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Home My WebLink About820693_INSPECTIONS_20171231NORTH CAROLINA Deparbnent of Environmental Quality Compliance Inspection Reason for Visit: efRoutine 0 Complaint OOther Date of Visit: lll'\{ry It I Arrival Time: II (J l b 1t I Departure Time: I N ~ s1A I County: s;f»t Ps Q /1) Regiont -=j2D Farm Name: NDw.s:-'<1\J. \3f:>s-r&.I.Ail c (~ .... )'(-H) Owner Email: Owner Name: f..l otv a_../'~ (3 ;"cJ :t" "~""""'" J -LLC--Phone: Mailing Address: Physical Address: Facility Contact: _· .;;;Cv-~_-r--'b....:.....·~--(3=-=£=--V"....:;W_[_tX ___ Title: Onsite Representative: l( Certified operator: ~~\"-lllr Ttvt.Ji1..,.,lf Back-up Operator: Location of Farm: Discharges -and Stream Impacts I. Is any discharge observed from any part of the operation? Latitude: Discharge ori ginated at: 0 Structure 0 Application Field a. Was the conveyance man-made? D Other: b. Did the di scharge reach waters of the State? (If yes, notify DWR) c. What is the estimated volume that reached waters of the State (gallons)? Phone: Integrator: Lfv1 il { ,S Certification Number: I 6 7 ~-Z---~------------- Certification Number: Longitude: DYes [3-1ro 0 NA D NE DYes 0 No @'NA ONE 0 Yes 0No (1i:;A D NE < d. Does the discharge bypass the waste management sys tem? (If yes, notifY DWR) D Yes 0 No ~A ONE 2. Is there evidence of a past di scharge from any part of the operation? 3. Were th ere any observable adverse impacts or potential adverse impacts to the waters of the State other th a n fro m a discharge? Page 1 of3 DYes 0 Yes ~ DNA ONE DNA ONE 214/2015 Continued !Facility Number: 8z.. (!>ate of Inspection: I?Yl7 / ~ 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 I Structure 2 Structure 3 Structure 4 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any ofthe 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 ~DNA ONE DYes 0No ~ONE Structure 5 Structure 6 DYes ~o DNA ONE 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 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 I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? 0 Yes EfNo 0 NA 0 NE 0 Yes I:LJ..Ko 0 NA D NE DYes ~ DNA ONE DYes (9-No 0 NA 0 NE II. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes [91fo 0 NA 0 NE 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) D PAN 0 PAN > 10% or 10 lbs. D 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): ,g (y-0 ~1; f f-e f · r1f.a:(.4. 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the 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 acres determination? I 7. Does the facility lack adequate acreage for land application? I 8. Is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fail to have the Certificate ofCoverage & Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropriate box. 0WUP Ochecklists 0 Design D Maps 0 Lease Agreements 21. Does record keeping need improvement? 1 f yes, check the appropriate box below. DYes DYes DYes DYes DYes DYes DYes 00ther: DYes ~0 DNA ONE c:fNo DNA ONE tfNo DNA ONE [I?No DNA ONE [B"No DNA ONE ~0 DNA ONE [31'fo DNA ONE [!]'No DNA ONE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Weather Code D Rainfall D 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 12(No 0 NA 0 NE 23. Ifse lccted, did the facility fai l to install and maintain rainbreakers on irri gation equipment? 0 Yes ~o 0 NA 0 NE Page 2 of3 214/2011 Continued !Facility Number: g'z_ -t£t 3 I !Date of Inspection: / vtlf? /8: 21. Did t"fte facility fail to calibrate waste application equipment as required by the permit? 0 Yes [I}'No DNA 0 NE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 0 Yes ~o D NA 0 NE the appropriate box(es) beiow. 0 Failure to complete annual sludge survey D 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 situ ations 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 0 Lagoon/Storage Pond 0 Other: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 33. Did the Reviewerllnspector fail to discuss review/inspection with an on-site representative? 34. Does the facility require a follow-up visit by the same agency? L-c.t (: ~ .tovt•'".>"' -8'-2. t(-f b ~ (v..~5~(c-e7 -tl-)'l{-( 1 Reviewer/Inspector Name: \6 ~ l( Dul'\. ~g._ Reviewcr/lnspecto' Signatureo ~ ;Th DL\A¥ Page 3 of3 F--J-J DYes ~o DNA ONE DYes~ DNA ONE DYes ~o DNA ONE 0 Yes [jNo 0 NA 0 NE 0 Yes [!'No 0 NA 0 NE 0 Yes [a"No 0 NA 0 NE D Yes ff"No D NA 0 NE DYes ~No DNA ONE ...- DYes 0No DNA ONE Phone:tiflO~ C{ j )~ 'J 53 i Date : { \1~ f 8 1/4/2015 Operation R eview Structure 0 Follow-u 0 Referral 0 Denied Access DateofVisit :~~ArrivaiTime:I/D ~IP! I DepartureTime:IU'tJl /4- FumNam" . C~~~ Owne•Emaa: OwnerName: Ht:M}_ ,~;;>;!'\. ec/f Phone:----------------- I Co unty: ~/rd. Region~ Mailing Address: Physica l Address: Facility Contact: f':){)UW r&G Title: Onsite Re presentative: l --------~----+-------------------------- Certified Operator: ~I ~11.V'-JI' Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I. Is any discharge observed fro m any part of the operation? Discharge originated at: 0 Structure 0 Appli cafion Field a . Was the conveyance man-made? 0 Other: b. Did th e discharge reach waters of the State? (If yes, notify DWR) c. What is the est imated volume that reached waters o f the State (gallons)? Ph o ne : Integ r ator: ..J: ~ Certification Number : /6 7 fQ Certific ation Number: Longitude: D Ye s [ii--Nu-DNA 0 NE D Ye s 0 No E:J-NA O NE 0 Ye s 0 No 8-NA O NE d. Does the di scharge bypass the waste managem ent system? (If yes, notify DWR) D Ye s 0 No ~A O NE 2. Is there evidence of a past discharge from any part ofthe operation? 3. Were there any observable adverse impacts or potential adverse imp acts to the waters of the State other than from a discharge? Page I of3 D Ye s ~0 D Ye s ~0 [j NA ONE D NA ONE 214/ZO 15 Continued !Facilily Number: ?J;-IDateoflnspection: /ff:~ ~t1 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 1 Structure 2 Structure 3 Structure 4 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? D Yes [3-NtrLJNA 0 NE DYes 0No ~ ONE Structure 5 Structure 6 DYes~ DNA ONE 0 Yes EfNo D NA D NE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat., notify DWR 7. Do any of the structures need maintenance or improvement? 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 land application? If yes, check the appropriate box below. DYes~ DNA QNE 0 Yes E1No 0 NA 0 NE DYes ~ DNA QNE DYes ~ DNA ONE DYes ~o DNA ONE 0 Excessive Ponding D 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/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): P\~~ r-~5'-'=1. (l{' f(..J--rB.y~ 13. Soil Type(s): A( ~IJIIf ~ \~ 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 fail to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropriate box. DwUP 0Checklists 0 Design 0 Maps D Lease Agreements 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes~ DYes~ DYes~ DYes ~ DYes l2fNo DYes [d"f-/o DYes E::jNo Oother: DYes ~No DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE D Waste Application D Weekly Freeboard D Waste Analysis D Soil Analysis 0 Waste Transfers 0 Weather Code 0 Rainfall Ostocking D Crop Yield D 120 Minute Inspections 0 Monthly and I" Rainfall Inspections 0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? D Yes JZf'No D NA 0 NE 23. If selected, did the facility fail to install and maintain rainbrcakers on irrigation equipment? D Yes [jJ"No D NA 0 NE Page2of3 214/2015 Continued IFacili.t)·Number: (2;-.1'(3 I lnateoflnspection: fO Aft'tfl1 24. D1d the facility fail to calibrate waste application equipment as required by the permit? 0 Yes ~ 0 NA 0 NE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. DYes~ DNA ONE 0 Failure to complete annual sludge survey OFailure 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 2~. 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-applicati~ 31. Do subsurface tile drains exist at the facility? If yes, check the ap"'Pfopriate box below. 