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CAFO Permit

Department of Health · St. Joseph County, Indiana

Editable official PDF

Edit the agency’s original form, save your draft, attach documents, and review your completed PDF before signing or ordering delivery.

Print and mail service is available for your prepared packet. Review the destination and the agency’s acceptance requirements before ordering. Government payment is separate from document and postage charges.

Applicant fields are mapped to the source PDF. Agency-only fields are reserved.

Official form and instructionsPay the agency directly
Your application steps6 steps · Department of HealthView steps
  1. 1Prepare your answersComplete here

    Edit and save your answers on the official PDF.

    Official source
  2. 2Add supporting documentsComplete here

    Attach the supporting records listed by the agency. Check that every page is legible and complete.

    • Attach waste-management, farmstead and manure-management plans; waste-system drawings; proposed-facility IDEM application; and scaled separation-distance and property maps.
    • Provide ownership information for every person holding more than 5%.
    • Review and sign the certifications and permission for county inspection printed on page 3.
  3. 3Review and signPrepare here, finish outside

    Complete each applicable applicant signature after reviewing the full declarations. Required notary, professional and witness signatures remain separate.

  4. 4Choose paymentPrepare here, finish outside

    $600 CAFO permit every 5 years, plus any applicable mailing or processing charges. Government fees are separate from the optional prepared PDF and postage. Review the exact amount and recipient before authorizing a check.

    Pay the agency directly
  5. 5Submit or order deliveryPrepare here, finish outside

    Attach waste-management, farmstead and manure-management plans; waste-system drawings; proposed-facility IDEM application; and scaled separation-distance and property maps. Provide ownership information for every person holding more than 5%. Review and sign the certifications and permission for county inspection printed on page 3. The original PDF is available to prepare the application. The official payment form instructs users to submit their application through DocuSign first. For a paper/PDF filing, coordinate payment with the department before using that payment-only page.

    Official submission instructions
  6. 6Keep your receiptComplete here

    Save your agency confirmation and payment receipt. Track any mailing from My applications. Delivery does not mean the agency approved your application.

Official requirements and sources

Complete your application

Required fields are marked *. Fields follow the agency’s published form. Save your work before leaving this page.

Fill in the official form

Select a highlighted blank and type directly. Use Field list for larger controls and any answers that need a continuation page.

Page 1 of 3 · 41 editable blanks
St. Joseph County Department of Health “To promote health and wellness with compassion and integrity through partnerships, education, protection, and advocacy for all who reside in and visit St. Joseph County.” CONCENTRATED ANIMAL FEEDING OPERATION PERMIT APPLICATION Site Information: (Provide the following information for the location of the CAFO): Name of Business Address: City: State: Zip: Phone: Fax: E-mail: Applicant Information: (Provide the following for the person who completed this application): Name: Address: City: State: Zip: Phone: Fax: E-mail: Applicant is (check one): The owner: An authorized representative of the owner: Ownership information: Provide the following information for any person who owns more than 5% of the property and/or facilities included in the permit application. Use additional sheet if necessary. Name: Address: City: State: Zip: Phone: Fax: E-mail: Description of livestock: Type of livestock to be confined: Maximum number of livestock that may be confined at any time: Number of livestock confined at time of application: If livestock are swine, list number weighing more than 55 pounds during any time on site: If livestock are ducks, chickens, or laying hens, is a liquid manure handling system used? Yes/No Application submittals: The following items must be submitted with the application. Check those that are attached to this submittal. A waste management plan as described by County Code 116.16 on the attached form. A farmstead plan as defined in 327 IAC 19-7-3. A waste management system drawing as described in 327 IAC 19-7-4. A manure management plan as defined in 327 IAC 19-7-5. A copy of the CAFO Permit Application submitted to IDEM (proposed facilities). IDEM Permit: List the effective date of your permit. List the expiration date of your permit. If your IDEM permit has not yet been issued, list the date of the latest application. Drawings: Attach the following maps and drawings drawn to scale: A map showing the separation distances listed below. A map of the property on which the CAFO is or is proposed to be located showing all property boundaries and features used to operate the CAFO. 1

Select any highlighted blank to type. A larger copy of the selected question appears here.

Review every page before signing. Professional, agency and notary signature areas stay reserved.Original blank form