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1900 Hendon Ave, Saint Paul MN 55108 • tel 612-625-7766 • fax 612-625-3748 • [email protected] • www.mncia.org

ORGANIC SYSTEM PLANNON-RUMINANT LIVESTOCK

_________________________________________________________________________________________________________________________________________________________________________________________

Please fill out this questionnaire if you are requesting organic certification for non-ruminant livestock. Submit farm, pasture, and livestock facility maps as well as other supporting documents (documentation for pastures owned or rented for less than three years, feed and supplement product labels, etc.) outlined in this questionnaire. Use additional sheets as necessary.

SECTION 1: General Information NOP Rule §205.401

Applicant (Name/Company):

FOR OFFICE USE ONLY

Applicant No: Contact Person: Check #:

Mailing Address: Amount:

DR #:

City: State: Zip code: Mem/Appl Fee:

Farm Address: Base Fee:

Final Fee:

City: State: Zip code: Inspection Fee:

Phone: Cell: Livestock Fee:

Fax: E-Mail: Legal Status: Corporation Limited Liability Company Limited Liability Partnership Limited Partnership

Sole proprietorship Trust or non-profit Other (specify): State company is registered in: Preferred time for inspection: AM PM

Give directions to farm:

NEW APPLICANTS

Has certification ever been denied, suspended or revoked? Yes NoIf yes, describe the circumstance & attach documentation:

Are you switching from another certifier? Yes No

Year first certified organic: List current certifier: If switching from another certifier, submit previous year’s inspection report, certification letter and certificate.

Organic System Plan – Non-Ruminant Livestock Organic Print Date: 5/18/2023

Controlled Version – 3/4/17 of 20 © 2017 Minnesota Crop Improvement Association

RENEWING APPLICANTS Year first certified with MCIA Organic: Have you applied to another certifier since your last inspection? Yes No

If yes, were you denied, suspended or revoked? Yes No

List issues from last year's certification decision letter and state how they have been addressed. Not applicable(Add additional sheets if necessary)

Do you have access to a current copy of MCIA’s Organic Handbook? Yes No Is access online? Yes No

Do you have access to a current copy of the NOP Standards? Yes No Is access online? Yes No

Do you do any off-farm or on-farm processing (grinding, mixing, etc.)? Yes No

If yes, you may need to complete an Organic System Plan for Handlers and submit it with your Organic System Plan - Producer. Please call MCIA with questions, to request an Organic System Plan for Handlers, or download the form online at www.mciaorganic.org.

Do you plan to ship any organic product to: Canada European Union Japan Switzerland Taiwan

Type of Livestock Operation? Hogs Rabbit Other:



SECTION 2: Split Operation NOP Rule §205.201(a)(5) §205.236(a)(2§205.236§205.236NOP §205.201(a)(5) An organic production system plan must include a description of the management practices and physical barriers

established to prevent commingling of organic and nonorganic products on a split operation and to prevent contact of organic production and handling operations and products with prohibited substances.

NOT APPLICABLE, all livestock are organically managed.

2.1 What conventional livestock and livestock products do you raise/produce?

2.2 Explain what measures are taken to ensure segregation of non-organic from organic animals. (e.g. separate housing, outdoor access areas, different ID system, etc.)

2.3 How is equipment cleaned that is used for both organic and non-organic animals/animal products?

2.4 Please explain how organic and non-organic feeds are kept separate?

2.5 If you have any non-organic animals on your farm (including home use or work animals) that are not fed 100% organic feed, and/or that are given medical treatments, feed additives or supplements prohibited in organic production, please complete the table below to describe your practices and materials use. This will facilitate inspection measures and explain/justify the presence of non-organic materials that you currently have on your farm/ranch.

FEED OR MATERIAL (PRODUCT NAME/ FORMULATION AND MANUFACTURER

TYPE OF LIVESTOCK AND REASON FOR USE LOCATION WHERE STORED/USED OR FED



SECTION 3: Livestock Operation Profile/Origin of Livestock NOP Rule §205.236NOP §206.236 The NOP requires that livestock products that are sold, labeled, or represented as organic must be from animals under continuous organic management from the last third of gestation. Livestock used as breeder stock may be brought from a nonorganic operation onto an organic operation at any time: Provided That, if such livestock are gestating and the offspring are to be raised as organic livestock, the breeder stock must be brought onto the facility no later than the last third of gestation. Once an organic animal is removed from an organic system, the animal or edible livestock product is no longer eligible to be sold, labeled or represented as organically produced. Breeder stock that has not been under continuous organic management since the last third of gestation may not be sold, labeled, or represented as organic slaughter stock. Records must be maintained sufficient to preserve the identity of all organically managed animals and edible and nonedible animal products produced on the operation.