0 Application Field 0 Lagoon/Storage Pond 0 Other: 32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 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? Ca)J~~' ~--" ~ ~ IJ{ s (~.Pt.e g t. rrtJVf-' I 0 . I -{I. Reviewer/Inspector Name: ~ill~ Reviewer/! nspector S i f:,'llature: Page] of3 DYes [31\So DNA ONE DYes ~ DNA ONE DYes [31% DNA ONE DYes L}No DNA ONE DYes ~ DNA ONE DYes ~0 DNA ONE DYes IZ(No DNA ONE- DYes IEf'No DNA ONE DYes j2j' No DNA ONE Date ~~ ~\ 11 214. 15 0 Denied Access Date of Visit: ~ Arrival Time:l }\('1>\.( Farm Name: C: ~ H Departure Time: I/ tO of21 County: & M Region: Owner Email: Owner Name: Phone: Mailing Address: Physical Address: -----------------.-----------------------------&:~'> \'S~eJ(Titie: _____ _ Facility Contact: Onsite Representative: ____ ':"'"l_l _______ ,... ______ _ Certified ope ... tor: [)a.ry / /.{ou~q:(U Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts l. Is any discharge observed from any part of the operation? Discharge originated at: D Structure D Application Field a. Was the conveyance man-made? D Other: b. Did the discharge reach waters of the State? (Ifyes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? Phone: Integrator: • f 11\..-t} Certification Number: /b 7J D Certification Number: Longitude: DYes~ DNA ONE DYes 0No 12(NA ONE DYes 0No ~A ONE d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No 16NA ONE 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 I of3 DYes DYes ~0 DNA ONE ~0 DNA ONE 214/1011 Continued .. ~tyNumber: I Date oflnspection: (i. ~~ /tr 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! Structure2 Structure 3 Structure 4 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 ~NA ONE DYes 0No ~ ONE Structure 5 Structure 6 0 Yes (B-NO 0 NA 0 NE D Yes ~DNA ONE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threa~ notify DWR 7. Do any of the structures need maintenance or improvement? 8. Do any of the structures Jack 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? D Yes ~ DNA ONE D Yes ~ DNA ONE D Yes ~DNA ONE D Yes ~DNA ONE 11. Is there evidence of incorrect land application? lfyes, check the appropriate box below. 0 Yes c;}No' 0 NA 0 NE D Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu , Zn, etc.) 0 PAN 0 PAN > 10% or 10 Jbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outsid e of Approved Area ~~ &~w.£tz!!-d-<1-fCJJ 12. Crop Type(s): I 3. Soil Type(s): 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 inigation 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 theCA WMP readily available? If yes, check the appropriate box. DWVP 0 Checkli sts 0 Desibrn D Maps D Lease Agreements 21. Does record keeping need improvement? If yes , check the appropriate box below. DYes DNA ONE DYes ~o DNA ONE D Yes [J1Qo 0 NA 0 NE DYes [J1fo DNA ONE DYes [J1\io DNA ONE DYes ~ DNA ONE D Yes ~ DNA ONE 0 0ther: D Yes ~0 DNA ONE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis D Soil Analysis D Waste Transfers D Weather Code 0 Rainfall 0 Stocking 0 Crop Yield D 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 ~o 0 NA 0 NE 23. If selected, did the facility fail to install and maintain rainbreakers on inigation equipment? 0 Yes ~o DNA 0 NE Page 2 of3 21412014 Continued .. ~ I nate onospectioo: a 1& l(..)CJ/61 I Facility Number: 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with penn it conditions related to sludge? If yes, check the appropriate box(es) below. DYes ~DNA ONE DYes ~DNA ONE 0 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 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. DYes ~0 DNA ONE DYes [31( DNA ONE DYes ~0 DNA ONE DYes ~ DNA ONE 0 Yes ~0 DNA ONE 0 Yes [J"'ffo DNA ONE 0 Application Field D Lagoon/Storage Pond D Other: ------------------------~ 32. Were any additional problems noted which cause non-compliance ofthe permit or CAWMP? DYes DNA ONE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes [31fo DNA ONE 34. Does the facility require a follow-up visit by the same agency? DYes 81io DNA ONE ~l~~j~~ C,-3-l~ <6W~.£_ S ~ -1-u-&--~, Reviewe r/Inspec tor N am e: Phone: lt33-J3 Reviewer/Inspector Signature: Date : Page3of 3 214/20 11 [3i/!kJ0$1 Arrival Time:~ DepartureTime:I/VOo6-county: l}~ Region: Farm Name: __ ~--=_,~..__ ___ fS;......_YV---=~-------- Date of Visit: Owner Email: Owner Name: t:': Hx:A JZ it j:?J~Vv-Phone: Mailing Address: Physical Address: -------------------------------------------------------------------------- Facility Contact: go-"'fA./ ~ Title: Phone: ----------------------if:ti!D n4!3 Onsite Representative: 1{ Certified Operator: 06V1J1 I I Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I. Is any discharge observed from any part of the operation? Discharge originated at: D Structure D Application Field a. Was the conveyance man-made? D 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)? Integrator: Certification Number;f"'/b 7/D Certification Number: Longitude: DYes ~NA ONE DYes 0No ~ONE DYes 0No ~ONE d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No ~ ONE 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 I of3 DYes DYes ~ DNA ONE 81"o DNA ONE 21412011 Continued IFacjlity Number: I Date of Inspection: J 0 {'ij;/5 I Waste CoUection & Treatment 4. f 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 ~DNA ONE DYes 0No ~ ONE Structure 5 Structure 6 DYes~ DNA ONE DYes ~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 Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? DYes DYes DYes DYes [J..ble-DNA ONE CJ..HO DNA ONE ~ DNA ONE ~ DNA ONE 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes [31'lo 0 NA D NE D Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) D PAN 0 PAN> 10% or 10 lbs. D 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 Approved Area 12. Crop Type(s): 1l1ak ~ ,=-; /~(-<r<.. e 13. Soil Type(s): f")" I . /{o / ~ 14. Do the receiving crops differ from those designated in 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 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 theCA WMP readily available? If yes, check the appropriate box. 0WUP Ochccklists 0 Design 0 Maps 0 Lease Agreements DYes [31'fo DNA DYes ~-DNA DYes ifNo DNA QYes ~0 DNA 0Yes ~0 DNA DYes ~DNA DYes ~DNA Oother: ONE ONE ONE ONE ONE ONE ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes 81' DNA ONE 0 Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Weather Code D Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rainfall Inspections ~Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 0 Yes [3"', DNA 0 NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes [j'No DNA 0 NE Page 2 of3 21412011 Continued IFacftity Number: [f. -b1J I lnateoflnspedion: ?t J/4. /3 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 ~o DNA ONE 0 Yes g-tq""o 0 NA D NE D Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels D 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? DYes ~0 DNA ONE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? DYes I;J.Xo DNA ONE 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? · DYes ~ DNA ONE 29. At the time of the inspection did the facility pose an odor or air quality concern? DYes ~ DNA ONE 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 DYes @No DNA ONE 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 [31ifo DNA ONE 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 [31fo DNA ONE 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? DYes ~0 DNA ONE DYes ~0 DNA ONE P- Reviewer/Inspector Name: Phone: Reviewer/Inspector Signature: Date: Pagel of3 11412014 ompliance Inspection <U-tfoutine 0 Complaint Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit: 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: 't:J--t=""-""-----'1 Departure Time:~ County:~ "fJk= Region:~ FarmName=----~~~~~~~~~--~--~~~~-v~~---~~~~ail: Owner Name: Phone: Mailing Address: Physical Address: ----------------------~~--------------------------------------------------=C:.......Jioltt'"'-=-,V'-~ft_,._~~glo::r'a:..:.,_v-___;:IP,__Ui __ '( Title: Ic(,·k Facility Contact: Oosite Representative: {I Certified Operator: Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I. 