<p> Questionnaire to provide Price Proposal</p><p>For services to prepare Nutrient Management Plans & Provide CAFO NPDES Permit Assistance</p><p>Purpose:</p><p>1. Obtain basic farm information required to quote prices for environmental services that producer may be interested in obtaining from ManPlan Inc.</p><p>2. Develop insight into current level of nutrient planning implementation for manure storage, land application, land treatment, manure export, and feed management. </p><p>3. Determine producer’s needs to meet regulatory requirements and timeline to meet deadlines.</p><p>Please return questionaires electronically to: [email protected]</p><p>ManPlan Contact Information: Questions or additional information can be obtained from: Dennis Godar, Operations Director, (217) 622-4199, [email protected] Joe Lally, Environmental Associate, (712) 263-9729, [email protected] Cindy Logsdon, GIS Technician (217) 498-8817, [email protected] Molly Ann Godar, Business Manager, (217) 498-8817, [email protected]</p><p>Home Office address: 8810 Buckhart Road Rochester, Illinois 62563</p><p>ManPlan Inc Office: 217 498-8817 Fax 800 633-2814 (Fill in between the < > symbols.), This document can be emailed back to [email protected]</p><p>Name of operation: <example farms > 1. Owner: < > 2. Owner’s address: < > 3. Telephone: < > CELL: < ></p><p>4. Person to contact regarding this price proposal: Name: < > Title: < > Telephone: < > CELL: < > Address: < > < ></p><p>5. Location of operation: State: < > (County) < > (Township) < > (Section) < > (Quarter) < ></p><p>6. Operation’s address: < > < ></p><p>7. Estimated total area of open feedlot Acres < > or dimensions: < ></p><p>8. Number and capacity of manure and wastewater storage and handling systems: Settling Tanks: < > Settling Basins: < > Manure Pits: < > Outside Liquid Storage: < > Stacking Pads: Covered: < > Un-Covered: < > Lagoons: < > Storage Ponds: < > Center Pivots: < > Traveling Guns: < ></p><p>9. Acres Available for Solid Manure Applications: < ></p><p>10. Acres Available for Liquid Manure Applications: < ></p><p>11. Manure Transferred off-site Annually, Gallons: < > Tons: < ></p><p>ManPlan Inc Office: 217 498-8817 Fax 800 633-2814 Questions concerning Open Feedlots, with Outside Lots</p><p>12. Does the operation currently have an NPDES permit? < ></p><p>13. Has the operation applied for an NPDES permit? < ></p><p>14. Has the operation registered with DNR as an Open Feedlot? < ></p><p>15. Does the operation have proper soil tests on fields that will receive manure? applications? (eg: at least 1 composite sample per 10 acres for Iowa DNR) < ></p><p>16. Does the operation have recent manure test results from liquid and solid? manure storages? < ></p><p>Questions concerning Confinement Feeding Operations: (Roofed facilities such as swine, poultry or deep bedded barns; NO outside lots)</p><p>17. Does the operation need a Manure Management Plan update using the new Iowa Phosphorus Index? < ></p><p>EQIP / CNMP’s: </p><p>18. Is the operation interested in working with NRCS to apply for EQIP (Environmental Quality Incentive Program) cost sharing programs? < ></p><p>19. Does the operation need a CNMP? A Comprehensive Nutrient Management Plan (CNMP) is required if the operation has an EQIP contract. < ></p><p>20. What are your greatest environmental or regulatory concerns? < ></p><p>ManPlan Inc Office: 217 498-8817 Fax 800 633-2814 1. Land resources controled by this opertion: (Fill-in table )</p><p>Irrigated Land Under Your Dryland Under Your Management Management Average Yield Acres Average Yield Acres Acres Acres Crop: per Acre Manured per Acre Manured</p><p>Corn for grain bu. bu. Corn for silage ton ton Soybeans bu. bu. Wheat bu. bu. Mostly Legume Hay ton ton Mostly Grass Hay ton ton Other: Other: Other: </p><p>2. Animals (average full capacity and numbers finished per year). Facilities One- Number of Approximat Approximate Feedlot Cattle Time Capacity Animals Finished e Storage (# of animals) per year Area of Lots Capacity Under 500 lbs 500 – 1000 lbs Over 1000 lbs </p><p>Number of Facilities One- Animals Approximate Approximate Dairy Cattle Time Capacity Finished per Area of Lots Storage Capacity (# of animals) year Calves < 500 lbs Heifers Dry Cows Lactating Cows </p><p>ManPlan Inc Office: 217 498-8817 Fax 800 633-2814</p>