Classes of Livestock - A group of livestock that shares a similar stage of life or production. The classes of animals are those that are commonly listed on feed labels. Examples of classes used for the following types of livestock are:

Hogs – Sows, piglets (birth to weaning), Shoats, Stockers, Feeders, Gilts, Finishing hogs, BoarsRabbits – Does, Bucks, Finishing

You may define your own classes of livestock.

3.1 In the table below, list the classes of livestock for which you are requesting organic certification. Attach a current animal list with the number of animals in each class of livestock (breeding stock, feeders, etc.), source and start date of organic management.

Please have all animal purchase and/or breeding/birth records available at inspection, including copies of certificates for animals purchased organic.

CLASSES OF LIVESTOCK SPECIES AND BREED NUMBER OF ANIMALS

Total

3.2 Because animal numbers are dynamic, please provide a description of changes in animal numbers you anticipate over the next year. Specifically address cull rates, mortality rates, slaughter, sales and maturation into another class of livestock.

3.3 Do you plan to purchase, within the next year, any animals for which certification is being requested? Yes NoIf yes, please indicate the type of livestock and, if known, the source from which they will be purchased and certifier.

3.4 Describe your plan for organic livestock replacement/sourcing: Breed/raise own stock with continuous organic management Organic management during the last third of gestation Purchase certified organic animals Other (describe):



3.5 Do you raise all your replacement animals on-farm? Yes No

If someone is raising replacement animals for you, they must be certified organic. Submit a copy of their organic certificate(s) with this application. Please list their name(s) and address(es):

Name Address Phone Name Address Phone

3.6 Check which animal identification system you use. Ear tags Tattoos Collars with tags Photos or Drawings

Branding Ear notches Neck chains Other (specify):



SECTION 4: Living Conditions NOP Rule §205.239NOP §205.239 The producer must establish and maintain year-round livestock living conditions which accommodate the health and natural behavior of the animals including; 1) Year-round access for all animals to the outdoors, shade, shelter, exercise areas, fresh air, clean water for drinking, and direct sunlight, suitable to the species, its stage of life, the climate, and the environment: Except, that, animals may be temporarily denied access to the outdoors in accordance with §§205.239(b) and (c). Yards, feeding pads, and feedlots shall be large enough to allow all livestock occupying the yard, feeding pad, or feedlot to feed simultaneously without crowding and without competition for food. Continuous confinement of any animal indoors is prohibited. 2) Appropriate clean, dry bedding. When roughages are used as bedding, they shall have been organically produced in accordance with this part by an operation certified under this part, except as provided in §205.236(a)(2)(i), and if applicable, organically handled by operations certified to the NOP; 3) Shelter designed to allow for: a) natural maintenance, comfort behaviors, and opportunity to exercise; b) temperature level, ventilation, and air circulation suitable to the species; and c) reduction of potential for livestock injury; 4) The use of yards, feeding pads, feedlots and laneways that shall be well-drained, kept in good condition (including frequent removal of wastes), and managed to prevent runoff of waste and contaminated waters to adjoining or nearby surface water and across property boundaries. A producer may provide temporary confinement or shelter for an animal because of; 1) inclement weather; 2) animals’ stage of life; 3) conditions under which the health, safety, or well-being of the animal could be in jeopardized; 4) risk to soil and water quality; 5) Preventative healthcare procedures or for the treatment of illness or injury; 6) Sorting and shipping animals and livestock sales: Provided, that, the animals shall be maintained under continuous organic management, including organic feed, throughout the extent of their allowed confinement; 7) Breeding: Except, that, bred animals shall not be denied access to the outdoors and, once bred, shall not be denied access to pasture during the grazing season; or 8) 4-H, FFA and other youth projects, for no more than one week prior to a fair or other demonstration, through the event and up to 24 hours after the animals have arrived home at the conclusion of the event. These animals must have been maintained under continuous organic management, including organic feed, during the extent of their allowed confinement for the event. The producer may temporarily deny an animal outdoor access one week at the end of a lactation for dry off, three weeks prior to parturition (birthing), parturition, and up to one week after parturition.

