NRCS Supplement / Questionnaire

NRCS

CONSERVATION EFFECTS

ASSESSMENT PROJECT

2011

DRAFT

(This questionnaire will be completed by the local NRCS office for all selected samples.)

NRCS Supplement/Questionnaire

NAME:
ADDRESS:
NOTES:

VERSION	CEAP ID	TRACT	SUBTRACT	T-TYPE	TABLE	LINE
1	__ __ __ __ __ __ __ __ __	01	01	0	000	00

Administrative Use (Apply shipping label here.)

Enumerator Note: Collect the following information at the County NRCS Office for completed surveys.

Please provide the following information for the conservation plan on file.

	FSA COUNTY (FIPS)	TRACT NUMBER	LAND UNIT NUMBER (FSA Field Number)
	0933	0934	0935

Please indicate all contract numbers associated with the conservation

plan that are eligible for federal conservation program money.

Contract Number(s)*	0936
	0937
	0938
	0939
	0940
	0941

*Please include all contract numbers associated with CSP, EQIP, WHIP, & AMA, regardless of year.

	VERSION NUMBER
	0800
	1

1. Does the selected field with the NRI point have a conservation plan? [If YES, enter 1 and continue.] YES=1	0801
[If NO, enter 3 and conclude interview.]
1a. Is the conservation plan for the current operator? YES=1	0802

1b. Is the conservation plan for the current land owner? YES=1

0894

2. What program(s) is associated with the plan(s) in the selected field and

what is the most recent year the conservation plan(s) was approved?

[Mark all that apply.]	YES = 1	MOST RECENT YEAR APPROVED
Conservation Security Program	0892	0893
		___ ___ ___ ___
NRCS Conservation Technical Assistance (CTA)	0803	0823
		___ ___ ___ ___
Environmental Quality Incentives Program (EQIP)	0804	0824
		___ ___ ___ ___
Klamath Basin Water Conservation Program	0805	0825
		___ ___ ___ ___
Ground and Surface Water Conservation Program	0806	0826
		___ ___ ___ ___
Wetlands Reserve Program (WRP)	0807	0827
		___ ___ ___ ___
Wildlife Habitat Incentives Program (WHIP)	0808	0828
		___ ___ ___ ___
Public Law 566 (P.L. 566)	0809	0829
		___ ___ ___ ___
EPA Program (such as 319 Program)	0810	0830
		___ ___ ___ ___
Great Lakes Basin Program for Soil Erosion and Sediment Control	0811	0831
		___ ___ ___ ___
Conservation Reserve Program (CRP)	0812	0832
		___ ___ ___ ___
Agricultural Conservation Program (ACP)	0813	0833
		___ ___ ___ ___
Highly Erodible Land Conservation Compliance (HELCC)	0814	0834
		___ ___ ___ ___
Great Plains Conservation Program (GPCP)	0815	0835
		___ ___ ___ ___
Farmland Preservation Program	0816	0836
		___ ___ ___ ___
State Cost Share Programs	0817	0837
		___ ___ ___ ___
Other Federal Program (Specify)___________________ OFFICE USE	0818	0838
		___ ___ ___ ___
Other Federal Program (Specify)___________________ OFFICE USE	0819	0839
		___ ___ ___ ___
State or County Program (Specify)__________________ OFFICE USE	0820	0840
		___ ___ ___ ___
State or County Program (Specify)__________________ OFFICE USE	0821	0841
		___ ___ ___ ___
Non-government Program (Specify)________________ OFFICE USE	0822	0842
		___ ___ ___ ___

3. What resource concerns related to this field does the conservation plan address? [Mark all that apply.]

CODE		YES = 1
1	Soil erosion caused by wind	0843
2	Soil erosion caused by rainfall and runoff	0844
3	Animal waste management	0845
4	Water quality protection (leaching and runoff of nutrients and pesticides)	0846
41	a. Leaching and runoff of nutrients	0847
42	b. Leaching and runoff of pesticides	0848
43	c. Other water quality concerns	0849
5	Water conservation	0850
6	Wildlife habitat enhancement	0851
7	Soil quality, including salinity concerns	0852
8	Air quality	0853
9	Drainage	0854
10	Forage for livestock	0855
11	Hayland management	0856
12	Other (Specify)_______________________________ OFFICE USE	0857
13	Don=t know	0858

Enumerator Note: If more than 1 concern was reported above in Item 3, then ask Item 4. Else, go to Item 5.

