Office Use Only Received: Organic System Plan Crops Use this form if you are requesting organic certification of crops. Use additional sheets if necessary. If you are a new applicant, attach a completed General Information form. Do not use this form for Wild Crops, Maple or Mushrooms. Request these specific forms from PCO. Do not leave any applicable sections blank, write ”none” or “not applicable”. Remember to sign this form on the last page. INTRODUCTION National Organic Program Standards require that a producer or handler of organic products develop an organic system plan that is agreed to by the producer and the certifying agent §205.201(a). The required contents of an organic system plan are listed below. This form is designed to meet USDA requirements when properly completed. Please read and follow all directions carefully and contact PCO if you don’t understand something. After your initial organic system plan is approved, you will need to report changes to it annually, by completing an annual update form provided by PCO. §205.201 An organic production or handling system plan must include: (1) A description of practices and procedures to be performed and maintained, including the frequency with which they will be performed; (2) A list of each substance to be used as a production or handling input, indicating its composition, source, location(s) where it will be used, and documentation of commercial availability, as applicable; (3) A description of the monitoring practices and procedures to be performed and maintained, including the frequency with which they will be performed, to verify that that the plan is effectively implemented; (4) A description of the record-keeping system implemented to comply with the requirements established in §205.103. (5) A description of the management practices and physical barriers established to prevent commingling of organic and non-organic products on a split operation and to prevent contact of organic production and handling operations and products with prohibited substances; and (6) Additional information deemed necessary by the certifying agent to evaluate compliance with the regulations. Section numbers refer to National Organic Program regulations (7 CFR, Part 205). General Information §205.406(a)(2) and §205.401(b) First Name: MI Last Name: Farm Name: Address: Today’s Date: Email: City: State: Zip code: Does this operation engage in any processing of crops or crop products? (e.g. grain processing) If yes, describe. Yes No You may need to complete a Processor/Handler Organic System Plan. Contact PCO to confirm applicability. Is there anyone, other than the person(s) named above, who is authorized to discuss your certification with PCO? (This may be a spouse, employee, company representative or anyone else you designate): Legal Status: Sole Proprietor (Owner) Other(specify): Partnership Business Corp. Non-profit Corp. Trust or association Please check any of the following countries to which you intend to export organic crop or crop products in the next 18 months: Canada European Union Taiwan Japan If you intend to export any of your organic products to Canada, European Union, Taiwan or Japan complete Section 25 of this form. Page 1 of 20 OSP Crops V4, 2/11/14 SECTION 1. Organic System Plan Information §205.201(a), §205.202(a) and (b) Complete Table 1: Fields and Crops Requested for Certification and attach Field and Pasture Records that show all fields, designated as [organic (O), in transition (T) or conventional (C)], field numbers, acres, crops planted and inputs applied. The acreages listed in this table must equal field histories and maps. Pastures are considered a crop and must be listed on each form. At least 36 months of histories are required for all fields. Please provide PCO with enough detail to ensure there is no confusion about what is and isn't being requested for certification. Exactly how specific you need to be can vary with the context in which the crop is being grown. When in doubt, ask PCO how detailed we want you to be. Table 1 is limited to those crops that you are seeking to certify. Do not list crops that are only produced conventionally or which are in transition. Crops that are being produced conventionally or are in transition that are also being grown organically and requested for certification (i.e. split production) should be entered in Table 9. 1. Have you managed all fields for 3 or more years? If no, you must submit signed statements (Prior Land Use Statement) from the previous owner/manager stating the crops planted and all inputs applied during the previous 3 years. Yes No 2. Are all fields requested for certification located at the main address listed on the previous page? If no, provide address for additional locations: 3. Check the box that describes your operation's production systems. All organic production Organic and Non Organic Production Yes No Table 1: Fields and Crops Requested for Certification Complete the table below and attach Field and Pasture Records that show all fields. Field and Pasture Record forms are included with this application or you can use your own forms. Pasture is considered a crop. Use additional sheets if necessary. Total Crops Requested for Field Numbers Acres / Projected Yields Certification Crop SECTION 2. Seeds and Planting Stock: Source of Seeds and Seed Treatment §205.204 §205.204(a) The producer must use organically grown seeds, annual seedlings, and planting stock: Except, that, 1) Non-organically produced, untreated seeds and planting stock may be used to produce an organic crop when an equivalent organically produced variety is not commercially available, Except, That, organically produced seed must be used for the production of edible sprouts; 2) Nonorganically produced seeds and planting stock that have been treated with a substance included on the National List of synthetic substances allowed for use in organic crop production may be used to produce an organic crop when an equivalent organically produced or untreated variety is not commercially available; 3) Non-organically produced annual seedlings may be used to produce an organic crop when a temporary variance has been granted in accordance with §205.290(a)(2); 4) Non-organically produced planting stock to be used to produce a perennial crop may be sold, labeled, or represented as organically produced only after the planting stock has been maintained under a system of organic management for a period of no less than 1 year; and 5) Seeds, annual seedlings, and planting stock treated with prohibited substances may be used to produce an organic crop when the application of the materials is a requirement of Federal or State phytosanitary regulations. *In applying this regulation to your system, Note: Organic seed and planting stock used for annual and perennial crop production are required, unless an equivalent variety is not commercially available. Planting stock includes: rhizomes, shoots, leaf or stem cuttings, roots or tubers. These are your onion sets, seed potatoes, sweet potato slips, garlic bulbs, strawberry and asparagus crowns, raspberry canes and orchard trees. If using non-organic seeds/planting stock, you must have records of your reasonable attempts made to find organic seed/planting stock. Synthetic seed treatments are prohibited unless included on the National List. Genetically engineered/modified (GMO) seeds and inoculants are prohibited in organic production. Save all seed and inoculant labels, and documentation of commercial unavailability of organic seeds/planting stock to show the inspector. Annual transplants are considered seedlings, not planting stock and must be certified organic. Questions pertaining to seedlings can be found in Section 3. Page 2 of 20 OSP Crops V4, 2/11/14 Table 2: Seeds/Planting Stock List all seeds and planting stock (annual and perennial) used or planned for use in the current season in Table 2: Seeds and Planting Stock. Check the appropriate boxes and provide other information as needed. Type / Variety of Seed and Planting Stock (e.g. corn, orchard grass) Are the seeds…? Supplier/Manufacturer Organic Untreated Treated GMO If treated, list all treatments that apply, including (pelletization, disinfection, inoculant, priming, coating, fungicide, insecticide) *Include inoculants on Materials Used Form. (Seed search documentation reviewed at inspection.) 4. Do you sell perennial planting stock? Yes If yes, is planting stock organic or non-organic? No Organic Non-Organic 5. If planting stock is non-organic, do you manage for 1 year prior to sale? 6. Do you graft root stock? Yes No If yes, list hormones and grafting material you use on the Materials Used Form. SECTION 3. Seeds and Planting Stock: Source of Seedlings §205.204 Annual seedlings must be organic. If purchased, ask for current organic certificates and keep with your records to show the inspector. Contact PCO if you need to use non-organic seedlings because of an emergency, such as a prohibited treatment due to a Federal or State phytosanitary requirement. 7. Do you purchase organic seedlings? If yes, complete table below. Yes No Table 3. Seedlings Type of Seedlings Page 3 of 20 Estimated Quantity Organic Supplier Certified By OSP Crops V4, 2/11/14 Table 3 Continued Type of Seedlings Estimated Quantity Organic Supplier Certified By SECTION 4. Seeds and Planting Stock: On-farm Organic Seedling Production §205.204 8. Do you start organic seedlings on your farm? Yes No N/A 9. What type and size is your greenhouse? (ie. Hoop house, greenhouse, cold frame) 10. Do you grow greenhouse crops: Directly in soil In planting medium *If using a planting medium, include all components of the potting soil or planting medium mixture on the Materials List. 11. If treated wood is used in any part of your greenhouse, describe where is it used, when it was installed and whether it comes into contact with soil/plants? 12. How do you prevent seedling diseases and/or insect problems? SECTION 5. Seeds and Planting Stock: Organic and Non-Organic Greenhouse Plant Production §205.204 13. Do you grow both organic and non-organic plants in your greenhouse? Yes No N/A If yes… a. What organic and non-organic crops are grown? List varieties if the same organic and non-organic corps are grown (split production). b. How do you separate and identify organic and non-organic growing areas? c. How do you label organic and non-organic seedlings/plants? d. How do you prevent commingling of organic and non-organic soil mixes during mixing and storage? e. Where do you store inputs used for non-organic production? f. How do you prevent drift of prohibited materials through ventilation and/or watering systems? g. How do you clean seedling containers and equipment? h. What material do you use for trellising plants? 14. Do you contract with a grower to produce seedlings for you? Yes No N/A If yes, please give the producer's name, company name and address. a. Is the producer certified organic? If yes, certified by: Yes No b. Does the producer also raise non-organic seedlings? c. Do you supply the seed and/or growing media used to grow your transplants? If yes, what inputs do you provide? Yes No Yes No *List all potting mix ingredients, fertility products, foliar sprays and watering system inputs on the Materials Used Form. Page 4 of 20 OSP Crops V4, 2/11/14 SECTION 6. Soil Fertility and Crop Management §205.203 §205.203(a) The producer must select and implement tillage and cultivation practices that maintain or improve the physical, chemical, and biological condition of the soil and minimize soil erosion. (b) The producer must manage crop nutrients and soil fertility through rotations, cover crops and the application of plant and animal materials. (e) The producer must not use: 1) Any fertilizer or composted plant or animal material that contains a synthetic substance on the National List of synthetic substances allowed for use in organic crop production; 2) Sewage sludge (biosolids) as defined in 40 CFR Part 503; and 3) Burning as a means of disposal for crop residues produced on the operation: Except, That, burning may be used to suppress the spread of disease or to stimulate seed germination. 