ࡱ> FHE bjbj$$ ; F|F| m82NKAtjj"g @@@@@@@$BqE@gg@A@@ =DJ@@'~b^N>&@A0KAt>EuELJ@EJ@l@@3pKAE : PRACTICE CERTIFICATION CHECKLIST USDA, Natural Resources Conservation Service Wisconsin Windbreak/Shelterbelt Establishment (380) Program Participant Information Name (print): Contract Number: _______________________________ Contract Item #(s): Tract Number:________ County:____________________________ Location T. ____ R. ____ S. ____ Contractor Information (If installed by someone other than participant) Name (print): Written plans and specifications including location map, sketches and drawings adequately describing the requirements to install the practice and obtain necessary permits are present in the client case file. Documentation of practice layout according to plans and specifications is present in the client case file. On site verification that trees or shrubs as planted will not interfere with buried or overhead utilities. Conduct a post installation inspection and verify the practice was installed according to practice design (Job Sheet 144 Farmstead Windbreak Field Windbreak or equivalent) to verify: Correct species of trees and shrubs planted, row(s) planted to correct species with appropriate in row plant spacing, rows are in correct sequence from downwind side to upwind side, correct spacing between rows. Correct length and orientation of windbreaks/shelterbelts. As applicable, spacing between windbreaks to achieve intended purposes. Pre/Post Plant site preparation such as mowing, weed control practices and use exclusion has been implemented. Documentation that the operation and maintenance requirements for the practice were explained and given to the client. Documentation in the case file that design modifications during practice installation were documented and approved by the practice designer. Extent of practice units applied. Individual rows of the windbreak will be documented on an aerial photograph or diagram and plant species by row detailed. Actual quantity of plant materials used and applied by species. I certify that Practice Standard 380 Windbreak/Shelterbelt Establishment has been implemented in accordance with the criteria of the practice standard, was installed according to the practice design and meets the documentation requirements of this checklist. ______________________________ ______________ Client Certification of Practice Completion Date Practice Approval Rational: ______________________________ ______________ Approved By Certified Conservation Planner or TSP Date     PAGE  USDA, NRCS Windbreak/Shelterbelt Establishment April, 2014 Wisconsin 380- PAGE 2  !X{|8 X Y  ֹiUD3 h{ 4hwCJOJQJ^JaJ h{ 4hS+oCJOJQJ^JaJ&h5B*CJOJQJ^JaJph,hh>*B*CJOJQJ^JaJph#hoB*CJOJQJ^JaJph#hB*CJOJQJ^JaJph)h5>*B*CJOJQJ^JaJphh~@L5OJQJ\^Jh5Lhw5OJQJ\^Jhw5OJQJ\^JhwOJQJ^Jhw5OJQJhpM5OJQJ!NXY V W  f  & F gd^gdo & F gdo & F gdS+o & F gdS+o $Zgdgd$xa$$a$ W b ~    ' 1 : A   f l dkٷ٦٦٦٦ٷ٦٦ٷo)h{ 4h{ 4B*CJOJQJ^JaJph h{ 4h{CJOJQJ^JaJ h{ 4h{ 4CJOJQJ^JaJ h{ 4hwCJOJQJ^JaJ h{ 4hoCJOJQJ^JaJ h{ 4hS+oCJOJQJ^JaJ h{ 4h6CJOJQJ^JaJh{ 4hoCJaJh{ 4hS+oCJaJ$ Lu:;<=>ngd{ 4gd{ & F gd{ & F gd{ 4 & F gdo ¾y!h2LCJOJQJaJmHnHujhwCJOJQJUaJh91CJOJQJaJhfCJOJQJaJhwCJOJQJaJhw hw0Jjhw0JUhDXjhDXU hh{CJOJQJ^JaJ hih{ 4CJOJQJ^JaJgd{$h]ha$ H$  !H$h]h&`#$ 90P&P/ =!"#$% Dp^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA`D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List 44 Header  !4 @4 Footer  !r@r Table Grid<:V0a_H.)@!. 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