4.1 Describe the locations and living conditions for each class of organic livestock, including pastures or range, outdoor and indoor feeding yard, feeding pads, feedlots, housing and/or shelter.

4.2 What type of shelter is used for each animal group in summer and winter? List more than one if necessary. Include the type of housing (free stall, bedded pack housing, run-in shed, trees, hutches, etc.), a description of the floor type (concrete, ½ slatted, fully slatted, etc.), and the size of the shelter (length X width).

CLASSES OF LIVESTOCK SUMMER SHELTER WINTER SHELTERWINTER OUTDOOR

ACCESS?

4.3 Describe how the housing or shelter you provide for each class of livestock is designed to allow for natural maintenance, comfort behaviors and opportunity to exercise; temperature control, ventilation, air circulation; and reduction of potential for injury.

4.4 How often are shelters cleaned out? Describe the process and any products used (i.e. barn lime, disinfectants, sanitizers, cleaning products, etc.). Provide brand names, labels and ingredient lists for all products that are not OMRI listed. (All input products must be approved prior to use.)



4.5 What type of bedding materials are used for each class of livestock? Indicate whether they are produced on-farm or purchased, the source (if purchased), and the certifier (if applicable). If purchased, submit a copy of the suppliers(s) organic certificate(s) with this application. Agricultural products that are edible (i.e. not sawdust or sand) must be certified organic. Off-farm wood-based bedding materials must be free of glues, treatments, and synthetic finishes (e.g. wood chips from window manufacturers or pallet companies).

CLASSES OF LIVESTOCK TYPE OF BEDDINGPRODUCED ON-FARM OR

PURCHASEDSOURCE, IF PURCHASED (another farm, etc.)

CERTIFIED ORGANICBY WHOM?

4.6 Describe the locations (should be noted on maps supplied for question 6.1) and sources of shade within outdoor access areas.

4.7 What drinking water sources are used (location of water sources should be noted on maps supplied for question 6.1)? Check all that apply.

On-site well Farm ponds Water tubs in pastures Water tubs in barn and barnyard Other:

4.8 If you add anything to livestock water, please list each additive or material(s), indicate its acceptability for use in organic production (allowed or restricted), the amount or concentration, and frequency of use. N/A; no materials used in water

ADDITIVE/MATERIALALLOWED (A)RESTRICTED (R) AMOUNT OR CONCENTRATION FREQUENCY OF USE

4.9 Identify all water sources within or adjacent to the property (should be identified on maps supplied for question 6.1). Describe how you prevent erosion around water sources, damage to natural wetlands and riparian areas, and risks of contamination of water.

4.10 Describe how you manage yards, feeding areas and lanes to keep them well-drained and clean, and to prevent runoff of wastes and contamination of water, or drainage across property boundaries.



4.11 Lumber treated with arsenate or other prohibited materials: Identify any locations with existing (previously installed) treated lumber and its approximate age. Also, list locations where you have used treated lumber in new installations or for replacement purposes, and describe how you prevent contact with soil, livestock, crops and livestock feed.

4.12 Outdoor access to pasture. All livestock are expected to have daily access to the outdoors, all year round. On average, how many hours per day are animals outdoors?

(If it varies among different age groups and times of year, please list separately in the table below):

CLASSES OF LIVESTOCK SPRING SUMMER FALL WINTER

4.13 Temporary Confinement is defined as denying access to the outdoors, “occurring for a limited time only, (e.g. overnight, throughout a storm, during a period of illness), not permanent or lasting. NOP§205.239.(a) Describe the record-keeping system you use to track temporary confinement of animals. (Have records of temporary

confinement with time periods and reasons available at inspection.)

