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{"sheet":"入力表（最初に入力）","index":0,"n_rows":17,"n_cols":16,"rows_kept":17,"cut":false,"hidden":false,"merged":[[9,2,9,14],[9,15,9,25],[10,15,15,25],[16,15,16,25],[10,2,10,14],[11,2,11,14],[12,2,12,14],[13,2,13,14],[14,2,14,14],[16,2,16,14],[15,2,15,14],[8,1,8,25],[2,2,2,25],[4,2,4,25],[5,2,5,25],[6,2,6,25],[3,2,3,25]]}
[]
[]
[null,"組織の名称　　　　　⇒入力","○○○○○○"]
[null,"組織の代表の役職名　⇒入力","○○"]
[null,"組織の代表の氏名　　⇒入力","○○　○○"]
[null,"市町村名　　　　　　⇒入力","○○市"]
[null,"市町村長の氏名　　　⇒入力","○○　○○"]
[]
[null,"【実施状況確認チェックシート】"]
[null,"書類名","様式番号",null,null,null,null,null,null,null,null,null,null,null,null,"提出先及び部数"]
[null," 農地維持又は資源向上(共同)\n チェックシート（書類確認用）","別記３－１　様式第１号（国実施要領）",null,null,null,null,null,null,null,null,null,null,null,null," 組織へ１部\n　（確認通知書に添付）\n 県へ１部\n　（実施状況確認報告書に添付）"]
[null," 農地維持\n 認定農用地確認野帳","別記３－１　様式第２号（国実施要領）"]
[null," 資源向上（共同）\n チェックシート（現地確認用）","別記３－１　様式第３号（国実施要領）"]
[null," 資源向上（長寿命化）\n チェックシート（書類確認用）","別記３－１　様式第４号（国実施要領）"]
[null," 資源向上（長寿命化）\n チェックシート（現地確認用）","別記３－１　様式第５号（国実施要領）"]
[null," 資源向上（高度な農地・水）\n チェックシート（現地確認用）","旧要領　別記３－１　様式第５号"]
[null," 実施状況の確認通知書","別記３－１　様式第６号（国実施要領）",null,null,null,null,null,null,null,null,null,null,null,null," 組織へ１部"]

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[]
[]
["（別記３－１　様式第１号）"]
["実施状況確認チェックシート（書類確認用）"]
["【 農地維持支払又は資源向上支払（共同活動）】"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"確認年月日：平成",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"← 確認区分をリストから選択"]
["市町村名",null,null,null,{"$f":"+IF(ISBLANK('入力表（最初に入力）'!C6),\"○○○○○○\",'入力表（最初に入力）'!C6)","v":"○○市"},null,null,null,null,null,null,null,null,"確認者\n（所属、氏名）",null,null,null,"○○○○課　　○○　○○"]
["対象組織名",null,null,null,{"$f":"+IF(ISBLANK('入力表（最初に入力）'!C3),\"○○○○○○\",'入力表（最初に入力）'!C3)","v":"○○○○○○"}]
[]
["１．活動の実施状況等の確認"]
["事項",null,null,null,"確認項目とその内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"チェック欄"]
["認定農用地等",null,null,null,"○保全管理状況の確認（書類上の確認）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,null,null,null,"（確認内容）\n　荒廃農地の発生・解消状況に関する調査結果等を活用し、対象組織の認定農用地における遊休農地発生防止のための保全管理を行う必要のある農用地の有無を確認"]
["実施状況報告書等","収支実績",null,null,"○収入の部",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,null,null,null,"（確認内容）\n　実施状況報告書の「収入の部」と金銭出納簿の「収入」欄の金額が一致していることを確認"]
[null,null,null,null,"○支出の部",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,null,null,null,"（確認内容）\n　実施状況報告書の「支出の部」と金銭出納簿の「支出」欄の金額が一致していることを確認"]
[null,"事業の成果","全体",null,"（確認内容）\n　活動計画書に位置付けた活動項目について、「計画」欄に「○」又は「－」が記入されていることなど、記載の漏れがないことを確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,null,null,null,"（確認内容）\n　実施欄に「●」が記入されている場合、未実施理由の妥当性を確認\n　市町村が行った現地調査結果との整合性を確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,"← 該当しない場合、リストから「該当なし」を選択"]
[null,null,null,null,"（確認内容）\n　総会、研修会が開催されていることを確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,null,"農地\n維持",null,"（確認内容）\n　備考欄に遊休農地解消面積が記入されていることを確認\n　活動計画に位置付けた遊休農地面積が、計画的に解消されていることを確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,"← 該当しない場合、リストから「該当なし」を選択"]
[null,null,"資源\n向上\n(共同)",null,"（確認内容）\n　実施欄に「○」が記入されている場合、活動記録により活動が実施されていることを確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,"← 該当しない場合、リストから「該当なし」を選択"]
