850003_INSPECTIONS_20171231

ision of Water Quality °
ision of Soil and Water Conservation
0 Other Agency
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine Q Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number I ulu -it' V i�iu 5/31t/20tt2 Time: 12t10
Q Not Operational Q 1304m Threshold
0 Permitted ❑ Certified ❑ Conditionally Certified 13 Registered Date Last Operated or Above Threshold: ...........
Farm Name: PenalIvion.FArgot#. ............. ............. ............................. .......................... County: S.to................................................ WSR10........
OwnerName: Mark ....................................... R a dletma.................................................. Phone No: 3J.6-593-206.2................................... ........... I............
MailingAddress: P..M.N.H. y..A....................................................................................... LamioA.Y.1119.N.0........................................ I......... 2202Z .............
Facility Contact: lZ.nor-Nall.etota .............................. .Title:................................................................ Phone No:...................................................
Onsite Representative: RQgj:r.'.CRdjelppt................................. . Integrator:..................
Certified Operator: Roge1C.,M................................ Peadle Qu.
Location of Farm:
Operator Certification Number:21.433...............
VC 8 2 miles N. of Lawsonville located on both sides of NC S 1 1/2 miles S. of NC VA state lines.
❑ Swine ❑ Poultry H Cattle ❑ Horse Latitude 36 ' 31 03 Longitude F SO • !3 28
Design Current
Swine Canacity Ponulatinn
❑ 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 Population
❑ Layer ❑ Dairy
❑ Non -Layer ® Non -Dairy 425 l i3U
❑ Other
Total Design Capacity 425
Total SSLW 340,000
Number of Lagoons © ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps I 0 ® No Liquid. Waste Management System
Discharaes & Strearn Impacts
1. Is any discharge observed from any part of the operation? []Yes H No
DisL*hargc originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes ❑ No
b. li'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 ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge'? ❑ Yes H No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spiliway ❑ Yes ❑ No
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure h
Identifier: ................................... ................................................................................................................................................................................
Freeboard (inches):
05103101 Continued
71r��

Facility Number: 85-3 Date of Inspection 5/30/2002 0
5. Are there any immediate threats to the integtity, of any of the structures observed? (ie/ treessevere 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?
8. Does any part of the waste management system other than waste structures require maintenance/improvemcnt?
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?
IL . 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-Rm.rds_&D-oswn mts . . , 1
17. Pail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel 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?
(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?
❑ 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
® Yes ❑ No
❑ Yes ❑ No
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments refer to question #i : Explain any YES answers andfor an reco mendations or any o er co e
Use rawings of facility to better explain situations. use additional pages essa ❑Field Copy ®Final Notes
Questions that were deft blank were either not applicable to this facility at this time or were not checked during today's inspection.
18. This facility does not have a CAWMP.
4. This facility should be checked periodically until the question of certification/permitting can be determined.
On the date of today's inspection there were 88 cattle confined to a denuded lot.
Another 92 cattle were on vegetated pasture. A stock trail between the pasture and second denuded lot was noted. The stock trail leads
rom the pasture through a creek crossing, and into the denuded lot. The two denuded lots are about 100-150' apart. Per owner, the
r
attle are not fenced onto the denuded lot but are kept on the pasture and brought up to the second denuded lot to feed each day.
Reviewer/Inspector Name i Vlel' sa Rosebrock Y
ReviewerAnspectar Signature. 1 JX4�. 4 Date:
05103101
Continued

r acility Number: 85� Ii�t' I11spection 5/3012[102
Odor JsLtjeS
26. 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?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
24. Is the land application spray system intake not located near the liquid surface of the lagoon?
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.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
Q Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
tt16RA •6mrt6n an or rawtrigs:
Cattle on pasture have access to water from a spring and at the cattle crossing. The creek buffers look good and are well vegetated.
•
The pasture is now vegetated with much improved erosion control. No channeling of erosion from the pasture into the creek was
noted.
Facility also has an unknown number of cattle on pasture across the road.
Per Dennis Ramsey (DWQ), 615102, this animal operation should be considered an animal feedlot since cattle come onto the
second denuded lot to be fed daily (>45 days/year) and that vegetation cannot be established and maintained on this second
enuded lot.
Reference was also made to the SB 1217 Interagency Group's memo (716100) to WSRD (Melissa Rosebrock) stating that this
operation should be considered a feedlot and subject to the .0200 regulations, including permitting for the some reasons as stated
Bove.
Non -Discharge Permitting Unit has been requested to initiate correspondence with Mr. Pendleton requiring certification and
permitting of his beef cattle operation.
s
05103101

