Loading...
HomeMy WebLinkAbout820647_INSPECTIONS_20171231NORTH CAROLINA Qeparbnent of Environmental Quality Division of Water Resources • D D Division of Soil and Water Conservation Other Agency Facility Number: 820647 Facility Status: -------- lnpsection Type: Compliance Inspection Reason for VIsit Routine Active Pe~ AVVS820647 Inactive Or Closed Date: Sampson Region: ------------------------County: ------ DateofVIsit: 0312312017 EntryTime: 12:00pm Exit Time: 12:30pm lncidentt FannName: Farm #31/3731 Owner Email: Owner: Murphy-Brown LLC Phone: Mailing Address: PO Box487 VVarsaw NC 28398 Physical Address: FacUlty Status: • Compliant D Not Compliant Integrator. Murphy-Brown LLC 0 Denied Access Fayetteville 91 Q-296-1800 Location of Farm: Latitude: 34" 55' 28" Longitude: 78" 30' 38" From Rosesboro, farm is approx. 1.5 mi. out, on NC 411. The farm will be approx. 0.5 mi. on the right, past where NC 242 and NC 411 meet. Question Areas: • Dischrge & Stream Impacts • VVaste Col, Stor, & Treat • VVaste App~cation • Records and Documents • Other Issues Certif"1ed Operator: Robert T Young Operator Certification Number: 18461 Secondary OIC(s): On-sits Representative(s): 24 hour contad name On-site representative Primary Inspector: Inspector Signature; Secondary lnspector(s): Inspection Summary: Name Michael Ammons Michael Ammons Robert Marble Title Phone Phone : 91 Q-289-6087 Phone: 910-289-6087 Phone: Date: page: Permit: AVVS820647 Inspection Date: 03123/17 Regulated Openttions Swlne I 0 Swine -Farrow to Wean Waste Structures Type I Lagoon Identifier Owner -Facility : Murphy-Brown LLC Facility Number: 820647 lnpsection Type: Compliance Inspection Reason for Visit: Routine Design Capacity Current promotions Closed D1te 2,000 Total Design Capacity: Start Date TotaiSSLW: Dlslgnated Freeboard 19.50 2,000 866,000 Observed Freeboard 54.00 page: 2 Permit: AVVS820647 Inspection Date: 03123/17 Discharges & Stream Impacts Owner-Facility: Murphy-Brown LLC lnpsection Type: Compliance Inspection 1. Is any discharge observed from any part of the operation? Discharge originated at: Structure Application Field Other a. Was conveyance man-made? b. Did discharge reach Waters of the State? (if yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (if yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? Facility Number: Reason for Visit: 3. V\lere there any observable adverse impacts or potential adverse impacts to Waters of the State other than from a discharge? Wasta Collection, Storage & Treatment 4. Is storage capacity less than adequate? If yes, is waste level into structural freeboard? 5. Are there any immediate threats to the integrity of any of the structures observed (I.e./large trees, severe erosion, seepage, etc.)? 6. Are there structures on-site that are not property addressed and/or managed through a waste management or closure plan? 7. Do any of the structures need maintenance or improvement? B. Do any of the structures tack adequate markers as required by the permit? (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 maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. Excessive Pending? Hydraulic Overload? Frozen Ground? Heavy metals (Cu, Zn, etc)? PAN? Is PAN> 10%/10 lbs.? Total Phosphorus? Failure to incorporate manure/sludge into bare soil? Outside of acceptable crop window? Evidence of wind drift? Application outside of application area? 820647 Routine Yea No Na Ne oo•o o•oo o•oo Yes NoNa Ne o•oo D o•oo Yn No Na Ne o•oo D D D 0 D 0 0 0 D 0 0 page : 3 Owner-Facility: Murphy-Brown LLC Facility Number. Permit: AVVS820647 Inspection Date: 03/23117 lnpsection Type: Compliance Inspection Reason for Visit: Waste Application Crop Type 1 Crop Type 2 Crop Type 3 Crop Type 4 Crop Type 5 Crop Type 6 Soil Type 1 Soil Type 2 Soil Type 3 Soil Type4 Soil Type 5 Soil Type 6 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management Plan(CAWMP)? 15. Does the receiving crop andfor land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Records and Documents 19. Did the facility fail to have Certificate of Coverage and Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropriate box below. WUP? Checldists? Design? Maps? lease Agreements? Other? If Other, please specify 21 . Does record keeping need improvement? If yes, check the appropriate box below. waste Application? Weekly Freeboard? Waste Analysis? Soil analysis? Waste Transfers? Weather code? 820647 Routine Yn NoNa Ne Com. Wheat. Soybeans Aullyville loamy sand, o to 6% slopes Norlolk loamy sand, 0 to 2% slopes wagram loamy sand, o to 6% slopes o•oo o•oo Ya NoNa Ne D D D D D D o•oo D 0 0 D D 0 page: 4 Owner-Facility : Murphy-Brown LLC Facility Number: Permit: A\NS820647 Inspection Date: 03/23/17 lnpsection Type: Compliance Inspection Reason for Visit Records and Documents Rainfall? Stocking? Crop yields? 120 Minute inspections? Monthly and 1" Rainfall Inspections Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 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 to provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification? other Issues 28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report mortality rates that exceed normal rates? 29. 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. 30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? (i.e., discharge, freeboard problems, over-application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. Application Field Lagoon I Storage Pond Other If Other, please specify 32. Were any additional problems noted which cause non-compliance of the Permit or CAVVIIIIP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with on-site representative? 34. Does the facility require a follow-up visit by same agency? 820647 Routine Yes NoNa Ne D D D In No Nil Ne D D D page: 5 ; • Division of Water Resources 0 Division of Soil and Water Conservation 0 Other Agency Facility Number: 820647 Facility Status: Active Permit: AW$820647 ------- lnpsectlon Type: Compliance Inspection Inactive Or Closed Date: Reason for Visit: Routine -------------------------Sampson County: Region : ------- Date of Visit: 09/2212015 Entry Time: 08:00am Exit Time: 9:00am Incident# Farm Name: Farm #31 /3731 Owner Email: Owner: Murphy-Brown LLC Phone: Mailing Address: POBox487 Warsaw NC 28398 Physical Address: Facility Status: • Compliant D Not Compliant Integrator: Murphy-Brown LLC 0 Denied Access F ayetteville 910-2~1800 Location of Farm : Latitude: 34• 55' 28" Longitude: 78 • 30' 38" ---------- From Rosesboro , farm is approx. 1.5 mi. out, on NC 411 . The fann will be approx . 0 .5 mi. on the ri ght , past where NC 242 and NC 411 meet. Question Areas: • Dischrge & Stream Impacts • Waste Col, Stor. & Treat • Records and Documents • Other Issues Certified Operator: Secondary OIC(s): On-Site Representative(s): 24 hour contact name On-site representative Primary Inspector: Inspector Signature: Secondary lnspectorts): Inspection Summary: Robert T Young Name Michael Ammons Michael Ammons Robert Marble • Waste Application Operator Certification Number: 18461 Title Phone : Phone : Phone 910-289-6087 91 0-289-6087 Phone : Date: page: Permit: AWSB20647 Inspection Date : 09/22/15 Regulated Operations Swine I 0 Swine -Farrow to Wean Waste Structurps Type I lagoon Identifier Owner -Facility : Murphy-Brown LLC Facility Number: 820647 lnpsection Type: Compliance Inspection Reason for Visit: Routine Design Capacity Current promotions Closed Date 2,000 Total Design Capacity: Start Date TotaiSSLW: Disignated Freeboard 19 .50 2 ,000 866,000 Observed Freeboard 60.00 page: 2 Permit: AWS820647 Inspection Date: 09/22/15 Discharges & Stream Impacts Owner-Facility : Murphy-Brown LLC lnpsection Type: Compliance Inspection 1. Is any discharge observed from any part of the operation? Discharge originated at Structure Application Field Other a. Was conveyance man-made? b. Did discharge reach Waters of the State? (if yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (if yes, notify DWO) 2. Is there evidence of a past discharge from any part of the operation? Facility Number: Reason for Visit: 3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than from a discharge? Waste Collection, Storage & Treatment 4. Is storage capacity less than adequate? If yes, is waste level into structural freeboard? 5. Are there any immediate threats to the integrity of any of the structures observed (I.e./large trees, severe erosion, seepage, etc.)? 6. Are there structures on -site that are not properly addressed and/or managed through a waste management or closure plan? 7. Do any of the structures need maintenance or improvement? 8. Do any of the structures lack adequate markers as required by the permit? {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 maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. Excessive Pending? Hydraulic Overload? Frozen Ground? Heavy metals (Cu, Zn, etc)? PAN ? Is PAN> 10%/10 lbs.? Total Phosphorus? Failure to incorporate manure/sludge into bare soil? Outside of acceptable crop window? Evidence of wind drift? Application outside of application area? 820647 Routine Yes No Na Ne Yes No Na Ne o•oo o•oo Yes NoNa Ne o•oo D D D D D D D D D D D page: 3 Owner-Facility : Murphy-Brown LLC Facility Number: Permit: AWS820647 Inspection Date: 09/22/15 lnpsection Type: Compliance Inspection Reason for Visit: Waste Application Crop Type 1 Crop Type 2 Crop Type 3 Crop Type4 Crop Type 5 Crop Type6 Soil Type 1 Soil Type 2 Soil Type 3 Soil Type 4 Soil Type 5 SoiiType 6 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management Plan(CAWMP)? 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Records and Documents 19. Did the facility fail to have Certificate of Coverage and Permit readily available? 20. Does the facility fail to have all comp o nents of the CAWMP readily available? If yes, check the appropriate box below. WUP? Checkli sts? Design? Maps? Lease Agreements? Other? If Other, please specify 21. Does record keeping nee d improvement? If yes. c heck the appropriate box be low. Waste Application? Weekly Freeboard? Waste Analysis? Soil analysis? Waste Transfe rs? Weather code? 820647 Routine Yes No Na Ne Com, 'Mleat, Soybeans A utryviU e lo amy sand, 0 to 6% slopes Norfolk loamy sand, 0 to 2% slopes Wa9ram loamy sand . 