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)? Phone: Integrator: ZJ:C f[ Certification Number: //, f / D Certification Number: Longitude: DYes ~DNA ONE DYes 0No []-N7t ONE DYes 0No ~A ONE d. Does the discharge bypass the waste management system? (If yes, notifY DWQ) DYes 0No ~ONE 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 I of3 DYes DYes ~ DNA ONE UJ.-Mo DNA ONE 21411011 Continued !Facility Number: rJ;-tf §I Wlfste Collection & Treatment I Date of Inspection: If{~ fL( r I I 4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate? a. lfyes, is waste level into the structural freeboard? Structure I Structure 2 Structure 3 Structure 4 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 ~DNA ONE 0 Yes 0 No 0 NA D NE Structure 5 Structure 6 DYes ~ DNA ONE DYes ~ 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 Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? DYes ~ DNA ONE DYes GJ.*o DNA ONE 0 Yes [9-NO 0 NA D NE DYes~ DNA ONE ll.ls there evidence of incorrect land application? If yes, check the appropriate box below. DYes ~ DNA D NE D Excessive Ponding 0 Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.) 0 PAN D PAN> 10% or 10 lbs. D 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 Approved Area 12. Crop Type(s)o -{!;_ ~Cv. < Ga-z.-R 13. Soil Type(s): ~ /1JO 1 {( 0. r 'y\.5 . 14 D th · · d~fli rr d 1 • r · I . o e rece1vmg crops 1 er om ose es1gnated Ill 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 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 theCA WMP readily available? If yes, check the appropriate box. DYes ~DNA ONE DYes~ DNA ONE 0 Yes 1]1--No 0 NA 0 NE DYes ~ DNA ONE DYes IJ.].>ffi DNA ONE DYes c::JNo DNA ONE DYes g1fo DNA ONE 0WUP 0Checklists 0Design D Maps D Lease Agreements 00ther: ___ "7'" _____ _ 21. Does record keeping need improvement? lfycs, check the appropriate box below. DYes ~ DNA 0 NE 0 Waste Application D Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers 0 Weather Code D Rainfall D Stocking D Crop Yield 0120 Minute Inspections 0 Monthly and l" Rainfall Inspections /0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? D Yes [1 No [] NA 0 NE 23. lfselected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes ~ D NA 0 NE Page 2 of3 21412011 Continued 1••~6tyf.lumber: O'J -~~ iDateoflnsp«tion:/f~ t11 24~Did the facility fail to calibrate waste application equipment as required by the permit? D Yes ~DNA ONE DYes~ DNA ONE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. 0 Failure to complete annual sludge survey D 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 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. D Application Field D Lagoon/Storage Pond 0 Other: DYes ~DNA DYes ~NA DYes ~DNA DYes ~DNA DYes []l..No.--0 NA 0 Yes c:tNO DNA ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes c:rNO DNA 33. Did the Reviewerflnspcctor fail to discuss review/inspection with an on-site representative? DYes ~0 DNA 34. Does the facility require a follow-up visit by the same agency? DYes ~ DNA or any 11-,5~/3 ()-IJ-c r (~ ?, ( G -S-1 ~ Reviewerllnspector Name: Phone: ONE ONE ONE ONE ONE ONE ONE ONE ONE Reviewer/Inspector Signature: Date: ------------------ Page3of3 214/2011 ompliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance Reas on for Visit: (i)1foutine 0 Complaint 0 FoUow-up 0 Refe rral 0 Emergency 0 Other 0 De nied Access Date ofVisit: I c..J./~1 /J:l I Arrival Time:IOJl«<AI"' I Departure Time:l68.•tfi'BI"'I County: ~AmpsoN Region: F'BO r , Farm Name: \\e>w~(\.Q ,~&>"""tit';> t ~~en Owner Email: Owner Name: J\cwP.4t0 ~Bo+nt. BS (AM\'). Ll..f= Phone: I Mailing Address: Physical Address: ----------------------------------------- Facility Contact: C..vs \x~ S!:>PI~ w:s::c\<. Onsite Representative : Certified Operator: Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I . Is any disc harge observed from any part of the operation ? Discharge originated at: 0 Structure 0 Ap pli cation Field a. Was the conveyance man-made? 0 Other: b. Did the d ischarge reach waters of the State? (If yes, notify DWQ) c. What is the estimated volume that rea ched waters of the State (gallons)? Integrator: -------------- Certification Number: \ L, "'\ l 0 ~~---------- Certification Number: Longitude: DYes ~o DNA ONE DYes 0No efNA ONE 0 Yes 0No cg'NA ONE d. Doe s the discharge bypass the waste management system? (If yes, notify DWQ) 0 Yes 0No ~NA ONE 2. Is there evidence of a past discharge from any part of the operati on? 3. Were there any observab le adverse impacts or potential adverse impacts to the waters of the State othe r than from a discharge? Page I of3 DYes 0 Yes ~N o DNA ONE ~0 DNA ONE 214/2011 Continued I Facility Number: lnate oflnspection: w~w)..._ Waste CoUection & 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? Structure 1 Structure 2 Structure3 Structure4 Identifier: ::J:I:Z. 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? D Yes [g"No D NA 0 NE DYes D No [i}NA 0 NE Structure 5 Structure 6 0 Yes 5r'No 0 NA D NE 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 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 ~o DNA ONE 0 Yes [g"No DNA D NE D Yes [}t'No D NA D NE D Yes @'No D NA 0 NE 11. Is there evidence of incorrect land application? Ifyes, check the appropriate box below. DYes Q1'No 0 NA 0 NE D Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.) 0 PAN D PAN> 10% or 10 lbs. D Total Phosphorus 0 Failure to Incorporate Manure/Sludge in to Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Approved Area 12. Crop Type(s): fi~cu[_ LG9-.:~'Z.(.) 13.Soi1Type(s): £j.u~ D·d.cf. 1 NoB 1 RPI"I-".S f()e·h)P.. 14. Do the receiving crops differ from those designated in the 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 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 theCA WMP readily available? If yes, check the appropriate box . OwuP Dchecklists 0 Design D Maps 0 Lease Agreements DYes ~0 DNA DYes GJ'No DNA DYes NNo DNA DYes ~0 DNA DYes BNo DNA DYes EB":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 5r'No 0 NA D NE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Weather Code D Rainfall D Stocking D Crop Yield 0 120 Minute Inspections D Monthly and 1" Rainfall Inspections D Sludge Survey 22 . Did the facility fail to ins tall and maintain a rain gauge? 0 Yes ~No 0 NA 0 NE 23 . If se lec ted, did the faci lity fail to install and maintain rain breakers on irri ga tion eq uipment? 0 Yes D No [g NA D NE Page1of3 2/411011 Continued -. . !Facility Number: 4~ I Date oflnspection: 4\i)., l \ )..__ 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. 0 Yes (g'No 0 NA 0 NE 0 Yes (i;tNo 0 NA 0 NE D 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 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) 0 Yes (S{'No 0 NA 0 NE 0 Yes 0 No [911A 0 NE DYes ~No DNA ONE DYes ~o DNA ONE 0 Yes [StNo 0 NA D NE DYes ~o DNA ONE 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: ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 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? DYes ~o DYes ~o DYes ~o DNA ONE DNA ONE DNA ONE Comments {refer to question#): Explain any YES allswers and/or any additional recommendatio~sor,any,o.~her·C()Iin:IleritS~ - Use drawings of facility to better explain situations (use additionftJ pages as necessary). .\ '. :~ .~>~ >:::::: · ·-,·' ~~~' . Reviewer/Inspector Name: Reviewer/Inspector Signature: Page3of3 ;;;;.:,;,;;,~...:;.;;.;;;~ Phone: '\\Q· .3dbi..D~'-' \ Date:\.\\'()-\\\'\. I 4 21411011 ompliance Inspection 0 Operation Review 0 Structure Evaluation Reason for Visit ~ne 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access DateofVisit: l2-02-j0 I Arriva1Time:ll~.'l5.4.H I DepartureTime: l!Z.'3o,M] County: s~ys-4 ,./ Region: F/l.