15. What are the major components of your soil and crop fertility plan? Crop rotation Soil amendments Green manure plowdown/cover crops Side dressing Interplanting Foliar fertilizers Incorporation of crop residues Biodynamic preparations Subsoiling Soil inoculants Summer fallow Lime Compost Tillage and Cultivation practices On-farm manure Other (specify): Off-farm manure 16. What are your soil/nutrient deficiencies if applicable? 17. How do you monitor the effectiveness of your fertility management program? Soil testing Microbiological testing Tissue testing Observation of soil Observation of crop health Comparison of crop yields Crop quality testing Other (specify): 18. How often do you conduct fertility monitoring as described above? Weekly Monthly Annually As needed Other (specify): 19. Rate the effectiveness of your fertility management program. Excellent Satisfactory Needs improvement 20. What changes do you anticipate? 21. The following materials are prohibited or restricted for use in organic production. Check any of these materials you use or plan to use. These should also be added to your Materials Used Form. None Used Ash from manure burning Sodium fluoaluminate (mined) Arsenic Sodium nitrate Calcium chloride Strychnine Lead salts Tobacco dust (nicotine sulfate) Potassium chloride 22. If you use potassium chloride, how do you avoid salt build up in the soil? 23. If you use sodium nitrate, provide the percentage of nitrogen supplied to each crop from sodium nitrate or the rate at which sodium nitrate is applied to each crop. 24. If you use sodium nitrate, describe how your use maintains or improves soil and water quality: 25. Do you burn crop residues? Yes No If yes, please describe what materials are burned and why. 26. Do you apply sewage sludge to fields? Yes No If yes, list fields where applied. Page 5 of 20 OSP Crops V4, 2/11/14 SECTION 7. Soil Fertility and Crop Management: Compost §205.203 §205.203(c)(2) requires that the composting process include a C:N ration of between 25:1 and 40:1 and maintenance of temperatures between 131F and 170F for a specific number of days, depending on the method of composting. Keep a compost production record to verify compliance. Compost is also acceptable if 1) it is made from only allowed feedstock materials, except for incidental residues that will not lead to contamination, 2) the compost undergoes an increase in temperature to at least 131 and remains there for a minimum of 3 days, and 3) the compost pile is mixed or managed to ensure that all of the feedstock heats to the minimum temperature. The monitoring of these three parameters must be documented in the OSP and verified during the site visit. 27. Do you purchase compost? If yes, list all composts, including compost teas, extracts and vermicompost to your Materials Used Form. Yes No 28. Do you produce compost? Yes No If yes, list all compost ingredients/additives (including feedstocks, minerals, inoculants, if applicable). 29. What composting method do you use? Windrows Bin Piled In-Vessel Other (specify): 30. What is your C:N ratio? 31. Do you monitor temperature? Yes No If yes, what temperature is maintained? 32. How long is this temperature maintained? 33. If compost is turned manually, how many times are materials turned? 34. Do you maintain records for your compost production? If yes, what records do you maintain? Yes No SECTION 8. Soil Fertility and Crop Management: Manure §205.203 §205.203(c)(1) requires that raw manure be fully composted unless applied to fields with crops not for human consumption or incorporated into the soil 120 days prior to harvest for crops whose edible portions has direct contact with the soil, or 90 days prior to harvest for all other crops for human consumption. Note: Any materials you are adding to manure should be included on your Materials Used Form. 35. What forms of manure do you use? None Fully composted (according to NOP regulations) Liquid Pelleted Semi-solid Dehydrated Piled/Aged (PCO considers raw manure) Other (specify): 36. What types of crops do you grow? Crops not used for human consumption Crops for human consumption whose edible portion has direct contact with the soil or soil particles (i.e. potatoes, carrots) Crops for human consumption whose edible portion does not have direct contact with the soil or soil particles (i.e. corn, tomatoes, apples) 37. If you grow crops for human consumption and use raw manure, aged manure or compost not produced according to NOP regulations complete Table 4: Manure and Compost Use. Page 6 of 20 OSP Crops V4, 2/11/14 Table 4: Manure and Compost Use Crops for Human Consumption requested for certification Field Numbers Date Applied Harvest Date 38. What is the source of the manure you use? On-farm Off-farm *List sources of off-farm manure on Materials Used Form. 39. If you use manure, how do you ensure that this manure does not contaminate crops, soil and/or water? None SECTION 9. Soil Fertility and Crop Management: Natural Resources §205.203(a) and (d) §205.203(a) The producer must select and implement tillage and cultivation practices that maintain or improve the physical, chemical, and biological condition of soil and minimize soil erosion. (d) A producer may manage crop nutrients and soil fertility to maintain or improve soil organic matter content in a manner that does not contribute to contamination of crops, soil, or water by plant nutrients, pathogenic organisms, heavy metals, or residues of prohibited substances. 40. What conservation practices do you use? Windbreaks Contour farming Riparian management Tree Lines Under sowing/interplanting Strip cropping Maintain wildlife habitat Retention ponds Winter cover crops Conservation tillage Designated livestock crossing Permanent waterways Terraces Other (specify): Firebreaks 41. Do you experience soil erosion problems? Yes No If yes, explain on what fields and what you do to minimize soil erosion: 42. How do you monitor soil erosion management? 