710102_INSPECTIONS_20171231

NUH I N UAHULINA
Department of Environmental Qual

Type of Visit: DKompliance Inspection O Operation Review O Structure
Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral �p Emergency O Other O Denied Access
Date of Visit: -tI l l t l l>a� Arrival Time: �--1 Departure Time: County:
Farm Name:
Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
OnsiteRepresentative: �- 2 L-tni.n
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current Design Current
Design Current
Swine C+apacity Pop. Wet Poultry Capacity Pop.
Cattle Capacity Pop.
Wean to Finish La er
Dai Cow
Wean to Feeder
Non -La er
Dairy_E] Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
D Cow
Farrow to Feeder
D , P�oultry C_a aci P,o
Non-Dai
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layer
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Hurkeys
Turkey Poults
Other
Other
Discharges and 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 DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
❑ Yes 2 rNo ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ o ❑ NA ❑ NE
2. is there evidence of a past discharge from any part of the operation? ❑ Yes o ❑ 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

FacilitYNumber: _ (� Date of Inspection: Z f
-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? )2] Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: N c 3L
Spillway?:
Designed Freeboard (in):
I�
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ZNo ❑ 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 PNo ❑ 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 No ❑ NA ❑ NE
8. Do any of the structures 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 E:rNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application Z.
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA ❑j NE
maintenance or improvement? '
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA E 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
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ No ❑ NA [Z 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 ❑ Yes ❑ No ❑ NA �NE
acres determination? '
17. Does the facility lack adequate acreage for land application? ❑ Yes ❑ No ❑ NA /6NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ❑ No ❑ NA 25NE
Required Records & Documents /
19. Did the facility fail to have the 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 ONE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes D No ❑ NA NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and I" Rainfall Inspections ❑ Sludge S2�NE
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No ❑ NA
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA F XE
Page 2 of 3 21412015 Continued

Facility Number: - Date of Inspection: I
• 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 6NE
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 ❑ No ,j ❑NNA NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? 0 Yes ❑ No I NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
[:]Yes [:]No
❑ NA —
and report mortality rates that were higher than normal?
/
24. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes ZNo
❑ 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)
.21
31. Do subsurface tile drains exist at the facility? if yes, check the appropriate box below.
❑ Yes FZI-No
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes01No
❑ 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
W.
Comments (refer to question #) `Eaiplain any..YES:answers and/or any additional recommendations or any other comments_
lasitaonuseadditional a esas necesa ry).Use drawingsoffacilityao better exps
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t 9 n..a.,,L^I " j w I , 0 k" tic. o�
Z�
Sa �. r�'e�rds— I10'17Q b
ReviewertInspector Name
Reviewer/Inspector Signature:
Page 3 of 3
Phone: q(0_74 7J
Date: Z l r ! (9
21412015

r 0').
Type of Visit 0 7Routine
pliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: i t+ c S Arrival Time: 3" Departure Time: County: IPE'.z ea -
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
I rI.-J 7-3Q '
Onsite Representative: o
Certified Operator:
Title:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: [= o =1 = Longitude: = o
Region:
laffi Design
Swine Capcity
Current Design Curren"t ' - Destgn Current
Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish
ID Layer
❑Dai Cow
Wean to Feeder
I❑ Non-Layet
_L�
`16-0 Dry Patrltny
❑ La ers
LayerEl
❑ Non -Layers
El Pullets
❑ Turkeys
FP Puuets
❑Dai Calf
© Feeder to Finish
Farrow to Wean
❑ Dairy Heifej
❑ Dry Cow
❑ Farrow to Feeder
El
Farrow to Finish
❑ Beef Stocker
❑ Gilts
❑ Boars
❑Beef Feeder
❑ Beef Brood Cowl
Other
Number of Structures:
❑ Other
—Turkey
❑ Other
Discharges & Stream impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
L' I 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
❑ NA
El NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
El Yes
�E�No
L✓J No
❑ NA
❑ NE
other than from a discharge?
12128104
Continued

