Organic Farm Buffer Zone Declaration
Farm & Operator Details
Farm Name
Operator Name
Farm Address
Certification Number
Buffer Zone Description
Location of Buffer Zone(s)
Buffer Width (meters)
Adjacent Land Use(s)
Physical Marker(s) or Demarcation
Measures Implemented to Prevent Contamination
Declaration
I hereby declare that the buffer zones around my organic farm are clearly marked and maintained, and measures are in place to prevent contamination from adjacent non-organic areas.
Operator Signature
Date