160002_INSPECTIONS_20171231

NUH I H UAHULINA
Department of Environmental Qual

O��F W A rF9pG Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
p ^� Coleen H. Sullins, Director
Division of Water Quality
December 16, 2008
L. D. Springle
Springle Farms
1166 Hwy 101 y
Beaufort, NC 28516 •�
Subject: Rescission of Animal Waste Permit
Certificate of Coverage No. AWS160002
Springle Farms
Carteret County
Dear Mr. Springle:
Reference is made to your request for rescission of the subject animal waste permit Certificate of
Coverage with the submission of a completed Animal Waste Storage Pond and Lagoon Closure
Report Form on 12/12/2008. Staff from the Wilmington Regional Office have confirmed that
this Coverage is no longer required. Therefore, in accordance with your request, Certificate of
Coverage No. AWS 160002 is rescinded, effective immediately.
If, in the future, you wish again to -operate an animal waste management system you must first
apply for and receive a new animal waste permit Certificate of Coverage. Operating an animal
waste management system without a valid animal waste permit Certificate of Coverage will
subject the responsible party to a civil penalty of up to $25,000 per day.
Please contact the Wilmington Regional Office at [phone] if it would be helpful to
discuss this matter further.
Sincerely,
4 1
Coleen H. Sullins
CC' Aquifer Protection Section, Wilmington Regional Office
Technical Assistance and Certification Unit
Carteret County Soil & Water Conservation District
Fran McPherson, DWQ Budget Office
AFOU Unit Central Files
Permit File AWS 160002
tCarolina
ffrally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer service
internet: www wwaterquality,org 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/l D% Post Consumer Paper

Z
Type of Visit 0 Co liance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: "L9 dg Arrival Time: Departure Time: County: C"71L"-A-47 Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator:
Location of Farm:
Back-up Certification Number:
Latitude: = o = Longitude:
p = = u
Design Current
Design Current
Design Current
Capacity Population
Wet Poultry Capacity Population
C*attle Capacity Population
rvvine
Wean to Finish
❑La er
❑ Dai Cow
Wean to Feeder
❑ Non -La er
❑ Dai Calf
Feeder to Finish
❑ DairyHeifer
❑ Farrow to Wean
Dry Poultry
❑ D Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
❑ Layers
❑ Beef Stocker
❑ Gilts
❑ Non -La ers
Beef Feeder
❑ Boars
❑ Pullets
❑ Beef Brood Co
❑ Turkeys
Other
❑ Turkey PuuIts
11100ther I
Number of Structures:
❑ Other
I I
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes 2 No ❑ NA ❑ NE
El Yes
El No
[I NA
El NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
dr1oYNo
❑ NA
❑ NE
El Yes
❑ NA
❑ NE
Page I of 3
`>
12128104 Continued

Facility Number: — ti
Date of Inspection 5 24 1
s;.
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
�No ❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No ❑ NA
❑ NE
Structure i Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Ll6 +
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
tdN [I NA
❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
No ❑ NA
❑ NE
through a 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 DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes [2reNc ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes t J 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 E No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ;7No
El NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? if yes, check the appropriate box below. El Yes ❑ 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 Area
12. Crop type(s) C 12.Mv'V L OE
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
dNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
-
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
V
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
Lf No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
�No
❑ NA
❑ NE
F-4R-pk If slv Pg.. c-c-, S T a F CuoS u (U , fjoMe—ZJ C_ U -rT H T4O0 fa HAvE
LA 0 Wo d1 _T S JcA(LS, CAu- ujhW Gr�Gs E�--
MAKieS A ptCrS Li0
Reviewer/Ins ector Name p �. Phone:
Reviewer/Inspector Signature: Date: 3 1 a
Pnan 7 of 3 12/2R/,94 t nntinuad