0 to 6% sl opes Yn NoNa Ne D D D D 0 D 0 D D D D D page : 4 Owner-Facility: Murphy-Brown LLC Facility Number: Permit: AWS820647 Inspection Date: 09/22/15 lnpsection Type: Compliance Inspection Reason for Visit: Records and Documents Rainfall? Stocking? Crop yields? 120 Minute inspections? Monthly and 1" Rainfall Inspections Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain a rain breaker on irrigation equipment (NPDES only)? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 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 to provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification? other Issues 28. Did the facility fail t o properly dispose of dead animals within 24 hours and/or document and report mortality rates that exceed normal rates? 29. At the tim e of the inspection did the facility pose an odor or air quality co ncern? If yes, contact a regional Air Quality representative immediately. 30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? (i.e., discharge, freeboard problems, over-application) 31. Do subsurface tile drains exist at the facility? If yes , c heck the appropriate box below. Application Field Lagoon I Storage Pond Other If Other, please specify 32. Were any additional problems noted whi ch cause non-compliance of the Permit or CAWMP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative? 34. Does the facility require a foll ow-up visit by same agency? 820647 Routine Ye& NoNa Ne 0 0 0 Yes NoNa Ne CJ 0 0 o•oo page: 5 Division of Water Resources • 0 0 Division of Soil and Water Conservation Other Agency Facility Number: 820647 Facility Status: Active Pennlt: AWSB20647 -~------ lnpsection Type: Compliance Inspection Inactive Or Closed Date: Reason for Visit: Routine ---------------------------Sampson Region: -------County: Date of Visit: 08/19/2014 Entry Time: 08:30am Exit Time: 9:30am Incident# Farm Name: Farm #31 I 3731 Owner Email: Owner: Murphy-Brown LLC Phone: Mailing Address: PO Box 487 Warsaw NC 28398 Physical Address: Facility Status: • Compliant 0 Not Compliant Integrator: Murphy-Brown LLC 0 Denied Access Fayetteville 910-296-1800 Location of Fann: Latitude: 34 • 55' 28" Longitude: 78• 30' 38" From Rosesboro, farm is approx. 1.5 mi. out. on NC 411. The farm will be approx. 0.5 mi. on the right, past where NC 242 and NC 411 meet. Question Areas: • Dischrge & Stream Impacts • Waste Col, Stor, & Treat • Records and Documents • Other Issues Certified Operator: Secondary OIC(s): On-Site Representative(&): 24 hour contact name On-site representative Primary Inspector: Inspector Signature: Secondary lnspector(s): Inspection Summary: \Nilliam Victor Sutton Name Michael Ammons Michael Ammons Robert Marble • Waste Application Operator Certification Number: 26076 Title Phone: Phone: Phone 91 o-289-6087 91o-289-6087 Phone: Date: page: Permit: AWS820647 Inspection Date: 08/19114 Regulated Operations Swine 0 Swine-Farrow to Wean Waste Structures Type !Lagoon Identifier Owner-Facility: Murphy-Brown LLC Facility Numbe r: 620647 lnpsection Type: Compliance Inspection Reason for V isit Routine Design Capacity Current promotions Total Design Capacity: Closed Date Start Date Total SSLW : Dlsignated Freeboard 19.50 Observed Freeboard page: 2 Permit: AWS820647 Inspection Date: 08/19/14 Discharges & Stream Impacts Owner-Facility : Murphy-Brown LLC lnpsection Type: Compliance Inspection 1. Is any discharge observed from any part of the operation? Discharge originated at: Structure Application Field Other a. Was conveyance man-made? b. Did discharge reach Waters of the State? (if yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (if yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? Facility Number: Reason for Visit: 3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than from a discharge? Waste Collection, Storage & Treatment 4. Is storage capacity less than adequate? If yes, is waste level into structural freeboard? 5. Are there any immediate threats to the integrity of any of the structures observed (I.e./large trees, severe erosion, seepage, etc.)? 6. Are there structures on-site that are not properly addressed and/or managed through a waste management or closure plan? 7 . Do any of the structures need maintenance or improvement? 8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or improve ment? Waste Application 10. Are there any required buffers, setbacks , or compliance alternatives that need maintenance or improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. Excessive Pending? Hydraulic Overload? Frozen Ground? Heavy metals (Cu, Zn, etc)? PAN? Is PAN> 10%/10 lbs.? Total Phosphorus? Failure to in corporate manure/sludge into bare soil? Outside of acceptable crop window? Evidence of wind drift? Application outside of application area? 820647 Routine Yes NoNa No D D D oo•o oo•o Yes NoNa Ne Yes No Na Ne D D D D D D D D D D D page: 3 Permit: AWS820647 Inspection Date: 08/19/14 Waste Application Crop Type 1 Crop Type 2 Crop Type 3 Crop Type 4 Crop Type 5 Crop Type 6 Soil Type 1 Soil Type 2 Soil Type 3 Soil Type 4 Soil Type 5 Soil Type 6 Owner-Facility : Murphy-Brown LLC lnpsection Type: Compliance Inspection 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management Plan(CAWMP)? 15. Does the receiving crop andlor land application site need improvement? Facility Number: Reason for Visit: 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Records and Documents 19. Did the facility fail to have Certificate of Coverage and Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropriate box below. WUP? Checklists? Design? Maps? Lease Agreements? Other? If Other, please specify 21. Does record keeping need improvement? If yes, check the appropriate box below. Waste Applic ation? Weekly Freeboard? Waste Analysis? Soil analysis? Waste Transfers? Weather code? 820647 Routine Yes NoNa Ne Com, Ill/heat, Soybeans Autryville loamy sand, 0 to 6% slopes Norfolk loamy sand, 0 to 2% slopes Wagram loamy sand, 0 to 6% slopes Yes NoNa Ne 0 0 0 0 0 0 0 D D D D D page: 4 Owner-Facility : Murphy-Brown LLC Facility Number: Permit: AWSB20647 Inspection Date: OB/19/14 lnpsection Type: Compliance Inspection Reason for Visit: Records and Documents Rainfall? Stocking? Crop yields? 120 Minute inspections? Monthly and 1" Rainfall Inspections Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 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 dale of first survey indicating non-compliance: 26. Did the facility fail to provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report mortality rates that exceed normal rates? 29. 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. 30. Did the facility fail t o notify regional DWQ of emergency situations as required by Permit? (i.e., discharge, freeboard problems , over-application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. Application Field Lagoon I Storage Pond Other If Other, please specify 32. Were any additional problems noted which cause non-compliance of the Permit or CAVVMP? 33. Did the Reviewe r/Inspector fail to discuss review/inspection with on-site representative? 34. Does the facility require a follow-up visit by same agency? 820647 Routine Yes NoNa Ne D 0 D Yes No Na Ne 0 D D page: 5 Division of Water Resources • D D Division of Soil and Water Conservation Other Agency Facility Number: 820647 Facility Status: Active Permit: AWS820647 -------- lnpsection Type: Compliance Inspection Inactive Or Closed Date: Reason for Visit: Routine ------------------Region: ------Sampson County: Date of Visit: 10/15/2013 Entry Time: 08:30am E~titTime: 9:30am Incident# Farm Name: Farm #31 I 3731 Owner Email: Owner: Murphy-Brown LLC Phone: Mailing Address: PO Bo~t487 Warsaw NC 28398 Physical Address: Facility Status: • Compliant D Not Compliant Integrator: Murphy-Brown LLC 0 Denied Access Fayetteville 91 0-296-1800 Location of Farm: Latitude: 34" 55' 28" Longitude: 78" 30' 38" From Rosesboro, farm is approx. 1.5 mi. out, on NC 411. The farm will be approx. 0.5 mi. on the right, past where NC 242 and NC 411 meet. Question Areas: • Dischrge & Stream Impacts • Waste Col, Stor, & Treat • Waste Application • Records and Documents • Other Issues Certified Operator: Clifton Daniel Tyndall Operator Certification Number: 989946 Secondary OIC{s): On-Site Representative(sl: 24 hour contact name On-site representative Primary Inspector: Inspector Signature: Secondary lnspector(s): Inspection Summary: Name Michael Ammons Michael Ammons Robert Marble Title Phone: Phone: Phone 910-289-6087 910-289-6087 Phone: Date: page: Permit AWS820647 Inspection Date: 10/15/13 Regulated Operations Swine J 0 Swine-Farrow to Wean Waste Structures Type [Lagoon Identifier Owner-Facility : Murphy-Brown LLC Facility Numb er: 820647 lnpsection Type: Compliance Inspection Reason f or Visit: Routine Design Capacity Current promotions Total Design Capacity: Closed Date Start Date Total SSLW: Disignated Freeboard 19 .50 Observed F111eboard page: 2 Permit: AWS820647 Inspection Date: 10115113 Discharges & Stream Impacts Owner. Facility : Murphy-Brown LLC lnpsection Type: Compliance Inspection 1. Is any discharge observed from any part of the operation? Discharge originated at: Structure Application Field Other a. Was conveyance man-made? b. Did discharge reach Waters of the State? (if yes , notify DWQ) c . What is the estimated volume that reached waters of the State (gallons)? d . Does discharge bypass the waste management system? (if yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? Facility Number: Reason for V isit: 3 . Were there any observable adverse impacts or potential adverse impacts to Waters of t he State other than from a discharge? Waste Collection, Storage & Treatment 4 . Is storage capacity less than adequate? If yes, is waste level into structural freeboard? 5 . Are there any immediate threats to the integrity of any of the structures observed (I.e./large trees, severe erosion , seepage, etc.)? 6 . Are there structures on-site that are not properly addressed and/or managed through a waste management or closure plan? 7. Do any of the structures need maintenance or improvement? 