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New Mexico Department of Agriculture Organic Program

Organic Crop ApplicationFarm/Crop Organic System Plan

Farm or Business Name: Applicant Name: Title: Phone: Email: Preferred Contact: ☐Email ☐ PhoneContact Name: Title: Phone: Email: Preferred Contact: ☐Email ☐ PhoneAdditional Contact: Title: Phone: Email: Preferred Contact: ☐Email ☐ PhoneWebsite:Mailing Address:City: County: State: Zip Code:Year Applying for Certification:

1. Preferred method of correspondence, including certification and notices: ☐Mail ☐Email

2. Provide the physical address/parcel location of the farm, with detailed street and driving directions from Albuquerque, NM to the site:

3. Business Information: Please provide a brief description of your business.

Type:

☐Individual (Sole Proprietorship) ☐Individual “Doing Business As”☐Corporation “Doing Business As” ☐Limited Liability Company (LLC)

☐Educational Institution/Public Institution/Non-Profit☐General Partnership

4. Attachments: ☐ Map (Required) ☐ Crop List (Required) ☐ Material Input List (Required) ☐ Labels (Required) ☐ Custom Service Statement(s)

☐Adjoining Land Use Statement(s) ☐Post-Harvest Form ☐Organic Seed Searches ☐Water Test Results (If Applicable) ☐Other:______________

1This application is subject to change per NOP requirements. NMDA Organic Program- [email protected]

mailto:[email protected]


Affirmation of Organic ApplicantI, ____________________ as an authorized representative of ______________________ depose and declare 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 the New Mexico Department of Agriculture (NMDA).

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

4. Permit onsite inspections with complete access to the production or handling operation, including non-certified 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 during 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 the time of payment (See 0)

8. Immediately notify NMDA about any application, including drift, of a prohibited substance to any field, production unit, storage sites, 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; new inputs (fertilizers, pest control materials, processing aides, etc); facilities; ingredients & products; changes to managers; responsible parties; contact information or email address.

10. Understand that willful violation of organic rules and regulations may result in suspending or revoking your organic certification, and in extreme cases may lead to state and federal fines and penalties.

11. Understand that submitting this application in no way implies granting of certification by NMDA. 12. Understand that this form becomes a legally binding document upon submission to NMDA.

Print Name: Title:

Signature of Authorized Representative:

Date:




Section 1. General Information 7 C.F.R. § 205.201, 205.401

1. Have you ever been denied certification or had your certification suspended or revoked? ☐ Yes ☐ No

If “Yes”, please describe circumstances, including year, certifier and issue:

2. List previous or current organic certification and/or applications for certification, by certification agencies and year:

3. Do you grow non-organic crops? If yes, please list the crop type(s) and location(s) here. ☐ Not Applicable

4. Submit a MAP that: ☐ MAP ATTACHED Includes every organic farm/field. Shows farm name, field name and acreage of each field. Shows borders & shape of each field. Identifies location of all crops and fallow land. Accurately shows all adjacent land use, such as other farms, roads, ditches, open range,

etc. Location of wells, septic systems, etc. Accurately identifies all buildings and structures present. Indicates NORTH.

5. Adjoining Land Usea) Check the types of neighboring property for all fields:

☐ Certified Organic Farmland☐ Non-Organic Farmland☐ Residential ☐ Livestock Production

☐ BLM, National Forest, or Wildlife Refuge☐ Commercial Property☐ Government/Military Property☐ Other: ______________




b) Describe the measures you take (management practices, communications and/or physical barriers) to prevent contamination by prohibited materials that are or may be applied to adjacent or nearby land (neighboring parcels or fields in split operations), or attach an Adjoining Land Use Statement: ☐ Adjoining Land Use Statement Attached

c) Check the types of buffer zone(s) that protect your crops, fields and property from contamination (such as pesticide drift or applications of prohibited materials from adjoining land owners). Please specify whether you plan to sell or represent buffer crop harvests as organic:

☐ Designated buffer zone within your field☐ Country road☐ Acequia/Arroyo/Ditch☐ Fence

☐ Unpaved access road☐ Tree line☐ Hedgerow☐ Other:______________

6. Field History (New Applicants): Complete a field history form for all fields requested for certification. Fields must not have had any prohibited materials applied within the last three years.

