1. Combined Annual Report and Funding Application

2. Annual Report Only one report from an LGU Incorporates Current Allocation Local Revolving Accounts Overall Goals Unmet needs Paper version Electronic version (MS Word)

3. Contact Information (You do not need to change this table.)

4. Numerical Information

5. AgBMP Needs Survey Justifying requests Federal – Clean Water Needs Assessment TMDL Initiatives Assessments Feedlot Financial Needs Department of Agriculture Scorecard

6. ISTS Information Compared to PCA summary of ISTS Permitting authorities

7. Feedlot Information XX Data from 2005 Application or 2002 PCA Registration

8. Feedlot Information In progress… Completed last year… Number getting public assistance… How many need fixing… Nutrient Plans… Equipment upgrades…

9. Conservation Tillage

10. Structural Erosion Control

11. Use of Current Allocation

12. Rescinded Amount 51,328.40 $50,000.00 $1,328.40

13. Carry Over Requirements Identify the project landowner – signed form in hand ; The estimated cost of the project, and; A Lender must be willing to work with the client.

14. Revolving Fund Transaction Summary

15. Lender Reports

16. Revolving Fund Transaction Summary 84,800.10 $160,000 165,100.30 33,000.00 110,538.00 NEW + REVOLVING LOANS Amount Available Next Year $84,800 + $77,538 = $162,338 Amount Available Next Year Available=Repayments + Excess Cash Excess Cash is the amount over TARGET: $110,538 (actual) - $33,000 (target) = $77,538 EXCESS Calculated value should equal bank reported value $54,025.00 New + $111,075.30 Revolving = $165,100.30

17. Early Repayment Request

18. Calculation of Unmet Needs 65,000 0 850 65,850 $60,000 175,000 10,000 95,000 20,000 300,000 4 5 3 5 17 110,000 10,000 95,000 19,150 234,150 80,000 10,000 60,000 10,000 160,000 $160,000 30,000 0 15,000 5,000 50,000 24,150 0 20,000 4,150

19. Impaired Waters

20. Review this Year’s REPORTED Loans

21. Review Last Years Reports

22. Loan Application for Revolving Loans Completed form. Location Animal Units Acres Final Loan Amount

23. Audit Report

24. Signature One copy of Annual Report Information One copy of BASIC Application Original plus 9 copies of COMPETITIVE

25. 2006 APPLICATION Simple

26. Contact Information In Annual Report

27. Lender Information Not requested

28. Amount Requested In the Annual Report - Table 5. Include Impaired Waters!

29. Resolution Submit ONLY if needed

30. Basic Narrative Mention Impaired Waters!

31. Narrative for Competitive Application Same 6 questions as in previous years

32. Narrative Questions 1. Problem Assessment 2. Prioritization and Implementation of the CLWP 3. Benefits and Goals 4. Coordination with Other Agencies and Funding Sources 5. Past Performance 6. Activity Targeting Mention Impaired Waters!

33. Narrative Length 4 Pages or Less!

34. Statutory Criteria Listed in Instructions

35. Deadline: 4:00 p.m. Feb. 3, 2006