Facility Number:
Date of Inspection i 4
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
dNo ❑ 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: W G uf� C I<�
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
hTo ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
ElYes
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?
❑ Yes
No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
KNo ❑ 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
EJ No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
t No NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu,
Zn, etc.)
❑ PAN ❑ PAN > 10% or 101bs ❑ 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) W S
13. Soil type(s) G r l.S wd
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
El No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination:
❑ Yes
dNNo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
(LNo
ElNA
ElNE
18. Is there a lack of properly operating waste application equipment?
ElYes
L' I No
❑ NA
❑ NE
is ►J d a.p rL 1zEL (,aP Y o� S'To �l4�IJG- AUE�b,AG� w�1 iZEc
Reviewer/Inspector Name a �./ A ' " ` Phone "lip) r L (n5
Reviewer/Inspector Signature: Date: $
12128104 Continued

Facility Number: { —f 6z Date of Inspection i o
J.
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes L/J No ❑ NA LINE
❑ 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 ONo ❑ NA ❑ NE
❑ Yes
d o
ElNA
❑ NE
ElYes
No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 0 No ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 0 NN ElNA ElNE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes CJ No ❑ NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes Er/No ❑ NA, ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No El NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
BNo
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
ONo
❑ 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
SNo
❑ 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? (iel discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
O'5lo
El NA
El NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
No
❑ NA •
❑ NE
A`dditronalCoaiments:andlorDrawings
61
12128104

IType of Visit f6 Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit J1 Routine O Complaint O Follow up O Emergency Notification O Other © Denied Access
Facility Number
�/� Date of Visit: O tj Tuner
t--�-ls ��i .
O Not erational O Below Threshold
Permitted 0 Ce ❑ C 'tionally Certified 0 Regis Date -Last Operar Above Threshold:
Farm Nacre:
-----
Owner Name: - . fp&G _. 1Ckese No:
Mailing Address:
Facility Contact: -__--.-.-- Title:._ .. A....- Phone No:
Onsite Representative: � � uR Integrator: 6
T
Certified Operator:
Location of Farm:
Operator Certification Number:
J] Swine ❑ Poultry © Cattle ❑ Horse Latitude • d 44 Longitude F�• =U
S�virie ca Y
Wean to Feeder Opp
Feeder to Fmish PPO
Farrow to Wean e7lloO
Farrow to Feeder
Farrow to Finish
Boars
Discharses & 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?
y=r
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?
Current
❑ Yes XNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes XNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes JNo
Waste Collection & Treatment
4. Is storage capacity (freeboard phis storm storage) less than adequate? ❑ Spillway ❑ Yes ONo
S ture 1 S Structure cture 2 Structure 3 4 Structure 5 Structure6
Identifier:
Freeboard (inches):
12112103 Continued

Facility Number: — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes P(No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
❑ Yes V No
closure plan?
(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 maintenancefunprovement?
❑ Yes A No
8. Does any part of the waste management system other than waste structures require maintenancerimprovement?
❑ Yes XNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
❑ Yes IN 0
elevation markings?
Waste Application
10. Are there any buffers that need maintenancermprovement?
❑ Yes A No
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Yes INO
❑ Excessive Po,pding ❑ PAIN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type-
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAVVTMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) Ibis 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?
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
❑ Yes tA No
❑ Yes ONo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes A No
❑ Yes Jj No
❑ Yes �dNo
❑ Yes )J No
Use�Y resr 1 �' = ❑ Field C Final Notes
A r.
Reviewer/Inspector Name
Reviewer/Iaspector Signature:
Date:

Faciitiity Number: Date of inspection
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes )e'No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) []Yes )2fNo
23. Does record keeping need 'improvement? if yes, check the appropriate box below. ❑ Yes 9No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
j] No
25. Did the facility fail to have a actively certified operator in charge?
❑ Yes
A No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
No
27. Did Reviewer/Inspector fail to discuss reviewrmspection with on -site representative?
❑ Yes
ONo
28. Does facility require a follow-up visit by same agency?
❑ Yes
9 No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
R(No
NPDES Permitted Facilities
30. Is the facility covered under a NPDFS Permit? (If no, slip questions 31-35)
Yes
❑ No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
No
32. Did the facility fail to install and maintain a rain gauge?
❑ Yes
'0
No
33. Did the facility fail to conduct an annual sludge survey?
❑ Yes
'0
(fNo
34. Did the facility fail to calibrate waste application equipment?
❑ Yes
RrNo
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes
No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After V Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
I2/12/03