(b) For each class of livestock, describe the circumstances under which you plan to temporarily confine animals. Indicate which animals are confined, duration and place of confinement

REASON FOR TEMPORARY CONFINEMENTCIRCUMSTANCES/LOCATION OF TEMPORARY

CONFINEMENT FROM THE OUTDOORSTYPICAL DURATION OF TEMPORARY

CONFINEMENT (DAYS/HOURS)Inclement weather (that could cause hardship to livestock)

Stage of life Describe:

To protect the health, safety, or well-being

Risk to soil or water quality

To administer healthcare procedures

Sorting, Shipping or Sales

Breeding purposes (until bred)

4-H or other youth projects

Dry off

Birthing

Other:



SECTION 5: Manure Management NOP Rule §205.239(e)NOP §205.239(e) The producer must manage manure in a manner that does not contribute to the contamination of crops, soil, or water by plant nutrients, heavy metals, or pathogenic organisms and optimizes recycling of nutrients and must manage pastures and other outdoor access areas in a manner that does not put soil or water quality at risk.

5.1 What forms of manure are generated? Liquid Semi-solid/piled Fully composted

5.2 How often do you clean yards/feed lots?

5.3 Estimated quantity of manure generated per year:

5.4 List any additives/ingredients added to manure:

5.5 If manure is not used immediately, how and where is it stored?

5.6 Do you apply manure on your farm? Yes NoIf no, how is it managed?

5.7 During what months do you apply manure/compost?

5.8 If manure is composted, describe your composting method:

6.1 If no crop application is submitted, please complete a FIELD HISTORY SHEET for any new area and/or a PLANTING PLAN for newly planted land. Provide a map for each area used for outdoor access and pasture. The map should clearly illustrate the following: Grazing Locations (Pasture/Paddock/Range ID, location and size of each pasture/paddock/range in acres) Buffers and adjoining land use(s) Locations and types of permanent fences Laneways and outdoor access areas Access to shade Location and source of drinking water Location of waterways, ponds, lakeshore or areas where runoff collects Protected environmental resources, if applicable

(a) What kinds of conventional animals share the organic pasture/outdoor access area described here?

(b) How many conventional animals?

(c) Other comments about your pasture system:



(d) Do you graze or board animals on another producer’s farm (custom boarding/grazing)? Yes NoProducer’s name: Name of Farm: Class of livestock grazing there: # of Head: If this farm is rented or leased, is this farm included in your OSP? Yes NoIf not, the producer’s farm must be certified organic. Submit a copy of their organic certificate(s) with this application.

(e) Describe your pasture management/monitoring strategies to minimize diseases and parasites.

(f) Describe your soil fertility management and methods for pasture.

(g) Describe your approach to seeding your pasture and seed bed preparation.

6.2 Seed and Seed Treatments. NOP §205.204 requires the use of organically grown seeds, unless an equivalent organically produced variety is not commercially available. If using non-organically produced seeds, you must have records of your attempts to source organic seed. Synthetic seed treatments including fungicides and inoculants are prohibited unless included on the National List. Genetically engineered/modified (GMO) seeds and inoculants are prohibited in organic production. NOP Rule uses the phrase "excluded methods" to refer to GMO products. NOTE: A prohibited substance may be used if such treatment is a requirement of Federal or State phytosanitary regulations.

Check all that describes what you use or plan to use:

(a) Seeds Not Applicable; no seeds used or planned for use Certified organic seed, purchased Certified organic seed, saved on farm (records required) Non-organic, untreated seed

(b) Seed Treatments and Inoculants (Seek MCIA approval prior to use). Not Applicable; none used Coating Disinfection Fungicide or insecticide Inoculant Pelletization Other:



SECTION 7: Livestock Feed NOP Rule §205.237NOP §205.237 The producer of an organic operation must provide livestock with a total feed ration composed of agricultural products, including pasture and forage, that are organically produced and handled by operations certified to the NOP, except, that, synthetic substances allowed under §205.603 and nonsynthetic substances not prohibited under §205.604 may be used as feed additives and feed supplements, Provided, That, all agricultural ingredients included in the ingredients list, for such additives and feed supplements, shall have been produced and handled organically.

The producer must not a) use animal drugs including hormones to promote growth, b) provide feed supplements or additives in amounts above those needed for adequate nutrition and health maintenance for the species at its specific stage of life, c) feed plastic pellets for roughage, d) feed formulas containing urea or manure, e) feed mammalian or poultry slaughter by-products to mammals or poultry, f) use feed, feed additives, and feed supplements in violation of the Federal Food, Drug and Cosmetic Act, and g) provide feed or forage to which any antibiotic including ionophores has been added.

Feeding records must be available for the inspector.

