Location: / Click here to enter text. / County: / Click here to enter text. /
Farm Name: / Click here to enter text. / Tract Number: / Click here to enter text. /
Index
☐ / Cover Sheet
☐ / Specifications
☐ / Drawings
☐ / Cost Estimate and Project Bid Form
☐ / Operation & Maintenance
Utility Safety/
One-Call System
Information
Click here to enter text. /
Description of work:
Click here to enter text. /
NRCSReviewOnly
Designed By: / Click here to enter text. / Date / Click here to enter a date. /Checked By: / Click here to enter text. / Date / Click here to enter a date. /
Approved By: / Click here to enter text. / Date / Click here to enter a date. /
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The Practice Purpose(s): (check all that apply)☐ / Reduce soil erosion and sedimentation
☐ / Improve water quality
☐ / Improve air quality
☐ / Enhance wildlife habitat and pollinator habitat
☐ / Improve soil quality
☐ / Manage plant pests
Field Number/Location: / Click here to enter text. / Acres Installed: / Acres / Seeding Date: / Select Date /
Site Preparation: / Click here to enter text. /
Planting Method: / Click here to enter text. /
PlantingDescription(e.g.,shrubsestablishedonoutsideedgeofarea,etc.):
Click here to enter text. /SEEDINGRATESANDSPECIES
Plantspecies / lbs/acreofseed(PLS) / Totallbsofseedforplannedacreage
Click here to enter species / lbs/acre / total lbs /
Click here to enter species / lbs/acre / total lbs /
Click here to enter species / lbs/acre / total lbs /
Click here to enter species / lbs/acre / total lbs /
Click here to enter species / lbs/acre / total lbs /
Click here to enter species / lbs/acre / total lbs /
Click here to enter species / lbs/acre / total lbs /
Click here to enter species / lbs/acre / total lbs /
Click here to enter species / lbs/acre / total lbs /
Click here to enter species / lbs/acre / total lbs /
FERTILIZERS AND AMENDMENTS
FertilizerElement / FertilizerForm / FertilizerAmount
(lbs/acre)
N / Click here to enter text. / e.g. DAP / Click here to enter text. / as N
P / Click here to enter text. / e.g.DAP / Click here to enter text. / as P2O5
K / Click here to enter text. / e.g.K2SO4 / Click here to enter text. / as K2O
S / Click here to enter text. / e.g.K2SO4 / Click here to enter text. / as S
Lime / Click here to enter text. / Click here to enter text. /
Gypsum / Click here to enter text. / Click here to enter text. /
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Operation and Maintenance: (check all that apply)☐ / Mowing and harvest operations in perennial crop systems such as orchards, vineyards, berries, and nursery stock shall be done in a manner which minimizes the generation of particulate matter.
☐ / If wildlife habitat enhancement is a purpose, maintenance practices and activities shall not disturb cover during the reproductive period for the desired species. Exceptions should be considered for periodic burning or mowing when necessary to maintain the health of the plant community.
☐ / Maintenance measures must be adequate to control noxious weeds and other invasive species.
☐ / To benefit insect food sources for grassland nesting birds, spraying, or other control of noxious weeds shall be done on a “spot” basis to protect forbs and legumes that benefit native pollinators and other wildlife.
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Certification Statement:
I certify that implementation of this conservation practice is complete, meets criteria for the stated purpose(s), and meets the NRCS conservation practice standard and specifications.
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