PACS Farm Plan and Inspection Repor · 2014-12-23 · PACS Farm Plan and Inspection Report - E This...

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BC Certified Organic Program Pacific Agricultural Certification Society (PACS)

3402 32nd Ave. Vernon, BC V1T 2N1 250-558-7927 [email protected]

→Confidential when completed←

PACS Farm Plan and Inspection Report - E This form is to be used for initial and renewal applications for farm crops: vegetables, small fruits, large fruits, nuts, grains, forage and unheated greenhouses under 315 m². Use the accompanying "PACS Farm Plan Guide" to assist in completion of this form. This form must be completed on computer or with a black ink pen. Do not use pencil. Unless otherwise marked, columns on the right are reserved for the Verification Officer - do write in these boxes. If you run out of room, use the space at the bottom of the form.

Section A General Information 1. 2. 3. Name

Farm Name Date yyyy/mm/dd:

Mailing Address:

5. Physical location:

Tel.

Fax.

File #

Date received:

Email address:

Date reviewed:

Reviewed by:

Managers name & Tel. (if different from above) Certification #: N/A

Have you ever been denied certification?

Yes No If so, by what certification Body?

VO name:

Date of inspection:

Time arrived:

Time departed:

Do you own and understand the current version of the BC Certified Organic Management

Standards? Yes No

VO only:

List all crops or products requested for certification:

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6. 7.

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9. 10.

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PACS Farm Plan E 2004/03/16

PACS Farm Plan 2004/03/16

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14. Are you planning to sell product that will not be grown and/or processed under the

certified organic program? Yes No If yes, request, complete and submit a Split Operation Form from PACS

15. Conditions from last year: No conditions New applicant

16. Describe how you have complied with any conditions from last year's certification

process: No conditions New applicant


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17.

Section B Basic Land and Water Information Describe your the total land base owned/managed - organic, wild (bush, waste, rocky),

non-organic - specify if acres or ha: Number of acres/ha farmed (including pasture) Farmed acres/ha for certification Farmed areas not in the certification program

Wild areas that will be managed organically

Wild areas not in the certification program Residence and building area

Total number of acres/ha owned and/or managed

18. New applicants and organic operators bringing new land into (or removing from) the certification program must complete the Field Identification Sheet to identify all your fields -

bottom of form. N/A

19. New applicants and organic operations bringing new land into the certification program

must complete the Land Use History Sheet - bottom of form. N/A

20. Include a detailed diagram of your farm layout. See Guide item #20 for details.

No changes Map is attached Map has been sent by: Post Email Courier

21. Does the construction of your production buildings contain treated wood? Yes No If yes, how is this material isolated from contact with production?

22. Do you have CCA treated fence posts on your property? Yes No CCA treated stockpile (numbers):

23. Water use table. Please complete for all uses of water on your farm. No changes Source Use Method of delivery

Tested Y or N

Section C Protection from Contamination –Boundaries & Buffer Zones Section 3.4, 3.5 24. Describe the adjoining land use for fields bordering (not owned or managed) your property. Include all areas on all sites where your property borders another property:


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25. List specific buffer zones you maintain N/A Field #(s) What is growing in buffer? Width of buffer(s)

26. What do you plan to do with the crop harvested from the buffer zone?

Do you keep records of use of crops harvested from buffer zones? Yes No

27. If crops are harvested from buffer zones with equipment used for harvesting organic crops, do you have procedures in place to protect and isolate organic crops from buffer crops

during harvest? Yes No If yes, what do you do:

Section D Farm Management Plan SOIL FERTILITY (sections 4.2, 3.11, 3.7 28. You must submit a soil test with initial applications for certification - see Section 3.11 COABC Management Standards for details

29. Describe the ways you protect and improve your soil over time - for re-applicants, describe what is working and what new plans you may have:


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30. Crops and Field Information - Complete the following table by crop, for all organically managed fields for the current or approaching season (hay and pasture as well).