["金銭出納簿",null,null,null,"（確認内容）\n　金銭出納簿により、不適切な支出がないか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
["農地中間管理\n機構の借受",null,null,null,"（確認内容）\n　認定農用地内において、農地中間管理機構が借り受けている農用地の有無をチェック",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
["都道府県が\n定めた要件",null,null,null,"　地域活動指針に基づき定める要件において、独自の要件が定められている場合\n（確認内容）\n　独自の要件が達成されていることを活動記録等により確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"該当なし",null,null,"← 長野県では「該当なし」"]
["　注１）　「確認項目とその内容」に該当しない場合は、チェック欄に「該当なし」と記入。"]
["　注２）　荒廃農地の発生・解消状況に関する調査とは、荒廃農地の発生・解消状況に関する調査要領（平成20年4月15日付け19農振第2125号農村振興局長"]
["　　　　　通知）に基づく調査のこと。（平成24年12月25日までは「耕作放棄地全体調査」として実施。）"]
["　注３）　上記の内容はあくまで最低限の確認項目であり、市町村等は、適宜、チェック項目を追加することが可能。"]
["　注４）　荒廃農地の発生・解消状況に関する調査と重複のあった農用地や農地中間管理機構の借受農地の情報については、適宜、各担当部局と情報共有を"]
["　　　　　行うこと。"]
[]
["２．活動の実施状況についての所見"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"← 適正に処理されていれば、その旨記入"]

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[]
[]
[null,null,"提出年度","平成",null,"年度"]
[]
["（別記３－１　様式第２号）"]
[{"$f":"IF(ISBLANK(E3),S6,R6)","v":"平成○○年度　認定農用地確認野帳"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"+CONCATENATE(\"平成\",DBCS($E$3),\"年度　認定農用地確認野帳\")","v":"平成年度　認定農用地確認野帳"},"平成○○年度　認定農用地確認野帳"]
[]
[null,"市町村名",{"$f":"+IF(ISBLANK('入力表（最初に入力）'!C6),\"○○○○○○\",'入力表（最初に入力）'!C6)","v":"○○市"},null,null,null,"確認者（所属、氏名）",null,null,"○○○○課　　○○　○○"]
[null,"対象組織名",{"$f":"+IF(ISBLANK('入力表（最初に入力）'!C3),\"○○○○○○\",'入力表（最初に入力）'!C3)","v":"○○○○○○"},null,null,null,"現地確認立会人",null,null,"○○　　○○　○○","← 現場確認立会人は、立会を求めた場合に記入"]
[null,"現地確認日","平成○○年○○月○○日",null,null,"(最終)",null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[]
[null,"認定農用地について、次のとおり相違ないことを確認しました。"]
[]
[" １．認定農用地の保全管理状況"]
[null,"認定農用地の管理状況の適否等",null,null,null,null,null,null,"備　　考"]
[null,"　　所　　在　　①",null,null,null,null,"現況\n地目\n②","管理状況\nの適否\n③"]
[null,"大字","字","本番","枝番","孫番"]
[null,null,null,null,null,null,null,null,null,null,"← 備考欄に、「否」と判定した理由と日付を記入\n　　その後「適」となった場合は、確認した日付も記入",null,{"$f":"IF(OR(ISTEXT(B18),ISTEXT(C18),ISNUMBER(D18),ISTEXT(G18),ISTEXT(H18)),\"\",1)","v":1}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(ISTEXT(B19),ISTEXT(C19),ISNUMBER(D19),ISTEXT(G19),ISTEXT(H19)),\"\",1)","v":1}]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(OR(ISTEXT(B20),ISTEXT(C20),ISNUMBER(D20),ISTEXT(G20),ISTEXT(H20)),\"\",1)","v":1}]
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[]
[" ２．水路・農道等の保全管理状況"]
[null,"施設名\n④",null,"管理状況の適否\n⑤",null,null,"備　　考"]
[null,null,null,null,null,null,null,null,null,null,"← 施設名は、「水路」「農道」「ため池」から選択"]
[null,null,null,null,null,null,null,null,null,null,"← 施設名は、「水路」「農道」「ため池」から選択"]
[null,null,null,null,null,null,null,null,null,null,"← 施設名は、「水路」「農道」「ため池」から選択"]

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[]
[]
["（別記３－１　様式第３号）"]
["資源向上活動（地域資源の質的向上を図る共同活動）\n実施状況確認チェックシート（現地確認用）"]
[]
["市町村名",null,null,null,{"$f":"+IF(ISBLANK('入力表（最初に入力）'!C6),\"○○○○○○\",'入力表（最初に入力）'!C6)","v":"○○市"},null,null,null,null,null,null,null,null,null,null,null,"確認者\n（所属、氏名）",null,null,null,null,"○○○○課　　○○　○○"]