() Farm Name: c: rl..l ~ f+. Fa v~ Owner Email: -------------- Owner Name: Phone: Mailing Address: ----------------------------------------- Physical Address:------------------------------------____ _ Facility Contact: C --1 "-s. 7.> a.t-w~--k ___ IAY'11_....;.._....;;;;._o ____ ._ ____ Title: -----------Phone No:--------- Oosite Representative: ------------------Integrator: __ C___;o:..."'-_c_-v_\_c_. __ t=o.:..:...__~_;_.....:::;__ ____ _ Certified Operator:--------------------Operator Certification Number: ------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? DYes~ DNA Discharge originated at: 0 Structure D Application Field D Other a. Was the conveyance man-made? DYes DNo ~A b. Did the discharge reach waters of the State? (If yes, notify DWQ) DYes 0No [!NA 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 ~ 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 ~DNA DYes ~DNA ONE ONE ONE ONE ONE ONE 12128/04 Continued f \ I j Facility Number: 82-(p 9 3j Waste Collection & Treatment Date of Inspection 12 -02 ~ /0 I 4. Is storage capacity (structural plus stonn 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 ~ DNA ONE 0 Yes B'N'o 0 NA 0 NE Structure 5 Structure 6 Identifier:--------------------------------------- Spillway?: Designed 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 ~o DNA ONE DYes ~ 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? 0 Yes ~ DNA D NE 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. Docs any part ofthe waste management system other than the waste structures require maintenance or improvement? Waste Application 10. Arc there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? I I. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes ~o DNA ONE DYes [B1:k, DNA 0 NE DYes ~o DNA ONE DYes ~o DNA ONE D Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.) D PAN 0 PAN> 10% or 10 lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Area I 12. Crop type(s) ~MHU.Y r: WJIJ-kv AIJN~'S )I nsG4 ~ (69-c..) I A'tA-1'1. a.....- tlorf;,jk,. &- J 13. Soil type(s) > 14. Do the receiving crops differ from those designated in the CA WM P? 15. Does the receiving crop and/or land application site need improvement? DYes DYes 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination'? DYes 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? ...... to question}#).· 1"'"'' ~·;;,;·.;.;:;~~~~·· :,;;'!ffadlity to Reviewer/Inspector Name Reviewer/Inspector Signature: DYes DYes B'No DNA ONE ~DNA ONE EJ'No D NA D NE ~0 DNA ONE ffN'o DNA D NE 11118104 Continued , ( / Facility Number: 82. -69'31 Date oflnspedion 12 -ll2-.10! Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropriate box. 0 WUP 0 Checklists D Design 0 Maps 0 Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes DNA ONE DYes ~o DNA ONE DYes ~ DNA ONE 0 Waste Application D Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers D Annual Certification D Rainfall D Stocking 0 Crop Yield D 120 Minute Inspections 0 Monthly and I" 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 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? 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 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? DYes ~0 DNA ONE DYes ~DNA ONE DYes ~ DNA ONE DYes ETNo DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~DNA ONE DYes ~DNA ONE DYes ~ DNA ONE DYes B'N'o DNA ONE DYes ~DNA ONE ~DNA 11128104 OOther Date of Visit: I 471.~11 Arrival Time:l%:'1£ Departure Time:l 9/it:J./f)l:ouoty: S~ ~ 1 ~ ~ J:4r]v'-Owner Email: Region: Farm Name: Owner Name: ~ j)rzJhars ~~)~bone: Mailing Address: Physical Address: ---~--------------------------------------- &~ 13a.nu~L-l. rw" ._.-~. ¥· Facility Contact: Phone: Oosite Representative: ---~=::;..:.:.:~~...::::___,------------Integrator: _N:...._~-=---Bs......~-------- Certifiod Ope .. to" fun-tL~ Certifi"'tion Numbe" t(o 71 0 Back-up Operator: Certification Number: Location of Farm: Latitude: Longitude: Discharges and Stream Impacts I . Is any discharge observed from any part of the operation? DYes~ DNA ONE Discharge originated at: 0 Structure 0 Application Field a. Was the con veya nce man-made? b . Did the discharge reach waters of the State? (If yes, notify DWQ) 0 Other: D Yes 0No ~A ONE DYes DNo ~ONE c. What is the estimated volume that reached waters of the State (gallons)? d . Does the discharge bypass the waste management system? (Jf yes, notify DWQ) DYes 0No ~ ONE 2. Is there evidence of a past discharge from any part of the op eratio n? 3. Were there any observable adverse impacts or potential adverse impacts to the waters of the State other than from a discharge? Page I of3 DYes DYes ~ DNA ONE No DNA ONE 21412011 Continued !Facility Number: 1{QL -"~31 'I I nate oflospectioo: t:?.Zisnz' I W4ste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) Jess than adequate? a. If yes, is waste level into the structural freeboard? Structure 1 Structure2 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~ DNA ONE DYes 0No ~A ONE Structure 5 Structure 6 0 Yes lEi'< D NA D NE DYes ~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 pennit? (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 requi re maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? DYes [31fu DYes~ DNA ONE DNA ONE D Y es~ DNA ONE DYes DNA ONE ll. Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes DNA ONE 0 Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu , Zn, etc.) 0 PAN D PAN> 10% or 10 lbs. D 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 Approve d Area 12. Crop Type(s): ~ L~~(Y-J 13. Soil Type(s): t::::.N-""'-(0 -l..-~ Jv 6 1 14. Do the receiving crops differ from those designated in?he CAWMP? 7 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. Owup Ochecklists 0 Design 0 Maps D Lease Agreements DYes DNA DYes DNA D Yes [/J"No' D NA DYes ~DNA DYes ~DNA DYes [B"'No DNA DYes ~0 DNA Oother: ONE ONE ONE ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~DNA ONE 0 Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysi s 0 Waste Transfers 0 Weather Code 0 Rainfall D Stocking D Crop Yield D 120 Minute Inspections D Monthl y and 1" Rainfall Inspection s 0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? DYes ~o DNA 0 NE 23.lfselected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes 0 No ~A 0 NE Page 2 of3 2/41101 I Continued I Facility ~umber: 3;2. · ~93 I I nate oflnspedion: ~/I I ,; _/ 24.'"Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes (!:1No 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 0 Yes ~ the appropriate box(es) below. 0 Failure to complete annual sludge survey 0Failure 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 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 0 Other: DYes DYes DYes DYes DYes DYes __ ........................................ .... 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? DYes 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes 34. Does the facility require a follow-up visit by the same agency? DYes Reviewer/Inspector Name Page 3 of3 ~ 0No ~ Ef'No ~ ~ ~0 ~ ~ DNA ONE DNA ONE DNA ONE ~ ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE Type of Visit ~mpliance Inspection Reason for Visit {)1(c);.tine 0 Complaint 0 Operation Review 0 Structure Evaluation 0 Technical Assistance 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Region: ,C/2£) Mailing Address: ----------------------------------------- Physical Address:------------------------------------------ Facility Contact: Title: /4d". ~~ec r -----------------' PhoneNo: _________ _ Onsite Representative: --------------------Integrator: __ co __ 4.:..6:._ .... _.·.;::~=---;::;. __ ~' _____ s ____ _ Certified Operator:------------------------Operator Certification Number: --------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" . ooo· Longitude: . Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: 0 Structure 0 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 0No DNA ONE DYes 0No DNA ONE DYes 0No DNA ONE DYes 0No DNA ONE DYes 0No DNA ONE DYes 0No DNA ONE 12128/04 Continued I Facility Number: e 2 -~ 9 31 Date of Inspection J9-2/-0 Cf I Waste Collection & 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? Structure 1 Structure 2 Structure 3 Structure 4 DYes ~ DNA ONE DYes ~DNA ONE Structure 5 Structure 6 Identifier:---------------------------------------- Spillway?: Designed Freeboard (in):-----~------------------------------- J~O tf Observed Freeboard (in): ___ "T..:::.._ ___ ---------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ large trees, severe erosion, seepage, etc.) DYes G:f1jo DNA ONE 6. Are there structures on-site which are not properly addressed and/or managed DYes ~ 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? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes ~ DNA ONE DYes ~o DNA ONE D Yes c:r;:;: D NA D NE DYes 12f'No DNA D NE DYes ~DNA ONE D Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.) 0 PAN D PAN> 10% or 10 lbs D 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 12. Crop type(s) ----!~~'-'~""'::..:-::=;.~~rr--'-!,..!W::::..:...:riv:.:....:..../.-....:. ... _,::4-w~t#J:::::.:::wJ~:..::S::......,,-,.__.k~~s...::GU~c.-::;.::G~L~~-~~~"'):;u::e .... J~,~M::..::!et:3..-A...:..!::u.~&~'----------- 13. Soil type(s) ~-Hor-4.Jk-.f?~ 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 DYes ~DNA ONE ~·DNA ONE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? 0 Yes ~0 NAO NE ~DNA ONE ~DNA ONE 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? hu~ ~ e<.dJ-----. No/.f;./1< S!J i I .S / Reviewer/Inspector Name Reviewer/Inspector Signature: DYes DYes 12/28104 Continued I Facility Number: 8 2 -6931 Date of Inspection (9-~t-olf I Reouired 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 0 Checklists 0 Design 0 Maps D Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~ DNA ONE DYes ~DNA ONE DYes ~ DNA ONE D Waste Application D Weekly Freeboard D Waste Analysis D Soil Analysis D Waste Transfers 0 Annual Certification 0 Rainfall 0 Stocking D Crop Yield D 120 Minute Inspections D 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 facility 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 th e facility fail to have an actively certified operator in charge? 27 . Did the facility fail to secure a phosphorus lo ss 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 w ithin 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? DYes~ DNA ONE ffNo DNA ONE ~DNA ONE ~DNA ONE ~DNA ONE ~DNA ONE DYes DYes DYes DYes DYes DYes DYes DYes DYes DYes ~ ~ ~ rn:fo B'No DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DYes (31(o"" DNA ONE 12/28104 Type of Visit Compliance 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 Region: F ,,ZO Date of Visit: 111-2 '!-0 'II Arrival Time: ~: 00 Departure Time: I :l :JOn -.I County: I Farm Name: Tl>M 30-E~.s~ m.J...I..&Y~ Owner Email: ------------ OwnerName: T,'~y,"'"') Resf- Mailing Address: Phone: Physical Address:------------------------------------------- Title: -~::..__:....:t'"--'._111.~1....:...r ____ _ PhoneNo: __________ _ Facility Contact: AJ:.. ffi~ ~un:/ Onsite Representative: On Vj J./ ,C c 1M o IV'd Certified Operator: Po~ N/(. HI ":;.;;N..::;,..::d::::;..._ ______ _ Integrator: -~7_J:>=...:..:!1{L-...Lfi:?-=:.....:V:~M:..:..S-=---- Operator Certification Number: _..:..../....::B:....~....:..._/_7~-- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: raoD'D" Latitude: L__1 Longitude: Discharges & Stream Impacts I. Is any discharge observed from any part of the operation? 0 Yes C31'fo 0 NA 0 NE Discharge originated at: 0 Structure 0 Application Field 0 Other a. Was th e co nveyance man-made? DYes 0 No EJNA ONE b. Did the discharge reach waters of the State? (If yes, notifY DWQ) DYes 0No ~ ONE c. What is the estimated volume that reached waters of the State (gallons)? I d. Does discharge bypass the waste manage ment system? (If yes, notify DWQ) DYes 0No ~· 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 disc harge? DYes ~DNA ONE DYes ~DNA ONE 12118104 Continued ' I Facility Number: 82 -" 99 I Date oflnspection 111-~~-oql 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 1 Structure 2 Structure 3 Structure 4 DYes EfNo DNA ONE 0 Yes (d1:1o. 0 NA D NE Structure 5 Structure6 Identifier: _----::b...= • .;S:=c....._#-_/_ ----------------------------------- Spillway?: ·DesignedFreeboard(in): ~7------·------------------------ 0bserved Freeboard (in): _ ___..5c........;..l ___ ----------------------------------- 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 ~o DNA ONE 0 Yes l31Jo 0 NA 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? 0 Yes B'N"o DNA D NE 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 ~ DNA ONE 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? DYes ~o DNA ONE Waste Application 10. Arc there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes 11. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn , etc.) ONE ONE 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 Area 12. Crop type(s) --..!:B::t....<..r::::::=...."""-::...::....:.!~~.:::::c-.::__~(J!..!f.!..=c:a+?-'f':....•' ..:::b:...:.~....:.,J..J,.:(..~)--1 ____.!!~~;M&.~/.:..:....'I~G::::..:....::.i'21t:..:...•':..::N~~~0~,..:::5;..:.,..:::;.) _________ _ 13. Soil type(s) Na/:3 14. Do the receiving crops differ from those designated in theCA WMP? DYes B'No DNA ONE 15. Does the receiving crop and/or land application site need improvement? DYes Eaifo DNA ONE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? DYes crNo DNA 0 NE 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? (Q./( l6vc..f t'... ,v d ""-<....-- -SltA.Jyc ... ~ .. $;L 6 <... do-vt.. Reviewer/Inspector Name Reviewer/Inspector Signature: '31 I .J~ /Z. -)1 -0? . DYes Q1(o DNA ONE DYes ~DNA ONE Date: 11128104 Continued I Facility Number: 82 -~191 Date of Inspection I!/-ZY-()9 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 theCA WMP readily available? lfyes, check the appropriate box. D WUP D Checklists D Design 0 Maps 0 Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~o DNA ONE DYes ~o DNA ONE DYes ~ DNA ONE 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 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 cause non-compliance of the permit or CA 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 facil ity fail to notifY the regional office of emergency situations as required by General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/In spector fail to discuss review/inspection with an on-site representative? 33. Does facility require a follow-up visit by same agency? DYes ~ DNA ONE DYes ITNo DNA ONE DYes rn:;o DNA ONE DYes ifNo DNA ONE DYes B"No DNA ONE DYes ~ DNA ONE DYes ~DNA ONE DYes ~DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~DNA ONE DYes ~DNA ONE 12128104 Type of Visit g.compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit 01fciUtine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: I 8~2()-0 81 Arrival Time: I io: ~o A--I Departure Time: I /I:%" ,l;..t J County: ~.,;~s,;.; Region: FAUJ Farm Name: c:t""c.