☐ N/A, Renewal ☐ Field History Attached

a) Have you managed all fields for 3 years or more?

☐ Yes ☐ No

b) If “No”, submit a Previous Land Use Verification Form for each field☐ Previous Land Use Form(s) Attached

c) To the best of your knowledge, what was the last application date and use of any prohibited materials & to what field(s) was the material applied? (synthetic inputs including, but not limited to fertilizers, pest, weed and disease control, etc.)☐ Not applicable, no prohibited materials applied




7. Crops Requested for Certification: Provide a complete list of crops you are applying to certify in this year (submit electronic or paper attachment if needed). This list will be used to prepare your Organic Product List. Please list generic crops and NOT the variety (examples: wheat, tomato, basil, apples, etc.) unless the variety is necessary for seed production. You may not sell new products (products that were not certified organic last year) as organic until they appear on this year’s Organic Product List.☐ 2019 Crop List Attached

8. Do you hire or contract custom services during production of organic crops? (i.e. tractor work, laser leveling, harvest, cleaning/handling, storage or transport of crops.)☐ Yes ☐ No

a) If Yes, submit a completed Custom Service Compliance Statement for each Service Provider☐ Custom Service Compliance Statement(s) Attached

9. Do you label any products? ☐ Yes ☐ Noa) If Yes, submit label proofs to NMDA for approval before printing. (NMDA is NOT responsible

for non-compliant or incorrect labels.)☐ All Proposed Labels Attached

Section 2. Seeds, Annual Transplants, & Seedlings 7 C.F.R. § 205.204 NOP § 205.204 requires that producers use organically grown seed, annual seedlings and planting stock (even when these are provided from a contracted-buyer). Annual transplants must be certified organic to produce an organic crop. Non-organically produced untreated seeds & planting stock (potatoes, garlic, perennials, etc.) may be used only if organic varieties are not commercially available.

1. Seeds and Annual Planting Stock: Organic Seed Search must be submitted for non-organic ☐ Attached☐ N/A; no seeds or annual planting stock used or planned for use (move to section 2)☐ Non-organic, untreated seed☐ Certified organic annual planting stock (i.e. seed potatoes, sweet potato slips, garlic)☐ Non-organic, untreated annual planting stock☐ Saved seed (requires additional records)☐ Imported seeda) If seed is saved, do you maintain a seed inventory and planting/harvest log?

☐ Yes ☐ No




b) Are seed inoculants/treatments/coatings used? If yes, please list seed treatments on Materials Inventory List.☐ Yes ☐ No

2. Annual Seedlings (must be organic, commercial availability exception does not apply)☐ not applicable; no annual seedlings grown or purchased☐ Seedlings or transplants grown on farm☐ Purchased certified organic seedlings☐ Other (describe):

3. Perennial Planting Stock (for crops grown as perennials, e.g. herbs, trees, shrubs, vines)☐ Not applicable; no perennial planting stock is used☐ Certified organic perennial planting stock is:

☐ Produced/Propagated on farm ☐ Purchased☐ Non-organic stock (must complete 1 year transition prior to harvest)Anticipated planting date: ________________________Anticipated harvest date: _________________________

7 C.F.R. § 205.201, 205.201(a)(5), 205.202(c)

Section 3. Greenhouse Crop Production

1. Do you produce organic seedlings, transplants or crops in a greenhouse or hoop house? ☐ Yes ☐ Noa) If Yes, complete questions 2-5 of this section.b) If No, move to Section 4.

