Form FDACS-11386 "Longleaf Pine Landowner Incentive Program Application" - Florida

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Download this version of Form FDACS-11386 for the current year.

What Is Form FDACS-11386?

This is a legal form that was released by the Florida Department of Agriculture and Consumer Services - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the Florida Department of Agriculture and Consumer Services;
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Download Form FDACS-11386 "Longleaf Pine Landowner Incentive Program Application" - Florida

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Florida Department of Agriculture and Consumer Services
Florida Forest Service
LONGLEAF PINE LANDOWNER INCENTIVE PROGRAM APPLICATION
Florida Statutes 589.277 and 589.04(1)
ADAM H. PUTNAM
Application / Agreement Contract No. _________________________
COMMISSIONER
To process your application and pay you under this agreement, the state of Florida -
LANDOWNER INFORMATION: (please print)
Department of Financial Services requires a Taxpayer Identification Number. Please
Name:
register and complete Florida Substitute W-9 at:
https://flvendor.myfloridacfo.com/
Last (or IRS name of entity)
First
M.I.
Address:
City:
County:
State:
Zip:
Home Phone: (
)
Work Phone: (
)
Email Address:
(Required by 26 U.S.C. H09 to confirm that landowner’s vendor information has been received by the Department of
SS# or FEID #:________________________
Financial Services; this number will be blacked out before this document is scanned, copied or stored.)
number will be blacked out before this document is scanned, copied, or stored.)
PROPERTY LOCATION: County:
S-T-R:
-
-
Lat:
Long:
Fill in this section after practice is completed
PROJECT DESCRIPTION:
Final
Acres
No. of
Incentive
Payment
Total
No. of
Final
Check
Initial stand
stocking
to be
seedlings
payment
initially
acres
seedlings
Total cost
payment
up to 4
Practice
stocking
target
treated
to purchase
rate
requested
treated
purchased
incurred
requested
2
Invasive Exotic Treatment
N/A
N/A
$
N/A
$
$
$
/ac
Species Treated:__________________
N/A
N/A
$
$
$
Timber Stand Improvement
$
/ac
N/A
N/A
N/A
Prescribed Burn
$
$
$
$
/ac
Native Plant Understory
N/A
$
/ac
$
$
$
2
Establishment
Mech. Underbrush:
N/A
N/A
$
N/A
$
$
$
/ac
Mower type ____________
Longleaf Seedlings:
N/A
N/A
$
/1000
$
$
$
cont.____ bareroot ____
Site Preparation
N/A
N/A
$
N/A
$
$
$
/ac
Planting Method:
N/A
$
N/A
$
$
$
/ac
machine ___ hand___
trees/ac
TOTALS
$
$
$
(payment requested not to exceed $10,000):
ac
Predominant pine species: _____________________ Stand Age: _________yrs Planned time of treatment (month/yr): _____________________________
Other Specifications: ______________________________________________________________________________________________________________
*Attach to this application: (1) a tract map that meets ALL specifications and requirements listed in the 2018 Longleaf Pine Private Landowner Incentive Program Technical
Guidelines booklet Appendix 3 and (2) a detailed plan if requesting native plant understory or invasive exotic treatments.
INITIAL PROJECT APPROVAL:
By signing this document, I certify that I have read and agree to all program requirements and covenants listed on the back of this application.
Participating Landowner:
Signed: __________________________________________ Date: ______________
Check all that apply:
I have a current (prepared within the last 10 years) multi-resource forest management plan on file with a FFS County Forester.
I do not have a current multi-resource forest management plan, but hereby commit to having a plan prepared or having my old plan updated.
FFS Forester Approval:
Signed: __________________________________________ Date: ______________
Program Coordinator Approval:
Signed: __________________________________________ Date: ______________
Division of Administration Approval:
Signed: __________________________________________ Date: ______________
All practices must be completed by this date: _________________ Extended Completion Date (if granted): ______________
FINAL PAYMENT APPROVAL:
I hereby submit to the Florida Department of Agriculture and Consumer Services my attached documentation of expenses incurred to complete the Longleaf Pine practice(s)
on my property in accordance with program requirements and the completion summary table above.
Participating Landowner:
Signed: __________________________________________ Date: ______________
FFS Forester Approval:
Signed: __________________________________________ Date: ______________
*I certify that the practice has been completed according to program requirements, and that the information listed above is correct to the best of my knowledge.
