Tier 3A Plan Requirements Checklist

This checklist is designed to help determine if all of the required components and documentation has been completed for the Tier 3A plan to be eligible for reimbursement. The checklist documents that the producer has made decisions on at least one priority concern that was identified during Tier 2 and the other priority concerns from Tier 2 have at least been progressively plannedto planning step 5.

A checklist for each farm and a cumulative summary report arerequired deliverablesfor receivinga $1,000 payment per farm planned.

I.Please complete the following information on the farm planned.

County:

AEM Farm Identification Number:

Predominant watershed in which the farm is located:

Eleven digit HUC in which the farm is located:

Type of farm (dairy, beef, crop, etc.):

Number of animal units addressed by the plan:

Check the unit planned: field farmstead tract farm

Acres planned:

Check the primary concern(s) addressed by the plan where the farmer has made a decision:

erosionbarnyardmanure/nutrient managementbuffer/filter

silage leachate pasture mgmt. process waste water pesticide

pest mgmt. petroleum mgmt irrigation water mgmt pathogen mgmt

soil qualityair resourcesother:______

II.Check the appropriate box if the following items are included in the case file. If the item has not been included, please explain why in Section III - Notes.

  1. Conservation plan map of the land units being planned with land use designations, FSA field & tract numbers and acreage,hydrologically sensitive areas identified, a north arrow, and key.
  1. Soil maps and USGS topographic maps with the land units being planned outlined and brief soil descriptions.
  2. Natural resource problem statement and description of farmer’s objectives for addressing the priority resource concerns from Tier 2.
  1. AEM Tier 1 Questionnaire, Part 1 Watershed Site Evaluation Worksheet, and AEM Tier 2 SummaryReport used to establish benchmark conditions. Note: Hydrologically sensitive areas should be identified for the fields being planned.
  1. Forms and worksheets used to conduct vulnerability assessments and document the level of treatment needed, such as RUSLE 2, Phosphorus Index, Nitrogen Leaching Index, and Windows Pesticide Screening Tool(WINPST).
  1. Forms and worksheets used in developing and evaluating alternatives to achieve an RMS level of management, such as the Resource Management Systems Options Worksheet(Exhibit 5 NRCS NPPH)and the Environmental Effects for Conservation Planning, (SCS-CPA-52).
  1. Record of Cooperators Decisions and Progress in Application (NRCS-CPA-68 or equivalent). The record includes field numbers, land use designation, the conservation practice selected, the amount planned, and timeframe for practice implementation.
  1. Appropriate job and information sheets for each practice selected to help the farmer understand the steps involved in implementing the practice.
  1. Identification of all federal, state, and local permits that will be needed if construction activities are planned.
  1. Description of operation and maintenance requirements for each conservation practice selected.
  1. Tactical plan for implementation of the management components of the conservation practices being recommended. Note: The plan should describe what additional actions need to be takento ensure the farmer is able to successfully carry out the needed management changes.
  1. Emergency spill response plan if BMP selected addresses concentrated source such as manure storage, fuel storage, pesticide storage and mixing areas, etc.
  1. Conservation Assistance Notes(NRCS-CPA-6/6A or equivalent).
  1. Other appropriate supporting documents.

III.Notes

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