Facility Number: .to — Date of Inspection S -ems f7
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ 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 appropirate box.
❑ WUP ❑ Checklists ❑Design El Maps [I Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1 ° Rain Inspections ❑ Weather Code
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
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
❑ No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
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
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additionil Comments and/or:D'rawings
Page 3 of 3 12128104

Facility Number
Q Division of Water Quality
O Division of Soil and Water Conservation
O Other Agency
lType of Visit Co pliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
ReasonforVisit ORoutine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit:
Farm Name:'_
Owner Name:
Mailing Address:
Physical Address:
Arrival Time: ® Departure Time: County: Q10J9_L Region:
Owner Email:
Phone:
Facility Contact: 1 , Title: Phone No:
Onsite Representative: �N6 _ _ Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Boars
Other
❑ Other
Operator Certification Number:
Back-up Certification Number:
Latitude: = = ; Longitude: = ° = ' 0 11
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
_ ❑ Layer
❑ Non -La ez
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifei
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stockez
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes E2/No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
[:1 NA
❑ NE
❑ Yes
❑ No
❑ Yes
,]No
❑ NA
❑ NE
❑ Yes
WNo
❑ NA
❑ NE
12128104 Continued

Facility Number: — Date of Inspection 1 6 1
e
` Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ 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 appropirate box. ❑ wup ❑ Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
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
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
❑ No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
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
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Comments and/or
12128104

Facility Number: — Date of inspection
,i Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes E40 ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): If F
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes dNo ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ZNo ❑ NA ❑ NE
through a 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 DWQ
7. Do any of the structures need maintenance or improvement? ElL� Yes No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes dNo ❑ 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 <o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 2/No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? if yes, check the appropriate box below. ❑ Yes WNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
[]PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
['INN ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
El Yes7140
❑ NA
El NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ yes
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
;No ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
E No ❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
SV' kl OXCA-, CAlk K6T rF -ON5 L. W fl b 6- S-VleV6 Zoo . Si✓ "ASS ar l.US&g..
Reviewer/Inspector Name Phone:
ReviewerlInspector Signature: Date:
12128104 Continued

Division of Water Quality
Facility Number O Division of Soil and Water Conservation
0 Other Agency
Type of Visit (?'Routine
Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason far Visit CJ Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: l� Arrival Time: ��b Departure Time: County: CAR' 4 Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Des
Swi►e cap.
❑ Wean to Finish _.
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
Farrow to Finish 13
❑ Gilts
❑ Boars
-;_Otner-
ww ❑ Other
Operator Certification Number:
Back-up Certification Number:
Latitude: [= o= Longitude: = o 1:3 0
;n Current: Design Current Design Current
city Population Wet PoultryCapacity Population' Cattle—"'` Capacity Population`
❑ Layer ; ❑ Dairy Cow
❑ Non -Layer I If ❑ Dairy Calf
_ - ❑ Dairy Heifer
Dry Poultry ❑ Dry Cow
6
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
Number:of Structures"',
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page l of 3
❑ Yes ❑ No ❑ NA ❑ NE
El Yes
❑No
❑NA
❑NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
El Yes
❑No
❑NA
El NE
12128104 Continued

f
Facility Number: — Date of Inspection OG
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
❑ No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): W
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
❑ No
❑ NA
❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
❑ No
❑ NA
❑ NE
through a 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 DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
❑ No
❑ NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ❑ 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 Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ❑ 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 Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
❑ No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question ft Explain any YES answers and/or any recommendations or:'any other: comments
Use drawings of facility to better explain situations. (use additional pages as necessary):
&r WQ S4 41 7a CLOSE CA'cou
13 t4' 6vb a F S � 2Aa6.
o yr a.E PU S.W66 1 f y r
t; Fr 5too G-C ,SUQVEV.
Reviewer/Inspector Name 1 '..J41110 ,c,tf 40 1 Phone:( b .. ! _'G
Reviewer/Inspector Signature: Date: Q

�+ Facility Number: 9-7, Date of Inspection
' Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ 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 ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
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
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE,
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
❑ No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
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
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments and/or Drawings: -
Page 3 of 3 12128104

Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Fallow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: GA RZr Region:
1 /
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility° Contact:
Owner Email:
Phone:
Title: Phone No:
Onsite Representative: L D F&�Q_ CLL Integrator:
Certified Operator:
Back-up Operator:
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: ❑ o = I = 11 Longitude: = ° =
Design Current
Design Current -
Design Current
swine -., .:
Capy ppylation�^
Wet Poultry�CpacityPopWahon:Cattle YF^ q
Capacity Prop lation
❑ Wean to Finish
❑ La er
❑ Dairy Cow
❑ Wean to Feeder .
❑ Non -La et
❑ Dairy Calf
❑ Feeder to Finish I
J
Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
Farrow to Feeder
❑ Non -Dairy
❑ Layers
❑ Farrow to Finish
❑ Beef Stocker
❑ Gilts
❑ Non -Layers
❑ Beef Feeder
❑ Boars
El Pullets.
❑ Beef Brood Co
❑ Turke s
Other
FEITurkey Poults
❑ Other
_
❑ Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
❑ 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 DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ 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 adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
❑ No
❑ NA
❑ NE
other than from a discharge?
12128104
Continued

Facility Number: 11 — Date of Inspection h 0�
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): q0,
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No ❑ NA ❑ NE
(iel large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed Cl Yes ❑ No ❑ NA ❑ NE
through a 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 DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ❑ 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 Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes []No ❑ NA ❑ NE
maintenance/improvement?
IL Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ❑ 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 Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination',[]
Yes
❑ No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
❑ NE
N EQ "/V
(,l F°n--
cc��vrz�.
Reviewer/]nspector Name V ' (- `, :4 Phone:
Reviewer/Inspector Signature: Date:
12128104 Continued

Facility Number: - Z Date of Inspection 7
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ 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 appropirate box.
❑ WUP ❑Checklists ❑Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I " Rain Inspections ❑ Weather Code
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
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
❑ No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. 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
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments and/or Drawings:
12128104

r, ' f�Divrstan of Water Quality
' Q Drvistan of $oil and Water Conservation
x y 0 Qther Agency
Type of Visit X- Compliance inspection O Operation Review O Lagoon Evaluation
Reason for Visit QJFioutine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number
Date of Visit: I ZS DZ Thne: 3.' Z Q Printed on: 7/21/2000
j 2..
0 NNot Operational Q Below Threshold
[j Permitted [3 Certified © Conditionally Certified [3 Registered Date Last Operated or Above Threshold: .......................
j f7c.,r ►+Z S County +! e...
Farm Name:............_�f.f.'.,t..8................. CS....4.P.... ......---.......... .......................
Owner Name: ... D �jP ...... Phone No:
................. ...�-...-.-...................................................................................................................................
Facility Contact:
Mailing Address:
Title:
Phone No:
Onsite Representative: ,,-.4.S 4 � d+" � r i ►� f g =r, da eH 4,"4
-..... '.........................•---..._................... integrator:............... 4-0
Certified Operator:
Location "of Farm:
.. Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 4 44 Longitude • 4 44
Design Current Design Current Dedgp : Current
CapacityCapadty Population . Poaltry dc:P'Wation
Wean to Feeder ❑ Layer ❑ Dairy
Feeder to Finish ❑ Non -Layer ❑ Non -Dairy
Farrow to Wean
Farrow to Feeder ❑Other
Farrow to Finish Total Design Capai iiy
Gilts
Boars Tota1;S5>GW
Subsurface Drains Present ❑ La nan Area ❑ Spray Field Area
.71
Lagouts �, ❑ to P Y
oltrd�ngPo�n€t>fsfSiohduTsalrs ❑ No Liquid Waste Management System T
Discharges & Stream Im acts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed. did it reach Water of the State'? (if yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d- Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier......--•............................•--.....---_.._................................... .................................... ................ .............
Freeboard (inches): 150 +
5100
❑ Yes ff No
❑ Yes R'No
❑ Yes .2tNo
rl ( 4
❑ Yes 2fNo
❑ Yes ff No
❑ Yes JZNo
❑ Yes Z No
Structure 6
Continued on back

