new mexico department of agriculture, organic program

New Mexico Department of Agriculture, Organic Program

DOC C 102 version K- Eff. Date 2. 1.11 NMDA Organic Non-Ruminant Livestock Application 1 of 16

4501 Indian School Rd NE, Suite 100, Room G104 Albuquerque, NM 87110

(505) 889-9924 / (575) 646-0339

2012 APPLICATION FOR ORGANIC CERTIFICATION NON-RUMINANT LIVESTOCK RANCH OR BUSINESS NAME:

COUNTY:

RANCHER’S NAME:

PHONE NUMBER: TITLE:

CONTACT NAME (IF DIFFERENT FROM ABOVE):


FOREMAN/ MANAGER (IF DIFFERENT FROM ABOVE):


MAILING ADDRESS :

CITY:

STATE: ZIP CODE:

PHYSICAL ADDRESS/ LOCATION OF RANCH:

CELL PHONE NUMBER (IF DIFFERENT FROM ABOVE): ALTERNATE PHONE NUMBER:

FAX NUMBER:

EMAIL ADDRESS:

WEBSITE:

BUSINESS INFORMATION :

INDIVIDUAL (SOLE PROPRIETORSHIP)

INDIVIDUAL “DOING BUSINESS AS”

CORPORATION

LIMITED LIABILITY COMPANY (LLC)

EDUCATIONAL INSTITUTION / PUBLIC

INSTITUTION / NONPROFIT

GENERAL PARTNERSHIP.

COOP

OTHER: (PLEASE LIST)



AFFIRMATION OF ORGANIC APPLICANT

(The person signing the Affirmation Agreement must be authorized to represent the business.)

I, ___________________________________________________________________, as an authorized representative of

[Business Name] _______________________________________________________________depose and say that I will:

1. Fully comply with all applicable organic production and handling regulations in accordance with Title 7 CFR Part 205 National Organic Program Rule.

2. Establish, implement, and update annually an organic production or handling system plan that will be submitted to New Mexico Department of Agriculture ( NMDA ).

3. Supply NMDA with all information required to verify compliance with the National Organic Program Rule.

4. Permit on-site inspections with complete access to the production or handling operation, including noncertified production and handling areas, structures, and offices by NMDA inspectors. These inspections may be announced or unannounced at the discretion of NMDA or as required by the Administrator of the National Organic Program .

5. Maintain all records applicable to the organic operation for not less than five (5) years beyond their creation .

6. Allow authorized representatives of NMDA, or the US Secretary of Agriculture access to these records under normal business hours for review and copying to determine compliance with the National Organic Program Rule .

7. Submit to NMDA the applicable fees as described on the fee schedule which is current at time of payment .

8. Immediately notify NMDA about any application, including drift, of a prohibited substance to any field, production unit, site, facility, livestock, or part of an operation .

9. Immediately notify NMDA of any change in our certified operation or portion of it that may affect its compliance with the National Organic Program Rule, including: additions or deletions of crops & fields; facilities, ingredients & products, changes to managers, responsible parties, contact information and email address.

I understand that willful violation of organic rules and regulations may result in revoking of organic certification and in extreme cases may lead to state and federal fines and penalties. I understand that receipt of this application in no way implies granting of certification by NMDA.

SIGNATURE OF AUTHORIZED REPRESENTATIVE: DATE:

PRINT NAME TITLE:



ASSESSMENT FEE is three-fourths of one percent (¾ percent) of the first million dollars of gross organic sales,

plus seventy-five one thousandths of one percent of the gross organic sales over one million dollars.

Total Gross Certified Organic Sales for the 2011 Calendar Year (Jan. 1, 2011 – Dec. 31, 2011) rounded to the nearest dollar

A:

$0 to $1,000,000 (one million)

For sales between zero and the first one million dollars, multiply Box A amount by .0075

B:

Are gross organic sales over one million dollars?

Yes No If “No”, enter amount from box B into box D

If “Yes”, your total assessment is the sum of the assessment on your first one million dollars (box B), plus the

assessment on sales over your first one million dollars (box C).

