Form MO780-2153 "Cafo Record Keeping Forms Checklist" - Missouri

What Is Form MO780-2153?

This is a legal form that was released by the Missouri Department of Natural Resources - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2020;
  • The latest edition provided by the Missouri Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form MO780-2153 by clicking the link below or browse more documents and templates provided by the Missouri Department of Natural Resources.

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Download Form MO780-2153 "Cafo Record Keeping Forms Checklist" - Missouri

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MISSOURI DEPARTMENT OF NATURAL RESOURCES
WATER PROTECTION PROGRAM
CAFO RECORD KEEPING FORMS CHECKLIST
INSTRUCTIONS
1.
Use the checklist to determine which of the record-keeping forms are required for your operation and include them in your
record-keeping file. Forms for all record-keeping requirements of the MOG01 (NPDES) and MOGS1 (State No Discharge)
operating permits are included.
2.
There will be multiple copies of some pages due to the unique characteristics of each operation. The forms can be filled out
on a computer or they can be printed or copied and kept in a binder.
3.
Information on the forms can be used to complete the annual report, which must be submitted by Feb. 15 of each year.
Only specified forms need to be submitted with the annual report
4.
All records must be retained for five years along with your operating permit and nutrient management plan.
CHECKLIST
OPERATION NAME:
PERMIT NUMBER: MO-
YEAR
MANURE STORAGE
1A. Spills and Overflows
1B. Liquid Manure Storage Level Readings
1C. Transfers Off-Farm
1D. Rainfall Records (Required only for operations with open liquid storage)
1E. Mortality Management
TESTING RESULTS
2A. Manure
2B. Soils
INSPECTIONS
3A. Production Area Visual Inspections
3B. Land Application Area Visual Inspections
3C. Problems and Repairs
LAND APPLICATION
4A. Operational Monitoring
4B. Nitrogen
4C. Phosphorus
MO 780-2153 (02-20)
Page 1 of 14
MISSOURI DEPARTMENT OF NATURAL RESOURCES
WATER PROTECTION PROGRAM
CAFO RECORD KEEPING FORMS CHECKLIST
INSTRUCTIONS
1.
Use the checklist to determine which of the record-keeping forms are required for your operation and include them in your
record-keeping file. Forms for all record-keeping requirements of the MOG01 (NPDES) and MOGS1 (State No Discharge)
operating permits are included.
2.
There will be multiple copies of some pages due to the unique characteristics of each operation. The forms can be filled out
on a computer or they can be printed or copied and kept in a binder.
3.
Information on the forms can be used to complete the annual report, which must be submitted by Feb. 15 of each year.
Only specified forms need to be submitted with the annual report
4.
All records must be retained for five years along with your operating permit and nutrient management plan.
CHECKLIST
OPERATION NAME:
PERMIT NUMBER: MO-
YEAR
MANURE STORAGE
1A. Spills and Overflows
1B. Liquid Manure Storage Level Readings
1C. Transfers Off-Farm
1D. Rainfall Records (Required only for operations with open liquid storage)
1E. Mortality Management
TESTING RESULTS
2A. Manure
2B. Soils
INSPECTIONS
3A. Production Area Visual Inspections
3B. Land Application Area Visual Inspections
3C. Problems and Repairs
LAND APPLICATION
4A. Operational Monitoring
4B. Nitrogen
4C. Phosphorus
MO 780-2153 (02-20)
Page 1 of 14
1A - MANURE STORAGE. Spills and Overflows (List any corrective actions taken in 3B.)
PERMIT NUMBER
YEAR
MO-
Discharge
Discharge Rate
Estimated Volume Discharged
1
Date
Time
Cause of Discharge
Location
Duration
gallons or cu. ft./Sec
gallons or cu. ft.
Notes
Estimated volume = discharge rate in gallons per second or cubic feet per second x duration (seconds). See record-keeping requirements of your MOG01 or
1
permit, for additional guidance.
Measure discharge or release of spills from manure handling and overflows from manure storages at the property line or immediately prior to entering the receiving
stream.
Any discharge of manure, litter, process wastewater, or mortality byproducts to surface waters of the state or release that crosses property boundaries shall be
reported to the department as soon as practicable, but no later than 24 hours after the permittee becomes aware of the discharge. MOGS1 permitees see
additional reporting requirements in non-compliance reporting requirements of your permit.
If a discharge or release occurs, submit this page with the annual report.
MO 780-2153 (02-20)
Page 2 of 14
1B - MANURE STORAGE. Liquid Manure Storage Level Readings
MANURE SOURCE
PERMIT NUMBER
YEAR
MO
Week
Date
Level Reading - Feet Below Overflow
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
Instructions: Record the liquid level weekly for each unique liquid manure storage structure. Use a separate sheet for each
separate structure.
MO 780-2153 (02-20)
Page 3 of 14
1C - MANURE STORAGE. Transfers (Off-farm)
PERMIT NUMBER
YEAR
MO
Info to Buyer (check)
Amount
Date of
Source
1
Transferred
Current Manure
Name of Buyer
Address
Transfer
NMTS
3
(gal. or ton)
Test Results
Notes
Deep pit, lagoon, basin, tank, sludge, separated solids, litter, mortality compost.
1
Agitated, unagitated, cake litter, with or without bedding, composted litter.
2
The current version of the Missouri CAFO Nutrient Management Technical Standard published by the Department of Natural Resources.
3
MO 780-2153 (02-20)
Page 4 of 14
1D - MANURE STORAGE. Rainfall (Required for open liquid storage only)
PERMIT NUMBER
YEAR
MO
Day
Jan.
Feb.
Mar.
April
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Monthly
Total
YTD
Instructions: Collect rainfall data for operations with open liquid manure storages only.
MO 780-2153 (02-20)
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