	CODE
4. Which is the PRINCIPLE resource concern the conservation plan addresses for this field? [Enter only one code (1 through 12) from Item 3 above.]	0859

5. Does any part of this field meet criteria for a wetland? YES=1	0860

6. Is any part of this field AHighly Erodible Land@ (HEL)? YES=1	0861

MANAGEMENT PRACTICES

	Annual Practice	NRCS CODE		UNITS		NASS KEY CODE
	Conservation Crop Rotation		328		Acre		328
	Residue and Tillage Management, Mulch Till		345B		Acre		3292
	Residue and Tillage Management, No‑till & Direct Seed		329A		Acre		3291
	Residue and Tillage Management, Ridge Till		346C		Acre		3293
	Residue and Tillage Management, Seasonal		344		Acre		344
	Cover Crop		340		Acre		340
	Irrigation Water Management		449		Acre		449
	Drainage Water Management		554		Acre		554
	Forage Harvest Management		511		Acre		511
	Soil Salinity Management‑Nonirrigated		571		Acre		571
	Deep Tillage		324		Acre		324
	Row Arrangement		557		Acre		557
	Surface Roughening		609		Acre		609
	Integrated Pest Management		595		Acre		595
	Nutrient Management		590		Acre
	Amendment for Treatment of Agricultural Waste		591		Acre
	Brush Management		314		Acre
	Conservation Cover		327		Acre
	Feed Management		592		Acre
	Prescribed Grazing		528		Acre
	Prescribed Burning		338		Acre
	Salinity and Sodic Soil Management		610		Acre
	Waste Utilization		633		Acre

7. Please list the annual management practices in the plan that apply to this field. [Select the ANNUAL practice from the list above and mark all that apply.]

1 Practice	2 NRCS Practice Code	3 Practice Used Each Year (YES=1, Don=t Know=2, NO=3)			4 Was practice applied to meet the mitigation requirements of the Pest Management Standard (Code 595)? (YES=1)
		2006	2005	2004
	0862	0868	0874	0880	0886
	0863	0869	0875	0881	0887
	0864	0870	0876	0882	0888
	0865	0871	0877	0883	0889
	0866	0872	0878	0884	0890
	0867	0873	0879	0885	0891

PEST MANAGEMENT PRACTICES

7a. If pest management (practice code 595) was included in the annual management practices listed above, then please answer the following:

G If YES, then continue. G If NO, then go to Item 7b.

(1) Was the only purpose of the pest management component of the conservation plan to enhance quantity and quality of commodities?	YES=1
	2022
If YES, then go to Item 7b.
(2) Did the pest management component of the conservation plan include management techniques and/or conservation practices to mitigate the environmental risks of pest management?	2023
(3) Did the pest management component of the conservation plan include lower risk pest management alternatives?	2024
(4) Did the pest management component of the conservation plan include high intensity Integrated Pest Management (IPM) that focuses on pest prevention and avoidance to minimize the use of pesticides and other pest suppression techniques?	2025

NUTRIENT MANAGEMENT PRACTICES

7b. If nutrient management (practice code 590) was included in the annual management practices listed above, then please answer the following:

G If YES, then continue. G If NO, then go to Item 8.

(1) Were application rates reduced as part of the plan?	YES=1
	2026
(2) Was the timing of application adjusted to reduce overall N or P loss?	2027
(3) Was the method of application changed to reduce overall N or P loss?	2028
(4) Was the form of nitrogen changed to reduce overall N or P loss?	2029

8. Does the operator have a Comprehensive Nutrient Management Plan (CNMP) on file? [Only applies to livestock operations.]
YES - [Enter 1.]	CODE
	2030
NO - [Enter 3.]

9. Please list the conservation structural practices in the plan that apply to this field.

[Select the structural practice from the list provided on pages 7 - 10. Include all that apply.]