Over $1,000,000 (one million)

For sales over one million dollars, multiply the amount over one million by .00075

C:

Total Organic Sales Assessment Fee (the sum of box B & C) =

D:

LATE FEE for RENEWAL applications postmarked after May 1, 2011

Late Fee: renewals received after May 1, 2012 $75.00 Late fees apply to

RENEWAL applicants only.

Late Fee: renewals received after June 1, 2012 $100.00

Late Fee: renewals received after July 1, 2012 $200.00

Late Fee: renewals received after August 1, 2012 $500.00

Total Late Fees = E

APPLICATION FEE

RENEWAL Application Fee

OR

NEW Applicants Fee (first time applicants)

$200.00 Renewal applicants only

$250.00 New applicants only

Late Fee Renewal applicants ONLY

(see box E above) $ Applies to renewal applications

postmarked after June 1, 2011

Total Organic Sales Assessment Fee (see box D above)

$ Does not apply to new applicants

FEES ARE NOT REFUNDABLE Total Fees =

$ CHECKS PAYABLE TO “NMDA”



If you were Certified Organic in 2011, please report your

2011 ORGANIC SALES & YIELDS

● Sales include CSA, farmer’s markets, restaurants, on-farm stand, distributors, grocery stores, internet, etc.

● Please list all products separately ( beef - whole, sides or cuts, hay, etc).

● Please include sales of live organic animals

CROP YIELD ACRES SALES

(rounded to nearest dollar)

example: native grass hay 450 tons 300 $

LIVESTOCK & PRODUCTS YIELD NUMBER OF

ANIMALS SALES

(rounded to nearest dollar)

example: swine Not yet slaughtered 18 sows, 2 gilts $

chicken eggs 400 dozen 30 hens 1 rooster

Total Certified Organic Sales 2011 $ Percentage

of Sales Type of Sales Number of

employees Type of Employee

% Farmers Markets Permanent Full Time Employees

% On-Farm Sales Permanent Part Time Employees

% CSA (Community Supported Agriculture) Seasonal Employees

% Wholesale Marketing & Jobs - Help us show state government the importance of organic farming in New Mexico’s

economy

% Restaurant

% Retail Stores

% Other please specify

FIELD HISTORY & MAPS

(1) COMPLETE THE FIELD HISTORY BELOW (a) Field name /number must match your maps. (b) Location (Township, Range, Section or physical address) required. (c) Material input = fertilizer, pest control, manure, etc. (d) Four years (two pages) of field history must be completed.

(2) SUBMIT A MAP (or maps) that: (e) includes every farm/field below (f) shows farm name, field name & acreage of each field. (g) shows borders & shape of the field. (h) identifies location of crops and fallow land. (i) accurately shows land boundaries and organic buffer zones (j) identifies all adjacent land use, such as other farms, roads, ditches, open range, etc.

DOC C 102 version K- Eff. Date 2. 1.11 NMDA Organic Ruminant Livestock Application 5 of 16

Check if NOT

certified in 2011

Farm/Field Name and/or Number

+ Location (address or Township, Range, Section)

Acres 2012 crops

2012 material

inputs

2011 crops

2011 material

inputs

CONTINUED NEXT PAGE →

FIELD HISTORY & MAPS

(1) COMPLETE THE FIELD HISTORY BELOW (a) Field name /number must match your maps. (b) Location (Township, Range, Section or physical address) required. (c) Material input = fertilizer, pest control, manure, etc. (d) Four years (two pages) of field history must be completed.

(2) SUBMIT A MAP (or maps) that: (e) includes every farm/field below (f) shows farm name, field name & acreage of each field. (g) shows borders & shape of the field. (h) identifies location of crops and fallow land. (i) accurately shows land boundaries and organic buffer zones (j) identifies all adjacent land use, such as other farms, roads, ditches, open range, etc.


← CONTINUED

FROM PREVIOUS

PAGE

Farm/Field Name and/or Number

+ Location (address or Township, Range, Section)

Acres 2010 crops

2010 material inputs

2009 crops

2009 material

inputs

PLEASE ADD TOTAL ACRES HERE → ←

Updated maps are required EACH year; use this sheet or equivalent


SUBMIT A MAP that: (a) matches your Field History on page #5 (b) includes every organic farm/field, coop, pen farrowing pen, etc (c) shows farm name, field name & acreage of each field. (d) shows borders & shape of each field. (e) identifies location of crops and fallow land. (f) accurately shows land boundaries and organic buffer zones (g) identifies all adjacent land use, such as other farms, roads, ditches, open range, etc.