\c.. ~ · +="av....._ Owner Email: ---------------------------- OwnerName: __ ~~~·--~ ___ J __ ~~~VJ~o~S~·~FU~-~;~-~-=L~L~C~---------------Phone: Mailing Address: --------------------------------------------------------------- Physical Address:-------------------------------------------------------------------- Facility Contact: PhoneNo: _______ ~------ Onsite Representative: -----------------------------------lntegrator. Co ~a.'r; C.. Fa v,...._ S ·--~------~~~~--~~-------- Certified Operator:------------------------------Operator Certification Number: -------------- Back-up Operator: -----------------------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: D OD'D" Discharges & Stream Impacts I . Is any discharge observed from any part of the operation? DYes~ DNA ONE Discharge originated at: 0 Structure 0 Application Field D Other DYes 0No ~ ONE a. Was the co nv eyan ce man-made? b. Did the di scharge reach waters ofthe State? (If yes, notify DWQ) DYes 0No ~ ONE c . What is th e estimated volume that reached waters of the State (gallons)? I d. Does discharge bypass the waste management system? (If ye s , notify DWQ) DYes 0No ~ ONE 2. Is there evidence of a past discharge from any part ofthe operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of th e State o ther than from a disch arge? Page I of 3 DYes ~DNA ONE DYes ~0 DNA ONE 12128104 Continued I Facility Number: ~2. -h 9 3 I Date of Inspection IS-2.0-o S I \Vaste 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 1 Structure 2 Structure 3 Structure 4 DYes ~ DNA ONE DYes ~ DNA ONE Structure 5 Structure 6 Identifier:------------------------------------------ Spillway?: Designed Freeboard (in): ------------------------------------------ Observed Freeboard (in): 3 <0 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 pl an? DYes ~ DNA ONE DYes ~ DNA ONE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threa~ notify DWQ 7. Do any of the structures need maintenance or improvement? 0 Yes ~DNA D NE 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 wa ste management system other than the waste structures require maintenance or improvement? Waste Application 10. Are there any required buffers , setbacks , or compliance alternative s that need maintenance/improvement? II . Is there evidence of incorrect application? If yes, check the appropriate box below. DYes [31(o' 0 NA 0 NE DYes ~-DNA ONE DYes ~DNA ONE DYes ~DNA ONE 0 Excessive Ponding D Hydraulic Overload D Frozen Ground 0 Hea vy Metals (Cu , Zn, etc.) 0 PAN D PAN > 10% or 10 lbs D Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Area 12 . Crop type(s) /lJ a fut:t. hSC.iJ e.. (<;.,.3~) S4,...1C.4Uo-~ AwNUg l.s 7 ) 13 . Soil type(s) E ;/"'rf!ol 14 . Do the receiving crops differ from those d esignated in theCA WMP? 15. Does the receiv ing crop and/or land application site need improvement? DYes DYes 16. Did the facility fail to secure and/or operate per the irrigation de sibrn or wettable acre detennination?O Yes I 7. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment'! DYes DYes No DNA ~DNA ~·DNA ~DNA ~DNA 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): . .. .•. -·· ONE ONE ONE ONE ONE ..... - 1-... Reviewer/Inspector Name Klc...f(~ j<. <!. v~..f s : Phone: ljtO,i.f33. 333 0 Reviewer/Inspector Signature: /2,~ R ~ Date: B-2 ()-z.o o 8 /Z/28104 Continued -.. ~ I Facility Number: ~z -~931 Date oflospection lf3-20 ~oBI 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. D WUP 0 Checklists 0 Design D Maps D Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~DNA ONE DYes ~DNA ONE DYes ~ DNA ONE 0 Waste Application 0 Weekly Freeboard D Wa ste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification 0 Rainfall D Stocking D 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 facility fail to install and maintain rainbreakers on irrigation equipment? 24. D id the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fa il to conduct a sludge survey as required by the permit? 26. D id the facility fail to have an acti vely certified operator in charge? 27. Did the facility fail to secure a phosphorus Joss assessment (PLAT) certification? Other Issues 28. Were any additional probl ems noted which cause non-compliance of the permit o r CAWMP? 29. D id the facility fail to properly dispose of de ad 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? (i e/ 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 v isit by same agency? Page. 3 of 3 DYes ~DNA ONE DYes ~DNA ONE Dves ~DNA ONE DYes ~DNA O NE DYes ~DNA ONE DYes ~DNA ONE DYes ~DNA ONE DYes ~DNA ONE DYes l31'lo DNA ONE DYes (31C(o"" 0 NA ONE DYes (31qO DNA ONE DYes ~NA ONE 11128104 ® Division of Water Quality / Facility Number 8z 0 Division of Soil and Water Conservation ✓ 0 Other Agency Type of Visit OrCompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit ® Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: /O�y-O% Arrival Time: 'SFS ' M If t�l � J .pp%. u{ Departure Time: /.ZOfF County: Region: Farm Name: Owner Email: Owner Name: Phone: Mailing Address: Physical Address: Facility Contact: (24u_ s Title: C5"U , 1M 9 V • No: Onsite Representatives GV -V ''1&anjtkC� 7-t�i �Qrw� c �L Integrator: ``Phone l_ZnyPe_ r�y--S Certified Operator: Operator Certification Number: Back-up Operator: Back-up Certification Number: Location of Farm: Latitude: �0[7], [7], F Longitude: C Swine Wean to Finish Wean to Feeder Feeder to Finish Farrow to Wean Farrow to Feeder Farrow to Finish Gilts Other ❑ Other Design Current Design Current Capacity Population Wet Poultry Capacity Population ❑ Laver ❑ Non -La et Dry Poultry ❑ Layers ❑ Non -La ers ❑ Pullets ❑ Turkeys ❑ Turkey Poults ❑ Other Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Structure ❑ Application Field ❑ Other a. Was the conveyance man-made? b. Did the discharge reach waters of the State"? (If yes, notify DWQ) Design Current Cattle Capacity Population ❑ Dairy Cow ❑ Dairy Calf ❑ Dairy Heifer ❑ Dry Cow ❑ Non -Dairy ❑ Beef Stocket ❑ Beef Feeder ❑ Beef Brood Co c. What is the estimated volume that reached waters of the State (gallons)? Number of Structures:/�I _ _ I d. Does discharge bypass the waste management system? (if yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 0 No ❑ NA ❑ NE ❑ Yes VfNo ❑ NA ❑ NE ❑ Yes T No ❑ NA ❑ NE ❑ Yes RNo ❑ NA ❑ NE ❑ Yes [y] No ❑ NA ❑ NE ❑ Yes UgNo ❑ NA ❑ NE 12/28/04 Continued . I F~c~cy Number: ~2 -6 ?3 I Date oflnspection Ito -lt'-PZI 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 DYes ~o DNA ONE DYes f1No DNA ONE Structure 5 Structure 6 Identifier:----------------------------------------- Spillway?: Designed Freeboard (in): ----------------------------------------- LJ.7" Observed Freeboard (in): ---LL......J_t._ __ --------------------------------- 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 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 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 butTers, setbacks, or compliance alternatives that need maintenance/improvement? 13 . Soil type(s) / I 14. Do the receiving crops differ from those designated in the CAW MP? 15 . Does the receiving crop and/or land application site need improv ement? DYes DYes DYes DYes DYes DYes ~0 DNA ONE ~No DNA ONE ~No DNA ONE [ZI No DNA ONE [l1 No DNA ONE ~No DNA ONE \ 16. Did the facility fail to secure and/or operate per th e irrigation design or wettable acre determination ? D Yes qf No 0 NA D NE 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? DYes ~No DNA ONE DYes IE No DNA ONE 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): .... f- I-...,. !R .tz.-~ #2e.vds ------·-Cf/0. '/33. 33DD Reviewer/Inspector Name , Phone: Reviewer/Inspector Signature: I<AR~ -Date: /t:J -oF£ -ZoD 7 Page2of3 12/28104 Continued •,··~ I Facility Number: '3'2 -(p9'3l Date of Inspection 1/c-of-o71 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 ofthe CAWMP readily available? Ifyes, check the appropirate box. 0 WUP 0 Checklists 0 Design 0 Maps 0 Other DYes (!)No DNA ONE 0 Yes llPNo 0 NA 0 NE 21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes ~No DNA D NE D Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers D Annual Certification 0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and I" Rain Inspections 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 ~No DNA ONE 24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes l1No DNA ONE 25. Did the facility fail to conduct a sludge survey as required by the permit? DYes [iiNo 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 lpNo DNA ONE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes ~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 l;ij 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) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? D Yes ~No DNA ONE 33. Does facility require a follow-up visit by same agency? DYes ~No DNA ONE Additional Comments and/or Drawings: ...... - r-... 