450007_Inspection_20221108

Date of Visit: 19' f3 Jo2i...Arrival Time: /c7:t)gpM Departure Time: f..rC7Fr County: f.'�'l)> ksonitegion: �.C°'1
Farm NameaPn.CG(( iL.3`F.S. U_,1`I Y2_ol Owner Email: '
Owner Name: 1/ C g+.1,2.Li_ � 6,aY.? A:? Phone: oz.
Mailing Address:
u Uz'�TL—t;s" •�:I ,�I,(� (1 �'s CL 7 G Physical Address: r / a- 1 �% �
Facility Contact: �l i C, I�C/,2L�. i �C"'U✓ Title: d e9a)(,p n— Phone: fl� -R
LY
Onsite Representative: t� � _.Ya fpga„ _ ,(. w n e n LC✓i ! S-i"A,� Integrator: „J�'S {5i:� o2`C3 T4
GI 1/I \1
Certified Operator: `\�t'� �( C"yii an u 12 rA Sw I�✓�, Certification Number
Back-up Operator: Certification Number:
r.,,00we� ar Farm•
Discharees and Stream Imoacts
r.aww�dP:
r.nnoitnde:
1. Is any discharge observed from any part of the operation?
❑ Yes
P/ No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
PNo
❑ NA
❑ NE
of the State other than from a discharge?
Page I of
51122020 Continued

Facili Number:' jDate of Inspection: 1( 5
70
Waste. Collection & Treatment
4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate?
❑ Yes
'[LNo
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Structure 1 Structure Structure 3 Structure 4
Structure 5
tru
Scture 6
Identifier: �'(. "%Inl.$'
Spillway?: 1
/
Designed Freeboard (in), c4 E(0 r3-
Observed Freeboard (in)f
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes,
[Z No.
❑ NA
❑ NE
(i.e.,. large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
®; No
❑ NA
❑ NE
waste management or closure plan?
'
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
threat, notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
'0 No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
5('No
❑ NA -
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
[ No
❑ NA
❑ NE
maintenance or improvement?
Waste Atudication
,.10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
No
❑ NA
❑ NE
- maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
No
❑ NA
❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN> 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into
Hare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application
Outside of Approved Area
12.Crop Type(s) "yf441Li -Y.Gc fyl ....�I /Zt-t- fO;PnJ Jt_'1 Cr 'TC'rc&o
si'%R V'C.
/7�
- 13. Soil Type(s): 'i4,¢Sh i(t SiLS.WiLr ! �� cti'o C�"'t
14. Do the receiving crops df£//,fer from those designated in the CAWMP?
❑ Yes
No
❑ NA.
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
n No
�4
❑ NA
❑ NE
16. Did the facility fail to secure. and/or operate per the irigation design or wettable
❑ Yes
No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
Nf No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
N No
❑ NA
❑ NE
(�,,,,RRR' fired Records & Documents
`-4" id the facilityfail to have the Certificate of Coverage & Permit readily available?
Yes
❑ No
❑ NA
❑ NE
" 20. Does the facility fail to have all cdrnponems of the CAWMP readily available? If yes, check
❑ Yes
KNo
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements
❑Other:
�r
2Does record keeping need improvement? If yes, check the appropriate box below.
RYes
❑ No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis NSoit Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall [:]Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I"Rainfall Inspections
❑ Sludge
Survey
22. Did the facility fail to install and maintain a min gauge?
❑.Yes
E1 No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
ZjNo
❑ NA
[:]NE
Page 2 of 3
21412015 Continued

IFAdfity Number: 0( jDate of Inspection: (( ^v
2aaZ:..I
2 j, id the facility fail to calibrate waste application equipment as required by the permit?
,Yes
❑ No ❑ NA
❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
©No ❑ NA
❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a PDA for sludge
levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes
M No ❑ NA
❑ NE
(` 27�„Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Ej Yes
❑ No ❑ NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
'Q, No ❑ NA
❑ NE
and report mortality rates that were higher than norrnal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
Qg qo ❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
[PNo ❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
[XNo ❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
(;"ere any additional problems noted which cause non-compliance of the permit or CAWMP?
)EYes
❑ No ❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
' `�No ❑ NA
❑ NE
r3_4 oes the facility require a follow-up visit by the same agency?
[0,Yes
❑ No ❑ NA
❑ NE
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Reviewer/Inspector Name: I! Phone:U/zf3
Reviewer/Inspector Signature:Vic-- J ('rrk- Data:
Page 3 of 3 �` / 511212020

Facili Number:` y, IDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
❑ No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [_]Failure to develop a PQA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes
❑ No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
❑ No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the. time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes
❑ No ❑ NA ❑ NE
permit? (i.e, discharge, freeboard problems, over -application)
31. Do subsurface file drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No ❑ NA ❑ NE
34, Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No ❑ NA ❑ NE
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Reviewer/Inspector Name: V �. f. i�. �� ))' Ph.: ZS'/9,T61
Reviewer/Inspector Signature:.- �'7v �Y/: Date: rl /JG�.tz 7•�
Page 3 of 5/12/2020

Water Pollution Control System Operators Certification Commission
Operator Continuing Education Hours $ Invoice Payment Status
Wilson, Jeremy Wayne
County: Haywood
Current Renewal Invoice: 2022RE009059
Renewal Invoice Status: Open
CE Hours
CE Hours
CE Hours
CE
Active Certifications
Required
Earned
Needed
Due Date
AWB 1002872
6.0
3.0
3.0
1/1/2023
IMPORTANT -PLEASE READ CAREFULLY
Anima/ waste operators who fail to renew their certificates) within the 30 days following 12/3112022, shall be
considered invalid and shall be required to take and pass the examination for certification in order to become
recertified, in accordance with NCGS 90A-47(b).
Wastewater operators who fail to renew their certificate(s) by 12/31/2022, must pay a $50.00 late penalty in addition
to the $50.00 renewal fee for a total of $100.00, in accordance with NCGS 90A-42(a)(9).
Run Date: 11/30/2022

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