Instructions for
Completing the Notice of Intent to Comply
Be sure to fill out the NOIC completely; incomplete and
illegible forms will be sent back.
* Please do NOT
fill in latitude, longitude or MFO permit number information in the box at the
top of the form. This area is for Agency use and will be filled in once the
completed form has been received.
Section A
Owner/Operator Information
- Full
owner name as well as operator name (if different) is needed.
- List
the phone number you prefer to be contacted at. Please note whether this is your home
number, barn number, or a cell phone.
- Please
write the full name of the farm, and provide a physical location as well
as a mailing address, if they are different. If they are the same, please
note.
- If you
use email, please write your address.
Otherwise, indicate "N/A".
Section B
Farm/Operation Information
Fill out animal type information and check applicable boxes.
- Please
list the total number of each animal type you have at your farm. If you
have multiple barns or farms (whether rented or owned) with additional
animals, list the total number for each animal type.
- If you
have more animals than indicated in brackets (i.e. >700 Mature Dairy
Cows), please check the first box stating your farm is a Large Farm Operation
(LFO). Our LFO Coordinator Katie Gehr
will contact you.
- If you
have fewer animals than indicated in all of the brackets (i.e. <200
Mature Dairy Cows), please check the second box stating your farm is a
Small Farm Operation (SFO).
- If
your farm is an SFO and you wish to seek coverage under the General Permit,
indicate that you wish to seek permit coverage by checking the third box.
Please be aware that permit coverage is not required for SFOs and is
optional.
- If your
farm is a SFO, and you DO NOT wish
to seek coverage under the General Permit, please check the second box ONLY and leave the third box
unchecked. If you check the second box only, you do not need to sign the
NOIC. However, it needs to be
returned.
Section C Nutrient Management Plan
Please answer each question as accurately as possible.
- #1 and #2 If a nutrient
management plan (NMP) has been developed for your farm and it is being
implemented; please check yes for both. If not, please check no as
appropriate.
- #3 - If you do not know the exact
date that your nutrient management plan will be developed, estimate. If no
work has begun on your NMP, please write in "N/A". Please be aware that a NMP is required
for all existing MFOs seeking coverage under the General Permit by March
31, 2008.
- #4 Please describe alternative
use(s) of manure, compost and other wastes as appropriate. If no
alternative use(s), please fill in "N/A".
- #5 If manure, compost or other
wastes are exported off farm, estimate the amount as accurately as
possible and indicate the unit (tons or gallons). If no manure, compost or
other wastes are transferred, please fill in "N/A".
Section D Type
of Containment, Storage, and Capacity
Please fill in each section of the table that applies to
your farm.
- Manure Storage - If a certain type
of storage or containment does not apply to your farm, please fill in "N/A"
in the first column; otherwise fill in the estimated # of days of storage.
Please also fill in the total capacity and note whether it is in gallons
or tons. Be sure to indicate whether or not you have received cost share in
the column to the right.
- Milkhouse Waste/Processed Waste Water,
Silage Leachate System, and Barnyard Runoff System Please answer "yes"
if transferred to manure storage, otherwise answer no. If an alternate
system for collection exists, please explain. If there is no system in
place, please put an "X" in the third column. Be sure to
indicate whether or not you have received cost share in the column to the
right.
- Clean Water Diversion and Confined
Animals Access to Water Please check the appropriate "yes"
or "no" box.
Section E -
Signature
This section asks for your signature and the acknowledgement
that you have a copy of the MFO General Permit, have read it, and intend to
comply with the provisions therein.
If your farm is a SFO
and you do not wish to seek permit coverage, you do not need to sign the NOIC.
Otherwise, if your
farm is a MFO, or if your farm is a SFO and you are seeking permit coverage,
you need to sign the NOIC. Please
DO NOT return the NOIC to the Agency
without a signature. This will not meet the requirements of the MFO permitting
program, and your application will be sent back to you for a signature.
The NOIC must be
returned by all farms regardless of size including SFOs not seeking permit
coverage. The address to send
your completed NOIC is listed at the bottom of the form.
FOR ADDITIONAL
ASSISTANCE IN FILLING OUT A NOIC, OR IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT
THE APPROPRIATE MFO COORDINATOR LISTED BELOW.
Matt Kittredge
Medium Farm Operations
Coordinator
for Essex, Franklin, and Lamoille
Counties
matt.kittredge@state.vt.us
802-828-6908
Abbi Pajak
Medium Farm Operations
Coordinator
for Caledonia,
Chittenden, Grand Isle, Orange, Orleans,
Washington, Windham,
and Windsor Counties
abbi.pajak@state.vt.us
802-828-1397
Dave Weber
Medium Farm Operations
Coordinator
for Addison, Bennington, and Rutland
Counties
david.weber@state.vt.us
802-828-0459