§205.202 Any field or farm parcel from which...

1900 Hendon Ave, St. Paul, MN 55108 ~ tel 855-213-4461 ~ fax 612-625-3748 ~ [email protected] ~ www.mciaorganic.org

ORGANIC SYSTEM PLANPOULTRY

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Please fill out this questionnaire if you are requesting organic certification for poultry. Submit farm, pasture, and poultry facility maps as well as other supporting documents (documentation for pastures owned or rented for less than three years, feed and supplement product labels, etc.) as requested in this questionnaire. Use additional sheets as necessary.

SECTION 1: General Information NOP Rule §205.401Applicant (Name/Company): FOR OFFICE USE ONLY

Applicant No: Contact Person: Check #:

Address:

Amount:DR #:

City: State: Zip code: Mem/Appl fee:

Phone: Cell: Base fee:

Fax: Email: Insp fee:

Legal Status: Corporation Limited Liability Company Limited Partnership Sole proprietorship

Trust or non-profit Limited Liability Partnership Other (specify)

State your company is registered in: Are all facilities requested for certification located at the address listed above: Yes No

If no, give other addresses:

Are you currently certified organic by an agency other than Minnesota Crop Improvement Association? Yes NoIf yes, list the name of the agency:

Do we have permission to contact the agency regarding your previous certification? Yes No

Year first certified organic: Has certification ever been denied, suspended or revoked? Yes No

If yes, describe the circumstance(s) & attach documentation:

If transferring from another agency, attach a list of all noncompliance issues from last year’s certification and state how they have been addressed. No noncompliance issues

(Please submit a copy of your last year’s certification letter.)

Do you have access to a current copy of MCIA’s Organic Handbook? Yes NoDo you have access to a current copy of the NOP standards? Yes NoPreferred time for inspection: AM PM

Give directions to farm:

Organic System Plan – Poultry Organic Print Date: 5/24/2023Controlled Version – 3/13/15 of 20 © 2015 Minnesota Crop Improvement Association

mailto:[email protected]

Do you raise crops? Yes NoIf yes, submit an Organic System Plan - Producer Form.

Do you conduct handling activities such as packaging eggs or slaughter? Yes NoIf yes, you may need to submit an Organic System Plan - Handler Form, contact MCIA for more information.

Do you purchase off-farm organic eggs or live birds for processing? Yes NoIf yes, you must submit an Organic System Plan - Handler Form, contact MCIA for more information.

Does your state require registration or a license to conduct these activities? Yes NoIf yes, are you registered? Yes No

Do you plan to label your products organic? Yes NoIf yes, attach a clear, color copy of your proposed label(s) and submit to MCIA for approval.

Do you use or plan to use the USDA organic seal on product labels or market information? Yes NoDo you use or plan to use the MCIA logo on product labels or market information? Yes NoDo your labels include the phrase “Certified Organic by MCIA” or similar phrase directly belowyour business contact information? Yes No

Do you plan to export organic poultry or poultry products to: Canada European Union (EU) Japan Korea Taiwan

(For Canada and EU export, be sure to complete the table in 4.1.) Please contact MCIA for more information.

SECTION 2: Scope NOP Rule §205.201(a)(5)NOP §205.100(a) Except for operations exempt or excluded in §205.101, each production or handling operation or specified portion of a production or handling operation that produces or handles crops, livestock, livestock products, or other agricultural products that are intended to be sold, labeled, or represented as “100 percent organic,” “organic,” or “made with organic (specified ingredients or food group(s))” must be certified according to the provisions of subpart E of this part and must meet all other applicable requirements of this part.

Type of Poultry Operation? Meat Eggs Live Birds Chickens Ducks Geese Turkeys Other:

TYPE OF POULTRY # OF BIRDS PROJECTED FLOCKS/ YEAR USE (MEAT, EGGS, PULLETS)


SECTION 3: Poultry Operation Profile/Origin of Birds NOP Rule § 205.201, 205.236(a)(1)NOP §205.236 The NOP requires poultry products that are sold, labeled, or represented as organic must be from poultry that has been under continuous organic management beginning no later than the second day of life. Poultry used as breeder stock may be brought from a nonorganic operation onto an organic operation at any time. Once an organic bird is removed from an organic system and subsequently managed on a nonorganic operation, the bird or edible poultry product is no longer eligible to be sold, labeled or represented as organically produced. Older birds grown under conventional management are allowed only as breeder stock for the production of hatching eggs. Records must be maintained sufficient to preserve the identity of all organically managed birds and edible and nonedible poultry products produced on the operation.