8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or improvement? Waste Application 10. Are there any required buffers , setbacks, or compliance alternatives that ne ed maintenance or improvement ? 11 . Is there evidence of incorrect application? If yes , check the appropriate box below. Excessive Ponding? Hydraulic Overload? Frozen Ground? He avy metals (Cu, Zn , etc)? PAN ? Is PAN > 10%/10 lbs.? Total P hosp horus ? Fa i lure to incorporate manure/sludge into bare soil? Outs ide of acceptable crop window? E vidence of wind drift? Appl ication outside of application area? 620647 Routine Yes NoNa Ne Yn NoNa Nt Ye! NoNa Ne D 0 D 0 0 0 0 0 0 0 0 page: 3 Owner-Facility: Murphy-Brown LLC Facility Number: Permit: AWS820647 Inspection Date: 10/15/13 lnpsection Type: Compliance Inspection Reason for Visit: Waste Application Crop Type 1 Crop Type2 Crop Type 3 Crop Type 4 Crop Type 5 Crop Type 6 Soil Type 1 Soil Type 2 Soil Type 3 Soi1Type4 Soil Type 5 Soil Type6 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management Plan(CA\1\/MP)? 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? 17. Does the facility lack adequate acreage for land application? 1 B. Is there a lack of properly operating waste application equipment? Records and Documents 19. Did the facility fail to have Certificate of Coverage and Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropriate box below. WUP? Checklists? Design? Maps? Lease Agreements? Other? If Other, please specify 21. Does record keeping need improvement? If yes, check the appropriate box below. Waste Application? Weekly Freeboard? Waste Analysis? Soil analysis? Waste Transfers? Weather code? 820647 Routine Yes NoNa Ne Com, IMleat. Soybeans Autryvill!t loamy sand, 0 to 6% &IOp!!S Norfolk loamy sand, o to 2% SIOp!!S Wagram loamy sand, 0 to 6% SIOp!!S o•oo o•oo Yes NoNa Ne o•oo o•oo D 0 D D 0 D D D 0 0 0 0 page: 4 Owner-Facility : Murphy-Brown LLC Facility Number: Permit: AWS820647 Inspection Date: 10/15/13 lnpsection Type: Compliance Inspection Reason for Visit: Records and Documents Rainfall? Stocking? Crop yields? 120 Minute inspections? Monthly and 1" Rainfall Inspections Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only}? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 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 to provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certificati on ? Other Issues 28. Did the facility fail to properly dispose of d e ad animals within 24 hours and /o r document and report mortality rates that exceed normal rates? 29. At the time of the inspection did the facility pose an odor or air quality concern ? If ye s , contact a re gional Air Quality representative immediately. 30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? (i.e ., discharge, freeboard problems, over-application) 31. Do subsurface tile drains exist at the facility? If yes, c heck the appropriate box below. Application Field Lagoon I Storage Pond Other If Other, please specify 32. Were any additional proble ms noted which cause non-compliance of the Pe rmit o r CAWMP? 33 . Did the Reviewer/Inspector fail to discu ss review/inspection with on-site represe ntative? 34. Does the facility require a follow -up visit b y same agency? 820647 Routine Yes No Na Ne D D D Yes No Na Ne D D D o•oo page : 5 Type of Visit: • Compliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit: • Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: Lf/2f'{lz_. I Arrival Time:ldJ~¢rin, Farm Name: 313l \ (~ ~I) .> Departure Time: I Cft-'!Cx:ter I County: ~~ON Region: Owner Email: Owner Name: M~~ ,a~ ,U.( Phone: Mailing Address: Physical Address: -------------------------------------------------------------------------- Facility Contact: _,.ti!_:...;;,~....:Vl-=-..:..fb~....:M-4~E;..vt-!..=5:::;.,_ ___ Title: ---------Phone: f Integrator: N/~ ~r/\ ~'e-4w 5 t-t -lfvn Certification Number: _).b __ O_?,;_'fo ____ _ Onsite Representative: Certified Operator: Back-up Operator: M ,"iz< 4, ,~-45 Certification Number: Location of Farm: Latitude: Longitude: Discharges and Stream Impacts 1. Is any discharge observed from any part of the operation? DYes ~No Discharge originated at: 0 Structure D Application Field 0 Other: a. Was the conveyance man-made? DYes 0No b. Did the discharge reach waters of the State? (If yes, notifY DWQ) DYes 0No c. What is the estimated volume that reached waters of the State (gallons)? d. Does the discharge bypass the waste management system? (If yes, notifY DWQ) DYes 0No 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any observable adverse impacts or potential adverse impacts to the waters of the State other than from a discharge? Page 1 ofJ DYes~ No 0 Yes )gNo DNA ONE (8NA ONE Ill NA ONE j»NA ONE DNA ONE DNA ONE 21411011 Continued Reason for Visit: Operation Review 0 Structure Evaluation 0 Follow-up 0 Referral 0 Emergency 0 Denied Access Date ofVis~t: I fj25/1z_. ,, Arrival Time:loCJ:qn,.. Farm Name: 21 :?Jl \' C§rM ~I) DepartureTime:lQ1:~,..,1 County: S~,J Region: . I ...... Owner Email: OwnerName: M'Vf~~ ,u_( '-. Phone: Mailing Address: ( Physical Address: ------------------------------------......;'"-'----- Onsite Representative: _,.tfl.;;....;_~....:..lJ(-=-A,..:....:....:..;;....;..;.M...=.=..OI-1.....:..::.5;;....._ ___ Title: -------- f Phone: · Fac!llty Contact: '· Integrator: M~ ~r'\ Certification Number: _J.h __ O_?_t}, ____ .....,.-Certified Operator: Back-up Operator: Certification Number: · Location_oq<arm: Latitude: Longitude: Discharges and Stream Impacts-·=· 1. Is any discharge observed froi'n any part of the operation? . ., .,.. t• Discharge originated at D Structure D Application Field DYes ~No DNA ONE D Other: a. Was the conveyance man-made? DYes 0No ~NA ONE b. Did the discharge reach wat~rs of the State? (If yes, notify DWQ) DYes 0No (aNA ONE c. What is the estimated volume that reached waters of the State (gallons)? d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No JBNA ONE 2. Is there evidence of a past discharge from any part ofthc operation? 3. Were there any observable advede impacts or potential adverse impacts to the waters of the State other than from a discharge? · 0 Yes '19 No DNA ONE \ DYes ~No DNA ONE • Page 1 of3 114/2011 Continued 4"/ ·. __ ,. · .. , . ·. ~· . • ~ • ,, • j I Facility Number: lnate oflnspection: 5· :J,;;--cz .. Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure I Structure 2 Structure 3 Structure 4 Identifier: I Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large 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? 0 Yes pg No DYes 0No DNA ONE IR:INA ONE Structure 5 Structure 6 DYes ~No DNA ONE DYes reNo DNA D NE 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? 8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or improvement? DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need 0 Yes ~No 0 NA 0 NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~ No 0 NA 0 NE 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PAN 0 PAN> 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12. Crop Type(s): Cwo I wh.RA.t-r -~ r1bzCln -S 13. Soil Type(s): 4:b ,, ;1/e,,tVwAlf-flct+; wt\j~ -vJ~ 14. Do the receiving ::TOI>Sd:~r from those designated in theCA WMP? 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CA WMP readily available? If yes, check the appropriate box. 0WUP Ochecklists 0 Design 0 Maps 0 Lease Agreements DYes ~No DNA DYes ~No DNA DYes ~No DNA DYes ~No DNA DYes ~No DNA DYes ~No DNA DYes ~No DNA 00ther: ONE ONE ONE ONE ONE ONE ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes !p} No 0 NA 0 NE 0 Waste Application 0 Weekly Freeboard D Waste Analysis D Soil Analysis 0 Waste Transfers 0 Weather Code 0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rainfall Inspections 0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 0 Yes ~No 0 NA 0 NE 23. If selected, did the facility fail to install and maintain rain breakers on irrigation equipment? 0 Yes '§a No 0 NA 0 NE Page1of3 114/1011 Continued ,-· .. ~ I nate of Inspection: $"· '-~ -rz ... I Facility Number: • .... • .. r ~ Waste CoUection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure 1 Structure 2 Structure 3 Structure4 Identifier: I Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large 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? DYes ~No DNA ONE ' 0 Yes 0 No jB NA 0 NE StructureS Structure 6 . ' X. D Yes ~ No [J NA 0 NE DYes ~No DNA ONE 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? 8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or improvement? Waste .A'"p~·Jication 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? DYes DYes DYe! DYes ~No DNA ONE I 12§ No DNA ONE ~No DNA ONE 00No DNA ONE 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes IE No D NA ~ NE f D Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PAN D PAN> 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sl~dge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12. Crop Type(s): ~V\. LJ\va {--r ~ ~'b,lbl__s I ( 1 IL .. I •• \ 13. Soil Type(s): ~~~1 p :!'iWf:o j HvfJ A:} W~~ -lJg£ 14. Do the receiving crops d1 r from those designated m the CA WMP? 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable tt'acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Pennit readily available? 20. Does the facility fail to have all components of the CA WMP readily available? If yes, check the appropriate box. DYes DYes DYes DYes DYes DYes DYes ~No I ~No ~No ~No OCJNo I ~No ~No DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE OWUP 0Checklists 0 Design 0 Maps 0 Lease Agreements 00ther: _________ _ 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes I2SJ. No 0 _NA D NE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste T~sfers 0 Weather Code 0 Rainfall D Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rainfall Inspections D Sludge Survey 22. Did the facility fall to install and maintain a rain gauge? DYes IP'l No 0 NA 0 NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes ~ No 0 NA 0 NE Pagel of~ 114/2011 Continued . .