Request for Assistance form

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Request for Assistance
Assisting the Resource Conservation District (RCD) of Santa Cruz County
820 Bay Avenue, Suite 128, Capitola, CA 95010 (831)475-1967(ph); 475-3215(fax)
Name:
____________________ Date of Request:
Mailing Address:
____________________
Property Address: _______________________________________Acres:____________
Directions to Property and/or Nearest Cross Street:
________________________________________________________________________
Day Time Phone Number: (
)
Cell Number: (___)
_____
E-Mail: __________________ Previous Landowner Name (if applicable):____________
Previous NRCS/RCD Services Provided: Yes____ NO ____ If Yes, date/yr:__________
Nature of Request:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
I/We acknowledge that I/We am/are the landowner(s) or legal agent(s) of the subject
property described above and grant permission for NRCS/RCD of Santa Cruz County to
conduct an on-site inventory and evaluation and/or to provide information, advice, and/or
recommendations (written or otherwise) regarding natural resource related issues or
concerns that exist, or that are identified, on the property.
Signature of Landowner or Official Agent
____________ ___________
Printed Name
Date
See Page 2 for important details regarding NRCS services
_______________________________________________________________________
FOR AGENCY USE ONLY
Contact Method: Mail___ E-mail ___ Phone ___ In Person ___ Referred By:_________
Ethnicity (employee declared): White_____ Black____ Asian/Pacific Islander_____
Native American/Eskimo____ Hispanic____
Watershed: _________________ Property w/in RCD Santa Cruz County? Yes___ No___
Information/Advice Provided:
Information Provided By: __________________________ Date Provided: ___________
IMPORTANT NOTES REGARDING NRCS/RCD SERVICES
The Natural Resources Conservation Service (NRCS) is one of the oldest government
agencies of its kind. It is an agency that was essentially initiated by landowners during
the “Dust Bowl” era of the 1930s. NRCS helps private landowners and land users
throughout the United States and Pacific Trust territories to voluntarily conserve soil,
water, air, plant, animal, wildlife and related resources.
The NRCS provides conservation technical assistance, administers conservation
programs and is a non-regulatory federal agency under the U.S. Department of
Agriculture (USDA). All NRCS services are made available to land users, without
service fees. In Santa Cruz County, NRCS works closely with, and is co-located with the
Resource Conservation District (RCD) of Santa Cruz County. The RCD is a local special
district organized under California state law and is supported by property tax revenue and
other funding mechanisms. The NRCS is an equal opportunity provider and employer.
The NRCS/RCD does not enforce laws or ordinances, issue permits, or respond to
complaints in a regulatory manner. Individuals who receive advice and council from
NRCS/RCD are responsible for compliance with all laws, ordinances and permit
requirements. Permit coordination assistance is available on some projects through the
NRCS/RCD office.
The NRCS protects the confidentiality of its clients, customers and of the public
according to agency policy and by the protections stipulated by the Freedom of
Information Act.
The NRCS and RCD of Santa Cruz County make no representation on the existence or
non-existence of any utilities. It is the property owner’s or land user's responsibility to
contact the Underground Service Alert Office (USA) at 1-800-642-2444 for information
regarding location of underground utilities when conducting any activity that involves
soil disturbances and excavations.
Information provided on practices that are structural in nature is advisory and should not
be considered as complete construction specifications. The property owner/land user is
responsible for any further technical assistance that might be necessary.
For assistance with the conservation of natural resources, you can contact the Capitola
NRCS/RCD Local Partnership Office at: 831-475-1967 (NRCS); 464-2950 (RCD); or
visit us on line at: www.ca.nrcs.usda.gov The web site for the RCD of Santa Cruz
County is: www.rcdsantacruz.org
“Helping People Help the Land”
NRCS Mission Statement
“To Help People Protect, Conserve and Restore Natural Resources through
Information, Education and Technical Assistance Programs”
RCD of Santa Cruz County Mission Statement
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