Program Coordinator Approval:
Signed: __________________________________________ Date: ______________
FINANCE AND ACCOUNTING USE ONLY
Account Number:
Amount:
Approved for Payment:
Financial Officer Signature
Date
FDACS-11386 Rev. 05/18
Page 1 of 2
Florida Department of Agriculture and Consumer Services
Florida Forest Service
LONGLEAF PINE LANDOWNER INCENTIVE PROGRAM APPLICATION
Florida Statutes 589.277 and 589.04(1)
ADAM H. PUTNAM
Application / Agreement Contract No. _________________________
COMMISSIONER
To process your application and pay you under this agreement, the state of Florida -
LANDOWNER INFORMATION: (please print)
Department of Financial Services requires a Taxpayer Identification Number. Please
Name:
register and complete Florida Substitute W-9 at:
https://flvendor.myfloridacfo.com/
Last (or IRS name of entity)
First
M.I.
Address:
City:
County:
State:
Zip:
Home Phone: (
)
Work Phone: (
)
Email Address:
(Required by 26 U.S.C. H09 to confirm that landowner’s vendor information has been received by the Department of
SS# or FEID #:________________________
Financial Services; this number will be blacked out before this document is scanned, copied or stored.)
number will be blacked out before this document is scanned, copied, or stored.)
PROPERTY LOCATION: County:
S-T-R:
-
-
Lat:
Long:
Fill in this section after practice is completed
PROJECT DESCRIPTION:
Final
Acres
No. of
Incentive
Payment
Total
No. of
Final
Check
Initial stand
stocking
to be
seedlings
payment
initially
acres
seedlings
Total cost
payment
up to 4
Practice
stocking
target
treated
to purchase
rate
requested
treated
purchased
incurred
requested
2
Invasive Exotic Treatment
N/A
N/A
$
N/A
$
$
$
/ac
Species Treated:__________________
N/A
N/A
$
$
$
Timber Stand Improvement
$
/ac
N/A
N/A
N/A
Prescribed Burn
$
$
$
$
/ac
Native Plant Understory
N/A
$
/ac
$
$
$
2
Establishment
Mech. Underbrush:
N/A
N/A
$
N/A
$
$
$
/ac
Mower type ____________
Longleaf Seedlings:
N/A
N/A
$
/1000
$
$
$
cont.____ bareroot ____
Site Preparation
N/A
N/A
$
N/A
$
$
$
/ac
Planting Method:
N/A
$
N/A
$
$
$
/ac
machine ___ hand___
trees/ac
TOTALS
$
$
$
(payment requested not to exceed $10,000):
ac
Predominant pine species: _____________________ Stand Age: _________yrs Planned time of treatment (month/yr): _____________________________
Other Specifications: ______________________________________________________________________________________________________________
*Attach to this application: (1) a tract map that meets ALL specifications and requirements listed in the 2018 Longleaf Pine Private Landowner Incentive Program Technical
Guidelines booklet Appendix 3 and (2) a detailed plan if requesting native plant understory or invasive exotic treatments.
INITIAL PROJECT APPROVAL:
By signing this document, I certify that I have read and agree to all program requirements and covenants listed on the back of this application.
Participating Landowner:
Signed: __________________________________________ Date: ______________
Check all that apply:
I have a current (prepared within the last 10 years) multi-resource forest management plan on file with a FFS County Forester.
I do not have a current multi-resource forest management plan, but hereby commit to having a plan prepared or having my old plan updated.
FFS Forester Approval:
Signed: __________________________________________ Date: ______________
Program Coordinator Approval:
Signed: __________________________________________ Date: ______________
Division of Administration Approval:
Signed: __________________________________________ Date: ______________
All practices must be completed by this date: _________________ Extended Completion Date (if granted): ______________
FINAL PAYMENT APPROVAL:
I hereby submit to the Florida Department of Agriculture and Consumer Services my attached documentation of expenses incurred to complete the Longleaf Pine practice(s)
on my property in accordance with program requirements and the completion summary table above.
Participating Landowner:
Signed: __________________________________________ Date: ______________
FFS Forester Approval:
Signed: __________________________________________ Date: ______________
*I certify that the practice has been completed according to program requirements, and that the information listed above is correct to the best of my knowledge.
Program Coordinator Approval:
Signed: __________________________________________ Date: ______________
FINANCE AND ACCOUNTING USE ONLY
Account Number:
Amount:
Approved for Payment:
Financial Officer Signature
Date
FDACS-11386 Rev. 05/18
Page 1 of 2
Longleaf Pine Landowner Incentive Program Application
Per Florida Statutes 589.277 and 589.04(1)
Please read the Technical Guidelines booklet for a full list and description of all program requirements and procedures.
