New Mexico Department of Agriculture, Organic Program
2016Application for Organic CertificationNON-RUMINANT LIVESTOCK
poultry, rabbits, swine, etc.
Rancher’s Name: / Phone Number: / Title:
Contact Name (if different from above): / Phone Number: / Title:
Foreman/ Manager (if different from above): / Phone Number: / Title:
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
Cooperative
Other (please List):
Affirmation of Organic Applicant
I, as an authorized representative of [Business Name] depose and say that I will:
- Fully comply with all applicable organic production and handling regulations in accordance with Title 7 CFR Part 205 National Organic Program Rule.
- Establish, implement, and update annually an organic production or handling system plan that will be submitted to New Mexico Department of Agriculture (NMDA).
- Supply NMDA with all information required to verify compliance with the National Organic Program Rule.
- 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.
- Maintain all records applicable to the organic operation for not less than five (5) years beyond their creation.
- 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.
- Submit to NMDA the applicable fees as described on the fee schedule which is current at time of payment (see pgs. 16 & 17).
- 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.
- 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; new inputs (fertilizers, pest control, processing aids, etc.);facilities; ingredients & products; changes to managers or responsible parties; contact information and email address.
- 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.
- Understand that submitting this application in no way implies granting of certification by NMDA.
Signature of Authorized Representative: / Date:
Print Name: / Title:
If you were Certified Organic in 2015, please report your
2015ORGANIC SALES & YIELDS
● Sales include CSA, farmer’s markets, restaurants, on-farm stands, 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 2015 / $
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 the importance of organic farming in New Mexico’s economy.
% / Restaurant
% / Retail Stores
% / Other (please specify):
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FIELD HISTORY & MAPS
COMPLETE THE FIELD HISTORY BELOW FOR EACH FIELD FOR ALL FOUR YEARS(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.
Check if NOT certified in 2015 / Farm/Field Name and/or Number+ Location (address or Township, Range, Section) / Acres / 2016
crops / 2016 material inputs / 2015
crops / 2015
material inputs
CONTINUED NEXT PAGE →
← CONTINUED FROM PREVIOUS PAGE / Farm/Field Name and/or Number
+ Location (address or Township, Range, Section) / Acres / 2014
crops / 2014 material inputs / 2013
crops / 2013
material inputs
PLEASE ADD TOTAL ACRES HERE → ←
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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.(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.
(h) Indicates NORTH.
Attachment (check if map is attached rather than detailed below)
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Organic System Plan - Non-Ruminant Livestock Producer poultry, rabbits, swine
Section A. General Information § 205.201 , 205.401National Organic Standards 7 CFR 205 require 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. Please remember that your plan may change.Changes or updates must be approved by NMDA prior to implementation. Submit changes and updates by email, letter or fax. Keep copies of all applications, forms and documents you submit to NMDA.
1. Please check the boxes that apply to your operation:
Laying hens/eggs / Meat birds / Pasture/Forage
Rabbits / Pigs / feed/hay: for your own livestock for sale
Living livestock for sale / Crops for human consumption / Other
Please provide a complete list of livestock, products and crops you want to certify in 2016. This will be used to prepare your Organic Product List. (Examples: native pasture, wheat, alfalfa, sorghum silage, turkeys, eggs, hogs, cuts of meat, etc.) Please note that your Product List must be updated before you sell crops that were not certified in 2015.
Animal Class/stage of Production / Number of Head / Crops
Example: laying hen / 56 / Example: native pasture / alfalfa, oats and native grass
2. Please provide detailed directions to your operation:
If you are producing either of the following you must also complete a separate application for each - please contact NMDA
3. Organic crops for human consumption On site slaughter and packing
4. Have you ever previously applied for organic certification? / Yes / No
4a. If “Yes,” please list the year(s) and certifying agency to which you applied.
5. Are you currently certified organic, or have you ever been certified organic? Yes No
5a. If “Yes,” please list the name of the certifying agency and the year(s) certified by that agency.
6. Have you ever been denied certification or had your certification suspended or revoked? / Yes / No
6a. If “Yes,” please list the name of the certifying agency, the year(s) and describe the circumstances. Please attach copies of Notice of Denial of Certification and/or Notice of Noncompliance; description and evidence of your corrective actions.
7. 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
7a. If “Yes,” please note issues or information requested and how you have resolved the issue.
Chain of custody
8. When do organic products leave your CUSTODY?
At point of sale - retail /wholesale
At harvest
Other(please specify): / 8a. 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 for 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 of 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.
11. If Non-Ruminant livestock are on pasture or are free range, the land must be managed according to Organic Crop Regulations. Please complete and submit the Non-ruminant Crop Sections attached below.
Non –ruminant Crop Sections Attached
If you produce labeled products, submit label proofs to NMDA for approval before printing.
NMDA is NOT responsible or liable for non-compliant or incorrect labels.
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 §205.236
Organic livestock products must come from livestock under continuous organic management from the last third of gestation except poultry which must be under continuous organic management beginning no later than the second day of life.