Crop, Variety

Field Number(s)

Acres or area of crop

Projected Yield


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31. Describe your current year crop rotation plan for annual, biennial and perennial field crops - For orchards, vineyards, small fruits, perennial herbs, describe the details of your soil fertility management plan:

Field(s) Rotation Plan

MANURE AND COMPOST (Section 3.9 and 3.10) 32. If you compost on-farm, do you follow the Code of Agricultural Practice for Waste

Management (Waste Management Act)? Yes No Unsure

33. Do you plan to use uncomposted (raw) manure? Yes No If yes, where is it applied?

34. What is your source of manure and/or compost ingredients:

35. Type of On-farm composting: In vessel Windrows Static pile

Aerated pile Sectioned bins I turn my compost I don’t turn my compost Other: Ageing time:

36. Do you monitor the temperature of your compost? Yes No


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SEEDS AND PLANTS (Section 4.3)

37. List all separate seed sources (suppliers): Do not use seeds Seed source/supplier Vegetable(V)

forage(F), grain (G) Organic (O) Non-organic (N)

38. Are the seeds you use GMO free? Yes No Unknown

39. If you use pelleted seed, are all ingredients in pelleting allowed for organic production?

Yes No Unknown

40. If you purchase planting stock or annual seedlings, complete the following table. For non-organic perennial

transplants, indicate the date of planting. Don't purchase planting stock or seedlings Supplier Planting stock or

seedling type or variety Organic (O)

Non-organic (N) + date of planting


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SEEDLING PRODUCTION AND GREENHOUSE OPERATIONS OF LESS THAN 315 m² 41. Do you grow organic seedlings on your farm? Yes No

Do you plan to grow and sell seedlings? Yes No

42. Approximate growing area under cover: N/A

43. What type of growing system in your greenhouse? N/A

44. Describe your soil mix for seedlings or containerised plants: N/A

Section E Orchard and Small Fruit 45. Describe your orchard floor and how you manage it - provide details of mowing,

cultivating, mulching, grazing: N/A

Section F Harvest, Processing & Transport

46. Do you wash your produce? Yes No N/A If yes, do you use any additives in

your produce wash water? Yes No If yes, please specify: Are you aware of the Canadian Food Inspection Agency regulations regarding the use of

potable water for washing human food products? Yes No

47. Is any washing, grading, or packing done off-site? Yes No N/A If yes, where:

Is this facility certified organic? Yes No


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48. Do you have separate storage area for packed product? Yes No If yes, describe:

49. Do you use off-site bulk or packed product storage facilities? Yes No If yes, Please provide name and telephone number:

Is this facility certified organic? Yes No , If no, request an Independent Storage Facility form from PACS.

50. Complete for permanent bulk storage facilities: N/A ID # Style and Capacity Location Volume & harvest

year Contents

51. Will you be labelling your product? Yes No

What kind of labels? Printed boxes Printed bags Bin or bag tags

Box labels Stickers on product Stickers on containers Other: Are you aware that labels for transitional or certified organic product must be submitted to

PACS for approval before use? Yes No

52. Who is responsible for the labels on your product? Myself Retailer Buyer

Packing house Other: If someone other than yourself, provide the details:


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PROCESSING (COABC Management Standards Section 11)

53. Where do plan to do the processing of organic product? On-farm Off-farm N/A If On-Farm, do you plan to process only your own organic produce?

Yes No If yes, list which processed products you plan to sell as organically grown (i.e. frozen strawberries, dried pears): Briefly describe steps in your processing, including any sanitation, or other products used:

54. Are you are planning to process other farms’ produce (or use off-farm ingredients) on your

farm? Yes No N/A If yes, obtain a Processing/Handling Plan from PACS

55. Are you are planning to process your produce in an off-farm facility? Yes No N/A If yes, provide name and telephone number of facility:

Is this facility certified organic? Yes No

TRANSPORTATION & MARKETING 56. When does the management or your product leave your control?

Pre-harvest Post harvest When it leaves the farm gate

When it arrives at the packing plant/distributor/wholesaler/retailer Other:

57. Who is responsible for the transportation of your produce?

Self Buyer Other:

58. Transport method:

59. If you are using a common carrier for transport, do you have a Transport Agreement in

place? Yes No N/A Transport Agreement forms are available from the PACS office

60. Market: Wholesale Direct to retail Farm gate Farmers' market Processor

Broker Box delivery scheme Restaurants CSA Other:


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61.

