Turf and Landscape Nutrient Management Plan Verification Form

Evaluator *

NMP For *

Location Latitude *

Location Longitude *

Plan Written By *

Review Date *

Is a DCR approval letter available? *

What is the plan expiration date listed on the approval letter? *

What is the total fertilized acreage of the plan? *

Who makes fertilizer applications to the management areas listed in the plan? *

Contractor name if applicable *

Does the operator and/ or contractor have a fertilizer application recordkeeping system in place? *

Was this plan written based on < 3 year old soil samples? *

List the management areas and the corresponding acres *

Remove	County	Acres
Add a county and acres

Is spreading equipment calibrated at least once per year? *

Spreading Equipment Calibrated Date *

Records Review

Do recorded fertilizer application rates and timing correlate with plan recommendations? *

Does the fertilized acreage match the acreage written in the plan? *

Is phosphorus applied based on soil test results? *

Are annual applications of nitrogen and phosphorus equal to or less than the rates set forth in the plan? *

Additional observations to include any implementation issues for the operator/ contractor and/or discussion of any observed deviations from the plan.

Records Review

Area in compliance is equal to the total fertilized acreage minus the acreage of any management area with deviations

Management Area Acres IN Compliance *

Management Area Acres OUT of Compliance *

I confirm that to the best of my knowledge the above information is correct.
Based upon the information collected, I believe that the farmer is implementing the Nutrient Management Plan in accordance with the Virginia NMP standards and criteria to the degree depicted below. DCR will track and report all categories.

Signature Full Name *

Sign Date *

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