7.1 Itemize below the total of each ORGANIC FEED PRODUCED ON YOUR OWN FARM over the past 12 months. Please attach additional sheet(s) if necessary. These crops must be listed on your crop producer organic system plan. Contact MCIA if you do not have a producer application.

CROP(Corn silage, grain, dry hay, baleage, grass silage)

ACREAGENUMBER OF HARVESTS

TOTAL NUMBER AND/OR WEIGHT

(i.e.: 200 round bales at 500 lb each OR 276 tons, OR 5,000 lbs)

ESTIMATED DRY MATTER (DM) CONTENT

(Your forage test results, MCIA values or your own best estimate)

7.2 Do you process (mix, grind, roast, extrude, etc.) any feed on-farm? Yes No

Is the equipment also used to process conventional products? Yes NoIf yes, how is the equipment cleaned prior to processing organic feed?

7.3 If feed is processed at a location other than your farm, the facility must be certified organic. Submit a copy of their organic certificate(s) with this application. List below the ORGANIC FEEDS PURCHASED over the past 12 months. Attach additional sheet(s) if necessary. (Have receipts and clean transport documents available at inspection.)

TYPE OF FORAGE OR GRAIN CROPSOURCE (name of feed mill, another farm, etc.) CERTIFIED ORGANIC BY WHOM?

TOTAL NUMBER AND/OR WEIGHT (i.e.: 200 round bales at 500 lb each OR 276 tons, OR 5,000 lbs)

7.4 What is your plan for obtaining emergency feed supplies?



7.5 Describe your feed storage locations:

TYPE OF FEED TYPE OF STORAGE CAPACITY LOCATION ORG (O) CONV (C)

7.6 How do you control rodents/pests in organic feed storage? Provide brand name, label and ingredient list for all products that are not OMRI listed.

7.7 List all feed supplements, salt, minerals and feed additives. Provide brand name, label and ingredient list for all products that are not OMRI listed. Attach additional sheet(s) if necessary.

FEED SUPPLEMENT/ADDITIVE MANUFACTURERTYPE OF MATERIAL/ REASON FOR

USEON NATIONAL LIST? Y/N

7.11 Slaughter stock (NOP §205.239(d)) Yards, feeding pads, or feedlots used to provide finish feeding rations shall be large enough to allow all slaughter stock occupying the yard, feeding pad, or feedlot to feed simultaneously without crowding and without competition for food.

(a) If you finish slaughter stock, include their rations.

(b) Describe the age of animals at slaughter and the length of the finishing period:

(c) When does the finishing period typically occur?

(d) Describe housing, and how feeding locations allow for simultaneous feeding of all stock without crowding and competition for food:

Producers should document the amount of each type of feed actually fed to each type and class of animal. Your records should show changes in rations fed in response to seasonal changes. Please have these records available at inspection.SECTION 8: Health Care Practices NOP Rule §205.238NOP §205.238 Producers must establish and maintain preventative livestock health care practices including: 1) Selection of species



and types of livestock with regard to suitability for site-specific conditions and resistance to prevalent diseases and parasites; 2) Provision of a feed ration sufficient to meet nutritional requirements, including vitamins, minerals, protein and/or amino acids, fatty acids, energy sources, and fiber; 3) Establishment of appropriate housing, pasture conditions, and sanitation practices to minimize the occurrence and spread of diseases and parasites; 4) Provision of conditions which allow for exercise, freedom of movement, and reductions of stress appropriate to the species; 5) Performance of physical alterations as needed to promote the animal’s welfare and in a manner that minimizes pain and stress; 6) Administration of vaccines and other veterinary biologics. When preventative and veterinary biologics are inadequate to prevent sickness, synthetic medications may be administered provided they are allowed under §205.603. Parasiticides allowed under §205.603 may be used on breeder stock, when used prior to the last third of gestation but not during lactation for progeny that are to be sold, labeled, or represented as organically produced. The producer of an organic livestock operation must not: 1) Sell, label, or represent as organic any animal or edible product derived from any animal treated with antibiotics, any substance that contains a synthetic substance not allowed under §205.603, or any substance that contains a nonsynthetic prohibited in §205.604; 2) Administer any animal drug, other than vaccinations, in the absence of illness; 3) Administer hormones for growth promotion; 4) Administer synthetic parasiticides on a routine basis; 5) Administer synthetic parasiticides to slaughter stock; 6) Administer animal drugs in violation of the Federal Food, Drug, and Cosmetic Act; or 7) Withhold medical treatment from a sick animal in an effort to preserve its organic status. All appropriate medications must be used to restore an animal to health when methods acceptable to organic production fail. Livestock treated with a prohibited substance must be clearly identified and shall not be sold, labeled, or represented as organic. All medical records and vet records (dosages, dates, etc.) must be available at inspection.

