Organic Farm Plan - Class OLP Organic Livestock Production

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					 Class OLP Application

                 OREGON TILTH CERTIFIED ORGANIC
                    470 Lancaster Dr. NE • Salem OR 97301 • Phone (503) 378-0690 Fax (503) 378-0809
                                      email: organic@tilth.org Web Site: www.tilth.org


                       Organic Farm Plan – Class OLP
     Organic Livestock Production Certification Application-New Applicant
Farm Name:

Principle Responsible Person(s):
Contact Person:
(if different from principle person)
Person/Company responsible
 for certification fees:
Mailing Address:
(Street, City, State or
Province and zip code)
Location Address(es):                                                                              County:
(Street, City, State or
Province and zip code)
Phone Number(s):
Fax Number:
email address:
    As you fill out this form, keep in mind you are creating a legal document. No information will be supplied to any
     third party without prior permission of the operator, with the exception of accreditation agents or government
     authorities. Compiled data for statistical summaries may be distributed. Your farm name, address, and marketable
     crops will be listed on the www.tilth.org website and in the annual Oregon Tilth Directory.
    Please submit a check for all applicable certification fees with this application. Please refer to the OTCO Fee
     Schedule to determine the certification fee due for your operation. Applications will not be processed without payment
     or an approved financial agreement.
    Faxed applications are not accepted. All applications must be submitted with payment unless prior approval is
     received from the Oregon Tilth office. An additional fee of $25 will be charged for any application which must be
     returned for completion.
Certification Year Applying for: ________                                             Application Date: _______
If you are only filling out a Class OLP Application, please enter here your estimated total gross
sales (in US dollars) of organic livestock product for the coming year: $__________

    ***A separate Organic Crop Production Certification Application-Class O must be completed for
                 any land used to grow organic feed and/or pasture organic livestock.

Have you reviewed the current OTCO Program Manuals?  yes                              no




 Rev. 4/2/03                                                                                      Page 1 of 12
Class OLP Application

Livestock Housing & Infrastructure Layout: Layout MUST INCLUDE:
-- neighboring land uses                                      -- location a of buffer zones
-- your building/storage ID system                            -- indication of north
-- location of buildings and other useful landmarks(e.g. streams, distinctive features, roads, etc.)
The map must be legible and in ink. Please do not use color coding or large pieces of paper.
Attach extra pages if necessary.




  Directions: Please give specific directions to your farm from the nearest city or highway. Keep in
                      mind that the inspector may not be familiar with your area.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________


Rev. 4/2/03                                                                       Page 2 of 12
Class OLP Application

CERTIFICATION HISTORY
Have you previously applied for organic certification?                    YES         NO
If so, were you successful in achieving organic certification?            YES         NO*
*If you did not achieve organic certification, you must include a copy of the notification of
noncompliance or notice of denial of certification and a description of the actions taken, with
supporting documentation, to correct the noncompliances noted.

If you were previously certified, please indicate by whom and for how long: _____________________
Have you ever been decertified? YES              NO        If so, by whom and when? _________________
Please identify any additional Classes of OTCO certification sought or held by your operation:
___ Class O                ___ Class OP           ___ Class OM           ___ Class OA
___ Class OW               ___ Class OH           ___ Class OR           ___ Class T
GENERAL
Please list products requested for certification and the average production per year:
Product(s)                       Production/year Product(s)                    Production/year
___ milk                                         ___
                                 ________________ spent hens for slaughter     ________________
___ dairy cattle                                 ___
                                 ________________ chicken for slaughter        ________________
___ dairy steer for slaughter                    ___
                                 ________________ turkey for slaughter         ________________
___ cull cow for slaughter                       ___
                                 ________________ laying hens                  ________________
___ beef cattle for slaughter                    ___
                                 ________________ eggs                         ________________
___ hogs for slaughter           ________________Others: ________________      ________________

Breed                   Type of livestock / stage of production       Number of animals
                        (ex.: milking cow, heifer, layer, etc.)