Facility Number: j (a — Z Date of Inspection ! 25 O Z
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes VNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes � No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ONO
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes )gNo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes PrNo
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes Jallo
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ZNo
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination'? ❑ Yes ONo
c) This facility is pended fora wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0: •yi0fp t19...or def c eacte� vt�gre noted dirri>r�g th4s'v�sitr Y o>j� will >; eetriye no iu •t r
..
corres
tYe>ice aboutthis visit..... '
�. CA .SaPli nAS G(Gti„�n �rowt rol�yG6.�'WGf �.
❑ Yes ❑ No
❑ Yes J9 No
❑ Yes ONO Y m
❑ Yes gNo
❑ Yes ❑ No
❑ Yes J21 No
❑ Yes ❑ No
❑ Yes ,Qf No
❑ Yes 21 No
❑ Yes J37No
❑ Yes, 0 No
A.
Reviewer/Inspector Name e.✓h� ( �It 544
Reviewer/Inspector Signature: `din is Date: 2- 0 — 5/00

Facility Number: — z Date of I nspection / ZS p Printed on: 7/21 /2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes IN
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes XNo
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes XNo
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ZNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes J'No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
[Additional Comments and/orDrawings: — =
S/00

0 Division of Water Quality
Q Division of Soil and Water Conservation
O Other Agency
Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 10 Routine O Complaint O Follow up O Emergency Notification O Other 0 Denied Access
Facility Number Z Date of Visit: 16 [t0 Time: �Printed on: 7/21/2000
5-Not —operational Q Below Threshold
Permitted "101'ertified © Conditionally Certified 13 Registered Date Last Operated or Above Threshold: .........
�
Farm Name: ...........L..... > 111jrth ................ County:..... ivr .................. I--.........
..... ........................................................................
Owner Name:.... ..................
........... .................................
Facility Contact: ............L .......*l ................................... Title:
Mailing Address: ....................................
PhoneNo:.. -.......................................
................................... Phone No: ........
Onsite Representative:.,,,,,,,,,,,,- t, ............................................................ Integrator: ----
........................................
Certified Operator:............................................. ..... Operator Certification Number:
Location of Farm:
[]Swine []Poultry ❑ Cattle ❑ Horse Latitude 9 6 ii Longitude • C�` «
Design Current
Swine Canacitv Ponnlation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Po ulation
❑ Layer I I I Dairy
❑ Non -Layer I I ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons j ❑ Subsurface Drains Present I ❑ Lag -on Area 10 Spray Field Area
Holding Ponds I Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a- If discharge is observed, was the conveyancc man-made? ❑ Yes ❑ No
b- If discharge is observed, did it reach Water of the State'! (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in galhnin'?
d- Does discharge bypass a lagoon system'? (If yes, notify DWQ)
❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Trcatment
4. Is storage capacity (freeboard plus storm storage) less than adequate'? ❑ Spillway ❑ Yes No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure
Identifier: .................................................................................................................................................................................................................
Freehoard (inches):
5100 Continued on back

y Number: V4 — Z I Date of Inspection jD 1 Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, El Yes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? Oe/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge'?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
0: d4'*Whti6ris:oit deficiencies •mere n6ted-di ihii this. .visit'. • Yoil Will-feio6ve ii6 #'urther
correspondence. abotit this visit: ' . ' .. ' ..'
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
® Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
AL
4 [a-Tbr, at4 o kb, skevJ_4 6c w�� �� wo�r a
Kf S�ci4 �j vle
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: (MV,50 5/00