8.1 Many practices contribute to the health, well-being and productivity of your herd. Check all that apply to your operation and add any other practices that you use which are not listed.

Choose well-adapted species/breeds, resistant to health problems

Perform physical alterations for the animal’s welfare

Selective breeding Control vectors or intermediate hosts Raise own replacements (closed herd) Exclude or manage pests/parasites Isolation for sick or new animals Protect against injury/predation; monitor animal health Provide good quality feed rations; adequate nutrition Rotate pastures/paddocks/yards, houses, feeding or watering

areas Nutritional supplements or probiotics Manage outdoor access Prevent endemic diseases with vaccines or biologics Biological control parasite/parasitoid/predator releases Provide freedom of movement/opportunity for exercise Encourage natural predators/recyclers (e.g. poultry, dung

beetles) Provide appropriate shelter or housing Monitor for pests, diseases, and injuries Maintain appropriate, clean, dry bedding Other: Maintain cleanliness/good sanitation; remove/manage

manureOther:

Additional comments about your approach to stock management:

8.2 What are the traits of your livestock breed(s) that make them suitable to your environment and production system?

8.3 How do you monitor livestock health (methods, frequency)?



8.4 Describe problem pests that may affect your livestock? (flies, internal parasites, external parasites, predators, etc.) Describe monitoring frequency and methods (observe body condition, signs of anemia, fecal analysis, etc), and prevention/management strategies for each type of pest.

PEST TYPE/SPECIES MONITORING METHODS AND FREQUENCY PREVENTION/MANAGEMENT STRATEGIES

8.5 Parasiticides are prohibited in slaughter stock. The parasiticide, Ivermectin, is only allowed for emergency treatment for breeder stock when organic system plan approved preventative management does not prevent infestation. In breeder stock, treatment cannot occur during the last third of gestation if the progeny will be sold as organic and must not be used during the lactation period of breeding stock. NOP§205.603(a)(18).

Describe any use of parasiticides. Provide brand name, label and ingredient list for all products that are not OMRI listed. Have purchase documents available at inspection.

8.6 List all physical alterations (castration, ear tagging, tail docking, etc.) which are performed or will be performed on a regular basis.

PHYSICAL ALTERATION CLASSES OF LIVESTOCK AND AGE

PROTOCOL AND PRODUCTS OR IMPLEMENTS USED

REASON/PURPOSE OF ALTERATION

8.7 If alterations are made, what methods are used to minimize suffering (e.g. anesthetics)?



8.8 List of materials you use or plan to use (in inventory or accessible). Add additional sheets if needed.Materials must be Natural or on the National List of synthetic materials allowed for use in organic livestock production (§205.603). For annotated or restricted materials, provide the following documentation: circumstances and timing of use and documentation (i.e. parasite monitoring, no use in last third of gestation or lactation). For prohibited materials used to restore an animal to health and resulting in the loss of organic status, documentation of how treated animals are identified and segregated must be maintained. All records must be available at inspection.

TYPE OF MATERIAL* PRODUCT NAME AND MANUFACTURER

DISEASE OR HEALTH PROBLEM TO BE PREVENTED OR TREATED/IN WHAT CLASSES OF LIVESTOCK/LOCATION

RECORDS KEPT**

*Type of Material: Vaccine, biologic, disinfectant, sanitizer, topical medication, anesthetic, homeopathic remedy, parasiticide, etc.**Records Kept: Age and timing of use; compliance with any annotation or restriction; disposition of non-organic animals if prohibited materials used.

8.9 If individuals are treated with prohibited or restricted materials, how are they identified, segregated, and/or removed from the organic system?

