Clemson University



To be completed by operations that raise cattle, goats, or sheep. If you are raising non-livestock related crops for wholesale or retail sale (vegetables, fruit, etc.), the Crop Organic System Plan must be completed in addition to this form.NAME (s) FORMTEXT ????? FILLIN \* MERGEFORMAT OPERATION NAME FORMTEXT ?????ADDRESS FORMTEXT ?????CITY FORMTEXT ?????STATE FORMTEXT ?????ZIP FORMTEXT ?????PHONE FORMTEXT ?????EMAIL FORMTEXT ?????PRIMARY FORM OF CONTACT FORMCHECKBOX EMAIL FORMCHECKBOX PHONEYour inspection fee will be calculated based on the last calendar year’s gross organic annual sales.GROSS ORGANIC ANNUAL SALES FORMTEXT ?????CALENDAR YEAR REPORTING FORMTEXT ?????Thank you for your interest in organic certification. Please provide as much detail as possible when completing certification paperwork. Your thoughtful and complete answers will reduce further requests for information, and therefore expedite the certification process.Tips and guidance are highlighted throughout our forms. If in doubt, contact our staff. We are here to assist.Thank you for your interest in organic certification. Please provide as much detail as possible when completing certification paperwork. Your thoughtful and complete answers will reduce further requests for information, and therefore expedite the certification process.Tips and guidance are highlighted throughout our forms. If in doubt, contact our staff. We are here to assist.The National Organic Program (NOP) requires all operations seeking certification to develop an organic system plan that is agreed to by the certified operation and an accredited certifying agent. A certified operation must update this system plan on an annual basis in order to verify continued compliance.Your organic system plan must include the following: A description of practices and procedures – including the frequency with which they will be performed,A list and detailed information regarding each substance to be used in organic production,A description of the monitoring practices and frequency the practices will be performed,A description of the recordkeeping system that complies with the rule,A description of the practices in place to prevent commingling of organic and non-organic products,A description of the practices in place to prevent contamination of organic products with prohibited substances,Any additional information required by the certifying agent in order to evaluate compliance.This is a plan – You may change or update it throughout the year.Changes must be approved by Clemson University prior to implementation. Plan updates may be submitted by phone, email, fax or letter.The National Organic Program (NOP) requires all operations seeking certification to develop an organic system plan that is agreed to by the certified operation and an accredited certifying agent. A certified operation must update this system plan on an annual basis in order to verify continued compliance.Your organic system plan must include the following: A description of practices and procedures – including the frequency with which they will be performed,A list and detailed information regarding each substance to be used in organic production,A description of the monitoring practices and frequency the practices will be performed,A description of the recordkeeping system that complies with the rule,A description of the practices in place to prevent commingling of organic and non-organic products,A description of the practices in place to prevent contamination of organic products with prohibited substances,Any additional information required by the certifying agent in order to evaluate compliance.This is a plan – You may change or update it throughout the year.Changes must be approved by Clemson University prior to implementation. Plan updates may be submitted by phone, email, fax or letter.Section 1. General Information NOP §205.201, .401Are you a new applicant for certification or are you renewing your existing certification? FORMCHECKBOX New – Applying for a new certification FORMCHECKBOX Certification Renewal – Renewing an existing certificationProvide a brief description of your business: FORMTEXT ?????Check all the boxes that apply to your farming operation: FORMCHECKBOX Pasture FORMCHECKBOX Slaughter Stock FORMCHECKBOX Non-ruminant livestock FORMCHECKBOX Feed crops FORMCHECKBOX Other (specify): FORMTEXT ?????Do you work with a crop consultant or farm advisor? FORMCHECKBOX Yes FORMCHECKBOX No If “Yes,” provide name, email and phone: FORMTEXT ?????Have you ever been denied certification or had your certification suspended or revoked? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” describe the circumstances: FORMTEXT ?????List previous and/or current organic certification by other certification agencies: FORMTEXT ?????Year first certified: FORMTEXT ?????Describe the corrective action you took in response to any noncompliance notices or conditions for continued certification you received last year: FORMTEXT ?????List other certifications such as “American Grass Fed Association” or “Animal Welfare Approved”: FORMTEXT ?????Year when complete Organic Livestock System Plan was last submitted: FORMTEXT ?????Complete Organic System Plan must be submitted every 3 years for certification.Do you have a copy of the National Organic Program Standards? FORMCHECKBOX Yes FORMCHECKBOX NoDo you have a copy of the current OMRI Materials List? FORMCHECKBOX Yes FORMCHECKBOX NoThe NOP Standards are available online at:ams.nopGive directions to your farm for the inspector: FORMTEXT ?????When are you available to contact? FORMCHECKBOX Morning FORMCHECKBOX Afternoon FORMCHECKBOX EveningWhen are you available for the inspection? FORMCHECKBOX Morning FORMCHECKBOX Afternoon FORMCHECKBOX EveningSection 2. Pasture: Physical Description NOP §205.202National Organic Program requires that any field or farm parcel from which harvested crops are intended for organic sale must have had no prohibited substances applied to for a period of 3 years. Please complete the information below and attach a current field history sheet for each field. At least 36 months of history are required for all fields.Have you managed all fields for 3 or more years? FORMCHECKBOX Yes FORMCHECKBOX NoIf “No,” you must submit a Previous Land Use Verification form.Are all fields requested for certification located at the main address? FORMCHECKBOX Yes FORMCHECKBOX NoComplete this information for main farm addresses and each parcel that is in a separate location:Field IDParcel AddressNumber of AcresRented or OwnedOrganicTransitionalConventional FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Adjoining Land Use NOP § 205.201(a)(5) and .202(c)NOP requires that organic production areas have distinct boundaries and buffer zones to prevent the unintended application of a prohibited substance or contact with a prohibited substance that is applied to adjoining land not under organic management. Adjoining land includes crop land, pastures, residential property, fallow land, etc. Buffer areas may change annually depending on contamination potential from adjoining land uses. The width of the minimum buffer is dependent on site-specific conditions. It is the responsibility of the operator to determine adequate buffer zones. The NOP requires that the buffer must be sufficient in size or other features (windbreaks, diversion ditches) to prevent the unintended contact by prohibited substances applied to adjacent land areas. Indicate buffer zones and show all adjoining land uses on your field maps.List specific buffer areas you maintain. Show all adjoining land uses on your field maps. FORMCHECKBOX N/ALocation or Field NumberType of Buffer (crop land, treeline, hedgerow, wildlife planting, grass strip)Width of BufferAdjoining Land UseIf crop is harvested from buffer, describe use (sale, non-organic livestock feed, seed, etc.) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????If crops are harvested from the buffer zones with equipment used for harvesting organic crops, what safeguards do you use to protect organic crops from contact with buffer crops during harvest? FORMTEXT ?????What additional safeguards do you use to prevent accidental contamination? FORMCHECKBOX noneWritten notification to: FORMCHECKBOX highway departments FORMCHECKBOX electric companies FORMCHECKBOX aerial spray companies/airports FORMCHECKBOX adjoining landowners FORMCHECKBOX drainage commissions FORMCHECKBOX farm service office FORMCHECKBOX other (specify): FORMTEXT ?????Have you posted “No Spray” signs along roadsides that adjoin organic fields? FORMCHECKBOX Yes FORMCHECKBOX NoDo any fields or portions of fields flood frequently (more than once every ten years)? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” list field numbers: FORMTEXT ?????How do you monitor for crop contamination? FORMCHECKBOX visual observation FORMCHECKBOX residue analysis FORMCHECKBOX GMO testing FORMCHECKBOX photographs FORMCHECKBOX wind direction/speed data FORMCHECKBOX other (specify): FORMTEXT ?????How often do you conduct crop contamination monitoring? FORMCHECKBOX weekly FORMCHECKBOX monthly FORMCHECKBOX annually FORMCHECKBOX as needed FORMCHECKBOX other (specify): FORMTEXT ?????Section 3. Pasture: Seeds, Annual Transplants and Seedlings NOP §205.204, .240NOP §205.204 requires that producers use organically grown seed, annual seedlings and planting stock (even when these are provided from a contract buyer). Annual seedlings must be certified organic to produce an organic crop. Non-organically produced seeds and planting stock may be used only if organic forms are not commercially mercial availability is defined as “the ability to obtain a production input in an appropriate form, quality, or quantity to fulfill an essential function in a system of organic production or handling, as determined by the certifying agent in the