Please fill out this questionnaire if you are requesting organic wild crop certification in conjunction with an Organic Producer Plan Questionnaire. Submit maps and history sheets as well as all other supporting documents.

SECTION 1: Collection Area InformationNOP Rule 205.207

Please complete the table below and attach updated Field History Sheets and Maps that show all wild crop collection areas labeled with the collection area ID as listed below. Maps must have clearly defined boundaries and buffer zones indicated.

Collection Area ID / Landowner/Manager Parcel Address /Legal Description / Description of Wild Crop Harvested / Total Acres / Organic Acres / Rented or Owned? / Evidence of Permission to Harvest?
Yes No
Yes No
Yes No
Yes No

SECTION 2: Plant Information

Complete the following table for each wild plant species to be harvested and sold, labeled or represented as organic:
(Use additional sheets if necessary)
Plant Name / Botanical Name / Part of Plant Harvested / Anticipated Harvest Dates / Projected Annual Quantity
How does the wild collection harvest method affect the ecosystem? Is the environment self-sustaining?

SECTION 3: Maintenance of Organic Integrity

A. PRODUCTION
How often do you monitor for wild crop contamination?
How do you monitor for wild crop contamination?
GMO testing Photographs Visual observation Residue analysis
Wind direction/speed data Other (specify)
(Attach copies of available test results and submit to MCIA with this questionnaire.)
Do any harvest areas flood frequently (more than once every ten years)? Yes No
If yes, list Collection Area ID(s) from above table:
How are the boundaries of the organic collection areas marked or otherwise indicated to the collectors?
Tree lines Body of water Posted signs Fences
Other, please describe:
Are conventional farms, industry, sewage discharge or other sources of contamination near the collection area? Yes No
If yes, please describe and indicate distance from collection area:
What additional safeguards are used to protect organic integrity?
Written notification to:
Adjoining landowners Aerial spray companies/airports Drainage commissions Electric companies
Farm Service office Highway departments Railroads Other (specify):
Do you post signs along boundaries that adjoin organic harvest areas? Yes No
B. EQUIPMENTNot applicable – Go to C
All equipment used in organic wild crop collection must be free of non-organic crops and prohibited materials to prevent commingling and contamination. Equipment used for both organic and non-organic wild harvest must be cleaned/purged prior to use for organic collection. Any documentation of cleanout should be available at inspection.
List equipment used for wild crop handling/harvesting in the following table.
Used on / Status / Documented Cleaning?
Equipment Name / Organic & Conventional / Rented / Owned / Custom / If yes, please attach clean-down log sample / Describe Cleaning Before
Use on Organic Sites
Yes / No
Yes / No
Yes / No
Is equipment maintained so that fuel, oil and hydraulic fluid do not leak? Yes No Not applicable
C. INPUTSNot applicable – Go to D
Are any inputs used or planned for use on organic wild crops or wild crop harvest? Yes No
If yes, please describe and attach labels:
D. HARVEST Not applicable – Go to E
NOP RULE 205.272(b)(1) and (2) requires that containers, bins and packaging materials must not contain synthetic fungicides, preservatives or fumigants. All reusable containers must be thoroughly cleaned and pose no risk of contamination prior to use.
How are your organic crops harvested? Mechanical By hand
Who is harvesting the crops?
Describe steps taken to protect organic crops from commingling and contamination during harvest.
What containers are used for moving product from harvest to storage? Cardboard/waxed boxes Plastic containers
Truck boxes Wooden totes Other (Specify)
Are containers new or used? New UsedIf used, what did they contain prior to organic use?
Are harvest containers reused? Yes No
If yes, describe how reused containers are cleaned prior to use:
Describe potential contamination or commingling problems you have with harvest of organic crops. None
E. Post-harvest handlingNot applicable – Go to F
If you process your product, you may need to complete an Organic Processor Handling Plan Questionnaire.
Describe your post-harvest handling procedures and equipment:
Are any processing aids, sanitizers, detergents, etc. used during handling?
Is the processing area and equipment used for both organic and non-organic products? Yes No
If yes, describe steps taken to prevent commingling and contamination.
F. STORAGE Not applicable – Go to G
Provide information on your storage areas by completing the following table:
Storage ID
/
Location
/
Capacity
/
Type of Crop Stored
/
Check if Storage
is Dedicated
Organic
/
Comments on Potential for Contamination or Commingling Problems
If there is off-site storage, give name, address, phone number, contact person and type of products stored at the off-site facility:
Are any inputs used or planned for use on stored organic wild crops? Yes No
If yes, specify input
(Retain labels and submit to MCIA with this questionnaire.)
Is the processing area and equipment used for both organic and non-organic products? Yes No
If yes, describe steps taken to prevent commingling and contamination.
G. PACKAGINGNot applicable – Go to H
List all types of packaging material used:
Are all packaging materials food grade? Yes No
Where are packaging materials stored?
Are any fungicides, fumigants, or pest control products used in this storage area? Yes No
If yes, describe use and products.
Have any packaging materials been exposed to synthetic fungicides, preservatives, or fumigants? Yes No
If yes, describe exposure, including name of products used.
Are packaging materials reused? Yes No
If yes, describe how reusable packaging materials are cleaned prior to use.
Are reusable packaging materials used for both organic and nonorganic products? Yes No
If yes, list specific nonorganic products packaged.
H. TRANSPORTATIONNot applicable – Go to Section 6
How are your organic wild crops transported?
Do you arrange outgoing product transportation? Yes No
How do you insure the organic integrity of shipped wild crops?
Inspection of transport units prior to loading Cleaning transport units prior to loading
Use dedicated organic transport only Use Clean Transport Affidavits
Contract with transport company stating organic requirements Other (specify)
Are organic products shipped at the same time as nonorganic in the same transport units? Yes No
Check steps taken to segregate organic products:
Organic product shrink wrapped Pallet tags identifying “organic”Separate area in transport unit
Use of pallets Other (specify)
SECTION 4: Record-Keeping SystemNOP Rule 205.201(a) and 205.202(c)
NOP Rule requires that records disclose all activities and transactions of the operation, be maintained for 5 years, and demonstrate compliance with the NOP Rule. Organic products must be tracked back to the field/location where they were produced/harvested. All records must be accessible to the inspector.

Are the same records maintained for the wild harvest crop as for all other organic crops, as per the Organic Producer Plan Questionnaire? Yes No

If no, please describe any additional records, or records that are not maintained, and why:

(Please have these records available for the inspector.)
Do you use or plan to use the USDA organic seal on product labels or market information? Yes No
Do you use or plan to use the MCIA seal on product labels or market information? Yes No
Attach copies of all organic product labels and submit to MCIA with this questionnaire
Organic System Plan - Wild Crop Supplement / Organic / Print Date: 10/6/2018
Controlled Version – 4/2/14 / Page 1 of 4 / © 2014Minnesota Crop Improvement Association