Classes of Poultry - A group of poultry that shares a similar stage of life or production. The classes of birds are those that are commonly listed on feed labels. Examples of classes used for the following types of poultry are:

Chickens: Turkeys: Ducks:Eggs for hatching Eggs for hatching Eggs for hatchingChicks/Starter Poults/Starter Ducklings/StarterPullets/Grower Broilers/Finisher LayersLayers MeatBroilers/Finisher

You may define your own classes of birds.

3.1 In the table below, list the classes of poultry (chicks, pullets, breeding stock, etc.) in your current flock for which you are requesting organic certification. Provide the species and breed, source, the number of birds, hatch date and start date of organic management for each class listed. Add additional sheets as needed. (Please have poultry purchase and/or breeding/hatch records available at inspection, including proof of organic certification for birds purchased as organic.)

CLASSES OF POULTRYSPECIES AND BREED (EXAMPLE: CHICKENS – RHODE ISLAND REDS)SOURCE

NUMBER OF BIRDS

PURCHASE OR HATCH

DATE

START DATE OF ORGANIC MANAGEMENT

Species/Breed:

Source:

Species/Breed:

Source:

Species/Breed:

Source:

Species/Breed:

Source:

Species/Breed:

Source:

Species/Breed:

Source:

Total in Flock

3.2 Because flock numbers are dynamic, please provide a description of changes in poultry numbers you anticipate over the next year. Specifically address: additional purchases, hatching plans, cull rates, mortality rates, slaughter, and sales.

3.3 Describe your plan for organic poultry replacement/sourcing: Breed/raise own stock with continuous organic management Organic management from second day of life Purchase certified organic birds. (Make sure to maintain proof of organic certification for each purchase)

Other (describe):


3.4 Describe the individual birds/flock identification system you use. Include how birds are tracked as breeding stock, eligible for egg laying/slaughter.

3.5 Describe your management plan for raising chicks/pullets (heating, spacing, etc).

3.6 For Layers: At what age is the flock replaced? How is the flock disposed of?

3.7 For Meat Birds: At what age are the birds marketed? What is their projected weight at slaughter?


SECTION 4: Living Conditions NOP Rule §205.206 and §205.239NOP §205.206(f) The producer must not use lumber treated with arsenate or other prohibited materials for new installations or replacement purposes in contact with soil or livestock.NOP §205.239(a) The producer must establish and maintain year-round poultry living conditions which accommodate the health and natural behavior of the birds including;

1) Year-round access for all birds to the outdoors, shade, shelter, exercise areas, fresh air, clean water for drinking, and direct sunlight, suitable to the species, its stage of life, the climate, and the environment: Except, that, birds may be temporarily denied access to the outdoors in accordance with NOP§205.239(b). Continuous confinement of any birds indoors is prohibited.

3) Appropriate clean, dry bedding. Bedding which is edible must be organic.4) Shelter designed to allow for:

a) natural maintenance, comfort behaviors, and opportunity to exercise;b) temperature level, ventilation, and air circulation suitable to the species; andc) reduction of potential for injury;

5) The use of yards and feeding pads, that shall be well-drained, kept in good condition (including frequent removal of wastes), and managed to prevent runoff of waste and contaminated waters to adjoining or nearby surface water and across property boundaries.

4.1 What type of housing/shelter is used for each class of poultry? Include the type of housing/shelter (Barn, Brooder barn, Coop, Floor or Multi-layer colony, Fixed Housing, Movable pens, Range shelter, Sun parlor, Trees, etc.), a description of the floor type and the size of the shelter (length X width).

CLASSES OF POULTRY

HOUSE ID/NAME

HOUSE TYPE FLOOR TYPEDIMENSIONS

# BIRDSPER HOUSE

APPROXIMATE SPACE/ BIRD (SQ FT)

4.2 The housing/shelter provided for each class of poultry allows for: Natural maintenance (dust bathe, preening) Comfort behaviors (roosting, scratching, etc.) Opportunity to exercise Reduction of potential for injury Temperature control

Describe how temperature levels are controlled.

Ventilation/Air circulationDescribe how housing/shelter is ventilated and/or provides air circulation (especially to prevent buildup of ammonia, dust).

