**WISCONSIN ORCHARD GROWERS SELF ASSESSMENT TOOL**

**EQIP 2005**

This sheet must be completed, signed, dated, and received in the
servicing local NRCS office no later than close of business of the last
day of the EQIP signup for Orchard Growers.

Name:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Farm
Number\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Tract
Number\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date of
Application\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[Instructions: Circle the situation that best describes your operation
on the acres for which you are applying. Complete both sides of this
questionnaire. When complete, sign and date this questionnaire in the
space provided at the end.]{.underline}**

Section 1: Magnitude of environmental benefits resulting from the
treatment of National

Priorities and the priority Natural Resource Concerns.

1\. Main methods of pest management (select only one):

a\. Mainly chemical control based on calendar or plant stage.

b\. Mainly chemical control based on occasional scouting.

c\. Mainly non-chemical control of pests (cultural, mechanical,
beneficial insects, etc.).

> d\. Combination of chemical and non-chemical (cultural, mechanical,
> beneficial insects,
>
> etc.) based on scouting and monitoring.

2\. Type of scouting most commonly used (select only one):

a\. No scouting performed during the season.

b\. Informal orchard edge/ 'windshield' observation.

c\. Check hot spots or problem areas occasionally.

d\. Structured scouting program.

3\. Scouting records (select only one):

a\. No records kept.

b\. Written records kept.

c\. Written records organized to track changes in pest pressure over
time.

4\. Scheduling application of arthropod controls (select only one):

a\. Calendar schedule

b\. Seasonal/tree phenology based schedule

c\. Monitor/scout for emergence of pest build up, then treat.

d\. Monitor/scout for emergence of pest build up, then treat based on
threshold.

5\. Fungicide Use (select one under apple or cherry):

5A. APPLE-Fungicide Use

a.  Protectant fungicides applied season long.

b.  Protectant fungicides applied during primary scab season.

c.  Both protectant and post infection fungicides applied during the
    primary scab season with

> reduced fungicide applications after.
>
> 5B. CHERRY-Fungicide Use

a.  Protectant fungicides of two or fewer fungicide families applied all
    season long.

b.  Both protectant and post infection fungicides utilizing three or
    more fungicide families applied, making adjustments for disease
    pressure and weather.

c.  Both protectant and post infection fungicides of three or more
    fungicide families applied all season long.

6\. Models/computer programs used in making pest management decisions
(select all that apply):

a\. Modifiled Mill's Table and/or similar disease prediction model for
apple scab.

b\. MARYBLYT model used for fireblight.

c\. Predictive models for summer diseases and insects (plum curculio,
codling

> moth, etc.)

7\. Weather data is used in making pest management decisions (select the
one you use most often).

a\. Wind direction/wind speed.

b\. Daily maximum/minimum temperature.

c\. Rainfall/temperature/relative humidity.

d\. Degree days.

8\. APPLE- Apply newer reduced risk insecticides instead of
OrganoPhosphate pesticide application for

plum curculio, codling moth, or apple maggot (select one).

a.  0-1 sprays substituted with reduced risk pesticides.

b.  2-4 sprays substituted with reduced risk pesticides.

c.  5 or more sprays substituted with reduced risk pesticides.

CHERRY- Apply newer reduced risk insecticides instead of OrganoPhosphate
pesticide application for

plum curculio, green fruitworm, or cherry fruitfly (select one).

a.  0-1 sprays substituted with reduced risk pesticides.

b.  2-4 sprays substituted with reduced risk pesticides.

c.  5 or more sprays substituted with reduced risk pesticides.

I certify that I have answered all of the questions on this
questionnaire accurately regarding the land being offered for the EQIP
program. I acknowledge that providing incorrect information on this
worksheet can result in the termination of any EQIP contract which may
be developed based on the information provided on this questionnaire.

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GROWER SIGNATURE DATE