["対象組織名",null,null,null,{"$f":"+IF(ISBLANK('入力表（最初に入力）'!C3),\"○○○○○○\",'入力表（最初に入力）'!C3)","v":"○○○○○○"},null,null,null,null,null,null,null,null,null,null,null,"現地確認立会人",null,null,null,null,"○○　　○○　○○",null,null,null,null,null,null,null,null,null,null,null,null,"← 現場確認立会人は、立会を求めた場合に記入"]
[]
["現地確認結果"]
["（１）施設の軽微な補修"]
["対象活動",null,null,null,null,null,null,"計画",null,"確認内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"チェック欄",null,null,"確認日"]
["１．農用地"]
[" 畦畔・農用地法面等の補修",null,null,null,null,null,null,null,null,"　当該年度に、畦畔の再構築等、農用地の保全管理のための必要な取組が適切に実施されているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 施設の適正管理",null,null,null,null,null,null,null,null,"　当該年度に、鳥獣害防護柵等の補修や設置等、施設の適正管理のために必要な取組が適切に実施されているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
["２．水路"]
[" 水路の適正管理",null,null,null,null,null,null,null,null,"　当該年度に、水路の目地詰めや破損施設の補修等、施設の適正管理のために必要な取組が適切に実施されているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 附帯施設の適正管理",null,null,null,null,null,null,null,null,"　当該年度に、給水栓の凍結防止対策や空気弁等の腐食防止剤の塗布等、附帯施設の適正管理のために必要な取組が適切に実施されているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
["３．農道"]
[" 農道の適正管理",null,null,null,null,null,null,null,null,"　当該年度に、路肩・法面の初期補修やきめ細やかな雑草対策等が適切に実施されているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 附帯施設の適正管理",null,null,null,null,null,null,null,null,"　当該年度に、側溝の目地詰め等、施設の適正管理のために必要な取組が適切に実施されているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
["４．ため池"]
[" 堤体の適正管理",null,null,null,null,null,null,null,null,"　当該年度に、遮水シートの補修や堤体施設の補修等の取組が適切に実施されているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 附帯施設の適正管理",null,null,null,null,null,null,null,null,"　当該年度に、附帯施設の破損箇所や老朽化した箇所の補修等の取組が適切に実施されているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
["　注１）　「計画」欄には、活動計画書等を基に「○」又は「－」を記入。（以下、同じ。）"]
["　注２）　現地調査を実施した項目について、該当する内容について確認した後、チェック欄に「レ」を記入。（以下、同じ。）"]
["　注３）　「確認日」欄には、各項目の最終確認日を記入。（以下、同じ。）"]
[]
["（２）農村環境保全活動"]
["対象活動",null,null,null,null,null,null,"計画",null,"確認内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"チェック欄",null,null,"確認日"]
[" 生態系保全",null,null,null,null,null,null,null,null,"　選択したテーマに基づき実施した取組について、実施箇所を確認。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 水質保全",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 景観形成・生活環境保全",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 水田貯留機能増進・地下水\n かん養",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 資源循環",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[]
["（３）多面的機能の増進を図る活動"]
["対象活動",null,null,null,null,null,null,"計画",null,"確認内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"チェック欄",null,null,"確認日"]
[" 遊休農地の有効活用",null,null,null,null,null,null,null,null,"　取組を行った内容について、実施箇所を確認。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 農地周りの共同活動の強化",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 地域住民による直営施工",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 防災・減災力の強化",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 農村環境保全活動の幅広い\n 展開",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 医療・福祉との連携",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[" 農村文化の伝承を通じた\n 農村コミュニテイの強化",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,"← 確認日が複数の場合は、最終確認日を記入"]
[]
["（４）活動の実施についての所見"]

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[]