4.3 Is artificial lighting used? Yes NoIf yes, what is the total day length with the use of lighting? What is the source of artificial light?


4.4 How often are shelters cleaned out? Describe the process and any products used (i.e. disinfectants, sanitizers, cleaning products, etc.). Provide complete product names, labels and ingredient lists for all products that are not OMRI listed. (All products must be approved prior to use.)

4.5 If you use movable shelters (chicken tractors, movable pens, etc.), how often are they are moved?

4.6 What methods are used for rodent/pest control in the housing/shelter areas? Mechanical traps Predators Cleanliness Mowing Control products (list below and attach labels/ingredient information) Other:

Provide complete product name, manufacturer, and reason for use. (All products must be approved prior to use.)

CONTROL PRODUCT NAME MANUFACTURER (NAME, ADDRESS, PHONE NUMBER) REASON FOR USE

4.7 Lumber treated with arsenate or other prohibited materials: Identify any locations with existing treated lumber and its approximate age. Also, list locations where you have used treated lumber in new installations or for replacement purposes and describe how you prevent contact with soil, poultry, crops and poultry feed.

4.8 What type of bedding materials are used for each class of poultry? Indicate whether materials are produced on-farm or purchased, the source (if purchased), and the certifier (if applicable). If purchased, submit a copy of the suppliers(s) proof of organic certification with this application. Agricultural products that are edible (i.e. not sawdust or sand) must be certified organic. Off-farm wood-based bedding materials must be free of glues, treatments, and synthetic finishes (e.g. wood chips from window manufacturers or pallet companies).

CLASSES OF POULTRY TYPE OF BEDDINGPRODUCED ON-FARM OR

PURCHASEDSOURCE, IF PURCHASED (Name, address)

CERTIFIED ORGANICBY WHOM?

4.9 Check the sources of clean drinking water. On-site well Municipal/County water Creek/Ponds Other:

4.10 Describe how you monitor water quality.

4.11 Provide the date of the last water test conducted for bacteria and nitrates. (If a water test was conducted, provide a copy of the results)


4.12 Describe the water delivery system or equipment.

4.13 How is the water delivery system/equipment cleaned/sanitized?

List cleaning/sanitizing products below and attach labels/ingredient information. Provide complete product name, manufacturer, and reason for use. (All products must be approved prior to use.)

CLEANING/SANITIZING PRODUCT NAME MANUFACTURER (NAME, ADDRESS, PHONE NUMBER) REASON FOR USE

4.14 Is a filtration system used? Yes NoIf yes, please explain:

4.15 Are any water treatments (such as hydrogen peroxide) added to the drinking water? Yes NoIf yes, list each additive, the amount or concentration, and frequency of use.

WATER TREATMENT NAME AMOUNT OR CONCENTRATION FREQUENCY OF USE

4.16 If poultry have access to a creek/pond, describe how you prevent erosion around water sources and risks of contamination of the water.


SECTION 5: Outdoor Access and Land Management NOP Rule §205.202, §205.239§205.202 Any field or farm parcel from which harvested crops are intended to be sold, labeled, or represented as “organic,” must:

(a) Have been managed in accordance with the provisions of §§205.203 through 205.206;(b) Have had no prohibited substances, as listed in §205.105, applied to it for a period of 3 years immediately preceding harvest

of the crop; and(c) Have distinct, defined boundaries and buffer zones such as runoff diversions to prevent the unintended application of a

prohibited substance to the crop or contact with a prohibited substance applied to adjoining land that is not under organic management.

NOP §205.239(a) The producer must establish and maintain year-round poultry living conditions which accommodate the health and natural behavior of the birds including;

2) Year-round access for all birds to the outdoors, shade, shelter, exercise areas, fresh air, clean water for drinking, and direct sunlight, suitable to the species, its stage of life, the climate, and the environment: Except, that, birds may be temporarily denied access to the outdoors in accordance with NOP§205.239(b). Continuous confinement of any birds indoors is prohibited.

5) The use of yards and feeding pads, that shall be well-drained, kept in good condition (including frequent removal of wastes), and managed to prevent runoff of waste and contaminated waters to adjoining or nearby surface water and across property boundaries.