PROHIBITED OR RESTRICTED MATERIAL

PROHIBITED (P)RESTRICTED (R)

ANIMAL IDENTIFIED BY

ANIMAL SEGREGATED BYANIMAL IS REMOVED

FROM SYSTEM

Yes No

Yes No

Yes No

Yes No

8.10 How do you prevent the use of prohibited medications in your livestock operation?

8.11 Please provide the name, phone, and address of your regular veterinarian.

Name: Phone:

Address:

City/State: Zip:



SECTION 9: Transportation and Slaughter NOP Rule §205.201NOP §205.201 NOP standards require that humane methods of handling be used for loading, unloading, holding at slaughter. Slaughter facilities must be certified.

9.1 Livestock Transportation Not Applicable(a) How are animals transported?

(b) Do you arrange livestock transportation? Yes No

(c) Is there at least one person responsible for the well-being of livestock at each step of the transport process? Yes No

If yes, who? Buyer Self Other (specify)

(d) Do you have an animal identification method in place during transportation? Yes NoIf yes, please describe

(e) How are organic and non-organic animals kept separate before slaughter?

(f) Is clean transportation provided? Yes No

(g) Are transport units used to carry prohibited materials? Yes No

(h) How do you ensure that outgoing transport units are clean prior to loading livestock?

(i) Is an inspection/cleaning process documented? Yes No

(j) Have transport companies been notified of organic handling requirements? Yes No

(k) How are animals loaded?

(l) Is the loading area and means of transportation free of protrusions that could cause bruising and/or injury? Yes No

(m) Do the methods of transportation provide adequate ventilation and comfortable head space so that the animal is able to stand in a natural position? Yes No

(n) Do you use any tranquilizers or stimulants during loading, transport or unloading? Yes NoIf yes, please describe.

(o) How long does transport take?



Organic Slaughter: IF YOU ARE SELLING ORGANIC MEAT from animals please complete this section.

(a) Do you butcher and process meat on your farm? Yes NoIf yes, you need to complete a Processor/Handler Organic System Plan. Contact MCIA if you do not have a handler application.

(b) How do your records and system of identification track organic slaughter eligibility?

(c) Is your slaughterhouse or butcher shop certified organic? Yes No

Provide a copy of their organic certificate.

(d) Do you let the slaughterhouse know that your livestock is certified organic? Yes NoProvide us with the name, address and phone number of facility where your animals are slaughtered.Name: Phone: Address:

(e) How do you market your livestock products? Direct to Retailer Farmers Market On Farm Retail Direct to Wholesaler Contract to Buyer Other (specify)



SECTION 10: Recordkeeping, Labeling and Audit Trail NOP Rule §205.103, §205.201, §205.300-311 NOP §205.103, §205.201, §205.300-311 Organic livestock producers must maintain records sufficient to preserve and track the identity of all organic animals and animal products produced in the operation. Records must disclose all activities and transactions in a manner that can be readily understood and audited. They must be sufficient to demonstrate compliance, kept for at least 5 years, and available at inspection. If you produce both organic and non-organic crops and/or livestock, then you have a split operation. If you raise the same crops or livestock as both organic and non-organic, then you also have parallel production. If you have a split operation of any type, please be prepared to show all production, harvest, storage and sales records at your inspection that allow for tracking and production verification of non-organic crops as well as organic crops (crop lists and acreages, input application records, equipment use and cleaning, harvest and sales records, etc.) Such records are necessary to facilitate production verification audits, and are especially important if the crops are visually indistinguishable (parallel production).

10.1 Indicate all the records you keep by checking boxes for general categories and describing your records, as needed. Please be prepared to show all records and audit trail documents you have checked and described below at your inspection.

Origin of Livestock Livestock purchase records Proof of Certification of purchased animals Animal Reproduction: Breeding and birth records Animal Identification Records

Livestock Living Conditions and Natural Resource Management Records to show separation of non-organic livestock Outdoor access / temporary confinement records Bedding material source(s) documentation Housing maintenance or construction Yard / Lane maintenance Erosion prevention and/or control Manure management records (composting, etc.) Documentation of Previous Land Use for Rented and/or Newly Purchased Land Activity and observation records (field logs, notes on calendar or maps, etc.) Monitoring records (soil/tissue/water tests, pest/parasite monitoring, observation logs) Natural resource restoration, Invasive species management, Native plant/wildlife monitoring