[]
["（別記３－１　様式第４号）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
["資源向上活動（施設の長寿命化のための活動）\n実施状況確認チェックシート（書類確認用）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐\n該当なし"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"確認年月日：平成",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"← 確認区分をリストから選択"]
["市町村名",null,null,null,{"$f":"+IF(ISBLANK('入力表（最初に入力）'!C6),\"○○○○○○\",'入力表（最初に入力）'!C6)","v":"○○市"},null,null,null,null,null,null,null,null,"確認者\n（所属、氏名）",null,null,null,"○○○○課　　○○　○○"]
["対象組織名",null,null,null,{"$f":"+IF(ISBLANK('入力表（最初に入力）'!C3),\"○○○○○○\",'入力表（最初に入力）'!C3)","v":"○○○○○○"}]
[]
["１．施設の長寿命化のための活動"]
["事項",null,null,null,"確認項目とその内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"チェック欄"]
["対象農用地",null,null,null,"○保全管理状況の確認（書類上の確認）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,null,null,null,"（確認内容）\n　荒廃農地調査結果等を活用し、対象組織の対象農用地における遊休農地発生防止のための保全管理を行う必要のある農用地の有無を確認"]
["実施状況報告書","収支実績",null,null,"○収入の部",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,null,null,null,"（確認内容）\n　実施状況報告書の「収入の部」と金銭出納簿の「収入」欄の金額が一致していることを確認"]
[null,null,null,null,"○支出の部",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,null,null,null,"（確認内容）\n　実施状況報告書の「支出の部」と金銭出納簿の「支出」欄の金額が一致していることを確認"]
[null,"事業の成果",null,null,"（確認内容）\n　計画に位置付けた活動内容が実施されているか確認\n　（活動計画に位置付けられていない内容が実施されていないか確認）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,null,null,null,"（確認内容）\n　実績数量のある実施内容について、それぞれ活動記録で活動が実施されていることを確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,null,null,null,"（確認内容）\n　総会の開催状況について、会議資料等により確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
["金銭出納簿",null,null,null,"（確認内容）\n　金銭出納簿により、不適切な支出がないか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
["農地中間管理\n機構の借受",null,null,null,"（確認内容）\n　対象農用地内において、農地中間管理機構が借り受けている農用地の有無をチェック",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
["都道府県が\n定めた要件",null,null,null,"　地域活動指針に基づき定める要件において、独自の要件が定められている場合\n（確認内容）\n　独自の要件が達成されていることを活動記録等により確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"該当なし",null,null,"← 長野県では「該当なし」"]
["　注１）　すべての項目について確認した後、チェック欄に「レ」を記入。"]
["　注２）　市町村等の所有する施設に係る工事を行い、対象組織が財産を取得した場合は、市町村等に対してできるだけ速やかに譲渡を行うよう指導。"]
["　注３）　上記の内容はあくまで最低限の確認項目であり、市町村等は、適宜、チェック項目を追加することが可能。"]
["　注４）　荒廃農地調査と重複のあった農用地や農地中間管理機構の借受農地の情報については、適宜、各担当部局と情報共有を行うこと。"]
[]
["２．活動の実施状況についての所見"]

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[]
[]
["（別記３－１　様式第５号）"]
["資源向上活動（施設の長寿命化のための活動）\n実施状況確認チェックシート（現地確認用）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"確認年月日：平成",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"← 確認区分をリストから選択"]
["市町村名",null,null,null,{"$f":"+IF(ISBLANK('入力表（最初に入力）'!C6),\"○○○○○○\",'入力表（最初に入力）'!C6)","v":"○○市"},null,null,null,null,null,null,null,null,"確認者\n（所属、氏名）",null,null,null,null,"○○○○課　　○○　○○"]
["対象組織名",null,null,null,{"$f":"+IF(ISBLANK('入力表（最初に入力）'!C3),\"○○○○○○\",'入力表（最初に入力）'!C3)","v":"○○○○○○"},null,null,null,null,null,null,null,null,"現地確認立会人",null,null,null,null,"○○　　○○　○○",null,null,null,null,null,null,null,null,null,null,null,"← 現場確認立会人は、立会を求めた場合に記入"]
[]
["現地確認結果"]
["（１）施設の長寿命化のための活動に係る実施状況の確認"]
