CPD Form 804 "Produce Safety Rule Exemption Application" - South Carolina

What Is CPD Form 804?

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

Form Details:

  • Released on February 26, 2020;
  • The latest edition provided by the South Carolina Department of Agriculture;
  • 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 fillable version of CPD Form 804 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Agriculture.

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Download CPD Form 804 "Produce Safety Rule Exemption Application" - South Carolina

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South Carolina
DEPARTMENT OF AGRICULTURE
PRODUCE SAFETY DEPARTMENT
123 Ballard Court, West Columbia, SC 29172
Hugh E. Weathers, Commissioner
PRODUCE SAFETY RULE EXEMPTION APPLICATION
R E Q U I R E M E N T S F O R B A S I C E X E M P T I O N
One of the following requirements must be met.
A. Only grow produce that is rarely consumed raw, specifically the produce on the following exhaustive list:
Asparagus, black beans, great Northern beans, kidney beans, lima beans, navy beans, pinto beans, beets, garden (roots and
tops) beets, sugar beets, cashews, sour cherries, chickpeas, cocoa beans, coffee beans, collards, sweet corn, cranberries, dates,
dill (seeds and weed), eggplants, figs, ginger, hazelnuts, horseradish, lentils, okra, peanuts, pecans, peppermint, potatoes,
pumpkins, mature southern field peas (such as black-eyed peas, cowpeas, crowder peas, purple hull peas, sea island peas, silver
peas, and speckled peas), winter squash, sweet potatoes, and water chestnuts.
B. Produce grown is used only for personal consumption or produced for consumption on the farm or another farm under
the same management.
C. During the previous 3-year period your average of all produce sales was less than $25,000 (on a rolling basis) adjusted for
inflation using 2011 as the baseline year for calculating the adjustment.
R E Q U I R E M E N T S F O R P R O C E S S I N G E X E M P T I O N
As required in the rule, other requirements must be met to justify this exemption.
Produce grown receives commercial processing that adequately reduces the presence of microorganisms of public health
significance.
R E Q U I R E M E N T S F O R Q U A L I F I E D E X E M P T I O N
Both of the following requirements must be met.
A. During the previous 3-year period, annual food* sales are less than $500,000 adjusted for inflation, and the amount of
sales sold to qualified end-users exceeded the amount sold to all other buyers.
*The term “food” means (1) articles used for food or drink for man or other animals, (2) chewing gum, and (3) articles used for
components of any such article.
AND
B. You sell more than 50% of your annual food sales to qualified end-users (consumer of the food and/or a restaurant or retail
food establishment) located in South Carolina or within the same Indian Reservation or within 275 miles of your farm.
Farms must apply annually to qualify for exemption.
1
2/26/20
CPD Form #804
South Carolina
DEPARTMENT OF AGRICULTURE
PRODUCE SAFETY DEPARTMENT
123 Ballard Court, West Columbia, SC 29172
Hugh E. Weathers, Commissioner
PRODUCE SAFETY RULE EXEMPTION APPLICATION
R E Q U I R E M E N T S F O R B A S I C E X E M P T I O N
One of the following requirements must be met.
A. Only grow produce that is rarely consumed raw, specifically the produce on the following exhaustive list:
Asparagus, black beans, great Northern beans, kidney beans, lima beans, navy beans, pinto beans, beets, garden (roots and
tops) beets, sugar beets, cashews, sour cherries, chickpeas, cocoa beans, coffee beans, collards, sweet corn, cranberries, dates,
dill (seeds and weed), eggplants, figs, ginger, hazelnuts, horseradish, lentils, okra, peanuts, pecans, peppermint, potatoes,
pumpkins, mature southern field peas (such as black-eyed peas, cowpeas, crowder peas, purple hull peas, sea island peas, silver
peas, and speckled peas), winter squash, sweet potatoes, and water chestnuts.
B. Produce grown is used only for personal consumption or produced for consumption on the farm or another farm under
the same management.
C. During the previous 3-year period your average of all produce sales was less than $25,000 (on a rolling basis) adjusted for
inflation using 2011 as the baseline year for calculating the adjustment.
R E Q U I R E M E N T S F O R P R O C E S S I N G E X E M P T I O N
As required in the rule, other requirements must be met to justify this exemption.
Produce grown receives commercial processing that adequately reduces the presence of microorganisms of public health
significance.
R E Q U I R E M E N T S F O R Q U A L I F I E D E X E M P T I O N
Both of the following requirements must be met.
A. During the previous 3-year period, annual food* sales are less than $500,000 adjusted for inflation, and the amount of
sales sold to qualified end-users exceeded the amount sold to all other buyers.
*The term “food” means (1) articles used for food or drink for man or other animals, (2) chewing gum, and (3) articles used for
components of any such article.
AND
B. You sell more than 50% of your annual food sales to qualified end-users (consumer of the food and/or a restaurant or retail
food establishment) located in South Carolina or within the same Indian Reservation or within 275 miles of your farm.
Farms must apply annually to qualify for exemption.
1
2/26/20
CPD Form #804
South Carolina
DEPARTMENT OF AGRICULTURE
PRODUCE SAFETY DEPARTMENT
123 Ballard Court, West Columbia, SC 29172
Hugh E. Weathers, Commissioner
PRODUCE SAFETY RULE EXEMPTION APPLICATION
Applicant Name
Farm Name
Mailing Address
Farm Address
Phone
Email
Select the type of exemption your operation qualifies for based on the definitions provided on the previous page. (Check one only)
square Basic Exemption A
square Basic Exemption B
square Basic Exemption C
square Processing Exemption
square Qualified Exemption
Pursuant to Section 39-26-30 and 39-26-40, CODE OF LAWS OF SOUTH CAROLINA, 1976, Amended May 19, 2017, above
named Applicant certifies compliance with requirements for exemption of inspections and regulations required under the
Produce Safety Rule. Details of such exemptions are listed on page one of this application.
Applicant’s Signature
Applicant’s Title
Date
S E N D C O M P L E T E D A P P L I C AT I O N T O
Brooke Horton
123 Ballard Court, West Columbia, SC 29172 | bhorton@scda.sc.gov | 803-351-1244
F O R S C D A I N T E R N A L U S E O N LY
square Paperwork received and in compliance
square Exemption Certificate #
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