499003_Compliance Evaluation Inspection_20180515

\l1/18/2000 12:44 919-715-6048 DWQ NON DISCHZRGE ER
10 Initial Evaluation 0 Follow-up Evaluation
Facility Number
I 174 3e0.11
® Denied Access
0 Permitted LI Certified J Registered 13 Non -Registered
Date of Evaluation
Time of Evaluation
z-
(j-i�v
24 hr. (hh:mm)
Farm Name: ....._........ Gd...,l a..:d .. err
Owner Name:
,,.. SY..�.ii.a/���r
Onsite Representative:
Facility Contact:
Mailing Address: .-..25 11
Location of Farm:
yCp.t .............
Title:
Inactive Facility
County
Phone No: .... 1. !!a Ate= r\...../ 764 .1.. J'1/6 7
- 77 J
Phone No: _3.. iP...'° _ 61(:- 66) z.-
Date Last Operated:
Integrator:
KA_ 4 , k±ii.,S. 1-DAM,A.Lk 1r� 4 -
.::..•1:.11y; ,!, , :a; }7e$1 Ili;cil i Curiea
Cattle
........... ..1 ;Capacity;:mPoijulation i•:[:
pischarges & Stream Imnacts
I. Is any discharge observed from any lagoon?
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (lf yes, notify DWQ)
c. If discharge is observed, what is'the estimated flow in gal/rnin?
2. Is there evidence of past discharge from any lagoon?
Waste Collection & Treatment
3. Estimate Freeboard Level: ❑ Spillway
Structure 1 Structure 2 Structure, 3 Structure 4 Structure 5
Identifier;
Freeboard (inches): ,,,
❑ Yes No
❑Yes ©Nq
❑ Yes Li No
[]Yes ❑No
❑ Yes f,Rjg
Structure 6
1 6 �I:Lt:'y'1 •(h1r
e o Na
me
ex/Ius x t: �_ _ Review` a. 7 (,1;1
XX
�•6'rr11::
131LS':i:'1
Cl}1,L�i �e
Reviewer/Inspector Signature:
-,47{•1"tr,lF-"1't��:l�?+!"-�1 �^}' :Iti�! li!111•i1ti.1•�11� liYi!�::,IAlll
`l.;..1,,,: •C... ,.r....!;... rt!.a..i.{:t.� : :;I I.:i:•:...1.;..1:..1...
Date: / — (;17)
ILEF
1/12/00

101/18/2000 12:44 919-715-6048 DWQ NON DISCHARGE BR PAGE 04/08
Inactive Lagoon Field Data Sheet
4, Waste Last Added (mm/yy)
Facility Number:
Inactive Lagoon Number:
Latitude Longitude •
AOwner ❑ Estimated
5. Estimate of lagoon surface area (acres) (' 3
6. Effective height Of embankment (feet) / L5 //0 ,
7. Distance to Blue Line or Intermittent Stream (fcct)
CPS ❑ Map
43
❑ < 250 D 250 - 1000
000
S. Down Gradient Well
a. Is there a down gradient well located within 250 feet?
b. Is an intervening stream not located between any part of the lagoon and the nearest well?
9. Distance to WS waters or HQW (tni.)
10. Does the representative know of overtopping from outside waters?
11. Appearance of Lagoon Liquid
a. Sludge Near Surface
b. Lagoon Liquid Dark, Discolored
c_ Lagoon Liquid Clear
12. Embankment Condition
a. Poorly Built, Large Trees, Erosion, Burrows, Slumping, Seepage, Tile Drains, etc.
b. ConstructionwSpecif cation Unknown But Dam Appears in Good Condition
c. Constructed and Maintained to Current NRCS Standards
13. Outside Drainage Area
a. Poorly Maintained Diversions or Large Drainage Area not Addressed in Design
. b. Has Drainage Area Which is Addressed in Lagoon Design
c. No Drainage Area or Diversions Well Maintained
14. Liner Status
a. High Potential for Leaking, No Liner, Sandy Soil. Rock Outcrops Present, etc.
b_ No Liner, Soil Appears to Have Low Permeability
c. Meets NRCS Liner Requirements
15. Application Equipment and/or Sprayfield Not Available
16. Contact could not be made with on -site representative
XL>HDS
1
❑ Yes KNo
❑ Yes ,No
®<5 05-10 K10
El Yes ❑ No ❑ Unknown
❑ -Yes. P`S ' o ❑ Unknown
❑Yes )0lvo
1/12/00

01/18/2000 12:44 919-715-6048
DWG) NON DISCHARGE BR PAGE 03/08
Site Sketch Showing Al! Active and Inactive Lagoons
1
ela2°Z(/ 4-
441( vv`‘i 6a,,
i
s
VLF U�'t'�-----
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ILEF
1/12/00 2