This attachment checklist completes the Clean LAEPP online application. Attach the following items labeled clearly to the printed online application for submission to ODA (see Local Sponsor Cooperative Agreement for details). The application may be deemed incomplete if applicable attachments are not submitted to ODA, and any inaccuracies or incompleteness regarding the application is grounds for ODA to invalidate the application.

Applications submitted to ODA for final funding approval must be printed out and submitted by hard copy with signatures and attachments within ten (10) business days of the close of the Local Sponsor's landowner application period, but in no event later than April 30, 2015. Applications may be submitted to ODA in person or by mail at the Office of Farmland Preservation, 8995 East Main Street, Reynoldsburg, Ohio 43068.

Note: Examples of attachments can be found on the Clean Ohio LAEPP under "Landowner Application Information".

Attach a resolution or ordinance from the political subdivision or a recorded action from a soil and water conservation district, charitable organization supporting the landowner’s application, certifying the availability and committing to pay the required local match (if applicable), and agreeing to monitor, supervise and enforce the deed of agricultural easement on behalf of the director.

An 8 ½ x 11 inch map or aerial photograph of the application property, including:

1.) Delineated existing or reserved homestead area(s);
2.) Existing roads and buildings;
3.) Boundaries;
4.) Total road frontage of the farm;
5.) Power easements; and
6.) Any land excluded from the easement.

Provide County Auditor tax records and a map of the applicant farm's land values used in responding to Step 8 of this application e.g., the real estate taxes and assessments (tax bill), or other real property records. Be sure to include the most recent documentation showing:

1.) Market Value of the application by tax parcel
2.) CAUV enrollment
3.) Agricultural District enrollment

Include an 8 ½ x 11 inch map, sketch, or aerial photograph showing an adequate radius of the application property. Include information claimed in Step 12 and questions 13A, 13B, 13C, and 13E. 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, distance to sewer and water, interchanges, pipelines, and accessible public roadway intersection(s).

Include an 8 1/2 x 11 inch coded soils map containing a list of soil mapping unit names and symbols.

For land or structures that have been historically designated and received points for question 14C, attach written verification from the respective designating authority confirming that the land or building is significant and when it was designated as such.

If the applicant property’s ownership consists of a corporation, partnership, and/or trust the following must be provided:

1.) A copy of incorporation papers, and
2.) Certificate of authorization that the individual is authorized to act on behalf of the Corporation,
Partnership, or Trust.

If the local sponsor is a charitable organization, it must be tax exempt and be organized for the purpose of the preservation of agricultural land. To demonstrate this, the organization must provide:

1.) A copy of the organization’s exemption under 26 U.S.C. 1, subsection 501(a) and 501(c).
2.) A statement of the organization’s stewardship endowment policy.
3.) An ordinance or resolution supporting the agricultural easement from the township(s) and county(ies) where the applicant property is located.


*NOTE: If Local Sponsor previously submitted Attachment H Items 1 and 2 with their Local Sponsor Application for Certification, Please
include a page that states that these items where previously submitted as such. Item Number 3(Resolutions) is still required for
every hard copy Landowner Application submitted to ODA for final approval.

The Director of the Ohio Department of Agriculture may ask a charitable organization for the following
additional information:

(a) A copy of the organization’s by-laws or regulations stating that farmland preservation is one of its purposes.
(b) A list of the organization’s officers, board of directors, and members;
(c) The organization’s financial condition, including a balance sheet, revenue and expense
statement, and the financing available for monitoring and enforcing an agricultural easement;
(d) The organization’s ability to provide the necessary managerial, legal and financial expertise to
hold, monitor, and enforce an agricultural easement.

If the application claims that the applicant property is enrolled in an ASA within Question 14B, the resolution(s) approving the enrollment must be attached.

Provide a copy of the current owner’s deed of record. Include the most current deed reference book, volume and page or other reference to the place of record of the deed. In the case of multiple deeds, numbers for all the deeds should be provided.

Include site visit form for LAEPP 2015 Landowner Aplication, available on the Clean Ohio LAEPP main webpage under Landowner Application Information or from the left-hand menu of the Landowner Application website. Site Visit form must include at least one landowner's initials and signature, as well as a Local Sponsor signature.

1.) Provide a photo of the applicant property.
2.) Additional information may be attached such as the Large or Small Farm Exception Letter (if applicable).
3.) According to the OAC 901-2-07(D)(5), applicants may provide photos, maps, or other visual aids not to exceed page and size limits set by the Local Sponsor.