43. How often do you conduct conservation monitoring? Weekly Monthly Annually As needed Other (specify): 44. Do you feel your soil management program is adequate? 45. Do you anticipate changes? If yes, please list: Yes Yes No No SECTION 10. Water Source and Irrigation §205.200, §205.203(c) and (d) There are two main concerns with water in regards to organic compliance: 1) The water you use to irrigate your organic crops must not be contaminated with prohibited substances; 2) Your production practices must maintain or improve water quality. 46. Do you use water on your farm? Yes No If yes, what is your water type? (Check all that apply). Irrigation Livestock Foliar sprays Page 7 of 20 Washing crops Greenhouse Other (specify): OSP Crops V4, 2/11/14 47. What is your source of water? (Check all that apply) On-site well(s) River/creek/pond Spring Municipal/county Irrigation district Other (specify): 48. Type of irrigation system: Drip Flood Center pivot None Other (specify): 49. What input products are applied through the irrigation system? 50. If the system is used for organic and non-organic production, do you use any prohibited substances in the irrigation system? Yes No N/A If yes, how do you prevent the contamination of organic products? 51. Is the system flushed and documented between conventional and organic use? Yes No N/A 52. What practices are used to protect water quality? Fencing livestock from waterways Scheduled use of water to conserve its use Tensiometer/monitoring Laser leveling/land forming Drip irrigation 53. List known contaminants in water supplies in your area. Micro-spray Sediment basin Compost/fertilizer stored away from water Roof collection and downspouts Other (specify): N/A 54. Describe your efforts to minimize water contamination problems listed above. N/A 55. How do you monitor your water quality? Water testing Visually By taste By smell Other (specify): 56. If water testing, what was the date of your last test? 57. Were the results satisfactory? Yes No If not satisfactory, why? 58. How often do you conduct water quality monitoring? Weekly Monthly Annually As needed Other (specify): Page 8 of 20 OSP Crops V4, 2/11/14 SECTION 11. Crop Rotation §205.205 §205.205 The producer must implement a crop rotation including but not limited to sod, cover crops, green manure crops and catch crops that provide the following functions that are applicable to the operation: (a) Maintain or improve soil organic content; (b) Provide for pest management in annual and perennial crops; (c) Manage deficient or excess plant nutrients; and (d) Provide erosion control. Table 5: Crop Rotation Crop Rotation Plan Field Numbers Anticipated Changes SECTION 12. Crop Pest, Weed and Disease Management Plan §205.206 §205.206(a) The producer must use management practices to prevent crop pests, weeds, and diseases including but not limited to: (1) Crop rotation and soil and crop nutrient management practices, as provided for in §§ 205.203 and 205.205; (2) Sanitation measures to remove disease vectors, weed seeds and habitat for pest organisms; and (3) Cultural practices that enhance crop health, including selection of plant species and varieties with regard to sustainability to sire specific conditions and resistance to prevalent pests, weeds and diseases. (b) Pest problems may be controlled through mechanical or physical methods including but not limited to: (1) Augmentation or introduction of predators or parasites of the pest species; (2) Development of habitat for natural enemies of pests; (3) Nonsynthetic controls such as lures, traps, and repellents. (c) Weed problems may be controlled through: (1) Mulching with fully biodegradable materials; (2) Mowing: (3) Livestock grazing: (4) Hand weeding and mechanical cultivation; (5) Flame, heat or electrical means; or (6) Plastic or other synthetic mulches: Provided, that they are removed at the field at the end of the growing or harvest season. (d) Disease problems may be controlled through: (1) Management practices which suppress the spread of disease organisms; or (2) Application of nonsynthetic biological, botanical, or mineral inputs. 59. Do you have pest problems? Yes No If yes, which pests? Insects (specify): Rodents Gophers or groundhogs Birds Other animals (specify): 60. Do you work with a pest control advisor? Yes No If yes, give name and contact information. 61. Do you have weed problems? Yes No If yes, what are your common weeds? Annual broad leaves Annual grass Sedges Perennial broad leaves 62. Do you have disease problems? Yes Perennial grasses Bi-annual broad leaves Other (specify): No If yes, what are your problem crop diseases? Blight Mildew Rust Page 9 of 20 Rot Wilt Other (specify): OSP Crops V4, 2/11/14 Table 6: Crop Pest, Weed and Disease Management Practices Check the management practices you use to prevent crop pests, weeds and diseases. Note: If you use any materials to manage pests, weeds and/or disease (including natural botanical, mineral, or allowed synthetics), list all of these on your Materials Used Form. Prevention Practice Weeds Pest Disease Crop rotation Soil and crop nutrient management Cover crops/green manures/smother crops Diversified plantings/planting arrangements Sanitation measures to remove disease vectors, weed seeds and pest habitat Selection of suitable species/growing location Disease/pest/weed resistant varieties Timing of planting Water/Irrigation management Mechanical or physical means (hoeing, pruning, picking, vacuuming, etc.) Augment pest predators/parasites/beneficials Develop habitat for natural enemies Construct habitat for predators (raptor perches, owl or bat boxes, frog ponds, etc.) Nonsynthetic lures/traps/repellants Mechanical cultivation/tillage or handweeding Mulching with fully biodegradable materials Mowing or Livestock grazing Flaming, heat, steam or electrical Plastic or synthetic solarization Burning crop residues Other (specify): SECTION 13. Crop Pest, Weed and Disease Management: Use of Restricted Management Practices §205.206, §205.601 Restricted practices and materials are those that have some specific limitations placed on their use by the regulations. 