2. Describe your greenhouse structure type(s). Check all that apply

☐ Hoop House(s)☐ Cold Frame(s)☐ Greenhouse(s)

☐ Net/Shade cover☐ Other (describe):

3. Describe your greenhouse crops. (Check all that apply.)☐ Annual transplants or seedlings☐ Perennials (planting or sale of whole plants as organic)☐ Harvested crops (e.g., fruits, vegetables, cut flowers, herbs)☐ Other (describe):




4. Are greenhouse crops grown in the ground? ☐ Yes ☐ No

5. Are crops grown in containers with planting medium? ☐ Yes ☐ No

a) If Yes, include all components of the potting soil, planting medium mixture, fertilizers and/or fertigants on your Materials List.

Section 4. Soil Fertility & Crop Nutrient 7 C.F.R. § 205.200, 205.203, 205.205NOP § 205.205 requires producers to manage crop nutrients and soil fertility through crop rotations, cover crops and applications of plant and animal material. Additionally, you must manage plant and animal materials to maintain or improve soil organic matter while minimizing contamination of crops, soil and water.

1. What are the major components of your soil-building/crop nutrient management plan?

☐ Crop rotation☐ Incorporation of crop residue☐ Green manures☐ Cover crops☐ Mulch☐ Fertilizer materials or blends

☐ Plant based compost☐ Soil inoculants☐ Raw (un-composted animal manure)☐ Compost that includes animal manure☐ Other (specify): _________________

2. List all materials used or planned for use on your Materials List.☐ All materials used or planned for use are listed on my Materials List.☐ No materials are used.

3. How do you determine the effectiveness of your soil fertility & nutrient management practices?

4. Are records maintained to track all material applications? ☐ Yes ☐ No

a) If no, please explain:

5. Describe your crop rotation plan(s), in general terms, including its main goals (soil organic matter, weed and pest management, nutrient management; erosion; biological diversity). List the sequence and frequency of crops/plant families, cover crops, green manures or sod. If you use more than one basic rotation sequence, please describe each rotation you use. For perennial crops, describe management of ground cover cropping, alley cropping, intercropping or hedgerows.




☐ Crop Rotation Plan Attached

Section 5. Manure & Compost 7 C.F.R. §205.203NOP §205.203 (manure & compost)(c) The producer must manage plant and animal materials 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. Animal and plant materials include:(1) Raw animal manure, which must be composted unless it is:(i) Applied to land used for a crop not intended for human consumption;(ii) Incorporated into the soil not less than 120 days prior to the harvest of a product whose edible portion has direct contact with the soil surface or soil particles; or(iii) Incorporated into the soil not less than 90 days prior to the harvest of a product whose edible portion does not have direct contact with the soil surface or soil particles;(2) Composted plant and animal materials produced through a process that:(i) Established an initial C:N ratio of between 25:1 and 40:1; and(ii) Maintained a temperature of between 131 °F and 170 °F for 3 days using an in-vessel or static aerated pile system; or(iii) Maintained a temperature of between 131 °F and 170 °F for 15 days using a windrow composting system, during which period, the materials must be turned a minimum of five times.The producer must not use:(2) Sewage sludge (biosolids) as defined in 40 CFR part 503

1. Manure: Do you use un-composted, raw or aged manure? ☐ Yes ☐ No

a) If No, move to question 3.

2. If Yes, select how your use of raw manure complies with the USDA organic standards. Manure is: ☐ Applied to land producing a crop not intended for human consumption (e.g., pasture, hay, cover crops, etc.☐ Incorporated at least 120 days before harvest of a crop whose edible portion may contact the soil surface or soil particles.☐ Incorporated at least 90 days before harvest of a crop whose edible portion does not directly contact the soil surface or soil particles.☐ A pelletized manure product listed or documented to meet NOP requirements of heating at 150° F for one hour or 165° F with <12% moisture content, or other procedure compliant with NOP 5006 Guidance on Processed Animal Manures in Organic Crop Production

3. Compost: Do you purchase compost? ☐ Yes ☐ No

a) If Yes, please include on your Material Inventory.