1G�Z-
' :© Dtvtsion of Soil and•WaterConservation `Operation Review
1�
s D.Division of Soii and:Water
Conseryatxon 'Compliance Iinspechon� y -
a Division of Water Quality _- CoTpuance Inspection
- �,011ieicAgencyT Operation-Revlew� _ _ A-'
Routine O Complaint Q Follow-up of DW2 inspection
Q Follow -tie of DSWC review Q Other
Facility Number le
Date of Inspection
Time of Inspection 24 hr. (hh:mm)
Permitted © Certified13 Conditionally Certified
Q Registered ©\jot O eraEional Date Operated:
....... ,......... Y�..... lC�!4.............................................
Farm Name: . • 4-'
Last
County: T.TCX� I ........
Owner Name:. --.:.....%... .......� C? �...................................................................
Phone No:.... �?~ �. Zg.' LZ�
Facility Contact:..............................................................................
Title:........................ . Phone No:
Mailing Address: ....... I R:...... th, ... (At .......................................................................... ....gC(dt,ta4fT NC- .........
OnsiteRepresentative: ........... 1.:....iw1�..5�i.Yit�.�S..................................................... Integrator:............�.1f�C11:C4�...............................................
Certified O erator:......... ^ i Certification `1
p; ��tQ.yx...-.....+ ta......................................... Operator Cecation Number: ...
Location of Farm: �1,�f
r.......���i..... i s.....o. ......lfwl..I4.�.r.. ?%l....mi....s.....i.;.........!Qi...... 5.?1__.VA9.. ........................................................
.........................................................................I................. .............
Latitude 0 6 �•° Longitude • ° C�61
Design Current ' Design Curxetat Design Current _ =
Swine,' Ca acity Population Poultry ;;r.Capacity..Population Cattle Capacity Population _;
❑ Wean to Feeder ElLayer ❑Dairy
❑ Feeder to Finish ❑ Non -Layer ❑ Non -Dairy =
❑ Farrow to Wean sm.�
❑ Farrow to Feeder
❑ Other
Farrow to Finish p Total;Design Gapacily f33
Gilts ;
❑Boars - Total-SSL;W
INuniber-ofLagoons ,a ©' ❑ g Spray Field Area
Subsurface Drains Present La aon Area
Ponds / SolidTra s ❑ No Li utd Waste Management lding�� • p � � _ . q g t System
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. if discharge is observed, what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes Qff No
❑ Yes P No
❑ Yes 99 No
❑ Yes PNo
❑ Yes k9No
❑ Yes VNo
❑ Yes M.No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches):
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
❑ Yes [% No
Continued on back
3/23/44

Facilitu Number: J& — L I Bate of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes [gNo
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? (9Yes ❑ No
$_ Does any part of the waste management system other than waste structures require maintenance/improvement? Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes L2�No
Waste Anolication
10.
Are there any buffers that need maintenance/improvement?
❑ Yes
P No
11.
Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
PNo
12.
Crop type dam.
13.
Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
�EjNo
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
[)jNo
b) Does the facility need a wettable acre determination?
❑ Yes
dal No
c) This facility is pended for a wettable acre determination?
❑ Yes
W No
15.
Does the receiving crop need improvement?
Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
(ONo
Reauired Records & Documents
iT
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
I$&No
I&
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
Wes
❑ No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
® Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
RNo
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
DNo
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
No
(ie/ discharge, freeboard problems, over application)
P
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes,-
EYNo
24. Does facility require a follow-up visit by same agency? ❑ Yes ONo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes 15bNo
0; N6 vMh ignis;ot: deficiencies -W re it6ted dit3:ing �his'visit. • Y:ott will i eceiye iio Outth r •
rorresnondence: atbout this visit.......:
Comments (refer to question #): Explain any YES:answers and/or any reeoinmendations or;any other comments.
Use drawings of facility.to better explain sft"66 L (use addibonai pages as necessaity)
t 14 1 11 } I 1Ak
G)rbtJVj mwf3. �jo 04�%'.s WC.'re ova 1i�t
t5• v� {e�wP tultk i �rav�e. !k G {Vo. Wks 5 ec�ee} �,� S�►ti`�,� `� � r 'Kid V Ts,16k
Gt9� plrt�e•tjv�i • �� .
rJ�S
�lq ���"�10 V�� �ai�e+i��.
2�' kj J1 So 4 ( 1�l2e t 5
Reviewer/Inspector Name„{
Reviewer/Inspector Signature: Al_
Date: 7 A 14 4
3/23/99