I ype Ot Visit V t�ompnance mspecnon u uperauon Review V Lagoon tvaivation
Reason for Visit O Routine O Complaint © Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number $$ 3 Date. ut' Visit: 2/2Ul2DUt fink: t200
0 Not Operational 0 Below Threshold
13 Permitted [3 Certified [3 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: .......r................
Farm Name: NialLctam.lFarmt...................... ....... County: Stokes ................................................. .W.SRO.......
Owner Name: l.!'l;ark...................................... Peadl!lon........................................... ... Phone No: Q1Q:�9�:20fi2.................................... .... ....................
MailingAddress: 5,7..6NJj.Wy.,8....................................................................................... LawaQ .vitk..NC.................................................. V02Z .............
FacilityContact:...............................................................................Title:............................................................... Phone No:....................................................
OnsiteRepresentative:........................................................................ ..... ......... ... Integrator:.. .... .... ..............................................................................................
Certified Operator:RQ&c.:.....................................!�O�II.�tOta........................................ Operator Certification Number: 2143.3.............................
Location of Farm:
IC 8 2 miles N. of Lawsonville located on both sides of NC $ 1 112 miles S. of NC VA state lines. ■
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude 35 • 31 4 0344 Longitude 80 • 13 6 28 if
s
Design
Ca1swail t
Current
P,o utation
Design Current Desig*'I urrentine
Poultry Ca acit Po ulation Ca aco ulation
❑ Wean to Feeder
❑Layer
Dairy
Pkclattle
Feeder to Finish
❑Non -Layer
Non -Dairy 425
45
❑ Farrow to Wean
❑ Other
T0t51 Design Capacity 425
___j
Total SSI.W 340,000
- >r
d
❑Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Our
Lagoons 0 ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Hold ding Pons /Solid Traps ®No Liquid Waste Management System
Discharges & Stream Impacts
I. 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)
❑ Yes 0 No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
2. Is there evidence of past discharge from any partof 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 0 No
01/01/01 Continued
`5�3� ► ern ----

Facility Number: 135-3 Date of Inspection 2/20/2U01
asw Collection & Tr�pjment
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 6
Identifier: ...................................................................................................
Freeboardtinchesj:......... ............... .......... ,.,................................... ................................... .................................... ................ .................... ....................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ 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? ❑ Yes ❑ No
8. 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 ❑ No
Wntite Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ❑ No
12, Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ 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?
16. Is there a lack of adequate waste application equipment?
17. Are rock outcrops present?
® Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
18,
Is there a water supply well within 250 feet of the sprayfield boundary? ❑ Unknown
❑ Yes
❑ No
❑ On -site ❑ Off -site
Rgii1
fired Record% & Documents
19.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
❑ No
20.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
21,
Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
22.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
® No
23.
Did the facility fail to have a actively certified operator in charge?
® Yes
❑ No
24. Fail to notify regional DWQ of emergency situations as required by General Permit'?
(ie/ discharge, freeboard problems, over application) ❑ Yes ® No
25, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ® Yes ❑ No
26, Does facility require a follow-up visit by same agency? ® Yes ❑ No
27. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
9_d_4_)r Issues
28. 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?
29, Are there any dead animals not disposed of properly within 24 hours'? ❑ Yes ❑ No
01/01/01 Continued

.w
'Facility 1$umber: 85-3 1)isf lnspectio►l 2/24/2041
30. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure. and/or public property)
31. Is the land application spray system intake not located near the liquid surface of the lagoon?
32. 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.)
3.1. Do the animals feed storage bins fail to have appropriate cover?
34. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
Printed on: 2/21/2001
[:]Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
13 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
❑ Field Copy ® Final Notes
The stream looked clear on the date of this visit, however there was evidence of sediment in the creek.
10. Aproximately 40-50 beef cattle were on the confined lot furthest east from Highway 8. The lot closest to the road is not confined.
here is a stream crossing at the lower coney of the lot that allows for the cattle to cross over to the pasture on the other side of the creek.
20-25 foot fenced, grassed, buffer is maintained on the southside of the stream. A 225 foot buffer on the north side narrows to about 3
:et near the stream crossing. The buffered area appeared to be in good shape (i.e. good stand of vegetation).
15. The pasture area is denuded, but not unlike others in the WSRO this time of the year. Several rip rap structures (stone/gravel) were
Ided, all in a line, in the pasture, next to the highway in an attempt to control soil erosion into the stream.
This visit was a follow-up to a visit conducted May 11, 2000. This visit was unannounced and I did not meet with the owner. All
,s (see DWQ file) were obtained from the road.
This facility should be looked at again this summer to determine the effectiveness of the buffers at that time.
Reviewer/Inspector Name IMeliss ose t'ock
Reviewer/Inspector Signature: Date:
01 /01/01

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Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine Q Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number
IDaleul' Visit: 9/20/Z000 'Time: 10:15 1'rhited nn: 2/15/2001
85 3
0 Not Operational O Below Threshold
0 Permitted Q Certified © Conditionally Certified ❑ Registered Date Last Operated or Above Threshold: ................
Farm Name: t'Clxd191Qjt.FArton............................................................................................ County: 5.(9kts ................................................ WSRQ........
Owner Name: Mark ....................................... G1nldiCt.9lFj........................... Phone No: 9��F-S�-�iQ6t2...........................
Facility Contact: ...................................................... ...Title• Phone No:
Mailing Address: fit,..1.J).97K.3.X...........................................................................................>aQ.*`xSstxmillp... N.C.................................................. 2.7.022 .............
Onsite Representative: aCk.'t~1a4l�kQ]n........................... ........ ... Integrator:...................
Certified Operator: Roggr..lY.In .............................. FIgnd1clon ........................................ Operator Certification Number: l4 .............................
Location of farm:
NC 8 2 miles N. of Lawsonville located on both sides of NC 8 1 1/2 miles S. of NC VA state lines.
❑ Swine ❑ Poultry ® Cattle ❑ Horse Latitude Longitude 80 • 13 28 a
..
Designrrent
Ca actt ra. Po ulation . Poultr. y
�: B�KF:1i:
Design Current
o.
Ca acit Po ulation
b � F, �f,+ S
Cattle
❑ Dairy
i'rT.TE1+1" rX":SLY2i1�Y'.
Design Currents
�.
❑ Layer
r
r..
9
❑Non -Layer
®Non -Dairy
425
❑Other
��
Total Design Capacity
Total SSLW
��r ��` t,
425 j :{
1;
340,ODD
E'
ber of Lagoons © ❑Subsurface Drains Present ❑ Lannon Area ❑ tipray Field Areaonds /Solid Traps ❑ No Liquid Waste Management 5ystern
W
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Discharges & r •am 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 gallmin?
d. Does discharge hypass 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 R 'Treatment
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 6
Identifier: ........................................................................
Freeboard (inches):
5100 Continued on back