["対象施設",null,null,"事業量",null,null,null,null,null,"確認内容（活動の実施）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"チェック欄"]
[null,null,null,"補修",null,null,"更新等"]
["１．水路"]
["水路本体",null,null,null,null,"ｍ\n又は\n箇所",null,null,"ｍ\n又は\n箇所","　施工箇所・延長について、現地で確認　（延長については図測でも可能）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,"← 事業量の単位は、リストから選択",null,null,null,null,null,null,"ｍ\n又は\n箇所","ｍ","箇所"]
["附帯施設",null,null,null,null,"箇所",null,null,"箇所","　施工箇所・延長について、現地で確認　（延長については図測でも可能）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,null,null,null,null,null,null,null,"ｈａ\n又は\n箇所","ｈａ","箇所"]
["２．農道"]
["農道本体",null,null,null,null,"ｍ\n又は\n箇所",null,null,"ｍ\n又は\n箇所","　施工箇所・延長について、現地で確認　（延長については図測でも可能）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,"← 事業量の単位は、リストから選択"]
["附帯施設",null,null,null,null,"ｍ\n又は\n箇所",null,null,"ｍ\n又は\n箇所","　施工箇所・延長について、現地で確認　（延長については図測でも可能）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,"← 事業量の単位は、リストから選択"]
["３．ため池"]
["ため池本体",null,null,null,null,"箇所",null,null,"箇所","　施工箇所について、現地で確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
["附帯施設",null,null,null,null,"ｍ\n又は\n箇所",null,null,"ｍ\n又は\n箇所","　施工箇所・延長について、現地で確認　（延長については図測でも可能）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,"← 事業量の単位は、リストから選択"]
["４．農地に係る施設"]
["暗渠排水・\n排水口",null,null,null,null,"ｈａ\n又は\n箇所",null,null,"ｈａ\n又は\n箇所","　施工箇所について、現地で確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐",null,null,"← 事業量の単位は、リストから選択"]
["給排水施設",null,null,null,null,"箇所",null,null,"箇所","　施工箇所について、現地で確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
["固定式\n散水施設",null,null,null,null,"箇所",null,null,"箇所","　施工箇所について、現地で確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
["鳥獣害\n防護柵",null,null,null,null,"ｍ",null,null,"ｍ","　施工箇所について、現地で確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
["　注１）　事業量は、実施状況報告書（様式第１－８号）の実績欄に記入されている事業量を記入。（対象外の施設については「－」を記入。）"]
["　注２）　該当する内容について確認した後、チェック欄に「レ」を記入。"]
["　注３）　地下に埋設されるなど、現地で活動の実施状況を確認できない施設については、納品書、写真等で確認。"]
[]
["（２）活動の実施についての所見"]
["\n"]
["　注）　実施状況報告の事業量と合致しない場合は、現地で確認した事業量に修正して、実施状況報告書の再提出を求める旨を記入。"]

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[]
[]
["（旧要領　別記３-１　様式第５号）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"確認年月日：平成",null,"年",null,"月",null,"日"]
[]
["（３）高度な農地・水の保全活動に係る実施状況の確認"]
["活動項目",null,null,null,null,null,null,"数量",null,null,"確認内容（活動の実施）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"チェック欄"]
[]
["１．農業用水の保全"]
[null,"循環かんがい施設の保全等",null,null,null,null,null,null,null,"ha","・施工数量について、現地で確認（面積については図測でも可能）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"水路への木炭等の設置",null,null,null,null,null,null,null,"ｍ","・施工数量について、現地で確認（延長については図測でも可能）\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"冬期湛水等のためのポンプ設置",null,null,null,null,null,null,null,"ha","・施工数量について、現地で確認（面積については図測でも可能）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"末端ゲート・バルブの自動化等",null,null,null,null,null,null,null,"箇所","・施工数量について、現地で確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"給水栓・取水口の自動化等",null,null,null,null,null,null,null,"箇所","・施工数量について、現地で確認（面積については図測でも可能）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"地方裁量による追加項目\n（　　　　　　　　　）",null,null,null,null,null,null,null,null,"・施工数量について、現地で確認（面積や延長については図測でも\n　可能）\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"該当なし"]
