Name: Land and Water Questionnaire 2-1

Land and Water [NOP §205.200 & §205.202]

1.  Are all your crops raised organically? If not, please give details in the Split and Parallel Production Section.

2.  List all fields on the following table that are under your management. [NOP §205.202]

Form #A103PC-DE09e Organic Crop Farm System Plan

Name: Land and Water Questionnaire 2-1

Form #A103PC-DE09e Organic Crop Farm System Plan

Name: Land and Water Questionnaire 2-1

Field Number / Acres / County, Township, Section # / Status
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional

Add additional sheets if necessary.


Field Number / Acres / County, Township, Section # / Status
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional
OrganicTransitionalConventional

Form #A103PC-DE09e Organic Crop Farm System Plan

Name: Land and Water Questionnaire 2-1

3.  What precautions do you take to assure that organic crops do not receive unintended contact with prohibited substances applied to adjoining land? [NOP §205.202 (c)]

4.  On page 2-3 or separate attached map, provide field maps for the current year showing: [NOP§205.202 (c)]

Distinct field boundaries

Adjoining land use

Field numbers and Number of acres

Crops intended to be planted

Buffer zones

Field landmarks (Waterways, Fence lines, Railroads, sinkholes)

Sources of potential GMO pollen drift or aerial spraying drift

Water Source and Irrigation [NOP §205.201 (a)(1)]

5.  Type of water use: Not Applicable Irrigation Greenhouse

Foliar Sprays Washing Crops Other (specify):

6.  What is the source of the water you use? [NOP §205.201 (a)(2)]

7.  What known contaminants are in your water supply? (If water is used to wash produce, attach a current water test.) [NOP §205.272 (a)]

8.  Describe your irrigation system. [NOP §205.201 (a)(1)]

9.  What products are applied through your irrigation system? [NOP §205.105]

10.  What products do you use to clean irrigation lines/nozzles? [NOP §205.105]

11.  What efforts do you make to conserve water? [NOP §205.200]

12.  Describe your efforts to minimize water contamination. [NOP §205.200]

Field Maps

Show:

Form #A103PC-DE09e Organic Crop Farm System Plan

Name: Land and Water Questionnaire 2-1

Distinct field boundaries

Adjoining land use

Field numbers and Number of acres

Crops intended to be planted

Buffer zones

Field landmarks (Waterways, Fence lines, Railroads, sinkholes)

Sources of potential GMO pollen drift or aerial spray drift

Form #A103PC-DE09e Organic Crop Farm System Plan

Name: Land and Water Questionnaire 2-1

Form #A103PC-DE09e Organic Crop Farm System Plan