1	2	3	4	5	6
Practice	NRCS Practice Code	Units used to represent practice in the plan 1 = linear feet 2 = acres 3 = number	Quantity of practice installed in field	Most recent year practice was installed or applied	Was practice applied to meet the mitigation requirements of the Pest Management Standard (Code 595)?
					YES = 1
	0942	0952	0962	0972	0982
			$____	___ ___ ___ ___
	0943	0953	0963	0973	0983
			$____	___ ___ ___ ___
	0944	0954	0964	0974	0984
			$____	___ ___ ___ ___
	0945	0955	0965	0975	0985
			$____	___ ___ ___ ___
	0946	0956	0966	0976	0986
			$____	___ ___ ___ ___
	0947	0957	0967	0977	0987
			$____	___ ___ ___ ___
	0948	0958	0968	0978	0988
			$____	___ ___ ___ ___
	0949	0959	0969	0979	0989
			$____	___ ___ ___ ___
	0950	0960	0970	0980	0990
			$____	___ ___ ___ ___
	0951	0961	0971	0981	0991
			$____	___ ___ ___ ___

STRUCTURAL CONSERVATION PRACTICES, ALPHABETIC ORDER

NRCS Supplement, Item 9, Column 2

Structural Practice Name	NRCS Practice Code	Units	NASS Key Code
Access Road	560	Feet	560
Alley Cropping	311	Acre	311
Animal Trails & Walkways	575	Feet	575
Anionic Polyacrylamide (PAM) Erosion Control	450	Acre	450
Bedding	310	Acre	310
Brush Management	314	Acre	314
Channel Vegetation	322	Acre	322
Clearing & Snagging	326	Feet	326
Closure of Waste Impoundments	360	Number	360
Commercial Fishponds	397	Acre	397
Composting Facility	317	Number	317
Conservation Cover	327	Acre	327
Constructed Wetland	656	Acre	656
Contour Buffer Strips	332	Acre	332
Contour Farming	330	Acre	330
Contour Orchard & Other Fruit Area	331	Acre	331
Contour Stripcropping	585	Acre	585
Critical Area Planting	342	Acre	342
Cross Wind Ridges	589A	Acre	5891
Cross Wind Stripcropping	589B	Acre	5892
Cross Wind Trap Strips	589C	Acre	5893
Dam, Diversion	348	Number	348
Dam, Floodwater Retarding	402	Number	402
Dam, Multiple Purpose	349	Number	349
Dike	356	Feet	356
Diversion	362	Feet	362
Dry Hydrant	432	Number	432
Early Successional Habitat Development/Management	647	Acre	647
Fence	382	Feet	382
Field Border	386	Feet	386
Filter Strip	393	Acre	393
Fire Control	451	Number	451
Firebreak	394	Feet	394
Fish Passage	396	Number	396
Fish Raceway or Tank	398	Feet	398
Fishpond Management	399	Number	399
Floodwater Diversion	400	Feet	400
Floodway	404	Feet	404
Forest Site Preparation	490	Acre	490
Forest Stand Improvement	666	Acre	666
Forest Trails & Landings	655	Acre	655
Grade Stabilization Structure	410	Number	410
Grassed Waterway	412	Acre	412
Structural Practice Name	NRCS Practice Code	Units	NASS Key Codes
Grazing Land Mechanical Treatment	548	Acre	548
Heavy Use Area Protection	561	Acre	561
Hedgerow Planting	422	Feet	422
Herbaceous Wind Barriers	603	Feet	603
Highwall Treatment	456	Feet	456
Hillside Ditch	423	Feet	423
Irrigation Canal or Lateral	320	Feet	320
Irrigation Field Ditch	388	Feet	388
Irrigation Land Leveling	464	Acre	464
Irrigation Pit	552A	Number	5521
Irrigation Storage Reservoir	436	Number	436
Irrigation System, Low Energy Precision Application	202I	Acre	2029
Irrigation System, Microirrigation	441	Number	441
Irrigation, Sprinkler	442	Number	442
Irrigation System, Surface & Subsurface	443	Number	443
Irrigation System, Tailwater Recovery	447	Number	447
Irrigation Water Conveyance, Asbestos‑Cement	430BB	Feet	43002
Irrigation Water Conveyance, Corrugated Metal Irrigation Water Conveyance	430II	Feet	43009
Irrigation Water Conveyance, Corrugated Ribbed or Profile Wall Thermoplastic Pipe	430JJ	Feet	43010
Irrigation Water Conveyance, Flexible Membrane	428B	Feet	4282
Irrigation Water Conveyance, Galvanized Steel	428C	Feet	4283
Irrigation Water Conveyance, High‑pressure, Underground, Plastic	430DD	Feet	43004