The Guidelines are incorporated by reference and can be found at:
http://www.freshfromflorida.com/content/download/36405/839699/LLP_LIP_Technical_Guidelines.pdf
Summary of Eligibility and Program Requirements
1. Only non-industrial private forest (NIPF) landowners who own at least 5, but not more than 5000, acres of land in Florida counties described in the 2018
Longleaf Pine Private LIP Technical Guidelines booklet are eligible. These may include private individuals or entities, joint owners, non-profit organizations, or
corporations that are not wood-using industries and have no publicly traded stock.
2. This program is applicable only for properties located in Florida counties as listed in the 2018 Technical Guidelines booklet.
3. Eligible landowners may apply to receive incentive payments for completion of approved longleaf pine practices. Payment is made at a standard rate assigned
for each practice and will not exceed $10,000 per state fiscal year (July 1–June 30).
4. Only one application per landowner is allowed per state fiscal year. If an individual owns land (in full or in part) in the name of more than one legal landowning
entity, application should be made on behalf of only one of those landowning entities per state fiscal year.
5. Practices assisted through this program must be conducted on a minimum of 5 contiguous acres in the state of Florida, all of which are owned in the name of
the same landowning entity.
6. Each practice (with the exception of Longleaf Seedling Establishment) must be applied to an existing longleaf pine stand, defined for the purposes of this
program as a forest stand (plantation or natural) in which Longleaf pine (Pinus palustris) constitute at least 50% of the stand’s basal area or stem density.
7. Any practices performed before the landowner receives written application approval are not eligible for incentive payments.
8. Acreages enrolled in the Conservation Reserve Program (CRP), or other programs that may prohibit receipt of federal funds from more than one source for the
same acreage, are not eligible for treatment under this incentive payment program.
9. Stands established or treated through this program must not be clearcut or intentionally destroyed for at least five (5) years after completion of the
restoration practice. The only exception to this requirement is for stands (or sections thereof) that must be harvested or salvaged due to a spreading bark
beetle infestation, disease infection, wildfire, or other natural disaster. In such cases, the landowner must acquire an on-site authorization from a FFS forester
prior to harvest. Failure to abide by this requirement will result in the recapture of incentive payments.
10. Practices must be conducted in a manner that avoids or greatly minimizes injury to the residual stand. The Florida Forest Service reserves the right to deduct
areas with excessive (≥25% of the stand) root injury, trunk injury, crown scorch (≥75% of canopy) or tree mortality from the final payment acreage.
11. Submitting an application to the Florida Forest Service does not guarantee project approval for payment, even if the landowner meets all the given criteria.
Eligible applications received during the sign-up period will be evaluated, scored and ranked using established criteria to determine which applications can be
approved with the available grant funds. Tie scores will be ranked by random order. The FFS will make final approval recommendations.
12. Practice installation expenditures must be supported by accurate and legible documentation such as invoices, billing statements, etc.
13. Incentive payments are available only for authorized/eligible treatments, verified and certified complete by a FFS forester.
14. On a given application, a landowner may request incentive payment funds for up to four (4) of the available practice options described below.
Summary of Approved Practices and Practice Requirements
1. Invasive Exotic Plant Treatment. Must be applied to control Invasive exotic plants (as described in the program technical guidelines) growing in a longleaf
pine stand or site to be planted to longleaf under this incentive program. 1 acre minimum; 100 acre maximum.
2
2. Timber Stand Improvement. Must be applied to a longleaf pine stand with an average basal area of at least 80 ft
/acre or 300 longleaf trees per acre.
After treatment, the average basal area of the stand must be at least 60 ft
2
/acre but must not exceed 80 ft
2
/acre. A fixed, dollar-per-acre incentive will be
paid to the landowner for implementation of this practice. 200 acre maximum.
3. Prescribed Burning. Must be applied in an existing longleaf pine stand and in accordance with State Chapter 590, F.S., and/or F.A.C. 5I-2 and local laws,
regulations and burning restrictions. A burning authorization must be obtained from FFS. 660 acre maximum.
4. Native Plant Understory Establishment. Landowners establishing or enhancing native understory vegetation in a longleaf pine stand may receive incentive
payments for the cost of the seed or plants (containerized or bareroot) and the planting operation (machine or hand planting). A minimum of 400 live
seedlings/acre must be living at the time of a survival check conducted by the FFS forester in August-October following planting. Maximum overstory basal
2
area of 50 ft
at time of planting. 33 acre maximum. See additional practice requirements in the Technical Guidelines booklet.