course of reviewing the organic plan.”If non-organic seeds are used, you must provide documentation verifying the unavailability of organic seed, even when a contract buyer provides seeds.Contact three or more known organic suppliers and document whether organic seeds or planting stock are available. An Organic Seed and Planting Stock Search Record form is available at clemson.edu/organic to document this anic producers should ensure that they are contacting suppliers that offer organic varieties.Genetically modified seeds and seeds treated with prohibited substances are not allowed.If you are using annual seedlings, annual planting stock, or perennial planting stock to produce a crop other than pasture or hay, you must complete a Crop Organic System Plan.Do you use seeds on your farming operation? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes” please complete the Seed Source Verification Form. If “No,” skip to Section 4. Soil Fertility and Crop Nutrient Management.Are the seeds organic? FORMCHECKBOX Yes FORMCHECKBOX NoIf you use non-organic seed, you are required to maintain documentation of commercial unavailability and have this available for review at your annual inspection. A Seed and Planting Stock Search Record is available for download at clemson.edu/organic.Are any seeds used treated with materials (pelleted, inoculated, fungicides, etc.)? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” list all treatments: FORMTEXT ?????Are any seeds genetically engineered? FORMCHECKBOX Yes FORMCHECKBOX NoDo you use annual seedlings, annual or perennial planting stock for pasture or hay? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” please complete the Seed Source Verification Form.All labels, receipts, delivery tickets, evidence of commercial unavailability, treatments, and non-GMO documentation must be on hand at the time of inspection to verify compliance with the National Organic Program. Failure to have documentation at your inspection may impact or delay your organic certification.Section 4. Pasture: Soil Fertility and Crop Nutrient Management NOP §205.203, .240National Organic Program requires producers to implement tillage and cultivation practices that maintain or improve the condition of the soil and minimize erosion. You must also manage crop nutrients and soil fertility through rotations, cover crops and application of plant and animal materials. Additionally, you must manage plant and animal materials to maintain or improve soil organic matter while minimizing contamination of crop, soil or water.Check the cultural and management practices that help to maintain or build soil fertility on you farm:Management: FORMCHECKBOX Crop rotation FORMCHECKBOX Soil amendments FORMCHECKBOX Foliar fertilizers FORMCHECKBOX Soil inoculants FORMCHECKBOX Fallow land FORMCHECKBOX Animal manure FORMCHECKBOX Leguminous crops FORMCHECKBOX Rock minerals FORMCHECKBOX Other (specify): FORMTEXT ?????Monitoring: FORMCHECKBOX Soil testing FORMCHECKBOX Microbiological testing FORMCHECKBOX Observation of soil FORMCHECKBOX Observation of crop health FORMCHECKBOX Comparison of crop yields FORMCHECKBOX Crop quality testingHow often do you perform the monitoring tests or observations selected above? FORMTEXT ?????Your inspector will evaluate your soil fertility monitoring and management practices as well as note any soil deficiencies and/or surpluses, erosions, compaction, etc. Be sure to maintain applicable management and monitoring documentation and have available at you annual inspection.Please address your manure management with regard to the following:Liquid FORMTEXT ?????Solid FORMTEXT ?????Compost FORMTEXT ?????Bedding FORMTEXT ?????What forms of manure do you use as fertility inputs? FORMCHECKBOX none FORMCHECKBOX liquid FORMCHECKBOX semi-solid FORMCHECKBOX piled FORMCHECKBOX fully composted FORMCHECKBOX other (specify): FORMTEXT ?????Section 5. Pasture Materials Input Inventory NOP §205.203, .206National Organic Program requires producers to manage crop nutrients and soil fertility to maintain or improve soil organic matter. All material ingredients must be nonsynthetic unless specifically approved on the National List of Allowed and Prohibited Substances (§205.601). Prohibited nonsynthetic ingredients listed on §205.602 must not be used on organic land.Please list all soil amendments, fertility inputs, pest management, and disease control products. Indicate how you verify that it is an allowable material by checking the appropriate box (you may check more than one). Use your application records or materials list from last year’s inspection report as a reminder. If you prefer, you can submit your materials list in other formats (Excel, Word, etc.). Use additional sheets as necessary.Input Material (Brand Name or Source)Restricted?VerificationNOP Generic(§205.603)Clemson ApprovedOMRI Listed FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX If you include a generic