Haywood County Soil and Water Conservation District

Farmland Preservation Program

Landowner Application

Voluntary AD ¨ Enhanced VAD ¨

APPLICANT

NAME: ______

ADDRESS: ______

CITY: ______, NC ZIP: ______

PHONE NUMBER: ______TOWNSHIP: ______

PROPERTY INFORMATION

Number of Acres: ______

Tax Pin No: ______

______

Property Address: ______

What kind of agricultural uses are currently in place on this land?

______

Do you know of any neighbors who may be interested in this program?

______

Is your farm primarily forestry products? Yes ____ No_____

Do you currently have a soil conservation plan and if not, would you like the soil conservation office to contact you? Yes ____ No _____

And/or Forest Service Plan (Best Management Practice) Yes ____ No _____

Preservation Agreement

The landowner hereby agrees that if this tract is accepted into the Haywood County Agricultural District Program that the tract will not be converted to non-farm or development use for a period of at least 10 years (except for the creation of immediate family home sites) and to practice natural resource conservation on my land.

This preservation agreement may be revoked by written notice to the Haywood County Agricultural Advisor Board.

Signature for Preservation Agreement ______

If you have questions, please call Don Smart at 456-3061.

Mail to: Haywood County Farmland Preservation Ordinance

589 Raccoon Road, Suite 203

Waynesville, NC 28786