Facility Number: 85-3 Date of Inspection 9/20/2000 116111 d un: 2/15/2001
5. Are there any immediate threats to the 9ingrity of any of the structures observed? (ie/ Ire-evere erosion, ❑ 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 0 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 maintenancelimprovement?
❑ Yes
® No
8. 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
® No
Waste Application
10, Are there any buffers that need maintenance/improvement?
❑ Yes
❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
iM No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ 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
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Reouired 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
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design'?
Cl Yes
® No
21. Did the facility fail to have a actively certified operator in charge?.
❑ Yes
N No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
® No
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
® No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
; : N6*i6'lati6hs' ;or dohkiencees'.were:noted :dui�ih' 't, is visit::Y6ta;will reeciive tie),Nkiice-; ;
•:•torrespnndence:aboutthis:visit:•.•:.-.,::.•.•:•:•::•:-:•:•:•:•::•:•::.•:• :.:•::•::::••
Farmer says 97 head of cattle in one enclosed lot. I counted at least 87. Additional cattle gracing on grassed pasture area. Is working
on establishing vegetation on lots that he says will no longer be used.
Plan to no longer store/sell cattle here, will still use Virginia location.
1. Discharge at lot comer furthest from both roads. Approximately 7.5' X 9.5' into vegetation (Bermuda and weeds). Did not leave
this buffer area. No lagoon/storage pond.
Not yet certified, no records on site. Once a year scrapes and given to Cecil Corn in Va. No waste analysis on site. Certified OIC but
plans to come off list. Has sent in removal request.
IV
Reviewer/Inspector Name +Margaret Okeefe
Reviewer/inspector Signature: Date: 5100

Facility Number: 85-3 lJO& Insliertinn 9/20/2000 Printed on., 2/15/2001
Odor lssnes
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
® 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(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 lack a submerged fill pipe or.a permanent/temporary cover?
❑ Yes
® No
Al
5/00

Facility Number SS 3 Date of Inspection 1 12/15/99
Time of Inspection E� 24 hr. (hh:mm)
Q Permitted 0 Certified 0 Conditionally Certified ❑ Registered 113 Not Opera Date Last Operated:
Farm Name: VtitxdJCt0jn.FArM.......................................................................... .................. County: S.tnkes................................................ W,SRO........
OwnerName: Mark ....................................... Fentdictont.................................................. Phone No: W::5Q3:10G2...........................................................
Facility Contact: Hark.FendllKtm...........................................Title: Owtwr ................................................. Phone No: 33.�ia��3-20fG2........ I ...........
...
Mailing Address: ... ............................................................................................. La sAqYft..NO..........................................?.Q 2..............Onsite Representative: Mai.k.ftil llelt?At....................................... Integrator:.... ..................................
Certified Operator: ma,I',k A11001A ......................................................... . Operator Certification Number:,21433.....
..................... ........................
Location of Farm:
Latitude 36 • 31 , 03 « Longitude 80 • 13 , =11
,� �: �Desim Current; Design Current Design Current
""' a � .+h �',�a„�wr''� ma's � � . ,�, �,+� � ., ;+ �� "�' �
`. �Swme..b - �;Ca actt P,o ulatiiin Poultry" Ca actt P,o ulattonn.
a Cattle Ca a 'i _ 'O uileui
Q ❑ Wean to Feeder ❑ Layer ❑Dairy
i ❑ Feeder to Finish ❑ Non -Layer ®Non -Dairy 425 153
F
❑ Farrow to Wean 5'
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish TotaI sign C►apacity 425
❑ Gilts
❑ Boars Total SS>[W 340,000
=Wur of Lagoons l vJ ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
nds /Solid Traps �0 ❑ No Liquid Waste Management System
Discharges A_C 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. [f 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 ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 19 No
waste Collection & Treatment
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 6
Identifier:
Freeboard(inches): ................�`{!�............................. .....................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ® No
seepage, etc.)
3/23/99 Continued on back
Printed on 12/16/99

facility Number: 85-3 • Dal 0nspertion 12/15/99
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
® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings'?
❑ Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement'?
❑ Yes
® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
® No
12. Crop type Fescue (Graze)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
IN 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
® No
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?
{iel WUP, checklists, design, maps, etc.}
® Yes
❑ 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
® No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
® No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
® No
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
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
D: Nd Vh atiotis;or deficiencies•were'noted :during•this'v.isit.:You;wii,1 receive no further : ;
cor'resporidence: about this :visit:
is reducing the number of confined animals to less 100. Letter dated 12/10/99 requesting removal of registration was
y 1-1-00 the number of confined animals will be less than 100.
24 visit to verify number of confined cattle is less than 100.
Reviewer/Inspector Name David C. Russell
Reviewer/Inspector Signature: Date:
Printed on 12/16/99

