MN NRCS Page 1 of 3 March 2019 USDA is an equal opportunity provider, employer, and lender.

Producer: Project or Contract:

Location: County:

Farm Name: Tract Number:

Integrated Pest Management (IPM) strategies such as Prevention, Avoidance, Monitoring and Suppression (PAMS) are employed to prevent or mitigate pest management risks for identified natural resource concerns.

Gopher State One Call Utility Service 651-454-0002 or 800-252-1166

Index Cover Sheet

Location of approved Baseline Integrated Pest Management Plan (CAP 114 or equivalent) including all documentation shown on the Integrated Pest Management (IPM) checklist for plan developers (MN-ECS-16)

Field Maps (showing detailed aerial view of where practice is to be installed on farm/site, showing all major components, stationing, relative location to any landmarks, and sensitive features with setbacks)

Integrated Pest Management (IPM) Plan Form (MN-CPA-047)

Windows Pesticide Screening Tool (Win-PST) Soil/Pesticide Interaction Hazard Rating

Scouting and Monitoring Reports, and Recommendations Based on Scouting

Practice Certification and Record Keeping Form (MN-CPA-046)

Practice Purpose(s)

Operation and Maintenance

Certification Statement

This practice is being implemented as part of a soil health management system. By applying the Integrated Pest Management (595) practice, you are managing pests by following an ecological approach that promotes the growth of healthy plants with strong defenses, while increasing stress on pests and enhancing the habitat for beneficial organisms. Other practices that can be applied as part of a soil health management system are Conservation Crop Rotation (328), Residue and Tillage Management, No-Till (329), Cover Crop (340) and Nutrient Management (590).

595 – Integrated Pest Management Implementation Requirements

595 – Integrated Pest Management Implementation Requirements

MN NRCS Page 2 of 3 March 2019 USDA is an equal opportunity provider, employer, and lender.

Practice Purpose (check all that apply) Prevent or mitigate off-site pesticide risks to water quality from leaching, solution runoff and adsorbed runoff losses.

Prevent or mitigate off-site pesticide risks to soil, water, air, plants, animals, and humans from drift and volatilization losses.

Prevent or mitigate on-site pesticide risks to pollinators and other beneficial species through direct contact.

Prevent or mitigate cultural, mechanical, and biological pest suppression risks to soil, water, air, plants, animals, and humans.

Operation and Maintenance (check all that apply) Review and update the plan annually to incorporate new IPM and pesticide management technology, respond to cropping system and pest complex changes, and avoid the development of pest resistance.

Maintain mitigation techniques identified in the plan to ensure continued effectiveness.

Calibrate application equipment according to UMES and/or manufacturer recommendations before each season of use and with each major chemical change.

Keep pesticide application records for a minimum of 2 years when these pesticides are applied by private applicators, and a minimum of 5 years when pesticides are applied by commercial or non-commercial applicators.

595 – Integrated Pest Management Implementation Requirements

MN NRCS Page 3 of 3 March 2019 USDA is an equal opportunity provider, employer, and lender.

Provided Practice Cost information Site-specific cost estimate, or specifications for the producer to develop a cost estimate or obtain the bid themselves.

Design Installation and Layout Approval Designed by: Date: Job Approval Authority:

Approved by: Date: Job Approval Authority:

Record of Completion and Check Out Certification Treated Acres Date Completed by Client Date Certified Approver’s Initials

Additional documentation to support practice certification is located in the Case File.

Certification Statement I certify that implementation of this conservation practice is complete, meets criteria for the stated purpose(s), and meets the NRCS conservation practice standard and specifications.

Printed Name: Date:

Title: Job Approval Authority:

Signature:

Notes:

Practice Specifications Approval and Completion Certification