4. Do you produce compost? ☐ Yes ☐ No

a) If Yes, Complete the Compost Compliance Worksheet.☐ Attached

Please be prepared to show records (locations used, crops grown, application dates and harvest dates of crops).

Section 6. Natural Resource Conservation 7 C.F.R. § 205.200NOP §205.200 (General)Production practices implemented in accordance with this subpart must maintain or improve the natural resources of the operation, including soil and water quality.Natural Resources: The physical, hydrological, and biological features of a production operation, including soil, water, wetlands, woodlands, and wildlife.Organic Production: A production system that is managed in accordance with the Act and regulations in this part to respond to site-specific conditions by integrating cultural, biological, and mechanical practices that foster cycling of resources, promote ecological balance, and conserve biodiversity.

1. Describe the following elements of your farm, such as soil type, water quality, resource stability, etc. Include areas that extend beyond your boundaries, such as rivers and tree lines, that could be affected by your management practices.

Soil (type, erosion potential):

Water (source, quality, concerns):

Woodlands (treelines, bosque, hedgerow) & wetlands (seasonal lakes/playas included):

Wildlife observed on the farm & surrounding areas:

2. List any conservation programs you are participating in:




☐ EQUIP☐ CRP/CSP

☐ Conservation District Farm Plan☐ NRCS Farm Plan☐ Other (specify):

3. What practices do you use to conserve your natural resources and/or support biodiversity?

☐ Replace weedy areas with native plants☐ Intercropping☐ Conservation tillage☐ Contour farming☐ Hedgerows☐ Intercropping☐ Retention ponds☐ Riparian management☐ Use locally adapted seed

☐ Permanent waterways☐ Maintain wildlife habitat☐ Terraces☐ Tree lines☐ Interplanting/undersowing☐ Windbreak☐ Erosion Management☐ Winter cover crops☐ Continuous soil cover☐ Other (specify):_____________

4. Do you restrict wildlife from entering your production areas on account of food safety, crop preservation, etc.? ☐ Yes ☐ No

a) Do you remove wildlife habitat from the farm? ☐ Yes ☐ No

5. What management practices support wildlife on your farm?

☐ Timing of field activities☐ Wildlife friendly fences☐ Forage sites☐ Diverse habitats

☐ Pollinator plants☐ Provide Water☐ Brush/Trees/other cover

6. How do you monitor the effectiveness of your resource conservation practices?☐ Photo monitoring☐ Soil testing☐ Farm log/Journal☐ Species surveys

☐ Use third party monitoring☐ External conservation program☐ Other (specify):

7. Are any natural areas being restored/protected on your farm? (If yes, explain.)




Section 7. Water 7 C.F.R. § 205.200

1. Water Sources: Check all that apply.

☐ On-site well(s)☐ River/creek/pond☐ Spring

☐ Acequia/ditch☐ N/A, no irrigation

a) If water is from an irrigation district or municipal source, please list here:

2. What type of irrigation system do you use? ☐ Drip☐ Flood☐ Center pivot☐ Sprinklers/misters

☐ None/NA☐Other (specify): ____________

3. Fertigation: Do you apply fertilizers using an irrigation system? ☐ Yes ☐ Noa) If Yes, include the materials used on the Material Inventory.b) If Yes, what, if any, products are used to clean irrigation lines/nozzles?