material rather than a specific brand name, you are responsible for assuring that the specific material you intend to use is allowed for organic livestock production. Have all products available for review at your inspection.Section 6. Pasture: Crop Rotation and Cover Crops NOP §205.205National Organic Program requires a producer to implement a crop rotation that maintains or improves soil organic matter, provides for pest management, manages deficient or excess plant nutrients and provides erosion control. These practices can include, but are not limited to sod, cover crops, green manure or animal rotation.Describe your crop rotation plan, including annual crops, perennial hay and cover crops used: FORMCHECKBOX N/A Pasture only (no hay, silage, or other crops harvested). Skip to Section 7. FORMTEXT ?????Section 7. Pasture: Natural Resources and Water NOP §205.200, .240National Organic Program requires that an organic producer must implement practices that maintain or improve the natural resources of this operation, including soil and water quality.Please check the relevant plans you maintain to assist you in managing your on-farm natural resources: FORMCHECKBOX Organic System Plan (this document) FORMCHECKBOX NRCS Farm Plan FORMCHECKBOX Conservation District Plan FORMCHECKBOX Farm plan or resource management plan FORMCHECKBOX Other (specify): FORMTEXT ?????How is water quality and quantity maintained and sustained on your farm? FORMTEXT ?????Do you have irrigation water available for pasture? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” do you irrigate your pastures? FORMCHECKBOX Yes FORMCHECKBOX NoDescribe your plan for erosion control and protection of natural wetlands and riparian areas: FORMTEXT ?????Section 8. Pasture: Weed, Pest, and Disease Management Practices NOP §205.206National Organic Program requires that producers implement management practices to prevent weeds, pests and diseases in your crops grown for livestock. When these preventative practices are insufficient, a producer may use nonsynthetic substances or synthetic substances approved under Nation Organic Standard 205.601.These materials must be documented in Section 5: Pasture Materials Input Inventory in this system plan!Use the table below to document the weed, pest and disease problems in the pasture and livestock feed crops. Include the specific problem; indicate the type of problem it is, the preventative plan and any cultural and mechanical practices used for control. Attach additional sheets as necessary.Weed, Pest or DiseaseWeedPestDiseasePreventative PracticeCultural and Mechanical Practices used for Control FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Section 9. Feed Harvest, Storage, Production NOP §205.201, .237, .239, .272The National Organic Program requires that all certified organic livestock be fed 100% certified organic feed. This standard applies to mammals from the last third of gestation. All feed raised on-farm must be noted on field histories and described above. Ruminant livestock must be provided with pasture in compliance with NOP §205.237. Feeding records need to be available at inspection. What categories of crops and livestock feed are produced? FORMCHECKBOX Organic FORMCHECKBOX Transitioning to Organic FORMCHECKBOX ConventionalPlease check the types of crops that you harvest from your operation: FORMCHECKBOX Alfalfa hay FORMCHECKBOX Grass hay FORMCHECKBOX Perennial grain FORMCHECKBOX Green chop FORMCHECKBOX Annual feed crops FORMCHECKBOX Corn silage FORMCHECKBOX Grass silage FORMCHECKBOX Other (specify): FORMTEXT ?????Does your operation use feed additives and supplements? FORMCHECKBOX No feed supplements or additives used. FORMCHECKBOX Yes, all feed supplements, salt, mineral and feed additives used are noted in Section 15. Livestock Input Inventory.Feed additives and supplements must be in compliance with NOP §205.237.Feed supplements, salt, mineral and feed additives used or planned for use in the current year are to be noted in Section 14 on the Livestock Input Inventory form. Provide ingredients information for all products that are not OMRI listed or approved by Clemson University Organic Certification Program. Have purchase documentation available at inspection.Is the same equipment used to produce both organic and non-organic crops? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AIf “Yes,” is the equipment cleaned prior to harvest? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AIf “N/A,” please explain: FORMTEXT ?????Do you buy organic feed? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” list all purchased feed with source and certification: FORMTEXT ?????Do you grind, roast, or mix organic products? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” where? FORMCHECKBOX on-farm FORMCHECKBOX mobile roaster that comes to my farmIs equipment for feed processing also used for conventional product? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” how is it cleaned? FORMTEXT ?????If you grind, roast or mix organic products, complete the On-Farm Processing Addendum.If feed is processed at a location other than your farm, the facility must be certified organic: FORMCHECKBOX Feed millName: FORMTEXT ?????Certified by: FORMTEXT ????? FORMCHECKBOX Another farmName: FORMTEXT ?????Certified by: FORMTEXT ????? FORMCHECKBOX OtherName: FORMTEXT ?????Certified by: FORMTEXT ?????Do you store both organic and conventional feed at your farm? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AAll storage locations must be described on the Crop Organic System Plan and indicated on maps.How do you dispose of synthetic materials used for bale wraps, silage covers, or feed/bedding packaging? FORMCHECKBOX None used FORMTEXT ?????The National Organic Program requires that an operation that produces organic and non-organic products must prevent the commingling and contamination of organic and non-organic products.Section 10. Livestock Operation Profile: Source and Production NOP §205.201, .236, .272The NOP requires that all livestock and livestock products that are to be sold, labeled or represented as organically produced to be the offspring of breeder stock managed organically for at least the last third of that particular gestation. All mammals to be sold as organic slaughter stock must meet organic slaughter stock standards. Livestock operations that have any conventionally raised livestock must be able to verify management that maintains organic integrity of organic livestock.Current Year LivestockWhat are you requesting for organic certification? FORMCHECKBOX meat FORMCHECKBOX cull slaughter FORMCHECKBOX other: FORMTEXT ?????What organic livestock or livestock products are you planning to sell, and when? FORMTEXT ?????Provide Clemson with a list of all animals on your farm on the Livestock Inventory List. Note: if you already have this information available in another format, such as an Excel spreadsheet, you may substitute that form for the Livestock Inventory List. List must include animal ID, date of birth, and organic slaughter plete the summary chart below for all animals on your farm.Enter number of animals in each of the columns below.LivestockBreedRequested for organic certificationOrganically managed but not requested for certificationManaged conventionallyEligible for organic slaughterYoung Stock Over 6 Months Of Age (calves, lambs, kids) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Slaughter Stock FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Young Stock / Heifers FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Bred Heifers FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Lactating Animals FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Dry Animals FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Other: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Livestock PurchasesComplete the following table if you purchased any animals for which organic slaughter or livestock product certification is requested. FORMCHECKBOX No livestock purchases to dateType of Livestock# of Animals ObtainedDate ObtainedSource and Phone NumberCertified by which agency? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Split and Parallel Production“Parallel production” is producing the same type of livestock products conventionally and organically. “Split production” is both organic and conventional production on the same farm, but different livestock species or plete this table if you have any animals on farm that will not be fed 100% organic or that will be given prohibited treatments or supplements. This includes animals for home use and work animals. Note: buffer crops are conventional feed. FORMCHECKBOX Not applicable, all animals on the farm are managed organicallyType of LivestockNon-Organic Feed, Treatment, or SupplementLocation Used or Fed FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Section 11. Organic Feed Rations and Pasture NOS § 205.237National Organic Standards require that producers provide slaughter livestock with a total feed ration composed of 100% organic agricultural products, including pasture and forage. This feed ration must be sufficient to meet the nutritional requirements for ruminants.A Dry Matter Intake Worksheet must be completed for each group of animals.Is all feed certified organic? FORMCHECKBOX Yes FORMCHECKBOX NoDry Matter Intake Worksheet(s) are attached for each animal group? FORMCHECKBOX Yes FORMCHECKBOX NoIn the table below, list all feed used for livestock:Date of Purchase/HarvestType of FeedSource of FeedQuantity Purchased/ HarvestedCertified Organic by: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Section 12. Livestock Flow ChartProvide information regarding the flow of animals through your system. Include source of animals, living conditions for each stage of production and final destination of animals. This may be in a narrative