Livestock Feed/Feed Supplements and Additives/Pasture Management and Grazing Practices Feed purchase records (receipts, feed tags, labels, delivery/weigh tags, etc.) Feed production records (harvest, baling, etc.) Feed additive and/or supplement records (labels, purchase receipts, use, etc.) Feed storage/inventory records (location of facility, post-harvest activities, pest control, etc.) Feed ration descriptions for each type and class of animal Feeding records: actual quantities of feed fed to each type and class of animal Pasture improvement Pasture management records Outdoor access records

Livestock Health Care Practice Standard Health care substance/material purchase records and labels Monitoring records (pest/parasite monitoring or observation log) Individual animal health care records (vaccinations, biologics, anesthetics, topicals, parasiticides use, vet slips, etc.) Parasiticide use (parasite monitoring, treatment date in relation to gestation and lactation) Breeding, gestation, pregnancy check/birth records Mortality and cull records

Production and Sales/Transfer of Ownership Records Clean Transport Records Live animal sales (purchase order, contract, invoice, cash receipts, cash receipt journal, sales journal, etc.) Shipping Records (bill of lading, etc.) Slaughter records Custom processing Other (describe):



Livestock Product Handling and Storage (requires a submission of a Livestock Handling OSP) On-farm handling records (i.e. feed preparation, grinding, equipment cleaning, slaughter) Contracted handler certificates (slaughter/processing facilities, feed processors, etc.) Processing and/or storage records Shipping and/or sales records

Other records not listed above:

10.2 NOP regulation require that your recordkeeping system be adapted to your business, and fully disclose all activities and transactions of your operation. Please describe any plans you have to change or improve your recordkeeping system.

10.3 Do you keep production, harvesting, and handling records pertaining to organic agricultural products for at least five years after their creation? Yes No

10.4 Do you use or plan to use the USDA organic seal on product labels or market information? Yes No

10.5 Do you use or plan to use the MCIA logo on product labels or market information? Yes No

If yes to either question 10.4 or 10.5, attach a clear color copy of your proposed label(s) and submit to MCIA for approval.

CANADIAN EQUIVALENCY AGREEMENTAgricultural products derived from animals (with the exception of ruminants) must be produced according to livestock stocking rates as set out in CAN /CGSB32.310-2006.If you intend to produce hog or pork products eligible for shipment to Canada, please contact MCIA for required stocking rates.

Chilean/Sodium Nitrate is not allowed in production or handling of organic products which will be exported to Canada. Sodium Nitrate is a natural fertilizer that is also known as Chilean Nitrate, Nitrate of Soda, and Chilean Saltpetre and is commonly found as an ingredient in fertilizer products.

Do you use Chilean/Sodium Nitrate? Yes NoIf yes, describe when and where it is used:



SECTION 11: AffirmationI affirm that all statements made in this application are true, correct, and complete. No prohibited products have been applied to any of my organically managed grazing areas and/or used in the production of my organic livestock. I understand that the operation may be subject to unannounced inspection and/or sampling for residues at any time as deemed appropriate. I understand that acceptance of this questionnaire in no way implies granting of certification by MCIA. I agree to abide by MCIA Guidelines and the certification standards and/or certification requirements applicable to my operation. I agree to notify MCIA in writing of changes in any of the following: farm contact information, applicant contact information, legal status, ownership or control of operation. I agree to pay all fees assessed by MCIA.

Signature _____________________________________________________________ Date ____________________________

I have attached the following documents: * REQUIRED DOCUMENTATION

*Current animal list*Field History Sheets/Planting Plans and Maps of all pastures/areas for outdoor access (showing adjoining land use and field identification)*Maps of all livestock facilities* Agreement Annual Organic Crop and/or Livestock Producer*Payment of Base Fee (See the Fee Schedule and Scale of Sanctions)Documentation for pastures owned or rented for less than three years (if applicable)Water test (if applicable)Feed and supplement product brand names, labels and ingredient lists (*required for all off-farm inputs)Brand names, labels and ingredient lists for any health treatment materials used (*if applicable)Organic product labels (*applicable when packaging organic product)

I have made copes of this questionnaire and other supporting documents for my own records: Yes No

Submit completed form, supporting documents, Annual Agreement Organic Crop and/or Livestock Producer, and fees to:

Minnesota Crop Improvement Association1900 Hendon AvenueSt. Paul, MN 55108



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