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,-LWR 480(06/10) in
<br /> Wisconsin Department of Agriculture,Trade&Consumer Protection Nutrient Management Plan a
<br /> r, Division of Agricultural Resource Management 0
<br /> %,:* , Bureau of Land and Wotcr Resources
<br /> .i✓ Po Bos 8911,Madison WI 53708-891 I,Phone:608-224-4605 Checklist a.
<br /> AD
<br /> 92.05(3)(k), Wis. Stats. Use this form to check nutrient management(NM)plans for y
<br /> P 50.04(3) Wis. Admin.Code compliance with the WI NRCS 590 Standard(Sept.2005).
<br /> %5 Growing season year NM plan is written for eta f� N
<br /> ty name: a-a,. Date Plan S -•' 9 Y P
<br /> ship(T.•.411,S.)—(R.t1 ,W.) Initial Plan • ••-ted P - , ircle one) (from harvest to harvest) 0
<br /> A
<br /> of qualified nutrient management planner P ner s businesj�name,address,phone: LC C 4.,o 3--3 i 7-.3.277 1•
<br /> '' v, i �. jc/.SS' /V/924. C,e_2:2" C. ie,.)4 70—, GPI S 3J r V f
<br /> the planner's qualification: Cropland Acres Name of farm operator receiving nutrient management plan:
<br /> PCC (owned&rented) /
<br /> A-CC. C?j zv r `y`-'O4-,4` f .
<br /> •--rofessional Agronomist y
<br /> SA-Soil Scientist Rented farm(s)landowner name(s)and acreage:
<br /> TCP approved training course s.2.P 0,,.J,:, r-i.3'`t,yp i L p'cL /4,---t.•°"?• .,• 1. `a
<br /> er credentials approved by DATCP ,, I /L
<br /> (�GJ V s-H`
<br /> P e-/ 5
<br /> Circle relevant program requirement or regulation the plan was developed for.Ordinance,USDA, AT)NR,NR 243—NOD or WPDES co
<br /> Yes No NA to
<br /> Are the following field features identified on maps or aerial photos in the plan? _ o
<br /> a. Field location,soil survey map unit(s),field boundary,acres and field identification number
<br /> b. Areas prohibited from receiving nutrient applications: Surface water,established concentrated flow channels with 1•
<br /> perennial cover,permanent non-harvested vegetative buffer,non-farmed wetlands,sinkholes,lands where established y( c
<br /> vegetation is not removed,nonmetallic mines,and fields eroding at a rate exceeding tolerable soil loss(T) p
<br /> c. Areas within 50 feet of a potable drinking water well where mechanically-applied manure is prohibited >< w, UT
<br /> d. Areas prohibited from receiving winter nutrient applications: Slopes>9%(12%if contour-cropped);Surface 0
<br /> Water Quality Management Area(SWQMA)defined as land within 1,000 ft of lakes and ponds or within 300 ft of
<br /> 1 perennial streams draining to these waters,unless manure is deposited through winter gleaning/pasturing of plant residue m co
<br /> and not exceeding the N and P requirements of this standard;Additional areas identified within a conservation plan as X Ix
<br /> contributing runoff to surface or groundwater
<br /> e9 c
<br /> e. Areas where winter applications are restricted unless effectively incorporated within 72 hours: Land a
<br /> contributing runofl'within 200 feet upslope of direct conduits to groundwater such as a well,sinkhole,fractured bedrock at Y F.
<br /> the surface,tile inlet,or nonmetallic mine >r
<br /> f. Sites vulnerable to N leaching: Areas within 1,000 feet of a municipal well,and soils listed in Appendix X W
<br /> I of the Conservation Planning Technical Note WI-I
<br /> Are erosion controls implemented so the crop rotation will not exceed T on fields that receive
<br /> nutrients according to the conservation plan or WI P Index model? Ey
<br /> Were soil samples collected and analyzed within the last 4 yeas according to UW Publication A2100 i7 gt t,
<br /> recommendations? o "C
<br /> Using the field's predominant soil series and realistic yield goals,are planned nutrient application y
<br /> rates,timing,and methods of all forms of N,P,and K listed in the plan and consistent with UW
<br /> Publication A 2809,Soil Test Recommendations for Field, Vegetable and Fruit Crops, and the 590 X t
<br /> standard?
<br /> Do manure production and collection estimates correspond to the acreage needed in the plan? Are X
<br /> manure a lication rates realistic for the calibrated • •ui•ment used? y
<br /> Is a P single hosphorus(P)assessment of either the P Index or soil test P management strategy Z
<br /> g a. •,
<br /> uniform) a lied to all fields within a tract? }�
<br /> Are areas of concentrated flow,resulting in reoccurring gullies,planned to be protected with K y Ls
<br /> erennial v•:etative cover? t;
<br /> Will nutrient applications on non-frozen soil within the SWQMA comply with the following?
<br /> • Unincorporated liquid manure on unsaturated soils will be applied according to Table 1 of the 590 c
<br /> standard to minimize runoff 5 I
<br /> . One or more of the following practices will be used: 1)Install/maintain permanent vegetative buffers,or 2) m ZI i
<br /> 1..._Maintain greater than 30%crop residue or vegetative coverage on the surface after nutrient application, or 3)Incorporate � . 0
<br /> nutrients lcavin_ade•uate residue to meet tolerable soil loss,or 4 Establish fall cover cro•s • •m•tl followin:a••lication e)
<br /> that the nutrient management plan represented by this checklist complies with Wisconsin's NRCS 590 nutrient management standard. rD
<br /> if' ofqualified nutrient management planner
<br /> G ,
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