Section 8. Weed Management Practices 7 C.F.R. § 205.206, 205.600-602, 205.103

1. What are your weed problems?

2. How do you monitor the effectiveness of your weed management program?

☐ Observation of weed types☐ Weed counts☐ Comparison of crop yields

☐ Records kept of observations/counts☐ Other (specify):________________




3. What weed control methods do you use?

☐ Crop rotation☐ Hand weeding☐ Mechanical cultivation☐ Livestock grazing☐ Flame weeding☐ Cover Crops☐ Planting time

☐ Non-synthetic mulch☐ Mowing☐ Synthetic mulch (must be removed annually)☐ Other (specify): __________________

4. Do you keep a record of how often you utilize these weed control methods? ☐ Yes ☐ No

Section 9. Pest Management 7 C.F.R. § 205.206, 202.600-602, 205.103

1. What are your problem pests?

2. What methods do you use to manage pest damage to crops?

☐ Traps☐ Lures☐ Crop rotation☐ Timing of planting☐ Physical barriers☐ Predators☐ Release of beneficial insects

☐ Physical removal☐ Beneficial habitat☐ Material applications☐ Other (specify): __________

3. Do you keep a record of crop pest management activities? ☐ Yes ☐ No

Section 10. Disease Management 7 C.F.R. § 205.206, 202.600-602, 205.103

1. Do you experience disease problems? ☐ Yes ☐ No

a) If Yes, please describe in detail:




2. Are all weed, insect pest and disease inputs applied to fields reported in your Material Inventory?☐ Yes ☐ No

3. Input Records: Can your material application records track all inputs applied to certified organic fields? (Including all inputs for weed, insect pest and disease management?)☐ Yes ☐ No

Section 11. Maintaining Organic Integrity 7 C.F.R. § 205.272, 205.201(a)(5), 205.202(c)Split production: Part of your farm business (the entity for which you seek certification) is managed to meet certification requirements for organic production, and you also produce non-organic crops.Parallel Production: A crop variety is managed to meet requirements for organic production, and you also produce the same crop variety non-organically.Procedures must be in place to prevent contamination and commingling of crops. Records verifying that steps have been taken to prevent contamination of organic crops and prevent commingling of organic & non-organic crops must be available during inspection.

1. Split & Parallel Production: Does your farm business (the entity for which you seek certification) produce non-organic crops? ☐ Yes ☐ No

a) If No, move to question 4.

b) If Yes, do you use the same equipment on organic and non-organic crops? ☐ Yes ☐ No

c) If Yes, is the equipment cleaned before use on organic crops and do you document all cleaning? ☐ Yes ☐ No

2. List each non-organic crop grown, including crops harvested from buffer zones.

Non-organic Crop Total Acres Field ID

3. Describe buffer zones for each organic field.




a) Are buffer zones harvested? ☐ Yes ☐ No

b) If yes, please describe how buffer harvests are sold, and the practices used to prevent the crop being sold as organic.

4. What procedures will you use to prevent the commingling of conventional and organic crops during harvest, transportation, and storage?

5. List all equipment used for planting, tillage, spraying, weed management, harvesting, packing, or any other production function:

Equipment Name Owned, Rented or

Custom

Used on Organic

Used on Conventional

Storage Location

6. Describe, in detail, the cleaning procedure for each piece of equipment listed in Question 5 above that is used on organic and conventional fields.




Section 12. Harvest, Packing, Storage, & Transportation 7 C.F.R. § 205.272, 205.201(a)(5), 205.202(c)NOP § 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 bags or containers that have been in contact with any substance in such amanner as to compromise the organic integrity cannot be used unless the bag or container has been thoroughly cleaned. Procedures used to maintain the organic integrity of ingredients or products (cleaning or lining) must be documented.

1. Harvest: Organic crops are harvested:

☐ By hand☐ By farm employees☐ Mechanically☐ By custom harvester

☐ By non-farm employees☐ By contract seasonal work force☐ Other (specify): _________

2. What containers are used for harvesting?

☐ Cardboard wax boxes☐ Plastic containers☐ Wooden totes

☐ Truck boxes☐ Garden carts/wheel barrels☐ Paper bags☐ Other (specify):__________

3. Are harvest containers:

☐ New☐ Dedicated organic☐ Cleaned prior to use

☐ Lined prior to use☐ Other (specify):_______

4. How do you identify harvest containers as organic?

5. What steps are taken to protect organic crops from commingling and contamination during harvest?




6. Post-Harvest: Describe your post-harvest handling procedures, and type packaging used:

a) Where does the handling take place?