' Division of Soi� Water Conservation
Oy�eratiorr Revtevvf� '
�+ - Division of Sbil and Water Conservation Compliance,hispec i r .lily
j
Divlsion of WateP QuAi y COlilpliatlC� InSpeetton
u a
i _Other Agency -; Opera'tiort Review ' s lr r a e x' ' 7 r drip C 4t.
+.�
Jok Routine Q Complaint Q Follow-up of DWQ inspection Q Follow -tip of DSWC review O Other
16 Facility Number Date of Inspection /
Time of Inspection 24 hr. (hh:mm)
© Permitted [] Certified ❑ Conditionally Certified 10 Registered 0 Not Opera Date Last Operated:
Farm Name: {'eN.a'iQ.!`fi�th1,�I�5� Countv:.......5...........................................
Owner Name: Phone No: 3 .....1...`2 C36�.....................
/J).......... / ...............
Facility Contact: /. ......i C'I. ...... Title:....... . .............................. Phone No:..3 .....��^.................. 2'
MailingAddress: '1.�........... ?.� j/ .................................I.......,...................... ..........................
Onsite Representative: ..-littckrator..................................................
Certified Operator:` JK r' �(�� Operator Certification Number:.3„.......... .
..............................................
Location of Farm:
a
W...........!'!..135.....�/!!Q....l,f�lslte...,....f..}'?ff....6aFs...'..t".f�......./..!�.1i1 ...................
Latitude ®0 WD, ®• Longitude ©• ©` =-
Design Current' Design :• Current Design Current
Swine , Ca acity Po ulation Poultry Capacity.. Population. Cattle Capacity Population,,'
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
r�Number of Lagoons 10 Subsurface Drains Present Lagoon Area Spray Field Area
❑ ❑
Hoden ,Ponds / Solid Traps l
�. , g P ®, f t;�,°, ❑ No Liquid Waste Management System ~ `;
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge orininated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance than -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 /I D �� uL4/e§ &J,6
Structure I Structure 2 Structure 3 Structure 4 l Strucwre 5
Identifier: ..
Freeboard (inches): VA .................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
El Yes �No
❑ Yes El No
El Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes No
t ❑ Yes �Wo
Structure 6
...................................
❑ Yes o
ContinuedXnbak

i
Facility Number: — Darsttspt:ction �' 2
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
Yes
�lo
(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
f
No
8. 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
No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
XNO
11. is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
No
12, Crop type
13. Do the receiving crops diff r with Xose designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
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
No
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 thlt Certified Anitrt, l Waste Management Plan readily available?
�4
Xy
No
(ie/ WUP, checklists, design, maps, etc,) d jf" rrf-l�f a�
es
❑
19. Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
o
to
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
*0
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes JtNo
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? XYes ❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes �No
0: Rio vrolatiEtjtis:or ifefeieindes were hated- djtt ttjtg this;visit' - Yotr ;will -receive Od fufith ''
fiories otic#eirrce: a�Ox t: th" :vis't.
q p ,N t a mendatioas or 11 any other comments r ;; Comments (tefer to 'uesbon #} )z lain any YES answers and/or any recommend'
[]se;drawtn6W facil'ety,tabetter explain sttuattons. (use addtbonal'pages,as,necessary,
AL
�cl " � AILS., Iac,L CC,,,7'.� % ll�S .S,f
100. A�tll_ A,y / L /v - j f AesD��, ► .s v a� 17"— ,.r�hs�9i a
W AS �gM�sn w� L., �' C.s r?�t.� i l,vi�✓.,r�r ! /11 AS S ' l eo
!!rs ��' �D c-i�'q Nl�a�lt2 oC�Ge,TNea�' e/E rSss' r' lo" .
Reviewer/Inspector Name � ,r
,��jrJ .F a Yi�Is
Reviewer/Inspector Signature: CZ."�� e _ Date: lZ,/
3/23/99

Routine O Complaint O Follow-up of DW
Facility Number 85 3
® Registered © Certified © Applied for Permit 13 Permitted
Dw-up of DSWC review O Other
Date of Inspection 1114/98
Time of Inspection 1Q:4S 24 hr. (hh:mm)
Not O erational Date Last Operated:
Farm Name: frl0.t lfrknm. �tnot............................................................................................ County: Stukea................................................ . .SR.I)R........
OwnerName: A!arlL...................................... Pnwktun........................ ........................... Phone No: +9-59jj-;Z0A2..........................................................
FacilityContact: .............................................................. .......... Title:................................................................ Phone No:...................................................
Mailing Address: Rt...1 B.ox.3X........................................................................................... Lawsonvil1e.BC .................................................. Z702Z .............
OnAte Representative: Hants lldle ll................... Integrator:
Certified Operator:Roger.lVi................................ Pendeton........................ .............. - Operator Certification Number: 2143J.............................
Location of Farm:
Latitude 36 ' 31 s 03 Longitude 80 ' J5 28
General
1. Are there any buffers that need aaintenance/improvement? © Yes ® No
2. Is any discharge observed from any part of the operation? © Yes N No
Discharge originated at: ❑ Lagoon [J Spray Field [3 0ther
a. If discharge is observed, was the conveyance ratan-anade? [ Yes ❑ No
b. If discharge is observed, did it reach Surface Water'? (If yes, notify DWQ) ❑ Yes [l No
c. If discharge is observed, what is the estimated flow in gallniiu?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) Yes D No
3. is there evidence of past discharge from any part of the operation? ❑ Yes N No
a. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes N No
5. Does any part of die waste management system (other than lagoons/holding ponds) require ❑ Yes N No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? 0 Yes N No
7. Did the facility fail to have a certified operator in responsible charge'? ❑ Yes ® No
7/25/97