- Please check all methods of animal identification that you use on the ranch:
- If you buy replacement animals, list all sources 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. (505) 555-5555 / X
Maintain all receipts and organic certificates for purchased animals and have them available at your annual inspection.
- Do you breed livestock or hatch chicks/poults on the farm?
- Have all animals (except poultry) been under continuous organic management since the last third of gestation?
- Have all poultry been under continuous organic management since the 2nd day of life?
Section D. Slaughter 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 continuous organic management beginning no later than second day of life.
- Do you slaughter or contract with slaughter facilities? N/A no slaughter
If you slaughter, you must be a certified Organic Processor/Handler. Contact NMDA for details.
If you contract with a slaughter facility, it must be Certified Organic. Please attach the Organic Certificate.
Section E. Organic Feed Ration §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
(supplements, salt, etc.) / Grain / Forage / Other
Example: Layers / 1400 / Layer Mash / Pasture / Scratch / 450#/day / Daily access / Free fed
You must have current organic certificatesavailable at your annual inspection for all purchased feed.
Section F. Livestock Health §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.
- Review the conditions that have/ could afflict your animals. Describe your preventative plan and treatment used if preventative plan is insufficient. Include treatments(s) used if preventative plan is not effective. Use additional sheets as necessary.
Condition / Experienced? / Preventative Plan / Treatment (if prevention fails)
Example: 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)
- Do you administer vaccines?
2a. If “Yes,” are any of these vaccines genetically modified? / Yes / No Don’t know
List all vaccines used on your operation in Section F.Livestock Health.
- If an animal was treated with a prohibited material ( example: synthetic medicine or health care product) , describe your plan and/or current practice for removing this animal from the organic market:
You must document that all animals treated with a prohibited material were removed from the organic market.
- Are animals subject to physical alterations?
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 G. Livestock Living Conditions & Pasture §205.239
Organic livestock operators must establish and maintain livestock living conditions which accommodate the health & natural behavior of animals, including access to the outdoors, clean and dry bedding as well as shelter for organic animals.
- Indicate which of the following accommodations are provided for your organic livestock:
Access to outdoors Shade Exercise area
Fresh air Direct sunlight Other (specify):
- Do you provide access to pasture?
- 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 and /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. Do you buy or produce the bedding?
5c. Is the bedding edible? / Yes / No
5d. If you buy the bedding, isit certified organic? / Yes / No
If 5d =“Yes,” you must have a current organic certificate available at your inspection.
6. 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 (specify):
You must maintain records of pasture/access to the outdoors and have this information available at your inspection.
7. Please list your annual average percentage of culled (live) livestock:
8. List your annual average percentage of death or loss:
Section H. Egg Handling §205.236, 205.237, 205.238, 205.239
1. Do you raise poultry or waterfowl for egg production? If “No,” skip to Section J / Yes / No
1a. If “Yes,” do you sell your eggs anywhere other than on your own physical farm location? / Yes / No
1b. If “Yes,” do you have a New Mexico Egg Dealers License or have you registered as an ungraded egg dealer?
If no, please see / Yes / No
Organic Certification cannot be granted for egg dealers unless you meet any applicable New Mexico license requirements.
2. Do you use new cartons for your eggs? / Yes / No
3.Do you use used cartons for your eggs? / Yes / No
3a. If “Yes,”were the used cartons from certified organic eggs? / Yes / No
4. Do you label your organic eggs? If “Yes,” please submit label proofs for approval before printing. / Yes / No
NMDA is NOT responsible or liable for non-compliant or incorrect labels.
Section I. Packing, Storage, and Transportation § 205.272 § 205.272 requires that handling practices and procedures present no contamination risk to organic products from commingling with non-organic products or contact with prohibited substances. Packaging materials, bins, and storage containers must not contain synthetic fungicides, preservatives, or fumigants. Reusable containers that have been in contact with any substance in such a manner as to compromise the organic integrity cannot be used unless container has been thoroughly cleaned. Procedures used to maintain the organic integrity of ingredients or products (cleaning or lining) must be documented.
1. What type of containers are used to store organic products (tubs, boxes, etc.)?
2. Are containers dedicated organic only? / Yes / No
2a. If “No”, how is contamination prevented?
3. Which type of storage is used for your organic product? This includes short-term or overnight in tubs, coolers or refrigerators. N/A
Product / On site? / Location & unit name /number / Type (cooler, freezer etc.) / Dedicated Organic?
Yes No / Yes No
Yes No / Yes No
Yes No / Yes No
4. How do you ensure organic products are not contaminated during storage and transport?
Section J. Recordkeeping § 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. You are required to maintain records related to organic production for 5 years and have them available during inspections.Records include but are not limited to field history, maps, seeds, transplants, planting, fertilization, pest control, harvest, storage, transportation, livestock origin & births/hatching, feed, pasture, healthcare, medications, slaughter, egg gathering, storage, sales.
1.Be prepared to submit copies of all records requested by NMDA.
2.Be prepared to produce all records requested by your inspector at the time of inspection.
Organic recordkeeping forms are available at
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