NOP §205.239(b) A producer may provide temporary confinement or shelter for birds because of; Inclement weather; Birds’ stage of life; Conditions under which the health, safety, or well-being of the poultry could be jeopardized; Risk to soil and water quality; Preventative healthcare procedures or for the treatment of illness or injury; Sorting and shipping poultry and poultry sales: Provided, that, the birds shall be maintained under continuous organic management, including organic feed, throughout the extent of their allowed confinement; Breeding; or 4-H, FFA and other youth projects, for no more than one week prior to a fair or other demonstration, through the event and up to 24 hours after the birds have arrived home at the conclusion of the event. These birds must have been maintained under continuous organic management, including organic feed, during the extent of their allowed confinement for the event.

5.1 Outdoor access. All poultry are expected to have daily access to the outdoors year round.

On average how many hours per day are birds outdoors? If it varies among different age groups and times of year, please list separately in the table below.

CLASSES OF POULTRY SPRING SUMMER FALL WINTER

5.2 Describe the monitoring practices used to determine the number of birds accessing the outdoors.

5.3 Describe the outdoor access area (including pastures). Include surface type, type of vegetation, dimensions (sq ft).


5.4 Outdoor access areas must comply with NOP §205.202 with no prohibited inputs applied for 36 months prior to poultry access. List any inputs (seeds, seed treatments, fertilizer, weed control, pest control, and/or lime) that have been applied in the last 36 months.

5.5 How do you plan to revitalize and maintain the outdoor poultry areas? Include seed, seed treatments, fertilizer, weed control, or pest control products.

List products below and attach labels/ingredient information. Provide complete product name, manufacturer, and reason for use. (All products must be approved prior to use.)

PRODUCT NAME MANUFACTURER (NAME, ADDRESS, PHONE NUMBER) REASON FOR USE

5.6 Describe how you maintain soil structure in your outdoor access areas.

5.7 Describe how you manage yards and feeding areas to keep them well-drained and clean (include frequency of waste removal), and to prevent runoff of wastes and contamination of water, or drainage across property boundaries.

5.8 Temporary Confinement is defined as denying access to the outdoors, “occurring for a limited time only, (e.g. overnight, throughout a storm, during a period of illness), not permanent or lasting.

(a) Indicate the circumstances under which birds may be temporarily confined. Inclement weather Stage of life To protect the health, safety, or well-being Risk to soil or water quality To administer healthcare procedures Sorting, Shipping or Sales 4-H or other youth projects Other:

(b) Describe the confinement area.

(c) Describe the recordkeeping system you use to track temporary confinement of birds. (Have records, such as logs, calendars, of temporary confinement with time periods, reasons and place of confinement available at inspection.)


SECTION 6: Manure Management NOP Rule §205.239(e)NOP §205.239(e) The producer must manage manure in a manner that does not contribute to the contamination of crops, soil, or water by plant nutrients, heavy metals, or pathogenic organisms and optimizes recycling of nutrients and must manage pastures and other outdoor access areas in a manner that does not put soil or water quality at risk.

6.1 What forms of manure are generated? Heat treated Liquid Semi-solid/piled Fully composted

6.2 Estimated quantity of manure generated per year:

6.3 List any additives/ingredients added to manure below and attach labels/ingredient information. Provide complete product name, manufacturer, and reason for use. (All products must be approved prior to use.)

ADDITIVES/INGREDIENTS NAME MANUFACTURER (NAME, ADDRESS, PHONE NUMBER) REASON FOR USE

6.4 If manure is not used immediately, how and where is it stored?

6.5 If manure is composted, describe your composting method.

6.6 Do you apply manure/compost on your farm? Yes NoIf no, how is it disposed of?

If yes, during what months do you apply manure/compost?

6.7 How do you ensure manure does not contribute to contamination of crops, soil or water?


SECTION 7: Poultry Feed NOP Rule §205.237NOP §205.237 The producer of an organic operation must provide poultry with a total feed ration composed of agricultural products that are organically produced and handled by operations certified to the NOP, except, that, synthetic substances allowed under §205.603 and nonsynthetic substances not prohibited under §205.604 may be used as feed additives and feed supplements, Provided, That, all agricultural ingredients included in the ingredients list, for such additives and feed supplements, shall have been produced and handled organically.

The producer must not a) use drugs including hormones to promote growth, b) provide feed supplements or additives in amounts above those needed for adequate nutrition and health maintenance for the species at its specific stage of life, c) feed formulas containing urea or manure, d) feed mammalian or poultry slaughter by-products poultry, e) use feed, feed additives, and feed supplements in violation of the Federal Food, Drug and Cosmetic Act, f) provide feed to which any antibiotic including ionophores has been added.