Facility Number: 85-3 Date o spection 11/4/98
8. Are there lagoons or storage ponds on sitech need to be properly closed'? • [f Yes ® No
Structures (Lagoon s.Hold Ing Ponds Flush Pits, etc.}
9. Is storage capacity (freeboard plus storm storage) less than adequate? 0 Yes ® No
Structure I Structure 2 Stntclure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft):...................................................................•..,,...,.......,......,........................................................................................................................
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?
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 maxinumt 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 D WQ)
15. Crop type ....................... F.oQw...................... ... ...................................................................................................................
16. Do the receiving crops differ with those designated in die Animal Waste Management Plan (AWMP)'?
17. Does the facility have a lack of adequate acreage for land application'?
18. Does die receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow -tip visit by same agency?
21. Did Reviewer/lnspector fail to discuss review/inspection with on -site representative`?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does die facility fail to have a copy of tlhe Animal Waste Management Plan readily available'?
24. Were any additional problems noted which cause noncompliance of the Certified AWMI'?
25, Were any additional problems noted which cause noncompliance of die Permit?
U •lit& olatibris' or'd'eriicierteies•wibe'e't oted'ctulr�ing � 4is•visit.' You will, ruelve vp ;ftira'ther'
Ckrijo6iideine*~ abiout•this.visit::• :::: ..... .
❑ Yes 0 No
❑ Yes (:]No
[] Yes 0 No
Yes ® No
❑ Yes 0 No
[] Yes ® No
© Yes ® No
❑ Yes 0 No
[:] Yes No
[:]Yes No
❑ Yes 0 No
0 Yes ® No
[]Yes ❑ No
[] Yes [j No
buffer areas need additional vegetative cover, wet weather should improve the vegetative growth. Once vegetative cover in buffer
ve, faciity is to be certified.
kii3x'iii;
Reviewer/Inspector
Name
�. - - .::'i+.}; •..i :'?. ::3:;xr,.2 `",;<'" ,':e:. :�:sr v:1�;,.g :.ir.�,r;d�:�kr'„..e>.�
ReviewertInspector Signature: Date:

Division of SolWd Water Conservation [3 Other
Division of Water Quality
112 Routine O Complaint O Follow-up of DWO inspection O Follow-up cif DSWC review O Olher I
Facility Number
Date of Inspection
3
Time of Inspection �24 hr. (hh:mm)
Registered 0 Certified © Applied for Permit © Permitted JE3 Not O eratiana[ I Date Last Operated: ..........................
Farm Name: �"�hlU I'1 �d r�i�l�1 p �, a Count `... ................................................................
...........................................//....f"�/ ....... N.� ............... Y
Owner Name: �!�;f?:�.......��ti/GIK�o.......................................................... Phone No:�'? ..`.......I.:...... 6........................
Facility Contact: A`Ju, A) ... Title: 61GJ.) V, Phone No s �1, `�06 Z
................I.......... .....................I....... C........
MailingAddress: �`s� `� �% 70 �'Z
... �.....,.......................................................................................................✓v.. /� ..,�. �..................................................
Onsite Representative: .......................................... Integrator:...................
Certified Operator;...RP72-/ r-eNJ,e A^J ... Operator Certification Number, ...... -.............
r
Location of Farm:
.... ..............
Latitude 0 1 41 Longitude ®• /3 6 ®44
" Desien ,
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Soars
Design urrent Design M ,C urfent
Poultry Capacity Population::
❑ Layer
❑ Non -Layer
Cattle ,, a.Capactty,Popu!atxatt
❑ Dairy
❑ Non -Dairy
❑ Other`21
-Total Desig�t'Capacity
Total SSLW
Subsurface Drains Present I)❑ Lagoon Area I❑ Spray Field Area I j
41:Ain :. No Liquid Waste Ma
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: El Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, 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 gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were 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 lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes No
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes �6o
❑ Yes No
❑ Yes o
❑ Yes R1 No
ElYes Flo

Fadility.Ngmber: -- .3 •
�f7
8. Arg there lagoons or storage ponds on site which need to be properly closed? ❑ Yes No
'1tructures (LagoonsMolding Ponds, Flush -fits, etc.) o �'� CDP
9. Is storage capacity (freeboard plus storm storage) less th�nadequ�a,�9 ❑ Yes o
Structure I. Structure 2 Structure 3 Structure 4 Structure 5 Structuree`6
Identifier:
Freeboard(ft):.........................................:.............................................................................................................................................................................
10. Is seepage observed from any of the structures? ❑ Yes Y 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 KNO
Waste Application
14. Is there physical evidence of over application? ❑ Yes No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ` ..............................................................................................................................................................................................................I........
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes Po
17. Does the facility have a lack of adequate acreage for land application? El Yes [Xio
18. Does the receiving crop need improvement? ❑ Yes )#No
19. Is there a lack of available waste application equipment? ❑ Yes 0 No
20. Does facility require a follow-up visit by same agency? ❑ Yes i6 No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes �tNo
22. Does record keeping need improvement? ❑ I�
Yes No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes VNo
24. Were any additional problems noted which cause noncompliance of the Certified AWN1P?4 �� '� ❑ Yes ❑ No
tu a sf'
25. Were any additional problems noted which cause noncompliance of the Pernvt? ❑ Yes ❑ No
[3•No.viailations-or. derciencies.were-nated,duHng this; visit.: You:will ri &eive-no-furttiei••::
: correspondence about this;visit:- :..:::. : : :. . : . :: .. .
DNet
WQ(�iQYI 1�OuUjd1. lA PyV-k Uk�}p��V-� 20w Lq%VG.Q� U-e 5 .p- lr->_ Go u e(z- / I 4b,4!- Aem_b LI-e. �`x�� �G, 7S 00� X _L_
62. A- I `t'`i L, o
7/25/97
ReviewertInspector Name
Reviewer/Inspector Signature:_
Date: CI �A P U