Irrigation Water Conveyance, Low‑pressure, Underground, Plastic	430EE	Feet	43005
Irrigation Water Conveyance, Nonreinforced Concrete, Ditch & Canal	428A	Feet	4281
Irrigation Water Conveyance, Nonreinforced Concrete, Pipeline	430CC	Feet	43003
Irrigation Water Conveyance, On‑Ground Aluminum Pipeline	430KK	Feet	43011
Irrigation Water Conveyance, Reinforced Plastic Mortar	430GG	Feet	43007
Irrigation Water Conveyance, Rigid Gated Pipeline	430HH	Feet	43008
Irrigation Water Conveyance, Steel	430FF	Feet	43006
Land Clearing	460	Acre	460
Land Reclamation, Shaft & Adit Closing	452	Number	452
Land Reconstruction, Abandoned Mined Land	543	Acre	543
Land Reconstruction, Currently Mined Land	544	Acre	544
Land Smoothing	466	Acre	466
Landslide Treatment	453	Number	453
Manure Transfer	634	Number	634
Mine Shaft & Adit Closing	457	Number	457
Lined Waterway or Outlet	468	Feet	468
Mole Drain	482	Feet	482
Mulching	484	Acre	484
Obstruction Removal	500	Acre	500
Open Channel	582	Feet	582
Pasture & Hayland Planting	512	Acre	512
Structural Practice Name	NRCS Practice Code	Units	NASS Key Codes
Pipeline	516	Feet	516
Pipeline, Aluminum Tubing	430AA	Feet	43001
Pond	378	Number	378
Pond Sealing or Lining, Bentonite Sealant	521C	Number	5213
Pond Sealing or Lining, Cationic Emulsion‑Waterborne Sealant	521D	Number	5214
Pond Sealing or Lining, Flexible Membrane	521A	Number	5211
Pond Sealing or Lining, Soil Dispersant	521B	Number	5212
Pond Sealing or Lining, Asphalt‑Sealed Fabric Liner	521E	Number	5215
Precision Land Forming	462	Acre	462
Prescribed Burning	338	Acre	338
Prescribed Grazing	528A	Acre	5281
Pumped Well Drain	532	Number	532
Pumping Plant for Water Control	533	Number	533
Range Planting	550	Acre	550
Recreation Area Improvement	562	Acre	562
Recreation Land Grading & Shaping	566	Acre	566
Recreation Trail & Walkway	568	Feet	568
Regulating Reservoir	552B	Number	5522
Restoration & Management of Declining Habitats	643	Acre	643
Riparian Forest Buffer	391	Acre	391
Riparian Herbaceous Cover	390	Acre	390
Rock Barrier	555	Feet	555
Roof Runoff Structure	558	Number	558
Runoff Management System	570	Number	570
Sediment Basin	350	Number	350
Shallow Water Management for Wildlife	646	Acre	646
Spoil Spreading	572	Feet	572
Spring Development	574	Number	574
Stream Channel Stabilization	584	Feet	584
Stream Habitat Improvement & Management	395	Acre	395
Streambank & Shoreline Protection	580	Feet	580
Stripcropping, Field	586	Acre	586
Structure for Water Control	587	Number	587
Subsidence Treatment	454	Acre	454
Subsurface Drain	606	Feet	606
Surface Drainage, Field Ditch	607	Feet	607
Surface Drainage, Main or Lateral	608	Feet	608
Surface Roughening	609	Acre	609
Terrace	600	Feet	600
Toxic Discharge Control	455	Number	455
Toxic Salt Reduction	610	Acre	610
Tree/Shrub Establishment	612	Acre	612
Tree/Shrub Pruning	660	Acre	660
Underground Outlet	620	Feet	620
Upland Wildlife Habitat Management	645	Acre	645
Use Exclusion	472	Acre	472
Structural Practice Name	NRCS Practice Code	Units	NASS Key Codes
Vegetative Barrier	601	Feet	601
Vertical Drain	630	Number	630
Waste Management System	312	Number	312
Waste Storage Facility	313	Number	313
Waste Treatment Lagoon	359	Number	359
Waste Utilization	633	Acre	633
Water & Sediment Control Basin	638	Number	638
Water Harvesting Catchment	636	Number	636
Water Well	642	Number	642
Watering Facility	614	Number	614
Waterspreading	640	Acre	640
Well Decommissioning	351	Number	351
Wetland Creation	658	Acre	658
Wetland Enhancement	659	Acre	659
Wetland Restoration	657	Acre	657
Wetland Wildlife Habitat Management	644	Acre	644
Wildlife Watering Facility	648	Number	648
Windbreak/Shelterbreak Establishment	380	Feet	380
Windbreak/Shelterbreak Renovation	650	Feet	650