Facility Number f i O hate of Visit: 111 R 1 02- Time: l t 1
Not O erational 0 Below Threshold
0 Permitted E3 Certified [3 Conditionally Certified © Registered Date Last Operated or Above Threshold:
1f �I/`e Gz'�n y ..� ; L LG(1tJGGt1o1�'�iL/�� County: i��,G.✓
Farm Name:
Owner Name:. t'fIe � CC�L�N,�i'"�j �� � v`t 5 � 4-G Phone No:
Mailing Address:
Facility Contact: I 1 fs Title: Phone No:
Onsite Representative: __l�' r i1�'�'^'tP E'' _ Integrator:
Certified Operator: Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle Cl Horse Latitude ' 0' 0` Longitude 0a 0
Design Current Des' n Ctirient; g Desi n Carrettt
:Swine GPo` ulation -Poultry .Capactty PaDulatioa Cattie... .... Capactty ri?opularian'
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ETNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made? ❑Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) [3 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 ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes _[ZNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes '�ZNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ YesA�:rNo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: i'jb l-r Pack
Freeboard (inches): 3
05103101 Continued

Ft
Facility Number: — 'j Date of Inspection 1 ��
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes XNo
seepage. etc.)
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? ❑ Yes 'RI No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes P No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes E'No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes )2No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes J:allo
12. Crop type Cc, r'V, . In 112ecl-f , <dv i, epirl 5
13.
Do the receiving crops differ with those designated in'the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes AD No
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes � No
b) Does the facility need a wettable acre determination?
❑ Yes ;'No
c) This facility is pended for a wettable acre determination?
❑ Yes �'No
15.
Does the receiving crop need improvement?
❑ Yes ONO
16.
Is there a lack of adequate waste application equipment?
❑ Yes �ZNo
Required Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes ''No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
❑ Yes ZINo
(ie/ WUP, checklists, design, maps, etc.)
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes PNo
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes ONO
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes No
21
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes ONO
(ie/ discharge, freeboard problems, over application)
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes /11 No
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 ,Z No
© No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (iefer:to queskton'#) E plain any YEB'answers-audfor_;any recrintme©dations or auv other commett#s. _
_ _ o. —
�-�FieldConv �[Final Notes < j
;[#Se'drewingS Of facility [O beiiCr eXplaltt S tIt8tH1E�S .�[iSe Bil�lt]oIIRI'pa eS RS 11CCE558 )
TA ," i �� r .•-t i S �� �� vv><n = { i v�G� Gt nd kV" h '5)yW -1 -drp V e
�-r' a f de✓' . ---��e CW rr+�E' L1.0 litS ¢ Gi✓'P�if Gl �'lG( jc���oy,S a�P
vr,•,'7 well k.1"jerr*� - 5000( c,�o� o�'so� baans
—Ft, t-ve,s W
e re c-aro[ 5 q le vee well ke p f , 1? e Svwe +c, t,,.s c c,
4o
q .'Xa[ys ; -r d' 4ed w7'Jh'r11' 6170k .s o/,' ollop c-L►4 ve K-{ !
e 4ke r1 noo t)&4 O�` �OLt'r js'✓f`�L�-jT}o� �e���ds•
t
Reviewer/Inspector Name D rit L=Jrs i
Reviewer/Inspector Signature: Date: 1 S 4 2-
05103101
Continued

V
Facility Number: ? 1 —f O Z Date of Inspection
r
Oda- Issues
26. roes 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 2rNo
28. is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes -Z 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 ;2-No
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 E!T'N o
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes 2No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Additional Commentssandlbr.Drawings:; / _ �/ e
(""V r7o,c;i�� i e iO1✓� Is Weld /<i2pl i�vt `-'' ,p�[' evils
\\,feel J'T 1 rt g ooX p,r,qg✓ q I*e e v i-Av-&4 aYld RPy rEr tW4e� -
O5103101