u
Follow-up of
Facility Number
[3 Registered 0 Certified 0 Applied for Permit © Permitted
Farm Name:
[low -up of DSWC review O Other _ _ n r T — K IMP j
Date of Inspection V lnston—,SaLr?r
Time of Inspextion ' #� f t lCe
0 Not Operational I Date`` Last Operated:
................................................................... County:..r�� .`.�t. i....�..........,.. .......................
Owner•Name:................»......................................................................................................... Phone No: ........................................................ .................... _........
FacilityContact: .............................................................................. Title:................................................................ Phone No:
MailingAddress:.... .................. ...............
.....
Onsite Representative:.... ktiV.........I......... r.,lU .A-7c 17 Integrator: .................................................
Certified Operator:............................................................................................................... Operator Certification Number:................::
Location of Farm:
Latitude •' " Longitude • t 0Lt
General
1. Are there any buffers that need maintenance/improvement?
2. 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 Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lag on system? (If yes, notify DWQ)
AVo �tii r/ .1 3. Is there evidence of past discharge from any part of the operation?
4. Were 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 lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
j21Yes ❑ No
,ayes ❑ No
❑ Yes P'No
❑ Yes YNo
Ye=[01
cs RfNo
❑ Yes P4o
Yes ❑ No
❑ Yes �,No
❑ Yes � No
Continued on back

J �(IL �_N U 1_�
Facility umber: —
8. Are there lagoons or storage ponds Ae which need to be properly closed?
c ur" 189gonsHolling Ponds lush Pits, et
9. Is storage capacity (freeboard plus storm storage) less than adequate? J A
❑ Yes [/No
❑ Yes 40
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ......... ....... ....... ._...... .. ..................,..............................................
Freeboard(ft):.............................................................-............................................
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?
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?
WasLe ApiplLcation
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 F,�Gu.4�:.
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?
a CeddO gr P_ermj1kd acilities 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, Ndvitdiations.or. deficieincies were:noted:during this:visit.. You:wift i6ceive.no• tirther,:
:. corres'pandebO abon(this'.vhdt:- ::... - :. ' . ;
❑ Yes � No
❑ Yes P No
❑ Yes QINo
❑ Yes VNO
❑ Yes U'No
.......................................,.,,
El Yes LI No
❑ Yes ffNo
❑ Yes edNo
❑ Yes PNo
❑ Yes /�No
❑ Yes EyNo
Ayes ❑ No
❑ Yes .ATNo
❑ Yes ❑ No
❑ Yes ❑ No
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7125197

is
4/30/97

M
F.Routine O Complaint O FoIlow-up of D%VQ insljLvtion 0 Follow-up of DS1'VC review O Other �
Facility Number Data of Inspeclion :f 72,j
Time of°Inspection ' 24 hr. (hh:mm)
® Registered ❑ Certified © Applied for Permit ❑ Permitted 113 Not Operational Date Last Operated
FarmName.......................................................................... County:...,1.-n..�...IL.4` ...�.......................................
Owner Name: .............................................
........... Phone No: ...........................................................................
Facility Contact: ................................ .. Title:........ . Phone No:...............
Mailing Address:
Onsite Representative Akti(...lam~ .,r` �.,..................................................................
•.................... ....... .......... IntEl,rator:................. ,
Certified Operator'............................................................................................... Operator Certification Number, ................. '
Location of Farm:
Latitude Longitude ' '
r
Design Current " Design, ';%Current;.z3
�r
=;Capacity. Population tom'' Poultry . Capaciiy`, Population Cattle
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
is l,Holding Ponds'
❑ Layer ❑ Dairy
❑ Non -Layer Non -Dairy
❑ Other"
Total Design Capacity
_ Total. SSLW
J?;L Subsurface Drains Present_ 10 Lagoon Area 10 Spray Field Area
z
❑ No Liquid Waste Management SystemF
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field [Other k-tt-
a. If discharge is observed, 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 gaVmin?
d. Does discharge bypass a lagqon system? (If yes, notify DWQ)
�o
3. Is there evidence of past discharge from any part of the operation?
4. Were 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 lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
Yes ❑ No
(Yes ❑ No
❑ Yes �pl� o
El Yes EA0
Y=[01
des RfNo
,t❑� Yes P1<0
Yes ❑ No
❑ Yes No
❑ Yes l[� No
c