Section G Inputs Input list - Complete the following table for: soil & fertility inputs, (including products used in greenhouses), pest

control products, disease prevention or management products, weed management products, or any other production related input you have used in the last 12 months. If this is your first year in a certification program list the products you anticipate using during the next 12 months. Period covered ____________________to ___________________.

I Do not use Inputs Product Brand Name Status from

Materials List Reason for use

62. Do you keep records when you use pest control inputs on a specific crop?

Yes No Don't use any Where do you store pesticides?

63. To the best of your knowledge are all inputs GMO-free? Yes No Unsure


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Field Identification Sheet Complete the following table to identify all your new fields (organic or non-organic). Site name Field

# Acres/ha Location and lot # (legal address)

Leased or rented? How long owned or managed by you?

Applying for Certification? Y or N


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Land Use History Sheet Complete for all new fields requested for certification. List all inputs for last three years for each field. You may combine fields if information is identical. Use field numbers from the Field Identification Sheet

All materials applied including fertilisers, pesticides Year Field(s) # Previous Use of field, including GMO crops

and/or herbicides, compost & manure

Date(s) of application


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64.

Section H Records Indicate the records you use (have current copies ready for inspection by VO):

Planting records

Receipts for purchased inputs (such as fertilisers, sprays, compost, etc)

Input Log (material application records)

Farmgate/farmers' Market daily sales records by crop

Equipment Cleaning Log

Spray Record

Harvest Record (amounts and dates)

Storage records that show storage location, storage identification, production area, amounts stored, and cleaning activities

Copies of organic certificates for any produce that is being handled, re-sold or processed

Sales records (purchase order, contract, invoice, cash receipts, cash receipt journal, sales journal, etc.) for both organically produced products and non-organically produced products.

Customer Complaint Log

Standards require a soil test of your farm upon initial application

Buffer zone harvest records

Lease or rental documents

Compliant Form Other: Records of non-organic production must be available for inspection by the VO.

65. How long do you keep your records? 5 years Unknown

66. If you have crops of different organic status (organic/non-organic/transitional/buffer), will

your record keeping procedures track the separation of product? Yes No N/A

67. Attachments I am including with this document:

Split operation form

Soil test

Letter from neighbour (buffer zone derogation)

Independent Storage form

Other management plans i.e. Livestock, Processing, Poultry list:

Labels:

Other:

You will be required to submit an application that updates this plan each year. Keep a copy of this Farm Plan as a reference for updating it in the future. This application is part of your farm records and must be kept with farm records.


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68.

Section I Notes & Affirmations Use this area to add information that may provide assistance to the Certification Committee who will review your

application.

69. ORGANIC OPERATOR AFFIRMATION I affirm that all statements made in this application are true and correct. I understand that the operation may be subject to unannounced inspection and/or sampling for residues at any time as deemed appropriate to ensure compliance with the BC Certified Organic Program. I agree to allow the VO and/or members of the PACS Certification Committee and the COABC Accreditation Board auditor access to all areas of my farm and to my records, including: inputs, production, processing, handling sales, and products purchased for resale, from both organic and non-organic production. I understand that acceptance of this document in no way implies granting of certification by the PACS. I agree to provide further information as required by the PACS. I have read, understood, and agree to comply with the PACS constitution, bylaws and Production Standards. I understand that any wilful misrepresentation will result in de-certification. I understand that this completed document is confidential information according to the policies of the BC Certified Organic Program. Membership and certification status is public information. Signed Print name: Date:


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70.

VO notes and summary

71. VERIFICATION OFFICER AFFIRMATION All information in this report is accurate to the best of my knowledge and is based on my observations, review of documents and operator interview. All compliance assessments are made in reference to the COABC organic management standards and policies of PACS. Information contained in this report is confidential between the Verification Officer, the inspected party, and the PACS. This report does not constitute certification or consultation, nor should it be used for promotional purposes. Signed Print Name Date: List of attachments:

PACS Farm Plan and Inspection Repor · 2014-12-23 · PACS Farm Plan and Inspection Report - E This...

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Transcript of PACS Farm Plan and Inspection Repor · 2014-12-23 · PACS Farm Plan and Inspection Report - E This...