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820208_INSPECTIONS_20171231
Type of Visit: Q<071iance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit: 6 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: Arrival Time: Departure Time: -(l County: S _f0/V Region: E_ Farm Name: ,F nI �—n o Aty Owner Name: 1 •d Mailing Address: Physical Address: Owner Email: Phone: Facility Contact: LicwL*15 Title: Phone: Onsite Representative: Integrator: in t?--5 Certified Operator: E-t.11 , f IaAr Certification Number: Back-up Operator: Certification Number: Location of Farm: Latitude: Longitude: Design Current Design Current Design Current @oultry Capacity o Finish La er Dai Cow to Feeder (p " 0-` Non -La er Dai Calf to Finish 7Boars Dai Heifer to Wean — �� Design Current D Cow to Feeder D , P,oultr Ca aci P,o , Non -Dairy to Finish La ers Beef Stocker Non -La ers Beef Feeder Pullets Beef Brood Cow Turkeys Other _ Turkey Poults Other I 10ther Dischar¢es and Stream Impacts 1. is any discharge observed from any part of the operation? ❑ Yes _� c[�'No ❑ NA ❑ NE Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: a. Was the conveyance man -trade? ❑ Yes ❑ No �A ❑ NE b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No [5N ❑ NE 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) ❑ Yes ❑ No []'NA ❑ NE 2. is there evidence of a past discharge from any part of the operation? ❑ Yes [3-No ❑ NA ❑ NE 3. Were there any observable adverse impacts or potential adverse impacts to the waters [] Yes El"No ❑ NA ❑ NE of the State other than from a discharge? Page I of 3 21412015 Continued Facility Number: Z - Ds ection: Waste C2ection & Treatment 4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ff Yes NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes Va o PT- A� ❑ NE Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in):� 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 5J Ko ❑ 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 O Yes Ra o ❑ 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 0)o any of the structures need maintenance or improvement? es io ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? [:]Yes a No ❑ 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 r No ❑ NA ❑ NE maintenance or improvement? Waste Application 10_ Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [�No ❑ NA ❑ NE maintenance or improvement? 11 _ Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes 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): G /5 YG 0 C Gy 13 13. Soil Type(s): /V o 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 0fNo" ❑ NA ❑ NE l5 Does the receiving crop and/or land application site need improvement? es ,j'�i�' ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes T� No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes ZINo ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes E5�No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available'? if yes, check ❑ Yes Fj"No ❑ NA ❑ NE the appropriate box. ❑ WUP ❑Checklists [:]Design ❑ Maps ❑ Lease Agreements ❑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 1 " Rainfall Inspections ❑ Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [2,l ❑ NA ❑ NE 23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment'? ❑ Yes ' No ❑ NA ❑ NE Page 2 of 3 21412015 Continued Facility Number: - Z 6 Date of Inspection: 24:,Did tiie facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [�Ko ❑ NA ❑ NE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes Q�Io ❑ NA ❑ NE 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 provide documentation of an actively certified operator in charge? ❑ Yes E3,DIa• ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [D-Ntr- ❑ NA ❑ NE Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document [] Yes [solo ❑ NA ❑ NE 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? ❑ Yes EfNo ❑ 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 Fe]�o ❑ NA ❑ NE permit? (i_e., discharge, freeboard 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? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? 34. Does the facility require a follow-up visit by the same agency? ❑ Yes ❑moo "eso ❑ Yes �0 ❑ Yes [a-. O 3 . 3, r 3 7 % E V�IYt VxA e Spit `A Let Odic (,&lL ollo- 3ot�-bps( Reviewer/Inspector Name: Reviewer/Inspector Signatur Page 3 of 3 ❑NA ❑NE ❑ NA ❑ NE ❑ NA ❑ NE ❑ NA [] NE Phonegjo—g33 3 3 i Date: 21412015 - / D __::Z� 4 Type of Visit: fO'Compliance Inspection U Operation Review O Structure Evaluation U Technical Assistance Reason for Visit: outine Q Complaint Q Follow-up O Referral p Emergency O Other p Denied Access Date of Visit: Arrival Time: Departure Time: !J7(7 County: Region: Farm Name: 6r4 z6i/l la:�Zrfi� Owner Name:Lr�»kI1 6z Mailing Address: Physical Address: Owner Email: Phone: Facility Contact: Title: Phone: Onsite Representative: j fi-s�1 Integrator: � �- J Certified Operator:~" T/Db• Certification Number: Back-up Operator: Location of Farm: Latitude: Certification Number: Longitude: t r g esi. n �. [psi n Carrent _ D g arrant • Design Current 5wine Ca act P: h' 1'0 Ga Pa_o AMC Ca aci Poll. Wean to Finish La er Dairy Cow Wean to Feeder 4. O Non -Layer Dairy Calf Feeder to Finish Farrow to Wean nt D . P,oult , Ca ac Po Dairy Heifer Dry Cow Farrow to Feeder Non -Dairy Farrow to Finish Layers Beef Stocker Gilts Non -Layers Beef Feeder Beef Brood Cow Boars Pullets Qtber Other I 1 n Turkeys Turkey Polets 101 10ther 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)? ❑ Yes 2 No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes [] No ❑ NA ❑ NE d. Does the discharge bypass the waste management system? (If yes, notify DWR) [] Yes [] No ❑ NA ❑ NE 2_ Is there evidence of a past discharge from any part of the operation? ❑ Yes ® No ❑ NA ❑ NE 3. Were there any observable adverse impacts or potential adverse impacts to the waters [:]Yes No ❑ NA ❑ NE of the State other than from a discharge? Page I of 3 21412015 Continued Facili Number: - Date of inspection: 9 /2—! % 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 Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): _ G - 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes gNo ❑ 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 ❑ Yes Eg 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 [:]No ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? Yes [:]No ❑ 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 [:]No ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes/] No ❑ NA ❑ NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. A -Yes ❑ 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 lWindow ❑ Evidence of Wind Drift /❑ Application Outside of Approved Area 12. Crop Type(s): XWmt V4 ���/c�/`�rYid /_"F37h /L!/h3�/3 T' � 13. Soil Type(s): �nl/—,p J k , 14. Do the receiving crops differ from those designated in the CAWMP? Ed Yes ❑ No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ® Yes ❑ No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes E ] No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes ® No ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes [X No ❑ NA ❑ NE Required Records &Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes E No ❑ NA ❑ NE 20. Does the facility fail 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 ❑Other: 21 _ Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes S No ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections 22. Did the facility fail to install and maintain a rain gauge? [—]Yes No 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [:]Yes ® No ❑ NA ❑ NE ❑ Weather Code ❑ Sludge Survey ❑ NA ❑ NE ❑ NA ❑ NE Page 2 of 3 21412015 Continued ` Facility Number: Date of inspection: 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 15-No ❑ NA ❑ NE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check [] Yes u No ❑ NA ❑ NE 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 provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? 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, freeboard 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 CA WMP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? 34. Does the facility require a follow-up visit by the same agency? C] Yes ,M No ❑ NA ❑ NE ❑ Yes QLNo ❑ NA ❑ NE ❑Yes nNo ❑NA ❑NE ❑ Yes ffjNo [] NA [] NE Yes No ❑NA ❑NE [:]Yes No ❑ NA ❑ NE Yes JNo ❑ Yes Eg-No gLYes ❑ No ❑ NA ❑ NE ❑ NA ❑ NE ❑ NA ❑ NE Use drawings. ',oi;iarrtity to:better,explain:: situations•(use'additionalpages as:necessary). 1-7 n .4-r� � � a ���s -3 674 7;;/- ' — P Face ©i d ���15 iJ% � jG�i c � �f �✓' /'T r�/ S �< �- ` �f/ 73 8;t;: I� _ r- 62 elo'; � 1.1 Reviewer/Inspector Name: Reviewer/Inspector Signatui Phone: Date: 2/4a015 Page 3 of 3 Facility Number: — Addihonal4Coatltients a►�silor Di Date of Inspection l ,S e Tfa V ��� d3�-'err � �0, - P 1 4�0' V-U Cain -74 34, �u�R l� 7/25/97 ivision of Water Resources Facility Namber - ® 0 Division of 1-0H5Ud1W10r Consvation her Ageny Type of Visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation Q Technical Assistance Reason for Visit: outine O Complaint Q Follow-up O Referral O Emergency O Other O Denied Access Date of Visit: / bj Arrival Time: c7 Departure Time: ; / County: Region: L?G Farm Name: 6rU_Rn- Owner Email: Owner Name: _ ?S'z1 `f -mow L; Y { 1,� S . Phone: Mailing Address: Physical Address: Facility Contact: Title: Phone: Onsite Representative: Integrator::�)1t1� Certified Operator: ,r�j�`t lT � Certification Number: e;' i3 Back-up Operator: Location of Farm: Latitude: Certification Number: Longitude: Design Current Swine Capacity Pop. Wean to Finish I Wet Poultry ILayer Design Capacity I Current Pop. Design Current Cattle Capacity Pop. Dairy Cow Wean to Feeder 11 INon-Layer I Dairy Calf Feeder to Finish arrow to Wean Farrow to Feeder Farrow to Finish Gilts Dairy Heifer D— Design Current D . P,oultr Ca act P,o La ers Dry Cow Non-DaijX Beef Stocker Non -La ers Beef Feeder Boars Pullets Beef Brood Cow QtherI Other Turkeys ITurkeyPoults Other Discharges and Stream Impacts l . 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? ❑ Yes 29-No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes [:]No ❑ Yes ® No [:]Yes CEkNo ❑NA ❑NE ❑NA ❑NE ❑ NA ❑ NE Page I of 3 21412015 Continued Facility Number: Date of Inspection. c / Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? 2§ Yes � o ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes JZ] No ❑ NA ❑ NE Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): �j /7 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 ❑ Yes 15� 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 ❑ No ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? Yes ❑ No ❑ 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 C!jNo ❑ NA ❑ NE maintenance or improvement? WasteApolicatlon 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes C�jNo ❑ NA ❑ NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes jC -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): ,-%j2.- / �%ycr �t �� ICOrs-r %zU—% 6Y.r s 13. Soil Type(s):��� 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes C! No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes JE[No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes E�J_No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Reauired Records & Documents ❑ Yes f!-No ❑ NA ❑ NE ❑ Yes fo1Vo ❑ NA ❑ NE 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes Jallo ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [:]Yes allo ❑ NA 0 NE the appropriate box. ❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements []Other: 21. Does record keeping need improvement? If yes, check the appropriate box below. [:)Yes RNo ❑ NA ❑ NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis 0 Waste Transfers [] Weather Code ❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes I'�No ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes kT' o ❑ NA ❑ NE Page 2 of 3 21412015 Continued Facility Number: - I Date of Inspection: 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes CE .No ❑ NA ❑ NE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE 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 provide documentation of an actively certified operator in charge? ❑ Yes [3No ❑ NA ❑ NE 27. Did the facility fait to secure a phosphorus loss assessments (PLAT) certification? [:]Yes [KNo ❑ NA ❑ NE Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document [:]Yes allo ❑ NA ❑ NE 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? ❑ Yes R No ❑ 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 Lallo ❑ NA ❑ NE permit? (i.e., discharge, freeboard problems, over -application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes 54-No ❑ NA ❑ NE . ❑ Application Field Cl Lagoon/Storage Pond ❑ Other: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes allo ❑ NA ❑ NE 33. Did the Reviewer/[nspector fail to discuss review/inspection with an on -site representative? ❑ Yes [�J'No ❑ NA ❑ NE 34. Does the facility require a follow-up visit by the same agency? ❑ Yes E4No ❑ NA ❑ NE Comments (refer to question #):::Explain any. YES answers and/or'any additional recommendations or asy other:coiiiments. Use.drawines of facility to better explain situations:a(dt Reviewer/Inspector Name: Reviewer/Inspector Signatur Page 3 of 3 Phone: 2�::* ZA _04_�/ Date: 21412015 Date of Visit: 1 '/�� Arrival Time: (9.' 0 0 Departure Time: ; 0— County Farm Name:f-f�- 1IC�r' _ - Owner Email: Owner Name:r'f'"`'/7�i�"6 Phone: Mailing Address: Physical Address: Facility Contact: �y/�fl���,-,- , Title: 1 Onsite Representative: Certified Operator: Back-up Operator: Phone: Integrator: 1I Region: Z�59___ __0 Certification Number: 2�.3 Certification Number: Location of Farm: Latitude: Longitude: Swine Wean to Finish ;Design aCurrent Caaci Pop. Wet Poultry Layer Design Capacity Current Pop. Desigurrent Cattle 15%nop- Dairy Cow Wean to Feeder jp1,700 1 jNon-L2yer I airy Calf Feeder to Finish --O ' D P,oultr. Layers Design C aei Current P,o ,INon-Dairy Dairy Heifer Dry Cow Farrow to Wean Farrow to Feeder Farrow to Finish Gilts Boars Qther Other Beef Stocker Non -Layers; Beef Feeder Pullets Beef Brood Cow Turkeys t', Turkey Points rjOther 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? [:]Yes 21 No ❑ NA ❑ NE ❑ Yes ❑ No ❑ Yes ❑ No [—]Yes [—]No ❑ Yes w No 0 Yes 0 No ❑ NA ❑ NE ❑NA ❑NE ❑NA ❑NE ❑NA ❑NE ❑NA ONE Page I of 3 21412014 Continued r Facility Number: - Date of Inspection: / { Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes allo ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in):f�— Observed Freeboard (in): 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 ❑ Yes �o ❑ 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 n No ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes Q No ❑ 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 C?4No ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 2 No ❑ NA ❑ NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ®' No ❑ NA ❑ 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):r /fJyrr!/ ❑ NE 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [3 No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need 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 determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? ❑ Yes ® No ❑ NA ❑ NE [] Yes M No ❑ NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes f�j No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [] Yes M No ❑ NA ❑ NE the appropriate box. ❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other: 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes Ex No ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes JZ�No 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes LNo ❑ NA ❑ NE ❑ Weather Code ❑ Sludge Survey ❑ NA ❑ NE ❑ NA ❑ NE Page 2 of 3 214120I4 Continued Facili Number: - DoInspection: /—f i 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ®.No ❑ NA ❑ NE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes E3,No ❑ NA ❑ NE 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 JK No ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 13� No ❑ NA ❑ NE 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, freeboard 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? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? 34. Does the facility require a follow-up visit by the same agency? ❑ Yes 2kNo ❑ NA 0 NE ❑ Yes [.No ❑ NA ❑ NE ❑ Yes E5-No ❑ NA ❑ NE ❑ Yes [&No [DNA ❑ NE ❑ Yes 0 No ❑ Yes [, No [:]Yes ®'No ❑NA ❑NE ❑ NA ❑ NE ❑ NA [] NE Comments (refer to uestion #)- Explai any' -YFS1ffihs*efs and/or any additionals&omr- Use drawines of facility to better exalain situations fei a ddition 1 oaees as neces aryl mendations or any othecommnts. I, - 7Y"� Y� _,, .z 1� -fL. Reviewer/Inspector Name: Reviewer/Inspector Signature: Page 3 of 3 Phone: //� "4V.-y- Date: /S 21412014 I ivi"sign of Water Quality =Ntmber ®- ® © Division of soil and Water Conservation 0 Other Agegcy Type of Visit: ompliance Inspection 0 Operation Review O Structure Evaluation 0 Technical Assistance Reason for Visit: outine O Complaint Q Follow-up O Referral p Emergency 0 Other Q Denied Access Date of Visit: /3 ! Arrival Time: 0 Departure Time: 1 p ' j a County: � Region: �Z Farm Name: ' "C6� �Q ��' `� Owner Email: S Owner Name: z,_rOrt- i+ a6ds Phone: Mailing Address: Physical Address: Facility Contact: Onsite Representative: IA -.C-- I Certified Operator: fri1 _hI" _ �r7 II JS Back-up Operator: 1716D e r Title: G. Integrator: Certification Number: Phone: Certification Number: Location of Farm: Latitude: Longitude: Design- Current Design" 'Current Design Cnrrent Swine Capacity` Pop.' Wet Poultry Capacity Pop. Cattle Capacity Pop. Wean to Finish Layer Dairy Cow Wean to Feeder -o— Non -La er Dairy Calf Feeder to Finish - 'Y` ' ` '- Dairy Heifer Farrow to Wean Design 'Current Dry Cow Farrow to Feeder —o — D , Pronit . Ca aci Pao P. Non -Dairy Farrow to Finish I Layers Beef Stocker Gilts Non -Layers Beef Feeder Boars Pullets Beef Brood Cow M'- Turkeys Other TurkeyPouits Other Other Dischar es 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 DWQ) 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 DWQ) 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? ❑ Yes [3 No ❑ NA ❑ NE [:]Yes [—]No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes 0 No ❑ Yes ERNo [] Yes [gNo ❑NA ❑NE ❑NA ❑NE ❑ NA ❑ NE Page 1 of 3 21412011 Continued ti Facility Number: - jDateof Inspection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes a. If yes, is waste level into the structural freeboard? ❑ Yes Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Identifier: Spillway?: Designed Freeboard (in): / 9 1 C} - 19� 9 Observed Freeboard (in): �e� - 117 z-- 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large trees, severe erosion, seepage, etc.) No ❑ NA ❑ NE ❑No ❑NA ❑NE Structure 6 ❑ Yes Callo ❑ NA ❑ NE 6. Are there structures on -site which are not properly addressed and/or managed through a []Yes [a 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 0 No ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? [-]Yes [allo ❑ 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 [allo ❑ NA ❑ NE maintenance or improvement?, Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 0 No ❑ NA ❑ NE maintenance or improvement? 1 1. Is there evidence of incorrect land application? if yes, check'the appropriate box below. [:]Yes [0 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)=/` 13. Soil Type(s):p/" f fC 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 0 No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes �No ❑ NA El NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes CR No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? ❑ Yes [MNo ❑ NA ❑ NE [:]Yes Dj�No ❑ NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? [] Yes CR�No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check Yes JR1 No ❑ NA ❑ NE the appropriate box. ❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other: 21. Does record keeping need improvement? If yes, check the appropriate box below_ ❑ Yes No ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections 22. Did the facility fail to install and maintain a rain gauge? [:]Yes [ No 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [:]Yes ® No ❑ NA ❑ NE ❑ Weather Code ❑ Sludge Survey ❑ NA ❑ NE ❑ NA ❑ NE Page 2 of 3 21412014 Continued F [Facility Number: Date of inspection: / r 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ER -No ❑ NA ❑ NE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes B No ❑ NA ❑ NE 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 0 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 [g No ❑ NA ❑ NE 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? ❑ Yes [R No ❑ 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 §A�' No ❑ NA ❑ NE permit? (i.e., discharge, freeboard problems, over -application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes [a No ❑ NA ❑ NE ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes allo ❑ NA ❑ NE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes [5j No ❑ NA ❑ NE 34. Does the facility require a follow-up visit by the same agency? ❑ Yes [!.No ❑ NA ❑ NE Comments (refer to question # ): Explain any YES answers andlor.Rany=additional recommendations`or'any other comments Use drawings of facility to better explain situations (use additional pages as:necessary).' 7' a. sew �v Reviewer/Inspector Name: Phone: Reviewer/inspector Signature: Page 3 of 3 Date:�Jl� 21412014 M Type of Visit: ompliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance Reason for Visit: Dunne O Complaint O Follow-up O Referral O Emergency O Other O Denied Access Date of Visit: /� j Arrival Time: �: v D Departure Time:l n County: Region: I� Farm Name: Owner Owner Email: Owner Name: Phone: Mailing Address: Physical Address: Facility Contact: /Lane/- /'yp0y-r Title: Phone: Onsite Representative: �1� _ Integrator: Ctlh- Certified Operator: /�Y���``� r/ da6S Certification Number: ! �� Back-up Operator: Location of Farm: Latitude: Certification Number: Longitude: A,..; Design Current, Design 'Current Design Current Swine Capacity Pope WetPaultry #' Capacity Pop. Cattle Capacity Pop. �. Wean to Finish La er Dairy Cow Wean to Feeder on-Layer]Dairy Calf ;, Dai Heifer Feeder to Finish Farrow to Wean v - Design Current Dry Cow Farrow to Feeder ©, rP.oult . Ca aci P,a Non -Dairy Farrow to finish Layers Beef Stocker Non -Layers Beef Feeder Gilts Boars Pullets Beef Brood Cow Turkeys l7ther Turkey Pouets Other Other Dischar es and Stream Impacts 1. Is any discharge observed from any part of the operation? ❑ Yes VNo ❑ NA ❑ NE Discharge originated at; ❑ Structure ❑ Application Field ❑ Other: a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE 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 DWQ) [] Yes ❑ No [] NA ❑ NE 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes E. No [] NA ❑ NE 3. Were there any observable adverse impacts or potential adverse impacts to the waters [] Yes rUl No ❑ NA ❑ NE of the State other than from a discharge? Page 1 of 3 21412011 Continued Facility Number: - IDate of Inspection: / y Waste Collection & Treatment I 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes lFgNo ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: 2b Spillway?: Designed Freeboard (in):_ �} — �� _ Z 2` Observed Freeboard (in):� 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes Callo ❑ 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 ❑ Yes 14 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 DWQ 7. Do any of the structures need maintenance or improvement? [:]Yes allo [DNA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes QNo ❑ 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 SNo ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes MNo ❑ NA ❑ NE maintenance or improvement? 11. is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes MNo ❑ NA ❑ 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 ❑ Evide/ncelof Wind Drift ❑ Application Outside of Approt ed Area 12. Crop Type(s): /yr� /�d�d S dial / �►�� /��Scs ❑ NE 13. Soil Type(s): of_6 14. Do the receiving crops differ from those designated in the CA WMP? ❑ Yes 0 No [:] NA ❑ NE Airo 15. Does the receiving crop and/or land application site need improvement? Yes ❑ NA ❑ NE 16. Did the facility fait to secure and/or operate per the irrigation design or wettable ❑ Yes ELNo ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents ❑ Yes fun No ❑ NA ❑ NE ❑ Yes ® No ❑ NA ❑ NE 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes CK No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [:]Yes allo ❑ NA ❑ NE the appropriate box. ❑ WUP []Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other: 21. Does record keeping need improvement? If yes, check the appropriate box below. Cig. Yes Ro �❑ NA ❑ NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis 54Soil Analysis ❑ Waste Transfers ❑ Weather Code ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections ❑ Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? [:]Yes [Z No ❑ NA ❑ NE 23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes allo ❑ NA ❑ NE Page 2 of 3 21412011 Continued F"acili Number: p Date of Inspection: ZZ2 — /3 i 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ®,No ❑ NA ❑ NE 25. Is the facility out of compliance with permit conditions related to sludge? if yes, check ❑ Yes RNo ❑ NA ❑ NE 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 provide documentation of an actively certified operator in charge? ❑ Yes C,No ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes Cg No ❑ NA ❑ NE Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes Ca No ❑ NA ❑ NE 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? ❑ Yes CR No ❑ 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 allo ❑ NA ❑ NE permit? (i.e., discharge, freeboard problems, over -application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes gNo ❑ NA ❑ NE ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ZLNo ❑ NA ❑ NE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes PNo ❑ NA ❑ NE Reviewer/Inspector Name: Reviewer/Inspector Signature: Page 3 of 3 Phone: Date: 2✓412011 Date of Visit: d- / rrival Time: Departure Time: -V D County: Farm Name: Fy�' rL Mo A, le=a rA.v Owner Email: Owner Name: M L ; K— t+DA Phone: Mailing Address: Region: Physical Address: Facility Contact: 6;r � Title: Phone: Onsite Representative: S ti Integrator: zgs L •-�/�y a Certified Operator: ��j�� t��1h� Certification Number: Sack -up Operator: Location of Farm: Latitude: Certification Number: Longitude: - �. Designs`"Current Design Current Design ►urrent Swine �Capacrty * Pope Wet Poultry CapacrtyPop tittle Capacity Pop. Wean to Finish La er Dairy Cow Wean to Feeder Non -Layer Dairy Calf F 1 DairyHeifer Feeder to Finish lop_ Farrow to Wean —o FDes�gCurrent D Cow to Feeder '' D . Pooutt , aci „Farrow Po : Non -Dairy Beef Stocker Farrow to Finish Layers Gilts Non -Layers Beef Feeder Boars Pullets Beef Brood Cow — Turkeys - Other Turkey Poults Other Other Discharges and Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: .h a. Was the conveyance man-made? b. Did the discharge reach waters of the State? (If yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? [—]Yes Callo ❑ NA ❑ NE ❑ Yes [] No ❑ NA ❑ NE ❑ Yes [] No ❑ NA ❑ NE d. Does the discharge bypass the waste management system? (If yes, notify DWQ) [—]Yes ❑ No ❑ NA ❑ NE 2. Is there evidence of a past discharge from any part of the operation? [—]Yes MNo ❑ NA ❑ NE 3. Were there any observable adverse impacts or potential adverse impacts to the waters [—]Yes allo ❑ NA ❑ NE of the State other than from a discharge? Page I of 3 21412011 Continued Facility Number: - 9 jDate of Inspection: r / Waste Collection & Treatment �4 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �R_No a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No Structure 1 Structure 2 Structure 3 Structure 4 Identifier: Spillway?: Designed Freeboard (in): f % r�,� Observed Freeboard (in): .3 O 3 —I �3p2 13 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large trees, severe erosion, seepage, etc.) ❑ NA ❑ NE ❑ NA ❑ NE Structure 5 Structure 6 ❑Yes ®No [DNA ❑NE 6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes [2 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 DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes ® No ❑ NA ❑ NE S. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ® No ❑ 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 ® No ❑ NA ❑ NE maintenance or improvement? _Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes R No ❑ NA ❑ NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes Lallo ❑ 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):!'►,1`�7yr ����! (��,n ZWA,— _��•SiS—s 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes n No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes [8 No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes S] No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes RNo ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes ® No ❑ NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes ONo ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes allo ❑ NA ❑ NE the appropriate box. O WUP []Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other. 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes Eallo ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections 22. Did the facility fail to install and maintain a rain gauge'? ❑ Yes ZNo 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes KNo []NA ❑NE ❑ Weather Code ❑ Sludge Survey ❑NA ❑NE ❑ NA ❑ NE Page 2 of 3 21412011 Continued • Facility Number: yg, - Date of Ins ection: / — — / 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes M No ❑ NA ❑ NE 25. Is the facility out of compliance with permit conditions related to sludge? if yes, check ❑ Yes 2,No ❑ NA ❑ NE 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 ® 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 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, freeboard 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? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? 34. Does the facility require a follow-up visit by the same agency? ❑ Yes R'No ❑ NA ❑ NE ❑ Yes [Z No ❑ NA ❑ NE ❑ Yes �No ❑ NA ❑ NE ❑ Yes �No ❑ NA ❑ NE ❑ Yes [3-No ❑ NA ❑ NE ❑ Yes E31No ❑ NA ❑ NE ❑ Yes ®1Vo ❑ NA ❑ NE Comments (refer to question #): Explain any YES answers and/or any additional; recommendations oi- any older comments; Use drawings of facility to better explain situations (use additional pages as necessary). .R `� _ a �frPa�wt, .� 5 11 h�Nvrs1 �i �ti �arr►'� /�`�� G�.az" _ _ Alll� Reviewer/Inspector Name: Reviewer/Inspector Signature: Phone: Date: /0 �.�%�� 21412011 Page 3 of 3 BIMS 17--09 -2_db9 no �_ Type of visit (kCompliance Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: VZ-e8-0411 Arrival/Time: Departure Time: O County:Region: Farm Name: �u %�' ^� h�h�- F �' ___. Owner Email: Owner Name: f`�j��"`� hrb&s Mailing Address: Phone: Physical Address: Facility Contact: Title: �`r' '� ' Phone No: Onsite Representative: r t-c v—�Y� _ Integrator: Certified Operator: e j�` "1-�'b Operator Certification Number:, Back-up Operator: Back-up Certification Number: Location of Farm: Latitude: = e = ` = " Longitude: E=1 ° 0 ' = u Design Current Swine Capacity Pvpulatioa Wet Poultry Design Current n Current Capacity Population CattleE�11��iilllll Capacity Population FEWean to Finish ❑ Layer ❑ DairyCow to Feeder A1190 '(N � ❑ Non -Layer ❑ DairyCalf PWean Feeder to Finish Farrow to Wean Dry Poultry ❑ Layers ❑ Non -La ersPullets ❑ Turkeys ❑ Turkey Poults ❑ Other ❑ DairyHeifer ❑ D Cow ❑ Non -Dairy ❑ Beef Stocker ❑Beef Feeder ❑ Beef Brood Cow Humber of Structures: S9y s ❑ Farrow to Feeder ❑ Farrow to Finish Gilts PE113oars Uther ❑ Other Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? ❑ Yes � [3"No ❑ NA ❑ NE Discharge originated at; ❑ Structure ❑ Application Field ❑ Other a. Was the conveyance man-made? []Yes ❑ No ENA ❑ NE b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑ No f NA ❑ NE c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes ❑ No ,.,� I3 NA ❑ NE 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes Q�N(o El NA ❑ NE 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State El Yes LJ No ❑ NA ❑ NE other than from a discharge? 12128104 Continued Facility Number: 82,-2-0 Date of Inspection Waste Collection & Treatment 4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? ❑ Yes E NNo El, Yes ✓� No ❑ NA ❑ NE ❑ NA ❑ NE Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in): / 19 Observed Freeboard (in): 29 23 .2 Z/L 26 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [3No ❑ NA ❑ NE (ie/ large trees, severe erosion, seepage, etc.) / 6. Are there structures on -site which are not properly addressed and/or managed ❑ � Yes � No ❑ NA ❑ NE through a 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 DWQ 7. Do any of the structures need maintenance or improvement? El Yes l ?No ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes DIo ❑ 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 ElIJ Yes No ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes D<o ❑ NA ❑ NE maintenance/improvement? / 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes L°I<o ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area 12. Crop type(s) C P-tit (A [ lL.L.r �W�G��� f�r ;rc�� wi id �S. G C 4 wj .5� LAI k L _ 13. Soil type(s) No / 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes , � <o ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes L� No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination'[:] Yes ElNA ElNE 17. Does the facility lack adequate acreage for land application? ❑ Yes �IT1,4o LJ NNo ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes [3 No ❑ NA ❑ NE Reviewer/inspector Name " �" ' � " ' ° V_3.3 , 33o o f'GerV 1.S Phone: 9149, Reviewer/Inspector Signature: Date: 12128104 Continued Facility Number: SZ —20;5 Date of Inspection rz -t8 Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? El Yes �o ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes (ZNo ❑ NA ❑ NE the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 13No ❑ NA ❑ NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections El Weather Code 22. Did the facility fail to install and maintain a rain gauge? [IYes 3/No ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes L�� No ❑ NA ❑ NE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes E3 No ❑ NA ❑ NE 25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes [3Io ElNA ElNE 26. Did the facility fail to have an actively certified operator in charge? ElYes El'*NNo ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ET -No ❑ NA ❑ NE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes D o ❑ NA ❑ NE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document [] Yes Ej No ❑ NA ❑ NE and report the mortality rates that were higher than normal? 30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes B N ❑ NA ❑ NE If yes, contact a regional Air Quality representative immediately 31. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes ErNo ❑ NA ❑ NE General Permit? (ie/ discharge, freeboard problems, over application) �,..,,// 32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? El Yes B o ❑ NA ❑ NE 33. Does facility require a follow-up visit by same agency? ❑ Yes No ❑ NA ❑ NE 12128104 r� 3r^ s I -o 8- 0 9 ,L>.R_ Division of Water Quality Facility Number .Z d 0 Division of Soil and Water Conservation 0 Other Agency Type of Visit Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: V1-/7-p Arrival Time: 1t7; f`O Departure Time: //.�3O County: w� Sanl Region: F� Farm Name: F ��✓ 104h_V i'. Owner Email: Owner Name: �!f^J t11'��S Phone: Mailing Address: Physical Address: Facility Contact: �r`-� a 0aV,0.. Title: _ 1Gc. ZPw._ Phone No: Onsite Representative: Integrator: Certified Operator: Back-up Operator: Operator Certification Number: Back-up Certification Number: Location of Farm: Latitude: a o a { =46 Longitude: = ° ❑ 1 = U Swine Design Current Design Current Capacity Population Wet Poultry Capacity Population ❑ Layer f $0 a I ❑ Non -La et ❑ Wean to Finish 121 Wean to Feeder ElFeeder to Finish Farrow to Wean ,S El Farrow to Feeder ElFarrow to Finish ❑ Gilts ❑ Boars Other ❑ Other Dry Poultry ❑ Layers ❑ Non -Layers ❑ Pullets ❑ Turkeys ElTurke Poults ElOther Discharees & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ElStructure ❑ Application Field ElOther a. Was the conveyance man-made? Design Curre Cattle Capactty',Populai ❑ Dairy Cow El Dairy Calf El Dairy Heifer El Da Cow El Non-Dairy ElBeef Stocker ElBeef Feeder ElBeef Brood Co Number of Structures:,.) b. Did the discharge reach waters of the State? (If yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation'? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No ❑ NA ❑ NE ❑ Yes ❑ No L3 NA ❑ NE ❑Yes El No D A El NE ❑ Yes ❑ No NA ❑ NE El Yes ,�,N'No�o ❑NA El NE ❑ Yes L3❑ NA ❑ NE 12128104 Continued r y Facility Number: SZ —2 Date of Inspection /2-/7- Waste Collection & Treatment 4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 3-5'o ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes 0-156 ❑ NA ❑ NE Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: L Q: ,L4 0Z ve3 Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes B- o ❑ NA ❑ NE (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes 2igo- ❑ NA ❑ NE through a 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 DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes aNu-❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes CT5o ❑ 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 El< ❑ NA ❑ NE maintenance or improvement? Waste Application �,� 10. Are there any required buffers, setbacks, or compliance alternatives that need ElE Yes No ❑ NA ❑ NE maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes �o . ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ FAN > 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 Area 12. Crop type(s) 13. Soil type(s) 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes BNo ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes 3'gTo ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ yes [EtNO ❑ NA ❑ NE 17. Does the facility lack adequate acreage for land application? ❑ Yes B-No ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes [4No ❑ NA ❑ NE Comments (refer to question ft Explain any YES answers and/or any recommendations or any other comments. Use drawings of facility to better explain situations. (use additional pages as necessary): Reviewer/Inspector Name R c 1Rppe✓c.I5 Phone: Wa V33. 333D Reviewer/Inspector Signature: Date: !Z --/7— Zdo$ 12128104 Continued Facility Number: gZ -20 Date of Inspection IZ —/7—D$ Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes BINK. ❑ NA ❑ NE the appropiate box. ❑ WUp ❑ Checklists ❑ Design ❑ Maps ❑ Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes B o ❑ NA ❑ NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain inspections ❑ Weather Code 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes:0�__01:1 NA ❑ NE 24. Did the facilityfail to calibrate waste application equipment as re required b the permit? PP9 Y ❑ Yes NA ❑ NE 25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes 3<o ❑ NA ❑ NE 26. Did the facility fail to have an actively certified operator in charge? ❑ Yes [FIND ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes to ❑ NA ❑ NE Other issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes No ❑ NA ❑ NE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes E3 o ❑ NA ❑ NE and report the mortality rates that were higher than normal? 30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ yes �, E4 o ❑ NA ❑ NE If yes, contact a regional Air Quality representative immediately 31. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes L-fi' o ❑ NA ❑ NE General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/inspector fail to discuss review/inspection with an on -site representative? ❑ Yes E No ❑ NA ElNE 33. Does facility require a follow-up visit by same agency? ElYes —❑ NA 01Q0 ❑ NE Comments and/or Drawings: 12128104 Frac�HtOlqumber I$ Division of Water Quality �Q 1b 0 Division of Soil and Water Conservation bW 0 Other Agency Type of Visit ,* Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit IRRoutine 0 Complaint 0 Follow up 0 Referral O Emergency 0 Other ❑ Denied Access Date of Visit: ISlul Arrival Time: � Departure Time: �� County: Farm Name: 'Q-L tiY1 S jIV\ Owner Email: . Owner Name: ,�!�s 6 D S Phone: Mailing Address: Region: Pe Physical Address: {�(� Facility Contact: Galff4X�!,wn;. Title: Phone N �� Onsite Representative: Integrator:"_ � Certified Operator: ��� b 6 S Operator Certification Number: Back-up Operator: Back-up Certification Number: Location of Farm: Swine Latitude: = O [= Longitude: [� ° [= s Design Current Design Current Capacity Population Wet Poultry Capacity Population ❑ Layer C7 ❑ Non -La er ❑ Wean to Finish Wean to Feeder ❑ Feeder to Finish ES -Farrow to Wean S ❑ Farrow to Feeder ❑ Farrow to Finish ❑ Gilts ❑ Boars Other ❑ Other Dry Poultry ❑ La ers ❑ Non -Layers ❑ Pullets ❑ Turkeys ❑ Turkey Poults ❑ Other Discharges & 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 DWQ) Design-;.:. C Cattle Capacity,',,-,.o ❑ Dairy Cow ❑ Dairy Calf ❑ Dairy Heifer ❑ Dry Cow ❑ Non -Dairy ❑ Beef Stocker ❑ Beef Feeder ❑ Beef Brood Cowl c. What is the estimated volume that reached waters of the State (gallons)? Number of Structures d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes N No ❑ NA ❑ NE ❑ Yes ❑ No [A NA ❑ NE ❑ Yes ❑ No OFNA ❑ NE ❑ Yes ❑ No �NA ❑ NE ❑ Yes 03 No ❑ NA ❑ NE ❑ Yes yPNo ❑ NA ❑ NE 12128104 Continued Facility Number: 1— Date of Inspection 0 i v 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 Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in): ! lot Observed Freeboard (in): a2 2 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes P3aVo ❑ NA ❑ NE (ic/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes 1,No ❑ NA ❑ NE through a 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 DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes �4No ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes PNo ElNA ElNE (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 No ❑ NA ❑ NE maintenance or improvement? Waste Aoolication I0. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes [�ZNo ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ PAN > 10% or l0 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ElEvidenceof Wind Drift ❑ Application Outside of Area 12. Crop typef s} '. �Z1 hA '3:5YYZ 13. Soil type(s) 1 vO 101 k 14. Do the receiving crops PTer from those designated in the CAWMP? ❑ Yes 10 No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes ()a No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes (P No ❑ NA ❑ NE 17. Does the facility lack adequate acreage for land application? ❑ Yes No ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes [5ONo ❑ NA ❑ NE Comments (refer to question ft Explain any YES answers and/or any recommendations or any other comments. 1_ Use drawings of facility to better explain situations. (use additional pages as necessary): I 9 ", cxu� tkP6 :M (t' MV CL lorlgcS , Reviewer/Inspector Name i NU " Phone: 10 n xiJ Reviewer/Inspector Signature: Date: 0C.-T 12128104 Continued Fac, ity Nutuber:1 Date of Inspection hel Irl Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes rgNo ❑ NA ❑ NE 20, Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE the appropirate box. ❑ WUp [l Checklists ❑ Design ❑ Maps ❑ Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes fj No ❑ NA ❑ NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report the mortality rates that were higher than normal? 30. 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 31. Did the facility fail to notify the regional office of emergency situations as required by General Permit? (ie/ discharge, freeboard problems, over application) 32_ Did Reviewer/inspector fail to discuss review/inspection with an on -site representative? 33. Does facility require a follow-up visit by same agency? jAdditional Comments and/or Drawings: ❑ Yes No ❑ NA ❑ NE ❑ Yes bgNo ❑ NA ❑ NE ❑ Yes DO No ❑ NA ❑ NE ❑ Yes FNo ❑ NA ❑ NE ❑ Yes WNo ❑ NA ❑ NE ❑ Yes 0 No ❑ NA ❑ NE ❑ Yes No ❑ NA ❑ NE ❑ Yes No ❑ NA ❑ NE ❑ Yes No ❑ NA ❑ NE ❑ Yes F1 No ❑ NA ❑ NE ❑ Yes ELNo ❑ NA ❑ NE ❑ Yes Q No ❑ NA ❑ NE 12128104 Type of Visit WCompllance Inspection O Operation Review 0 Structure Evaluation O Technical Assistance Reason for Visit ;Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access Date of Visit: Lp OLD Arrival Time: Departure Time: County Region: Faris Name: _ -l�i'�Y���s�- - Owner Email: �} Owner Name: _�drl _ Hip ugS Phone: Mailing Address: Physical Address: Facility Contact: Y-f,. Title�eC Onsite Representative: ve-u yc Certified Operator: r- A k e jAu b b S Integrator: Phone No: '_4Y Operator Certification Number: 121 3 ai Back-up Operator: Back-up Certification Number: Location of Farm: Latitude: = = =4 Longitude: = o =1 = u Design Current Design Current Swine Capacity Population Wet Poultry Capacity Population Design Current Cattle Capacity Population ❑ Wean to Finish ❑ La er ❑Dai Cow ©'Wean to Feeder S-0 a ❑Nan -La er ❑Dai Calf ❑ Feeder to Finish arrow to Wean ❑ Farrow to Feeder Dry Poultry. -: ,c ❑Dai Heifer ❑ D Cow ❑ Non -Dairy ❑ Beef Stocker Beef Feeder ;. ❑ Beef Brood Co ,, N'umber of Structures: ❑ La ers ❑ Farrow to Finish ElPullets PE3Gilts Boars ❑ Turkeys - Other ❑ Other ❑ Turkey Poults ❑ Other - Discharees & Stream Impacts 1. Is any discharge observed from any part of the operation? ❑ Yes 1 J No ❑ NA ❑ NE Discharge originated at: ❑ Structure ❑ Application Field ❑ Other a. Was the conveyance man-made? ❑ Yes ❑ No NA ❑ NE b. Did the discharge reach waters of the State'? (If yes, notify DWQ) ❑ Yes ❑ No E NA ❑ NE c_ What is the estimated volume that reached waters of the State (gallons)? `' d. Does discharge bypass the waste management system? (If yes, notify DWQ) Yes ❑ No A ❑ NE 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes E3,<o ElNA ❑ NE 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑ Yes U ❑ NA ❑ NE other than from a discharge? Page I of 3 12128104 Continued Facility Number: ',k AQ% Date of Inspection l Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �4 No ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No )�] NA ❑ NE Structure 1 Structure 2 Structure 3 S cture 4 Structure 5 Structure 6 Identifier: Spillway?: nn Designed Freeboard (in): Observed Freeboard (in): Vil 5_ Are there any immediate threats to the integrity of any of the structures observed? []Yes JXo ❑ NA ❑ NE (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes J*No ❑ NA ❑ NE through a 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 DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes 0No ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes 01 No ❑ 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 ffNo ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes R<o ❑ NA ❑ NE maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No [:1 NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ PAN > l0% or ] O lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Aj�}re�a�� 12. Crop type(s) ry) fQA'11A 1 0 5 W S SiDJ- 13. Soil type(s) �Q(' 0I L - 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes Ej. <o ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes a1q'o ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes B'_No ❑ NA ❑ NE 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? ❑ Yes 521,J0 ❑ NA ❑ NE ❑ Yes P-NO ❑ NA ❑ NE 'Comments (refer to question 9): Explain any YES answers and/or any; recommendations or any other comments. Use drawings of facility to better explain situations. (use additional pages as necessary): ° Reviewer/Inspector Name I Phone: 10 3��3 30D Reviewer/Inspector Signature: Date: tp loo(0 Page 2 of 3 12128104 Continued Facility Number: Date of Inspection t Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes h No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes 2No ❑ NA ❑ NE the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps [I Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes Q-N'o' ❑ NA ❑ NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ MonthIy and I" Rain Inspections ❑ Weather Code 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes IgKo ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No RigA ❑ NE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ONA ❑ NE 25_ Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes [,To ❑ NA ❑ NE 26. Did the facility fail to have an actively certified operator in charge? ❑ Yes Q'No ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No [B1A ❑ NE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes fJ No ❑ NA ❑ NE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes E(No ❑ NA ❑ NE and report the mortality rates that were higher than normal? 30. At the time of the inspection did the facility pose an odor or air quality concern? El Yes ,� E No ❑ NA ❑ NE If yes, contact a regional Air Quality representative immediately 31. Did the facility fail to notify the regional office of emergency situations as required by El Yes ,�/ L� No ❑ NA ❑ NE General Permit? (iel discharge, freeboard problems, over application) 32, Did Reviewer/inspector fail to discuss review/inspection with an on -site representative? ❑ Yes 02rNo ❑ NA ❑ NE 33. Does facility require a follow-up visit by same agency? ❑ Yes ErNo ❑ NA ❑ NE Additional Comments and/orDrawings:' a Page 3 of 3 12✓28/04 Facility. No. `b D Time In �U Time Out Date Farm Name �cSY1I'' �hS Integrator � c-r� S4 j _ Owner `'e h5 Site Rep Operator ,cN�S No. a �� Back-up No. - COC ✓ Circle: CGene or NPDES Design Current Design Current — F d Farrow — Feed Wean — Finish Farrow — Finish Feed — Finish Gilts / Boars rrow — We Others FREEBOARD: Design Sludge Survey Crop Yield Rain Gauge L� s Soil Test PLAT V Observed Weekly Freeboard Daily Rainfall Calibration/GPM / — Waste Transfers Rain Breaker Wettable Acres r� Spray/Freeboard Drop Weather Codes ✓ 120 min Inspections Waste Analysis: Date Nitrogen (N) t (D_ 2� l7 r.7 3..o 1-in Inspections Date N Nitrogen 9 ( ) Pull/Field Soil Crop Pan Window N�Y K_ 5b �o ` i.49 1. too 3 - L" �. /,?3 s Ce o f Type of Visit 0 Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance Reason for Visit 0 Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access Date ofVisit: - 1$ -070 Arrival Time: Departure Time: County: Region: i Farm Name: er fe,l6an H,445 __ ___ Owner Email: Owner Name: frifitD_R mm AW9S_ Phone: Mailing Address: Physical Address: Facility Contact: Onsite Representative: Certified Operator: Back-up Operator: Location of Farm: Swine Wean to Finish Wean to Feeder Feeder to Finish Farrow to Wean Farrow to Feeder Farrow to Finish Gilts Boars Other ❑ Other Title: Phone No: Integrator: s Operator Certification Number: Bach -up Certification Number: Latitude: = o ❑' [� Longitude: ❑ o = ❑ Design Current Design Current Capacity Population Wet Poultry Capacity Population ❑ Layer I❑ Non -La ei Dry Poultry ❑ Layers ❑ Non -La ers ❑ Pullets ❑ Turkeys ❑ Turkev Poults ❑ Other Discharges & 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? Cattle Design Cu-rrent., . ;. Capacity .:,Population ,k' ❑ Dairy Cow ❑ Dairy Calf QDairy Heifei ❑ Dry Cow ❑ Non -Dairy ❑ Beef Stocker ❑ Beef Feeder ❑ Beef Brood Cow Number of Structures:: r b. Did the discharge reach waters of the State? (If yes. notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3_ Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Ees El No ❑NA ❑NE ❑ Yes ❑'No ❑ NA ❑ NE ❑ Yes BIN ❑ NA ❑ NE ❑ NA ❑ NE ❑ Yes [2No ❑ Yes ["No ❑ NA ❑ NE ❑ Yes Eal) o ❑ NA ❑ NE 12128104 Continued Facility Number: — I Date of Inspection I d'/ Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ No ❑ NA DINE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA ENE the appropirate box. ❑ wup ❑ Checklists ❑ Design ❑Maps El Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA 0"NE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No ❑ NA E]�NE 23, If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA DNE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA �E 25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑ No ❑ NA 26. Did the facility fail to have an actively certified operator in charge? ❑ Yes ❑ No ❑ NA 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No ❑ NA eNE Other Issues , 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? El Yes ❑ No ❑ NA R NE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes ❑ No ❑ NA ONE and report the mortality rates that were higher than normal? 30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes ❑ No ❑ NA ❑ NE If yes, contact a regional Air Quality representative immediately 3 1. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes ❑ No ❑ NA aNE General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ❑ No ❑ NA ONE 33. Does facility require a follow-up visit by same agency? ❑ Yes ❑ No ❑ NA ®NE Wssle was #rVv0%a1 I-. Aare lwoj RppA'eol av1s,dv pA -,,°/°%e,��•�q r�•�%.l Was �a was jo enn�G.,� �., ic►.,,, Pa �� ....� wri nod i►ra i ,S, 9 . %%� XJ�.io�v�.r. �h ��1 k/�1 Hdr ar�ldwt� b7,Rrr G+.s cuss e,� ""'7-C 14, f P t i i� rlj ij i Ftdw 1 �I K/�tn, n1 Li�er ��.t n9 wdrA w,' Farms, Qwa d/aAre Of Purr v� f� t irr,''on �I b.— / J II Goa lC C(/� a pool u'� '✓•rt� G,..�I `�/iG T'►�IMsr r�lie3 9d: w' �1 �rII r e k Svr.t/o ^ •. 0 M&( la�oA�. 12128104 Facility Number: — Date of Inspection 0 Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ No ❑ NA P TE a` If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA �NE Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No ❑ NA E (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ❑ No ❑ NA U NE through a 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 D_W__QQ 7. Do any of the structures need maintenance or improvement? ❑ Yes El No El[7 NA NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ❑ No ❑ NA U 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 ❑ No ❑ NA [!I/NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA ['/NE maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ONE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area 12. Crop type(s) 13. Soil type(s) 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ No ❑ NA L-NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No ❑ NA ENE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination' El Yes ❑ No ❑ NA P NE 17. Does the facility lack adequate acreage for land application? ❑ Yes ❑ No ❑ NA ENE 18. Is there a lack of properly operating waste application equipment? ❑ Yes ❑ No ❑ NA ENE Q tl/d S�u7� a6se"e -Pear .',g CVeirf 7�a1�%t9 0/*r=, A✓064 w 0A0.0 ,.P,,/ 7'b 6t -sP'ar; ? o ✓><s `c% o X any. h /, `" P:'s- v 4w Q a ia. f e a �s�� u/ f. V'L. /* 4 3PrK rrt _too e �, ', Gt/,1 vps.1 '.Isec7�i.te) tprq i 1Cia'or Reviewer/Inspector Name /7a�! Phone: y'ky �g.j. e�f7sp Reviewer/Inspector Signature: Date: g- rg 12128104 Continued 10 Type of Visit 4P Compliance Inspection O operation Review Q Structure Evaluation O Technical Assistance Reason for Visit ORoutine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access Date of Visit: 7 - 11 A s Arrival Time: I ,00 Departure Time: County: Sea�+y4�Q� Farm Name: fo/fay .66s 6g , Owner Email: Owner Name: 4& Phone: Mailing Address: Physical Address: Facility Contact: fe-#a,I H 4s _ Title: Onsite Representative: Fee Certified Operator: Fe /la., Ho66s Back-up Operator: Location of Farm: Design Current Swine Capacity Population ❑ Wean to Finish ❑ Wean to Feeder ❑ Feeder to Finish ❑ Farrow to Wean ❑ Farrow to Feeder ❑ Farrow to Finish ❑ Gilts ❑ Boars Other ❑ Other Phone No: Integrator: Operator Certification Number: Back-up Certification lumber: Region: Latitude: E--] o El, E--] " Longitude: E—_1 o ❑ , El Design Current Wet Poultry Capacity Population ❑ Laver ❑ Non -Layer Dry Poultry ❑ La ers ❑ Non -Layers ❑ Pullets ❑ Turkeys ❑ urkey Poults ❑ Other Discharges & 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'? Design Curren# Cattle Capacity Population.' ❑ Dairy Cow ❑ Dairy Calf ❑ Dairy Heifer ❑ Dry Cow ❑ Non -Dairy ❑ Beef Stocker ❑ Beef Feeder ❑ Beef Brood Cowl b. Did the discharge reach waters of the State? (if yes, notify DWQ) e. What is the estimated volume that reached waters of the State (gallons)? Number of Structures: d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes EJIi o ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ NA ❑ NE ❑ Yes ❑ No ❑ Yes 0'No ❑ NA ❑ NE ❑ Yes G,&o ❑ NA ❑ NE 12128104 Continued i Facility Number: g — p Date of Inspection Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ No ❑ NA 2 fvE a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA 011 E Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No ❑ NA D<E (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ❑ No ❑ NA ❑ NI, through a 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 DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ No ❑ NA EKE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ❑ No ❑ NA ONE (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 ❑ No [__1 NA maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No _ ❑ NA maintenance/improvement? ]]_ Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA [2 NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen'Ground ❑ Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area 12. Crop type(s) 13. Soil type(s) 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ No ❑ NA ❑-KEE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No ❑ NA [JOKE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑ Yes ❑ No ❑ NA Q� E 17. Does the facility lack adequate acreage for land application? ❑ Yes ❑ No ❑ NA ONE 18. Is there a lack of properly operating waste application equipment? ❑ Yes ❑ No ❑ NA ❑' iE Contuments (refer to question #): Eaplaitn any YES answers and/or any recommendations or any other comments. Use drawings of facility to better explain situations. use additional pages as necessary): Reviewer/inspector Name t Phone: e/O• —/ o Reviewer/inspector Signature: Date: 12128104 Continued ji Date of Inspection Facility Number: Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ No ❑ NA aNE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA [NNE the appropriate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑ Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [:]No ❑ NA aNE ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No ❑ NA 9'&E 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ENE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA ORE 25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑ No ❑ NA ffNE 26. Did the facility fail to have an actively certified operator in charge? ❑ Yes ❑ No ❑ NA [�iE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No ❑ NA [2'IqE Other Issues 28_ Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA 21 E 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes ❑ No ❑ NA aNE . and report the mortality rates that were higher than normal? 30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes ❑ No ❑ NA ❑'1�_E If yes, contact a regional Air Quality representative immediately 31. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes ❑ No ❑ NA ONE General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes 2"No ❑ NA ❑ NE 33. Does facility require a follow-up visit by same agency? 011y, es ❑ No ❑ NA ❑ NE _ , A"ddit�onal Comments;an. Drawtngs M _.. t :. ... Y- D W Q S ra'r7 v,s lj la e..ft 4r*' r no�; c.'�y SC✓Pra noble ans LoiVoh -' { 1J a YSiT� U f/rr Hp 4i► rMr/1 AF : iit ?!:�Gr1P, SC d�rCt / pT lAe S�'O'- n 0 IL 4rac13 iv t re ra I Sp / r 1[l�,- 4 "1e!S w«e `rarlxon� ar oq� C ou s�,„ I b c�,� �a(a a � etc �a66 At irr ; / / s k/i.,,7 6/US le lo /a h Gvu s W U S � - f +�1/� 1II pPi �rr n� �o��O w ✓ r 1 &11 S✓"t 12128104 Syst�r�+ wr„S �'.'xe�, e Type of Visit 46 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit a Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: �. 7]-ep Arrival Time: p:?S~ Departure Time: County: S9_-to_ n Region: Farm Name: Foe / Owner Email: Owner Name _�G(l�a., HD64� Phone: Mailing Address:._-r%�S% Cha/ 1 A& Physical Address: Facility Contact: lio.,.r;e Al-11"_ s — Title: Phone No: Onsite Representative: Avnej,;o"A., s &ee, W~e, fol& /y&s Integrator: Poc,.,.'.._; Certified Operator:, Felton /YoS Operator Certification Number: Back-up Operator: Back-up Certification Dumber: Location of Farm: Latitude: ❑ n = & = 4i Longitude: ❑ ° = I = Design Currenta F' �Dresign Current Design Current Swine Cap�ac�ity Popul� aan'Qu1tryCapacity Population€ Cattle Capacity Population can to Finish IL p ElLayer ❑ Dairy Cow ❑ Wean to Feeder 10 Non -Layer I ❑ Dairy Calf ❑ t Feeder to Finish=` z` `'" ❑Dai Heifer El Farrow to Wean ''D Pouf ' M ❑ Dry Cow Farrow to Feeder L O� ❑ Non -Dairy ❑ Farrow to Finish ❑ Layers ❑ Beef Stocker ❑ Non -Layers ❑ Gilts " ❑Beef Feeder ❑ Boars ❑ Pullets ❑ Turkeys: ❑Beef Brood Cowi Other ❑Turkey Points��.. ❑ Other ❑ Other mlaer¢of Structures: Discharges & 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 DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 2<o ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ NA ❑ NE ❑ Yes ❑ No ❑ Yes ["To ❑ NA ❑ NE ❑ Yes 2No ❑ NA ❑ NE 12128104 Continued • r Facility Number: 81 Date of Inspection Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes E;Mo ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: '9 3 - Spillway?: _ n o hn O Designed Freeboard (in): .2p, S Observed Freeboard (in): 715-'# 97,E S y 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 0,1�o ❑ NA ❑ NE (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ❑ Flo ❑ NA ❑ NE through a 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 DWQ 7. Do any of the structures need maintenance or improvement? ❑Yes l._I No ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes 21�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 [?No ❑ NA ❑ NE maintenance or improvement'? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [3No ❑ NA ❑ NE maintenance/improvement? 11. Is there evidence of incorrect application? if yes, check the appropriate box below. ❑ Yes [,;'No ❑ NA ❑ NE ❑ Excessive Pond ing ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ PAN > 10% or 10 Ibs [:]Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window [:]Evidence of Wind Drift ❑ Application Outside of Area SO ,y y 1ao a-v7 12. Crop type(s) Sm, // /�.o.:, �rY/d p IQYe /"1. /lei _ - - 13. Soil type(s) 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 01.10 ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes []'<o ❑ NA RII1 E 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination` ❑ Yes ❑ No ❑ NA 2—NE 17. Does the facility lack adequate acreage for land application? ❑ Yes Bl o ❑ NA -0 NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes DNo ❑ NA ❑ NE ES`ansv ers, and/orra f �is:;(ase:aiiditiionaI;p '^t pleS,9rJ AOI 1-4e 7s14. Z6seM CGllj or ;to• '' !/+e C/Aer4rre 4,9ewS at'e I(p✓L L[ Q/L►wrw.f Orn FIle. 6V41veor CC4" e.n/Ad/ '�+• vsd'- VRCS �or irror0 017, Reviewer/inspector Name `! Phone:. Qp-KYrt,r Reviewer/Inspector Signature: Date: .01 12/28/04 Continued Facility Number: g :�t — Date of Inspection -o t Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 3-go ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes. check ❑ Yes ❑'Ko ❑ NA ❑ NE the appropirate box_ ❑ r ❑ C❑ El O fh 'ts ❑ D 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [2'�o ❑ NA LINE , a.yo ❑ Eld ❑ ❑ Saj_66 is ❑ Wasie Trftrtmferr� ❑ Annual Certification ❑A36 4 2H ❑-&t�l ❑ "r4p4+ d ❑ 1 L ns ❑ ❑ 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report the mortality rates that were higher than nonnal? 30. 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 31. Did the facility fail to notify the regional office of emergency situations as required by General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? 33. Does facility require a follow-up visit by same agency? ❑Yes P-Ko ❑NA ❑NE ❑ Yes ❑ No ❑ NA D-KE ❑ Yes ❑ No ❑ NA D-,'�E ❑ Yes ❑ No 6NA 94, E ❑ Yes U-No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ Yes ER No ❑ NA ❑ NE ❑ Yes I_,_7 No ❑ NA ❑ NE ❑ Yes E�No ❑ NA ❑ NE ❑ Yes �No ❑ NA ❑ NE ❑ Yes [ZNo ❑ NA ❑ NE ❑ Yes [�rNo ❑ NA ❑ NE Additional.Cotnments and/or Drawings: Ppedtle rr A/u u /a reel, & .5�-h,s Lp, 3 hqy 04G Jf.eiG M f f ieS.�C W 'Ne /age.., :Na- 4as sasre eres,i1, 4/04/e a e res a re Le r1^3 A/-Vs.r/ F'o, fie -VI � ., g , 6✓.1s •/c /114? w1w 6 . �� � � f.� 'lest, 12128/44 d Type of Visit compliance Inspection O Operation Review O Lagoon Evaluation Reason for Visit 04 outine O Complaint O Follow up O Emergency NotjpcAtjpr)_•Q Other ❑ Denied Access F7 Facility Number O $ Date of Visit: Time:REM `d:-30 Q Not Operational Q Below Threshold 0 Permitted 13 Certified [3 Conditionally Certified 13 Registered Date Last Operated or Above Threshold: ..... Farm Name: ..... ... She �......_ —' _.....n ... -• — -- -_.. _ b County: Owner Name: �[ II 1 CAS i, Ph - ..-�.�....�_-�-.......S W... .... 1.�_.......�..,....�.......�..........�......�_....... one No: 4 �........ a3 , o a -Mailing Address:.. �G .. _._. _ _... --��kob, itjC ----- `�83�8 Facility Contact: ..•-.-. _ .._ __Title:-.---_D t.� heQ Phone No: sOnsite Representative* Integrator•. ---r .n=•�+�.., �✓..... Certified Operator:.._.-Me-asC ^ _ S t� Operator Certification Number:__—_--_ Location of Farm: R Swine [IPoultry ❑ Cattle ❑ Horse Latitude �• �` �" Longitude • ' « Swine ean to Feeder %� t) Feeder to Finish Farrow to Wean ow to Feeder (potsow to Finishsrs E al•u�! Cf/f _--. •_ 4•• {..Ya rPouitry-� Ca-3ECl Po Blatian Cattle _ •.Ca' aCi APO" hon;. it Layer Dairy F =: ❑ Non -Layer [] Non -Dairy l Other - Total D C. r al 4 r T SSLW otal-iT Number ofLago�o s � � F � ` Discharges & Stream Imaacks 1. Is any discharge observed from any part of the operation? ❑ Yes Gr&o Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑yes ❑ No c. If discharge is observed, what is the estimated flow in gal/min? d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No 2. Is there evidence of past discharge from any part of the operation? ❑ Yes C No 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes [�io Waste Collection & Treatment 4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes GNo Structure I Structure 2 Structure 3 S eture 4 Structure 5 Structure 6 Identifier: ........_...I._ ..........._........_3.__ ..... .._..._._. __.. --------- -------------- ! qq Freeboard (inches): 12112103 Continued VF Facility Number. — oio $ Date of .inspection1*493/cfl 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes [Rf10 seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes ONO closure plan? (If any of questions 4-6 was answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ) 7. Do any of the structures need maintenance/'improvement? ❑ Yes dNo 8. Does any part of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes 2<0 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes 2<0 elevation markings? Waste Aoulication 10. Are there any buffers that need maintenance/improvement? ❑ Yes ❑4o 11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes LKNo ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc 12. Crop type t)r_S`iu rhla� l `n C 13. Do the receiving crops differ with thod designated I the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes EkN0 14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑-No b) Does the facility need a wettable acre determination? ❑ Yes [-1Go c) This facility is pended for a wettable acre determination? ❑ Yes ❑'No 15. Does the receiving crop need improvement? ❑ Yes ERNo 16. is there a lack of adequate waste application equipment? ❑ Yes [jkNo Odor Issues 17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑moo liquid level of lagoon or storage pond with no agitation? 18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes Milo' 19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes L9 No roads, building structure, and/or public property) 20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ Yes Er&o Air Quality representative immediately. Facility Number: gg _ Date of Inspection L xL�r i Required Records & Documents 21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? 22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? (ie/ WUP, checklists, design, maps, etc.) 23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling 24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? 25. Did the facility fail to have a actively certified operator in charge? 26. Fail to notify regional DWQ of emergency situations as required by General Permit? (iel discharge, freeboard problems, over application) 27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? 28. Does facility require a follow-up visit by same agency? 29. Were any additional problems noted which cause noncompliance of the Certified AWMP? NPDES Permitted Facilities 30. Is the facility covered under a NPDES Permit? (If no, ship questions 31-35) 31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 32. Did the facility fail to install and maintain a rain gauge? 33. Did the facility fail to conduct an annual sludge survey? 34. Did the facility fail to calibrate waste application equipment? 35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below ❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After i " Rain ❑ 120 Minute Inspections ❑ Annual Certification Form ❑ Yes 9190 ❑ Yes ErRo ❑ Yes glgo ❑ Yes Olio ❑ Yes 2No ❑ Yes B-6o [:]Yes @ Ko ❑ Yes O-90 ❑ Yes [moo ❑ Yes io ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 12112103 r Site Requires Immediate Attention: _ /4�17 Facility No.. g2 - zag DIVISION OF ENVIR014MENTAL MANAGEMENT ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD J DATE: , 1995 Time: PJ25— Farm Name/Owner: Mailing Address: z� County: Integrator: Q. / d Phone: On Site Representative: .a it Phone: Physical Address/Location: [-4 S 70 f Type of Operation: Swine —Ae- Poultry Cattle Design Capacity: " ee',-.t Number of Animals on Site: �m 4o,,4. DEM Certification Number: ACE DEM Certification Number: ACNEW Latitude: " Longitude: 0' " Circle Yes or No Does the Animal Waste Lagoon h ve sufficient freeboard of I Foot + 25 year 24 hour storm event (approximately 1 Foot + 7 inches) or No Was any seepage observed from the la n(s)? Is adequate land available fors ray? e or No Crop(s) being utilized: Actual Freeboard:,L-c�Ft. Inches Yes or Q Was any erosion observed? Yes or No Is the cover crop adequate? Ie or No Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellin s? Ye + or No 100 Feet from Wells? Y or No Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or 0 Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map BlueVine: Yes or(p Is animal waste discharged into water of estate by man-made ditch, flushing system, or other similar man-made devices? Yes or If Yes, Please Explain. Does the facility maintain adequate waste management recguds (volumes of manure, land applied, spray irrigated on specific acreage with cover crop)? We or No Additional Comments: Ab Inspector Nam cc: Facility Assessment Unit Signature 2.- Use Attachments if Needed. Type of Visit (J�C&mpliance Inspection O Operation Review O Structure Evaluation O Technical Assistance Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: Arrival Time: c3 eparture Time: County: :L-_ Region: f�X Q Farm Name: a On-j4joi 14 64ALril— Owner Email: Owner Name: ll i -%- Phone: i n -- — I O 1 Mailing Address: Physical Address: Facility Contact: -rol - Title: ' W //� Phone No: Onsite Representative: t�f eert" JrDDI`L 6 !t-n=64 Integrator: CertifiedOperator:;F� -� — Ho66� Operator Certification/Number: ��L - Back-up Operator: Back-up Certification Number: Location of Farm: Latitude: = o = f = u Longitude: = o =' = Design Current Swine Capacity Population Design Cre urnt Wet Poultry C•apaca Population Design •urrent Cattle Capacity Population ❑ Wean to Finish 1 10 Layer 1 ❑ Dairy Cow Wean to Feeder L 700 ❑ Non -Layer ❑ DairyCalf ❑ Feeder to Finish ❑ DairyHeifer Farrow to Wean Dry Poultry ❑ D Cow ❑ Farrow to Feeder ❑ La ers ❑ Non -Dairy ❑ Farrow to Finish ❑ Non -Layers ❑ Beef Stocker Gilts ❑ Beef Feeder ❑ Boars ❑ Pullets ❑ Beef Brood Co ❑ Turkeys Other ❑ Other ❑Turke Poults ❑ Other Nurrtber of Structures: Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: ❑ Structure R1 Application Field ❑ Other a. Was the conveyance man-made'? b. Did the discharge reach waters of the State? (If yes, notify DWQ) c_ What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? JZ Yes ❑ No ❑ NA ❑ NE Yes [-]No ❑ NA ❑ NE ® Yes ❑ No ❑ NA ❑ NE rlocb rx Yes ❑ No ❑ NA ❑ NE ❑ Yes ® No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA &d NE Page 1 of 3 12128104 Continued Facility Number: Date of Inspection Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 1@ No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? if yes, check ❑ yes ® No ❑ NA ❑ NE the appropriate box. ❑ NVUp ❑ Checklists ❑ Design El Maps El Other 21. Does record keeping need improvement? If yes, check the appropriate box below. �d Yes [] No ❑ NA ❑ NE ® Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report the mortality rates that were higher than normal? 30. At the time of the inspection did the facility posc an odor or air quality concern? If yes, contact a regional Air Quality representative immediately 31. Did the facility fail to notify the regional office of emergency situations as required by General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/inspector fail to discuss review/inspection with an on -site representative? 33. Does facility require a follow-up visit by same agency'? ❑ Yes 0 No ❑ NA ❑ NE ❑ Yes allo ❑ NA ❑ NE ❑Yes ®No DNA ❑NE ❑ Yes tKNo ❑ NA ❑ NE [:]Yes ®No ❑ NA [:]NE ❑ Yes tO No ❑ NA ❑ NE ❑ Yes ® No ❑ NA ❑ NE ❑ Yes EgNo ❑ NA ❑ NE ❑ Yes ® No ❑ NA ❑ NE X Yes ❑ No ❑ NA ❑ NE El Yes [0No El NA El NE ayes ❑ No ❑ NA ❑ NE Additional Comments and/oras� l; r Dwin r " .s"�.5 G�G� �a,9pnns�tavc a-InarfC--r 4-a'U"W IIIQrA"-W pyOj f1�1/� ► n �ro�r a�i n�. • X', 7i )5- p •�-._ — 7 = ��sr c �—�Sl o 0 44 a 0�--� ✓� 9rn r rtt Ile ��'� �� r• - D tC�r C_ � �v Gt�s��a� �/�'' � � � ��� �.� g✓ O� ran ra3 �c-a f- A-4 o v Page 3 of 3 12128104 Facility Number: Date of Inspection Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes M No ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE Structure 1 Structure 2 Structure' 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in): / 9 / _ / _�} 4 Observed Freeboard (in): z 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes M No ❑ NA ❑ NE (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ® No ❑ NA ❑ NE through a 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 DWQ 7. Do any of the structures need maintenance or improvement? U1 Yes ❑ No ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? 