What is your typical culling rate and the primary reasons?
________________________________________________________________________________________

Are you inspected by County, State and/or Federal Agencies?
____Yes, please list which agency(ies) and frequency of visits:    ___ No
________________________________________________________________________________________
________________________________________________________________________________________

Is manure management monitored by County, State and/or Federal Agencies ?
____ Yes, please describe monitoring program:                     ___ No
________________________________________________________________________________________
________________________________________________________________________________________
Rev. 4/2/03                                                                       Page 3 of 12
Class OLP Application

RECORD KEEPING
(ALL records MUST be organized and available for review at inspection time)
Who is responsible for the record keeping system and where do you keep your records?
________________________________________________________________________________________
Please check types of records you keep:
___ documentation of purchased livestock (receipts, organic certificates, bills of lading)
___ health inputs (by date, material used, animal/batch treated and age/stage, dosage, reason)
___ purchased feed/feed supplements (receipts, organic certificates, bills of lading)
___ feed/medication labels            ___ feed storage                      ___ production records
___ breeding/birthing                 ___ culling records                   ___ slaughter/butcher
___ somatic cell/plate count          ___ sales                             ___ shipping/transportation
___ individual animal identification___ veterinarian bills                  ___ complaint log
___ others:_________________________________________________________________________
SOURCE OF REPLACEMENT STOCK
____ farm-raised :      ___ natural service   ___ artificial insemination     ___ others: _____________
For all purchased replacement stock, please provide the following information:
Livestock type Quantity         Age &     Date of purchase     Source/Vendor        Certification agency
                                weight    and delivery



*Attach additional sheets if necessary.

LIVING CONDITIONS
What type(s) and size(s) of indoor housing do you provide to all livestock (include animal densities)?
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Bedding: _________________________                Source(s): ___________________________________

How do you maintain adequate temperature level and ventilation indoors?
________________________________________________________________________________________
________________________________________________________________________________________

How do you maintain indoor sanitary conditions and what is your frequency of cleaning?
________________________________________________________________________________________
________________________________________________________________________________________




Rev. 4/2/03                                                                         Page 4 of 12
Class OLP Application

What is/are the reason(s) for temporary indoor confinement of livestock?
___ inclement weather ___ health/safety         ___ stage of production         ___ risk to soil/water quality

How long is livestock indoors (hours per day)?
spring: ____________        summer: ____________ winter: ____________ fall: ___________

What months do you pasture livestock (required for all ruminants)?
________________________________________________________________________________________

Please describe your grazing schedule (ex. hours per day, etc.) and stocking rate for all livestock stages?
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

If not pastured, please describe the type of outdoor area provided to livestock (including ground cover,
size, accommodation to natural behavior, etc.):
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

FEED
List complete daily feed rations on a weight-as-served basis. Include all forage, grain and concentrates.
Livestock      Summer                                           Winter
age/stage      Type of feed           Amount served             Type of feed           Amount served




*Please attach additional sheets if necessary.
Please list all vitamins, minerals and any other types of feed supplements/additives used in your operation.
(All labels must be available at inspection time)
   Generic Material(s)           Brand/Trade Name or           Livestock                    Justification for use
     (list all labeled                 Source                  age/stage
       ingredients)




*Please attach additional sheets if necessary.
Rev. 4/2/03                                                                              Page 5 of 12
Class OLP Application

Please indicate your source of feed as requested in the following table:
Type of feed          Total amount produced Feed purchased off-farm last year:
(ex. alfalfa, etc.)   on-farm last year     Total amount        Source         Certification agency




*Please attach additional sheets if necessary.

Do you use forage inoculants/additives?
____ No                            ____ Yes, ingredients: ___________________________________

How and where do you store your feed & feed supplements?
________________________________________________________________________________________
________________________________________________________________________________________

If storage is off farm, how do you prevent contamination/commingling?
________________________________________________________________________________________
________________________________________________________________________________________

Do you process feed (mixing, grinding, roasting, extruding, etc.)? ____ No              ____ Yes

Crop          Type of        If on-farm:               If off-farm:
              processing     Equipment used:           Name of certified facility        Certification agency




Do you use milk replacers?
___ Yes, please justify and provide complete list of ingredients: ___ No ___ N/A
________________________________________________________________________________________
________________________________________________________________________________________

Please describe your methods for evaluating the effectiveness of your livestock feed program.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________




Rev. 4/2/03                                                                         Page 6 of 12
Class OLP Application

WATER
Please list all water sources for water fed to livestock, as required in the following table:
Water sources Delivery system            Date of last analysis Tested for what?          Results




*Please have your latest test results available at inspection time

LIVESTOCK HEALTH MANAGEMENT
Please identify the general components of your health management program:
___ selective breeding, as allowed by organic standards   ___ raise own replacement stock
___ isolation of purchased/diseased animals                   ___ culling
___ good quality feed / proper nutrition                      ___ good pasture sanitation/rotation
___ selected feed supplements                                 ___ free access to outdoors/exercise areas
___ living conditions according to organic standards          ___ dry and comfortable bedding
___ vaccinations for known endemic diseases in my area        ___ work with a veterinarian
___ homeopathy, herbs, herb preparations, etc.                ___ good sanitation/hygiene
___ regular manure clean out                                  ___ medications allowed on the National List
___ others:
_________________________________________________________________________
Please list the health disorder/parasite problems encountered in your operation over the last 12 months:
________________________________________________________________________________________
________________________________________________________________________________________

Please provide a COMPLETE list of all health management products used in this production unit:
(including medications, vaccines, homeopathics, herb/herb extracts, etc.)

