NATIONAL ORGANIC PROGRAM APPLICATION & ORGANIC SYSTEM PLAN - FARMS 1 of 26 1. GENERAL INFORMATION: Name of Operation: Address: City: State: Zip Code: Mailing Address (if different): City: State: Zip Code: Primary Contact Information: Name: Telephone: E-mail: Other Contact: Name: Telephone: E-mail: Operation Type: Organic Only Parallel Production Does any on-farm processing of off-farm organic or conventional products or any processing of multi-ingredient products occur at this operation? No Yes - please complete the Organic System Plan - Processing/Handling State Organic Registration: No Title: Fax: Title: Fax: Is this operation registered for organic farming in any state organic program? Yes; list state and registration number(s) To the best of my knowledge, all information provided in this Organic System Plan accurately describes this organic farming operation. Print Name: Signature: Date:
1. GENERAL INFORMATION (cont.) 2 of 26 Has this operation ever applied for registration with, been registered, inspected or certified by another certifying agency? No Yes, applied for registration or was registered. Provide a copy of registration documents/name of certifying agency. Yes, was inspected and/or certified. Provide a copy of the most recent inspection report, all nonconformities issued and the corrective actions taken. A review of the OSP will be performed to ensure that your operation falls within the scope of the USDA National Organic Program requirements and will be used to estimate the costs for performance of the on-site inspection. Throughout the OSP where you are requested to describe your methods, if your operation has formal procedures you may reference the procedure number in that section and attach a copy of the procedure. 2. REGISTRATION INFORMATION Note: This section for PrimusLabs.com use only Registration No.: PLc - Certification Type: New :Date application package and OSP received Recertification
3. FARM PLAN INFORMATION 3 of 26 a. Identification and Location Information Farm identifier: Section/Town/Range, County Assessor parcel no. or similar descriptor: (attach a copy of the map which shows this location) b. Site Details - maps must be submitted which accurately reflect the information provided below Acreage :total at this location :total organic at this location :total in transition to organic Provide details of any acreage of the total shown above that is not in organic production or transitioning to organic production: c. Land Use History Information (attach additional sheets if needed) For all acreage in organic production less than 4 years from the date of this application, provide a detailed land use history which indicates previous uses of the land, fertilizer and soil amendments applied and dates of application. Pest control materials applied and dates of application, specifically detail any application of prohibited materials.
3. FARM PLAN INFORMATION (cont.) 4 of 26 d. Crop Information List all crops for which organic certification is being requested, include the acreage for each organic crop. If this is a parallel production operation also list all crops that will not be included in the organic certification and their associated acreage. Organic Crop Name Acreage Yes / No
4. SEED INFORMATION 5 of 26 Growers must use organic seed. Nonorganic seed may be used in accordance with the NOP standard when its organic equivalent is not commercially available. If required by phytosanitary regulations, seed treated with prohibited substances may be utilized, however, GMO seed is prohibited from use. a. Source of Seed (check all that apply) N/A, seed is not used at this operation Grow seed utilized by this operation Organic Nonorganic Untreated Treated Non-GMO Purchase seed utilized by this operation Organic Nonorganic Untreated Treated Non-GMO b. Seed Used - On the attached Seed and Seed Treatment - Detailed Information sheet provide complete details on all seed used. c. Seed Treatments No seed treatments are utilized at this operation Seed treatments used, provide details of all seed treatments on the attached Seed and Seed Treatment - Detailed Information sheet
SECTION 4 (cont.) SEED AND SEED TREATMENT - DETAILED INFORMATION 6 of 26 Complete this sheet for each crop/variety seed that this operation utilizes. Name of Crop: Seed Variety: Seed Source: Organic Nonorganic Untreated Treated Non-GMO If Nonorganic is checked, provide complete details on this seed and justification for use: If Treated was checked, provide complete details on the treatment used and justification for use:
