Manure Management Self-Reporting

*1.FirstName
*2.Lastname
*3.Address(pleaseusetheaddresscoveredinthemanureplan)
4.Address2

*5.City
*6.State
*7.ZipCode
*8.County
9.Phonenumber

10.Iftheaddresscoveredbythemanureplanisdifferentfromyourmailingaddress,
pleaseprovideyourmailingaddressbelow.

*11.Numberofcroplandacrescoveredinmanuremanagementplan
*12.Numberofacresinpasturecoveredinmanuremanagementplan
*13.Numberofacresinhaycoveredinmanuremanagementplan

Manure Management Self-Reporting

*14.Manureanimaltype
Pleasechooseonedominantanimaltypeproducingthemanureusedonyouroperation.
DairyAnimals
Beef
Pigs
Poultry
Turkey
Sheep
Horse
Other
Other(pleasespecify)

Manure Management Self-Reporting

*15.Whatisthedatethemanuremanagementplanwasimplemented?
Month
Year

Manure Management Self-Reporting

Assistancepreparingplan
16.Whoorwheredidyougetinformationtoassistyouinpreparingtheplan?(Selectall
thatapply)
Conservationdistrictoneononeassistance
Conservationdistrictworkshop
Privatesector/nutrientmanagementplanners
Certifiedcropadvisor
None
Other(pleasespecify)

Manure Management Self-Reporting

*17.Doyouhaveoneormoreanimalwastemanagementsystems(manurestorages)for
Dairy?
Yes
No

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*18.Doyouhaveoneormoreanimalwastemanagementsystems(manurestorages)for
Beef?
Yes
No

Manure Management Self-Reporting

*19.Wereanycounty,state,orfederalgovernmentfundsusedtoconstructthismanure
storageforDairy?
Yes
No

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*20.Wereanycounty,state,orfederalgovernmentfundsusedtoconstructthismanure
storageforBeef?
Yes
No

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*21.Doyouhaveoneormoreanimalwastemanagementsystems(manurestorages)for
Poultry?
Yes
No

Manure Management Self-Reporting

*22.Wereanycounty,state,orfederalgovernmentfundsusedtoconstructthismanure
storageforPoultry?
Yes
No

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*23.Doyouhaveoneormoreanimalwastemanagementsystems(manurestorages)for
Swine?
Yes
No

Manure Management Self-Reporting

*24.Wereanycounty,state,orfederalgovernmentfundsusedtoconstructthismanure
storageforSwine?
Yes
No

Manure Management Self-Reporting

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*25.Doyouhavestreambankfencing?
Yes
No

Manure Management Self-Reporting

*26.Wereanycounty,state,orfederalgovernmentfundsusedtoconstructthisstream
bankfencing?
Yes
No

Manure Management Self-Reporting

*27.Doyouhavebarnyardrunoffcontrols?
(Thisincludespracticessuchasroofrunoffcontrol,diversionofcleanwaterfromentering
thebarnyardandcontrolofrunofffrombarnyardareas.)
Yes
No

Manure Management Self-Reporting

*28.Whichpractice(s)
Entertheyearbuiltforallthatapply:
RoofGutters
RoofRunoffStructures
ConcreteBarnyards
Curbs
CollectionSystemand/or
Pumps
BarnyardRunoffFilterStrip
ExclusionFencing

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*29.Wereanygovernmentfundsusedtoconstructthesebarnyardrunoffcontrols?
Yes
No

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DairyManureStorageNotPaidForwithGovernmentFunds

*30.Year(s)dairymanurestoragebuilt
Year
Year
Year
Year

*31.Numberofanimals

Manure Management Self-Reporting

BeefManureStorageNotPaidforwithGovernmentFunds

*32.Year(s)beefmanurestoragebuilt
Year
Year
Year
Year

*33.Numberofanimals

Manure Management Self-Reporting

PoultryManureStorageNotPaidforwithGovernmentFunds

*34.Year(s)poultrymanurestoragebuilt
Year
Year
Year
Year

*35.Numberofanimals(yearlyproduction)

Manure Management Self-Reporting

SwineManureStorageNotPaidforwithGovernmentFunds

*36.Year(s)swinemanurestoragebuilt
Year
Year
Year
Year

*37.Numberofanimals(yearlyproduction)

Manure Management Self-Reporting

StreamBankFencingNotPaidforwithGovernmentFunds

*38.Year(s)streambankfencingbuilt
Year
Year

*39.Averagewidthfromstreambanktofencing(infeet).Thisisthewidthofyourbuffer.
*40.Lengthoffence(infeet)

Manure Management Self-Reporting

BarnyardRunoffControlsNotPaidforwithGovernmentFunds

*41.Year(s)barnyardrunoffcontrolbuilt
Year
Year
Year
Year