ORGANIC SYSTEM PLAN - NON-RUMINANT LIVESTOCK PRODUCERS

New Mexico Department of Agriculture Organic System Plan – Non-Ruminant Livestock Producers 8 of 16

For organic poultry, rabbits or swine. The Farm Organic System Plan must be completed in addition to this form.

SECTION A. GENERAL INFORMATION [§ 205.201 AND 205.401]

The National Organic Standards 7 CFR 205 require all operations seeking certification to develop an organic system plan that is verified and approved by an accredited certifying agent. A certified operation must update this system plan on an

annual basis in order to verify continued compliance.

This is a “Plan” – Changes or updates must be approved by NMDA prior to implementation.

Changes and updates can be submitted by email, letter or fax.

RANCH OVERVIEW

1. Please provide a complete list of livestock, products and crops you want to certify in 2012 This will be used to prepare your Organic Product List. (examples: native pasture, wheat, alfalfa, sorghum silage, heifers, calves, lambs, cuts of meat, milk, etc.)

animal class/ stage of production

number of head

crops

Example: laying hen 56 Example: native pasture alfalfa, oats and native grass

CERTIFICATION SUMMARY

4. Are you producing either of the following: Yes No

Organic crops for human consumption

meat, slaughtered and/or packed on site

If “Yes”, you must also complete a separate application for each - Please contact NMDA for application packets.

5. Are you currently certified organic? Yes No

5a. If “Yes,” please list the name of the agency and the first year certified by that agency.

6. Have you ever been denied certification or had your certification suspended or revoked? Yes No NA

6a. If “Yes,” please list the name of the agency, the year and describe the circumstances.

6. If currently certified by NMDA, were issues noted or has information been requested that is still outstanding? (see your last correspondence from NMDA)

Yes No

6a. If “Yes,” please note issues or information requested and how you have resolved the issue.



CHAIN OF CUSTODY

7. When do organic products leave your CUSTODY? At point of sale --retail /wholesale At harvest Other: please specify

7a.. When do organic products leave your OWNERSHIP? At point of sale --retail /wholesale At harvest Other: please specify

9. Are you hired or contracted by another operation to grow organic crops? Yes No

9a. If “Yes,” please provide the name of the operation (processor, grower, dairy, marketing company) and the details of the contract. (Please note any areas to which you are not the responsible party (e.g. seed selection, planting/harvest, herd management)

10. Do you hire or contract custom services during production, handling or storage or organic crops? (Examples –tractor work, transportation, harvest, etc.)

Yes No

10a. If “Yes,” list the business(s), service, and contact information and submit a Custom Service Compliance Statement as appropriate.

Section A. General Information [NOS 205.201 and 205.401]

The National Organic Standards (NOS) require all operations seeking certification to develop an organic system plan that is agreed to by the certified producer or handler and an accredited certifying agent. A certified operation must update this system plan on an annual basis in order to verify continued compliance.

This is “A plan” - You may change or update it throughout the year. Changes must be approved by NMDA prior to

implementation. Plan updates can be submitted by email or letter.

1. Please check the boxes that apply to your farming operation:

Laying hens Meat birds Pasture/Forage

Rabbits Pigs Ruminant livestock

Crops for human consumption Other



Section B. Livestock Flow Chart

Please provide information regarding the flow of animals through your system. Include source of animals, living conditions for each stage of production and final destination of animals. This may be in a narrative form or submitted as a flow chart and must be for each flock or herd with a different flow. Refer to the example below and attach additional sheets as necessary.

Flow chart and/or additional narrative:

Section C. Origin of Livestock [NOS 205.236]

National Organic Standards require products intended for sale as organic be from livestock under continuous organic management from the last third of gestation. Exception; poultry must be under continuous organic management beginning no later than the second day of life.