form or submitted as a flow chart.Refer to the example below and attach additional sheets as necessary.Example: Write narrative in the space below or attach flow charts: FORMTEXT ?????Section 13. Slaughter Livestock NOP §205.236The NOP requires that livestock products intended for sale as organic must be from livestock under continuous organic management from the last third of gestation and comply with all feed, health care and living condition requirements. Humane handling methods must be used for loading, unloading, holding, shipping and slaughter. Slaughter facilities must be certified organic in order for meat to be sold as certified organic. How do your records and system of identification track organic slaughter eligibility? FORMTEXT ?????How are slaughter animals sold? FORMCHECKBOX feeders FORMCHECKBOX finished FORMCHECKBOX culls FORMCHECKBOX packaged meatTo whom are animals or meat products sold? FORMCHECKBOX direct to consumer FORMCHECKBOX direct to retailer FORMCHECKBOX contract to buyer FORMCHECKBOX direct to wholesaler FORMCHECKBOX other: FORMTEXT ?????Please list the slaughter facility that you use or plan to use to process your organic livestock:Business name: FORMTEXT ?????Address: FORMTEXT ?????Phone number: FORMTEXT ?????Certified Organic by: FORMTEXT ?????List the cut and wrap facility and/or processing facility that you use or plan to use to process your organic meat products:Business name: FORMTEXT ?????Address: FORMTEXT ?????Phone number: FORMTEXT ?????Certified Organic by: FORMTEXT ?????If livestock is slaughtered and processed at a facility that is not certified organic, the meat cannot be sold or labeled as certified organic.If organic livestock are transported, describe how animal stress/injury is minimized during loading, transport and unloading. FORMCHECKBOX Not transported FORMTEXT ?????Do you use or plan to use labels? FORMCHECKBOX Yes FORMCHECKBOX NoAttach a copy of your proposed label(s). All labels need to be approved by Clemson prior to use.Section 14. Housing and Pasture NOP §205.239, .240The NOP requires that a producer provide living conditions which accommodate the health and natural behavior of the animal, including access to the outdoors, access to pasture, clean and dry bedding as well as shelter for organic animals.Do you provide year-round access to the outdoors, shade, shelter, exercise areas, fresh air, clean water and direct sunlight for all organic livestock? FORMCHECKBOX Yes FORMCHECKBOX NoIf “No,” please indicate why livestock may be subject to confinement: FORMCHECKBOX Inclement weather FORMCHECKBOX Stage of production FORMCHECKBOX N/A FORMCHECKBOX Risk to soil or water FORMCHECKBOX Health, safety or well being of animal FORMCHECKBOX Other: FORMTEXT ?????Indicate the duration of confinement from pasture for each group listed below: FORMCHECKBOX N/AYoung Stock: FORMTEXT ?????Slaughter Stock: FORMTEXT ?????Feeder Stock: FORMTEXT ?????Pre-Parturition: FORMTEXT ?????Breeding Animals: FORMTEXT ?????Post-Parturition: FORMTEXT ?????Lactating Animals: FORMTEXT ?????Other (specify): FORMTEXT ?????Do you finish slaughter stock? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” specify the number of days animals are confined during the finishing period: FORMTEXT ?????Do you provide access to pasture for organic animals? FORMCHECKBOX Yes FORMCHECKBOX NoDescribe the type of vegetation in your pastures (species, type, etc.): FORMTEXT ?????List your grazing season (does not have to be continuous): FORMTEXT ?????Describe your grazing system: FORMTEXT ?????Do you provide supplemental access to yards, feeding pads or feedlots for ruminants to provide outdoor access during the grazing or non-grazing season? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” please describe how you ensure access to feed without crowding or competition for food: FORMTEXT ?????Farm maps must be submitted outlining field location with identification labels, location of all water source(s), pasture fencing, shade, and shelter. Field history sheets for all fields must accompany these maps.Describe locations and sources of water for livestock on pasture. FORMCHECKBOX Not applicable FORMTEXT ?????Describe the types and locations of pasture fencing. FORMTEXT ?????Describe the location of shade for livestock on pasture. FORMTEXT ?????Is shelter available for organic animals? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” describe the shelter: FORMTEXT ?????Indicate which conditions are addressed by the shelter provided (check all that apply): FORMCHECKBOX Natural maintenance FORMCHECKBOX Comfort behaviors FORMCHECKBOX Opportunity for exercise FORMCHECKBOX Suitable temperature levels FORMCHECKBOX Ventilation FORMCHECKBOX Air circulation FORMCHECKBOX Reduction of potential for injury FORMCHECKBOX Other (specify): FORMTEXT ?????Type of Housing or Outdoor LotSize(Length x Width)Age and Type of Livestock HousedNumber of Animals Housed FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????What type(s) of bedding is used? FORMCHECKBOX none FORMCHECKBOX sand FORMCHECKBOX sawdust/shavings FORMCHECKBOX straw FORMCHECKBOX cornstalks FORMCHECKBOX other: FORMTEXT ?????Bedding is: FORMCHECKBOX purchased FORMCHECKBOX homegrownIf you provide edible, organic bedding for your animals, you must submit the applicable organic certificate. Describe locations of any treated lumber that may come into contact with livestock or with livestock feed. FORMCHECKBOX None. FORMTEXT ?????How often is housing cleaned out and how is it cleaned? FORMTEXT ?????Sanitation and cleaning products are to be listed on the Livestock Input Inventory.Section 15. Livestock Health Care NOP §205.238The NOP requires livestock producers to establish and maintain preventative livestock health care practices. When preventative practices and veterinary biologics are inadequate to prevent sickness, a producer may administer synthetic medications allowed per §205.603. Any medications administered, whether allowed or prohibited, must be recorded on an animal health record. Withholding medical treatment from a sick animal is prohibited by the NOP. Physical alterations may only be conducted for the animal’s welfare and shall be administered in ways that minimize pain and stress.What are the general components of your animal health management program? FORMCHECKBOX selective breeding FORMCHECKBOX raise own replacement stock FORMCHECKBOX isolate incoming/diseased animals FORMCHECKBOX culling FORMCHECKBOX vaccinations FORMCHECKBOX good sanitation FORMCHECKBOX access to outdoors FORMCHECKBOX release of beneficial organisms FORMCHECKBOX probiotics FORMCHECKBOX clean bedding FORMCHECKBOX well-ventilated housing FORMCHECKBOX good quality feed FORMCHECKBOX closed herd FORMCHECKBOX periodic fecal exams FORMCHECKBOX allowed health inputs FORMCHECKBOX pasture rotation FORMCHECKBOX nutritional supplements FORMCHECKBOX dusting wallows FORMCHECKBOX parasite vector and intermediate host control FORMCHECKBOX other: FORMTEXT ?????How do you monitor livestock health? FORMTEXT ?????Provide the name and phone number of your veterinarian: FORMCHECKBOX None used.Name: FORMTEXT ?????Phone: FORMTEXT ?????Review the conditions that have afflicted or could afflict your animals. Describe your preventative plan and treatment used if preventative plan is insufficient. Use additional sheets as necessary.ConditionExperienced?Preventative PlanTreatment(if preventative plan fails)Digestive disorders (diarrhea, bloat, scours, etc.) FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????External parasites FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Eye conditions (pink eye, etc.) FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Hoof conditions (hairy heel wart, foot rot, etc.) FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Internal parasites FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Mastitis FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Metabolic disorders (milk fever, ketosis, etc.) FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Poisoning or toxins FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Reproductive disorders FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Respiratory diseases FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Skin conditions FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Other (specify): FORMTEXT ????? FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMTEXT ????? FORMTEXT ?????Do you administer vaccines? FORMCHECKBOX Yes FORMCHECKBOX NoIf “Yes,” are any of these vaccines genetically modified? FORMCHECKBOX Yes FORMCHECKBOX NoList all vaccines used on your operation in Section 16. Livestock Input Inventory.List any animals that have been treated with a prohibited substance in the table below. FORMCHECKBOX N/A(Use additional sheets as necessary)Animal IDDateMedicationReason for UsePreventative Practice FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????If an animal were to be treated with a prohibited material, please describe your plan and/or current practice for removing this animal from the herd and organic market: FORMTEXT ?????Maintain documents that verify that all animals treated with a prohibited material were removed from the organic market, and have available at your next annual inspection.What physical alterations are performed on your livestock? FORMCHECKBOX none FORMCHECKBOX castration FORMCHECKBOX dehorning FORMCHECKBOX tail docking FORMCHECKBOX branding FORMCHECKBOX removal of extra teats FORMCHECKBOX hoof trimming FORMCHECKBOX other: FORMTEXT ?????Complete the following table for all alterations and list any products used on the Livestock Input Inventory:AlterationAge of Animal At AlterationMethod Used and Means of Reducing Livestock StressReason for Physical Alteration FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Please list your annual average percentage of culled (live) livestock: FORMTEXT ?????Please list your annual average percentage of death or loss: FORMTEXT ?????Section 16. Livestock Input Inventory NOP §205.238, .603, .604National Organic Program requires livestock producers to establish and maintain preventative livestock health care practices. All material ingredients must be nonsynthetic unless specifically approved on the National List of Allowed and Prohibited Substances (§205.603). Prohibited nonsynthetic ingredients listed on §205.604 must not be given to organic animals.Please list all mineral mixes, enzymes, electrolytes, herbs, vitamins, parasiticides, teat dips, hoof treatments, vaccines, etc. that are administered to your organic animals. Indicate that it is an allowable material by checking the appropriate box (you may check more than one). If you prefer, you can submit your materials list in other formats (Excel, Word, etc.). Use additional sheets as necessary.Input Material (Brand Name or Source)Restricted?VerificationNOP Generic(§205.603)Clemson ApprovedOMRI Listed FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX If you include a generic material rather than a specific brand name, you are responsible for assuring that the specific material you intend to use is allowed for organic livestock production. Have all products available for review at your inspection.Section 17. Recordkeeping NOP §205.103The NOP requires organic producers to maintain records concerning the production, harvesting and handling of organic livestock and livestock products. These records must fully disclose all activities and transactions of the operation in sufficient detail to be readily understandable and auditable and must be available for inspection and copying. These records must be sufficient to demonstrate compliance with the act and must be maintained for not less than five (5) years.Please check the method of animal identification that you use on the farm: FORMCHECKBOX Ear tag FORMCHECKBOX Brand FORMCHECKBOX Tattoo FORMCHECKBOX Other (specify): FORMTEXT ?????Do you maintain records of pasture/outside access (day, hours, etc.)? FORMCHECKBOX Yes FORMCHECKBOX NoAre the following records maintained:Receipts for all purchased livestock? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AReceipts for forage production (seed, fertility inputs, etc.)? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AWeight records of animals at slaughter? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/ASynthetic medications administered (date, dosage, animal ID)? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AHerbal and natural remedies or other approved materials given to organic animals? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AVitamins, minerals or other materials administered for preventative health care? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AReceipts for purchased feed products? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/ARecords that treated or transitioned animals have been diverted from the organic market? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/ASales records? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX N/AAny other records (please list below)? FORMCHECKBOX Yes FORMCHECKBOX No FORMTEXT ?????You are required to maintain organic related records for 5 years and have them available during inspections.Failure to have documentation at your inspection will result in compliance action.Section 18. AffirmationI affirm that all statements made in this application are true and correct. No prohibited products have been applied to any of my organically managed fields during the three-year period prior to projected harvest. 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 Organic Foods Production Act of 1990 and National Organic Program Rules and Regulations. I understand that acceptance of this questionnaire in no way implies granting of certification by the certifying agent. I agree to provide further information as required by the certifying agent.Signature of Operator: FORMTEXT ?????Date: FORMTEXT ?????I have attached the following documents: FORMCHECKBOX Maps of all parcels/fields (showing adjoining land use and field identification) FORMCHECKBOX Livestock Inventory List FORMCHECKBOX Dry Matter Intake worksheet(s) FORMCHECKBOX Field history sheetsIf applicable: FORMCHECKBOX Organic product labels FORMCHECKBOX Water test FORMCHECKBOX Soil and/or plant tissue tests FORMCHECKBOX Residue analyses FORMCHECKBOX Input product labels FORMCHECKBOX Documentation for fields owned or rented for less than three years FORMCHECKBOX I have made copies of this questionnaire and other supporting documents for my own records.Submit completed form, fees, and supporting documents to:Clemson University Organic Certification Program511 Westinghouse Road Pendleton, SC 29670TEL: (864) 646-2140 FAX: (864) 646-2178Website: clemson.edu/organic ................
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