**STATEMENT OF WORK**

USDA, Natural Resources Conservation Service

Wisconsin

**Feed Management (592)**

**DESIGN (911)**

**Deliverables:**

1\. Design documents that demonstrate criteria in NRCS practice standard
have been met and are compatible with planned and applied practices

> a\. Practice purpose(s) as identified in the conservation plan.
>
> b\. List of required permits to be obtained by the client
>
> c\. List all required and/or facilitating practices
>
> d\. Practice standard criteria-related computations and analyses to
> develop plans and specifications including but not limited to:
>
> i\. Kind, size and number of livestock
>
> ii\. Diet recommendations and citation of the source of the
> recommendations
>
> iii\. Feed sample collection and analysis protocols
>
> iv\. Manure analysis prior to and after implementation of the feed
> management strategy

2\. Written plans and specifications describing historic feed management
practices, feed sources, feed testing, feed ration mixing and
distribution procedures and overall strategy to identify excess Nitrogen
and/or Phosphorus in the ration and reduction goals and strategies to be
implemented.

3\. Specification sheet provided to the client that adequately describes
the requirements to apply the practice and obtain necessary permits.

4\. Operation and maintenance plan describing how changes in feed
sources and livestock numbers will be addressed and documented.

5\. Certification that the design meets practice standard criteria and
comply with applicable laws and regulations and documentation of
professional credentials.

**[CERTIFICATION OF COMPLETION]{.underline}**

**Feed Management (592)**

Design (911)

**[Program Participant Information]{.underline}**

Name (print):

Contract Number:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Contract
Item #(s):

**[Technical Service Provider Information]{.underline}**

Name (print):

TSP ID Number:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Expiration Date:

*I hereby certify that the technical services I provided as a Technical
Service Provider for this component(s) checked above: (1) comply with
all applicable Federal, State, Tribal, and Local laws and requirements,
(2) meet applicable USDA NRCS conservation practice standards,
specifications, and program requirements, (3) are consistent with and
meet the particular conservation program goals and objectives, (4) that
I have provided the above named Program Participant the Deliverables in
this Statement of Work for this component, and (5) comply with all
"Certification Terms" as identified in the Technical Service Provider
Certification Agreement.*

*\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*

***Technical Service Provider Signature Date***

*\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*

***Received By (NRCS staff)** **Date***

**STATEMENT OF WORK**

USDA, Natural Resources Conservation Service

Wisconsin

**Feed Management (592)**

**INSTALLATION (912)**

**Deliverables**

1\. Pre-application conference with client.

2\. Verification that client has obtained required permits (feed storage
areas).

3\. Application and record keeping guidance and record keeping format as
needed.

4\. Facilitate and implement required design modifications with client
and original designer.

5\. Advise client/NRCS on compliance issues with all applicable federal,
state, tribal, and local laws, regulations and NRCS policies during
application.

6\. Certification that the application process and materials meets
design and permit requirements.

**[CERTIFICATION OF COMPLETION]{.underline}**

**Feed Management (592)**

Installation (912)

**[Program Participant Information]{.underline}**

Name (print):

Contract Number:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Contract
Item #(s):

**[Technical Service Provider Information]{.underline}**

Name (print):

TSP ID Number:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Expiration Date:

*I hereby certify that the technical services I provided as a Technical
Service Provider for this component(s) checked above: (1) comply with
all applicable Federal, State, Tribal, and Local laws and requirements,
(2) meet applicable USDA NRCS conservation practice standards,
specifications, and program requirements, (3) are consistent with and
meet the particular conservation program goals and objectives, (4) that
I have provided the above named Program Participant the Deliverables in
this Statement of Work for this component, and (5) comply with all
"Certification Terms" as identified in the Technical Service Provider
Certification Agreement.*

*\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*

***Technical Service Provider Signature Date***

*\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*

***Received By (NRCS staff)** **Date***

**STATEMENT OF WORK**

USDA, Natural Resources Conservation Service

Wisconsin

**Feed Management (592)**

**CHECKOUT (913)**

**Deliverables**

1\. Records of application

> a\. Extent of practice units applied.
>
> b\. Updated version of the feed management plan containing required
> records and documentation of progress in reaching plan goals.

2\. Certification that the application meets NRCS standards and
specifications and is in compliance with permits.

3\. Provide the following information to the NRCS field office servicing
the relevant land unit for entry into the Performance Results System
(PRS):

> a\. Technical Service Provider Name
>
> b\. Customer name
>
> c\. USDA program funding the practice (if known)
>
> d\. Location of work (state, county, conservation district, land tract
> identifier)
>
> e\. Land use of field where the practice was installed (cropland,
> etc.)
>
> f\. NRCS practice name and quantity of practice installed in
> appropriate units

4\. Exit conference with client and contractor.

**[CERTIFICATION OF COMPLETION]{.underline}**

**Feed Management (592)**

Checkout (913)

**[Program Participant Information]{.underline}**

Name (print):

Contract Number:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Contract
Item #(s):

**[Technical Service Provider Information]{.underline}**

Name (print):

TSP ID Number:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Expiration Date:

*I hereby certify that the technical services I provided as a Technical
Service Provider for this component(s) checked above: (1) comply with
all applicable Federal, State, Tribal, and Local laws and requirements,
(2) meet applicable USDA NRCS conservation practice standards,
specifications, and program requirements, (3) are consistent with and
meet the particular conservation program goals and objectives, (4) that
I have provided the above named Program Participant the Deliverables in
this Statement of Work for this component, and (5) comply with all
"Certification Terms" as identified in the Technical Service Provider
Certification Agreement.*

*\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*

***Technical Service Provider Signature Date***

*\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*

***Received By (NRCS staff)** **Date***

**STATEMENT OF WORK**

USDA, Natural Resources Conservation Service

Wisconsin

**Feed Management (592)**

**REFERENCES**

-   NRCS Field Office Technical Guide (eFOTG), Section IV, Wisconsin
    Conservation Practice Standard 592, Feed Management

-   NRCS National Environmental Compliance Handbook

-   NRCS Cultural Resources Handbook

-   NRCS National Planning Procedures Handbook Part 600.5 Comprehensive
    Nutrient Planning Technical Guidance, Subpart E.