It ,�eN 0
Facility Number: 4, < —ay
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Laggons.Holding Ponds, Flush Pits. etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? A,
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
❑ Yes VNO
❑ Yes 4No
Structure 5 Structure 6
Freeboard(ft):.......................................................................................................................................................................................................................
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? Cl 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 [JNo
Waste Application
14. Is there physical evidence of over application? ❑ Yes C/No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15 Cro ty e F-L-5Gv 4:-
pP..........................................................................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes LI No
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes ffNo
18. Does the receiving crop need improvement? ❑ Yes XfNo
19. Is there a lack of available waste application equipment? ❑ Yes �N6
20. Does facility require a follow-up visit by same agency? ❑ Yes j/No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Qmy
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?
13, No:violations.or deficiencies were -noted during this:visit.; YOU*01 i-eceive�it6 furttier :
correspondence tiWit this• visit.- : :.
❑ Yes [YVo
Ally' ❑ No
❑ Yes ATNo
❑ Yes ❑ No
❑ Yes ❑ No
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7125197 I

Facility Number: h— bate ref lr►spectian ? t]
��ti a wA� f5 wvpqrt
' L2 C AIL e T R15 Tk��
1-71

13 Dtvtsron 1 and Water Conservation -Operation
Re
Division o oii.and Water Conservahoa
Compliance inspection
13-Divisron,`of Water Quality - Compliance Inspection
Other, Agency,- Operation Review % r
„
10 Routine Q Complaint Q Follow-up of DIVQ inspection Q Follow -tip of DS►ti`C review Q Other
t.".""
Facility Number `?
Date of Inspection
/ ti
Time of Inspeclon
L.__.:� 24 hr. (hh:mm)
0 Permitted [3 Certified © Conditionally Certified [Registered
IQ Not O erationai
Date Last Operated:
FarmName : ............................... ........................... ..................
County:.....................................................................................
OwnerName : ........................ ................................................................... ................................ Phone No:..................................:....................................................
FacilityContact: ..............................................................................Title:................................................................ Phone No: ...................................................
Mailing Address:
Onsite Representative:.. ... Integrator:
........................................................................................................................................................................
Certified Operator : ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
A.
T '
Latitude 0 1 •1 Longitude • ' '
Design Current
Swine Canacity Ponulation
❑ 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 Ca aci Population
❑ Layer I I []Dairy
❑ Non -Layer I I Non -Dairy
❑ Other '
Total Design Capaeity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present 111i Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharees tk Stream Impacts
1. Is any discharge observed from any part of the operation? ,Yes El No
Discharge originated at: El Lagoon [I Spray Field [710ther
a. If discharge is observed, was the conveyance tan -made? ❑ Yes [ZNo
b. If discharge is observed, did it reach Water of the State? (If ycs, notify DWQ) ❑ Yes [(No
c. if discharge is observed, what is the estimated now in gal/min'?
d. Docs discharge bypass a lagoon system? (If ycs, notify DWQ) ❑ Yes dNo
2. Is there evidence of past discharge from any part of the operation? 0Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes CNo
Wasic Collection S Treatment
4. is storage capacity (freeboard plus torm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
Structure ] Structure ? Structure 3 Structure 4 Structure 5 Structure 6
ILIGntificr:
I-rechoard (inches):.............................................................................................................................................................................................................
5. Are there any immediate threats to the int grity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
3/23/99 Continued on back

. 41 PE AA-)
Facility Number: �—
�5 � att• ofinspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? y.0 V-�2 B'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? [4Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level /
elevation markings? ❑ Yes YNo
Waste Applieation
10. Are there any buffers that need maintenance/improvement'? ❑Xes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes ❑ No
12. Crop type
13, Do the receiving crops differ with those designated in the Certified Animal WasteManagement Plan (CAWMP)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? V O L t:.. j- ri rtEp ph6L ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettabie acre determination? r �C6�i�LL .1-161— UA/ ❑ Yes ❑ No
15, Does the receiving crop need improvement? 9 /.,, a, r 1 N (,' ❑ Yes ❑ No
t T�
16. Is there a lack of adequate waste application equipment? d r 1z, U Co1Ll� S ❑ Yes ❑ No
Required Records & Documents''
17. Fail to have Certificate of Coverage & General Permit readily available', _r 1JtteT ❑ Yes ❑ No
18. Does the facility fail to have all components of the Certified Animal Wa �� `�1C vwrd �L ble?
Oc/ WUP, checklists, design, maps, etc.) ❑ Yes ❑ 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 ❑ No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ❑ No
23. Did Reviewerllnspector fail to discuss review/inspection with on -site representative? ❑ Yes ❑ No
24, Does facility require a follow-up visit by same agency? ❑ Yes ❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
Rio viglatiQns'oc ft iciencies •were noted d4f ift Ns'visit; • Y;ou wiil •teceiye iio ruf th" ;
�corres' arideh& about this visit. - "
Comments"{eefer'to question #)';'Explatn t><►y„YES answers and/or any,recomRiendattons or any ptlier comments '�
t;k, "= xr:s:a i v t:3 , �:$e re, i. n f
Use' dra�wtngs•Of faGiiflt�'ri=t0'1fCttel .explain situations {use additional pages `asp°t ecessary) ' f`r � ,ifs r ' int . r"` _�r*;
two Uh �ows 1a! S lr. yG E a X T {+v S a[ t
Li
pawp0
rtf-e✓ �} U�C�•c vf,c,� r�w�x�aj G,���• `C . QG E s r�U.� o � 2 a9 n 6,.6Fc_)(15
�5 -,Vol a �o COC BIAS 6k)
�L �-•-n, � 2
�w'47t h5 1 t 4- G GEC 1,U C.am ?OL 1�'� Gyel9ss Reviewer/Inspector Name Grp ,ti t r r
.•.,,, ��f, aik, i,., . Fes.-. ,h.
Rev':cwer/Inspector Signature: Date:
11PYIIUa

