PHASE II GROUNDWATER QUALITY MANAGEMENT AREA REPORTING FORM
Required by the Lower Niobrara NRD, P.O. Box 350, Butte NE 68722 by December 31, following each crop year.
__________________________________________________
___________________________
Name (Certified Operator)
_________________________________________
_______
___________
State
Zip
City
_____________________
______1/4
E-Mail Address
Contact Person
FSA Tract # _________ (Obtain number from FSA Office)
Legal Description ______Sub 1/4
________________________
_________________________________
Cell #
Phone #
Acres _____________ (Total number of acres in field)
______Sec.
______Twp.
______Rng. W
Current Crop
Corn
Previous Crop
Expiration Date
____________________
Address
_______________________
_________________
Nitrogen Certification #
Crop Year________
Corn
Soybeans
Soybeans
Other
Other
Soil Analysis
Soil Nitrate-N (Residual soil nitrates from FALL 2013 deep soil sample results, if only 2 layers are sampled leave layer 3 blank)
(Example: 0 to 8 inches is 15 ppm, 8 to 24 inches is 10 ppm, and 24 to 48 inches is 3ppm.)
If soil lab test results are in ppm or lbs/acre please select accordingly
Layer 1: 0 to ______ inches
______
ppm
Layer 2: _____ to _____ inches
______
ppm
Layer 3:_____ to _____ inches
______
ppm
Soil Texture
lbs/acre
ppm
Calculation of Mean depth-weighted soil nitrate-nitrogen concentration
Soil layer, inches
Thickness,
Inches
Nitrate-N,
ppm
Calculations for
Soil layer
(Thickness x ppm)
0-
-
Sandy Soils
-
Total
Weighted
Average ppm
Medium & Fine Textured Soils
/=
Average Soil Nitrate __________
ppm
Soil Nitrate Credit_______ lbs N/acre
(Average Soil Nitrate * 8)
Organic Matter(OM)
(Percent soil organic matter from top 8 inches of soil sample analysis. Range from 1%-3%)
_______ %
Total Inches of Irrigation Water Applied _____inch
_____ppm
Irrigation Water Nitrates
Note: To convert lbs/acre to ppm use (lbs/acre * .03 * depht increment).
* Values for unsampled depths are 2.5 ppm for medium & fine textured
and 1.5 ppm for sandy soils
Credits
Check here if dryland
Legume Credit ______lbs N/acre
(If PREVIOUS CROP was a legume please select
(water sample required once every 4 years)
Irrigation Water Nitrate Credit_______ lbs N/acre
legume crop from dropdowns and hit OK)
(lbs/acre = ppm x .23 x inches of water up to 9")
OK
Other N Credit _____________ lbs N/acre ( includes manure, slurry, ect.)
Nitrogen Application and Yield
Expected Yield (EY) _____________ bu/acre
(average of previous 5 years yield plus an additional 5%)
Actual N Applied __________lbs N/acre
Actual Yield _____________ bu/acre
UNL Recommended N Formula for CORN
35 + ( 1.2 * EY_____) - (8 * NO3-N_____ppm) - ( .14 * EY____ * OM%____) - (credits____) = ______lbs N/per acre
EY = expected yield (bu/ac)
NO3-N ppm = average nitrate - N concentration in the
root zone (2-4 foot depth) in ppm
OM % = percent organic matter
Credits = legume, manure, irrigation, or any other N credit
The fertilizer recommendation listed above uses conservative values to avoid under fertilization
Irrigation Applications
www.dnr.ne.gov (Please enter all irrigation wells associated
with this field)
Well Registration # _____________
Acres Irrigated _____________
Crop Water Use _____________
Flow Rate _____________
inches
gpm
(Total hours of irrigation)
Total Hours _____________
(Enter type of irrigation system. E.g., High
pressure, low pressure,etc.)
Irrigation Type __________________
Total Rainfall for season _____________
http://cropwatch.unl.edu
click on Weather: GDD,ET
inches
(Enter total rainfall during the growing season)
Flowmeter Reading
(If flowmeter is installed please enter 2014 beginning and end reading)
Crop Damage
Did this field experience yield impacting damage from hail, wind, and ect.?
No
Yes Estimated yield loss______%
Pesticide Applications
Pesticide Name _________________________
Application Rate ___________
oz/ac
pt/ac
qt/ac
lbs/ac
qt/ac
lbs/ac
qt/ac
lbs/ac
qt/ac
lbs/ac
qt/ac
lbs/ac
Pesticide Name __________________________
Application Rate ___________
oz/ac
pt/ac
Pesticide Name _________________________
Application Rate ___________
oz/ac
pt/ac
Pesticide Name __________________________
Application Rate ___________
oz/ac
pt/ac
Pesticide Name __________________________
Application Rate ___________
oz/ac
pt/ac
Multiple Field Options
AFTER YOU HAVE SUBMITTED THE CURRENT FORM, If you have more than one field to report you can
choose one of the following options to create a new form.
MAKE SURE TO SUBMIT WITH THE SUBMIT BUTTON IN THE BOTTOM RIGHT OF YOUR CURRENT FORM
BEFORE YOU CREATE A NEW FORM!
New Form
This Button will create a new form but leave the name and address from the previous form
New Form
This Button will create a new form but leave the pesticide application from the previous form
New Form
This Button will create a new form but leave the pesticide application and address from the previous form
New Form
This Button will create an entirely new form
For assistance please call the Lower Niobrara NRD office at 402-775-2343 or e-mail at [email protected]
The Lower Niobrara Natural Resources District is an Equal Opportunity Provider and Employer
Submit