|
APPENDIX "E"
FARM UNIT DECLARATION FORM
NMP# ______________
Intensive Livestock Farms requiring a nutrient management
plan are required to develop the nutrient management plan for the
entire farm unit. Within the Agricultural Nutrient Management By-Law, the
term "farm unit" means the composite of all parcels of land,
whether owned or rented, which are operated as one farm operation,
including but not limited to the principal farm residence, any
accessory residences, woodlot(s), barns and other structures
necessary to support agricultural and ancillary uses or as per a
signed Farm Unit Declaration Form. In short, all lands which are to be used for the application
of manure from any livestock barns included in the nutrient management
plan make up the farm unit.
These lands must be accounted for in the applicable nutrient
management plan. The farm unit does not have to include livestock from other
properties if the manure from livestock on the other properties is
handled on a completely separate and definable land base. If this is
the case, the owner must sign this document to indicate his/her
intent to keep the different farm units (livestock and land bases)
separate.
In accordance with this information,
I, ____________________________________ (Livestock Owner/Operator)
declare that the following properties comprise the farm unit. Should
this farm unit constitute an Intensive Livestock Farm, I acknowledge
that I am required to complete a Nutrient Management Plan, and that
such Nutrient Management Plan shall include all of the lands
identified on this form:
Location 1 -- Home Farm
| Lot |
Concession |
Former Township |
Ward |
County |
|
|
|
|
|
| 911 Address |
Assessment Roll # |
Tillable Acres |
PIN |
|
|
|
|
(if more space is required, please use other side)
I hereby agree that the manure generated from the farm unit
identified on this form shall be applied only to the land base
identified on this form. I understand that the application of manure
generated by this farm unit to lands outside of this farm unit will
be in contravention of the Nutrient Management By-Law of the County
of Prince Edward.
LIVESTOCK FARM OWNER(S)/OPERATOR(S)
________________________
Name (please print) |
|
________________________
Signature |
________________________
Name (please print) |
|
________________________
Signature |
Witness:
________________________
Date |
|
________________________
Signature, Chief Building Official |
Location 2
| Lot |
Concession |
Former Township |
Ward |
County |
|
|
|
|
|
| 911 Address |
Assessment Roll # |
Tillable Acres |
PIN |
|
|
|
|
Owned?
Yes No |
Non-owned or
jointly owned?1
Yes No |
Form C
received?
Yes No |
|
|
1 All non-owned or Jointly owned lands will require a Manure
Application Agreement Form (Appendix C)
Location 3
| Lot |
Concession |
Former Township |
Ward |
County |
|
|
|
|
|
| 911 Address |
Assessment Roll # |
Tillable Acres |
PIN |
|
|
|
|
Owned?
Yes No |
Non-owned or
jointly owned?1
Yes No |
Form C
received?
Yes No |
|
|
1 All non-owned or Jointly owned lands will require a Manure
Application Agreement Form (Appendix C)
Location 4
| Lot |
Concession |
Former Township |
Ward |
County |
|
|
|
|
|
| 911 Address |
Assessment Roll # |
Tillable Acres |
PIN |
|
|
|
|
Owned?
Yes No |
Non-owned or
jointly owned?1
Yes No |
Form C
received?
Yes No |
|
|
1 All non-owned or Jointly owned lands will require a Manure
Application Agreement Form (Appendix C)
Location 5
| Lot |
Concession |
Former Township |
Ward |
County |
|
|
|
|
|
| 911 Address |
Assessment Roll # |
Tillable Acres |
PIN |
|
|
|
|
Owned?
Yes No |
Non-owned or
jointly owned?1
Yes No |
Form C
received?
Yes No |
|
|
1 All non-owned or Jointly owned lands will require a
Manure Application Agreement Form (Appendix C)
Location 6
| Lot |
Concession |
Former Township |
Ward |
County |
|
|
|
|
|
| 911 Address |
Assessment Roll # |
Tillable Acres |
PIN |
|
|
|
|
Owned?
Yes No |
Non-owned or
jointly owned?1
Yes No |
Form C
received?
Yes No |
|
|
1 All non-owned or Jointly owned lands will require a Manure
Application Agreement Form (Appendix C)
|