Feeding records and feed labels must be available for the inspector to verify.

7.1 Do you raise your own organic poultry feed? Yes NoIf yes, complete an Organic System Plan – Producer.

7.2 Itemize below the estimated amount of each type of organic poultry feed used, including feed produced on your own farm. Please attach additional sheet(s) if necessary. (Proof of organic certification, receipts, and clean transport documents for organic feed purchased must be available for the inspector to verify.)

TYPE OF FEEDQUANTITY

TOTAL NUMBER AND/OR WEIGHT

DATES PURCHASED(IF APPLICABLE)

SOURCE(S)CERTIFIED ORGANIC BY WHICH AGENCY

(IF APPLICABLE)

7.3 Do you process (mix, grind, roast, extrude, etc.) any feed on-farm? Yes NoIf yes, is the equipment also used to process conventional products? Yes No

If yes, how is the equipment cleaned prior to processing organic feed?

7.4 Is feed processed at a location other than your farm? Yes NoIf yes, the facility must be certified organic. (Submit a copy of their organic certificate(s) with this application.)

7.5 Provide a general description of feed rations provided to each class of poultry. Use a line for each feed ration period for each class of poultry. Attach additional sheet(s) if necessary.

FEED RATION SEASON/TIME OF YEAR DAILY RATION PER BIRD/FLOCK

Example: Rhode Island Reds Summer Layer pellets: 60 lb/flock of 200 birds, free choice oyster shell

Example: Chicks Summer Chick mash: 15 lb/day/flock, increasing gradually during the 5 wk grow-out period.


7.6 List all feed supplements and feed additives, including probiotics, vitamins, inoculants and preservatives. Attach additional sheet(s) if necessary. Provide brand name, label and ingredient list for all products that are not OMRI listed. (All products must be approved prior to use.)

FEED SUPPLEMENT/ADDITIVE NAME MANUFACTURER (NAME, ADDRESS, PHONE NUMBER) REASON FOR USE

7.7 Do you provide synthetic methionine as part of your feed ration? Yes NoIf yes, describe how you determine the amount of methionine provided through the total feed ration is in compliance.

7.8 What is your plan for obtaining emergency feed supplies?

7.9 Describe your feed storage locations.

TYPE OF FEED TYPE OF STORAGESTORAGE

ID CAPACITY LOCATIONORG (O) BUFFER (B) CONVENTIONAL (C)

7.10 How do you control rodents/pests in organic feed storage? Mechanical traps Predators Cleanliness Mowing Control products (list below and attach labels/ingredient information) Other:

Provide complete product name, manufacturer, and reason for use. (All products must be approved prior to use.)

CONTROL PRODUCT NAME MANUFACTURER (NAME, ADDRESS, PHONE NUMBER) REASON FOR USE


SECTION 8: Health Care Practices NOP Rule §205.238NOP §205.238 Producers must establish and maintain preventative health care practices including: 1) Selection of species and types of poultry with regard to suitability for site-specific conditions and resistance to prevalent diseases and parasites; 2) Provision of a feed ration sufficient to meet nutritional requirements, including vitamins, minerals, protein and/or amino acids, fatty acids, energy sources, and fiber; 3) Establishment of appropriate housing, outdoor access conditions, and sanitation practices to minimize the occurrence and spread of diseases and parasites; 4) Provision of conditions which allow for exercise, freedom of movement, and reductions of stress appropriate to the species; 5) Performance of physical alterations as needed to promote the bird’s welfare and in a manner that minimizes pain and stress; 6) Administration of vaccines and other veterinary biologics.When preventative and veterinary biologics are inadequate to prevent sickness, synthetic medications may be administered provided they are allowed under §205.603.The producer of an organic poultry operation must not: 1) Sell, label, or represent as organic any bird or edible product derived from any bird treated with antibiotics, any substance that contains a synthetic substance not allowed under §205.603, or any substance that contains a nonsynthetic prohibited in §205.604; 2) Administer any drug, other than vaccinations, in the absence of illness; 3) Administer hormones for growth promotion; 4) Administer synthetic parasiticides on a routine basis; 5) Administer synthetic parasiticides to slaughter stock; 6) Administer drugs in violation of the Federal Food, Drug, and Cosmetic Act; or 7) Withhold medical treatment from a sick bird in an effort to preserve its organic status. All appropriate medications must be used to restore a bird to health when methods acceptable to organic production fail. Poultry treated with a prohibited substance must be clearly identified and shall not be sold, labeled, or represented as organic.All medical records and vet records (dosages, dates, etc.) must be available at inspection.

