609 – Surface Roughening
Implementation Requirements
Producer: Click here to enter text. Project or Contract#: Click here to enter text.
Farm Name:Click here to enter text.County: Click here to enter text.
Farm & Tract Number:Click here to enter text.Field Number/Location: Click here to enter text.
Index☐ Env. Eval. (CPA-52)
☐ Assistance Notes
☐ Practice Location Map
☐ Specifications
☐Wind Erosion Software Printouts.
☐ Operation & Maintenance
☐ Installation Certification
Utility Safety/One-Call System:
Call 811
Practice Location Map:
(Attach copy showing detailed aerial view of where practice is to be installed on farm/site, showing all major components, stationing, relative location to any landmarks, and survey benchmarks)
Provide documentation of permits (federal, state, tribal, local, etc.)
Benchmark Condition:
(Describe current condition of treatment area and document benchmark results of all applicable assessment tools)Description of Work:
(Describe project to be installed)The Practice Purpose(s):
☐Reduce Soil Erosion from Wind and Wind-Borne Sediment Deposition
☐Improve Plant Health by Protecting the Growing Plants from Damage by Wind Borne Soil Particles
☐Improve Air Quality by Reducing the Generation of Airborne Particulate Matter
Specifications:
Surface Roughening Design
Fields / Fields / Fields / FieldsMeasured Acres / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Soil Map Unit / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Soil Texture / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Tillage Operations / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Planned Surface Roughness (in)1 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
Crop Protected / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
WEPS soil loss t/ac/yr / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
1Random roughness (in) taken from WEPS, detailed reports, output details, average soil surface conditions.
☐ Additional Requirements (if needed):
Click here to enter text.
☐ Attach Additional Layout Drawings if needed.
Click here to enter text.
Operation and Maintenance: (check all that apply)
Surface roughening should be performed as soon as possible when there is inadequate cover to protect the soil from potential wind erosion events or when a crusted soil condition occurs as sensitive crop is emerging and inadequate crop residues are present.
Provide additional requirements for operations and maintenance needed for continued success.
Click here to enter text.
Client’s Acknowledgement(signed after Implementation Requirements are completed but before practice installation):
By Signing below, I acknowledge that:
- I have reviewed & understand the specific installation specs, and operation & maintenance requirements for this site
- I will implement, operate and maintain my residue management in accordance to these specifications
- I will make no changes to the planned specifications and installation without prior written approval from the Natural Resource Conservation Service
- I will obtain all necessary permits prior to the start of installation of this conservation practice
- I will also comply with all ordinances and laws pertaining to the installation of this conservation practice
- I assume responsibility for notifying all Utilities affected by the installation, operation and maintenance of this conservation practice
Client’s Signature Date:
NRCS Design Review Only
DesignedBy: / JAA Level : / Date:If designer does not have appropriate JAA then design needs to be approved and signed by someone with adequate JAA for the 609 practice scope of work.
ApprovedBy: / JAA Level : / Date:
Practice Installation and Certification(sign after practice completion and check out)
By signing below, I certify that:
☐I have the required Job Approval Authority for this conservation practice installed.
☐This practice has been installed according to the implementation Requirements listed above.
☐Any modifications are documented and were pre-approved by NRCS.
Click here to enter text.
☐Current/updated management record (dates, operations, yields) and resource assessment results were reviewed with producer and producer confirmed they were accurate and implemented.
Click here to enter text.
☐Residue requirements were checked in the field at the appropriate time to determine compliance.
Click here to enter text.
☐Operation and Maintenance Plan was reviewed with operator.
☐Any appropriate photo documentation is attached.Click here to enter text.
NRCS Installation and Certification Only
Inspected and CertifiedBy: / JAA Level : / Date:If the inspection and certifier does not have appropriate JAA then certification needs to be approved and signed by someone with adequate JAA for the 609 practice scope of work.
ApprovedBy: / JAA Level : / Date:
For every additional year 609Surface Roughening is implemented, print and use the additional section below to ensure practice installation and certification was fully successful. Ensure any changes or updates necessary from previous years are included in the Implementation Requirements and reviewed with client.
Practice Installation and Certification(sign after practice completion and check out)
By signing below, I certify that:
☐I have the required Job Approval Authority for this conservation practice installed.
☐This practice has been installed according to the implementation Requirements listed above.
☐Any modifications are documented and were pre-approved by NRCS.
Click here to enter text.
☐Current/updated management record (dates, operations, yields) and resource assessment results were reviewed with producer and producer confirmed they were accurate and implemented.
Click here to enter text.
☐Residue requirements were checked in the field at the appropriate time to determine compliance.
Click here to enter text.
☐Operation and Maintenance Plan was reviewed with operator.
☐Any appropriate photo documentation is attached. Click here to enter text.
NRCS Installation and Certification Only
Inspected and CertifiedBy: / JAA Level : / Date:If the inspection and certifier does not have appropriate JAA then certification needs to be approved and signed by someone with adequate JAA for the 609 practice scope of work.
ApprovedBy: / JAA Level : / Date:
October 2017WA NRCS Page 1 of 4