63. If you use plastic or other synthetic mulches, is the mulch removed at the end of the growing or harvest season? Yes No N/A If no, why not? 64. If you use synthetic plastic mulch on perennial crops harvested over more than one season, describe the life span of the material and methods used to remove before degradation. 65. If you use newspaper or other recycled paper for mulch, do you remove paper with glossy or colored inks? Yes No N/A Page 10 of 20 OSP Crops V4, 2/11/14 SECTION 14. Crop Pest, Weed and Disease Management: Pest Management Plan Evaluation §205.206, §205.201 66. Rate the effectiveness of your pest management program. Excellent Satisfactory Needs improvement 67. What changes do you anticipate? 68. How do you monitor the effectiveness of your pest management program? Insect monitoring with trap Observation of crop health Comparison of crop yields Crop quality testing Monitoring records kept Other (specify): 69. How often do you conduct pest monitoring? Weekly Monthly Annually As needed Other (specify): 70. Do you keep a record of how often you utilize pest control methods (i.e. dates when you scout or apply inputs to a specific field or crop)? Yes No SECTION 15. Crop Pest, Weed and Disease Management: Weed Management Plan Evaluation §205.206, §205.201 71. Rate the effectiveness of your weed management program. Excellent Satisfactory Needs improvement 72. What changes do you anticipate? 73. How do you monitor the effectiveness of your weed management program? Weed counts Observation of weed types Comparison of crop yields Records kept of observations/counts Other (specify): 74. How often do you conduct weed monitoring? Weekly Monthly Annually As needed Other (specify): Do you keep a record of how often you utilize these weed control methods (i.e. dates and fields when you cultivate or flame weed)? Yes No SECTION 16. Crop Pest, Weed and Disease Management: Disease Management Plan Evaluation §205.206, §205.201 75. Rate the effectiveness of your disease management program. Excellent Satisfactory Needs improvement 76. What changes do you anticipate? 77. How do you monitor the effectiveness of your disease management program? Soil testing Microbiological testing Observation of soil Observation of crop health 78. How often do you conduct disease monitoring? Weekly Monthly Annually As needed Other (specify): Page 11 of 20 Comparison of crop yields Crop quality testing Monitoring records kept Other (specify): OSP Crops V4, 2/11/14 79. Do you keep a record of how often you utilize these disease control methods (i.e. dates when you scout or apply inputs to a specific field or crop)? Yes No SECTION 17. Maintenance of Organic Integrity: Adjoining Land Use §205.201(a)(5), §205.202(c) Organic production areas must 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. Buffers must be sufficient in size or other features (windbreaks, diversion ditches) to prevent the unintended contact by prohibited substances applied to adjacent land areas. Crops within the required buffer must be left unharvested or harvested, stored, and disposed of as nonorganic crop, with records kept of crop disposition. Indicate buffer zones and show all adjoining land uses on your field maps. Table 7: Adjoining Land Use List specific buffer areas you maintain. (Show all adjoining land uses on your field maps.) Type of Buffer (i.e. Describe Use of Tree line, hedgerow, Field Numbers Width of Buffer Adjoining Land Use Harvested Crop (Sale, wildlife planting, grass feed, seed, etc.) strip, cropland) 80. Complete Table 8: Prohibited Materials if prohibited materials are used on any conventional crops. Table 8: Prohibited Materials Material name Who applies? (self or custom) Field Numbers Applied Where stored? (On-farm, off-farm; where on farm?) 81. What additional safeguards do you use to prevent accidental contamination? Written notifications to: Highway departments Electric companies Adjoining land use agreements with neighbors Aerial spray companies/airports Do not spray signs Drainage commissions Other (specify): Farm service office 82. Do any fields or portions of fields flood frequently? (More than once every ten years) Yes No If yes, list field numbers. None 83. How do you monitor for crop contamination? Visual observation Residue analysis GMO testing 84. How often do you conduct crop contamination monitoring? Weekly Monthly Annually As needed Other (specify): Page 12 of 20 Photographs Wind direction/speed data Other (specify): OSP Crops V4, 2/11/14 85. Do you grow the same crops organically that you grow in transition and/or conventionally? If yes, list specific crop varieties in Table 9: Transitional/Conventional Crops that are grown as both organic and transitional/conventional crops. Yes No Table 9: Transitional/Conventional Crops Table Field Numbers Total Acres Type of crop Describe Use of Harvested Crop (Sale, feed, seed, etc.) Transitional or Conventional (T,C) T C T C T C T C T C Name of Prohibited Material Applied (If applicable) Exact Date of Last Application GMO? Yes No Yes No Yes No Yes No Yes No SECTION 18. Maintenance of Organic Integrity: Equipment §205.201(a)(5), §205.202(c) To prevent commingling and contamination, all equipment used in organic crop production must be free of non-organic crops and prohibited materials. Equipment used for both organic and non-organic farming must be cleaned and flushed prior to use on organic fields or crops. Keep records of equipment clean and flush activities. 