5. SEEDLING/PERENNIAL STOCK INFORMATION 7 of 26 Growers must use organic seedlings/perennial stock. Nonorganic seedlings or perennial stock may be used in accordance with the NOP Standard when its organic equivalent is not commercially available. If required by phytosanitary regulations, seedlings/perennial stock treated with prohibited materials may be utilized, however, GMO materials are prohibited from use. a. Source of Seedlings and Perennial Stock (check all that apply) N/A, seedlings/perennial stock are not used at this operation Seedlings/perennial stock used are grown by this operation Organic Nonorganic Purchase seed utilized by this operation Untreated Treated Non-GMO Organic Nonorganic Untreated Treated Non-GMO b. On the attached Seedling/Perennial Stock and Treatment - Detailed Information sheet provide complete details on all seedlings/perennial stock materials used. c. Treatments No treatments are utilized at this operation Treatments used, provide details of all treatments on the attached Seedling/Perennial Stock and Treatment - Detailed Information sheet
SECTION 5 (cont.) SEEDLING/PERENNIAL STOCK AND TREATMENT - DETAILED INFORMATION 8 of 26 Complete this sheet for each crop/variety seedling or perennial stock material that this operation utilizes. Name of Crop: Variety: Source: Organic Nonorganic Untreated Treated Non-GMO If Nonorganic is checked, provide complete details on this material and justification for use: If Treated was checked, provide complete details on the treatment used and justification for use:
6. SOIL AND CROP FERTILITY MANAGEMENT 9 of 26 a. General Information 1) Rotation Plan - Describe in detail or N/A, provide explanation 2) Erosion Control Practices - Describe in detail or N/A, provide explanation
6. SOIL AND CROP FERTILITY MANAGEMENT (cont.) 10 of 26 3) Fertility Management - Describe methods and materials used in detail or N/A, provide explanation Methods - Materials Common Name Brand Name Location or crop for which it will be used
6. SOIL AND CROP FERTILITY MANAGEMENT (cont.) 11 of 26 b. Compost Use 1) Is composted plant or animal material used by this operation? No Yes 2) Does this operation produce its own compost? No Yes If yes, describe in detail the materials used, the composting method used and the process verification information. 3)Is compost purchased from an off-farm source? No Yes If yes, how are the input materials and composting method used verified and documented?
6. SOIL AND CROP FERTILITY MANAGEMENT (cont.) 12 of 26 c. Manure Use 1)Is raw animal manure used by this operation? No Yes If yes, in what form is the manure: 2)From where is the manure sourced? On-farm Off-farm If the manure is from an off-farm source, describe how you verify that prohibited materials have not been used: 3) If used, describe the application method with regard to application time prior to harvest and incorporation:
6. SOIL AND CROP FERTILITY MANAGEMENT (cont.) 13 of 26 4) Describe methods used to prevent contamination of water sources and adjacent crops: d. Natural Resources 1) Describe in detail the strategies used to mitigate the impact of your operation on the surrounding flora and fauna, and improve the wildlife habitat and biodiversity.
6. SOIL AND CROP FERTILITY MANAGEMENT (cont.) 14 of 26 e. Water Use 1) List all sources of water used in the production of your crops. 2) List the chemical and bacteriological tests performed on each water source. Water Source Chemical & Bacteriological Tests 3) Describe the methods of irrigation used by this operation.
7. CROP MANAGEMENT 15 of 26 a. Pest management 1) Indicate the methods used by this operation for control of the pest types Diseases & Other pests Methods Used Nematodes Weeds Insects ( describe ) Crop rotation Cover cropping Row cropping Timing of planting Crop nutrition management Site sanitation Growing locale Resistant rootstocks/varieties Mechanical cultivation Pest removal by hand (pruning, hoeing, etc.) Method of irrigation Mowing Grazing Mulching Release of beneficial organisms Planting of beneficial habitat Building of predator habitat Traps Physical barriers (fences, etc.) Other (describe) Use of allowable substances (describe)
7. CROP MANAGEMENT (cont.) 16 of 26 2) If "Other" was selected in the Methods Used chart, describe in detail the method used. If "Use of allowable substance" was selected describe the substance used, list the brand name (if applicable), the applicable section of the NOP standard and the justification for its use (make additional copies of this page as needed).