*bivision of Water Qitaltty
Q �vtsior. of Soil and=Water Conservation D" �r
Agenet'71
71,
'
Type of Visit jib Compliance Inspection Q Operation Review O Lagoon Evaluation
Reason for Visit 0 Routine O Complaint O Fo!low up O Emergency Notification O Other ❑ Denied Access
Facility Number
Date of Visit:11112$ 0 Time: ® Printed on: 7/21/2000
/ Q
Q Not Operational Q Below Threshold
[3 Permitted © Cfled [3 Conditionally Certified ja Registered Date Last Operate r Above Threshold: ....... I....._ ...
Farm Name: ..A7,i.............................................................. ..............
a r% � L.IS ....... County:... . ...........
.. .. .
OwnerName: _.. r!rG. t�............................................... Phone No:.......................................................................................
Facility Contact: ................................................................:............Title:........................ Phone No:
MailingAddress: ..................................................................................................................... ......................_........_.......'../...Q........._........................... .........................
Onsite Representative:0l�1 1C.... .... �f.["1. 15. .............. Integrator: ..���/T ......
I ............... .............
Certified Operator:
Location'of Farm:
Operator Certification Number
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude C�• 1 46 Longitude • & «
Design Current
.' Ca' ci *- Po alatio
xa,.
rFarrow
Feeder
o Finish
:R =o Wean
.,.
o Feeder
o Finish
Design Current Design Current
Poultry Ca ci Po ulation Cattle _. Po tion
❑ Layer 1 ❑ Dairy
❑ Non -Layer. ❑ Non -Dairy
❑ Other
Total Design Capacity
Total'SSLW
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 conveyance 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 gal/min?
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 IM 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 & Treatment
4. Is storage capacity (freehoard plus storm storage) less than adequate? ❑ Spillway
S�yucturc I S�ttrr�u%ytoree 2 Structure ; Structure 4
Identifier ..................
.......
.lC"Q�f'_.........
Freehoard (inches):Lid
5/00
❑ Yes * No
Structure 5 Structure 6
Continued on back

Facility Number: 17— ❑ate of inspection // Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes f 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 IV 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 VNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes O No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes Z No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes VNo
IL Is there evidence of over application? Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes 9 No
Crap So
12. type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes /J No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes PrNo
b) Does the facility need a wettable acre determination?
❑ Yes UNo
c) This facility is pended for a wettable acre determination?
❑ Yes ❑ No
15. Does the receiving crop need improvement?
❑ Yes 1❑i No
16. Is there a lack of adequate waste application equipment?
❑ Yes gg No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes XNo
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
PNo
I9.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
10'No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
10 No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
PTNo
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
m No
(ie/ discharge, freeboard problems, over application)
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative"?
❑ Yes
No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
P No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes No
:. iQ*yihlaii#iis:oi- dgCcieucics-ri"ere noted• dim iig �bis:visit: • Y:oit will receive do further - : -
correspondence. a%�nut this visit_ • . • . • • • . . • • ... . .. . .
Reviewer/Inspector Name
Reviewer/Inspector Signature: � Date: c
S/07

Facility 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 YrNo
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes )9 No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ?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 No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(&), inoperable shutters, etc.) ❑ Yes No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes Aj No
J

Routine 0 Complaint Q Follow-up of DWQ inspection O Follow-up of DSWC review Q Other
Facility Number 1. Date of Inspection 76 GY?
Time of Inspection S 24 hr. (hh:mm)
.® Permitted 0 Certified [3 Conditionally Certified [3 Registered 0 Not Operational I Date Last Operated:
Farm Name: C U.. V Sow r G G✓
N......,..n............................F�............:�.�G Eck, s ..�...:....... county........2e.r.1.4
.......................................................................
l h r �lj.... ��.'' t i L1 t" 5i r 1M S .............................
Owner Name: ..... T ............I.......................................................... Phone Na:............_...._.
FacilityContact: .............................................................................. Title:............................. Phone No:
Mailing Address:
Onsite Representative: _Ke-d� ... c..'.:.""�!.e`-............................................. Integrator:..... `�:.1.....ttJ.r`!. ..:r..............................
Certified Operator:......................................
perator:...........................i.:.....:.............................................._.............................. Operator Certification Number:..........................................
Location of Farm:
Latitude a 4 66 Longitude ' 4 ig
Desrgn :Current = , Design Current
wine Ca acr Po ulation Poultry Capacity, .Popillation: Cattle
Wean to Feeder
800
G S
Eg Feeder to Finish
2.000
203
Ej Farrow to Wean
7�#OQ
❑ Farrow to Feeder
Farrow to Finish
❑ Gilts
❑ Boars
Number -of Lagoons I Z I` . {® Subsurface Drains Present ❑Lagoon Area
$oEdmg Ponds /.Sohd`Traps.: ❑ No Liquid Waste Management System
Spray Field Area
=z
� y s
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes B No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes tTNo
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ONo
c. If discharge is observed, what is the estimated flow in gal/min? h G
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 & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes �g No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: t'.,J a 14' pa Gk
Freeboard (inches).
3�...... 3........................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, []Yes El No
seepage, etc.)
3/23199 Continued on back

li'acilityNumber: r7j Date of Inspection 26 0
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ONO
(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 91 No
8. Does any part of the waste management system other than waste structures require maintenancetimprovement? ❑ Yes 10 No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes JK1 No
Waste Aimlication
10. Are there any buffers that need maintenance/improvement? rnj ❑ Yes -0 No
11. Is there evidence of over application? ❑ Excessive Ponding PAN �es )!(No
12. Crop type C a 0- n
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes C5No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ONo
b) Does the facility need a wettable acre determination? ❑ Yes ,M No
c) This facility is pended for a wettable acre determination? ❑ Yes OfNo
15. Does the receiving crop need improvement? ❑ Yes jffNo
16.
Is there -a lack of adequate waste application equipment?
❑ Yes
No
Required Records & Documents
17..
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
.(ie/ WUP, checklists, design, maps, etc.)
® Yes
❑ No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
13 No
20_
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
0 No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
JM No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
JO No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
O No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
VfNo
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
P No
yiblaiigns'or ilgf ciencies were n0fPd iltWing this'visit: • y0i1 'Will" tnti i'u -thg�r
;cories' i6deizee: ahotif this visit.:
Ue ap s
o Lt c 1• Ste' I
f �.6-i q :+-� �aJ 66 ►.t Q�� ; o� �S � r- �jo-�� 'Okia e h1 � k ear f -/ , 4c, rCCorG� r.
Reviewer/Inspector Name
Reviewer/Inspector Signature: A. Date: Q

.Facility, Number: r7 Date of Inspection tiJ b 6
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below XYes
❑ 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
N No
28-
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
N No B/lPf ov
roads, building structure, and/or public property) 5m
4-fv%
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
�!¢ Yes
I'nA,
No Ia 1
30.
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
r
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
% No
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
No
32.
Do the flush tanks tack a submerged fill pipe or a permanent/temporary cover?
0 Yes
❑ No
I-Additionaldents an or Dtawn
3/23/99

R-vised January 22, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
l -
Facility Number
Farm Name: Yes
On -Site Representative:
Irispector/Reviewer's Name:
Date of site visit: 3 6 L�qci
Date of most: recent WUP: \C f ar {6
Operation is flagged for a wettable
acre determination due to failure of
Part 9 eligibility item(s) F1 F2 F3 F4
V Operation not required to secure WA
determination at this time based on
exemption El E2 3 E4
Annual farm PAN deficit: O url pounds
Irrigation System(s) - circle #: 1. hard -Dose traveler, 2. center -pivot system; 3. linear -move system;
4, stationary sprinkler system wlpermanent pipe; 5. stationary sprinkler system w/portable pipe;
6. stationary gun system w/permanent pipe; 7. stationary gun system w/portable pipe
PART 1. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part I exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D21D3 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part III. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part II. Complete eligibility
checklist, Part 11- F1 F2 F3, before' completing computational table in Part 111).
PART If. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below:
F1 .. Lack of acreage which resulted in over application of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
F2 Unclear, illegible, or lack of information/map.
F3 - Obvious field limitations (numerous ditches; failure to deduct required
buffer/setback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields -fields less than 5 acres for travelers or less than
2 acres for stationary sprinklers).
F4 WA determination required because CAWMP credits field(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part ill.

Reviscd January 22, 1999
Facility Number -
Part 111. Field by Field Determination of 75% Exemption Role for WA Determination
TRACT FIELD TYPE OF TOTAL CAWMP FIELD COMMENTS3
NUMBER NUMBER" IRRIGATION ACRES ACRES %
SYSTEM
FIELD NUMBER' - hvdrant_ ouil_ zone. or aoint numbers may be used in Dlace of field numbers dew-ndina nn CAWMP
and type of irrigation system. If pulls, etc. cross more than one field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption if possible; otherwise operation will be subject to WA
determination.
FIELD NUMBER' - must be clearly delineated on map.
COMMENTS' - back-up fields with CAWMP acreage exceeding 75% of its total acres and having received less than 800i6
of its annual PAN as documented in the farm's previous two years' (1997 & 1998) of irrigation records, cannot serve as the
sole basis for requiring a WA Determination. Back-up fields must be noted in the comment section and must be accessible
by irrigation system.

Division of _ Watee'Conservtion=OSoil and i
oy
`[]'Division of Soil and" Water" Conservation -Compliance Inspection
[I'Division of Water Quality-;ComplianeeInspection _
e_ [3 Other -Agency-- Operation Review -
lkRoutinc 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-uE of DSWC review 0 Other
Facility Number 2:r} EEi__j
Date of inspection Time of Inspection cTK 24 hr. (hh:mm)
,Permitted © CertifieA © Conditionally Certified © Registered © Not Operational Date Last Operated:
FarceName: f...................... County:..._........_`' ''............................... .......................
Owner Name:...... 4A Q�� Phone No:
Facility Contact: .......
Title:................................................................ Phone No.
MailingAddress: .......................................................................................................................................................................................................... ..........................
Onsite Representative. ....OW1-�,��................... Integrator:.....+--.1�.........
......................
.................
Certified Operator: ....... 1-;4A� _ Y.•. ... � Operator Certification Number:....1:�7. ...............
I. ............. '�.
Latitude a ' i' Longitude 0 4 "
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
Wean to Feeder
Feeder to Finish
-d-Mo
Farrow to Wean
9400
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Layer I I ❑ Dairy
❑ Non -Layer I I JEJ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps JE1 No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a_ If discharge is observed, was the conveyance man-made`?
h. It'discharge is observed. did it reach: ❑ Surface Waters ❑ Waters of the State
c. If dischar-e is observed. what is the estimated Ilow in gal min?
d. Does discharge bypass a lag
oon system?
2. Is there evidence of past discharge from any part of the operation?
3. Were there any 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?
StruG4u�a 1
Identifier: W ``kk
Freeboard (inches): ................ . ...
Structure 2 Structure 3 Structure 4
3.`............................................................................
Structure 5
❑ Yes ,ZNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
Cl Yes
)A No
❑ Yes
allo
❑ Yes W No
Structure 6
1/6/99 Continued on back

FayIity Number: — `I}a Date of Inspection
-'5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(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?
S. Does any patt of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings'?
Waste Application
10. Are there any buffers that need maintenance/improvement?
i 1_ Is there evidence of over ap�,W" rcation? ❑ Ponding ❑ Nitrogen
12. Croptype .�S
yP.............................:......................... ................. .......... ..................
...............
0
❑ Yes [XNo
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. Does the facility lack wettable acreage for land application? (footprint)
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 certified operator in responsible 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?
0: N:o:vio:lations.or: deficiericies.were noted during.tfiis.visit.: I'.ou w' ill.rerceive nor further :
• : • Ottiespaideitce. abWl ; this visit.: - ; ... ....
....:.:.....:.................. . .:. ..:: .
❑ Yes U No
❑ Yes
ONo
❑ Yes
XNo
❑ Yes
XNo
❑ Yes
YNo
❑ Yes
O No
...........................
❑ Yes
XNo
❑ Yes
Od No
❑ Yes
% No
❑ Yes
W,No
❑ Yes
1�(No
❑ Yes
N No
XYes
4�N
❑ Yes
Dg No
❑ Yes
14 No
❑ Yes
UNo
❑ Yes
0 No
❑ Yes
[�iNo
Comments'(referto question #):' Explain any YES answers and/or any. recommendations or any outer comments
7,
Use_ drawingsof facility to -better explain situations. (use additional Pages as necessary): _.
/ e 2 t gay. nth t.+l1 ye-,z" i vtiet, AtY
Z ,
Reviewer/Inspector Name . .
Reviewer/Inspector Signature: Date: --)f [o 1 1/6/99

