SLURRY OR SLUDGE APPLICATION FIELD RECORD (Form D-6)

NE-CPA-42 Slurry or Sludge Application Field Record4/01

Farm Owner: Livestock/Poultry Facility: Year:

Manure Applicator:Net Load Capacity: gallons

Date / Field ID / Number of Loads / Is Storage Agitated During Pump Out? / Is Manure Incorporated into Soil? / Area Covered (acres) / Wind Direction from: / Set backs maintained / Soil/Field Conditions / Operator Initials
Sample /

Pivot 1

/ / / / / / / / / / / / / Yes
No / Yes,
days
Nolater / 8 acre / SE / 30’ from stream / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
Yes
No / Yes,
days
Nolater / Frozen Snow-covered
Wet Moist
Dry
The minimum distance between the manure application area and any stream, lake, wells, impounded waters or wetlands was feet.