Fillable STEARNS COUNTY FEEDLOT CLOSURE FORM Stearns County Environmental (Minnesota Department of Revenue)

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STEARNS COUNTY FEEDLOT CLOSURE FORM Stearns County Environmental (Minnesota Department of Revenue)

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  • 24 check-boxes
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Last Updated: 8/17/2018
STEARNS COUNTY
FEEDLOT CLOSURE FORM
Stearns County Environmental Services Department
705 Courthouse Square – Administration Center - Room 343
St Cloud - MN - 56301
320-656-3613 - 800-450-0852 - Fax 320-656-6484
Within 60 days of closure, an owner of a feedlot must submit this form to the County Feedlot Officer stating the feedlot or manure
storage areas have been closed in accordance with MN Rules 7020.2025. Closure is required for feedlot components unused at least
one year.
Submit form to: Stearns County Environmental Services Department at the address listed above.
A. Contact Information:
Owner Name:
Owner Address:
City:
Zip Code:
Phone:
Fax:
Email:
B. Feedlot Information:
Feedlot Registration Number:
Parcel ID #
Facility Address:
City:
Zip Code:
County
Township
Name
Township #
(121-127)
Range #
(27-35)
Section #
(1-36)
Quarter Section
(NW, NE, SW, SE)
Quarter / Quarter Section
(NW, NE, SW ,SE)
Stearns
C. The following are components of my feedlot. Check all that apply:
Feedlot structures(s) (barns, buildings)
# of structures discontinued
Open lot(s)
# of lots discontinued
Manure Storage Structure(s)
# of discontinued manure structures
D. Closure Checklist: The following have been completed according to closure requirements.
Y
N
N/A
1.
All animals have been removed from site:
Date last had animals:
2.
All manure and manure-contaminated soils have been removed from open lots and land
applied.
3.
Liquid manure storage area: all liquid manure has been removed and land applied.
4.
Liquid manure storage area (clay/earthen liner)*: all discolored soils have been removed
(typically one foot below bottom of liner).
5.
Liquid manure storage area (concrete liner)*: Stearns County Solid Waste Officer has been
contacted about closure plans and determined if a permit was needed.
6.
Liquid manure storage area*: backfilling has been completed.
7.
Vegetation (grasses, alfalfa, etc) has been planted to reduce soil nitrogen levels.
*
Closure to this extent may not be required. Check with Stearns County Feedlot Officer.
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Title:
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Date:
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STEARNS COUNTY FEEDLOT CLOSURE FORM Stearns County Environmental (Minnesota Department of Revenue)

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Completed 18 July 2020

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