V?
e -.z s,n •� --' s, _ --�_ �,._ - .... A_-y � ,--'� ---: "°rs-.:�-;�'�.,,.r�L »c..a�,�r� �.:.�F.:,.",-A�-� -:a- _x:a� � -
r
rvision of Soil and Water Conservation ❑ Other Agency `
Division of Water Qualitya
d
Routine
Facility Number 1 b
Follow-up of DSWC review O Other
Date of Inspection /f
Time of Inspection E 3 24 hr. (hh:mm)
[] Registered 10 Certified Q0 Applied for Permit Permitted 113 Not O erational I Date Last Operated. .
FannName: ..... N W.?�!...—So -...a: /Vc-'PLA 5. ..��"�.rr County:......��i�a��.........I...�'`�..~................
]��/....... 2
Owner Name: hG.1.�.... G r v n � ex.. Phone No' ..� .mot..".. i.. CDJ� .............................
FacilityContact: .............. I .......................... ...................................... Titjjlee�:...----.............----........................................ �Phone No:...................................................
Mailing Address: ..........!.o:. &K.....?:`'...1.......l%. i ( �/L Z(� LisD
Onsite Representative:..........1`/'�l r1.} .... �.L" rw....._.... . Integrator :........ / rya ..........................................I........
Certified Operator. ................. .`�%l rr��/ v i'-'' � .... Operator Certification Number ...... �.. 1� .........
Location of Farm:
ms
G
Latitude `=' =" Longitude • =1 =11
; f Design Current
y
Design Current ; -
Desigrx Current
Capacity Population
Poultry -
,Capacity, . Population Cattle
Capacity xaPopulation
Feeder
Layer
❑Dairy
Finish
VF
11:1
Non -Layer
Non -Dairy
o Wean
W
Othero
!weeder
❑ Farrow to Finish
Tota! Desigw apad
❑ Gilts
❑ Boars
Total SSLW
x
Number o ' Lagtwns / Hotdtng Ponds
ubsurface Drains Present
agoon Area
ID Spray Feld Area
❑777
No Liquid Waste Management System
:..
h
General
1. Are there any buffers that need maintenancelimprovement? ❑ Yes �'No
2. Is any discharge observed from any part of the operation? ❑ Yes ��Ko
Discharge originated at: ElLagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes �Np
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 o
3. Is there evidence of past discharge from any part of the operation? ❑ Yes No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes o
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ YesNo
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes '56o
T Did the facility fail to have a certified operator in responsible charge? ❑ Yes VNo
7/25197

Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes ,l `4o
Structures (Laioons,Holdine Ponds, Flush Pits. etc.) ``��
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes �Rgo
�c� �e t cture 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
....................................................r..............................---•--................................................................................... I.....................
Freeboard (ft): r. r...................................
10. Is seepage observed from any of the structures? ❑ Yes [�No
11. is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes l❑ No
12. Do any of the structures need maintenancelimprovement? Yes �` No
(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 WMP, or
runoff entering waters of the State, notify PWQ)
15. Crop type OY..I...� :``:" ......���..
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?
[3: No.violatioits:or deiidencies:were noted`dtiring this:visit., YOU.rvill receive.iro,furiher,::
: correspondence dh:outthis: visit•.::: ..........
}�, woflL �H r�'G✓¢���sf � �c<rL IXrccs GrcouF% W�1.� ���od�'I
❑ Yes VNo
❑ Yes �No
❑ Yes hNo
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes �tNo
❑ Yes No
❑ Yes No
7/25/97