d Facil�it Number: — Date of Inspection
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor below
❑ Yes
,RNO
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
tR No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
A No
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
FUND
30,
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
P No
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
;E'No
32,
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
..No
Additional Comments and/orDrawings:'
A,
V\,o V431- OJ 3 Le,
'Jr\ M Pror+n^ A- ' iV VYt ,
Cot'A_L_t�_ CO-V iSTvick
iv�cs l� aim
p+tDG�S3
1':"�C'Lve W - %• Sim,11 '� aY• jZg�gq.
K�� �` L40f I Q
ILyc'
nC] 1 CC'tt ti S U.3 6{4r_ aS C% -- i Y�1( � 1+ti 1* U r l VLF S
t� lf'`
w� s Jo.�t ov. ►rr�- +ct�a "t3
3/23199

k:
13 Division of Soil and Water Conservation .❑ Other Agency
Division of Water Quality
lO Routine O Complaint O Follow-up of D'4"4'O inspection O Follow-up of DSWC review O Other f
Date of Inspection / 05 _P
Facility Number
Time of Inspection =24 hr. (hh:mm)
© Registered Certified. [3 Applied for Permit © Permitted jErNot Operational I Date Last Operated:. /
FarmName: .......................................................County:.........C�.r................................................ .
Owner Name:......... 1 Z..................................Z.,
D............................... ............................. P
2 Cis
r�.. �. ..... hone \o:........�...... �....
Facility Contact: ....... .......''�. -.. �Q�!.!^-� Title...... ...... Phone No: Z� O SCE
G...................................................... } ....
MailingAddress : ......... t.�...4..z............ i.01 ...............`............................ ...................................................... ..........................
Onsite Representative: .......�.5ll..!.........���..L.Ir .................... Integrator :........r!....................................................
/ -
Certified Operator ....... A15.: ..p �:..........�,� .` ✓` j. ................ Operator Certification Number-,...rlP.�q. ;s
Location of Farm:
Latitude" • ' " Longitude • OF 'G
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes JqNo
2. Is any discharge observed from any part of the operation? ❑ Yes [;KNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes VNo
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes &;�No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes VNo
3. Is there evidence of past discharge from any part of the operation? ❑ Yes 0 No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes EA No
5. Does any part of the waste management system (other than lagoonstholding ponds) require 5kYes ❑ No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes R No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes W No
7/25/97
Continued on back

Z-` o Facility Number: —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (LagoonsMolding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Freeboard(ft): ...........Z..' r?.......................................................................................... ..................
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
U,No
❑ Yes
QNo
Structure 5 Structure 6
❑ Yes
[9 No
❑ Yes
12 No
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WNW, or runoff entering waters of the State, notify DWQ)
15. Crop type ............. QQ. .......................................p.... ..................................... I ............ .... ...........
.V I r .
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24, Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0 No.vio'lations• or ddiciencie's. were hated- during this, visit.' You ;wvill- receive' no',ftirther- :
correspondence about-this.visit.,
91 Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes H1 No
❑ Yes LffNo
❑ Yes 23 No
❑ Yes 0 No
❑ Yes P No
❑ Yes j] No
❑ Yes MNo
❑ Yes X No
B,Yes ❑ No
❑ Yes W1 No
�)Z, PLA&( YO vr'-Ra q- 16lee-k- d�vjev1 eel4e W-ew- baAz5 oA z A 5,��.�;,
.eel ���.rS� vGil. � � s /s
a
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: /1/2S7)