8. MAINTENANCE OF ORGANIC INTEGRITY 17 of 26 a. Adjoining Land Use 1) For each field describe the buffer zone used to prevent contact from prohibited substances (note: these buffer zones and the adjoining land uses shall be included on the field level maps submitted as part of this OSP). Field ID Width (ft) Description of the buffer zone 2) Describe how the adjoining land is being used.
8. MAINTENANCE OF ORGANIC INTEGRITY (cont.) 18 of 26 3) If harvestable non-organic crops are grown in a buffer zone, describe how they are segregated during all phases of production. 4) Describe the methods used to notify adjoining land users and others of the location of your organic operation in order to prevent contamination from their use of prohibited substances. What is the frequency of notification?
8. MAINTENANCE OF ORGANIC INTEGRITY (cont.) 19 of 26 b. Parallel Production 1) Are organic and non-organic crops grown at this site? Yes No, continue with subsection c. 2) Describe the methods used for identifying the organic and non-organic crops in the field. 3) Are the same crops grown as organic and non-organic? Yes No 4) Describe the methods used to ensure the segregation of the organic and non-organic crops during all phases of production.
8. MAINTENANCE OF ORGANIC INTEGRITY (cont.) 20 of 26 c. Equipment / Harvest 1) Provide a list of all equipment used in organic production including ID or serial numbers, and if any of the equipment is used for both organic and non-organic activities, the list shall indicate what non-organic operations are involved. List attached 2) Describe the cleaning methods employed for equipment used in both organic and non-organic activities. 3) Describe the containers used for harvest activities, also describe the cleaning methods used for these containers.
8. MAINTENANCE OF ORGANIC INTEGRITY (cont.) 21 of 26 d. Post-Harvest Handling 1) Is the product washed prior to packaging? No Yes If yes, describe the washing method used and the materials utilized. 2) Is your product packaged in the field? No Yes If yes, describe the packaging materials used. 3) Describe the steps taken to prevent contamination of the packaging materials.
8. MAINTENANCE OF ORGANIC INTEGRITY (cont.) 22 of 26 e. Storage 1) Indicate where your product is stored after harvest On farm Off farm Both Not stored 2) Describe the storage facility utilized, including signage 3) Does this storage facility store Organic only Organic & Non-organic 4) If the facility is used to store both organic and non-organic product, describe the steps taken to prevent commingling of the organic and non-organic products
8. MAINTENANCE OF ORGANIC INTEGRITY (cont.) 23 of 26 5) Describe the cleaning methods including cleaning materials used in the storage facility, and if the facility stores both organic and non-organic product describe cleaning method and materials used in between their storage. 6) Describe the pest control methods employed at the storage facility
8. MAINTENANCE OF ORGANIC INTEGRITY (cont.) 24 of 26 f. Transportation 1) The transportation vehicles transport Organic Only Organic & Non-organic 2) Describe the cleaning methods including cleaning materials used on the vehicles, and if the vehicle transports both organic and non-organic product describe cleaning method and materials used in between their transport. 3) If the vehicle is used to transport both organic and non-organic product, describe the steps taken to prevent commingling of the organic and non-organic products
8. MAINTENANCE OF ORGANIC INTEGRITY (cont.) 24 of 26 f. Transportation 1) The transportation vehicles transport Organic Only Organic & Non-organic 2) Describe the cleaning methods including cleaning materials used on the vehicles, and if the vehicle transports both organic and non-organic product describe cleaning method and materials used in between their transport. 3) If the vehicle is used to transport both organic and non-organic product, describe the steps taken to prevent commingling of the organic and non-organic products
9. RECORDKEEPING / MARKETING 25 of 26 a. Recordkeeping 1) Describe your recordkeeping system 2) Provide a list of the logs that are kept with regard to the operation and a copy of each of those logs 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.
9. RECORDKEEPING / MARKETING (cont.) 26 of 26 b. Marketing 1) Is your product sold at the retail level Yes No If yes, list the products and attach copies of the retail labels 2) Is your product sold at the wholesale level for further processing/handling Yes No If yes, do you label the shipping containers Yes No If yes, list the products and attach copies of the labels If no, explain why the containers are not labeled