s
-
��,;���❑ne
DSWC Animal Feedlot Operation Review 217
"KIDWQ Animal Feedlot Operation Site Inspection
® Routine 0 Cant faint Q Follow-u of Dot' ins action O lh ollow-u of DSWC review O Other
Date of Inspection 2
Facility Number
Time of Inspection 24 hr. (hh:trim)
© Registered Cl Certified [3 Applied for Permit O Permitted 113NotOperational Date Last Operated:
r
'
Farm Name:...i ....wt xS---S.g,nl.. s.r..rtrn...C ��County:..... Al!r............................. .1... �
Owner Name: ....f�&. .......................... Phone No....0A) ........................
Y ✓vim
FacilityContact: .................. Title:................................................................ Phone No:...................................................
TMailing Address: ..................
Onsite Representative:........................................................................................................... Integrator-,".U.,
Certified Operator:.............................................................................................................. Operator Certification I umber;............................... .
Location of Farm:
ah3.......S.k. .... OT.... .. -F ).'3.r.��u.6...t......A........►Y�..r.. j.. ..a�
I-IR.. �C.i�.:�4. A...Y..�.....{�t �.. .............. ... ..1�.n..............1................................. ........................... I ................. ..-... .... ............ 7
Latitude a 1 66 Longitude • 4
Swine
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Design Current
Capacity Population
Design Current . Design .-. Current :.
Poultry Capacity Population Cattle Capacity; Population
❑ Layer I I ❑ Dairy
❑ Non -Layer I I 1 10 Non -Dairy
❑ Other I I I
Total Design Capacity 1 10. 2,15T)
Total SSLW
La0
Number of Lagoons 1 Holding` Ponds' 0 Subsurface Drains Present � Lagoon Area ❑ Spray Field Area
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
2. 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 conveyance than -made? ❑ Yes q No
b. If discharge is obsen-ed. did it reach Surface Water'? (If yes. notify DWQ) ❑ Yes 9INo
c. If discharge is observed, what is the estimated flow in l,al/min?
cf. Dees discharge bypass a lagoon system? (if yes, notify DWQ) ❑Yes ®No
3. is there evidence of past discharge from any part of the operation? ❑ Yes iR No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes [&No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes ' ® No
maintenance/improvement?
6. is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ® No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes [R No
7/25/97 Continued on back

Facility Number: -7— I()
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes 19 No
Structures (1.aQoons,11oldine Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes Ed No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(tt): ................................ ........... AJAN............... .... ..................
............. .................................... ...... ..................................................................
10. Is seepage observed from any of the structures? ❑ Yes El No
11.
Is erosion, or any other threats to the integrity of any of the structures observed?'
®,Yes
❑ No
12.
Do any of the structures need maintenance/improvement?
® Yes
❑ No
(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?
❑ Yes
t4 No
Waste Application
14.
Is there physical evidence of over application?
❑ Yes
E5No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type ... G.A.r.,n........................................S9...�a�v.,.........--.---....--............W.V% j ts........................................ �{..ry...t�.........................
I
-
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
NLNo
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
ER No
18.
Does the receiving crop need improvement?
❑ Yes
® No
19.
Is there a lack of available waste application equipment?
❑ Yes
® No
20.
Does facility require a follow-up visit by same agency?
❑ Yes
K No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
[21 No
22.
Does record keeping need improvement?
❑ Yes
ER No
For Certified or Pennitted Facilities Only
23,
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
® No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
IK No
RI- No.violations or deficiencies were noted during this visit. You.will receive no ftirttier
• wrrespandence about this: visit: • : • � ... ... � . � ... � .... � . .. , � .. . �.. ; .:. � .. � . � . � � . � . .. .
Cornments (refer 646estion #)::Explain`any YES answers aiid/or any recommendations or any,other comtnents ,, r
Use drawings of facility to better explain situations: (use additional pages as, necessary) xV w.
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1 is .d • 1-, ,- d� d , f i a v, , S o —AL a. r-e..IL-S fl � tit LA) a l 1 � e 04 d I lf- r o " ) so " �
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o,
Reviewer/Inspector Name ' ---------------
f
Reviewer/Inspector Signature: r_ _L o ... #Y, .�� . 17, Date;x 7 ? 7