7. Describe cleaning, sanitizing, and pest control procedures in your post-harvest handling area, and the names of all materials used:

8. Do you use water to clean crops? ☐ Yes ☐ No

a) Do you add chlorine or other sanitizer to wash water that has direct food contact? ☐ Yes ☐ No

b) If yes, list the exact name of the chlorine or other sanitizer.

c) Describe your procedure(s) to ensure chlorine residual does not remain on crops.

9. List all other materials used for cleaning/sanitizing food contact surfaces.

10. Crop Storage for on-farm storage, provide details of your storage area:

Storage Name Crops Stored Type of Storage

(bin, cooler, shed, barn, on ground,

etc.)

Length of Storage

(overnight, long term,

etc.)

Dedicated organic?

☐ Yes ☐No




☐Yes ☐ No☐ Yes ☐ No☐Yes ☐ No ☐ Yes ☐ No

11. Describe how you ensure organic crops are not contaminated with prohibited materials or commingled with non-organic crops during storage.

☐ Dedicated organic☐ Physical barriers☐ Training

☐ Cleaning procedures (please describe):

12. How do you prevent and control insects, pests and rodents in crop storage areas?

13. For each offside storage location, please complete and attach an Offsite Storage Verification Form with your application.☐ Offsite Storage Verification Form Attached

14. Transportation: Are you responsible for the transportation of organic crops or finished product leaving your farm? ☐ Yes ☐ No

15. How are organic crops transported?

16. How do you ensure organic crops or products are not contaminated during transport?☐ Equipment is used for organic crops only☐ Equipment is cleaned prior to organic use

☐ Organic products are transported in sealed packages or containers☐ Other (specify): _____________________

17. What type of cleaning documentation is maintained? ☐ Clean truck/affidavit from transport carrier/hauler

☐ Clean out records☐ Other (specify):______________

18. When do organic crops leave your custody? ☐ At Point of Sale ☐ At harvest ☐ Other (specify):




19. When do organic crops leave your ownership?☐ At Point of Sale ☐ At harvest ☐ Other (specify):

Section 14. Recordkeeping 7 C.F.R. § 205.103, 205.201, 205.205

RECORDS KEPT

Please note that if you produce both organic and non-organic crops, you have a split operation. If you grow the same crops as both organic and non-organic, you also have a parallel operation. If you are a split operation, please be prepared to show all production and sales records during your inspection that allow for tracking and production verification of both organic and non-organic crops (e.g., crop lists and acreages, input application records, equipment use and cleaning, harvest and sales records). Such records are necessary to facilitate organic production and validation audits and are especially important if the crops are visually indistinguishable.

1. What type of records do you keep?Indicate all that apply. In order to document practices described in your OSP, you will need all records available for inspection. Some records must be documents from other businesses (such as seed and input purchase receipts, suppliers’ organic certificates, and soil or tissue test results.) Others will be your own records of on-farm activities. You may design your own forms or use/adapt templates or sample documentation forms available from the NOP or other sources provided they include information needed to document compliance practices.☐ Purchase or acquisition records for all inputs (e.g., receipts, delivery tags, custom applicator invoices)☐ Input application records that show all materials applied to soil, water and crops (e.g. fertilizer and soil inputs, pest management materials and post-harvest handling materials), including product name/formulation and manufacturer, application date, rate or quantity, reason for use, crop and location☐ Seed, seedling, and planting stock, inoculant or seed treatments; seed-saving/propagation records; documentation of commercial non-availability of organic seed/non-GMO status of seed☐ Planting and/or field activity records that show crop rotation, including cover crops/green manures.☐ Multiple/second season planting records☐ Green house production records/Hoop house planting schedules☐ Activity and/or observation records (i.e., field log, notes on calendar or maps)☐ Manure use records showing interval between date of application and harvest date of crops grown for human consumption☐ Compost production records (e.g., composting system, ingredient, C:N ratio, temperature, turnings)




