Step 1: Create Farm ID
LSID:
FarmID:
Landowner's Last Name:
Official Local Sponsor:
County of Easement:
Total Tier 1 Score:
Total Acreage:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.

Welcome and thank you for your interest and participation in the Clean Ohio Agricultural Easement Purchase Program (AEPP). Established in 2002, this program was created within Ohio Revised Code (ORC) 901.21 and described in ORC 901.22. Its goal is to preserve Ohio's most productive and viable blocks of farmland for future generations. Please read the Guidelines and Policies before beginning the application process.

  • Once this step is completed, you will be issued a Farm ID for this applicant.

  • This Farm ID will need to be provided to the local SWCD/NRCS representative in order for them to complete steps 17 and 18 of the application located above and at the top right hand corner of each step.

  • Required fields are noted with an asterisk before each required text box.
Submitted by LSID:
* Last Name of Landowner Main Contact:
* First Name of Landowner Main Contact:
* Affiliation to Landowner:
* Landowner's Home Address:
* City:
* State:
* Zip Code:
* Telephone:
Fax:
Email Address:
Re-Enter Landowner Email Address:

Step 2: Local Sponsor
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.

  • Once this step is reviewed and submitted, you will be issued a Farm ID for this applicant.

  • Use this Farm ID to reference each step of the AEPP application process.

  • This Farm ID will need to be provided to the local SWCD/NRCS representative in order for them to complete steps 18 and 19 of the application.

  • Required fields are noted with an asterisk before each required text box.
* Official Local Sponsor:
* Last Name of Local Sponsor's Representative/Main Contact:
* First Name of Local Sponsor's Representative/Main Contact:
* Affiliation to Local Sponsor:
* Local Sponsor's Address:
* City:
* State:
* Zip Code:
* Telephone:
Fax:
Email Address:
Employer:
Title:
Work Address:
City:
State:
Zip Code:
Telephone:
Fax:
Email Address:

Step 3: Eligibility - Required Background Information
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.

The following requirements must be met in order to be eligible to apply for the AEPP. The following questions must be answered in the affirmative or not applicable to proceed.

3A: Is the land currently enrolled in CAUV in the County Auditor's office?Yes No
3B: Is the land enrolled in the Agricultural District Program with the county auditor?Yes No
3C: If this application covers more than one parcel, are the parcels contiguous?
(Answering Not applicable indicates farm is one parcel.)		Yes No Not Applicable
3D: Is the farm at least 40 acres in size, or, if less than 40 acres (but at least 25 acres) is it adjacent to farmland already held under a permanent agricultural easement so that the total acreage is at least 40 acres?Yes No
3E: Does the Local Sponsor have the financial ability to monitor this land for compliance with the terms of the Deed of Agricultural Easement?Yes No
3F: Are the required Local Sponsor resolution(s) of support attached to this application?Yes No
3F: Is the farm entirely located within one county?
Note: Farms that straddle two or more counties must submit a separate application for the portion of the farm in each county.		Yes No
3G: Is the entire farm, including the homestead, included in this application?
(No portion of the applicant farm, including the homestead, may be omitted from the application.)*		Yes or Approved Exception No
3H: Are all parcels in this application owned by the same legal entity?
Yes No

*NOTE: There is a Large Farm Exception Policy. Please see the Guidelines and Policies for more details.

Step 4: Condition of Use Agreement - Required Background Information
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.

Ohio Department of Agriculture, Office of Farmland Preservation
Copyright Issues and Notification
CONDITIONS OF USE
PLEASE READ THESE TERMS OF USE CAREFULLY BEFORE USING THIS SITE.
 

  I.      PRIVACY

  II.     ELECTRONIC COMMUNICATIONS

  III.    RESTRICTIONS ON USE OF MATERIALS

  IV.    JURISDICTIONAL ISSUES AND GOVERNING LAWS

  V.     TERMINATION

  VI.    DISCLAIMER

  VII.   LIMITATION ON LIABILITY

 


The user of this web site and the materials contained herein assents to these terms and conditions by accessing, browsing, or otherwise using this web site and by clicking on the “I Agree” icon at the end of this Notification.

I. PRIVACY

Please review our Privacy Policy (http://www.agri.ohio.gov/Policies.aspx?pol=PrivStatement.htm), which also governs your visit to the Web site of Ohio Department of Agriculture, to understand our practices.

II. ELECTRONIC COMMUNICATIONS

When you visit the Web site of the Office of Farmland Preservation, Ohio Department of Agriculture (hereinafter “ODA”), or send e-mails to us, you are communicating with us electronically. You consent to receive communications from us electronically. We will communicate with you by e-mail or by posting notices on this site. You agree that any agreements, notices, disclosures, and other communications that we provide to you electronically may satisfy any legal requirement that such communications be in writing.

