Check Missing Information

Manure Management Plan Administrative Review Check List

(C HECK BBOX FOR IINFORMATION) Owner: 1. On DNR forms available at: County: http://www.iowadnr.gov/Environment/ Facility ID #: LandStewardship/AnimalFeedingOperations/ AFOResources/AFOForms.aspx Reviewer: Date Received: 2. Signed and dated Date of Approval Denial: 3. County verification received (Check one)

4. Filing fee paid (If needed) Check #: Amount: $ 5. Indemnity fee paid (If needed) Date: 6. Compliance fee paid (If needed) Stop here for annual update short form Table 3 7. Plat map included Corn nitrogen crop usage rate (if corn is in the crop schedule) 8. P index detailed report 9. RUSLE2 Profile Erosion Calculation Record Table 4) Row 1 Applying manure for (2-yr minimum) 10. Specific data fields completed: Row 2 Optimum crop yield Row 3 P2O5 removed with crop by harvest Page 1 Animal Feeding Operation Information Row 4 Crop N utilization Location of the operation Row 6 Remaining crop N need Owner / phone Row 7 Manure rate to supply remaining N

Complete contact address / phone Row 8 P2O5 applied with N-based rate New, existing or expanding Table 5 (must be completed if P index value on page 3 Table 1 column 7 is >2, otherwise Table 5 can be blank) Animal Type/Production phase Maximum # of animals confined Row 10 Manure rate to supply P removal Manure storage structure Row 11 Manure rate for P based plan N and P concentration Row 12 Manure N applied with P based plan Annual manure produced Estimated annual animal production Table 6 Row 13 Planned Manure Application Rate Page 2 Determining Maximum Allowable Manure Application Rates Page 3 Year by Year Manure Management Plan Summary Methods to determine crop yields Field designation Timing of application Field location Method of Application Mgt. ID Application loss factor Planned Crop Acres receiving manure Table 2 Owned/rented/agreement Total N (Agreements included if necessary) P2O5 P index value st nd rd %TN available 1 year, 2 year, and 3 year (until HEL (Y/N) 100% is reached) Planned application rate (gal or ton/acre) st nd rd Available N 1 year, 2 year, and 3 year Planned application (gal or ton/field) Correct Soils Test for P (Yes or No)

03/2012 cmz DNR Form 542-0138