Part 516 - Exhibits 



516.18 



§516.18 Form ASCS-569, SCS Report of Conservation Compliance for 

 Spotcheck Purposes (6-19-90) 



BEPBOOUCE lOCALLT. ir<c*ua» iirrm r^mem tne o#t» wTrygat/CTP'n 



ASCS-5e9 



u^ ot/AjintiKi o> •cacui.Tttai 



SCS REPORT OF CONSERVATION COMPLIANCE FOR SPOTCHECK PURPOSES 



PART A • TO BE COMPLETED BY ASCS 



1^2 it»\s f^i^Ti has been idcnufied as having a potcnuaJ viobiion of the conservaiion compliance provisions of ihe Food 



Secunty Ac: of 1985. for Oie crop year mdicaied above. Applicable rield(s) or ar:3(s) are mariced uiih a red "X" on the 

 anachcd photocopies. 



Please raake applicable review(s) for HEL f"] WeOand f"] 



Complete Pan B below, and rcnim lo the ASCS OfTice prompily so the producer's eligibility for program benefits can be 



determined. 



ASCS COUNTY OFFICE REPRESENTATIVE 



IDATEREFEBflEDTOSCS" 



PART B - TO BE COMPLETED BY SCS 



SCS irviewed the field(s) or area($) requested for the subject fann on 



lOAItl 



as indicated below: 



helQ 



rn The person is NOT actively applying the 



conservation plan, or is NOT using the 

 conservation system. Producer was notified 

 on 



(BATE) 



I I The person is actively applying the 



conservation plan, or is using the conservation 

 system. 



WETLAND □ 



I I The wetland area is a convened wetland. 

 Producer was notified on 



(DATE) 



SCS-CPA-026 and photocopy atuchcd. 

 I I The wetland area is NOT a convened wetiand. 



SCS DISTRICT CONSERVATIONIST 

 R£UkRAS 



TBaTT 



T/u. rrmtnm m acinar mu M e>n«uct«« an i Mntf •omwmuo' *••« miu>-j> t»fvt u nc*. Mm, mi fan. nuiantd »nfn. ,pt, •*>. miUMi KUtim. m liiw« m » 



516-36 



(180-V-NFSAM, Second Ed., Amend. 6, May 1991) 