8.1 How do you monitor bird health (methods, frequency)?

8.2 Many practices contribute to the health, well-being and productivity of your flock. Check all that apply to your operation and add any other practices that you use which are not listed.

Choose well-adapted species/breeds Perform physical alterations for the bird’s welfare Control vectors or intermediate hosts Maintain appropriate, clean, dry bedding Raise own replacement birds Exclude or manage pests/parasites Isolation for sick or new birds Protect against injury/predation; monitor poultry health Provide good quality feed rations; adequate nutrition Rotate outdoor access areas/pastures/yards, houses, feeding or

watering areas Nutritional supplements or probiotics Monitor for pests, diseases, and injuries Prevent endemic diseases with vaccines or biologics Biological control parasite/parasitoid/predator releases Provide freedom of movement/opportunity for exercise Maintain cleanliness/good sanitation; remove/manage manure

Provide appropriate shelter or housing Other:

8.3 What are the traits of your poultry breed(s) that make them suitable to your environment and production system?

8.4 List all physical alterations (beak trimming, de-beaking, wing trimming, de-spurring, etc.) which are performed or will be performed on a regular basis.

PHYSICAL ALTERATION CLASSES OF POULTRY AND AGE

METHOD USED REASON/PURPOSE OF ALTERATION

8.5 If alterations are made, what methods are used to minimize suffering (e.g. anesthetics)?


8.6 Describe pests/predators/diseases that may affect your poultry. (internal parasites, external parasites, hawks, avian flu, etc.) Describe monitoring frequency and methods (observe body condition, signs of anemia, fecal analysis, etc.), and prevention/ management strategies for each type of pest/predator/disease. Add additional sheets if needed.

PEST/PREDATOR/DISEASE MONITORING METHODS AND FREQUENCY PREVENTION/MANAGEMENT STRATEGIES

8.7 List of health care products used or planned for use. Add additional sheets if needed. You may submit a vaccination schedule if applicable.

TYPE OF PRODUCT* PRODUCT NAME AND MANUFACTURERDISEASE OR HEALTH PROBLEM TO BE PREVENTED OR TREATED/IN WHAT CLASSES OF POULTRY

*Type of Product: Vaccine, biologic, disinfectant, sanitizer, topical medication, anesthetic, homeopathic remedy, parasiticide, etc.Records documenting: Age and timing of use; compliance with any annotation or restriction (as noted in NOP §205.603 and §205.604); disposition of non-organic animals if prohibited materials used must be available for the inspector.

8.8 If individual birds are treated with prohibited or restricted materials, how are they identified, segregated, and/or removed from the organic system?

How is this documented?

8.9 Please provide the name, phone, and address of your regular veterinarian.

Name: Address: Phone:


SECTION 9: Split Operations NOP Rule §205.201(a)(5)NOP §205.201(a)(5) An organic production system plan must include a description of the management practices and physical barriers established to prevent commingling of organic and nonorganic products on a split operation and to prevent contact of organic production and handling operations and products with prohibited substances.

NOT APPLICABLE, all livestock/poultry are organically managed. Skip to Section 10.

9.1 What conventional animals and animal products do you raise/produce?

9.2 If you raise/produce conventional poultry/poultry products, provide the number of birds for each type of poultry and the annual projected production in the table below. Use additional sheets if needed.

TYPE OF POULTRY # OF BIRDS PROJECTED ANNUAL EGG PRODUCTION(CONVENTIONAL)

PROJECTED ANNUAL # OF BIRDS FOR SLAUGHTER (CONVENTIONAL)

9.3 Describe what measures are taken to ensure segregation of non-organic from organic birds. (e.g. separate housing, outdoor access areas, different ID system, etc.).

9.4 Describe what measures are taken to ensure segregation of non-organic products from certified organic products. (e.g. separate storage areas, packaging at separate times, etc.).

9.5 Describe procedure(s) for cleaning house(s), and cleaning/purging feed/water lines before placement of organic birds in housing previously used for non-organic birds.

