Concentrated Animal Feeding Operation (CAFO) Annual Report 

EPA Regulations – 122.42(e)

Example Data Entry Form

[Note: Users will also be able to batch this data into this form via a spreadsheet or CSV file.]

NPDES Number <system generated>

Start Date of Reporting Period (YYYY-MM-DD)

End Date of Reporting Period (YYYY-MM-DD) 

NPDES Data Group Number 5

<system generated>

I. TYPE AND NUMBER OF ANIMALS

Please report the maximum number of each type of animal held at your facility during the reporting period. Please only count 

animals held at your facility for 45 days or more.

CAFO Animal Type Maximum Number of Animals Maximum Number of Animals in Open Confinement

Mature Dairy Cows

Dairy Heifers

Veal Calves

Other Cattle

Swine (55 lbs or more)

Swine (55 lbs or less)

Horses

Sheep or Lambs

Turkeys

Chicken (broilers)

Chicken (layers)

Ducks

Other, please specify: ________________
II. MANURE, LITTER, AND PROCESS WASTEWATER PRODUCTION (MLPW)

Please report the total amount of manure, litter, and process wastewater generated or generated and transferred by your facility 

during the reporting period.

MLPW Type MLPW Generated Amounts

(during reporting period)

MLPW Transferred Amounts

(during reporting period)

MLPW Units

(e.g. tons, gallons, etc)

Manure

Litter

Process Wastewater

III. Land Application - Acres Covered by Plan

Total number of acres for land application covered by the current nutrient management plan

The total number of acres under control of the CAFO and used for land application in the 

reporting period. 

IV. Summary of Production Area Discharges

Please use this table to provide information discharges from your production area.

Discharge Type *

Discovery Dates of Discharges 

from Production Area

Duration of Discharges from 

Production Area

Volume of Discharge from 

Production Area (gallons)

*Note: This is a unique code/description that identifies for each discharge from the permittee’s production area in the reporting 

period whether a 25-year, 24-hour rainfall event was the cause for the discharge.
V. Nutrient Management Plan

Was the current version of this facility’s NMP prepared or approved by a certified nutrient management planner? Yes No

IV. Land Application Summary

Please use the following table to report the nitrogen (N) and phosphorous (P) content of manure, litter, and process wastewater 

using the results of the most recent representative manure, litter, and process wastewater tests for N and P. Report the form of N 

and P (e.g., total nitrogen, ammonium nitrogen, total phosphorous) used for nutrient management planning purposes in the 

Nutrient Form column.

MLPW Type Nitrogen Content Phosphorus Content Units Nutrient Form

Manure

Litter

Process Wastewater

For each field to which CAFO MLPW was applied in the reporting period, please report the actual crop(s) planted, the actual crop 

yield(s) and units along with method for calculating maximum amounts of MLPW (i.e., Linear or Narrative Rate Approach). 

Unique Field ID Actual Crop(s) Planted Actual Crop Yield(s) Actual Crop Yield Units Linear or Narrative Rate Approach

Please indicate the amount of MLPW and supplemental fertilizer applied to each field.

Unique Field ID

CAFO MLPW Land Application Maximum Amount CAFO MLPW Land Application Actual Amount

Manure

Units: ________

Litter

Units: ________

Process 

Wastewater

Units: ________

Manure

Units: ________

Litter

Units: ________

Process 

Wastewater

Units: ________

*

*

*

* This column will be prepopulated based on the preceding table.
Standard Signature Block and Certification 

Statement for CWA Reporting (in compliance 

with CFR Parts 3, 122.22, and 127).

INSTRUCTIONS: Please complete the following table if you are using the narrative rule approach as described under 40 CFR 

122.42(e)(5)(ii). Otherwise, please sign and submit this form.

For each field used for land application, report the results of the most recent soil nutrient analyses for any soil test taken in the 

reporting period. Report the form of N and P (e.g., total nitrogen, ammonium nitrogen, total phosphorous) used for nutrient 

management planning purposes in the Nutrient Form column.

Unique 

Field ID

Most Recent Soil Test Results Amount of Any Supplemental Fertilizer Applied

Nitrogen 

Content

Phosphorus 

Content

Nutrient

Form Unit Nitrogen Content

Phosphorus 

Content Unit

*

*

*

*

*

*

* This column will be prepopulated based on the preceding table.

SUBMIT 

REPORT