5. Mechanical Underbrush Treatment. Must be applied to an existing longleaf pine stand with an average basal area of at least 30 ft
2
/acre. Competing
underbrush and other woody vegetation must be reduced with 1) a Gyro-Trac, Posi-trac or equivalent mulching-head equipment, or 2) a bush hog, Brown Tree
Cutter, or other brush mowing equipment. Injury to roots and stems of residual pines must be avoided/minimized. 100 acre maximum.
6. Longleaf Seedling Establishment. Landowners establishing a longleaf pine plantation on appropriate sites may receive incentive payments for the cost of
seedlings (containerized or bareroot), site preparation and the planting operation (machine or hand planting). Planting density must be at least 500 trees per
acre. A minimum of 350 seedlings/acre must be living at the time of a survival check conducted by the FFS forester in August-October following planting. 90
acre maximum. See additional practice requirements in the Technical Guidelines booklet.
Note: Only those expenses incurred for approved treatments listed on the application/agreement are eligible for incentive payments. If necessary, previously
approved treatments may be altered on the application only if the total incentive payment amount does not exceed the original amount approved, and the
landowner receives prior written approval from the Florida Forest Service Longleaf Program Coordinator, with consultation from the county forester.
Summary of Landowner Application Procedure
1. Landowner obtains a copy of the Longleaf Pine Private Landowner Incentive Program Technical Guidelines, and application form (FDACS-11386).
2. The landowner contacts the forester or natural resource professional of his/her choice to receive practice recommendations and/or assistance with completing
the application form and a tract map (see Appendix 3 of Technical Guidelines booklet for tract map requirements).
3. The landowner requests a site visit from a FFS forester, who verifies that the stand conditions meet the specific requirements for the proposed treatment and
that the proposed practice is feasible. The landowner and FFS forester sign the application form under the section labeled “Initial Project Approval.”
4. The landowner mails the signed application along with the tract map and copy of completed Substitute W-9 to: Longleaf Pine LIP, c/o Conservation
Programs Manager, Florida Forest Service, 3125 Conner Blvd I-273, Tallahassee, FL 32399-1650.
5. The landowner registers as a vendor and submits the Substitute W-9 form information online at https://flvendor.myfloridacfo.com.
6. Upon project approval, the program coordinator will keep a copy of the application and send duplicate originals to both the landowner and the FFS county
forester to hold on file until final project completion.
7. After the landowner receives written approval and a copy of the signed application from the program coordinator, implementation of the practice may begin.
The landowner is responsible for seeing that the approved practice is carried out according to the Project Description on the application form and all practice
requirements. Practices must be completed by completion date indicated on the form.
8. Upon completion of the practice, the landowner contacts the FFS forester to schedule a performance check. The FFS forester revisits the property, brings the
original application form and verifies that the practice and target stocking level (if applicable) were achieved according to program requirements.
9. The landowner shows the FFS forester legible documentation (original receipts/invoices) of all practice costs incurred, with total costs clearly indicated.
10. Once satisfied with completion, the FFS forester verifies that the remaining items on the application form are filled out correctly (including total acres treated,
total cost incurred and final payment requested). The landowner and the FFS forester sign the form under the section labeled “Final Payment Approval.”
11. Any change in treatment area(s) or practice(s) will require the FFS forester to submit a revised map clearly showing the area(s) by treatment accomplished.
12. The landowner mails the original application form, along with copies of all receipts and invoices to the program coordinator for processing (see address in item
4 above).
13. Upon submittal of proper documentation, incentive payments will be reimbursed to the legal owner of the land in accordance with Subsection 215.422, Florida
Statute. The state of Florida performance and obligation to pay under this contract is contingent upon an annual appropriation by the Legislature.
Covenants: By s
igning the reverse side of this application, I make the following certification and agreements in favor of the Florida Forest Service:
1. I certify that I am the legal owner of the land described on the reverse side of this application.
2. I agree to conduct the approved management practice on my property in accordance with the requirements above and in the Technical Guidelines, and by the
completion date assigned.
3. I further certify that participation by me or on my behalf in the Florida Longleaf Pine Landowner Incentive Program is not fraudulent or otherwise illegal, and
that all expenditures submitted on my behalf for payment under this program are legitimate claims under the requirements of the program.
FDACS-11386 Rev. 05/18
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