900020_Compliance Evaluation Inspection_20230414 (3)

Division of Water Resources
Facility Number ® - FTTJ O Division of Soil and Water Conservation
O Other Agency
Date of Visit: ®' Arrival Time: /O W Departure Time: County: Orl i cn Region: fil a,�,
Farm Name:('ryt (;rfi{ywG s — lebl_S Owner Email:
Owner Name
Mailing Address:
Physical Address: fY
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone:
Title: Phone:
Integrator:
Certification Number:
Latitude:
Certification Number
Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop.
Wean to Finish Layer
Wean to Feeder Non -Laver
Design Current
Dry Poultry Capacity Po .
La crs
Non -La ers
Pullets
Turke
Turkey fruits
Other
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?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dai Calf
Dairy Heifer
Dry Cow
Non-Dairy
Beef Stocker
Beef Feeder
Beef Brood Co,
❑ Yes W No ❑ NA ❑ NE
❑ Yes ® No ❑ NA ❑ NE
❑ Yes q No ❑ NA ❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
W No
❑ NA
❑ NE
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