760060_Compliance Evaluation Inspection_20180222

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Division of Water Resource.v
Facility Number 0 Division of Soil and Water(.....nervation j()A tq
0 Other Agency
L
pe of Visit: Compliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
ason for Visit: iyRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 2 Arrival Time:,.TN=---' Departure Time: County: �� Region: W5P_.0
Farm Name: 1LOODMaV\ 011 ner Email:
Owner Name: A lr(J 1L oow Q-1n Phone:
Mailing Address: ao �.,d 2d • ,� S{-p�-j-e� I ((�� Nc_
Physical Address: a 1J I V` Q� 6 o_ "m
Facility Contact: A-1-d I_OOP rna_V-'N Title: Phone: �T70 � t� o6 ,(, Q
Onsite Representative: Integrator:
Certified Operator: II / Certification Number:
Back-up Operator: r ( � 1 i� "��,t f- (L � - �79 `� Certification Number:
Location of Farm: Latitude: `
�S ,�� � Longitude:
ff'rj C}l Li e-r j �. R u l i am .
f,
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish I iLayer Dairy Cow S
Wean to Feeder I INon-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes WNo ❑ 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) s ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? s JX'No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters Yes ❑ No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facili Number: - Date of Inspection: ,
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes ,KNo ❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? �h�E;�Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 *St un ure 4 r tv�rpl�
t cturie 5 Structure 6
Identifier: �}� V La Wgr r'je_ = Vj5 f'
Spillway?: � J-y
Designed Freeboard mo 5 ToD i
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 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? "'WYes ❑ No [:] NA ONE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes gNo ❑ 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 Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes IzNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes 7777''"""'�No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
0
12.Crop Type(s): S
13. Soil Type(s): IQ
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 40 ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes t�'No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes &?rNo ❑ NA ❑ NE
acres determination? ')1" U1 V\
cr �
17. Does the facility lack adequat eage for land application? ❑ Yes No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes *o ❑ NA ❑ NE
Required Records&Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes JX No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design [:]Maps ❑ Lease Agreements ❑Other:
2�oes record keeping need i provement? If yes,check he appropriate box belo ❑ Yes No WA
❑ NE
Waste Application Weekly Freeboard Waste Analysis Soil Analysis Bather Code
Rainfall D<tocking ['Crop Yield ❑1120 Minute Inspections [Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No 5(NA ❑ NE
Page 2 of 3 21412015 Continued

Facilit Number: - 66 jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes f'No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No XNA ❑ NE
the appropriate box(es)below.
❑Failure to complete annual sludge survey ❑Failure to develop a POA 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 provide documentation of an actively certified operator in charge? ❑ Yes ONo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes WNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes Vf 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 Io ❑ 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 X"No ❑ 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 5jlf�o ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes iNo ❑ 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
Comments(refer to question ft Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
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Reviewer/Inspector Name: rl 5( ��� � -U Phone:
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Reviewer/Inspector Si ture: Date: aZ��
Page 3 of 3 �/� 3Q CA S 21412015

CALL and COMPLAINT LOG
Division of Water Resources-Animal Waste
Winston-Salem Regional Office
Date Received: Z Z.2,b 1 T� Date Investigation Began: 4/1 z / 0-6 (9
Time Received: r Date Investigation Closed:
Staff Receiving call: ML Was a violation documented? Yes o No
Facility Name: M Oc)4in -Q T)[)I r I P5 Responsible Party: K60 p M CL Y1
Permit Number: A\tJ C 76 6 0 6 p Address:
Contact Name: ArA, YbobMav\ (56c T ky
Contact Phone/Email: o ._
6 8Z - �19
Comments/Description: ,0 _
01
AN
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cif c;t
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Follow-up Re ired: Yes or No �1►.�.„ • ��✓ - °�" �1�-� �
Date and Type of Inspection(s)Conducted: 5
P � �
Result of Complaint Investigation: