070026_Annual Report_20240402

PEOWW
a AK 0 2 024
ATTACHMENT A
It DB /
ANIMAL FACILITY Al�IEPUT FORM
Report for (previous) Calendar Year: 20_ 23 Today's Date:.�'�'
Certificate of Coverage or Permit Number AW S� 07 009 (o County 71�t`�` T _
Facility Name (as shown on Certificate of Caverage or Permit)' K,i,e `C�N�i f^rtih
Operator in Charge. for this Facility S_ � ax�dCti f1 Operator Certification # 1 S w4
Facility's Integrator, if applicable: n2iCM22i44
V ICLJ r
Part I: Facility Information (As of December 31' of reporting dear unless otherwise specified?:
Land a pplication of animal waste as allowed by the above permit occurred during the past calendar year
YES F-I NO. If NO, skip Part I and proceed to Part II and Part III. Also, if animal waste was
generated but not land applied, attach an explanation on how the animal waste was managed/disposed.
CAWMP SUMMARY
Total number of application Fields or Pulls in the Certified Animal Waste
Fields or
_
_�
�f � . a
Pulls/zones
Management Plan (CAWMP):
_
Total Useable Acres approved in the CA%VMP
Acres
Total pounds of Piant Available Nitrogen (PAN) allowed to be land applied
annually b the CAWMP and the permit: —_
p
1 q S O �
Lbs. PAN
LAGOON SUMMARY .
Number of Permitted Lagoons _
# Loons
Number of Permitted Lagoons with a sludge removal or management plan
per Permit Condition III-22 #Lagoons
ANNUAL OPERATIONS SUMMARY
for all crops, with windows that ended during the previnus calendar yearj
Total number of Fields or Pulls on which land application occurred during
109
Fields or
30
Pulls/zones
the year:
F----43t-f Acres
(g Lbs. PAN
Total Acres on which animal waste was a } died
Total pounds of Plant Available
Permitted Animal Waste
Nitrogen (PAN) applied during
I `�
---1---
the year for all application sites:
Other ]Nutrient Sources (inncl Dry Litter)
� O
Lbs. PAN
SOIL SAMPLE SUMMARY
Total number of Fields or Pulls for which the most recent soils evaluation •
C)
Fields or
-
Pulls/zones
indicated a Soil P (T-index)_Rreater than 400 _ —r
Total usable acres of Fields or Pulls for which the most recent soils
evaluation indicated a Soil P {P-index eater than 4G0 _—
_ O
Acres
AFOAR 4-12-2019

ATTACHMENT A
BENEFICIAL USE SUMMARY
Estimated amount of total manure, litter and process wastewater sold or _ 0 Tons
given to other persons and taken off site during the year O Gallons
PRODUCTION SUMMARY
Annual average number of animals by type at this facility during the previous year
Operation Type Number of Animal
i-n ,Nip �,ZeAx\
Swine
Wean to Finish
Wean to Feeder
Farrow to Finish
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Boar/Stud
Gilts
Other .
Cattle
Dairy Calf
Dairy Heifer
Milk Cow
Dry Cow
Beef Stocker Calf
Beef Feeder
Beef Broad Cow -
Other
Dr► Poultry
Non -Laying Chickens
Laying Chickens
Pullets
Turkeys
Turkey Pullet
Wet Poultry
Non -Laying Pullet
Layers
Other Types
Horses — Horses
Horses — Other
Sheep — Sheep
Sheep - Other
Part II: Facility Status [Respond for activity writhin the Calendar year of reporting year unless
otherwise specifiedl:
Directions: Check box next to the appropriate answer, for each statement were the answer is "No", provide a
written description of any action take taken or pending t6 address the requirements and return the facility to
compliance
1. All "major changes," "revisions," and "amendments" to the CAWMP were made ayes RNo
according to requirements of Condition 1.4.
2. There were no freeboard exceedances in any lagoons or storage ponds. ayes [:]NO
3. There was no PAN application to any fields or crops at this facility greater than the es �No
levels specified in this facility's CAWMP. Lejy
4. Sludge Surveys as required in Condition III.22 have been completed. ayes [:]NO
5. For any temporary lagoon lowering event, drawn down restrictions and record aes [—]NO
keeping requirements in Condition II.29 have been met.
6. Soils analysis were performed within the last three years on each field receiving animal ayes ❑No
waste.
2 AFOAR 4-12-2019

ATTACHMENT A
'7. AlI required monitoring and reporting were performed in accordance with the facility's V Yes No
permit during the past calendar year.
8. Crops as specified in the CAWW were maintained during the past calendar year on all V Yes No
sites receiving animal waste and the crops grown were harvested and removed in
accordance with the facility's permit.
Part III: Affirmation Statement
"I affirm by my signature that this document and all attachments were prepared under my direction or
supervision. The information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the
possibility of civil and criminal penalties."
m-IAA L
Name and Tit:Wty pe or print
O.A,A-fi- i
Signature of Operator in M
(if different from Permittee)
Ir
d2 .-24:)
Date
a-2L.ay
Date
3 AFOAR 4-12-2019