1. Do you purchase replacement animals? Yes No

1a. If “Yes”, list all sources of replacement animals in the table below:

Type of Animal Source (Name, Address or Phone) Organic (X)

Example: Day old chicks Heritage Hatchery, 555 Main Street, Anytown NM. (575) 555-5555 X

Maintain all receipts and organic certificates for purchased animals and have them available at your annual inspection.

Flock1 Chicks

received from hatchery

Flock one sold on site on day of slaughter.

Brooder for 3 weeks in

house

Moved to pens on pasture 1, 2 and 3

at 5 weeks

Slaughter on site beginning

week 8



1. Do you breed livestock or hatch chicks/poults on the farm? Yes No N/A

2. Have all animals (except poultry) been under continuous organic management since the last third of gestation?

Yes No N/A

3. Have all poultry been under continuous organic management since the 2nd day of life? Yes No N/A

Section D. Slaughter [NOS 205.236, 205.237, 205.238, 205.239]

National Organic Standards require that slaughter stock must be under continuous organic management from the last third of gestation and comply with all feed, health care and living condition requirements, except that poultry must be under contiguous organic management beginning no later than second day of life.

1. Do you slaughter organic animals for organic livestock products? Yes No

1a. If “No,” skip to section D.

1b. If “Yes”, how are they sold? Butchered Live (skip questions 2-3) Other:

2. List the slaughter facility that you use or plan to use to process your organic livestock:

Business name:

Address:

Phone number:

Certified Organic by:

3. If different than #2, list the cut and wrap facility and/or processing facility that you use or plan to use to process your organic meat products:

Business name:

Address:

Phone number:

Certified Organic by:

All meat products sold as organic must be processed at a certified organic processing / handling facility.



Section E. Organic Feed Rations [NOS 205.237]

The National Organic Standards require that livestock producers provide livestock with a total feed ration composed of 100% organic agricultural products, including pasture and forage. This feed ration must be sufficient to meet nutritional requirements, including vitamins, minerals, protein and/or amino acids, fatty acids, energy sources and fiber for non-ruminants.

1. Provide the following information for all stages of livestock on your operation:

Type of livestock

# of Animals

Type of Feed Amount of Feed per Unit of Time

Grain Forage Other Grain Forage Other

Ex- Layers 1400 Layer Mash Pasture Scratch 450#/day Daily access Free fed

You must have a current organic certificate available at your annual inspection for all feed from off-farm sources.

Section F. Livestock Health Care [NOS 205.238]

National Organic Standards require livestock producers to establish & maintain preventative livestock health care practices. When preventative practices & veterinary biologics are inadequate to prevent sickness, a producer may administer synthetic medications allowed under 205.603. Any medications administered, whether allowed or prohibited, must be recorded on an animal health record. Withholding medical treatment from a sick animal is prohibited by the National Organic Standards.

1. Review the conditions that have afflicted or could afflict your animals. Describe your preventative plan and treatment used if preventative plan is insufficient. Include treatments(s) used if preventative plan was not effective. Use additional sheets as necessary.

Condition Experienced? Preventative Plan Treatment (if prevention fails)

Ex. Pecking yes Adequate space Re-assess space and adjust flock

Digestive disorders (diarrhea)

External parasites

Eye problems

Foot problems

Internal parasites



Pecking &/or cannibalism

Reproductive disorders

Respiratory diseases

Skin or feather conditions

Viruses

Other (specify)

2. Do you administer vaccines? Yes No

2a. If “Yes,” are any of these vaccines genetically modified? Yes No

List all vaccines used on your operation in Section F.

3. If an animal was treated with a prohibited material, describe your plan and/or current practice for removing this animal from the organic market:

Maintain documents that verify that all animals treated with a prohibited material were removed from the organic market.

4. Are animals subject to physical alterations? Yes No

4a. If “Yes,” please provide the following information in the table below:

Alteration Age Purpose How was pain/stress minimized

Ex. – Beak trimming Chicks Reduce injury Performed at young age



Section H. Livestock Living Conditions & Pasture [NOS 205.239]

National Organic Standards require organic livestock operators to establish and maintain livestock living conditions which accommodate the health and natural behavior of animals, including access to the outdoors, access to pasture, clean and dry bedding as well as shelter for organic animals.

