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    Installation Report & Certification: To Be Completed By: The Project Verifier Submitted To: Program

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    Yosif Babeker
    This document is an installation report and certification for a conservation project. It includes sections to document the project details, inspection of the installed practices, and an attestation. The report confirms that photos were taken, the practice was installed according to the application and standards, and describes any deviations from the original plan along with explanations. The verifier signs to certify the project meets requirements.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Installation Report & Certification: To Be Completed By: The Project Verifier Submitted To: Program

    Uploaded by

    Yosif Babeker
    1K views2 pages
    This document is an installation report and certification for a conservation project. It includes sections to document the project details, inspection of the installed practices, and an attestation. The report confirms that photos were taken, the practice was installed according to the application and standards, and describes any deviations from the original plan along with explanations. The verifier signs to certify the project meets requirements.

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    Installation Report Template

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    This document is an installation report and certification for a conservation project. It includes sections to document the project details, inspection of the installed practices, and an attestation. The report confirms that photos were taken, the practice was installed according to the application and standards, and describes any deviations from the original plan along with explanations. The verifier signs to certify the project meets requirements.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views2 pages

    Installation Report & Certification: To Be Completed By: The Project Verifier Submitted To: Program

    Uploaded by

    Yosif Babeker
    This document is an installation report and certification for a conservation project. It includes sections to document the project details, inspection of the installed practices, and an attestation. The report confirms that photos were taken, the practice was installed according to the application and standards, and describes any deviations from the original plan along with explanations. The verifier signs to certify the project meets requirements.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Installation Report & Certification

    To be Completed By: the project Verifier Submitted to: Program


    Administrator, Buyer, & Seller

    Project ID: __________________________________


    Prepared by:
    County Conservation District, and State _________________________________
    Name: _____________________________ e-mail: ______________________________
    Date: ______________________________

    Conservation Practice Type:


    ________________________________________________________________________________

    Practice Documentation:
    Confirm whether the following documents have been completed and attached hereto as part of this Installation Report
    and Certification:
     On-site photos, date stamped (pre- and post-installation)
     Revised Project Application (if applicable)

    Practice Installation:
    Date of Installation: _____________________________
    Date of confirmation by the County: __________________________
    Name of person doing the confirmation: ______________________________________

    On-site Inspection (attach additional pages as necessary):


    A. Describe any deviations between installed conservation practices and Project Application commitments.
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________

    B. If any deviations were reported above, describe how they nevertheless conform to the requirements of the Erie
    P Market program (Note: a Revised Project Application must be completed and attached to this form if any
    deviations occurred.)
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________

    Adapted from EPRI’s Ohio River Basin pilot project.


    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________

    C. Confirm whether the conservation practices specified in the Project Application were installed in accordance
    with the relevant NRCS Practice Standards.
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________

    D. Please include any comments here.


    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________
    ___________________________________________________________________________________________

    Attestation:
    I certify that the conservation practices specified in the Project Application dated <insert date of approved application>
    were installed and that there were no deviations between the installed and contracted practices, other than those noted
    herein.

    Signed: _______________________________________ Date: _______________________

    Print name: ___________________________________

    November 2017

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