86. Do you use or plan to use any equipment for planting, tillage, cultivation, spraying or harvesting? Yes No If yes, complete Table 10. Attach additional sheets if necessary. Table 10: Equipment Equipment Own/Rent/Custom? Used on How is equipment cleaned before use on organic fields? Organic Conventional Both (Organic and Conventional) Buffer Organic Own Conventional Rent Both (Organic and Conventional) Custom Buffer Organic Own Conventional Rent Both (Organic and Conventional) Custom Buffer Organic Own Conventional Rent Both (Organic and Conventional) Custom Buffer 87. Is your equipment maintained so that fuel, oil and hydraulic fluid do not leak? Yes No Not Applicable Own Rent Custom 88. Do you use a sprayer (owned or custom)? Yes No If yes, what type? If yes, used for: Organic only Organic and conventional Conventional only 89. If the sprayer was purchased is it new or used? New Used Page 13 of 20 OSP Crops V4, 2/11/14 90. If used for organic and conventional or if purchased used describe cleanout method. Note: Equipment cleanout documentation will be checked at inspection. 91. Could any other equipment you use have been contaminated by previous uses, including custom equipment? Yes No If yes, describe. SECTION 19. Maintenance of Organic Integrity: Harvest §205.201(a)(5), §205.202(c), §205.272(b) Containers, bins and packaging materials must not contain synthetic fungicides, preservatives or fumigants. All reusable containers must be thoroughly cleaned and pose no risk of contamination prior to use. 92. How are your organic crops harvested? Mechanically By hand 93. Are any organic crops harvested by custom operators? Yes No If yes, provide name and address of custom harvester. 94. What containers are used for harvesting? Gravity wagons/boxes Truck boxes Cardboard/waxed boxes Wooden totes Plastic containers Other (specify): 95. Are containers new or used? New Used If used, what did they contain prior to organic use? 96. Are the containers used for organic crops only? Yes No 97. Describe potential contamination or commingling problems you have with harvest of organic crops. 98. Describe steps taken to protect organic crops from commingling and contamination during harvest. SECTION 20. Crop Post-Harvest Handling §205.270, §205.271, §205.272 Complete this section if you process crop products that have been produced on your own farm and where the essential form of the products is preserved. If you acquire products and/or when processing (e.g. baking) changes the essential form of the product a Processor/Handler Organic System Plan must be completed. Contact PCO if you have questions. *Make sure to address any farm practices in the appropriate section of this Organic System Plan that are planned or have been implemented due to the post harvest handling activities described (e.g. equipment clean out, water use, facility pest management and/or labeling). 99. Do you do any post harvest handling of your crops? Yes No If yes, describe, the type(s) of post harvest handling you do (e.g. drying grain or herbs, roasting beans)? 100. What type(s) of crops are handled post harvest? Page 14 of 20 OSP Crops V4, 2/11/14 SECTION 21. Maintenance of Organic Integrity: Crop Storage §205.201(a)(5), §205.202(c), §205.272(b) Operators must keep organic and non-organic crops in separate storage areas and prevent commingling and contamination. Storage records must be maintained. Table 11: Crop Storage Complete this table for all crops stored on farm. Status Type of Storage Type of Crop Storage ID # Capacity/size Organic Transition to Organic Conventional Buffer 101. Do you use the same storage areas for organic, transitional, buffer, and/or conventional crops? Yes No If yes, how do you segregate organic crops from non-organic crops? 102. How do you clean storage units prior to storage of organic crops? 103. If cleaners or sanitizers are used in storage areas, how do you prevent contact with organic products? 104. Are any stored crop inputs used or planned for use on organic crops? Yes No If yes, list inputs on the Materials Used Form. SECTION 22. Facility Pest Management §205.271 Complete this section to describe pest control practices and materials used in any facility where organic crops or crop products are produced and/or stored, including but not limited to crop and seed storage areas, greenhouses (inside or outside), or hoop houses. 105. Does this operation use any facilities, such as those stated above, in the production or storage of organic crops or crop products and have pest problems in those facilities? Yes No If no, skip to section 23. 106. Describe the facilities and the crops produced or stored in those facilities. 107. What type of facility pest management system(s) are used in the facilities? In House Contracted pest control service 108. Name and phone number of person responsible for facility pest management. 109. Check all pest problems in any of the facilities you generally have: Flying insects Crawling insects Spiders Birds Rats Mice Other (specify): Page 15 of 20 OSP Crops V4, 2/11/14 110. Check all the facility pest management practices that apply. Note: All materials used for facility pest management must be listed on your Materials Used Form. Non-synthetic substance consistent with National Cleanup of spilled product Screened windows, vents, etc. List (e.g. pyrethrum) Dogs Mechanical traps Synthetic substance consistent with National List Physical barriers Ultrasound/light devices (e.g. vitamin D3 bait) Electrocutors Cats Synthetic substance NOT on the National List Repair of holes, cracks, etc. Removal of exterior habitat/food sources (e.g. most commercially available rodent bait)* Good sanitation Mowing Sticky traps Other (specify): *If you want to use a synthetic substance not on the National List you must receive authorization from PCO prior to use. 111. Describe monitoring (including frequency) used to determine the effectiveness of management practices above: 112. If pest control materials are used where are they stored? 113. What records do you maintain to document pesticide use and measures taken to prevent contamination of organic crops? SECTION 23. Maintenance of Organic Integrity: Transportation §205.201(a)(5), §205.202(c) 114. Do you transport your organic crops? Yes No If no, skip to Section 24. 115. Who is responsible for arranging transportation of organic crops? Self Buyer Other (specify): 116. Describe how organic crops are transported. 