440011_Inspection_20230928

v Division of Water Resources
Facility Number T( I d Division of Soil and Water Conservation
0 Other Agency
Type of Visit: e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
. Arrival Time: /O<6t7a _Departure Time: •%Y7(l County:
7Rrf�Region: r/�1-(.�
Farm Name::
�r2l
A / �j
�Dt` Owner Email: r�gSl h I C/Ce 40D,_ Cgwt
Owner Name:
- r e--).'iJ
fK�,Q
KP��:5
�tJ���/54,
Phone: g'�-�' / -3 -('o
Mailing Address:
���/7'�G
(�
e,29 „i `-)
� -7
Physical Address:
�^(/,.(�.
p- Ird
/ V S-(&%Ai
q/
20-)7
Facility Contact:
Yi l r_
Title:
Phone:
Onsite Representative:
Certified Operator:
Integrator:
Aw 13 -165
Certification Number: 0
Back-up Operator: Certification Number:
Location of Farm: /9-47 P;_ Latitude: i3,45: , ?y d Longitude: 8,3
La ers
Non -La ers
Pullets
Turke s
Turke Points
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?
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
[:]Yes 1No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑NA ❑ NE
❑ Yes
❑ No.
❑ NA
❑ NE
❑ Yes
allo.
❑ NA
❑ NE
❑ Yes
XNo
❑ NA
❑ NE
Page I of 511212020 Continued

Facili Number: IDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes E4_No ❑ NA ❑ NE
a. If yes, is waste level into the stna;tural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Simulate 6
� {�
Identifier: /Vait-,
Spillway?: �5
Designed Freeboard (in):�
Observed Freeboard(in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
,,,------///
F) No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
T
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
' 9 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
VNo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
gNo
❑ 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
9No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 1XNo
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 5� No
❑ NA
❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN> 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into
Rare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop TYpe(s): C 9�JW S! tA,,, &J1�1 �Jt /r+--'-t.--C2 1 �cS"Z1.c (. , 'F-
Ij_UVC'
13. Soil T➢pe(s):
) 4
P�-ac(daz_k �.�y>i4n db k-.
Qe A Ly�,,,,D......���d+++ 1
�
LS
�U7�
14. Do the receiving cr�ops�diiifflor from those designated in the CAWMP. ✓ 1Vy r1l'(e, ❑ Yes Na
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement? / ❑ Yes No
❑ NA
❑ NE
l6. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes &fNo
❑ NA
❑ NE
acres determination? '
17. Does the facility lack adequate acreage for land application? ❑ Yes 9No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes V No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
NNo
❑ NA ❑ NE
20, Does the facilityfail to have all components of the CAWMP readily available? If yes, check
❑Yes
%No
❑NA ❑NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements
El Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
[�(No
❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall
Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �gNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes U�No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facilit Number: Date of Inspection:
2
24. Did the facility fait to calibrate waste application equipment as required by the permit?
❑ Yes
�A]Ko
❑ NA
❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
EANo
❑ NA
❑ NE
the appropriate basics) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a PDA for sludge
levels
❑ Nan -compliant sludge levels in any lagoon
Liststrucame(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
q No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
No
❑ NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
xj No
❑ NA
❑ NE
and report mortality rates that were higher than normal?
r
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
EA o
❑ NA
❑ 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
❑ Yes
tNo
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility? If yes, check the appropriate box below.
El yes
[)dNo
❑ NA
❑ NE
❑ Application Field ❑ Lagoore/Somage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
114o
❑ NA
❑ NE
33. Did the ReviewerAnspector 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
No
❑ NA
❑ NE
Comments prefer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
arawmgs or racmry TO Water expram situations lose aaarnonar pages as necessary).
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�b✓��,,, 4,� �-ol�- d�r�x'�`? S21iI.T cfaR� �.
G(ewtha
/
Reviewer/Inspector Name: Phone: rl'iL£f"Z.�/�i' �)O(y'i
Reviewer/hrspectorSignature: Date: 9L2941�
Page 3 of 3 511212020

Water Pollution Control System Operators Certification Commission
Operator Continuing Education Hours & Invoice Payment Status
Ross, Hobert D
County: Haywood
Current Renewal Invoice: 2023RE009414
Renewal Invoice Status: Open
CE Hours
CE Hours
CE Hours
CE
Active Certifications
Required
Earned
Needed
Due Date
AWB 21954
6.0
0.0
6.0
1/1/2025
IMPORTANT - PLEASE READ CAREFULLY
Animal waste operators who fail to renew their certificate(s) within the 30 days following 12/31/2023, shall be
considered invalid and shall be required to take and pass the examination for certification in order to become
recertified, in accordance with NCGS 90A-47(b).
Wastewater operators who fail to renew their certificates) by 12131/2023, must pay a $50.00 late penalty in addition
to the $50.00 renewal fee for a total of $100.00, in accordance with NCGS 90A-42(a)(9).
Run Date: 12/11/2023