I
;jDSWG_:Xhdmal Fi id 16-
ODWOTAfthia ' I Feed
.1. M
.. ........
Aeration ReyiOW
eraiion Site Inspection.:_,.
e- a
O Routine 0 Complaint 0 Follow-ue of DWO inspection 0 Follow-tio of DSWC review 0 Other
Facility Number Date of Inspection
Time of Inspection 0 Use 24 hr. time
Farm status: i'r. ke__ Q-A
Total Time.(in hours) Spent onRe-tiew
or Inspection (includes travel and processing,)
Farm Name: E C. V- V%-S county:
Owner Name: --- L_-_P_ Phone No- __7_2S
Mailing Address: I I
Onsite Representative: t-; x�= e Integrator:
Certified Operator- I AJ _t__ in Operntor Certification Number:
Location of Farm:
Latitude Longitude a rj
JE3 Not Over2rional Date Last Operated:
1'}rpe of Operation and Design Capacity
.:? ......... .... .. ....
ouIt
Pber
❑ Wean to Feede.-
Laver
DaLv
❑ Feeder to Finish
-fla-74on-Laver i
Farrow to Wean
Farrow to Feeder
E�'
[El Farrow to Finish
�m❑ Other Type of Livestock
'Y' J
7 j
F(:_1Subsurface Drains Present
MaggoonA=rea
General
I. Are there any buffers that need MainEenanctlirnprovement?
2- Is any discharge observed from any part of the operation?
a- If discharge is obse.-ved, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in Lndhrin?
0 -
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
Is there evidence of past discharge from any part of the operation?
4. Was there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lazoons/holdin.- ponds) require
Tminmmancc: . improvemcni"
Elyes E No
D Yes Z'No
0 Yes 9 No
D Yes Z No
tj
D Yes
91 No
El Yes
El No
El Yes
No
9 Yes
❑ No

6. Is facility not in compliance with any applicable setback criteria?
7. Did the facility fail to have a certified operator in responsible charge (if inspection after 1/1/97)?
S. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons and/or I1ofdin2 Ponds)
9. Is structural freeboard less than adequate?
Freeboard (ft): Lagoon 1 Lagoon 2
� 7 4
Lagoon 3
14. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/'improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures Iack adquate markers to identify start and stop pumping levels?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type �, P. ✓ L s 4^^ cr t:
16. Do the active crops differwith those designated in the.Animal Waste Management Plan?
17. Does the facility have a lack of adequate acreage for land application?.
IS. Does the cover crop need improvement?
19. Is there a lack of available irrigation equipment?
For Certified Facilities Ooiv
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
21. Does the facility fail to comply with the A.nimal.Waste Management Plan in any way?
22. Does record keeping need improvement?
23. Does facility require a follow-up visit by same agency?
24. Did Reviewer) aspector &fl to discuss review/inspection with owner or operator in charge?
n i.r..a.....�.�' r..a'r.r.:: :.».r+r�....n-..-...�.�......e�: .-..A •�':.':`-�.-...,r. t�.:. ---.,....-.].. r+u .. ,: ...:.:-1,.,.. .- .. .... .. ...
❑ Yes
{$ No
❑ Yes
19No '
❑ Yes
E No
❑ Yes
IR No
Lagoon 4
❑ Yes
9 No
❑ Yes
ONO
® Yes
[I No
❑ Yes
9 No
❑ Yes
J. No
❑ Yes ❑ No
❑ Yes ® No
0 Yes ❑ No
Yes ❑ No
ib ..
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
E9Yes No
❑ Yes K No
mIIle'lts �
Lse draeiimes of facility,#o better expla� sttuattons:= use addittonal gages as, necessary), ,�� , _� 4 � - '
cf be, . D c1,&.c iK 4
sr-�a y �`JlctS r.e Pe-tl �o �I �c �� r% q pI CCLJ �.
iZ. A11 exrr :'4 ' prs ara �L 1ugo u:,-4L ^-aJ ;are-,ti ►�-eP-A e-
CL a ✓ti 0 ��.1 C� I i �' n1 `r t'� S 1n e- e-et it e tnti 0 V ej
L I a
tti�
ei v (7e 10 L 1 �� w a L( o l c e Q cf i
VJ�c w�ci Ir
peel i "rim b���e �Pmay: Gt U,r3.
v i s: w t 4 1 c c t � r- a {-z-r � w r, c} tt r �� t. � s tom""., � c s b e z „L
Yl w 0. s r e tc t z-v,-cL ems( +��I u c,, e.� e L. =1 c1 . L �s c i c s 2LS t
V 1 2 G� d ,n L V +n Q wt ?irc� ��n S 1 t ^t { f C �J
Re-viewer/inspector Name
Reviwer/Inspector Signature:
cc. Division of if arer Quality, Water Quality Secrion, Faciliiy Assessment Unit 11/1.3196