9.6 Describe how organic and non-organic feeds are kept separate.

9.7 If birds are free range, describe what measures are taken to avoid contact with non-organic materials (bedding, feed, etc.) .

9.8 Describe conventional management of outdoor access areas including weed management, fertility, and seeding.

9.9 Are outdoor areas shared/rotated between non-organic and organic birds? Yes No


SECTION 10: Egg Production and Handling NOP Rule §205.201

NOT APPLICABLE, No organic egg production. Skip to Section 11.

10.1 How and where are eggs stored after collection?

10.2 Are eggs cleaned and graded on your farm? Yes NoIf yes, describe your egg handling techniques including grading, cleaning, shell coatings, where you will be processing the eggs, etc. (if products used, list in the table below).

10.3 What type of packaging is used?

10.4 Do you use new or used packaging? New UsedIf used, describe how packaging is cleaned (if cleaning products used, list in the table below).

10.5 List egg washes, cleaners, shell coatings, inks, etc. used for cleaning or marking eggs or packaging.

CLEANSERS/SANITIZERS/ETC. NAME MANUFACTURER REASON FOR USE

10.6 How and where are eggs stored after packaging? (Include if any off-site storage is used.)

10.7 Describe how commingling and contamination of packaged eggs is avoided during transportation (container used, clean truck statements, etc.).

10.8 Do you use a lot numbering system? Yes NoIf yes, describe.

10.9 Type of marketing: Farmers Market Direct to retail CSA/subscription service On-farm retail Wholesale to processor Contract to buyer Other:

REMINDER: If you are labeling organic products remember to submit copies of labels for approval prior to use.


SECTION 11: Transportation of Live Birds NOP Rule §205.201NOP §205.201 NOP standards require that humane methods of handling be used for loading, unloading, holding at slaughter.

NOT APPLICABLE, live birds are not transported. Skip to Section 12.

11.1 How are birds transported?

11.2 Do you arrange poultry transportation? Yes NoIf no, who arranges transportation? I

11.3 Is one person responsible for the well-being of the flock at each step of the transport process? Yes NoIf so, who?

11.4 Do you have a flock identification method in place during transport? Yes NoIf so, describe.

11.5 What form of transportation is used?

11.6 Are cages used? Yes NoIf yes, how many birds are loaded per cage? What is the size of the transportation cage?

11.7 Describe how clean transportation is documented?

11.8 How are birds loaded?

11.9 Is the loading area and means of transportation free of protrusions that could cause bruising and/or injury? Yes No

11.10 Do the methods of transportation provide adequate ventilation and allow the birds to stand in a natural position? Yes No

11.11 How long does transport take?

11.12 Are birds provided feed and water during transit? Yes NoIf yes, is the feed certified organic? Yes No


SECTION 12: Slaughter NOP Rule §205.201

NOT APPLICABLE, No organic poultry are slaughtered. Skip to Section 13.

12.1 Do you butcher and process meat on your farm? Yes NoIf yes, you need to complete an Organic System Plan - Handler. Contact MCIA if you do not have a handler application.

12.2 Do you use any off-farm slaughtering/processing facilities? Yes No If yes, provide the name of the operation, address, and a copy of their organic certificate. (Maintain a current copy (annually) of the facility’s organic certificate for your records.)

Name: Address: Phone:

12.3 Do you let the slaughterhouse know that your birds are certified organic? Yes No

12.4 After slaughter, is the meat returned to you for marketing? Yes NoIf yes, describe how cuts are handled post slaughter.

12.5 Type of Marketing: Farmers Market Direct to retail CSA/subscription service On-farm retail Wholesale to processor Contract to buyer Other:

REMINDER: If you are labeling organic products remember to submit copies of labels for approval prior to use.


SECTION 13: Recordkeeping and Audit Trail NOP Rule §205.103, §205.201NOP §205.103, §205.201, §205.300-311 Organic poultry producers must maintain records sufficient to preserve and track the identity of all organic birds and poultry products produced in the operation. Records must disclose all activities and transactions in a manner that can be readily understood and audited. They must be sufficient to demonstrate compliance, kept for at least 5 years, and available at inspection.If you produce both organic and non-organic crops and/or poultry, then you have a split operation. If you raise the same crops or poultry as both organic and non-organic, then you also have parallel production. If you have a split operation of any type, please be prepared to show all production, harvest, storage and sales records at your inspection that allow for tracking and production verification of non-organic crops as well as organic crops (crop lists and acreages, input application records, equipment use and cleaning, harvest and sales records, etc.) Such records are necessary to facilitate production verification audits, and are especially important if the crops are visually indistinguishable (parallel production).