12118104 Michael F . Easley. Govanor William G. Ross Jr., Secretary North Carolina Department of Environment and Nattmll Resources CERTIFIED MAIL RETURN RECEIPT REQUESTED Howard Bros Farms LLC Howard Brothers Farm 391 Jc Howard Ln Autryville, NC 28318 December l, 2006 Subject: Application for Renewal of Coverage for Expiring NPDES General Permit Dear Permittee: Alan W . Klimek. P.E. Director Division of Water Quality RECEIVED ·oEC 06 311 Your facility is currently approved for operation under one of the Animal Waste Operation NPDES General Permits, which expire on July I, 2007. Due to changes in federal rules, facilities that do not discharge nor propose to discharge may choose whether or not to retain coverage under an NPDES General Permit. Copies of the draft animal waste operation NPDES general permits and the State Non-Discharge General Permits are available at http://h2o.enr.state.nc .us/aps/afouldownloads.htm or by writing or calling: NCDENR-DWQ Animal Feeding Operations Unit 1636 Mail Service Center Raleigh, North Carolina 27699-1636 Telephone number: (919) 733-3221 In order to assure your continued coverage under one of these two types of general permits. you must submit an application for permit coverage to the Division. Enclosed you will find a 'Request for Cenificate of Coverage Facility Currently Covered by an Expiring NPDES General Permit.· The application form must be completed and returned bv January 2. 2007. Please note. you must include two (2) copies of your most recent Waste Utilization Plan with the application form. Failure to request renewal of your coverage under a general permit within the time period specified may result in a civil penalty. Operation of your facility without coverage under a valid general permit would constitute a violation ofNCGS 143-215.1 and could result in assessments of civil penalties of up to $25 ,000 per day. If you have any questions about the draft general permits, the enclosed application, or any related matter please feel free to contact the Animal Feeding Operations Unit staff at 919-733-3221. Sincerely, Ve=~ Enclosures cc (w/o enclosures): Ted L. Bush, Jr., Chief Aquifer Protection Secti~n Sampson County Soil and Water Conservation District Fayetteville Regional Office, Aquifer Protection Section AFO Unit Central Files -820693 Murphy Family Fanns Aquifer Protection Section Internet: www.ncwateraualitv.org 1636 Mail Service Center Location: 2728 Capital Boulevard Raleigh. NC 2 7699-1636 Raleigh . NC 2 7604 An Equal Opportunity/Affirmative Action Employer-SO% Recyded/10% Post Consumer Paper Telephone: Fax 1: Fax2 : Customer Servi ce: ~Carolina (919)~!1!ll~t7/l~ (919) 715-0588 (919) 715-6048 (8 77) 623-6748 ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit ~tine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: I £~~I Arrival Time; I 2~ D'O I Departure Time: 1/t{)?? I County:~~ Region: f==J:;'D Farm Name: 1/otpprd .:B(D--dr~YL$ {i;J."t?tJ L.t.L Owner Email:------------- Owner Name: //p«./~/ $ypfiel"'~ 01/".rn.L Phone: Mailing Address: ----------------------------------------- Physical Address:--------------------------------------____ _ Facility Contact: z::tLr C yL /zta;uad I Title: -----------Phone No:--------- Onsite Representative: -->~~:..::..:....:::.::..<...-~-------------Integrator: .a?~tf"'dH Certified Operator: ---'~.o:;_~:;..;;~o,.----------------Operator Certification Number: ------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: D OD'D" Design Current Design Current ~ Design Current Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population ID Wean to Finish I I . D Wean to Feeder D Dairy Cow I D Dairy Calf jD Layer I I I· 'D Feeder to Finish ~nt. t~O?s D Dairy Heife• D Farrow to Wean D Farrow to F ceder D Farrow to Finish : D Gilts D Boars ---· -- D Dry Cow D Non-Dairy I D Beef Stocker I D Beef F ceder I I D Beef Brood Cow I -·· -·---+ ---. --! Dry Poultry D Layers t D Non-Layers ' ' D Pullets D Turkeys Other D Turkey Poults D Other -. --· I=D~O;;:.:t;:,he::,:,r=~,...,..,..-.L,-,::-:--:-_=. =----~~-==--.,-JI; Number of Structures: L_ r-11 Discharges & Stream Impacts I. Is any discharge observed from any part of the operation? 0 Yes _lg]. No DNA D NE Discharge originated at: 0 Structure D Application Field 0 Other a. Was the conveyance man-made? DYes 0No DNA ONE b. Did the discharge reach waters of the State? (Ifyes, notify DWQ) DYes 0No DNA ONE 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 0No DYes jliNo DYes !A No 11/18104 DNA ONE DNA ONE DNA ONE Continued jFacility Number: 8;2-J<t.3l Date of Inspection !LS""" "'15:--D?J 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 DYes ~No DNA ONE DYes 0No DNA ONE Structure 5 Structure 6 Identifier:--------------------------------------- Spillway?: _j~· Designed Freeboard (in): _....., . ..:_;...~1~.-___ ---------------------------------- Observed Freeboard (in): _ _..$!=--~.8----------------------------------- 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 through a waste management or closure plan? DYes I8fNo DNA ONE If any of questions 4-6 were answered yes, and the situation poses an immediate public bealtb or environmental tbrea4 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? DYes li]No DNA ONE DYes ~No DNA ONE DYes ;giNo DNA ONE DYes ~No DNA ONE I 1. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes (iltNo DNA D NE D Excessive Ponding D Hydraulic Overload D Frozen Ground D 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 D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Area 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 DYes [3-No 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination! DYes ~No 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? (r1 t• -tfJ;W",J. I ~tJviy To ~ 'rl.'t' f.!~w ~o RI!"'&-~6Y6/e',-,. t--w; !I .9u.J~-f?h -ro C..oh,o"i ~ ~(/'~ ~~Vashd _J:,~,.,.a/or-:, DYes ~No DYes ~No DNA DNA DNA DNA DNA ONE ONE ONE ONE ONE 12128104 Continued I Facility Number: 8"'02--{./}31 Date oflnspection I ,yS-D4 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 ofthe CAWMP readily available? lfyes, check the appropirate box. 0 WUP D Checklists 0 Design D Maps D Other DYes !&No DNA ONE DYes ~No DNA ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~No 0 NA D NE D Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analy sis 0 Waste Transfers D Annual Certification 0 Rainfall 0 Stocking D Crop Yield 0 120 Minute Inspections D Monthly and I" Rain Ins pections D Weather Code 22. Did the facility fail to install and maintain a rain gauge? DYes 181No DNA ONE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes 00No DNA ONE 24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No 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 tail 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 and report the mortality rates that were higher than normal? DYes !)a No DNA ONE 30. At the time of the inspection did the facility pose an odor or air quality concern? DYes f&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 l!iNo DNA ONE General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes [g[No DNA ONE 33. Does facility require a follow-up visit by same agency? DYes ~No DNA ONE 12128104 <!)Compliance Inspection 0 Operation Review 0 Lagoon Evaluation Reason for Visit (J Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other 0 Denied Access Tune: I 1/.· 'IS" I .._ __ F_a_c_m_·ty_N_um_be_r_l_ko:--ot--H--6-9_..3 ___ __,1 Date of Visit: lo Not Operational 0 Below Threshold IJ Permitted [J Certified [J Conditionally Certified [J Registered Date Last Operated or Above Threshold: ·------·--- Farm Name: _____ .l.::l.~!.ltd..S.r...~ ........ ~G).f:i.s._,.. -1._.:&~~---·-·-County: ____ -€ CJ .~.!!~------..... t" ~-- Owner Name: --------·····--·-·-····-·-···· ····--·-·------·----·-·-·---·-·--·-·-·· Phone No: _, ....... -.. -·-·-----·--------··--·--· Mailing Address: .. ----.. -·--·--·-----.. ·---·--·-·-----------·--·-·---... -----·--·--·-·------·-------·· ·--·-----· Facility Contact: ........................................... -............ --------Title: ............................................................ -. Phone No: -·------·-·-··-··---···--··· Onsite Representative: .......... o .. ~~-~L .... -8~.¥-~ r c:g................................... Integrator: ____ '('V\_~-~.:l~.~--~-.,._'!.~~----- Certified Operator: ....... Q.~.~-:":.\-··L~ ....... -.... --~-\-~~-~-t:f!:::. ___ ............... Operator Certification Nu.inber: --~---------·---· · Location ofFann: [!'swine Latitude Discharges & ~Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: D Lagoon D Spray Field D Other a. If discharge is observed, was the conveyance man-made'? b. If discharge is observed, did it reach Water of the Stale? (If yes, notify DWQ) c . If discharge is observed, what is the estimated flow in gal/min? d. Does discharge bypass a lagoon syslem? (If yes, notify DWQ) 2 . Is there evidence of past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Waste Collection & Treatment 4. Is storage capacity (freeboard plus storm storage) less than adequate? I]J Spillway Struc1ure l Structure 2 Structure 3 Structure 4 Identifier: .............. !................... .. ......................................... -.......................... .. ......................... -.... .. Structure 5 Freeboard (inches): 12fl2!03 ----------- DYes ~No DYes DNo DYes DNo DYes DNo DYes t:i~No DYes t!i.No DYes rgNo Structure 6 Continued I Fatility Number: 8' ~ -&,~Jl Dat~ of Inspection 1.?1/4 7/1 Required Records & Documents 21 . Fail to have Certificate of Coverage & General Permit or other Permit readily available? 22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? (ie/ WUP, checklists, design, maps, etc.) 23. Does record keeping need improvement? If yes, cbeck the appropriate box below. 0 Waste Application 0 Freeboard ~Waste Analysis 0 Soil Sampling 24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? 25. Did the facility fail to have a actively certified operator in charge? 26. Fail to notify regional DWQ of emergency situations as required by General Permit? (iel discharge, freeboard problems, over application) 27. Did Reviewerllnspector fail to discuss reviewfmspection with on-site representative? 28. Does facility requixe a follow-up visit by same agency? 29. Wel'e any additional problems noted which cause noncc...""lpliance of the Certified A WMP? NPDES Permitted Facilities 30. Is the facility covezed under a NPDES Permit? (If no. skip questions 31-35) 31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 32. Did the facility fail to install and maintain a rain gauge? 33. Did the facility fail to conduct an annual sludge survey? 34. Did the facility fail to calibrate waste application equipment? 35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. D Stocking Form D Crop Yield Form D Rainfall D Inspection After 1" Rain D 120 Minute Inspections 0 Annual Certification Form DYes DYes Jg!Yes DYes DYes DYes DYes DYes DYes tiJ Yes DYes DYes DYes DYes IZ)Yes IC No violations or de6deades were noted duriDg this visit. You will receive no further correspoJU~e~Ke about this visit. :J3 Wa..>+<. ~o ....... ~lc:. \...,..Qo,.._~-\-~OW'\. r'\G~~ -t-o be:.. \..AjO +o ~--tc.... Cl"\~ ~o.~-p~ ,.c.c.av-.P-~> lL<-p+ ~-.C'.vc.. i<Av-.l [7JNo ij!No DNo tiiJ No ~No ~No lijl No ~No ~No 0No IJ]No 12JNo ~No (g]No 0No 35# Th<-\A.Ja.o+c.. ~ .... <-~...~.:-~+ ''\.lrt-4...__ """'~ ... ~ ~<-\~_..r:..c..A-<-Jl .,...._~~1 c:.~ fl \ ,., \\ ol.-\ '< o~ o.,. <-..a.-\-c.,'f'_..· e.. ~ ~ c...,... e.. e.. «--"'. "C.. :. ....... >r co.. ... J;). Plea.')~ ~<-c...._ c:. f\e~ +-"-.c..""' ',_._ 12112/03 1--... Date of Inspection 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? (H any of questions 4-6 was answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ) 7. Do any of the structures need maintenance/improvement? 8. Does any part of the waste management system other than waste structures require maintenance/improvement? 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level elevation markings? Waste Application 10. Are there any buffers that need maintenancefunprovement? 11. Is there evidence of over application? H yes, check the appropriate box below. 0 Excessive Ponding D PAN D Hydraulic Overload 0 Frozen Ground D Copper and/or Zinc DYes ~No DYes ~No DYes [iNo DYes I!) No DYes !i1J No DYes [SNo DYes ijJNo 12. Crop type /YlA...f-..a., 1.-.~r:-~ / &-,, c::.~ f~~""a~P / 4~,.~--~'A.. 'j'NZ-61!// ..5 -..(/ C:;.q,'J.cJ 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? DYes ~No 14. a) Does the facility lack adequate acreage for land application? 0 Yes IIJ No b) Does the facility need a wettable acre determination? D Yes 1m No c) 1bis facility is pended for a wettable acre determination? DYes Ill No 15. Does the receiving crop need improvement? 16. Is there a lack of adequate waste application equipment? Odor Issues 17. Does the discharge pipe from the confinement building to the storage pond or lagoo n fail to di scharge atlor below liquid level of lagoon or storage pond with no agitation? 18. Are there any dead animals not disposed of properly within 24 hours? 19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt. roads, building structure, and/or public property) 20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional Air Quality representative immediately. DYes !mNo DYes (ENo DYes [}1 No DYes ~No DYes ~!)No DYes fONo Reviewer/Inspector Name [.~~~J:$~:$~4,~·~ · ~~:~ii7/l/etl;/J.,;-_,.s.f :/-ti; ~-,i~:r~~~~~'j;~~~}~ Reviewer/Inspector Signature: £4A-7 ~~ Date: 7 ...... ?"' ~ ~ 12112103 V t/ Continued -.. ;.· . :, Div~ion of Environmental ~anagement Animal Feedlot Operations Site V"lSitation Record · Date: l&lrJ/U ,, Tune: I 2 ,2;<? . .. Latitude: I I Longitude: . . . Operation Description; (based on desigD characterildcs) Typ~ of SwiM No . of AnbtvlJ.s OSow ONanay OFeedcr OtherTypt of Livut«k: Typt of Pollhry No. of Ani.tMls Ct..ayez 0 Ncm-J...ayer I I T~ofOmk ODairy OBeef 1 No . of AnimDls Ntlmber of Lagoons: I {incJu'aein the Drawings and Observations tbe freeboard of~ lagooD) ·. Facility Inspection; . ~oon : Is la.goon(s) freeboard less than 1 foot+ 25 year 24 hour storm storage?: . -. . _Is seepage observed from the. lagoOn?: Is erosion observed?: Is any discharge observed? 0 Mliii-IIIIMle 0 Not Mtm-IIIIIIU Cover Crop DOes the facility need more ~e for spmyiug?: Docs the cover c;rop need improvem=t?: ( lisr IM CTOpS whida M~d impi"'1HHIIDff) Czop ~= ·reG =-..L \l ) £?$c.~ Acn:age: ....... · _7 ___ _ Cor-IA Setback CriUrill Is a dwelling located withiri 200 feet of wa$tc application? ·• ·. ·Is a wen located within _IOO _fcet of waste applicatio~? . __ ~ ~imal wa5te stoclq>iled within 100 feet of USGS Bl.u~ Line Stream? ·1s aniina1 waste land .appliecJ or spray irrigated within 25 feet of Blue Line Stream? · · A.OI-Janaary17.tJH ...: YesO ~ YesO N~ y es 0 NcS'O-- YesO No13 YesO Not8- Yes0 . No~ YesO -N~ . .Yes 0 'No a= Yes 0 No"&:.. YesO No-9- MIZUIU~---------·--------.. ·· ---·-·-----····-----------·------ Does the facility maintenance need improvement? Is thae evidence of past discharje from any part of the operation? Does record keeping need improvemcut? YesQ YesQ YesQ No8s7 No~ NcitJ:> Did tbc facility fail to have a copy of the Anbnal Waste Management Plan on site? YesQ NoC .. Explain any Yes answas;'-• _·:..,_ _ ___;, __________________ _ __ --~~-~4>t~IPC Sigoalme: . Uu-fNudld cc: F«ility ~ Ullit Drawfnp or Observations; Fr~~J-::-3~ . . ... .· . .. . ···' -·· . . --. ---· ..... --· .. --·---. ···-· -·--· ·---··\·-·-. ;· ",.,.."',...., .... -.... ,. •• , ... .:••:,..r t n."~, .. .1\4 • ...... , • .,..;·~,..:;._,;~.&·.., ..... ..,. ..,..·""t.:~ .. ." ··-·-.... ~-·-.... -··-' -· ......... .-... --·-···~ -~---~.---.... --·· . ... .: \:.::.?-..:) .. ::~-~~ ~-'-. ~··--~ .::""'"-' ;~_~. -~ . . . ~!~~ .. ~;~,.#'!~ ~·-.~-~ -~ ·-~ ·~'!· ~-~~,.. ~~·.:~:::~~·~ ....... ~. -. ..-(' . .: ; .... ~. . . -·· .. AOI-Jan~ 17.HH