Generic material           Brand/trade name Purpose of use     Stage/age of animal      Source
list all labeled ingredients                                   when administered




*Please attach additional sheets if necessary.

Please explain your preventive strategy to manage internal and/or external parasites:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Rev. 4/2/03                                                                        Page 7 of 12
Class OLP Application

Please list parasite management products used in your operation:
Generic material Brand/trade name Purpose of use Stage/age of animal              Source
list all labeled ingredients                                  when administered



Please explain your preventive strategy to manage flies or other pest arthropods:
________________________________________________________________________________________
________________________________________________________________________________________

Please list all fly management products used in your operation:
Generic material             Brand/trade name     Stage/age of animal    Source
list all labeled ingredients                      when administered




Where do you store your health/pest management products? _______________________________________

Who is responsible for administering health management products?__________________________________
List name, address and phone number of veterinarian(s) used:
(Please have your veterinarian bills available at inspection time)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Are all substances used by veterinarian used in accordance with the National List? ___ YES ___ NO

What kind of livestock physical alterations do you practice?
___ dehorning          ___ castration           ___ beak trimming                 ___ despurring
___ tail docking       ___ teeth cutting        ___ toe clipping/alteration       ___ comb dubbing
___ wing burning/clipping
___ others:
_________________________________________________________________________
Please indicate when (animal age/stage) physical alterations occur: ______________________________
___________________________________________________________________________________
Please describe your methods for evaluating the effectiveness of your health management program:
________________________________________________________________________________________
________________________________________________________________________________________
MANURE MANAGEMENT
Estimated quantity of manure generated per year from the entire operation?
Solid:     _____________________              Liquid/slurry:           _____________________
Type of manure holding system and capacity? ____________________________________________
Acreage actually used for manure application? ____________________________________________
How do you prevent contamination of crops, water and/or soil by excessive nutrients or other
contaminants?
________________________________________________________________________________________
________________________________________________________________________________________
Rev. 4/2/03                                                                  Page 8 of 12
Class OLP Application

MILK HANDLING                                                                               ____ N/A
What type of milk handling system do you use?
________________________________________________________________________________________
________________________________________________________________________________________

Please explain your teat/udder hygiene practices. List all labeled ingredients in any products used.
________________________________________________________________________________________
________________________________________________________________________________________

Please list the cleansers/sanitizers used in your operation:
Generic Material                 Brand/Trade Name                  Frequency of use
list all labeled ingredients




How do you prevent contamination of the milk from detergents/sanitizers?
________________________________________________________________________________________
________________________________________________________________________________________

Please describe your system of dairy wastewater disposal (wash waters, cleansers/sanitizers, etc):
________________________________________________________________________________________
________________________________________________________________________________________

HANDLING FOR SLAUGHTER                                                                      ____ N/A
How do you verify animals meet slaughter stock requirements?
_________________________________________________________________________________
How is livestock loaded (including the use of any practices/devices)?
________________________________________________________________________________________

What form of transportation is used?
________________________________________________________________________________________

How long does transportation take?
________________________________________________________________________________________

Is livestock provided with feed & water in transit? ___ Yes ___ No, why? ___________________________

Do you market livestock products under your own brand?
___ Yes, please provide label(s) for evaluation by OTCO prior to use             ___ No

Please describe the types of livestock product(s) marketed and the respective annual production:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Rev. 4/2/03                                                                  Page 9 of 12
Class OLP Application

Please list all certified organic slaughter, butchering and/or packing facility(ies) used:
Name, address and phone number                          Certification agency




MARKETING: Please enter the percentage of gross sales that you expect to earn from the
following markets (Total should be 100%).
___ U-Pick             ___ Direct Marketing                    ___ Membership / Community Farm
___ Processor          ___ Farmer’s Market                     ___ Other: ____________________
___ Wholesale          ___ Broker

INTERNATIONAL MARKETS:
Do you believe your farm product may be sold or contribute to products eventually sold:
___ in the European Union         ___ in Japan            ___ under the IFOAM trademark


CONTAMINATION SOURCES: Please answer the following questions in order to help
Oregon Tilth identify potential sources of contamination:

Are you adjacent to any land use on which prohibited substances are potentially         YES        NO
used, such as conventional agriculture, forest/logging, commercial nursery,
golf course, railroad, power lines)?

