AFO Forms, Iowa DNR

Forms for Animal Feeding Operations

Form #	Manure Management Plan Forms	Rev Date
542-4000	Manure Management Plan (MMP) Manure Management Plan (MMP) Manure Management Plan (MMP)	1/2022
542-4000a	Appendix A - Reference Tables for MMP	7/2023
542-4000b	Appendix B - Optimum Yields Worksheet	1/2022
542-8069	Manure Management Plans for Sales of Dry Manure	1/2019
542-8162	MMP Short Form for Annual Update	2/2017
542-8002	Manure Application Record Keeping	2/2021
542-8167	Statement of Intent - Commercial Fertilizer Application for Livestock and Poultry Producers	11/2008
542-0017	For Producer Use: Stockpile Inspection Form	6/2014
Form #	Construction, Expansion or Modification Forms	Rev Date
542-8068	Construction Design Statement (CDS)	5/2021
542-8122	Professional Engineer Design Certification (PE CDS)	1/2019
542-8157	Petition for a Flood Plain Determination or Declaratory Order	5/2016
542-1420	Minimum Separation Distances for Confinements	2/2019
542-1428	Permit Required: Construction Permit Application	3/2021
542-8043	Master Matrix	2002
NA	Stormwater Plan	NA
542-1415	Storm Water Permit - Notice of Intent for NPDES Coverage Under General Permit - No.2	11/2018
542-8117	Storm Water Permit - Public Notice of Storm Water Discharge	2/2011
542-8115	Storm Water Permit - Notice of Discontinuation of a Storm Water Discharge - No.2	8/2012
542-3106	Water Use Permit Application	4/2015
542-3234	Flood Plain Permit Application	NA
542-0627	Construction Certification for Confinements	2/2020

Form #	Fee Forms	Rev Date
542-1428	Manure Storage Indemnity & Filing Fee with Construction Permit Fee (incorporated into permit application)	2/2020

Form #	Open Feedlot Forms	Rev Date
542-2021	Nutrient Management Plan (NMP) Nutrient Management Plan (NMP) Nutrient Management Plan (NMP)	1/2019
542-1553	Public Notice for NMPs	1/2019
542-1427	Construction Permit Application - Open Feedlot	7/2017
NA	Table 7 - Minimum Separation Distances for Open Feedlots and Stockpiles	1/2022
NA	Stormwater Plan	NA
542-1415	Storm Water Permit - Notice of Intent for NPDES Coverage Under General Permit - No.2	11/2018
542-8117	Storm Water Permit - Public Notice of Storm Water Discharge	5/2011
542-8115	Storm Water Permit - Notice of Discontinuation of a Storm Water Discharge - No.2	8/2012
542-3106	Water Use Permit Application	4/2015
542-3234	Flood Plain Permit Application	NA

Form #	Open Feedlots Fee Forms	Rev Date
542-1254	Annual NPDES Permit Fee Invoice (not required until after you receive a NPDES permit; DNR will mail form when it is due)	4/2021

Form #	NPDES Forms	Rev Date
542-4001	Individual NPDES Permit Application for Beef and Dairy Open Feedlots, Including Cow Yards, Confinements and Combined CAFO Operations	4/2021
542-0190	Compliance Steps for Combined CAFOs	1/2019
542-1551	NPDES Open Feedlot Quarterly Report	2/2011
542-1552	NPDES Annual Report	2/2023
542-2021	Nutrient Management Plan (NMP) Nutrient Management Plan (NMP) Nutrient Management Plan (NMP)	1/2022

Form #	Fee Forms	Rev Date
542-1251	Application Fee Invoice for a Permit Application. Required to be Submitted With All NPDES Permit Applications.	4/2021
542-1254	Annual NPDES Permit Fee Invoice (not required until after you receive a NPDES permit; DNR will mail form when it is due)	4/2021

Form #	Livestock Truck Wash Forms	Rev Date
542-0982	Construction Permit Application Animal Truck Wash Facility	1/2019
542-2021	Livestock Truck Wash Water - Larger facilities are required to submit a Nutrient Management Plan	1/2019
542-0982a	Table 7a – Minimum Separation Distances for Livestock truck Washes	1/2019

Form #	Form	Rev Date
542-4021	Manure Storage Indemnity & Filing Fee. (Required only with construction, expansion or modification of an operation that does not need a construction permit	5/2019
542-4026	Manure Storage Indemnity & Filing Fee for Ownership Transfer (required only for operations changing ownership)	5/2019
542-1428	Manure Storage Indemnity & Filing Fee with Construction Permit Fee (incorporated into permit application)	2/2020
542-8064	Annual Compliance Fee (Required only with an annual updated manure management plan)	11/2021
542-1251	Application fee invoice for a permit application. Required to be submitted with all NPDES permit applications.	4/2021
542-1254	Annual NPDES Permit Fee Invoice (not required until after you receive an NPDES permit; DNR will mail form when it is due)	4/2021

Form #	Other Forms	Rev Date
542-0020	Animals to Animal Units Conversion	01/2021
542-4022	Business Form for Commercial Manure Services	11/2014
542-4023	Commercial Manure Services - Employee Substitution and Termination Form	11/2014
542-8046	Verification of County Receipt used with annual MMP updates and for confinements that do not need a permit	1/2019
542-1428	Verification of County Receipt with a Construction Permit	2/2020
542-0020	Animal Unit Capacity Calculation Worksheet	01/2021
542-0163	Petition for Well Variance on new Construction	7/2014
NA	Stormwater Plan	NA
542-3106	Water Use Permit Application	11/2018
542-3234	Flood Plain Permit Application	NA
542-0111	Waiver Request	1/2022
542-0640	Pollution Control Tax Exemption	12/2019
542-8123	For DNR Use: Construction Observation – Formed Manure Storage Structure	05/2022
542-8119	For DNR Use: AFO Facility Inspection Checklist	04/2022
542-8120	For DNR Use: Manure Management Plan Compliance Review - Sales of Manure	01/2019
542-8161	For DNR Use: Contact Information Form - MMP Compliance Appointment Review Protocol	02/2005
542-0138	For DNR Use: Manure Management Plan Administrative Review Checklist	12/2021
542-2022	For DNR Use: Nutrient Management Plan Compliance Review – Nonsales of Manure	01/2019
542-0139	For DNR Use: Nutrient Management Plan Administrative Review Checklist	03/2012
542-0310	For DNR Use: AFO Regulatory Status, To be determined after a desktop assessment.	12/2013