Coding for Federal, State, County or Other Conservation Programs
Item 2 Office Use	Item Codes: Boxes 818 & 819 Only	Other Federal Programs
	2	CRP or CREP
	3	Agricultural Conservation Program (ACP)
	4	Highly Erodible Land Conservation Compliance
	5	Great Plains Conservation Program (GPCP)
	6	Habitat Conservation Plan (HCP)
	7	Agricultural Market Transition Act (AMTA)
	8	Water Quality Incentive Program (WQIP)
	9	Food Security Act
	10	Emergency Watershed Protection Program (EWP)
	11	Emergency Conservation Program (ECP)
	12	Water Bank Act
	13	Farmland Preservation Program
	14	LTA (LTC) Long Term Agreement, (Long Term Contract)
	15	Emergency Conservation Program (ECP)
	16	Hydrologic Unit Area (HUA) Project
	17	Grassland Reserve Program (GRP)
	18	Resource Conservation and Development Program (RCD)
	20	Colorado River Salinity Control Program (CRCS)
	21	AMA - Agricultural Management Assistance
	22	Forestry Incentives Program (FIP)
	23	Little Sioux Flood Prevention Plan (PL534)
	24	Otisco Lake Watershed Program
Item 2 Office Use	Item Codes: 820 & 821 Boxes Only	State or County Programs
	2	State Cost Share
	3	TX: SB 503 Water Quality Plan
	4	Water Pollution Control Fund (WPCLF)
	5	UT: Ag Resource Development Loan Program (ARDL)
	6	WI: Targeted Runoff Management (TRM)
	7	Farmland Preservation Program
	8	WI: Land and Water Conservation Program
	9	KS: Conservation Easement
	10	WI: Priority Watershed Projects
	11	MO: State Cost Share, DWP-1
	12	VT: Best Management Practices (VT-BMP)
	13	NE: Lower Elkhorn Natural Resources District (LENRD)
	14	OH: Pollution Abatement Program
	15	KS: Irrigation Initiative Allocation
	16	WI: Nonpoint Pollution Source Program
	17	NE: Central Platte Natural Resources District (CPNRD)
	18	MN: Reinvest in Minnesota Reserve (RIM)
	19	NE: Upper Big Blue Natural Resources District (UBBNRD)
	20	CA: Conservatory Compliance
	21	VA: Chesapeake Bay Conservation
	22	PA: Clean and Green
	23	PA: ACT 6 - Nutrient Management Program
	24	OR: Confined Animal Feeding Operation (CAFO)
	25	NY: Graze
	26	NY: NYS Environmental Protection Fund
	27	KS: Water Resource Cost Share
	28	NC: Ag Cost Share
	29	IL: Conservation Practice Program (CPP)
	30	NE: Lower Platte South, Natural Resources District (LSP-NRD)
Item 2 Office Use	Item Codes: 822 Box Only	Non Government Program
	2	PA: Partners for Wildlife
Item 3 Office Use	Item Codes: 857 Box Only	Other Resource Concerns
	2	Windbreak for Energy Efficiency
	3	Government Program Requirements
	4	Poor Drainage
	5	Nutrient Management
	6	Air Quality
	7	Woodland Management
	8	Hay Land Management
	9	Soil Quality
	10	Reduce Pests
	11	Land/Pasture Management (bush)

Administrative Use

Sequence No./CEAP POID:
NRCS Contact:	Date:
Enumerator:	Date: