DOCX - Certified Organic

advertisement
PCO Forest Grown System Plan - American Ginseng
Office Use Only
Received:
Forest Grown
System Plan –
American Ginseng
SECTION 1: General Information
Contact Information:
Today’s date:
Company Name:
First Name:
MI:
Last Name:
Phone:
Fax:
Address:
E-mail:
City:
State:
Zip code:
Website:
I am a licensed ginseng dealer
Indicate state(s) licensed in and corresponding license number(s):
Harvest Area Information (if different from above):
Same as above
N/A
Operation Name:
Harvest Area Address or GPS Coordinates:
City:
State:
Zip code:
Check which type of operation you are requesting verification as:
Producer/Harvester (complete all sections except Section 5)
Processor/Handler (complete Sections 5 to 7 and 9)
If Producer/Harvester, select the type(s) of management system(s) that apply to your operation:
Wild Stewarded (non-timber forest product management systems in which wild non-timber forest product is harvested in a
manner that demonstrates stewardship and sustainability).
Forest Farmed (non-timber forest product management systems [e.g. woods-cultivated, woods-grown, virtually-wild, wildsimulated] in which intentional husbandry practices are used to produce a non-timber forest product in a forest environment).
Is there anyone, other than the person(s) named above, who is authorized to discuss your operation with PCO? (This may be a
spouse, employee, company representative or anyone else you designate):
SECTION 2: Production and/or Harvest Areas
Complete this table to detail each production/harvest site requested for verification. Useful factors in designating unique sites
include considering areas that may have distinct planting dates, planned harvest dates, distinct management practices, similar ginseng
densities throughout, and/or physical separation. In assigning site designations, keep in mind that the inspector will inspect each patch
to verify the quantity of ginseng present. Attach additional sheets if needed.
Estimated Site
Estimated Yield Potential
Do you Plan to Harvest
Site Designation
Average Plant Age
Population
as Green Root (lbs.)
from this Site this Year?
Yes
No
Unsure
Yes
No
Unsure
1
PCO Forest Grown System Plan – American Ginseng V2, 04/22/2015
PCO Forest Grown System Plan - American Ginseng
Yes
Unsure
Yes
Unsure
Yes
Unsure
Yes
Unsure
Yes
Unsure
Yes
Unsure
No
No
No
No
No
No
1.
Do you own the land used for each production/harvest site? Yes
No
If no, submit a signed Land Use Affidavit form or other documentation from the landowner giving you permission to use the
land specified in your system plan.
2.
A map detailing the location(s) and the size of the production/harvest site(s) must be submitted with this management
plan. Include the patch designations given above to identify each unique patch on the map.
Map Attached
SECTION 3: Producer/Harvester Management Practices
Select all options below that pertain to your operation and the sites of ginseng to be verified.
3.
Site Establishment
The forest farmed sites requested for verification were established using the following:
Seed from cultivated parental stock
Seed from wild parental stock
Roots from cultivated parental stock
Roots from wild parental stock
Origin of planting stock unknown
Known state of origin of planting stock (Specify):
Other stand establishment/planting stock considerations (Specify):
N/A – Only wild stewarded sites are requested for verification
4.
Site Preparation and Maintenance
The following methods are used to prepare and/or maintain the site:
Tillage
Excavation of grounds to modify slope
Thinning of forest understory
Thinning of forest canopy
Use of raised beds
Use of supplemental artificial shade
Removal or clearing of rocks and other forest debris
Other site preparation and maintenance practices: (Specify):
N/A – No methods are used to prepare and/or maintain the site
5.
Soil Fertility Management
The following methods are used to manage soil fertility:
Use of inputs originating from the forest production area (ex: leaf litter, mulch, etc.)
Use of non-synthetic fertility inputs (ex: compost, manure, bone meal, gypsum, fish meal)
Use of synthetic fertility inputs (ex: ammonium sulfate, calcium hydroxide)
Other soil fertility management practices: (Specify):
N/A – No methods are used to manage soil fertility
6.
Pest, Weed, and Disease Management
The following methods are used to manage pests, weeds, and diseases:
Use of inputs originating from the forest production area (ex: leaf litter, mulch, etc.)
Use of non-synthetic inputs (ex: beneficial bacteria/fungi, pyrethrum, vinegar, etc.)
Use of synthetic inputs (ex: copper sulfate, hydrogen peroxide, insecticidal soaps, herbicidal soaps)
Release of natural predators
Removal of diseased plants
Hand-weeding
Low density plantings
Intercropping
Cultivation
Hunting
Fencing
Water/Irrigation Management
Use of Lures/Traps/Repellants/Baits
Use of Plastic Mulch
Other site preparation and maintenance practices (Specify):
NA – No methods are used to manage pests, weeds, or diseases
2
PCO Forest Grown System Plan – American Ginseng V2, 04/22/2015
PCO Forest Grown System Plan - American Ginseng
7.
Harvest Methods
Ginseng is harvested in a continual manner and:
Harvested seed is replanted in the area of the patch it was harvested from.
Seed is replanted from other wild parental stock.
Seed is replanted from cultivated parental stock.
Seed is not replanted
Entire sites of ginseng are harvested at a time and:
Sites are replanted.
Sites are not replanted
Other harvesting methods (Specify):
8.
Post-harvest Handling and Storage Plan
Harvested roots are:
Dried and stored from year to year
Dried and sold in the same year of harvest
Not dried and sold as green roots
9.
Packaging Plan
