780032_Routine_20230315

Division of Water Resources
Facility Number O Division of Soil and Water Conservation t
0 Other Agency
Type of Visit: Compliance Inspection O Operation Review Q Structure Evaluation Q Technical Assistance
[Zeason for Visit: Routine O Complaint 0 Folloei-up O Referral 0 Emergency 0 Other d Denied Access
Date of Visit: IS, Arrival Time: lfl'. -j Ah Departure 'll'irne. � County: Q N
Farm Name: C �� y �- Owner l-Knlail:
Owner Name: ��� �.� Phone:
Mailing Address:
Physical Address:
Facility Contact: d
Onsite Representative:
It
Certified Operator: At
Back-up Operator:
Location of Farm:
Swine
Title: nui K _-_ Phone:
Integrator: �,JA ae
Certification Number:
Certification Number:
Latitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer-
Non -Layer 4
Wean to Finisll
Wean to Feeder
Feeder- to Finish
Farrow to Wean
Farrow to Feeder -
_
Farrow to Finish
Gilts
Boars
Other _
Design Current
Dry Poultry Canacitv Pon.
Layers
�Pul!ets
Non -Layers
�
TLrrkeys
Turke}� Points
Other
_Discharges and Stream �cts
1. Is any discharge observed from any part of the operation?
Discharge originated at: El Structure ❑ Application Field Other:
a. Was the coriveyance man --made`.'
b. Did the dischar�e reach waters of the State" (I I' yes, notify DW R)
C. WI -rat is the estimated volun-1c that reached waters oi'the State (,rallorrs)'?
d. Does the discharge bypass the waste managemcnt system'? (Il'yes. rrotily DWIZ)
2. Is there evidence of a past discharge from any part ol'the ol)eration?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a dischar-)e?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cole
Non -Dairy
Beel' Stocker
Been Feeder
Beef Brood Cow
El Yes VNo ❑ NA ❑ NE
Yes E/ No
E, Yes No
[:]NA []NE
[NA [NE
[] Yes No DNA NE
Q Yes(/ No NA [ NE
Yes 4No NA NE
Pa(,e 1 o f'3 5/12/2020 Continued

Facility Number: - jDate of Inspection: L2) I
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
StrLICtul-e I Stl-LICWI-C 2 Sti-LICtLIre 3 StrLiCtllre 4
StRICture 5
StrtlCtUre 6
-
Spillway?: _
Designed Freeboard (in):
Observed Freeboard (in):PVA0
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
El 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 DNVR
7. Do any ofthe structures need nlaintenailce or improvement?
❑ Yes
No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the perlllit?
❑ Yes
o
❑ 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
Mj No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or conipliance alternatives that need
❑ Yes
17Q No
❑ NA
0 NE
nlallltellallce or 1111provelllent?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes q No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ 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): cnoQ7n d & �mV d Oj ) UU4 0d-%eP,4 -
13. Soil Type(s): ®�
14. Do the receiving crops differ front those designated in the CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site Heed 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 deternllnatloil"
17. Does the facility lack adequate acreage for land application?
❑ Yes
R No
❑ NA
❑ NE
18. Is there a lack of properly operawity waste application equipment'?
❑ Yes
No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Perniit readily available?
❑ Yes
No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available'? Ifyes, check
❑ Yes
N No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑C'hecklists ❑ Design ❑ Maps ❑ Lease Agreenients ❑Other:
21. Does record keeping need iill provelllent? If yes, check the appropriate box below. ❑ Yes No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste "T'ransfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gaLl"C" ❑Yes No
II'selected, did the facility fail to install and maintain rainbreakers on irrigation equipment'? ❑Yes L No
❑ NA ❑ NE
❑ Weather Code
❑ Slud<�e Survey
❑ NA ❑ NE
❑ NA ❑ NE
Pt,ye 2 o1'3
511212020 Continued

Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant Sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge'? ❑ Yes N No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification'? ❑ Yes 1�q No
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, fi-eeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes N No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes �No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes N No ❑ NA ❑ 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).
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ® NE
recor�s 3 arm 100K goon
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 o f 3
❑ Yes N No ❑ NA ❑ NE
❑ Yes � No 0 NA ❑ NE
❑ Yes N No ❑ NA ❑ NE
❑ Yes N No ❑ NA ❑ NE
Phone: 91T "tf ! I J
Date: 2)'
511212020