Site Requires Immediate Attention:
Facility No. / - 2 &Z,
DIVISION OF ENVIRONMENTAL MANAGEMEN-T
AsNR AAL FEEDLOT OPERATIONS S= VISITATION RECORD
DATE: 1 1996'
Ij
Time: I_4M
Farm Name; Ownt
Maiiina Address:
County: �/dn i2xc-i
Inte-*ator. �- �+a� +� Phone:
On Site Representative: , L �� kx� Phone:
Physical Address/Location: YI -C. Hw!q 101 aue6 dv.R-'A� '
Type of Operation: Swine V Poultry Cattle
Design Capacity: M
DEM Certification Number ACE
Latitude:
Number of Animals on Site:
DE1I4 Cernncation Number: ACNEW
Lonvitude: " Elevation: Fee:
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of i Foot 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) Yes or No Actual Freeboard.: Z Ft. �" Inches
Was any seepage observed from the laaoon(s)? Yes or GD Was any emsion observed? Yes o ID
Is adeauate land available for spray? Yes or No Is the cover crop adequate? Yes or No
Crop(s) being utilized: .' &45W go -as
Does the facility meet SCS mhndmum setback criteaa? 200 Feet from Dwellings? Yes or No
100 Feet from Wells? Yes or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stre:m? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS ivian Blue Line? Yes or No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specinclIacreage with cover crop)? Yes or No /
Additional Comments: 1AJ9At..,r' "7;V ,a'4 lx C ��'✓�
Inspector Name
cc: Facility Assessment Unit
t:se .attachments if Netded.

! Site Requires Immediate Attention:
Facility No. B
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: 2 - - , 199t
_ Time: 2 70 e
Farm Name/Owner: &Ii✓Wed' 00'
Mailing Address: // �° Al C 0_
County: e4ggx&r
Integrator: �.✓ �►T Phone:
On Site Representative:-.,JJAZt�_ Phone: V 1.9 19M -4*9 Z
Physical Address/Locadon: /►IC. r•r M/ Aq*_ft,,",o_� Z_ 8_ Nap
Type of Operation: S wine #- Poultry Cattle
Design Capacity: Number of Animals on Site: D .
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: Longitude: -Z&° Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) Cam'" r No Actual Freeboard: Ft. Inches
Was any seepage observed from the Iagoon(s)? Yes ok6p Was any erosion observed? <X9 or No
Is adequate land available for spray? (9 or No Is the cover crop adequate? Yes or
Crop(s) being utilized: j� � 6 � 4 .
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings?<Vor No
100 Feet from Wells? Yes or 0
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or(19P
Is animal waste Iand applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes ora}rj
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes oro, If Yes, Please Explain_
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes or No
Additional Comments:
Inspector Name
ignature
cc: Facility Assessment Unit Use Attaciirrents if Needed.