Cooperator Form

I/we request Agricultural Erosion and Sediment Control (Ag E&S), Manure Management, Stream Rehabilitation or Buffer establishment planning assistance as noted on this form. It is agreed that I/we will cooperate with the District and its cooperating agencies within the limits of my/our abilities and resources to: plan, develop, implement and maintain the Best Management Practices for the identified property and its usees, applying the principles of sound resource management to protect my/our natural resources.

Applicant Name *

First

Last

Email *

Phone *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name of Farm or Property *

Municipality *

Number of Acres *

Previous Owner (if known)

Directions for locating the property *

Types of Assistance desired: *

Please check all appropriate items.

Other Farm Enterprise Type *

If "other" please specify here.

Number of Acres

Stream Status (length, condition) *

desired: have Farm

This agreement may be terminated by the District if the landowner/operator fails to practice sound resource management or by the applicant's written notice.

Signature

Clear Signature

Apply to Become a District Cooperator

Number of Acres