-, .. ' ..... ~ !Facility Number: BA-h91 !Date of Inspection: 5"-'->1 z; 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box( es) below. D Yes ~ No 0 NA D NE D Yes ~ No 0 NA 0 NE 0 Failure to complete annual sludge survey DFailure to develop a POA for sludge levels 0 Non-compliant sludge levels in any lagoon List structure(s) and date of first survey indicating non-compliance: 26. Did the facility fail to provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document and report mortality rates that were higher than normal? 29. At the time of the inspection did the facility pose an odor or air quality concern? 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 permit? (i.e., discharge, freeboard problems, over-application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. 0 Application Field D Lagoon/Storage Pond D Other: DYes ~No DNA ONE DYes ~No DNA ONE DYes Q9No DNA ONE DYes ~No DNA ONE 0 Yes ~No DNA ONE 0 Yes D!J No DNA ONE ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? DYes DNA ONE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes DNA ONE 34. Does the facility require a follow-up visit by the same agency? DYes DNA ONE Reviewe r/Inspector Name: Phone : CJ~triJ/~0 Reviewer/In spector Signature: Date: f;;-s----rz. .. ------------------- Page3 of 3 11412011 ·- • IFacili!J' Number: AA-b '1...-/ I nate of Inspection: 5-U1 i:' . -·-24. Did the facility fail t_o calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. DYes !Sa No ' DYes ~No D Failure to complete annual sludge survey D Failure to develop a POA for sludge levels D Non-compliant sludge levels in any lagoon List structure(s) and date offust survey indicating non-compliance: 26. Did the faciiity fail to provide documentation of an actively certified operator in charge? 27. Did the facili~ fail to secure a phosphorus loss assessments (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document and report mortality rates that were higher than normal? 29. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional Air Quality representative immediately. 3~. Did the facility fail to notify the Regional Office of emergency situations as required by the permit? (i.e., discharge, freeboard problems, over-application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. DYes ~No UJYes ~No DYes IJ9 No DYes ~No I DYes QQNo DYes ~No D Application Field D Lagoon/Storage Pond D Other: ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~No 33. Did the Reyiewer/Inspector fail to discuss review/inspection with an on-site representative? 34. Does the facility require a follow-up visit by the same agency? DYes ~No DYes l29 No '-,[. DNA ONE DNA ONE / ., ...... DNA ONE DNA ONE . DNA ONE: DNA ONE -~ DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE R eviewe r/1 nspector Phone : C?!o--'tf.f--?J~o Re vi ewer/Inspecto r Signature : Date : .fJS-{1- Pagel of1 21412011 .•, .. ;_. t: ~·' . - Reason for Visit: Operation Review 0 Structure Evaluation 0 Follow-up 0 Referral 0 Emergency Date of Visit: I '1 I BJ (I I Arrival Time:l re~oOa-y. I ' t I Farm Name: ?J7 31 \ LHLrfYl 31) Departure Time: 16$JdfY'I County: ..$JlmfJf(.;rJ Region: fRD Owner Email: Owner Name: Mu.rph,= arow~}t..LC Mailing Address: Physical Address: Phone: -------------------------------------------------------------------------------------- Facility Contact: _ .... m .......... ; ...... ke-=-...... tbn'--4-1-.:...a.o...m__..(), __ n_..~..__ _____ Title: ----------Pbooe: II Integrator: M~~WV)1 lL.C.. ij ~~ ~tc!k~ Certification Number: 2./::,t:f7b Onsite Representative: Certified Operator: ~ack-up Operator: M~ ke /1n...,.,01S Certification Number: 19ffifl Location of Farm: Latitude: Discharges and Stream Impacts L Is any discharge observed from any part of the operation? Discharge originated at: 0 Structure D Application Field a. Was the conveyance man-made? 0 Other: b. Did the discharge reach waters of the State? (If yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does the discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any observable adverse impacts or potential adverse impacts to the waters of the State oth er than from a discharge? Pagel of3 Longitude: 0 Yes g) No DNA ONE 0 Yes 0No ~NA ONE DYes 0No ~NA ONE DYes 0No ~NA ONE DYes ~No DNA ONE DYes ~No DNA ONE 114/ZOJJ Continued I .. \ [facility Number: '&-6Y1 I Date of Inspection: Waste Collection & Treatment 4 . Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a . If yes, is waste level into the structural freeboard? Structure I Structure 2 Structure 3 Structure4 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large 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? DYes ~No DYes 0No DNA ONE ~NA ONE Structure 5 Structure 6 DYes ~No DNA ONE 0 Yes [XI No D NA D NE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental tbreat, notify DWQ 7 . Do any of the structures need maintenance or improvement? 8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? DYes ~No 0 Yes &J No 0 Yes fsZ] No 0 Yes "pG No DNA ONE DNA ONE DNA ONE DNA ONE 11. Is there evidence of incorrect land application? If yes , check the appropriate box below. DYes ~No DNA 0 NE 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc .) D PAN D PAN > 10% or 10 lbs. 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12 . Crop Typc(s): 01'1\ I~~~ 13 . Soil Type(s): /t)trf'folk---No& ~-Wc£1 74s~uilk~ 14. Do the receiving crops differ from those designated in theCA WMP? 15. Does the receiving crop and/or land application site need improvement? 16 . Did the facility fail to secure and/or operate per the irrigation design or wettable acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fa il to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of theCA WMP readil y available? lfyes, check the appropriate box. OWUP 0Checklists 0 Design 0 Maps 0 Lease Agreements DYes ~No 0 Yes r;s?J No DYes r;iZI No .0 Yes ~No DYes ~No DYes ~No DYes '>3 No QOther: DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE 21. Docs record kee ping need improvement? If yes, check the appropriate box below. 0 Yes (E No D NA 0 NE 0 Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis D Waste Transfers D Weather Code 0 Rainfall 0Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and I" Rainfall Inspections 0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? DYes (Xi No 0 NA 0 NE 23. If selected, did the facility fail to install and maintain rainbrcakers on irrigation equipment? D Yes !2g No 0 NA 0 NE Page 2 ojJ 2/4/2011 Continued l5cility Number: BfJ.-bLI7 I !Date of Inspection: 9/Jfi/ (I 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. DYes DYes ~No ~No DNA ONE DNA ONE 0 Failure to complete annual sludge survey 0 Failure to develop a POA for sludge levels 0 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? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document and report mortality rates that were higher than normal? 29. At the time of the inspection did the facility pose an odor or air quality concern? 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 pennit? (i.e ., discharge, freeboard problems, over-application) DYes ~No DNA ONE DYes jg}No DNA ONE DYes li] No DNA 0 NE DYes ~No 0 NA ONE DYes tiJ No 0 NA 0 NE 0 Yes 1&1 No 0 NA 0 NE 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. 0 Application Field 0 Lagoon/Storage Pond 0 Other: ----------------------- 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 34. Does the facility require a follow-up visit by the same agency? ~;':/e., v t's1t co(\kc-kf s-j rl/1 1' jZec~Js re__..;,'e.vJed 1/t B/11 Reviewer/Inspector Name: Reviewer/Inspector Signature: Page 3 of3 DYes ~No DYes ~No DYes ~No DNA ONE DNA ONE DNA ONE Phone: 'J IDA/33-331J() Date : t.J/18/tt 21412011 ~ -~ ~ " 'vJ "' .. ".) ~ ~ I t\1 '"' -..J.. ~ ,. I Type of Visit • Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit 8 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access j DateofVisit: ls;h2{jo I ArrivaiTime:IOO:O??l;J DepartureTime:l (j(')~l County: -:;..::::.<.,;..L....,J~.-....;-Region: ~ FarmName: ( 373/L (Jfy-,f~~ OwoerEmail: ____ _ Owner Name: cilt.U'f~,.. ~uJPj U.L Phone: Mailing Address: Physical Address:--,-...---.-------------------------------____ _ _ .,_f'Vh-'--~1q_'---"";.;...· jk,«.=_llt_-Oil;;.....o,L>::::...._ ____ Title: -----------Phone No: ---------Facility Contact: v Oosite Representative: ---:-----------------Wrl/,~ ~ ~------------Certified Operator: Integrator: ~-/J..owll' 1 LlJ- Operator Certification Number: cR. b 016 Back-up Certification Number: ~ 6'7 5 Back-up Operator: 0(41."1 rypl4C ___ _ Location of Farm: Latitude: D OD'D" Longitude: Discharges & Stream Impacts I. Is any discharge observed from any part of the operation? DYes ~No DNA ONE Discharge originated at: D Structure 0 Application Field D Other a. Was the conveyance man-made? DYes 0No tpNA ONE b. Did the discharge reach waters of the State? (If yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? DYes 0No ~NA ONE d. Does discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No _)giNA ONE 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Page 1 of3 OMto DYes o 11118/04 DNA ONE DNA ONE Continued I Facility Number:9;?-b¢'[1 I • Date oflnspection I !fbl;OI I Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure 2 Structure 3 Structure 4 DYes ~No DNA ONE DYes bNo ~A ONE Structure 5 Structure 6 structre 1 Identifier: ----1{-1--------------------------------------- Spillway?: Designed Freeboard (in): ---.,...,'l'""Fr------------------------------------- Observed Freeboard (in): ___ Z:J_..:..._l_' __ -------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ large trees, severe erosion, seepage, etc.) DYes ¢!"No DNA ONE 6. Are there structures on-site which are not properly addressed and/or managed DYes ~No DNA ONE 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? 8. Do any of the stuctures lack adequate markers as required by the permit? (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 maintenance or improvement? Waste Application I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes DYes DYes DNA ONE DNA ONE DNA ONE DYes ~No DNA ONE I I. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes ~ No D NA D NE D Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.) D PAN D PAN> 10% or 10 lbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Area 12. Croptype(•) Orrrn,~~.S. 13. Soil type(s) No/J.!; vJa}; 1 Jry 14. Do the receiving crops differ from those designated in theCA WMP? 15. Does the receiving crop and/or land application site need improvement? DYes ~No DNA ONE DYes ij3No DNA ONE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? 0 Yes 17. Does the fac ility Jack adequate acreage for land application? 18. Is there a Jack of properly operating waste application equipment? -~······-,.· .. ~···· to question #): oswers and/or any recomm.~:.~(JIJ!~()ns:.or; ral'viD'!!Si'tlf facility tO better eXJplalm''Si.•u•aulJIU:!>. (Use additional pages as ne,ce.s.salry):.' Reviewer/Inspector Name Reviewer/Inspector Signature: Page 1 of3 DYes 11118/04 Continued , . I Facility Number: m -6<t71 Required Records & Documents Date of Inspection ~ I 9 . 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 avai lable? If yes, check the appropriate box. 0 WUP 0 Checklists D Design 0 Maps 0 Other DYes ~No DYes ;wNo DNA ONE DNA ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes PJNo DNA D NE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification 0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I " Rain Inspections 0 Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23 . If selected, did the faci li ty fail to install and maintain rain breakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Otber Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document 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? 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 General Permit? (ie/ discharge, freeboard problems, over application) 32 . Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 33. Does facility require a follow-up visit by same agency? ~dditi()tialt::oi#meots and/or Drawings: Page3of3 . . ~' DYes ~No DNA O NE DYes ~No DNA ONE DYes fiJ No DNA O NE DYes ~No DNA O NE DYes ~No DNA ONE DYes (a No DNA ONE DYes lpNo DNA ONE DYes ~No DNA ONE DYes l?fNo DNA ONE D Yes psi No DNA ONE DYes JaNo DNA ONE DYes ~No DNA ONE ;~,;; ,C~";_::, .. ... ~~~~~~if~~~A~I~~ £ - 11118104 Type of Visit e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 RefeiTal 0 Emergency 0 Other D Denied Access ffO J Date of Visit: I $1 ArTival Time: It I: Ctl'iO::j Departure Time: I {'2Ja9f""County: .sAM,~ Region: Farm Name: 31 3 I Owner Email: ------------ Owner Name: Mtvt(?~~ S rt)wV". ,L-l--'(_'---------Phone: Mailing Address: ---------------------------------------- Physical Address:----------------------------------------- Facility Contact: M ~ ~ ~16con S Title: -------------,.-Phone No:--------- Integrator: ,NJ(M (Jt'1-6~ 1U( Onsite Representative: __ l_l _______________ _ Certified Operator: W; l[ t'am 5uHrJ..:....I1,___________ Operator Certification Number: :J.b() 7,6 Back-up Operator: ~n1 fiJn!-r Back-up Certification Number: ~97 ~ Location of Farm: Latitude: D OD'D" Longitude: D OD'D" Discharges & Stream Impacts I . Is any discharge obs erved from any part of the operation? Discharge originated at: 0 Structure 0 Application Field 0 Other a . Was the conveyance man-made? b. Did the discharge reach waters of the State? (If yes, notify DWQ) c . What is the estim ated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or pote ntial adverse impacts to the Waters of the State other than from a discharge? Page I of 3 DYes ~0 DNA ONE DYes DNo ~NA ONE DYes 0 No Q§NA ONE I DYes DNo ~NA ONE DYes ~No DNA ONE DYes pNo DNA ONE 12128104 Continued r '· j Facility Number: 8?.,-bfT I Date of Inspection I ¥::yi.oJ Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure I Structure 2 Structure 3 Structure 4 Identifier: / Spillway?: DYes ~o DNA ONE DYes 0No pNA ONE Structure 5 Structure 6 Designed Freeboard (in): ---=-...-r.----------------------------------31 4 ObservedFreeboard(in): __ ~.l.----------------------------------- 5 . Are there any immediate threats to the integrity of any of the structures observed? (ie/ large trees, severe erosion, seepage, etc.) DYes ~No DNA ONE 6. Are there structures on-site which are not properly addressed and/or managed DYes l(JNo DNA ONE through a waste management or closure plan? If any of questions 4-6 were answered yes, and the situation poses an immediate public bealtb or environmental threat, notify DWQ 7. Do any ofthe structures need maintenance or improvement? 8. Do any of the stuctures lack adequate markers as required by the permit? (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 maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes ~No DNA ONE 0 Yes lfJNo DNA ONE DYes ShNo DNA ONE DYes ~No DNA ONE II. Is there evidence of incorrect application? If yes, check the appropriate box below . D Yes }0 No D NA 0 NE D Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metal s (Cu, Zn, etc.) D PAN D PAN > 10% or lO lb s 0 Total Phosphorus 0 Failure to Incorporate Manure/S ludge into Bare Soil 0 Outside of Acceptable Crop Window D Ev idence of Wind Drift D Application Outside of Area 12 . Crop type(s) Cr;)r"'r'\ ~ S sykgr $ 13. Soil type(s) tJ~~~ WatyttW\1 ~(QG:{c:.. 14 . Do the receiving crops differ from those designated in theCA WMP? DYes 15. Does the receiving crop and/or land application site need improvement? DYes 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?D Yes 17. Does the facility lack adequate acreage for land application? 18 . Is there a lack of properly operating waste application equipment? Reviewer/Inspector Name Reviewer/Inspector Signature: DYes DYes ~No DNA ~No DNA ~No DNA ~No DNA ~No DNA ONE ONE ONE ONE ONE Page 2 of 3 12/18104 Continued • l. I Facility Number: B~ifl'71 Date of Inspection I 5i/t5foCj I 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? lfyes, check the appropirate box. D WUP 0 Checklists D Design D Maps 0 Other DYes ~No DNA ONE DYes ~No DNA ONE 21. Does record keeping need improvement? lfyes, check the appropriate box below. DYes jg)No DNA 0 NE 0 Waste Application D Weekly Freeboard D Waste Analysis 0 Soil Analysis D Waste Transfers 0 Annual Certification D Rainfall 0 Stocking D Crop Yield 0 120 Minute Inspections D Monthly and 1" Rain Inspections D Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document 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 ? If yes, contact a regional Air Quality rep resentative immediately 31. Did the facility fail to notify the regiona l office of emergency situations as req ui red by General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 33 . Does facility require a follow-up visit by same agency? Page3 of 3 DYes ~No DNA ONE DYes ~No DNA ONE DYes KINo DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes fB..No DNA ONE DYes ~fiNo DNA ONE DYes i5JNo DNA ONE DYes !SINo DNA ONE DYes ~No DNA ONE ,:j.:--... 1-- -.... 11118104 _(\ \ tJ\ ' I F3fility ~umber I_ ~:t-H tp_~J. Jl ~Division of Water Quality \)\\'. ct: 0 Division of Soil and Water Conservation 0 Other Agency Type of Visit '6 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit "&Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: 13/ /9 I Arri"·aJ Time: I lJ {1:) I Departure Time: I /I SD I County:~ Region~ ~~,~ ...u.. 2( Farm Name: -"--•-_,~oct::=-!.!.J.L!...L---.....__;_--=>.=:...:....____________ Owner Email: ------------- Owner Name: ~'('"D...9bS 01 Co..r-:a,.,_L\.=':::.:.M~_LlJ--=~~=---Phone: Mailing Address: ---------------------------------------- Physical Address:---------------------------------------- Facility Contact: m j K~ 0vnm0f'l5 Title: _Wlo..ooo::~'{Y\=---:..,__-----Phone No:W) I~ On site Representative: m ; k {... ~Q r1 $ Integrator: _..:.(Y) __ ----.:6_;,._ ________ _ Certified Operator: \1.,) 'i \l ~ ~A'\••-~ *~CY\ Operator Certification Number: ;{~(}I l,p ' Back-up Operator: __ ---:,{h_..;.~..:..k=..::o____ ~t'\ Back-up Certification Number: j~ sq9,g Location of Farm: Latitude: D 0 D' D " Longitude: D 0 D ' D " Design Current Design Current Design Current Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population ID Wean to Finish I I 10 Layer 0 Wean to Feeder 0 Non-Layer I I I. ODairvCow ! 0 Dairy Calf ' I 0 Feeder to Fini sh :ge:arrow to Wean ;,J./Y)D R-1 b'i 0 Fa rrow to Feed er 0 Fa rrow to Finish 0Gilts D Boars . --.. 0 Dairv Heife1 I ODrvCow I 0 Non-Dai ry I 0 Beef Stockel : 0 Beef Feeder ; 0 Beef Brood Co\\ .. ··----' - Dry Poultry 0 l ayers 0 Non-Lavers 0 Pullets 0 Turkeys Other 0 Turkey Poults 0 Other Number of Structures: OJ IOOther Discharges & Stream Impacts I . Is any discharge observed from any part of the operation? D Yes ~No DNA O NE Discharge originated at: 0 Strucrure 0 Application Field 0 Other a. Was the conveyance man-made? DYes 0 No E5bNA ONE b. Did the discharge reach waters of the State? (If yes, not ify DWQ) DYes 0 N o _ftlNA O NE c . What is the estimated vo lu me that reached waters of the State (gallon s)? I d . Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from an y part of the operation? 3. Were there any advers e impacts or potenti al adverse impacts to the Waters of the Sta te other than from a disch arge? D Yes 0 No D Yes ~: DYes 12/28/04 6Q)NA ON E DNA ONE DNA ONE Continued I Facility Numbcr:<t :l_-(ot.fij Date of Inspection WastelcoUection & Treatment 4 . Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? DYes ~No DNA ONE DYes ~No DNA ONE Structure I Structure 2 Structure) Structure 4 Structure 5 Structure 6 Identifier: __ ..:.A~-------------------------------------- Spillway?: Designed Freeboard (in): ___ _,_/_5-f----------------------------------- Ob served Freeboard (in): __ ___.."$"-""Z __ ------------------------------ 5. Are there any immediate threats to the integrity of any ofthe structures observed? (ie/ large trees, severe erosion, seepage, etc .) DYes ~No DNA ONE 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? DYes ~o DNA ONE 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? 8. Do any of the stuctures lack adequate markers as required by the permit? (Not applicable to roofed pits, dry stacks and/or wet stacks) 9. Does any part of the waste management syst em other than the waste structures require maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes ~No DYes ~No DYes ~No DYes cO No DNA ONE DNA ONE DNA ONE DNA ONE II. Is there evidence of incorrect application? If yes , check the appropriate box below. 