**STATEMENT OF WORK**

USDA, Natural Resources Conservation Service

Wisconsin

**Nutrient Management (590)**

**DESIGN (911)**

**Deliverables:**

1\. Design documents that demonstrate criteria in NRCS practice standard
have been met and are compatible with planned and applied practices.
Practice standard criteria-related computations and analyses to develop
plans and specifications include but is not limited to:

> a\. Results of applicable sampling, analyses, and tests provided by
> the client.
>
> b\. Realistic yield goals for the crop(s) to receive nutrient
> applications.
>
> c\. Planned nutrient and soil amendment application rates, methods,
> and timing of application in balance with the nutrient budget.
>
> d\. Site risk assessment for phosphorus transport when manure or other
> organic materials are a source of nutrients.
>
> e\. Other requirements applicable to manure or organic materials,
> non-point source pollution, soil condition, and air quality.
>
> f\. A brief narrative outlining the farm operation which includes
> livestock numbers, estimate of manure quantities generated, estimate
> or actual nutrient value of the manure, applicable spreading practices
> and restrictions, as well as crop yields and rotations used.

2\. Written plans and specifications shall be provided to the client
that adequately describes the requirements to implement the practice and
obtain necessary permits. Plans and specifications include:

> a\. Maps that identify areas on which nutrients will be applied.
>
> b\. Location of setbacks or other sensitive areas with nutrient
> application restrictions.
>
> c\. Guidance for nutrient applications on setbacks or other sensitive
> areas.
>
> d\. A nutrient budget for nitrogen, phosphorus, and potassium that
> compares recommended to planned nutrient application rates,
>
> e\. Guidance for operation and maintenance plan.
>
> f\. Other requirements listed in the conservation practice standard
> Nutrient Management (Code 590).

3\. Certification that the design meets practice standard criteria and
complies with applicable laws and regulations. Certification shall
include a completed and signed Nutrient Management Plan Checklist
(appropriate version).

4\. Documentation requirements for design modifications during practice
installation.

5\. Itemized cost estimate.

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

**Nutrient Management (590)**

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

**Nutrient Management (590)**

**INSTALLATION (912)**

**Deliverables**

1\. Documentation of pre-implementation conference with client to review
the plan.

2\. Verification that client has obtained required permits, if required
for installation.

3\. Location of and communication of setback requirements for wetlands,
water bodies, streams, and other nutrient-sensitive areas.

4\. Installation guidance as needed.

5\. Facilitate, implement and document required design modifications
with client, original designer, permitting or funding agencies.

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

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

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

**Nutrient Management (590)**

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

**Nutrient Management (590)**

**CHECKOUT (913)**

**Deliverables**

1\. Minimum records of implementation is the extent of practice units
applied in acres and location by field identified on a map.

2\. Record keeping (implementation records maintained by the producer or
agent) shall include but is not limited to:

> a\. Records of crops produced, planting and harvest dates, yields,
> residue management.
>
> b\. Records of recurring soil tests, and other tests (e.g. manure,
> plant tissue, water) used to implement the plan.
>
> c\. Records of recommended nutrient application rates.
>
> d\. Records of nutrient applications including quantities, analyses,
> and sources of nutrients applied; dates and methods of application.
>
> e\. Records of recurring review of the plan including the dates or
> review, individual performing the review, and recommendations that
> resulted from the review.

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

4\. 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

5\. Documentation of exit conference with client and contractor.

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

**Nutrient Management (590)**

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

**Nutrient Management (590)**

**references**

-   WI NRCS Field Office Technical Guide (FOTG), Section IV,
    Conservation Practice Standard 590, Nutrient Management

-   NRCS General manual Title 450, Part 401.03 (Technical Guides, Policy
    and Responsibilities) and Title 190, Part 402 (Ecological Sciences,
    Nutrient Management, Policy)

-   NRCS National Planning Procedures Handbook (NPPH), CNMP Technical
    Guidance Document

-   NRCS National Agronomy Manual (NAM) Section 503

-   NRCS Agricultural Waste Management Field Handbook, Chapter 4,
    Agricultural waste Characteristics

-   NRCS National Environmental Compliance Handbook

-   NRCS Cultural Resources Handbook