Please briefly tell us why you are applying to be part of the Certified Naturally Grown program:

To let potential customers know that we grown our food naturally and without any chemicals.

Are you currently third party Certified for your produce operation by any other organization (Organic, Biodynamic, etc)?

no

Have you ever been certified in the past?

no

Have you ever been denied certification?

no

How did you hear about Certified Naturally Grown?

Other farmers with the CNG stickers

Farm Acreage you want listed as Certified Naturally Grown^TM:

Total Farm Acreage you actually GROW on:

1

Number of above acreage that you own:

1

Number of above acreage that you lease:

0

Do you have other acreage in "Conventional" Agricultural Systems?

no

General Listed Acreage Breakdown

Veg Crops:

1

Fruit Crops:

0

Hay:

0

Grains/Beans:

0

Sugarbush:

0

Other Acreage:

5

Please check all items you grow and will market as Certified Naturally Grown^TM

Vegetables Herbs Berries Tree Fruits Grapes Grains Beans Hay Flowers Greenhouse Plants Other (please specify below)

Please Specify Any Other Items:

Please check all markets you grow for (this will be displayed on your farm profile to help potential buyers find you).

Farmer's Market Farm Stand Local Restaurants CSA's Coops Health Food Stores Groceries Regional Wholesalers www.LocalHarvest.org Commodities Other (please specify below)

Please Specify Other Markets:

Primary Tillage System:

Hogs and occasionally a tractor

Do you use Cover Crops?

yes

If yes, please list:

Gurney's premium cover crop blend, which includes: oilseed radish, yellow sweet clover, annual ryegrass and oats

Do you use Compost?

yes

If yes, please note general sources (on farm, purchased complete, local grass clippings, local dairy, etc.):

We use straw from our barn that we clean out every week which contains manure from rabbits, chickens, goats, and geese. We also use grass clipping from our lawn (no chemicals).

Please list application rates. Give a specific amount or range (for example: one to two tons per acre, ten wheelbarrow loads per 1,000 square feet, or 1-2 inches deep). Do not answer "varies".

eight to ten wheelbarrow loads per 1600 sq ft

Do you use Manure?

yes

If yes, please note general sources (local dairy, horse farm, etc.):

Composted manure from chickens, rabbits, geese, and goats as well.

Please list application rates. Give a specific amount or range (for example: one to two tons per acre, ten wheelbarrow loads per 1,000 square feet, or 1-2 inches deep). Do not answer "varies".

2 wheelbarrow loads per 1600 sq feet

What time of year do you apply the manure?

early spring

Do you apply any non-composted Manure within 120 days of veg-crop harvesting?

no

Please list any other brought in fertility sources that you use (specific rock powders, lime, soybean / alfalfa meal, specific purchased pre-mixes, etc)and how often it's used. If you indicate a name brand product, please also specify the ingredient/s.

None

Have any chemical fertilizers been applied to the fields you are seeking Certification for in the last three years (36 months)?

no

Have any non-acceptable pesticides and/or herbicides been applied to these fields in the last 3 years?

no

Do you use Professional Soil Testing services?

no

Describe your primary weed problems AND methods of control. Do not answer "none". You MUST indicate either actual weed challenges and/or LIKELY challenges, and you must ALSO indicate how you manage (or would manage) them. If you indicate a product, also specify how often it's used.

We run our geese in our garden to eat most weeds, and whatever is left we pick by hand or use a hoe.

Describe your primary insect challenges AND methods of control. Do not answer "none". You MUST indicate either actual pest challenges and/or LIKELY challenges, and you must ALSO indicate how you manage (or would manage) them. If you indicate a product, also specify how often it's used.

Our biggest problem is blister beetles, but our geese take care of those. We also use crop rotation and composted rabbit manure to keep most bugs away.

Describe your primary disease challenges AND methods of control. Do not answer "none". You MUST indicate either actual disease challenges and/or LIKELY challenges, and you must ALSO indicate how you manage (or would manage) them. If you indicate a product, also specify how often it's used.

Crop rotation prevents most diseases, and we cull plants or leaves that start showing signs of diseases, but use no chemicals.

Please list the water source you use for crop irrigation. If source is public river, pond or lake, please note the name:

Well on property

Are there any known contaminants in the irrigation water?

no

Are you a maple producer who seeks to certify your sugarbush?

no

Do you purchase or grow using any Genetically Modified seeds?

no

Do you use any chemically treated seeds in your operation?

no

Do you grow your own transplants?

yes

Are they grown using Naturally Grown/Organic methods?

yes

If they're not grown according to CNG methods, please list them here. This produce may not be sold as Certified Naturally Grown. (If they are, put "N/A")

N/A

Do you purchase any transplants from outside sources?

no

Chemical/Spray Drift and Buffers:

Is there any likelihood of Chemical/Spray drift contamination of your fields?

no

Do you have an adequate buffer to protect yourself from potential contamination?

yes

Please describe your buffer. Be as specific as possible. On all sides, how far is it from your crops to the next closest use (road, conventional crop, residential yard)? Be sure to specify what is grown on neighboring land that is in agricultural use. For example: To the north and east, a wooded area of at least 100 yards separates us from the neighbor's corn fields, to the south is a fallow field at least 100 yards deep separating us from the road, and to the west about 60 feet separates our crops from a field where conventional corn and soybeans are grown.

North: 1 acre buffer of my property East: 5 acre buffer of my property with pastured animals South: 40 feet of brush separates my field from the neighbor's hay field West: 60 feet separates my field from the gravel road.

Please indicate your agreement with the following statements by checking the boxes.

I will not label, or in any way lead consumers to believe that produce not raised in accord with CNG standards is Certified Naturally Grown^TM.

I agree

I understand that I have to complete at least one (and hopefully more) Certification Inspection(s) of another farm in my area each year, and that the inspection will NOT be of the same farmer that inspected me.

I agree

I have reviewed the Certified Naturally Grown certification standards, I understand them, and I will abide by them. I understand that if I have any questions I may contact CNG for clarification.

I agree

You may use this space to tell us anything else you think we should know about your farm:

We moved here 18 months ago (fall of 2011), so we don't know if anything was applied before that time. The previous owners kept horses where our garden is now, so I know they didn't have a garden there, but we're within the 36 month transitional period.