III. RESTRICTIONS ON USE OF MATERIALS

(A) Proprietary Rights. All content included on this site, such as text, graphics, logos, button icons, images, audio clips, digital downloads, data compilations, and software, is the property of the State of Ohio (hereinafter “State”), by and through the ODA or its content suppliers and  protected by United States and international copyright laws. No material from www.ohioagriculture.gov or any Web site owned, operated, licensed or controlled by State or ODA may be copied, reproduced, republished, uploaded, posted, transmitted, or distributed in any way, except that you may download the materials on any single computer for your personal, non-commercial use only, provided you keep
intact all copyright and other proprietary notices. Modification of the materials or use of the materials for any other purpose is a violation of State’s copyright and other proprietary rights. For purposes of this Agreement, the use of any such material on any other Web site or networked computer environment is prohibited. All trademarks, service marks, and trade names are proprietary to State.

In the event you download software from the site, the software, including any files, images incorporated in or generated by the software, and data accompanying the software (collectively, the "Software") are licensed to you by ODA. ODA does not transfer title to the Software to you. You own the medium on which the Software is recorded, but ODA retains full and complete title to the Software, and all intellectual property rights therein. You may not redistribute, sell, decompile, reverse engineer, disassemble, or otherwise reduce the Software to a human-perceivable form.

(B) License and Site Access. ODA grants you a limited license to access and make personal use of this site and not to modify it, or any portion of it, except with express written consent of ODA. This license does not include any resale or commercial use of this site or its contents; any derivative use of this site or its contents; or any use of data mining, robots, or similar data gathering and extraction tools. You may not frame or utilize framing techniques to enclose ODA or any logo or other proprietary information (including images, text, page layout, or form) of ODA without express written consent. You may not use any meta tags or any other hidden text utilizing ODA’s name without the express written consent of ODA. You are granted a limited, revocable, and nonexclusive right to create a hyperlink to the home page of ODA so long as the link does not portray ODA, or its products or services in a false, misleading, derogatory, or otherwise offensive manner. You may not use ODA or any logo or other proprietary graphic of ODA as part of the link without express written permission.

(C) Links to Third Party Sites. Any links or hyperlinks to a third-party site in no way constitutes an endorsement of, nor promotion of the site, products, or services contained therein. These hyperlinks are provided only as a convenience to users for informational purposes. The user acknowledges and agrees that the use of third party links and related sites is at the user’s own risk. Any financial information provided in any of the links should not be relied upon without first consulting your personal financial professional. In addition, ODA makes no proprietary claim to any third party names, trademarks or service marks appearing on this web site. Any third party names, trademark, and service marks are the properties of their respective owners.

 

(D) Confidentiality and Minors. If you use this site, you are responsible for maintaining the confidentiality of your username and password and for restricting access to your computer, and you agree to accept responsibility for all activities that occur under your username or password. If you are under 18, you may use the web site of ODA only with involvement of a parent or guardian. ODA reserves the right to refuse service, terminate usernames and passwords, remove or edit content, or cancel transactions.

IV. JURISDICTIONAL ISSUES AND GOVERNING LAWS

(A) Jurisdiction. Unless otherwise specified, the materials in the site are presented solely for the purpose of promoting programs, applications, and other products available in the United States, its territories, possessions, and protectorates. This site is controlled and operated by ODA from its offices within the State of Ohio, United States of America.  State and ODA make no representation that materials in the site are appropriate or available for use in other locations. Those who choose to access this site from other locations do so on their own initiative and are responsible for compliance with local laws, if and to the extent local laws are applicable.

(B) Governing Laws. This agreement shall be governed by and construed in accordance with the laws of State, without giving effect to any principles of conflicts of law. If any provision of this agreement shall be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this agreement and shall not affect the validity and enforceability of any remaining provisions. This is the entire agreement between the parties relating to the subject matter herein and shall not be modified except in writing, signed by both parties.

V. TERMINATION

This agreement is effective until terminated by either party. You may terminate this agreement at any time by destroying all materials obtained from any and all ODA site(s) and all related documentation and all copies and installations thereof, whether made under the terms of this agreement or otherwise. This agreement will terminate immediately without notice from ODA if in sole discretion you fail to comply with any term or provision of this agreement. Upon termination, you must destroy all materials obtained from this site and any and all other ODA or State site(s) and all copies thereof, whether made under the terms of this agreement or otherwise.

VI. DISCLAIMER

This site is provided by ODA on an “as is” and “as available” basis. ODA and State make no representations or warranties of any kind, express or implied, as to the operation of this site of the information, content, materials, or products included on this site. You expressly agree that your use of this site is at your sole risk.

VII. LIMITATION ON LIABILITY

(A) Damages. Under no circumstances, including, but not limited to, negligence, shall ODA or State be liable for any special or consequential damages that result from the use of, or the inability to use, the materials in this site, even if ODA or an ODA authorized representative has been advised of the possibility of such damages. Applicable law may not allow the limitation or exclusion of liability or incidental or consequential damages, so the above limitation or exclusion may not apply to you. In no event shall ODA's total liability to you for all damages, losses, and causes of action, whether in contract, tort (including, but not limited to, negligence), or otherwise, exceed the amount paid by you, if any, for accessing this site.

(B) Indemnification. You agree to indemnify, defend and hold harmless State or ODA, its directors, employees, consultants and agents from any and all liability, loss, claim or expense (including reasonable attorney’s fees) related to your violation of this agreement, or your infringement, or infringement by any other user, or any intellectual property or other right of any person or entity. These Conditions of Use will inure to the benefit of ODA’s successors.

I (local sponsor) have read and understand the terms outlined in this Conditions of Use Agreement. I agree to abide by the conditions stated in the above agreement. I further agree that I am legally able to make this agreement and accept the terms and conditions outlined in the agreement as written and in its entirety.

I agree and accept the terms of the Conditions of Use Agreement.
I do not accept the terms of the Conditions of Use Agreement and elect not to participate in the Funding Round.

Step 5: Ownership - Required Background Information
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
5A: Ownership Type:Individual Joint Corporate
Trust Partnership Other
If Individual, list owner(s):
If Joint, list title holders:
If Corporate, Trust or Partnership, entity's Name:
All other types, designate Type:
Designated Authorized Representative:
Designated Authorized Representative:
Designated Authorized Representative:
5B: Does anyone with a ownership interest in this applicant property also have an ownership interest in another property applying for the Funding Round?Yes No
5C: If the answer to 5B is "Yes", identify the other property(ies) or parcel(s) that are applying for the Funding Round in the space provided:
Property Owner 1:
Last Name:
First Name:
Street Address:
County:
Township:
Property Owner 2:
Last Name:
First Name:
Street Address:
County:
Township:
Property Owner 3:
Last Name:
First Name:
Street Address:
County:
Township:

Step 6: Title Holder(s) - Required Background Information
List all titleholders of the applicant properly.
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
Landowner 1:
Last Name:
First Name:
Middle Initial:
Mailing Address:
City:
State:       Zip Code:  
Landowner 2:
Last Name:
First Name:
Middle Initial:
Mailing Address:
City:
State:       Zip Code:  
Landowner 3:
Last Name:
First Name:
Middle Initial:
Mailing Address:
City:
State:       Zip Code:  
Landowner 4:
Last Name:
First Name:
Middle Initial:
Mailing Address:
City:
State:       Zip Code:  
Landowner 5:
Last Name:
First Name:
Middle Initial:
Mailing Address:
City:
State:       Zip Code:  

Step 7: Applicant Farm Address - Required Background Information
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
* Farm Physical Address:
Post Office Box:
* City:
* State:
* Zip Code:
* County:
* Township:
Township:

Step 8: County Auditor Records - Information Required to Calculate Points Based Appraisal (Step 19)
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
County Auditor's Tax Records for the application farm **

** NOTE: The per acre value is determined by using 100% of the Market Value of the land (including the homestead property) for each parcel, then dividing the Grand Total by the number of total acres on the farm. The same calculation is used for determining the CAUV, using 100% of its value.

Parcel NumberNumber of
Acres		100% CAUV ($)100% Market
Land ($)		100% Buildings
($)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Grand Total
Per Acres Value(s)

Step 9: Farmland Usage - Required Background Information
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
Please indicate below how the applicant farmland is utilized:
Livestock:
Type:Number:
Type:Number:
Type:Number:
Type:Number:
Grain:
Type:Acres:
Type:Acres:
Type:Acres:
Type:Acres:
Pasture Acres:
Woodlot/Forested Acres:
Homestead Acres:
Nursery Type:
Type:
Type:
Greenhouse Acres:
Fruit:
Type:Acres:
Type:Acres:
Vegetables:
Type:Acres:
Type:Acres:
Aquaculture:
Type:Quantity:
Type:Quantity:
Christmas Tree Acres:
Tobacco Acres:
CRP/Stream Buffers Acres:
Other Type:
Type:Acres:
Type:Acres:

Step 10: Financials - Required Background Information
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
10A: Likelihood of change or conversion:
- Is the property currently involved in an estate dispute?Yes No
- Has the owner of record recently filed for:Not Applicable Bankruptcy Foreclosure
10B: Current Mortgage Information:
- Is there currently a mortgage(s) or lien(s) on the proprety, or is there a court judgment by the State of Ohio, or any agency thereof, against any party with an ownership interest in the AEPP application property?**Yes No
** Please indicate any tax liens, civil judgment, or environmental findings
If you answer "Yes" to Question 10B, provide the following lender information:
Lien Holder 1 Name:
Contact Person:
Mailing Address:
City:
State:
Zip:
Telephone:
Parcel Number(s) with Lien:
Lien Holder 2 Name:
Contact Person:
Mailing Address:
City:
State:
Zip:
Telephone:
Parcel Number(s) with Lien:

Lien Holder 3 Name:
Contact Person:
Mailing Address:
City:
State:
Zip:
Telephone:
Parcel Number(s) with Lien:
Lien Holder 4 Name:
Contact Person:
Mailing Address:
City:
State:
Zip:
Telephone:
Parcel Number(s) with Lien:
Lien Holder 5 Name:
Contact Person:
Mailing Address:
City:
State:
Zip:
Telephone:
Parcel Number(s) with Lien:

Step 11: Restrictions - Required Background Information
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
Please refer to the Draft Deed of Agricultural Easement for further information.
11A: Are there any restrictive covenants, leases, or easements on the applicant property to include:
(Maximum Points = 0.0)		Yes No
Does the applicant property have a Surface Mining Lease?
If yes, the landowner will be asked to remove the surface mining lease prior to the closing of the agriculture easement.		Yes No
Is the applicant property participating in the permanent easement program of the Wetland Reserve Program?Yes No
If "Yes", how many acres are included in the Wetland Reserve Program?
Does the appplicant property have a a Utility Easement?Yes No
Does the appplicant property have a permanent Conservation Easement?Yes No
If "Yes", how many acres are included in the Conservation Easement?
Does the appplicant property have an Oil or Gas Lease?Yes No
If the applicant property has an Oil and Gas Lease, is it in production?Yes No
11B: Does the landowner have existing housing (i.e, homestead, personal residence, or tenant house) on the application farm?
(Maximum Points = 0.0)		Yes No
NOTE: Please see ODA's farmstead policy regarding housing.
If "Yes", how many?

Step 12: Proximity to Protected Land - Tier One Scoring (Maximum Points = 15)
The highest ranking is given to farmland that is located near other protected areas, which ensures a better chance of long term agricultural viability.
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
12A: The Applicant Farm's physical location relative to other agricultural, natural resource, open space, or forested land permanently protected by an agricultural or conservation easement. If none please fill in "None" in Property Type.(Maximum Points = 7.5)
Property TypeAcresProximity in Feet
Total Acre Equivalents
Total Acreage Factor
Weighted Multiplier
Points For 12-A
12B: The Applicant Farm's physical location relative to other non-easement protected land compatible with agriculture. These lands include the following: protected wetlands, public parks/forests, airports, military bases, wildlife areas, natural preserves, prison farms, historic or archaeological sites, conservancy parks, reservoirs, well fields, battlefields, flood pools*, publicly-owned agricultural research lands, and protected well heads. If none please fill in "None" in Property Type.(Maximum Points = 2.5)
Property TypeAcresProximity in Feet
Total Acre Equivalents
Total Acreage Factor
Weighted Multiplier
Points For 12-B
*Flood Pool - An area of flood-prone land subject to inundation by impounded floodwaters from a flood control structure. For dams with abnormal pool elevation, the lands surrounding this area that are below the elevation of an emergency spillway. This flood pool area is normally protected by a restricted development easement that was negotiated at the time of construction of the flood control structure.
For 12c and 12d, the total points cannot exceed 5.0. The applicant will be given credit for the points awarded for the response to either Question 12c or 12d, but not both, depending on which returns the higher point value. For example, if the applicant earns 3.0 points in Question 12c but only 2.0 points in Question 12d, the applicant will receive 3.0 points.
12C: The Applicant Farm's proximity to two or more adjacent (within 10,560 feet) farms, including the applicant farm, that are applying in the AEPP Funding Round to sell an agricultural easement. If none please fill in "None" in Property Type.(Maximum Points cannot exceed 5.0)
Property TypeAcresProximity in Feet
Total Acre Equivalents
Total Acreage Factor
Weighted Multiplier
Points For 12-C
-OR-
12D: Single Larger Farm - A single larger farm consisting of 100 acres or more applying to sell an agricultural easement, without any neighbors applying, can receive points under this section because larger farms contribute to a community's farmland preservation efforts.(Maximum Points cannot exceed 5.0)
More than 350 acres - 5 points
More than 300 to 349 acres - 4 points
More than 200 to 299 acres - 3 points
More than 150 to 199 acres - 2 points
More than 100 to 149 acres - 1 points
Not applicable - 0 points
POINT FOR 12-A:
POINT FOR 12-B:
POINT FOR 12-C or 12-D(whichever is higher):
TOTAL POINTS FOR STEP 12:

Step 13: Development Pressure - Tier One Scoring (Maximum Points = 15)
The highest ranking is faced with intermediate development pressure.
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
Tier One Total Score = Maximum 100 Points
Step 13 Total Score = Maximum 15 Points
13A: Select the one item which indicates the applicant property's proximity to nearest publicly available sewer line from the nearest public road frontage boundary of the property using public roadway distance. (Maximum Points = 5.0)
     Sewer access is:
     Within 500 feet or More than 24,000 feet (0 points)
     Between 501 and 1,000 feet or Between 22,001 and 24,000 feet (1 points)
     Between 1,001 and 3,000 feet or Between 20,001 and 22,000 feet (2 points)
     Between 3,001 and 5,000 feet or Between 18,001 and 20,000 feet (3 points)
     Between 5,001 and 7,000 feet or Between 16,001 and 18,000 feet (4 points)
     Between 7,001 and 16,000 feet (5 points)
13B: Select the one item which indicates the applicant property's proximity to nearest publicly available water line from the nearest public frontage boundary of the property using public roadway distance. (Maximum Points = 3.0)
     Water access is:
     Within 500 feet or More than 24,000 feet (0 points)
     Between 501 and 1,000 feet or Between 22,001 and 24,000 feet (1 points)
     Between 1,001 and 3,000 feet or Between 20,001 and 22,000 feet (1.5 points)
     Between 3,001 and 5,000 feet or Between 18,001 and 20,000 feet (2 points)
     Between 5,001 and 7,000 feet or Between 16,001 and 18,000 feet (2.5 points)
     Between 7,001 and 16,000 feet (3 points)
13C: Select the one item which indicates the applicant property's proximity to any roadway intersection listed on the most current available form of the Ohio Department of Transportation's official highway map -- to be measured by public roadway distance from the nearest road frontage boundary of the farm property. (Maximum Points = 2.0)
     Roadway intersection access is:
     Within 1,500 feet or More than 22,001 feet (0 points)
     Between 1,501 and 3,000 feet or Between 20,001 and 22,000 feet (0.5 points)
     Between 3,001 and 5,000 feet or Between 18,001 and 20,000 feet (1 points)
     Between 5,001 and 7,000 feet or Between 16,001 and 18,000 feet (1.5 points)
     Between 7,001 and 16,000 feet (2 points)
13D: Public Road Frontage on the applicant farm. (Maximum Points = 3.0)
     Roadway frontage is:
     Less than 1,000 feet (0 points)
     Between 1,001 and 2,000 feet (1 points)
     Between 2,001 and 3,000 feet (1.5 points)
     Between 3,001 and 4,000 feet (2 points)
     Between 4,001 and 5,000 feet (2.5 points)
     5,001 feet or more (3 points)
13E: How many homes exist within a one-half mile perimeter of the farm boundary? (Maximum Points = 2.0)
     12 homes or less (2 points)
     13 to 24 homes (1.5 points)
     25 to 36 homes (1 points)
     37 to 48 homes (0.5 points)
     More than 48 homes (0 points)
TOTAL POINTS FOR STEP 13:

Step 14: Other Factors - Tier One Scoring (Maximum Points = 29)
The highest ranking is given to those other factors that can influence local efforts to preserve farmland including: population growth, historic designation, enrollment in an agricultural security area, historic designation, level of farm and county production, bargain sales of agricultural easements, and established dedication of landowner to keeping land in agriculture.
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
Tier One Total Score = Maximum 100 Points
Step 14 Total Score = Maximum 29 Points
Other factors that can influence local efforts to preserve farmland include population growth, landowners who enroll in Agricultural Security Area (ASA), farms that have a historical designation, and bargain sales of agricultural easements.
14A: Metropolitan Statistical Area (MSA)

MSA Listing and MSA Map as defined by the Federal Government.  (Maximum Points = 3.0)

     Points are allowed as follows:
     Farm is located within the largest MSA County (0.0 points)
     Farm is located in an MSA County, but not the largest MSA County (3.0 points)
     Farm is not in an MSA County, but the county is adjacent to an MSA County (1.5 points)
     Farm is not in an MSA County, and the county is not adjacent to an MSA County (0.0 points)
     View All Counties:
14B: Enrollment in the Agricultural Security Area (ASA) (Maximum Points = 2.0)
     Farm is enrolled in an ASA (2 points)
     Farm is not enrolled in an ASA (0 points)
14C: Historic Designation

Is the applicant farm or any part of the farm, including the homestead or buildings, listed on the National or State Register as an historic or archaeological site; listed on the Ohio Historic Inventory; or has the farm been accepted by ODA as a Century Farm since 1993? (Maximum Points = 5.0)

     National or State Register of Historic Places (5 points)
     ODA Century Farm (3 points)
     Ohio Historic Inventory or Ohio Archeology Inventory (2 points)
     Not applicable (0 points)

* Note: If application farm has been Historically Designated, proof of such designation must be included in the attachments that are being submitted with the application. Only one historic designation may be claimed for Item 14C.

14D: Higher Local Match

Does the applicant farm have higher than the required 25% Local Match? (Maximum Points = 12.0)

     60% Local Match (12 points)
     55% Local Match (11 points)
     50% Local Match (10 points)
     45% Local Match (8 points)
     40% Local Match (6 points)
     35% Local Match (4 points)
     30% Local Match (2 points)
     25% Local Match (0 points)

14E: Repeat Applications

Has the landowner submitted this farm in any previous AEPP Funding Round(s)? (Maximum Points = 1.0)

     Has applied in: , , , , , , or (1 point)
     Has not applied before or has previously declined a full ODA offer(0 points)
14F: Recent Land Use Conversion (Maximum Points = 3.0)

Has the landowner sold or conveyed any land contiguous to the applicant farm since January 2006?

     Yes (0 points)
     No (3 points)
14G: Has any farm in the applicant property’s county received funding for farmland preservation through the Clean Ohio Agricultural Easement Purchase Program in any of the prior funding rounds?
     Yes (0 points)
     No (3 points)
TOTAL POINTS FOR STEP 14:

Step 15: Local Government's Comprehensive Planning - Tier One Scoring (Maximum Points = 16)
The highest ranking is given to farmland that the local government has designated for protection through planning, zoning and other efforts, and has already taken some steps to protect this farmland.
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
Tier One Total Score = Maximum 100 Points
Step 15 Total Score = Maximum 16 Points
15A: Has the local government adopted a comprehensive land use plan that was written within the past seven years?(Maximum Points = 3.0)
     Yes (3 points)      No (0 points)
15B: Is the applicant property located within a specific area designated for agricultural use by the comprehensive land use plan? (Maximum Points = 5.0)
     Yes (5 points)      No (0 points)
15C: The applicant property's zoning type allows for no more than one house per: (Maximum Points = 4.0)
     Less than 10 acres, No zoning (0 points)
     10 to 20 acres (1 points)
     21 to 30 acres (2 points)
     31 to 40 acres (3 points)
     41 acres and over (4 points)
15D: How much funding did the local government expend in for farmland preservation, including administration, planning, education, and/or purchase of agricultural easements? (Maximum Points = 4.0)
     At least $100,000 spent in (4 points)
     Between $50,000 and $99,999 was spent in (3 points)
     Between $20,001 and $49,999 was spent in (2 points)
     Up to $20,000 was spent in (1 point)
     No funds were spent for farmland preservation in (0 points)

If any of the above were answered, "Yes," then describe the expenditures and how the funds were spent: (Maximum 1300 characters)

     
15E: Verification of Local Sponsor's Consultation with County Planner
I, , of verify that all of the information supplied in Step 15, the Local Comprehensive Plan Section, is accurate and was obtained by the authorized County Planner listed below.
County Planner Information
*Last Name:
*First Name:
Title:
*Organization:
*Address:
*City:
*State:
*Zip:
*County:
*Telephone:
TOTAL POINTS FOR STEP 15:

Step 16: Narratives
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
Tier Two Total Score = Maximum 50 Points
Each Question = Maximum 10 Points
Instructions for completing Step 16:

- These questions are designed to give you the opportunity to showcase the unique characteristics of your land or operation. It is a chance for you to explain what makes your application special(in ways that might not be evident in the straightforward answers to Tier I questions). Evaluations are based on the thoroughness of your responses, NOT on writing style. These points will be scored by the Ohio Farmland Advisory Board.

- Use only the space provided. Each question is allowed 1300 characters (about 15 lines). Do not use additional sheets or the backs of pages.

- Answer each question and sub-question, even if it is to explain, "Our property does not contain wetlands and therefore this question does not apply to our farm."

- The minimum font size is 10 point and has been preset for you.

- You may cut and paste your information into the text area fields as long as you do not exceed the 1300 character maximum and you do not use a font size smaller than 10 point Arial.

- Any violations of the above instructions may invalidate this application.

16A: Provide some specific information about the property in this application. In particular, list or describe: (1)the kinds of agricultural activities conducted on the property; (2)the essential agricultural support services and facilities used in the operation; and, (3)the distance of those essential support services and facilities from the property. (Maximum Points = 10.0)
     
16B: Discuss the management and future of the property in this application. In particular, describe: (1)what sort of estate plan is in effect for the property; (2) what sort of business plan is there for the operation of the farm; and, (3)what, if any, long-term investments have been made on the property.(Maximum Points = 10.0)
     
16C: (1)What makes the property in this application a good showcase for the promotion of farmland preservation in Ohio? (2)List ideas for making this property a better showcase. (3)Describe any awards received in these areas, if any. (Maximum Points = 10.0)
     
16D: What has your local government(s) done to (1)establish an agricultural preservation board; (2)fund an office of farmland preservation; (3)provide steady revenue to purchase agricultural easements; (4)create or support a land trust; or, (5)demonstrate other public commitment to farmland preservation. (Maximum Points = 10.0)
     
16E: Explain the ways in which the property in this application demonstrates sustainable agriculture. List all programs(governmental or your own) you have entered into to address the following:(1)soil erosion, (2)water quality, (3)wetland protection/restoration, and, (4)wildlife habitat enhancement.(Maximum Points = 10.0)
     

