Vermont Agency of Agriculture, Food, & Markets
Agricultural Water Quality Division
94 Harvest Lane, Suite 201 - Williston, VT 05495
AGR.WaterQuality@Vermont.gov
Phone: (802) 828-1702 | Fax: (802) 828‐1715
Certified Small Farm Operation (CSFO):
2024
Annual Certification Form
Operation Information
Required fields are marked with
*
Operation Name
*
Contact First Name
*
Contact Middle Initial
Contact Last Name
*
Contact Phone
*
Contact Mobile
Email Address
*
Fax Number
Mailing Address 1
*
Main Facility E911 Address 1
*
Mailing Address 2
Main Facility E911 Address 2
City
*
City
*
State
*
State
*
Zip Code
*
Zip Code
*
Same as mailing address?
Additional Facility E911 Address 1
Additional Facility E911 Address 1
Additional Facility E911 Address 2
Additional Facility E911 Address 2
City
City
State
State
Zip
Zip
What is your preferred method of communication with the Vermont Agency of Agriculture, Food & Markets?
*
Email
US Postal Service
Fax
I. TYPE AND NUMBER OF ANIMALS
*
List the maximum number of animals per type for all facilities utilized by the CSFO
Type
Maximum Number of Animals
Mature Dairy Cows (lactating and dry)
Youngstock or Heifers
Veal Calves
Cattle or Cow/Calf pairs
Swine (55 lb. or more)
Swine (under 55 lb.)
Horses
Sheep or Lambs
Turkeys
Chickens (w/ liquid system)
Chickens (w/out liquid system)
Ducks (w/ liquid system)
Ducks (w/out liquid system)
Other
Other
II. WASTE STORAGE AND MANAGEMENT
*
Please check all methods present on farm
Field Stack
Manure Pit
Semi-Solid Storage
Compost
Mortality
Leachate Treatment
Milkhouse Waste System
Leachate Collection
Waste Feed Stack
Other
III. FEED AND RAW MATERIALS STORAGE
*
Please check all methods present on farm
Bunker Silo
Ag Bag
Upright Silo
Bedding Storage
Pile (in field)
Commodity Shed
Wrapped Round Bales
Other
IV. FIELDS
*
Crop
# of Acres
Hay
Pasture
Corn
Vegetable
Crop 1
Crop 2
V. RECORD KEEPING
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Record keeping for soil analysis, manure or agricultural waste application, and fertilizer applications is required of all Certified Small Farm Operations. Records must be maintained on the farm for 5 years, and be made available to the Secretary upon request. Records, pursuant to 6.03(f) of the RAPs, must include: date of application, field location, application rate, source of nutrient applied, and weather and field conditions at the time of application.
To request a record keeping booklet, check here:
or visit:
https://agriculture.vermont.gov/sites/agriculture/files/documents/Water_Quality/NMPrecordbook.pdf
VI. NUTRIENT MANAGEMENT PLAN
*
Vermont Agency of Agriculture, Food & Markets (VAAFM) understands that few CSFOs will have a complete Nutrient Management Plan (NMP) for
2024
, but that farmers should be actively working towards NMP completion by taking modified Morgan extractant soil samples and applying manure at agronomic rates.
a. Do you have a complete NMP developed, in accordance with USDA Natural Resources Conservation Service (NRCS)Nutrient Management Practice Code 590?
*
Yes
No
b. If no, have you begun the process of developing your NMP
Yes
No
c. Who has been assisting with NMP development?
*
VII. CONSERVATION PRACTICES
*
Please check any and all conservation practices listed below that are present on your farm.
Field/Grazing
Production Area
Cover Cropping
Manure Injection
Livestock Fencing from Surface Water
No Till/Reduced Till
Aeration
Roof Runoff Structure
Crop Rotation
Grassed Waterways
Animal Trails and Walkways
Vegetated Buffers
Riparian Forest Buffer
Waste Management/Manure Storage
Other
Other
VIII. WATER QUALITY TRAINING HOURS
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How many water quality training hours did you receive in the past year?
IX. APPLICANT CERTIFICATION
*
I certify that the information provided here is, to the best of my knowledge, true, accurate, and complete.
Verification Code
Please Retype Verification code
*
Applicant Name
*