Harvested roots are:
Packaged in retail containers (complete Forest Grown Product Profile)
Packaged in bulk
Not packaged
10. Marketing and State Certification Plan
Ginseng is:
Sold or marketed for use in the state of production
Sold or marketed for export from the state of production and:
Certified by applicant
Certified by buyer
Other marketing and certification plans (Specify):
SECTION 4: Inputs
11. List inputs used or planned for use that originates from the forest production area (e.g. leaf biomass, wood chips):
N/A
12. Complete the table below to detail each input used that does not originate from the forest production area. Attach
additional sheets if needed.
N/A – Inputs that do not originate from the forest production area are not used
If an input is labeled for agricultural or forestry use, use of the material must not violate label instructions or restrictions. Use of
inputs not originating from the forest production area must be consistent with Material Use Best Management Practices (Material
use practices that are generally accepted by the scientific and professional community to be effective and practicable with minimal
environmental impact), and documentation must be maintained to verify this.
Input (Brand Name)
Manufacturer
Reason for Use
EX: Champion WP Copper
NuFarm Americas
Fungicide to manage leaf blight
EX: Gypsum
United States Gypsum
Manage soil fertility
EX: Pyganic EC 5.0 II
MGK
Insect management
3
PCO Forest Grown System Plan – American Ginseng V2, 04/22/2015
PCO Forest Grown System Plan - American Ginseng
SECTION 5: Processor/Handler Management Practices
13. List the products you are requesting for verification. In addition, you must complete a Product Profile for each product you are
requesting for verification.
14. Describe the process used to produce and/or handle the above products or attach a product flow diagram:
SECTION 6: Commingling
15. Describe the practices you use to prevent commingling of:
a. Verified and non-verified products?
b.
N/A – All products are verified
Wild stewarded and forest farmed ginseng root?
N/A – All root is wild stewarded
or all root is forest farmed
SECTION 7: Recordkeeping
16. Describe your record keeping system, including the type of records you keep (e.g. planting records, input records, harvest
records, storage records, production records, sales records):
SECTION 8: Labeling
17. If product contains non-verified ingredients do you identify each verified ingredient with the words “PCO Forest Grown”, an
asterisk or other reference mark on product labels?
Yes
No
N/A – All ingredients are verified
18. Which of the follow seals do you use or plan to use?
“PCO Forest Grown”:
“Wild Stewarded”:
“Forest Farmed”:
4
Color
Color
Color
N/A – No seal used
Black and White
Black and White
Black and White
PCO Forest Grown System Plan – American Ginseng V2, 04/22/2015
PCO Forest Grown System Plan - American Ginseng
SECTION 9: Affirmation
I affirm that all statements made in the application are true and correct. I agree to comply with the standards and policies
set forth by the Forest Grown Verification Program Manual, including but not limited to:
1. Establish, implement and update annually the Ginseng Management Plan that will be submitted to PCO.
2. Cooperate with the verification process by submitting all documentation requested by PCO.
3. Permit on-site inspection with complete access to all production and handling areas of my operation by PCO. These
inspections may be announced or unannounced at the discretion of PCO.
4. Immediately notify PCO of any significant changes in my operation or portion of the operation that may affect compliance
with the applicable standards.
5. Discontinue use of verification claims, PCO name and seal, upon revocation, surrender, or termination of verification and
return or destroy any verification documents or materials requested by PCO.
6. Pay all fees as outlined on the most current fee schedule and be responsible for delinquent account fees, such as
reasonable attorney fees, court costs and cost of collections.
7. Acknowledge that acceptance of this application in no way implies approval by PCO.
I understand that failure to abide by the above requirements may result in non-approval, prosecution for fraud or misrepresentation,
denial of services or any other remedy allowed by law.
Your Signature(s):
Date:
Typing your name in the signature line above constitutes a signature.
Submit this completed form with the following attachments, if applicable:
Directions to harvest areas and/or facility
Map detailing the location(s) and the size of the production/harvest site(s), including patch designations
Completed Land Use Affidavit form(s)
Facility map
Product Profile(s)
Product Label(s)
Product Flow Diagram
COST SHARE (for completion by applicant)
Qualifications:

PCO Verified Forest Grown applicant
Cost-Share Scope:

Application Fee for new producer/harvester applicants (first come first served, while funds last)

Limit $200 per year per operation
The funds will not cover:

Sales assessment fees, Inspection fees, or Administrative fees for any new or existing operations

Any fees for processor operations
I affirm that I am eligible for the cost share, based on the below criteria, and wish to be considered for eligible
reimbursement. I understand that cost share funds are limited, and are available on a first come, first serve basis.
Your Signature(s):
Date:
Typing your name in the signature line above constitutes a signature.
For Reviewer Use Only
Is the application complete?
Does the applicant appear to comply the standards?
Yes
Yes
No
No
N/A
Unsure, more info needed
Comments:
5
PCO Forest Grown System Plan – American Ginseng V2, 04/22/2015
Download