Step 17: Conservation Plan - Tier One Scoring (Maximum Points = 5)
The Conservation Plan documents the applicant farm's best land use practices.
The highest ranking is given to farmland with established and implemented conservation plans.
Representative must sign "Conservation Certification"
TO BE COMPLETED BY SWCD/NRCS REPRESENTATIVE ONLY
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
Tier One Total Score = Maximum 100 Points
Step 17 Total Score = Maximum 5 Points
Landowner Last Name:
Farm Address:
Farm County:
Farm Township:
Number of Acres:
17A: Has the farmer or landowner implemented one of four types of conservation plans as defined/developed by the Natural Resource Conservation Service (NRCS) or the local Soil & Water Conservation District (SWCD)? Or, if the farm is an organic operation, has a conservation plan been approved by a qualified organization that is acceptable to the Director of ODA? (Maximum Points = 5.0)
Highest ranking is given to the landowners with established and implemented conservation plans. Select conservation type:
     The Landowner has established and is implementing a complete whole farm plan that addresses all resource concerns, as defined by USDA/NRCS.(5 Points)
     The Landowner has established and is implementing a plan that addresses multiple resources, but not all resource concerns.(3 points)
     The Landowner has established and is implementing a plan that addresses a single resource, such as a Highly Erodible Land Plan.  (2 Points)
     The farm does not have a conservation plan. (0 Points)
17B: Conservation Plan Certification
I certify that to the best of my knowledge the above information contained within Step 17 is true and accurate.
* Last Name:
* First Name:
Title:
Organization:
* Address:
* City:
* State:
* Zip:
County:
* Telephone:
Email:
17C: Insert acreages below for the following types of land, Nonforested Wetlands Acres, Prime Soils Acres, Forested Wetland Acres, Nonwetland Forests Acres. If there are no acres, enter "0".
Nonforested Wetlands Acres:
Prime Soils Acres:
Forested Wetland Acres:
Nonwetland Forests Acres:
TOTAL POINTS FOR STEP 17:



Step 18: Soil Type Productivity - Tier One Scoring (Maximum Points = 20)
The highest ranking is given to farmland with those soils designated as prime, unique, locally important.
Representative must sign "Soils Certification"
TO BE COMPLETED BY SWCD/NRCS REPRESENTATIVE ONLY
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
Tier One Total Score = Maximum 100 Points
Step 18 Total Score = Maximum 20 Points
This Soil Type Productivity is for:
*Landowner Name: *Number of Acres:
Farm Address: Local Sponsor:
*Farm County: Telephone:
*Farm Township: Email:
Township:
Points will be based on prime soil, unique, or locally important soils. A score between 0 and 20 will be calculated by the county Soil & Water Conservation District based on their completion of the Soils Worksheet.
Please prepare an 8-1/2 x 11 Soils Map and Soils Legend with the farm's outer boundary outlined and attach to the application.
Please complete the Soils Worksheet below for the applicant farm listed above.
Map SymbolMap Unit Name# of AcresProductivity Index *Soil Designation **Weighted Score
Total Acres: Total Weighted Score:
Total Weighted Score/Total Acres:
* Productivity Index is from OSU Bulletin #685, Ohio Soils With Yield Data and Productivity Index, 1983.  To view latest soil listing, click here.
** Soils Designations are available in NRCS Technical Guide for County.
BONUS FOR UNIQUE OR LOCALLY IMPORTANT (non-prime farmland): Bonus points are awarded for unique or locally important farmland engaged in agricultural activities. A total of up to 5 bonus points is awarded, based on 1 bonus point for each 20% increment of the farm's acreage so engaged. For example, if a 100-acre farm has up to 20 acres of unique or locally important farmland, it would be awarded 1 bonus point; 21 to 40 acres of such farmland, it would be awarded 2 bonus points, etc. Bonus points added to the Soil Type and Productivity Worksheet total cannot exceed a Grand Total of 20 points. County Soil and Water Conservation Districts must verify eligibility, acres & points.
(Cannot exceed 5 bonus points) BONUS TOTAL:
(Cannot exceed maximum 20 points) GRAND TOTAL:

Step 19: Points Based Appraisal
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.

- How we determine your farm's value

- Worksheet to check your values

- View County Listing (adjusted land value for Item 2)

1. ODA Agricultural Easement Base:
     a. Market Value
     b. CAUV
     c. ODA Agricultural Easement Base (per acre value)
2. ODA Adjusted Land Value
3. First Adjusted ODA Ag Easement Value Calculation
4. First Adjusted ODA Ag Easement Value
5. ODA Tier One Total Score
     a. Tier One Points Above "60"
     b. ODA Tier One Ranking System Farmland Preservation Points
6. Second Adjusted ODA Ag Easement Value Calculation
7. Second Adjusted ODA Ag Easement Value
8. Local Match/Donation
9. Local Match/Donation Calculation
10. Final Adjusted ODA Ag Easement Value(Cannot exceed $2,000 per acre)
11. Total Amount of Farm's Acres, including Homestead Acres (excluding easements)
12. TOTAL VALUE OF THIS AGRICULTURAL EASEMENT (Cannot exceed $500,000)

Step 20: Certifications
LSID:
FarmID:
The Clean Ohio Agricultural Easement Purchase Program (AEPP) application due date has past for the 2009 round of funding. Users are able to view applications but do not have the ability to change and/or submit applications.
This signature page can be printed with the entire submitted application on the next page. This printed out page MUST be signed by appropriate parties and submitted with the entire printout of the electronically submitted AEPP application. Any inaccuracies or incompleteness regarding the application is grounds for the ODA to invalidate the application.
Any inaccuracies or incompleteness regarding the application is grounds for the ODA to invalidate the application.
Landowner(s): All individuals who own an interest in the applicant farm, or are authorized to act on behalf of landowner(s), must be listed in the Title Holder section of this application and sign below in order for the State of Ohio to consider this application. I/We verify and attest that the statements submitted in the application are a true and accurate representation of the facts regarding my/our farm. It is understood that my/our signature does not obligate sale of an Agricultural Easement on my/our farm, but simply permits the State to consider purchase of the Agricultural Easement. I/we also understand that all information surrounding my/our farm’s involvement with the Clean Ohio Agricultural Easement Purchase Program will be made available as required under Ohio’s Public Records law (i.e., Chapter 149 of the Ohio Revised Code). Further, to the best of my/our knowledge, no environmental hazards exist on the property and I/we affirm that I/we have been in substantial compliance with all federal, state and local agricultural laws for the past five years.