["２．農地の保全"]
[null,"グリーンベルト等の設置",null,null,null,null,null,null,null,"ｍ","・施工数量について、現地で確認（延長については図測でも可能）\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"防風林の設置",null,null,null,null,null,null,null,"ｍ","・施工数量について、現地で確認（延長については図測でも可能）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"ため池等の浚渫",null,null,null,null,null,null,null,"ｍ3","・施工数量について、現地で確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"地方裁量による追加項目\n（　　　　　　　　　）",null,null,null,null,null,null,null,null,"・施工数量について、現地で確認（面積や延長については図測でも\n　可能）\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"該当なし"]
["３．地域環境の保全"]
[null,"水田魚道の設置（再設置）",null,null,null,null,null,null,null,"箇所","・施工数量について、現地で確認\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"水路魚道の設置",null,null,null,null,null,null,null,"ha","・施工数量について、現地で確認（面積については図測でも可能）\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"生物生息環境向上施設の設置",null,null,null,null,null,null,null,"箇所","・施工数量について、現地で確認\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"生物の移動経路の確保",null,null,null,null,null,null,null,"ｍ","・施工数量について、現地で確認（延長については図測でも可能）\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"水環境回復のための節水かんがいの導入",null,null,null,null,null,null,null,"ha","・施工数量について、現地で確認（面積については図測でも可能）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"水田貯留（排水桝の改良、畦畔の嵩上げ等）",null,null,null,null,null,null,null,"ha","・施工数量について、現地で確認（面積については図測でも可能）\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"水田貯留（水位調整板(管)の設置）",null,null,null,null,null,null,null,"ha","・施工数量について、現地で確認（面積については図測でも可能）\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"カバープランツ（地被植物）の設置",null,null,null,null,null,null,null,"ｍ2","・施工数量について、現地で確認（面積については図測でも可能）\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"法面への小段（犬走り）の設置",null,null,null,null,null,null,null,"ｍ","・施工数量について、現地で確認（延長については図測でも可能）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"☐"]
[null,"地方裁量による追加項目\n（　　　　　　　　　）",null,null,null,null,null,null,null,null,"・施工数量について、現地で確認（面積や延長については図測でも\n　可能）\n・維持管理が適切に行われているか確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"該当なし"]
["　注１）　事業量は、実績報告書の「４．事業の成果」に記入されている事業量を記入。（対象外の施設については、「－」を記入。）"]
["　注２）　該当する内容について確認した後、チェック欄に「レ」を記入。"]
["　注３）　地下に埋設されるなど現地で活動の実施状況を確認できない施設については、納品書、写真等で確認。"]
[]
["（４）高度な農地・水の保全活動の実施についての所見"]
["\n"]
["　注）　実績報告の事業量と合致しない場合は、現地で確認した事業量に修正して、実績報告書の再提出を求める旨を記入。"]

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[null,"提出年度",null,null,null,"平成 ",null,null,null,null," 年度",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false]
[null,"実施区分",null,null,null,null,null,"農地維持支払",null,null,null,null,null,null,"資源向上支払（共同活動）",null,null,null,null,null,null,null,null,null,null,"資源向上支払（長寿命化）",null,null,null,null,null,null,null,null,"← 組織が取り組んだ活動をすべてチェック\n　　（チェックによって、本文の文言が変わります。）"]
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["（別記３－１　様式第６号）"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第　　　号"]
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[]
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["記"]
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