have questions, do not hesitate to call 712-374-2014.