0 Yes ~o 0 NA 0 NE D Exces sive Ponding 0 Hydraulic Overload D Frozen G ro und D Heavy Metal s (C u, Zn, etc.) D PAN 0 PAN > 10% or 10 lbs D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Out sid e o f Area 12 . Crop type(s) C:.Ov 0 -Scu '-\AJu, o._j-, \ ~.I 1J. SoH typo<s> I>)QA ~ 1 W~ae 1 r&~-C.. 14 . Do the recei ving c rops differ f:those des ignated in the CA~ D Yes 15 . Doe s the receiving crop and/or land application site need improvement? DYes 16 . Did the facility fail to secure and/or operate per the irri gation des ign or wettable acre detennination ?O Yes 17 . Doe s the fa c ility lack adequate a creage for land application? 18 . Is there a lac k of pro perl y operating was te application e quipment ? I DYes DYes ~No ~No ~No 2:J No ~No Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments. Use drawings of facility to better explain situations. (use additional pages as necessary): R eviewer/Inspector Name Reviewer/Inspector Signature: DNA DNA DNA DNA DNA ONE ONE ONE ONE ONE Date of laspection ~ Required Records & Documents 19. Did the facility fai l to have Certificate of Coverage & Permit readil y available? 20. Does the faci lity fail to have aU components of the CAWMP readi ly available? If yes, check the appropirate box. 0 WUP 0 Ch ld . 0 D · 0 M 0 Oth ec 1sts es1gn aps er D Yes ~No D NA O NE D Yes ~No D NA ONE 21. Does record keeping need improvement? If yes, check the appropria te box bel ow. 0 Yes ~N o 0 NA D NE 0 Waste Application D Weekly Freeboard 0 Waste Analysis D Soil Anal ysis D Waste Tran sfer s 0 Annual Certification D Rainfall D Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and l" Rain Inspections 0 Weather Code 22. Did the facility fail to install and maintain a rain gauge? D Yes ~No DNA O NE 23 . If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? D Yes 0No ~NA O NE 24 . Did the facility fail to calibrate waste application equipment as required by the permit? D Yes 1i!No D NA O NE 25. Did the facility fai l to conduct a s ludge survey as required by the permit? D Yes ~No D NA O NE 26. Did th e faci li ty fai l to have an actively certified operator in charge? D Yes ~0 D NA O NE 27. Did the facility fail to secure a phosphoru s Jos s assessment (PLAT) certification? D Yes 0 No 'iJ,NA ONE Other Issues 28. Were any additional problems noted which cause non-compliance of the pennit or CA WMP? DYes !Xt No DNA O NE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document D Yes ~No DNA O 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? D Yes ~No DNA O 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 D Yes ~0 DNA O NE General Permit? (ie/ discharge, freeboard problems , over application) ~0 32. Did Re viewer/Inspector fail to discuss review/inspection with an on-site representative? D Yes DNA O NE 33. Does facility re quire a follow-up visit by same agency? D Yes ~0 D NA O N E Additional Comments and/or D.-awings: ...... 1- r-.... 11128/04 Facility No~:>-le\..{l Time In ____ Time Out _____ Rate Farm Wanie ~ 3 1 Integrator _ _ill...L..:,.--=-:--:--=b,.... ______ _ Owner ~b.;> U ~C SiteRep_~6\...!....-l~~~~&~=....::-:.....:;::-=--'---- Operator W :0\f i ~ ~ l..> f..£ er-.... No. --~--'--'"'lo~o __ ]~lp-:--:::--- Back-up ___ ---.:.'N\~---=~=...:....:~·~......;.~c.__~--No. __ Cj~~~S..__9_._S~2......__ COC ~ Circle: . ~)or NPDES Desiqn Current Design Current Wean-Feed Farrow-Feed Wean-Finish Farrow-Finish Feerl ..-· · ~ Gilts I Boars t' ....f'arrow-Wean ) "'Z.<PD ~10 1 Others FREEBOARD: Design / tf Observed ___ j_:;L ____ _ Sludge Survey \/" S (. "3 Catibration/GPM -----'-'---- Crop Yield ____ "'I ;A-"' \ :"\ llJH1 ~\ 't,\. Rain Gauge____ \"\0. 0 1 ~-c,- Soil Test -----Wettable Acres ___ _ Waste Transfers ____ _ Rain Breaker--- PLAT _____ _ Weekly Freeboard ~ Daily Rainfall ~ 1-in Inspections _....__.---___ _ Spray/Freeboard Drop ---~~:::.....3o~------------------ Weather Codes __ _ 120 min Inspections __ _ Waste Analysis: Date Nitrogen (N) Date Nitrogen (N) l .) '-!: 11/~o Pull/Field Soil Crop Pan _L Window \)fi.\_M\ lc ( ' l~ ~/I'S-~/~o T u \_,..) NY_ 'Se...-c._,,. ~ lu'J.. 11\. ,.... w~ <.._ (q \J ~ q~ .s l t '"L 1\. r .. ,r\[ c ( '-t~ ~'-' (J-) l u-'-1 -~ 70,) ' j (Facility Number'·!. ·s~_·H ~Cj_J II e Division of Water Quality 0 Division of Soil and Water Consen·ation ·-·--.... . 0 Other Agency Type of Visit e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit e Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Vjsit: I "'f6 JOt] I Arrival Time: I 08! 304e-. I Farm Name: 1 'f:ari'"V\. 3'l3Jj Departure Time: I tft.'?LJQ./1.-f I County: Region : Owner Email: --------------------------- Own er Name: fY\w.rp~ Phone: MailingAddress: ------------------------------------------------------------------------------- Physica l A ddress: ----~----------------------------------------------------------------------_frl_;.:...~.:::......;~~~I'V\O~V=------------Title : -------------Facility Contact: Phone No : ________________ _ Onsite Representative : -----------------------------------Integrator: Mw-pfry Certified Operator:-------------------------------------Operator Certification Number: ------------- Back-up Operator: -------------------------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: D OD'D " Design Current De si gn Current Design Current Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population ID Wean to Fini s h 10 Layer I I 0 Wean to Feeder 0 Dairy Cow I ' 0 Dairy Calf D No n-L ayer . 0 Fee der to Fini sh ~Farrow to Wean :).«X) !Cfb1 D Farrow to Feeder 0 Farrow to Finish . 0Gilts D Boars ----... 0 Dairy Heife1 : 0 QryCow 0 Non-Dairy i 0 Beef Stocker ! 0 BeefFeeder i 0 Beef Brood Cow i -----. Dry Poultry D Lavers D Non-Layers I 0 Pullets D Turkeys Other D Turkey Poults 0 Other lr:;J '?fher Number of Structures: OJ Di sc harges & Stream Impacts 1. Is any discharge observed from any part of the operation? D Yes [$1No DNA ONE D ischarge originated at: 0 Structure D A pplication F ield 0 Other a. Was the con veyance man-made? DYes 0No ~NA ONE b. Did the disc harge reach waters of the State? (If yes, notify DW Q) DYes 0No Ef)NA ONE c . What is the estimated vo lum e that reached waters of the State (gall ons)? I d . Does discharge bypass the was te manageme nt system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were the re any adverse impacts or potential adverse impacts to the Waters of the Stat e other than from a discharge? D Yes 0 No D Yes ~No DYes ~No 12128104 ~NA O NE DNA ONE DNA ONE Continued ., (FaCiliTy Number: B ~-pt/ 11 Date of Inspection I ilflo1 I ~Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate ? a. If yes, is waste level into the structural freeboard? Structure I Structure 2 Structure 3 Structure 4 DYes ~No DNA ONE 0 Yes 0 No I);] NA 0 NE Structure 5 Structure 6 Jdentifier: __ ___:l ___________________________________ _ Spillway?: Desi~'lled Freeboard (in): ----,,.....,..,,...----------------------------------- Observed Freeboard (in): ¥3{{ 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ large 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? DYes ~No DNA ONE 0 Yes Q!J No 0 NA 0 NE 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? 8. Do any of the stuctures lack adequate markers as required by the permit? (Not applicable to roofed pits, dry stacks and/or wet stacks) DYes ~No DNA ONE 0 Yes Q9No DNA ONE 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? DYes ~No DNA ONE Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes liQNo DNA ONE II. Is there evidence of incorrect application ? If yes , check the appropriate box below. 0 Yes ~No 0 NA 0 NE 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PAN D PAN > 10% or 10 lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Area 12 . Crop type(s) c~n I W~ r S~ btnn.f 13. Soil type(s) Nodi> I J:-1 ~rg""' J Az,coc.k:. 14 . Do the receiving crops differ from those des ignated in the CAWMP? DYes rn No 15 . Does the receiving crop and/or land application site need improvement? 0 Yes [fJ No 16 . Did the facility fail to secure and/or operat e per the irrigation design or wettable acre detennination?O Yes 17. Does the facility lack ade quate acreage for land appl ication? 18 . Is there a lack of properly operating waste application equipment? DYes DYe s ~No Q:!No !;iJ No Comments (refer to question #): Explain any YES ans~·ers and/or any recommendations or any other comments. Use drawings of facility to better explain situations. (use additional pages as necessary)! DNA DNA DNA DNA DNA - Reviewer/Inspector Name ~ ~~ V'r'htb ~ Phone: 1_9/f)}/33-JJ()() Reviewer/Inspector Signature: \£J 'JJA~ ,_ .NVI JA ~1 0 Date: L//5"10'1 ONE ONE ONE ONE ONE ..... 1- 1-... ; 12128/04 Conttnued . ' I Facility Number: SJ.--f!/1 I Required Records & Documents Date of Inspection llj/-s/o1 r1 19. Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropriate box. 0 WUP 0 Checklists 0 Design 0 Maps 0 Other DYes ~N o DNA ONE DYes ~No DNA ONE 21. Does record keeping need improvement? If yes, check the appropriate box below . DYes rja No DNA D NE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis D Waste Transfers D Annual Certification 0 Rainfall 0 Stocking 0 Crop Yield D 120 Minute Inspections 0 Monthly and I " Rain In spections D Weather Code 22. Did the facility fail to install and maintain a rain gauge? DYes ~No DNA ONE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes ijJNo DNA ONE 24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~N o DNA ONE 25. Did the facility fail to conduct a sludge survey as required by the permit? DYes ~No DNA ONE 26. Did the facility fail to have an actively certified operator in charge? DYes ~No DNA ONE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes ~No DNA ONE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~No DNA ONE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes 53 No DNA ONE 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? DYes ~No DNA ONE 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 DYes ~No DNA ONE General Permit? (ie/ discharge, freeboard problems, over application) it9-No 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes DNA ONE 33. Does facility require a follow-up visit by same agency? DYes pg.No DNA ONE Pagel of3 12118104 ompliance Inspection 0 Operation Review 0 Structure Evaluation Reason for Visit ~utine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 other 0 Denied Access Date of Visit: I <l/tt:;;/elJ Arrival Timed "()9 I Departure Time: ._I ___ ...JI County.-,::;;""rtf~r--"".i)'),__......._ Region: }:{to Farm Name: Fo...v VY\. -it~' Owner Email: ------------------------- Owner Name: '\3 Y <S\A)Y) ~ % C.O..._v--=o:.....;l1='"-'Y\.9....-=-"-------Phone: NiailingAddress: ------------------------------------------------------------------------________ _ Physical Address: ----------------------------------------------------------------------------- Facility Contact: Y\'\ ·, k ~6'(\S Title: ~L=-.:..N--=-...:.M.....:.... _____ _ Onsite Representative: -!-~---l~l:....;k.g:.=....._~C}_m~=-.:...!.:...Y"f\~~OY\:.!....:;:::::S:::....._____________ Integrator: ---=......:..-+..:==-if'C---""*--~~...w;;-=...;....-=:.....;-­ Certified operator: _\\t_=--;_.\u~-----..... Q""'"'"' .... tO..:........o__;r()~6Y\S"'-'--=-<----- Ba~k-up Operator: --------------------------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: Discharges & Stream Impacts I. Is any discharge observed from any part of the operation? DYes ~No DNA Discharge originated at: D Structure D Application Field D Other a. Was the conveyance man-made? b. Did the discharge reach waters of the State? (If yes, notifY DWQ) DYes 0NojA DYes 0No A c. What is the estimated volume that reached waters of the State (gallons)? -I d. Does discharge bypass the waste management system? (If yes, notifY DWQ) DYes 0No ~A 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? DYes ~No DNA DYes No DNA ONE ONE ONE ONE ONE ONE Pagel of3 12128104 Continued I Facility N um&Jer: ~). -Lelf 11 Date of Inspection ~Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure I Structure 2 Structure 3 Structure 4 Identifier: ------ Spillway?: DYes ~No DNA ONE· DYes DNo ~A ONE Structure 5 Structure 6 Designed Freeboard (in): --~!-r"::=1-:1 -r-------------------------------------C" Observed Freeboard (in):_ .......... _--=~'----------------------------------- 5. Are there any immediate threats to the integrity of any ofthe structures observed? (ie/ large 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? DYes ~No DNA ONE DYes ~o DNA ONE If any of questions 4-6 were answered yes, and tbe situation poses an immediate public bealtb or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? 8. Do any of the stuctures lack adequate markers as required by the permit? (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 maintenance or improvement? DYes DYes DYes 0 DNA ONE 0 DNA ONE DNA ONE Waste Application DYes MNo DNA ONE II. Is there evidence of incorrect application? If yes, check the appropriate box below . 0 Yes ~o DNA D NE I 0. Are there any required buffers, setbacks , or compliance alternatives that need maintenance/improvement? D Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) D PAN 0 PAN > IO% or lO lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Area 12. Cmptype(•) ~n-mo.;,.., :s~, ~ 13. Soil type(s) Nov IL \ l/3~ I CJ::.. 14. Do the receiving crops differ from those designated in the CA WMP? 15. Does the receiving crop and/or land applicatio n site need improvement? 16. Did the fa ci lity fail to secure and/or operate per the irrigation design or wettable acre determination? DYes 17. Does the facility lack adequate acreage for land ap pli ca ti on? 18 . Is there a lack of properly operating waste application equipment? Reviewer/Inspector Name R ev iewer/Inspector Signatu Page2of3 DNA ONE DNA ONE 1 Date oflnspectioo ~ I Facility N~mber:SI:>--ftH11 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 theCA WMP readily available? If yes, check the appropriate box . D WUP D Checklists 0 Design D Maps D Other Ovos ~o DNA ONE 0Yes~No DNA ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes .o 0 NA D NE D Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification 0 Rainfall 0 Stocking D Crop Yield 0 120 Minute Inspections D Monthly and 1" Rain Inspections 0 Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25 . Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27 . Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which ca use non-compliance of the permit orCA WMP? 29 . Did the facility fail to properly dispose of dead animals within 24 hours and/or document 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? If yes, contact a regional Air Quality representative immediately 31 . Did the facility fail to notifY the regional office of e mergency s ituations as required by General Permit? (ie/ discharge, freeboard probl e ms, over application) 32. Did Reviewer/Ins pector fail to discuss review/inspection with an on-site representative? 33 . Does facility require a follow-up visit by same agency? A~diti9.1~1Commenf#:aiulior Drawings: Page3of3 DYes DNA ONE DYes DNA ONE DYes 0 DNA O NE DYes 0 DNA ONE DYes DNA ONE DYes DNA ONE D Yes ~0 DNA ONE DYes ')~No DNA ONE DYes ~0 DNA ONE 0 Yes ""¢No DNA ONE DYes ~No DNA O NE DYes ~0 DNA ONE -·~:···:-... ~. ~~~~-·;~~;':?.~~~~~~ • - 11128104 I FaCility No~:;}-~41 Time In __ _ Time Out Date _____ _ Fann Name~ I~\\ kv-rn -t-~ Integrator l\1-fL Site Rep fv\ ..._[M_VVL9Y\S Owner ~Y"\~ ~ CD.vo~ Operator ffi ·, kg ~ JIY\.® S No. q &5 ctGt.K Back-up ----:::;:'--------~---;1"'--....:;:-----No.-------- COC \L Circle: ~ or NPDES Design Current Design Wean-Feed Farrow -Feed Wean -Finish Farrow-Finish Feed -Finish Gilts I Boars d:arrow-We~ ?_GC::C> BIS' Others --·-1£4 l)-? FREEBOARD: Design----'--·+l--!:--'----Observed ------ Sludge Survey Calibration/GPM ---'''------ Crop Yield l/ Waste Transfers ___ _ Rain Gauge '· · D,.... \I Rain Breaker___ / Soil Test ?7/ ~ PLAT----____, Wettable Acres _--7,'------ Weekly Freeboard Daily Rainfall ~-1-in Inspections J ____ _ Spray/Freeboard Drop !f r ~ j vI'( Weather Codes __ _ Waste Analysis: Date 120 min Inspections __ _ Nitrogen (N) I . I i.e::> Date Nitrogen (N) Current Pull/Field Soil Crop Pan Window ~ '4~~ -z., ~~ /Vo" -tt, l L CPJvV\ .,_~vo..t"'"' I z.-9 H.u.t -)uiY ., .-;.~ ~~ ~~~ J \.on -').,rl \C.. 3 if}. l..t~ ~ ~'( V\ -b liD. •• t9 'Nu_v -\-u\4(' '5 ~-(b \l ~~ 11?.. Jvn -~+v <t:, \ ") v.b ~ 'Au. UJc:.t c~y"""' OJ\£_... t<.f~ yY\Q,_ y --~ '\) l '--' .I ~~a. 7cYJ Jv" -~u u 1\ ,..,..., ~ _,\,1.. f 1\.Xlv -t7D l t-.. 0) \8-l.Jc'-Jc-• ( (/-<-/ lA Jrt~ l~.._i.Ao~* Ljlp () A I ~U)f!}/!_j W(b~ !lfLJ I 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit f!l Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: I 'i/.U,/oX Arrival Time: I / ~ f ~ I Departure Time: I 'Z : f 5' I County: S:wer.scz,.._ Region: ~0 Farm Name: F~•gt Owner Email: -------------- Owner Name: B~·~ cR Ga..ro\~.-&., ~-Phone: Mailing Address: _--:\>...:o:;....,__:&,=.!::.,c_:f=-&...Jos4"--"----------Nc.. 28 'f.>'-<18--- Physical Address:----------------------------------------- Facility Contact: ______________ Title: -----------PhoneNo: __________ ___ Onsite Representative: __ ....;G=-~"--=~---'C,_A. ..... c1.4-r----------- M~c.M. e.\ Ao/V''M.O l'\S Integrator: Mvrtly -Erxn..se Certified Operator: Operator Certification Number: 98~1'!13 Back-up Operator: ------------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: 0 °0'0" Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: D Structure D Application Field D Other a. Was the conveyance man-made? b. Did the discharge reach waters of the State? (If yes, notifY DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2 . Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? DYes ~No DNA ONE DYes 0No KJNA ONE DYes 0No (&NA ONE I DYes 0No ~NA ONE D Yes ~No DNA ONE DYes 13No DNA ONE 12/28104 Continued (Facility Number: 8Z.. -''fT I Date oflnspection I Lf/t 'foit Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure I Structure 1 Structure 3 Structure4 DYes ~No DNA ONE DYes 00No DNA ONE Structure 5 Structure 6 Identifier: ____ A ___ -------------------------------- Spillway?: ~ Designed Freeboard (in): --::.../'f~·-~-------------------------------- Observed Freeboard (in): ___ ;=-j.l...._ __ ---------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ large trees, severe erosion, seepage, etc.) 0 Yes liJ No 0 NA 0 NE 6. Are there structures on-site which are not properly addressed and/or managed DYes ~No DNA ONE 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? 8. Do any of the stuctures lack adequate markers as required by the permit? (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 maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? 0 Yes [iaNo DNA ONE DYes l}gNo DNA ONE DYes ~o DNA ONE D Yes lj4"No D NA D NE II. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes IE' No 0 NA 0 NE 0 Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.) D PAN D PAN > 10% or 10 lbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window~D Evidence of Wind Drift 0 Application Outside of Area · A-fr-A~ ~-AJr ( ' 12. Crop type(s) ~~ , vJ t-un-ll\_ t>\~W ) 13. Soil type(s) Noc+c \\c;, ( &f'l., "o) W "3c~ ( 2.8 J 'fo) Ayc.oc-=k. ( ~-o, ~o) 14. Do the receiving crops differ from those designated in the CAWMP? ~Yes .No DNA ONE 15. Does the receiving crop and/or land application site need improvement? D Yes ~No D NA 0 NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre detennination~D Yes ~No 0 NA 0 NE 17 . Does the facility lack adequate acreage for land applit:ation? 18. Is there a lack of properly operating waste application equipment? DYes SNo DNA ONE DYes jglNo 0 NA 0 NE tlf. ~ ~ ~~ ~~ '""" ~re.1d~ :Js;--.,..,...J. (p, &o.)k.•~ \s ~+-tt.c.aordt'~ ~ -ft.4_ wuP· P\~ ~eA-.-. ~J.--Y pl~ ~t":. s---c....s pos~=ble... +a.~~ '""'~ ~~d~'"o--~ ~e..S. ( ~eAJ~ ~l ~ 2> ~l~). fk ~ ~ ~~ ~·({~ ~ ~~~-wr O>MttfeJ --tk_. CD~ Phone: Date: 12128/04 (Facility Number: S~ -(,'ff-1 Date of Inspection I 1(./'l.ltJ fo&- 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 theCA WMP readily available? If yes, check the appropirate box. 0 WUY 0 ChecklistY" D Desi!Jl' D MapV' D Other DYes ~No DNA ONE DYes [&No DNA ONE 21. Does record keeping need improvement? lfyes, check the appropriate box below. 