s
Facility Number: te
— of Inspection 77 1�1
Odor Ismies
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
['No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
/J 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
6 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
eNo
31. Do the animals feed storage bins fail to have appropriate cover?
[-]Yes
VNa
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover'?
❑ Yes
❑ENO
Additional onXRR4 8fi or raVYli3 71 r M A r ,4 r i a r Y 1 L 1 5 h 91 gr Z. -.-
.
f}YI . ..it3.. I 11117'Ni-v�ivn.:.H�,.. v 4.; I..I . I
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�
r1175 1-0
V�Tr��n� t 4 O T' S A/�X7
�aJ
3123/99

DSWC
Q
s
edlbt Qperaton Revlevr�
Blot Operaxqtj�t�loii�Site Inspection
111), Routine O Complaint O Follow-up of OWQ inspection O Follow-up of DSWC review Q Other �
t"� Date of Inspection 9 5'
Facility Number 3
Time of Inspection LIL. 24 hr. (hit:mm)
Total Time (in fraction of hours
Farm Status: Registered ❑ Applied for Permit (ex:1.25 for i hr .15 miu)) Spent on Review
9 Certified ❑ Permitted or Inspection includes travel andprocessing)
❑ Not Operational Date Last Operated: ....... .......................... .............. ....... ................................... ......................... .........................
Farm Name: »...`'7.un►f'/4.................. ... ................................ ......
.......................».... ».....................
Land Owner Name: ,.... .10.t .. P [ Lev . ................................. Phone No:.... .2-.........._...... »...
Facility Conetact:......... i. ........P...-........ Title:...... W.r`'e. ............... Phone No:
Mailing Address: .... .�S.fi....il�..$.'.7..a.......................................»................ 4WAw''U1..�./'- N'C"Yp_a7D-)--L- ._...».. r..
OnsiteRepresentative: ..... . . ............................................................................... Integrator: ..................................... ........ ............................. ........ ...
Certified Operator: ... r..�� f .._ ......._..__» _... Operator Certification Number:
Location ofF'arm:A/f- r,J,es _to Vfk- . /;,✓A.
... .............................................. ........ ......... .................................. ....._.............__.. » ......_............_....... ..».....-.... ........».. ......»... .... W.. _.. 4
................................................................................................................................................................ .............................11
Latitude 1 --go• 3/ 03 " Longitude �• ����
Tvue of Oneration and Desinn Canacitv
`6liee S'G3�, .. t`Y>`C : -- .x. .SSF .. ' vP[ vK` �':J�Jn 3 -. s* .: 'Siks' h Ya' z:
A 'Des Current -' .: Design Current 4=a r DesignCurrent:1
Swine"Ca"aceF© uiatioss .. Poultry,;{�wCa ac: YPo oration,- Cattlea`ac[::Poxlaiioa
❑Wean to Feeder❑ Layer ❑ Dai
[] Feeder to Finish ❑Non -Layer ❑ Non-Dairvz
Farrow to can i�F� 3
Farrow to Feeder �� �Total�Design CapacityNx�Farrow Finish irQ-,
z
d❑ Other
.,:ate. '��.w. .v3' � ill S'�'• mt `� �iv1:�c�� � .3�F� dxx � > ,�, `::�,�{-�
%Nunsber of lagoons
/ Hoii�i>xg Ponds ❑Subsurface Drains Present n
Lagoon Area SSray Field
General
1. Are there any buffers that need maintenancelimprovement?
2. 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 Surface,;Water? (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)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
[:]Yes
$,No
❑ Yes
i% No
❑ Yes
® No
❑ Yes
g No
5. Does any part of the waste management system (other than lagoons/holding ponds) require
4/30/97 maintenance/improvement?
❑ Yes [Z No
❑ Yes Q No
[:]Yes '99 No
❑ Yes j9Na
Continued on back

:i Facgity Number:..,�}.,r... .....
6. ,Is facility not in compliance with any *able setback criteria in effect at the time of ? ❑ Yes (9 No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes .(No
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes A No
Structure.L( Lagyons and/or jiol_ ding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes '.No
Freeboard (ft): Structure 1 Structure 2 Structure 3 Structure 4 Structure S Structure 6
............................ ............................ ...... I..................... ............................ ............................
10. is seepage observed from any of the structures? ❑ Yes E9 No
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 lack adequate minimum or maximum liquid level markers?
Waste AMUcatign
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........................................................................................................................................................................................
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?
For -Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
❑ Yes 91 No
*yes �i'No
❑ Yes 19 No
❑ Yes Wo
❑ Yes UNo
❑ Yes No
❑ Yes No
[j Yes ;@ No
❑ Yes ETNo
❑ Yes :R No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Comments (refer to question #) Explain any,'YES answers and/or any recum_rrzendatioris'or,ariy'other comments
Use,drawings of facility to better explain situations' (use additional pages as necessary) 4 r z
O'f- old "N el 4
VIAI<141. �,1e-fie i,�I� 24204,1 iat% �Q � P� 1 ICJ /`�Bc.C¢�`!e ca-
PL, A
�m
Reviewer/Inspector Name
} :11.�3 �.�'
Reviewer/Inspector Signature: C Date: �' 9
cc. Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97