VS 5-10 Terminal Feedlot Approval

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control numbers for this information collection are 0579-0101 and 0579-0469. OMB APPROVED
The time required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing instructions, 0579-0101, 0579-0469
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES

0579-0469,

059-0101
TERMINAL FEEDLOT APPROVAL

REQUESTER INFORMATION
1. OWNER NAME

4. PREMISES ADDRESS

2. FACILITY NAME (if different than Item 1)

3. DATE PREPARED

5. PREMISES ID NUMBER
6. TELEPHONE NUMBER
7. EMAIL ADDRESS

8. MAILING ADDRESS (if different than Item 5)

9. CONTACT NAME FOR FACILITY (if different than owner)

10. TELEPHONE NUMBER
11. EMAIL ADDRESS

12. MAILING ADDRESS (if different than Item 6)

TYPE OF APPROVAL
13. SPECIES

INSTRUCTIONS: The requester must complete Items 13 and 14, select and complete the appropriate option in Item 15, and sign Item 16. The
authorized State or Federal inspector must complete Items 17 through 22. The approval is not valid without the State or Federal inspector’s signature.
14. GENERAL REQUIREMENTS

Inspecter observes that:
Only castrated male sheep and goats are maintained in the same enclosure with female sheep and goats.
Enclosures are adequate to contain sheep and goats or if only sheep will be maintained sheep.
If only part of a facility is approved as a terminal feedlot a diagram or description of the terminal facility is attached that clearly
indicates what enclosures are included in the terminal feedlot.
Records of all sheep and goats entering and leaving the terminal feedlot are maintained for 5 years after the sheep and goats
leave the feedlot meet the requirements of 9 CFR § 79.2, including either a copy of the required owner/hauler statements for
sheep and goats entering and leaving the facility or the information required to be on the statements. If the facility is new a
records system is in place that will meet the requirements.
Owner agrees to:
Only castrated male sheep and goats will be maintained in the same enclosure with female sheep and goats.
Only move sheep and goats in the terminal feedlot to another terminal feedlot or directly to slaughter. Maintain records of all
sheep and goats entering and leaving the terminal feedlot will be maintained for 5 years after the sheep and goats leaves the
feedlot that meets the requirements of 9 CFR § 79.2, including either a copy of the required owner/hauler statements for
sheep and goats entering and leaving the facility or the information required to be on the statements.
Make records available for inspection and copying by an APHIS or State representative upon request.
Approval may be removed by written notice from APHIS or the state for non-compliance with any requirement or refusal to
allow inspection of the records or the facility to determine compliance.
VS FORM 5-10
NOV 2018

15. OPTIONS (select only one)

Option 1 -- Dry lot sheep and goats of unknown pregnancy status permitted:
Inspecter observes that:
Sheep and goats in the terminal feedlot are separated from all other sheep and goats not in the terminal feedlot by
at least 30 feet at all times or are separated by a solid wall through, over, or under which fluids cannot pass and
contact cannot occur.
Owner agrees to:
Maintain the terminal feedlot as a dry lot.
Sheep and goats in the terminal feedlot will be maintained separated from all other sheep and goats not in the
terminal feedlot by at least 30 feet at all times or are separated by a solid wall through, over, or under which fluids
cannot pass and contact cannot occur
All organic material will be remove from an enclosure prior to it being used to contain sheep or goats that are not
in slaughter channels and disposed of in a manner such that sheep and goats will not come into contact with it.
Option 2 -- Dry lot non-pregnant sheep and goats only:
Inspector observes that:
Terminal feedlot is a dry lot where all sheep and goats in the terminal feedlot are separated from all other sheep
and goats not in the terminal feedlot such that physical contact cannot occur including through a fence.
Only sheep and goats that either are not pregnant based on the sheep and goats being male, an owner
certification that any female sheep and goats have not been exposed to a male in the preceding 6 months, an
ICVI issued by an accredited veterinarian stating the sheep and goats are not pregnant, or the sheep and goats
are under 6 months of age at time of receipt are in the terminal feedlot.
Owner agrees to:
Maintain the terminal feedlot as a dry lot.
Ensure that all sheep and goats in the terminal feedlot are separated from all other sheep and goats not in the
terminal feedlot such that physical contact cannot occur including through a fence.
Only maintain sheep and goats that either are not pregnant based on the sheep and goats being male, an owner
certification that any female sheep and goats have not been exposed to a male in the preceding 6 months, an
ICVI issued by an accredited veterinarian stating the sheep and goats are not pregnant, or the sheep and goats
are under 6 months of age at time of receipt are in the terminal feedlot.
Option 3 -- Pasture non-pregnant sheep and goats only, pastures may only be approved by the State:
State Inspector observes that:
Terminal feedlot is a pasture where all sheep and goats in the terminal feedlot are separated from all other sheep
and goats not in the terminal feedlot such that physical contact cannot occur including through a fence
Only sheep and goats that either are not pregnant based on the sheep and goats being male, an owner
certification that any female sheep and goats have not been exposed to a male in the preceding 6 months, an
ICVI issued by an accredited veterinarian stating the sheep and goats are not pregnant, or the sheep and goats
are under 6 months of age at time of receipt are in the terminal feedlot.
Owner agrees to:
Ensure that all sheep and goats in the terminal feedlot are separated from all other sheep and goats not in the
terminal feedlot such that physical contact cannot occur including through a fence
Only maintain sheep and goats that either are not pregnant based on the sheep and goats being male, an owner
certification that any female sheep and goats have not been exposed to a male in the preceding 6 months, an
ICVI issued by an accredited veterinarian stating the sheep and goats are not pregnant, or the sheep and goats
are under 6 months of age at time of receipt are in the terminal feedlot.
16. SIGNATURE OF APPLICANT

APPROVAL
17. TERMINAL FEEDLOT IS APPROVED AS :

Terminal Feedlot Option 1: sheep and goats of unknown pregnancy status permitted
Terminal Feedlot Option 2: dry lot non-pregnant sheep and goats only
Terminal Feedlot Option 3: pasture non-pregnant sheep and goats only
18. SIGNATURE OF STATE OR FEDERAL INSPECTOR

19. NAME AND TITLE OF INSPECTOR

21. INSPECTOR’S TELEPHONE NUMBER

22. INSPECTOR’S EMAIL ADDRESS

VS FORM 5-10 (Reverse)

20. DATE