0 Yes ~o 0 NA D NE D Waste ApplicatioV D Weekly FreeboatK' D Waste AnalysYD Soil Analysii/ D Waste T~nsfers D Annual Certification 0 Rainfall"" 0 Stocking"'""'D Crop Yiel¥0 120 Minute lnspectiotYD Monthly and 1" Rain lnspectionVO Weather Codev- 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document 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? If yes, contact a regional Air Quality representative immediately 31. Did the facility fail to notify the regional otlice of emergency situations as required by General Permit? (ie/ di scharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 33. Does facility require a follow-up visit by same agency ? DYes ~No DNA ONE DYes ~No DNA ONE DYes {&No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes l!lNo DNA ONE DYes lRNo DNA ONE DYes IKl.No DNA ONE DYes ~No DNA ONE .. ·.·.:_:_;_·:r<1-~~~·-r{ .. ~ 1:1 12/28104 •. r / Type of Visit • Compliance Inspection 0 Operation Review 0 lagoon Evaluation Reason for Visit • Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other 0 Denied Access II H' • I D:~tc of\"isit: I ~/:Jf/ti'fl Time: I 7 .' .5b Fadliry :'\umber I 8« H '.1./7 1 - - -...._---------------------J IO 1\ot Oeerational 0 Below Threshold 13-Permitted [J Certified D Conditionally Certified [J Registered Date Last Operated or Above Threshold: Farm !\ame: 3731 County: So.mps a~ Owner !\arne: ----------------------PboneNo: ------------------- Mailing Address: Facili~· Contact: ---------------Title:--------------Phone!\o: -------------- Onsite Representative: Int~rator: __,/1?'---'--"'",.L!''-JI'""'J."'"i'Y'---'--.:..:·8:::...._~.=.;w=,.J'------ Certified Operator: _ ___:A:......;......:O=------_.....!.or3o~....;."...;~;...+_-t-..:..... ______ _ Operator Certification Number: .2!:'S70 Location of Farm: IJ' Swine 0 Poultry 0 Cattle 0 Horse Latitude .._____,1•1 L-_ _.I• 1.__~1-. Longitude c:::::==J•I L-_ __.I· ._I _ __,1 .. Design Current Design Current Design Current Swine Capacin· Population Poultry Cal! a cit\· Pol!ulation Cattle Cal!acin· P22ubtion 0 Wean to Feeder BLaver I I I jDDairy I I I ] Feeder to Finish =Non-Laver , :o Non -Dairv : 0 Farrow to \Vean ID Other 0 Farrow to Feeder I I I 0 Farrow to Finish Total Design Capacity I I 0Gilts I I 0Boars Total SSLW Number of ugooos I l I ID Subsurface Drains Present flO Lagooo Area ID SJ!nll; Field Area I Holding Ponds I Solid Traps I I D Jlio Liguid Waste Management S\•stem 1-\~---;.0.--... " .. Discbaroes &_ Stream Impacts 1. Is an y discharge observed from any pan of the operation? Discharge originated at: 0 Lagoon 0 Spray Field D Other a. If dis::narge is observed, was the conveyance man-made? b . If discharge is observed, did it reach Water of the State? (If y es, 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 evidenc e of past discharge from any pan 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 & Tresnneot 4. Is Sto~ge capacity (freeboard plus storm storage) less than adequate? 0 Spillway Structure I Structure 1 Structure 3 Structure 4 Structure S Identifier: / Freeboard (inches): 05103101 -··-.... : .. ..a ....... . 91" DYes [iNo DYes 0No DYes DNo Nl~ DYes 0No DYes ~No DYes [!I No DYes lXI No Structure 6 Continued .. r-1 F_a_ci_1i-~-. N-'u_m_b_e-r:_P_.:J---,-,.,-7--,I Date of Inspection 5. Are there any immediate threats to the integrity of any of the strucrures observed? (ie/ rrees, 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 aoy of questions 4-0 was answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ) 7. Do any of the structures need maintenance/improvement? 8. Does any part of the waste management system other than waste structures require maintenance/improvement? 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level elevation markings? Waste Apelic:ation 10. Are there any buffers that need maintenance/improvement? II . Is there evidence of over application? D Excessive Ponding D PAN D Hydraulic Overload 12. Croptype So/J<:•A.I~ •. w-4<«+ 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CA WMP)? 14 . a) Does the facility lack adequate acreage for land application? b) Does the facility need a wenable 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? Reguire<f Records & Documents 17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? 18. Does the facility fail to have all components o f the Certified Animal Waste Management Plan readily available? (ie/ WUP , checklists, design, maps, etc.) 19 . Does record keeping ne ed improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) 20. Is facility not in compliance with any applicable setback criteria in effect at the rime of design? 21. Did the facility fail to have a activel y certified operator in charge? 22. Fail to notify reg ion al DWQ of emergency situations as required by General Permit? (ie/ discharge, fr eeboard problems, over application) 23. Did Reviewer/Inspector fai l to discuss review/inspection with on-site representative? 24. Does facility require a follow-up visit by same agency? 25 . Were any a dditional problems noted which cause noncompliance of the Certified AWMP? DYes ~No DYes ~No DYes fl)No DYes li!No DYes 00No DYes l)lJ No DYes 00No DYes ll]No DYes (i]No DYes f!INo DYes [II No DYes [JJNo DYes [XJNo DYes li}No DYes ~No DYes ~No DYes [j!No DYes !fiNo DYes Iii No DYes [iJ No DYes ~No DYes [IJNo lC No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. Reviewer/Inspector Name Reviewer/Inspector Signature: 05/03101 Date: C /.1 '( /" Y Continued 0 Operation Review 0 Follow up 0 Emergency Notificatio n 00ther 0 Denied Access 'iZ::H Gq) I Dati! or Visit: C Certified [] Conditionally Certified []Registered Date Last Operated or Above Threshold : !<arm Name: 3131 County:--------------- Owner Name: ----------------------Phone No: Mailing Address: Facility Contact: ______________ Title: -----------PboneNo: --------- Onsite Rcpresentatiye: Integ r a tor:--------------- Certified Operator: __ ...:.fZ-_o.::.·-_.;;:;.~_r_:-'f_._ ________ _ Operator Certification Number: Location of Farm: 0 Swine 0 Poultry 0 Cattle 0 Horse L atitude L---...JI• ._1_---JI• 1~... _ __.1 " Longit ude L--___.1• ._I _ ..... 1·1 .__ _...JI" Design Current Design Current De sign Current Swine Capacitv Population Poultry Capacitv Population Cattle Cal!acitv Pol!ulation D Wean to Feeder 10 Layer I I I. ID Dairy I ·I J 0 Feeder to Finish 10 Non -Laver I I I D~on-Dairy D Farrow to Wean I . . .. --. --···--·-· 0 Farrow to Feeder I IDother I I I ' .. ·-·-I I; 0 Farrow to Finish Total Design Capacity 0Gilts I li 0Boars Total SSLW -.. -····--··--. - Number of Lagoons I I I I ID Subsurface Drai_ns Present ~p _Lagoon Area_ .. ID SJ!r•l: Field Area I! ---I Holding Ponds I Solid Traps IO No Liguid Waste Management s,·stem -.. Discharges & Stream lmoacts I. Is any discharge observed from any part of the operation? Discharge originated at : D La~oon D Spray Field 0 Other a. If discharge is obse rved , was the conYeyancc man-mad e? b . lf discharge is obse rved, did it reach Water o f the State? (If yes, notify DWQ ) c. lf discharge is observed. what is the estimated flow in gallmin ? d . Docs di scharge bypass a lagoon sys tem? (If yes , notify DWQ) 2. I~ 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 Stat e other than from a discharge? Waste Collectjoo §r Treatment 4. Is storage capacity (freeboard pl us storm stora ge) less than adequ ate? ldenti fier: Freeboard (inches): 05103101 Structure l Stru cture 2 Stru cture 3 D Spill wa y Struct ure 4 Structure 5 D Yes ~ D Yes ~ D Yes / DYes ~ DYes ~· D Yes DYes Structure 6 Continued .. [Facility Number: ~? -6y'] I Date of Inspection ltl/f0e31 5. Arc there any immediate threats to the integrity of any of the structures observed? (ief trees, severe erosion. seepage, etc.) 6. Arc 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/improvement? 9. Do any stucturcs lack adequate, gauged markers with required maximum and minimum liquid level elt;vation markings? Waste Application I 0. Arc there any buffers that need maintenance/improvement? II. Is there evidence of over application? D Excessive Ponding DPAN 0 Hydraulic Overload 12. Crop type (___ 13. Do the receiving crops di ted in the Certified Animal Waste Management Plan (CA WM P)? 14. a) Does the facility lack adequate acreage for land application? b) Docs the facility need a wettable acre determination? c) This facility is pended for a wettable acre determination? 15. Does the receiving crop need improvement? 16. Is there a lack of adequate waste application equipment? Required Records & Documents 17. Fa il to h av e Ce rtificate of C overage & G en eral Permit or othe r Permit readily available? 18. Docs the facility fa il to hav e all co mponents of the C erti fi e d Animal Wa ste Management Pl a n r eadily availa ble? (ie/ WUP, checklists. design. m ap s, etc.) 19. Docs rec ord k eeping need improve ment ? (ie/ i rrigati on, freeboard , waste analysis & soil sample reports ) 20. Is fa c ility not in complianc e with a ny a ppl icabl e setback c rite ria in effect at the time of desi gn ? 21 . Di d the fa c ility fail to have a activ ely certified opera tor in c harg e ? 2 2. Fail to notify re gional DWQ o f eme rgenc y situatio ns as required by Genera l Permi t? (i c/ d ischarge. freeb oard problem s. over application) 2 3. Did Reviewer/Ins pector fail to di sc uss re vi e w /ins p ec tion with o n-s ite representa ti ve? 24. Does facility require a fo llow-up visit by same a genc y ? 25. Were a ny additional problems noted whi ch cause n onco m p liance of the Certified AWMP? DYes -~- DYes ~~- DYes ~ DYes ~ DYes DYes ~r DYes ~ DYes ~- DYes 0 DYes 0No DYes 0No DYes z DYes DYes ::.: DYes ~ ~ ~ DYes DYes ~ DYes ~ DYes w DYes DYes -::}-(2 f'2 -+ 4 1'1 d ~ fZ fC · C \U C...'-''Y'd S VI .U .1_ .J-v P ~ C..OVo! ~ J' ~ r ~ ef~+ +h. S /::;qy,.._ 4ff' /y i-"1j -J.-v S""iJ'1 h<Z-FJ ,·,J' F9., cJ NO f- ~.5k L tJs L..s-tc2d :/l s~-e-v~ 1 +lz tZ-:;... s t.~r. Reviewer/Inspector Name Reviewer/I n spector Signature: 05103101 Date: Conti nued