820409_Routine_20220516

Facility Number
?)a
409
Division of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
61tri
s1899
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Ok Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name: c)--
Arrival Time:
Departure Time:
Owner Email:
°.H..Name: 'Pterbta9e filtMG, ire
Mailing Address:
Physical Address:
Facility Contact:
Phone:
County: YAon
Region:
LASERFICHE
fames iamb
Title:
DE(./DWR WQROS
AYETTEVILLE REGIONAL OFFICE
hone:
Onsite Representative: C a Me Integrator: vrewige
Certified Operator: (A (1 tiie ca..4r
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
POO
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Dr v Poultry Capacity Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
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?
❑ Yes
❑ NA ❑ NE
O Yes
O Yes
No ❑NA ❑NE
No ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
No ❑NA ❑NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Facility Number: - 1104i
Waste Collection & Treatment
Date of Inspection:
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: P-9/'
Spillway'?:
Designed Freeboard (in): 9. g�
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes �No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes 'No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes :S\No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes �No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes SNo ❑ NA ❑ NE
El Excessive Ponding n Hydraulic Overload ❑ Frozen Ground El Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): CB wd R� e
13. Soil Type(s): CQ(flho
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
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'? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes Q No ❑ NA ❑ NE
the appropriate box.
❑ WUP ['Checklists El Design ❑ Maps ❑ Lease Agreements El Other:
❑ Yes ONo ❑ NA ❑ NE
❑ YesIo ❑ NA 0 NE
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes F No ❑ NA ❑ NE
El Waste Application n Weekly Freeboard ❑ Waste Analysis n Soil Analysis ❑ Waste Transfers ❑ Weather Code
n Rainfall ❑ Stocking ❑ Crop Yield El 120 Minute Inspections n Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes Li No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes EN No ❑ NA ❑ NE
Page 2 of 3 5/12/2020 Continued

Facility Number:
g- - Hog
Date of Inspection:
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.
fl Failure to complete annual sludge survey
Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating- non-compliance:
• Yes IN No 0 NA I I NE
❑ Yes FNo 0 NA fl NE
Failure to develop a POA for sludge levels
26. Did the facility fail to provide documentation of an actively certilled operator in charge? pi Yes r‘.\No 0 NA l NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? 0 Yes NNo 0 NA 0 NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document n Yes ( No n NA ❑ NE
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? 0 Yes tNo 0 NA 0 NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the n Yes \No 0 NA 0 NE
permit'? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility`? If yes, check the appropriate box below. n Yes No fl NA ❑ NE
[ ] Application Field 7 Lagoon/Storage Pond ] Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ri Yes Ni No 0 NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? n Yes No ❑ NA 0 NE
34. Does the facility require a follow-up visit by the same agency`? 0 Yes No 0 NA 0 NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary)
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 al 3
• .R)r-enot Cti\it1K, .,U01)/N-
Phone:
Date:
5/12/2020