10 Yes 0. ❑ 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 9 yes ❑ No ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need 'es 0 No ❑ NA ❑ NE maintenance/improvement? l I . Is there evidence of incorrect application? If yes, check the appropriate box below. [AYes []No ❑ NA ❑ NE ® Excessive Pending P 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 JZ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ®-Application Outside of Area 12. Crop type(s) or-V_t2l � lov-ee" SYV _ 11 Soil type(s) 14. Do the receiving crops differ from those designated in the CAWMP? ® Yes ❑ No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes C9 No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes Q9 No ❑ NA ❑ NE 17. Does the facility lack adequate acreage for land application? ❑ Yes [9 No ❑ NA. ❑ NE 18. Is there a lack of properly operating waste application equipment? ;9 Yes ❑ No ❑ NA ❑ NE ?,Coatments (refer to question, 9: ° Explain any YES answers andlar anysrecom eudattons or any other comments. � t3 _...: P p g ecessary) Ae,�, awtngs of faciti to better explain situations. use. additional a es as n 7 Z a�?a�c�6'wirr� `j;5 �-�� yam- `'z�fit-7Jn�sT•,m�. ��afi°��3 N�w�rrhasrrtv��, �.fifl mil,- N�fir�c/ %��; +-. ,,✓ a/' c� �f��. 7►t�.�9rt/�wn �a-s'c. �Lou� � .�fi �9� f���; !" Reviewer/InspectorName ' �; ��L phone: p"-y33 �330� Reviewer/Inspector Signature: Date: ZO — Page 2 of 3 12128104 Continued Type of Visit Q Compliance Inspection U Operation Review O Structure Evaluation U Technical Assistance Reason for Visit O Routine Q Complaint Follow up O Referral O Emergency Q Other ❑ Denied Access Date of Visit: Arrival Time: 1/5 Departure Time: t K County: r ��'" Region: �� Farm Name: �f IT rt,- 12 �2 /s Owner Email: Owner Name: �!I %'�.•�� �/411 Phone: Mailing Address: Physical Address: ` Facility Contact: _�fl�h /�b�s Title: Phone No: Onsite Representative: �� AXP4 �( rr-ri 1Y11Pvr� Integrator: y47 �,Dc/+L- Certified Operator: ,&/9--- - - Operator Certification Number: Back-up Operator: Back-up Certification Number: Location of Farm: Latitude: = a 0 4 = Longitude: = ° = I 0 " DesiICurrent Design Current Design Current Swine ty Population Wet Poultry Capacity Population Cattle Capacity Population ❑ Wean to Finish ❑ La er ❑Non -La er Dry Poultry ❑ Dairy Cow ❑ Dairy Calf ❑ Dairy Heifer ❑ Dry Cow ❑ Wean to Feeder ❑ Feeder to Finish ❑ Farrow to Wean ❑ Farrow to Feeder ❑ Layers Non -Layers ❑ Non-Dai ❑ Beef Stocker ❑ Beef Feeder El Farrow to Finish ❑ Gilts ❑ Boars ❑ Pullets ❑ Turkeys ❑ Beef Brood Co Other ❑ Other ❑ Turkey Ponits ❑ Other Number of Structures: Discharees & 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 DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ® Yes ❑ No ❑ NA ❑ NE Yes ❑No El NA [I NE L3 Yes ❑ No ❑ NA ❑ NE v� ® Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE Page 1 of 3 12128104 Continued Facility Number: — Date of Inspections Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes tHNo ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in): / / q / y` / 2: Observed Freeboard (in): 2-3 �'� ;}� o7q- v 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No ❑ NA ❑ NE (ie/ large trees, severe erosion, seepage, etc.) 6_ Are there structures on -site which are not properly addressed and/or managed ❑ Yes ❑ No ❑ NA ❑ NE through a 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 DWQ 7. Do any of the structures need maintenance or improvement? ®Yes ❑ No ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? [S Yes ❑ No ❑ 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 ❑ No ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑Yes CVO ❑ NA ❑ NE maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. Z Yes ❑ No ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) ❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil ❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area 12. Crop type(s) gwzet.. 13. Soil type(s) 14. Do the receiving crops differ from those designated in the CAWMP? 19 Yes ❑ No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes ® No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes (W No ❑ NA ❑ NE 17. Does the facility lack adequate acreage for land application? ❑ Yes ® No ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? Yes ❑ No ❑ NA ❑ NE Comments (refer two question "#): Eaplarn any YES' answersany recommendations or any other comments. .,�, 'M. s ^v. pie'^ ",+.' .@r �t [ a, L Use drawings offaeility to better,.explatn sttuahons(nse addttennal pages as�necessary) 7 �i�Ca�-Lt� Wtz� J��lx'd B"'Z /D-/g QED/O (,v]Th*+►P`S 3 7-6 /t'UOv��lt/®/sty �/'t� ►'` >� G!{ar� y� O�r I rw P 1 / be �� �Il®i t� To �z'r B(�r- ✓�z'a� Reviewer/inspector Name��T„ _ Phone alp Reviewer/Inspector Signature: Date: A? _.0_Z.!5/0 Page 2 of 3 12/28/04 Continued Facility Number: Date of InspectionIJ Required Records & Documents 19_ Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes H No ❑ NA ❑ NE 20_ Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ERNo ❑ NA ❑ NE the appropriate box. ❑ WUP El Checklists El Design ❑Maps El Other 21. Does record keeping need improvement? if yes, check the appropriate box below. 54 Yes ❑ No ❑ NA ❑ NE D9 Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I ° Rain Inspections ❑ Weather Code 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes S No ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes jj� No ❑ NA ❑ NE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes R No ❑ NA ❑ NE 25. Did the facility fail to conduct.a sludge survey as required by the permit? ❑ Yes 04 No ❑ NA ❑ NE 26. Did the facility fail to have an actively certified operator in charge? ❑ Yes KNo ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes Pq No ❑ NA ❑ NE Other Issues 28. Were any additional problems rioted which cause non-compliance of the permit or CAWMP? ❑ Yes ® No ❑ NA ❑ NE 29, Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes MNo ❑ NA ElNE and report the mortality rates that were higher than normal? _ 30. At the time of the inspection dJthe facility pose an odor or air quality concern? ❑ Yes ®,No ❑ NA ❑ NE: If yes, contact a regional Air Q '' lity representative immediately 31. Did the facility fail to notify the *egional office of emergency situations as required by Yes ❑ No ❑ NA ❑ NE General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑Yes No ❑ NA ❑ NE 33. Does facility require a follow-up visit by same agency? Yes ❑ No ❑ NA ❑ NE ,. q Additional Comments andLor Drawings _ ..JA 1;! /'' Pi7dQ3 CUd � l/ //�% TYOj ✓U/V `^ J 7� z-- fayj% /��i"� �Ls.[�� / ��i�G� ��' !/ vf✓ �. fin r �,� - a-k7a.11-e 7v— �` I jYd r•4G� �lDd GjC��fntat fT 7-99 ju-!'tTOE j7:5 SQn-�1 /Yl /'• #ViA3 fL-ac �-ot 7;e�s prrl � `$ P �i `�o Ta .�s -em;) Page 3 of 3 12128104 a a a r-I Id Lk Facility Nuumber:...�....... —405FDate of laspection: Iv- — fl 4/30/97 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director October 26.2010 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. Hobbs 7887 Keener Rd. Clinton, North Carolina 28328 Subject: NOTICE OF VIOLATION/NOTICE OF INTENT Administrative Code 15A NCAC 2T .1304 NOV-2010-DV-0385 Felton Hobbs Farm; Facility No. 82-208. Permit No. AWS820208 Sampson Count), Dear Mr. Hobbs: On October 19, 2010. staff of the NC Division of Water Quality (DWQ), Aquifer Protection Section (APS), inspected the Felton Flobbs Farm and the permitted waste disposal system. We wish to thank Mr. Hobbs and Mrs. Greer Moore. who were present and assisted during the inspection - As a result of this inspection, you are hereby notified that, having been permitted to have a non - discharge permit for the subject animal waste disposal system pursuant to 15A NCAC 2T .1304, you have been found to be in violation of your permit as follows; Violation 1: Failure to apply animal waste at rates and in accordance with your permit and Certified Animal Waste Management Plan. That in no case shall result in excessive ponding or any runoff during any given application event. (Permit.No. AWS820208 Section U 1, 2,and 5) Dee Freeman Secretary On October 19, 2010 during a routine compliance inspection of your farm DWQ staff documented that waste was in a ditch located on your farm- During inspection of your application field, it was documented that waste was ponded excessively. DWQ documented that the spray gun was disconnected from the 3 inch above ground pipe that allowed the waste to flow freely from the pipe when the pump was operating. The spray gun was located outside of the soybean field in an area with no active crop growing- You stated during the inspection that you had placed the s�prpayy gun at this location a few weeks prior to this event and had land applied waste prior to AOUir x rrty" i t�'s ION SECTION 225 Green 51., Ste. 714 Fayetteville, North Carolina 28301 OI3e Phone: 910-433-33001 FAX: 910486-07V Customer Service: 1-877-823-6748 N orth C��olzll� Intemet: www.h20,enr.state.nc.us An Equal Gpporturnity ' ?AfFtmiavve Adon E ,iployer �Vlla" u ' " llff Mr. Hobbs October 26, 2010 Page 2 Required Corrective Action for Violation f : If you have not already done so; immediately cease application methods of animal waste that causes or contributes to the described violations above and take all necessary steps to insure this violation does not reoccur. The steps could include but are not limited to recovery of all waste that ran off or is ponded in your fields, record the amount of waste recovered From the ditch system and field and repair and properly maintaining your waste application equipment before you pump waste in the future. Violation 2: Failure to inspect the land application site as often as necessary to insure that the animal waste is land applied in accordance with the CAWNxP. (Permit No. AWS820208 Section 1I 17) On October 19, 2010 you stated that you were not present when the land application events took place. You stated that your son was doing the pumping and had not reported to you any problems with the land application events on October 16 and 17, 2010. During inspection of your application field. it was documented that waste was ponded excessively. DWQ documented that the spray gun was disconnected from the 3 inch above ground pipe that allowed the waste to flow freely from the pipe when the pump was operating. The spray gun was located outside of the soybean field in an area with no active crop growing. Required Corrective action for Violation 2: In the future, please have the OIC or the person under the supervision of an OIC inspect the land application site as often as necessary to insure that the animal waste is land applied in accordance with the CANVMP. Violation 3: Failure to record all irrigation and land application events including hydraulic loading rates, nutrient loading rates and cropping information, in accordance with your permit and Certified Animal Waste Management Plan. (Permit No. AWS820208 Section III 6.) On October 19, 2010 when asked during the inspection who had placed the spray gun at the location in the application field, you stated that you had done so a few weeks prior to this event and had land applied waste prior to this event. Your records did not show an), pumping at this location but did show pumping at other locations in the same field in September. Mr. Hobbs October 26, 2010 Page 3 The above ground pipe has soybeans and grass growing over it and does not appear to have been moved for some time. Your sovbean window for application was closed September 15, 2010 and as of October 19, 2010 the soybeans had not been harvested. Required Corrective action for Violation 3: In the future record all application events and the location in accordance to your irrigation design and CAWMP. Violation 4: Discharge of animal waste to surface waters and/or wetlands as prohibited by your facility's permit (Permit No. AWS820208 Section 1 1) On October 19. 