1. Indicate which of the following accommodations are provided for your organic livestock:

Access to outdoors Shade Exercise area

Fresh air Direct sunlight Other:

2. Do you provide access to pasture? Yes No

3. For each group of organic animals (chicks, pullets, weaners, etc.) describe how you provide access to the outdoors &/or pasture. Please include typical dates of confinement for each group, typical dates animals are provided access to outdoors &/or pasture for each group and details of the conditions of the outdoors &/or pasture that are provided.

4. Indicate which conditions are addressed by the shelter provided (check all that apply).

Natural maintenance Comfort behaviors Opportunity for exercise

Suitable temperature levels Ventilation Air circulation

Reduction of potential for injury

5. Do you provide bedding for your animals? Yes No

5a. If “Yes,” please list the type of bedding:

5b. Is it edible? Yes No

5c. If “Yes,” is it organic? Yes No

If “Yes,” you must have a current organic certificate available at your inspection.

4. Are organic animals subject to confinement? Yes No

6a. If “Yes,” indicate why livestock are subject to confinement:

Inclement weather Stage of production Health, safety, well being of animal

Risk to soil or water Other:

You must maintain records of pasture/access to the outdoors and have this information available at your inspection.

5. Please list your annual average percentage of culled (live) livestock:

6. List your average percentage of death or loss (annually):



Section I. Egg Handling [NOS 205.236, 205.237, 205.238, 205.239]

1. Do you raise poultry or waterfowl for egg production? Yes No

1a. If “No,” go to Section I.

1b. If “Yes,” do you sell your eggs anywhere other than on your own physical farm location? Yes No

1c. If “Yes,” do you have an Egg Handlers License? Yes No

2. Do you label your organic eggs? Yes No

If “Yes,” please submit your egg label for review and approval prior to use.

Your egg handling procedures will be verified at your annual inspection. If you handle organic eggs other than those produced on your farm, you are required to obtain certification as a Handler. Contact our office for more information.

Section J. Recordkeeping [NOS 205.103]

National Organic Standards require organic producers to maintain records concerning the production, harvesting and handling of organic livestock and livestock products. These records must fully disclose all activities and transactions of the operation in sufficient detail to be readily understandable and auditable and must be available for inspection and copying.

1. Please check the method of animal identification that you use on the farm:

Ear tag Flock

Ear notch Other:

2. Are the following records maintained?

2a. Pasture/outside access (e.g. days/hours)? Yes No

2b. Receipts for all purchased livestock? Yes No N/A

2c. Receipts for forage production materials (seed receipts, fertility inputs, etc.)? Yes No N/A

2d. Weight records of animals at slaughter? Yes No N/A

2e. Synthetic medications administered (date, dosage, animal ID)? Yes No N/A

2f. Herbal & natural remedies or other approved materials given to organic animals? Yes No N/A

2g. Vitamins, minerals or other materials administered for preventative health care? Yes No N/A

2h. Receipts for purchased feed products? Yes No N/A

2i. Records that treated animals have been diverted from the organic market? Yes No N/A

2j. Sales records? Yes No N/A

2k. Other (please list): Yes No N/A

You are required to maintain organic related records for 5 years and have them available during inspections.

Failure to have documentation at your inspection may impact or delay your organic certification.

Keep a copy of this Organic System Plan as a reference.



SECTION I. MATERIAL INVENTORY [ § 205.201]

§ 205.201 requires that the organic system plan include a list of each substance to be used as a production or handling input. Materials must be approved by the certifier prior to use application. Please call if in doubt.

You must provide updates to NMDA by email, letter or fax before you add a material NOT already on this inventory. Use of unreported materials may jeopardize your organic certification.

Material & Brand Name Please be specific

Example: Ultrabac 7, Drammatic 0 Liquid Fish 2-5-0.2

Purpose (vaccination, udder ointment,

fertilization, pests, disease, etc)

Is this material

OMRI Listed?

http://www.omri.org/omri-lists

Yes No

http://www.omri.org/omri-lists

new mexico department of agriculture, organic program

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