Are any nearby lands treated with prohibited substances using aircraft?                 YES        NO
Is your land adjacent to a county or state road?                                        YES        NO
If so, have you requested “no spray” from the appropriate agencies?                     YES        NO
Have all neighbors been advised of your organic status?                                 YES        NO
Is there any indication of contamination of surface or                                  YES        NO
ground water from nearby commercial operations/ industries of any kind?

If you have answered yes to any of the above questions, please provide the location and measures in
place to prevent contamination:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Please describe your methods for monitoring and evaluating the effectiveness of contamination
avoidance:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________


Rev. 4/2/03                                                                        Page 10 of 12
Class OLP Application

SPLIT PRODUCTION                                                                       ___ NA
This section must be completed by farm operations who have non-organic production (conventional and/or
transitional). If you are a 100% organic farm operation, please move on to the next section.

Please explain in detail how your conventional operation is kept separate from the organic one, thus
preventing any contamination risk and/or co-mingling (ex.: separate housing, separate feed storage, etc.):
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

Please list any materials/inputs used in conventional production:
________________________________________________________________________________________
________________________________________________________________________________________

How do you keep conventional input materials separate from organic materials?
________________________________________________________________________________________
________________________________________________________________________________________

Please list all conventional livestock:
Type of livestock       Number of animals Products              Typical production quantity/year
and breed/species




Do you intend to convert your entire operation to organic management?
___ Yes, please give a timeframe:                          ___ No, please explain why:
________________________________________________________________________________________
________________________________________________________________________________________

MEMBERSHIP: The Oregon Tilth Certified Organic Program is not a membership based program
– it provides certification services to both members and non-members of Oregon Tilth. A certified
operator may choose to be a voting member of Oregon Tilth for no additional charge, but membership
is not required for certification. Please choose one of the options below indicating your interest in
Oregon Tilth membership.
____         I wish to maintain my status as a voting member of Oregon Tilth, Inc.
____         I wish to become a voting member of Oregon Tilth, Inc.
____         I do not wish to be a voting member of Oregon Tilth, Inc.

CERTIFICATION SERVICE: Oregon Tilth Certified Organic is committed to providing
quality certification service. Visit our website at www.tilth.org for program updates. Please comment
below on the areas where OTCO is succeeding in providing quality service as well as points you feel
may still need improvement. Comments may also be submitted via email to organic@tilth.org
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Rev. 4/2/03                                                                       Page 11 of 12
Class OLP Application

                                          AFFIRMATIONS
The undersigned agrees to the following:
 I/We swear that all certification applications are an accurate account and full representation of all
   materials and methods used in the production or handling of certified organic products included in
   this or supplemental applications.
 I/We shall maintain copies of all applications as legal records.
 I/We understand and accept that any willful misrepresentation on any of the forms submitted to
   Oregon Tilth will require revocation of the relevant organic certification initiated by this
   application. Under these circumstances, I/we agree to return the original certificate to Oregon
   Tilth on request.
 I/We further understand and accept that any willful misrepresentation may give cause to Oregon
   Tilth to seek damages for any loss they may sustain as a result of any willful misrepresentations
   made.
 I/We agree to maintain records as required by Oregon Tilth.
 I/We have read the OTCO Program Manuals, and agree to report any significant changes
   pertaining to the information herein and to continue to manage any crop which is designated
   organic in accordance with the standards and procedures.
 I/We agree that all forms submitted in the future in connection with certification by Oregon Tilth
   shall be submitted subject to these same affirmations, and I/we hereby so affirm.
 I/We affirm that the undersigned is a duly appointed agent of the applicant and as such is
   empowered to make appropriate decisions relevant to this application and to act as the contact
   person for the organization, unless otherwise specified.

Upon signing this application, the operator / owner agrees that Oregon Tilth will have access to all
facilities and records that provide information about the operation, and constitute compliance with
organic standards. This application must be signed in order for OTCO to proceed with the certification
process.


 Signature(s)                                                              Date


 Name(s)                                                                   Date




Rev. 4/2/03                                                                    Page 12 of 12