13.1 Indicate the records you are keeping. (All records and audit trail documents you have checked must be available for the inspector.)

Origin of Poultry Poultry purchase records Proof of Certification of purchased birds Poultry Identification Records

Poultry Living Conditions and Natural Resource Management Records to show separation of non-organic livestock/birds Outdoor access / temporary confinement records Bedding material source(s) documentation Housing maintenance or construction Yard maintenance Erosion prevention and/or control Manure management records (composting, etc.) Documentation of Previous Land Use for Rented and/or Newly Purchased Land Activity and observation records (field logs, notes on calendar or maps, etc.) Monitoring records (soil/tissue/water tests, pest/parasite monitoring, observation logs) Natural resource restoration, Invasive species management, Native plant/wildlife monitoring

Poultry Feed/Feed Supplements and Additives/Pasture Management Feed purchase records (receipts, feed tags, labels, delivery/weigh tags, etc.) Feed production records (harvest, baling, etc.) Feed additive and/or supplement records (labels, purchase receipts, use, etc.) Feed storage/inventory records (location of facility, post-harvest activities, pest control, etc.) Feed ration descriptions for each type and class of birds Feeding records: actual quantities of feed fed to each type and class of poultry Pasture improvement

Poultry Health Care Practice Standard Health care substance/material purchase records and labels Monitoring records (pest/parasite monitoring or observation log) Flock health care records (vaccinations, biologics, anesthetics, topicals, parasiticides use, vet slips, etc.) Parasiticide use (parasite monitoring, treatment date) Mortality and cull records

Production and Sales/Transfer of Ownership Records Clean Transport Records Sales (purchase order, contract, invoice, cash receipts, cash receipt journal, sales journal, etc.) Proof of certification to buyer Shipping Records (bill of lading, etc.) Slaughter records Custom processing Other (describe):


Poultry Product Handling and Storage On-farm handling records (i.e. feed preparation, grinding, equipment cleaning, slaughter) Contracted handler certificates (slaughter/processing facilities, feed processors, etc.) Processing and/or storage records Shipping and/or sales records

Other records not listed above:

13.2 NOP regulation require that your recordkeeping system be adapted to your business, and fully disclose all activities and transactions of your operation. Please describe any plans you have to change or improve your recordkeeping system.

13.3 Do you keep production, harvesting, and handling records pertaining to organic agricultural products for at least five years after their creation? Yes No

If no, how long do you keep them?

SECTION 14: AffirmationI affirm that all statements made in this application are true, correct, and complete. No prohibited products have been applied to any of my organically managed outdoor access areas and/or used in the production of my organic poultry. I understand that the operation may be subject to unannounced inspection and/or sampling for residues at any time as deemed appropriate. I understand that acceptance of this questionnaire in no way implies granting of certification by MCIA. I agree to abide by MCIA Guidelines and the certification standards and/or certification requirements applicable to my operation. I agree to notify MCIA in writing of changes in any of the following: farm contact information, applicant contact information, legal status, ownership or control of operation. I agree to pay all fees assessed by MCIA.

Signature _____________________________________________________________ Date ____________________________

I have attached the following documents: * REQUIRED DOCUMENTATION

*Field History Sheets/Planting Plans and Maps of all pastures and outdoor access areas (showing adjoining land use and field identification)*Maps of all flock facilities*Agreement Annual Organic Crop and/or Livestock Producer*Livestock Materials List, for renewing applicant only*Payment of Base Fee (See the Fee Schedule and Scale of Sanctions)Documentation for pastures owned or rented for less than three years (if applicable)Water test (if applicable)Feed and supplement product brand names, labels and ingredient lists (*required for all off-farm inputs)Brand names, labels and ingredient lists for any health treatment materials used (*if applicable)Organic product labels (*applicable when packaging organic product)

I have made copes of this questionnaire and other supporting documents for my own records: Yes No

Submit completed form, supporting documents, Agreement Annual Organic Crop and/or Livestock Producer , and fees to:

Minnesota Crop Improvement Association1900 Hendon AvenueSt. Paul, MN 55108


§205.202 Any field or farm parcel from which...

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Transcript of §205.202 Any field or farm parcel from which...