117. What potential contamination or commingling problems do you have with the transport of organic crops? 118. What steps are taken to protect the integrity of organic crops during transport? Dedicated organic only Inspecting transport units prior to loading organic crops Cleaning transport units prior to loading organic crops Use of Clean Truck Affidavits Letter/contract with transport company stating organic requirements Other (specify): SECTION 24. Record Keeping System §205.103 §205.103(a) A certified operation must maintain records concerning the production, harvesting, and handling of agricultural products that are intended to be sold, labeled, or represented as “100 percent organic,” “organic”, “made with organic (specified ingredients or food group(s)).” (b) Such records must: (1) Be adapted to the particular business that the certified operation is conducting; (2) Fully disclose all activities and transactions of the certified operation in sufficient detail as to be readily understood and audited; (3) Be maintained for not less than 5 years beyond their creation; and (4) Be sufficient to demonstrate compliance with the Act and the regulations in this part. (c) The certified operation must make such records available for inspection and copying during normal business hours by authorized representatives of the Secretary, the applicable State program’s governing State official, and the certifying agent. 119. Which of the following records do you keep or plan for organic production? Field maps Harvest records that show field numbers, date of harvest, and Field activity log(s) harvest amounts (including custom harvest records) Field history sheets (previous three years) Labor records Documentation of previous land use for rented and/or newly Storage records that show storage location, storage purchased land identification, field numbers, amounts stored, and cleaning Input records for soil amendments, seeds, manure, foliar activities sprays, and pest control products (keep all labels) Clean transport records Documentation of attempts to source organic seeds and/or Sales records (purchase order, contract, invoice, cash receipts, planting stock cash receipt journal, sales journal, etc.) Documentation of organic seedlings Shipping records (scale ticket, dump station ticket, bill of lading) Audit control summary Transaction Certificates Compost production records Organic Certificates Monitoring records (soil tests, tissue tests, water tests, quality Other (specify): tests, observations) Equipment cleaning records Page 16 of 20 OSP Crops V4, 2/11/14 120. How long do you keep your records? (Must be at least 5 years): 121. Which of the following records do you keep for conventional production? Field maps Field history sheets Input records Harvest records Labor records Storage records Sales records Shipping records Other (specify): SECTION 25. International Export: Canada, European Union, Taiwan, Japan N/A Please provide the following information even if you do not currently intend to export any organic products to Canada, European Union, Taiwan, or Japan in order for PCO to review this information. This will expedite any export verification needs you or your customers may have in the future. However, this information is not required for your Organic System Plan to be considered complete. CANADA: N/A 122. Are any crops produced hydroponically or aeroponically? Yes No 123. Has Chilean nitrate (sodium nitrate) been used on any fields? Yes No If yes, in what field and on what date(s) was it applied? 124. Are you using any labels for products exported to Canada other than labels already approved by PCO? Note: The 100% Organic Label is not permitted in Canada. Labels must be bilingual (English and French). Yes No If yes, attach labels for PCO to review. Crops Requested to Ship to Canada Field Numbers Total Acres / Crop Projected Yield to Export to Canada EUROPEAN UNION: N/A 125. Have antibiotics (streptomycin and/or tetracycline) been used to produce any crops? Yes No 126. Are you using any labels for products exported to the European Union other than labels already approved by PCO? Note: The 100% Organic Label is not permitted in the European Union. Yes No If yes, attach labels for PCO to review. Crops Requested to Ship to the European Union Page 17 of 20 Field Numbers Total Acres / Crop Projected Yield to Export to the European Union OSP Crops V4, 2/11/14 TAIWAN: N/A 127. Are any crops produced using any materials prohibited by the NOP National List? Yes No If yes, list. Crops Requested to Ship to Taiwan Field Numbers Total Acres / Crop Projected Yield to Export to Taiwan JAPAN: N/A 128. Are you using any labels for products exported to Japan other than labels already approved by PCO? Note: The 100% Organic Label is not permitted in Japan. Yes No If yes, attach labels for PCO to review. Crops Requested to Ship to Projected Yield to Export to Field Numbers Total Acres / Crop Japan Japan SECTION 26. Marketing §205.300 129. How do you market your organic products? Farmers market Direct to retail CSA/Subscription service Wholesale On-farm retail Bulk commodities to processor Contract to buyer Other (specify): 130. Do you use or plan to use labels and/or marketing materials? Yes No If yes, do your labels identify Pennsylvania Certified Organic as the certifying agent? Yes No 131. Do you use or plan to use the USDA organic seal on product labels or marketing materials? 