Title Holder(s):

SIGNATURE:

DATE:

 

SIGNATURE:

DATE:

 

SIGNATURE:

DATE:

 

SIGNATURE:

DATE:

 

SIGNATURE:

DATE:


Sponsor representative:  I verify that to the best of my knowledge all information contained in this application is true and accurate, including the reported distances and other figures provided, and I am acting as the authorized representative of the local sponsor.

NAME: 

ORGANIZATION: 

TITLE: 

SIGNATURE:

DATE:


Conservation Certification:  I certify that to the best of my knowledge all information contained in the  “Conservation Plan" (Step 17) is true and accurate.

Name: 

SIGNATURE:

DATE:

Title: 

Telephone:

Fax: 

Email: 

 

Soils Certification:  I certify that to the best of my knowledge all information contained in the Soils Worksheet(Step 18), is true and accurate. I further verify that the soils map and soils legend are included as Attachment E  and the content of Attachment E  is also true and accurate.

           8-1/2 x 11 soils map attached (Step 18)

           Soils legend with the farm's outer boundary outlined as required by Step 18.

Name: 

SIGNATURE:

DATE:

Title: 

Telephone:

Fax: 

Email: 

Attachment Checklist

This attachment checklist completes the Clean Ohio AEPP online application. Attach the following items labeled clearly to the printed online application for submission. The application may be deemed incomplete if applicable attachments are not submitted by the application due date. Any inaccuracies or incompleteness regarding the application is grounds for the ODA to invalidate the application.

Applications must be printed out and submitted by hard copy with signatures and attachments sent by registered mail, certified mail, or hand delivered to the Office of Farmland Preservation, 8995 East Main Street, Reynoldsburg, Ohio 43068, on or before 5:00 p.m. on Monday, May 11, .

ATTACHMENT A: Resolution(s)

Attach either

1.) a resolution or ordinance from the political subdivision

or

2.) a recorded action from a soil and water conservation district or charitable organization supporting the landowner's application. The resolution or recorded action must certify the availability and commitment to pay the required local match (if applicable), and agree to monitor, supervise and enforce the deed of agricultural easement on behalf of the director.

In addition, a copy of this resolution or recorded action must be provided to:

1.) Board(s) of County Commissioners,
2.) Board(s) of Township Trustees, and
3.) Local soil and water conservation district(s), in which the applicant farm is located.
Each of these entities has the opportunity to provide comment upon the resolution or recorded action.

ATTACHMENT B: Plat Map

An 8 1/2 x 11 inch plat map or other map showing the following:

1.) Name of the landowner(s),
2.) Parcel number(s) for the entire farm,
3.) Delineated homestead area, and
4.) Homestead perimeter clearly indicated in feet.

ATTACHMENT C: Tax Records

County Auditor tax records of the applicant farm's land values used in responding to Step 7 of this application e.g., the real estate taxes and assessments (tax bill), or other real property records.

ATTACHMENT D: Map of the Applicant Farm

An 8 1/2 by 11 inch map, sketch or aerial photo which shows all information claimed in Steps 12 and 13. This includes, but is not limited to the proximity of the application farm from any protected properties(easement and non-easement), to neighboring applicant farms, sewer and water lines, accessible public roadway intersection(s), and the total road frontage of the farm.

ATTACHMENT E: Soils Map

An 8 1/2 by 11 inch soils map and soils legend with the farm's outer boundary outlined.

ATTACHMENT F: Historical Designation

For land or structures that have been historically designated, attach written verification from the respective designating authority confirming that the land or building is significant and when it was designated as such.

ATTACHMENT G (if applicable): Corporations, Partnerships, and Trusts

  • A copy of incorporation papers, and

  • Certificate of authorization that the individual is authorized to act on behalf of the Corporation, Partnership, or Trust.

ATTACHMENT H (if applicable): Non-Profit Organizations

The Ohio Department of Agriculture may ask a non-profit organization for the following additional information:

  • IRS tax exemption,

  • A copy of by-laws showing that the non-profit organization's mission includes farmland preservation,

  • A list of officers, board of directors, and members,

  • Financial statements,

  • Stewardship endowment policy, and

  • Documentation showing the non-profit organization's ability to hold, monitor and enforce an agricultural easement in perpetuity.

ATTACHMENT I: ASA Enrollment Verification(if applicable) - attach resolution
ATTACHMENT J: Any Other Relevant Information, such as the (optional) Large Farm Exception Letter