☐ Monitoring records (e.g., soil or tissue tests, water tests, pest observation logs)☐ Cleaning records (required if application or harvest equipment is not dedicated to organic)☐ Harvest records (e.g., records showing location, crop, date harvested and transported from the field)☐ Post-harvest activities (i.e., washing and grading product, labelling, coding, bagging or boxing, etc.)☐ Storage records (e.g., delivery/receiving tags showing facility location, crops, quantities, post-harvest activities and pest control)☐ Shipping records (e.g., packing facility tags, delivery receipts, receiving documents, bills of lading)☐ Sales records (e.g., invoices, purchase orders, grower statements, inventor lists)☐ Other (describe):

The USDA organic regulations require that your recordkeeping system be adapted to your business and fully disclose all activities and transactions of your operation.

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

3. Can your recordkeeping system balance crops harvested with crops sold? ☐ Yes ☐ No

Sales Information for This Year

1. Do you or do you plan to export or import any products? ☐ Yes ☐ No

a) If yes, please indicate to which countries:

2. Please list the following ways product is sold: ☐ Farmer’s Market☐ Restaurants☐ On-farm sales☐ Bulk sales to retail

☐ CSAs☐ Bulk sales to food processors, dairy farms, wholesale buyers, etc.☐ Other:_________________________




3. Provide detailed information for sales of all organic crops and products last year.

Organic Crop/Product

Yield (pounds, tons, bushels,

etc.)

Wholesale Sales (round to the

nearest dollar)

Direct to Consumer SalesFarmers Markets

On-farm Sales

CSA Sales

Past Year’s Total Certified Organic Sales

Application Fees

As a reminder to all applicants, cost share reimbursement is being handled by the Unites States Department of Agriculture (USDA) Farm Service Agency (FSA) now. Please contact your local county FSA agent for more information about the current requirements and processes of the Organic Cost Share Program.

Please refer to https://fsa.usda.gov/programs-and-services/occsp/index for more information about the Organic Certification Cost Share Program. All other inquiries, including applications must be submitted to FSA.

Application Fee

NEW Applicant Fee Not Certified Organic by NMDA Last Year

☐ Application Fee = $750.00

RENEWAL Applicant Fee Certified Organic by NMDA Last Year

☐ Renewal Fee = $500.00

Application Fee = $Inspection Fees: An hour rate of $65/hour plus mileage and per diem will be charged for inspections.

Late Fee (For RENEWAL applications postmarked after the anniversary date of the operation.)

Renewals received 30 days after anniversary date ☐ Late Fee: $100.00Renewals received 60 days after anniversary date ☐ Late Fee: $200.00Renewals received 90 days after anniversary date ☐ Late Fee: $500.00


https://fsa.usda.gov/programs-and-services/occsp/index



Late Fee = $

Application Fee + Late Fee=TOTAL FEES

= $

Business Name:Authorized Representative Signature: Date:

Fee Policy

1. Fees are NOT REFUNDABLE.2. Make checks payable to “NMDA”3. If new or additional fields or products are added after the annual inspection is complete,

additional costs will be incurred. A cost estimate will be provided: If a second inspection is necessary, you will be billed for the actual cost of the

inspection and the actual cost of the desk audit ($65/hour) to complete the additional inspection.

In cases where no second inspection is required, you will be billed for the actual cost of the desk audit ($65/hr).

Payment must be received before the new or additional fields/products are certified organic and added to the Organic Product List and the Organic System Plan.

Mailing Procedure

Mail Application and Fee Payment Documents to:

NMDA Organic Program 2604 Aztec Road NE

Albuquerque, NM 87107

Or email application to [email protected]