132. Do you use or plan to use the PCO organic seal on product labels or marketing materials? Yes Yes No No SECTION 27. Conflict of Interest §205.501 133. Have you used any organic production consultants for your operation in the last 12 months? Yes No (This does not refer to your inspector, certification specialist, or other PCO representative involved with your certification review.) If yes, list the name and contact information for the organic production consultant(s) your operation has used in the last 12 months (7 CFR 205.501(a)(11)(ii)): Page 18 of 20 OSP Crops V4, 2/11/14 SECTION 28. Previous Organic Certification §205.401 134. List current organic certification by other agencies and dates: If currently certified by another agency, submit a copy of your current certificate and verification of the items you are certified to produce/sell. 135. If currently certified organic, has your operation received a non-compliance(s) or been issued a proposed suspension or proposed revocation that has not yet been resolved? Yes No If yes, submit a copy of any adverse action notice including: notification of noncompliance, notification of proposed suspension or proposed revocation issued to you and a description of any actions taken by you to correct the non-compliance(s) noted in the adverse action notice, including evidence of such corrections and resolution letter from certifier, if any. 136. If previously certified, list names of agencies, dates, non-compliances and reasons for surrender or termination of certification: 137. Have you ever been denied organic certification or has your organic certification ever been withdrawn, surrendered suspended or revoked? Yes No If yes, submit a copy of any adverse action notice, including suspension, revocation or denial of certification issued to you and a description of any actions taken by you to correct the non-compliances noted in the notification, including evidence of such corrections and resolution letter from certifier or the National Organic Program Administrator, if any. If certification was withdrawn or surrendered, provide reason: 138. Gross organic sales of organic crops in previous calendar year: $ If none sold, enter 0. Page 19 of 20 OSP Crops V4, 2/11/14 SECTION 28. Affirmation Information provided on this application is held in strict confidence and will be used only for certification purposes. I affirm that all statements made in this application are true and correct. To the best of my knowledge no prohibited products have been used, applied or otherwise allowed to compromise the integrity of the organic crops, livestock or products for which I am requesting certification. I agree to comply with the requirements set forth by the National Organic Program in 7 CFR Part 205 and in the PCO Certification Manual including but not limited to: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Establish, implement and update annually the Organic System Plan that will be submitted to PCO. Cooperate with the certification process by completing all documentation requested by PCO. Permit on-site inspections with complete access to all production and handling areas of my operation, including noncertified production and handling areas, structures or offices by PCO. These inspections may be announced or unannounced at the discretion of PCO or as required by the Administrator or State organic program’s governing State official. Maintain all records applicable to the organic operation for not less than five (5) years beyond their creation. Allow authorized representatives of PCO, the Secretary and the applicable State organic program’s governing State official access to these records under normal business hours for review and copying to determine compliance with the Act and the regulations (7 CFR Part 205). Make accessible all agricultural products that are to be sold labeled or represented as organic for examination (such as residue testing) by the Administrator, the applicable State organic program’s governing State official, or the certifying agent to ensure compliance with the National Organic Program. Pay all certification 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. Immediately notify PCO concerning any application, including drift, of a prohibited substance to any field, production unit, site, facility, livestock, or product that is being requested for certification. Immediately notify PCO of any significant changes in my certified operation or portion of the operation that may affect its compliance with the applicable standards or regulations (7 CFR Part 205), including substances to be used as a production or handling input. Ensure that my certificate, certification report or other documents or information are not used in a misleading manner and does not harm PCO. Discontinue use of certification claims, PCO and NOP names and logos, upon suspension, revocation, surrender, or termination of certification and return or destroy any certification documents or materials requested by PCO. Acknowledge that acceptance of this organic system plan in no way implies granting of certification by the certifying agent. I understand that failure to abide by the above requirements may result in denial, suspension or revocation of my organic certification, prosecution for fraud or misrepresentation, denial of services, or any other remedy allowed by law. I give permission for PCO to release information about my operation to other NOP-accredited certifying agents upon obtaining a confidentiality agreement from the requesting certifier before releasing information. PCO has my permission to obtain information, documents, or materials related to my operation or previous operations, concerning certification, denial of certification, suspension, revocation, surrender or termination from other certifiers. Your signature(s): Date: If applicable: Signature of Contracted Grower: Date: Typing your name in the signature line(s) above constitutes a signature. Required Attachments: These records must be returned with your application or it may be returned to you resulting in a delay of the certification process. General Information Form (if new applicant) Materials Used in Organic System - Crops Field Maps (including adjoining land uses, field numbers and acreage. Other map features may include woodlots, wildlife habitat, major drainages and waterways. If you have a septic drain field, note size and location on map) Field and Pasture Records (with prior land use statements, if needed) Sample labels or marketing materials, if used Page 20 of 20 OSP Crops V4, 2/11/14