2010 DWQ staff documented that waste from your spray application field reached a ditch system that reached a pond on your property. Required Corrective action for Violation 4: If you have not already done so, immediately cease application methods of animal waste that causes or contributes to the described violations above and take all necessary steps to insure -this violation does not reoccur. Recover all waste that has left the spray application field and return to your lagoon. Record the amount of waste recovered. Violation 5: Failure to notify Division of Water Quality of discharge of waste to ditches, over applying ,svaste causing runoff and failure of waste application equipment within 24 hours. (Permit No. AWS820208 Section III 13 a, d and e) Your permit specifically requires notification by telephone within 24 hours and a written report within 5 calendar days following first knowledge of the occurrence of a reportable permit condition. The Division of Water Quality has no record of receiving the 24-hour notification or the 5 day .vritten report. Required Corrective Action for Violation 5: In the future, please notify the Division of Water Quality of the occurrence of any reportable events in accordance with your permit. -Mr, Hobbs October 26, 2010 Page 4 The Division of Water Quality requests that, in addition to the specified corrective action above, please submit the following items on or before November 30, 2010: 1. Copies of all the pumping records, lagoon levels, rainfall records and waste analyses for this farm from October 1, 2009 to the present. This should include the recovered waste, (amount recovered, location and method it was applied) along with a copy of your CAWMP. 2. An explanation from the OIC for this farm regarding how this violation occurred. 3. A list from the 01C concerning the steps that will he taken to prevent this violation from occurring in the future. You are required to take any necessary action to correct the above violations on or before November 30, 2010 and to provide a written response to this Notice by November 30, 2010. Please include in your response all corrective actions already taken and a schedule for completion of any corrective actions not addressed. As a result of the violations in this Notice, this office is considering a recommendation for a civil penalty assessment to the Director of the Division. If you wish to present an explanation for the violations cited, or if you believe there are other factors, which should be considered, please send such information to me in writing within ten (10) days following receipt of this letter. Your response will be reviewed, and, if an enforcement action is still deemed appropriate, it will be forwarded to the Director and included for consideration. Failure to comply with conditions in a permit may result in a recommendation of enforcement action, to the Director of the Division of Water Quality who may issue a civil penalty assessment of not more that t-\venty-five thousand ($25,000) dollars against any `person" who violates or fails to act in accordance with the terms, conditions; or requirements of a permit under authority of G.S. 143-215.6A. If you have any questions concerning this Notice, please contact Steve Guyton or ine at (910) 433-3300. Sincerely, �} Stephen Ba I t Environmental Program Supervisor cc: Keith Larick CAFO Unit Kraig Westerbeek, Murphy Brown Danny Edwards FRO S&WC FRO AP files y ■ Complete Items 1, 2, and 3. Also complete A. SI atu Item 4 if Restrtcted Delivery Is desired. "��� "`���"' X�QL■ ❑ Agent Print your.name and address on the reverse ❑ Addressee B. Received by (Printed Name) Delivery so that we can return the card to you. ■ Attach this card to the back of the mallplece, tj; or on the front if space permits. D. Is delivery ad dress dlHer ertt 1 �T7 Ye 1. Article Addressed to: If YES, eater delivery ddn ow: 3 No t- CD MR. HOBBS 200 7887 KEENER RD. �. CLINTON, NC 28328 USPS 3. Service Type ❑ Certified Mall ❑ Express Mail i 0 Registered ❑ Return Receipt for Merchandise ❑ Insured Mail. ❑ C.O.D. 4. Restricted Delivery? (Efts Fee) ❑ Yes 1 f 211------- 7006 2150 0005 2109 7917 i PS Form 3811, February 2004 Domestic Return Receipt - y 102M5.02•M•1940 (t rrr:f.Yrr.����r�� ir.Ynr.�+rf:rrnr�au�u�:r.r:a:rnivr,r:.r.i Postage $ IL Certilled Fee N Postmark Return Receipt Fee Hart' C3 (Endorsement Required) O Restricted Delivery Fee /Q�1(%'/p (Endorsement Required) 0 L11 Total _ �J r-1 Postage & Fees $ ru o 1 0 t, `/ennt Stree Apt o�Y_S---•-�.---------•----�....-• orPO Box Na. ...................................... ..................••............ N. ............. C41y, Stare, ZIP+4 �i� . . .. Report to:FRO - WATER QUALITY SECTION Page / of CHAIN OF CUSTODY (COC) RECORD NC DENWDNVQ LABORATORY (check one): CENTRAL l I ARO I I WaRO For Investigation of: a .. qQ O l Sample collector (print name) and D%4-1 forms completed by: dr /� / t, C-J, G? Sample collector's signature: Field storage conditions and location (when applicable): ,Lub Use.Only 'LAB NO. STATION NO. STATION LOCATION DATE SAMPLED TIME SAMPLED NUMBER OF CONTAINERS 4 ,,?" e 7,M 3 Relinquished by (signature): ld z Date L1 !7 , Time - 4 C. - Received by (signature): /'a'� Date Time Relinquished by (signature): ate Time Received by (signature): Date Time Relinquished by (signature): Date Time Received by (signature): Date Time Method of Shipment (circle one): State Courier Hand -delivered Federal Express UPS Other: Security Type and Conditions: Sealed by: Broken by: INTR LABORATORY CHAIN OF CUSTODY - Lab Use OWN, LAB NUMBERS FRO-N•t THROUGH NUMBER BOTTLES: ANALYSES REQUESTED RELINQUISHED BY: RECEIVED BY: DATE TIME. i i QA1Forms\Sample Receiving\COC form WQ 4110/01dbs County: River Basin SAMPSON CPF Cf %ATEq Sample ID: 0PO Number tt AB64617 + 10WS586 Report To FROSP 11 QG nil Date Received: 11112112110 Cij > /t r �T �y(Z Time Received: 09:00 Collector: B TODD Q Labworks Login3D SMATHIS Region: FRO 1O Report Generated: 10/26/10 Sample Matrix: SURFACEWATER Date Reported: 1012812010 Loc. Type: RIVERISTREAM Emergency Yes/No YES VisitlD COC Yes/No Y. ES Loc, Descr.: HOBBS NURSERY Location ID: 6P082.82-208 Collect Date; 1011912010 Collect Time: 12:55 Sample Depth Result/ Method Analysis CAS # Analvte Name PQL Units Validated by Qualifier Reference Date LAB Sample temperature at receipt by lab 0,9 °C 10/20/10 SMATHIS MIC BOD, 5-Day in liquid 2 360 mg1L APHA5210B 10/20/10 CGREEN Coliform, MF Fecal in liquid 1 1700000 Q1 CFU1100mt APHA9222D-20th 10120/10 CGREEN NUT NH3 as N in liquid 0.02 260 mg1L as N Lac10-107-06-1-J 10/20110 CGREEN Total Kjeldahl N as N in liquid 0.2 330 mg1L as N Lachal107-06-2-1-1 10/22/10 CGREEN NO2+NO3 as N in liquid 0.02 0.29 mg/L as N Lac10-107-04-1-c 10/20/10 CGREEN RECEIVED NOV 0 2 2010 DENR-FAYETTEMLLE REGIONAL OFFICE Laboratory Section>> 1623 Mail Servico Center, Raleigh, NC 27699-1623 (919) 733-3908 Fwa deleted description o1 the qualifier codes refer to �t'_'14lli.C�. ^rnmrrraoAvr>ndtu's�t i,(rinfortr�chnKsal�rO�i( Oifyl;figl Owe. noeffoir�weg+wyy ly aN nt:>, t�cna ti Page 1 of 1 C 0 C/ of 580 Met ow i DIVISION OF WATER QUALITY ' Chemistry Laboratory Report I Water Quality L�Number ' ` _ � SAMPLE ['YPE 1]ateRtceived: Ip, �p, tq COUNTY PRIORITY Time Received : q 0 RIVER BASIN: CA PIC ElAMBIENT QA STREAM El'I--Lur.N-T Received By `�O RF.PORTTO ��_r Regional Office COMPLIANCE' ® CHAIN OF CUSTODY LAKE INFLUENT Other EMERGENCY VISIT [O �• ESTUARY Data Released COLLFCTOR(S) : �r I ,y� Date Reported: Estimated ROD Range: Station Location. I/ohb /uu��e.Q(p Seed: Chlorinated: Remarks: 1 Station hocalion Code Date Benin (y mmldd) Dgte End ( I d) Time Begin Time End Depth - DK DR, DBNl Value Type - A, 11, L Compasite-T, S, B Sampl T? pe UOD 310 m COD I li h 340 mg/L COD Low 335 ma17- CoEform: MF Fecal 31616 1100m) Califumt: MF Total 31504 /100ml Col ifurm: tube Fecal 3) 615 1100M I Colifunn: Fecal Stre_p 31673 II00m1 Residue: Total 500 m Volatile 505 MPA. Fixed 510 m Residue: Suspended 530 nVL Volatile 535 nte/T. Fircd 540 nta/L 11 403 units Acidity to f l 4.5 436 ma/L Acidity to pf 18.3 435 mvR. A}kalinitvto pi18.3415 me/L Alkalinilyto pi14.5410 m L i'OC 680 mEJL 'Turbidity 76 NTU Cnlifonn Total Tuhe /11i0 nil COMMENTS : Chloride 940 meA, Chlorophyll a I -PA 445.0 modified option ugfL Color: True 80 C.U. Color. (li) 83 PH. c.u. Color. PH T6 82 C.U. Cyanide 720 ma11. Fluoride 951 me1L Farmaldchvde 71880 mLIL Grease and Oils 556 m giL I{ardness Total900 mrJL Specific Cond. 95 unthoslcm MSAS 38260 rnnft. Phcnols 32730 uSIL Sulfate 945 M10, Sulfide 745 m Boron Tannin & Lienin ug+l- HexavaicntChromium u L Bicarbonate mo- Carbonate MA/1- Total Dissolved Solids mall. NH3 as \ fi!0 mq4. TKN an N 625 met[. NO2 Cius NO3 as N 630 mg/l. P: Total as P 665 m 1. PO4 as P 70507 m P: Dissolved as P 666 m L K-Potassium m n. Cd- Cadmium 1027 u , Cr-Chrom ium:Total 1034 u Cu. Copper 10-12 up/L Ni-Nickel 1067 ugfL Ph- Lend I M I ug/1. 7.n-'Zinc 1092 uel1. V-Vanudium uu9- Ag-Silver 1077 unJL Al- Aluminum 1 105 ur,11- Be- Beryllium W12 u R. Ca- Calcium 916 m rL Co- Cobalt 1037 u Fe- Iron 1045 ucll• N10-Molybdenum u+ , Sh-Antimony ug Sn-Tin u01. 'I'I- Thallium 08,1. Ti-Titanium uei1. He-1631 n Li -Lithium H32 ua1L M • Magnesium 927 ITIVA. Mn-\•fan ancsc 1055 ug/L Na. Sodium 929 in . Arsenic:Total 1002 u L Sc- Selenium 1147 u li g- Mcrcur� 71900 ug/l. Ba-13nritrrn uvA Oraamgchlor'rne Pesticides Or ano has horns Pesticides Or annniuo cn Pesticides Add Ilerhicidcs ilase(NeuirnMAcid F,xtmcmhic Ortanks TPII Dicscl Rant Purgeable Oreanics (VOA bottle rc 'd) TPI I Gasoline Range T1'lVBT1:X Gasoline Range Phvro lankton Tem drama: on urrival (°CE �: t County: River Basin SAMPSON CPF �0. w° rFyQ Sample ID: PO Number N AB64618 1OWS587 Report To FROSP Q G r $ Date Received: Time Received: 1012012010 09:00 Collector: B TODD C Labworks LoginlD SMATHIS Region; Sample Matrix_ Loc. Type; Emergency YeslNo COC YeslNo FRO SURFACEWATER RIVERlSTREAM YEAS YES Vi5itID `U Report Generated: Date Reported: 10/28/10 10/28/2010 _ Loc. Descr.: HOBBS NURSERY Location ID: 6PO82-82-208 Collect Date: 1011912010 Collect Time: 13:00 Sample Depth GAS # Anal t� +te Name POL Result/ Units Method Analysis Validated by Qualifier Reference Date LAB Sample temperature at receipt by lab 0.9 'C 10/20110 SMATHIS MIC BOD, 5-Day in liquid 2 43 mg/L APHA5210B 10120l10 CGREEN Coliform, MF Fecal in liquid 1 170000 01 CFU1100mI APHA92220-20th 10/20/10 CGREEN NUT NH3 as N In liquid 0,02 14 mg1L as N Lac10-107-06-1-3 10/20110 CGREEN Total Kjeldahl N as N in liquid 0.2 20 mg1L as N Lachat107-06-2-H 10/22/10 CGREEN NO2+NO3 as N in liquid 0.02 2.9 mg/L as N LaciO-107-04-1-c 10120/10 CGREEN RECEIVED Nov 0 2 2010 DENR-FAYETTEVILLE REGIONAL OFFICE Laboratory Section» 1823 Mail Service Center, Raleigh, NC 27699-1623 (919) 733-3908 for a detailed descnplian 011nd quaiifiw codes relor Io lilu�!:l�Ul,j;j4 nWe�Si.nn si w.+tz�Wg1�n�9In11� ;�eCnAc};s�Ql+:e Qudl.�fx &r.^_i^:? h;1?�i�v,L,^,al�„cJi gyp(, !wit a, Page 1 of 1 d „ �s 7 M �o DIVISION OF WATER QUALITY r„L� Chemistry Laboratory Report! Water Quality .ab Number l q ElS[ F Date Received : 10. 2 0• J Q COUNTY ti� /n qi P_RIQRITY Time Received : n RIVER BASIN: ( ❑ AMBIENT QA ® STREAM ❑ EFFLUENT Received By C1 REPORT TO /' Regional Office COMPLIANCE 12a CHAIN OF CUSTODY LAKE INFLM:'NT Oth<r EMERGENCY VISITID ESTUARY Data Released COLLECTOR(S) : f % 2> / Date Reponed : Estimated BOD Range: Stat[on LoeadolV 66 .w Seed: Chlorinated: Remarks: Stat' pll,ocation Cole Date Begi (yy mmldd) Date End (lmm! d) Time Hegira Time End Depth - DM' DR, DBM1I Value Type - A, If, L CompositeT, 5, B 5ampEe Type BOD 310 m m COD Low 335 m Coliform: MF Fecal 31616 !loom] Col iforTm MF Total 31594 11 DOml Col i form: tube Fecal 31615 1100nd Cali form: Fecal Sirce 31673 1100m1 Residue: Total 500 m Volatile 505 m Fixed 510 mgfL Residue: Suspended 530 m Volatile535 m - Fixed 540 mom• 11403 units Acidity 10 1145436 m gJL Acidity to fill1 8.3 435 mg(L. Alkalifih), to pli 8.3 415 ingfL Alkalinity to pH 4.5 410 tne/l. TOC 680 mg/1- i'urbidiry 76 NTU Coliforro Total Tube /too nil COMMENTS: Chloride 940 mSIL Chlorophyll a EPA 445.0 ntodilicd o tion u7A. Color: True 80 CAL Color: (PH) 83 H— c•u. Color: pH 7.6 82 CAI. Cyanide 720 mg[_ Fluoride 951 mglL. Fonuuidch ydc 71880 me4- Grease and Oils 556 me%l. Hardness Total 900 me/L S ecifc Cond. 95 amhos/cm M13AS 38260 1110L Phenols 32730 u rl. Sulfate 945 mejl. SuLGdc 745 m '1- Buron Tannin & Li nin Hexavaleni Chromium UFA. Bicarbonate m Carbonate mg/I. Total Dissolved Solids rngfL 143 as N 610 mall. t TKN an N 625 1ng/L NO2 plus NO3 as N 630 m i. P: Total as P 665 me1L PO4 as P 70507 rn 1L P: Dissolved as P 666 m_vl. K-Polassium mg!l, Cd-Cadmium. 1027 u4r1. Cr-Chromium:Toml 1034 "yA. Co- Capper 1042 ug11. Ni-Nickel 1067 uen- Pb- lead 1051 ua11. 7n- Zinc 1092 411, 110, AS- Sil,cr 1077 ULLIL AI -Aluminum 1105 u Bc- Ben kum 1012 awl. Ca. Calcium 916 In , Co-Cohalt 1037 u'R. Fe- Iran 1045 ug1l, lvto-Molybdenum u Sb-Andinorly u1JL Sn-TIn u TI-Thallium ugrL f i- I-ltaniuta ugfL lig-1631 no. Li -Lithium 1132 uell, M . Ma Vnesium 927 rn 1& Mn-Man anew 1055 u - Na- Sodium 929 m L Arsenic:'IotalID02 ogil. Sc- Selenium 1 147 11::1[. I IS. Mercury 71900 uvJL Ba-11anum ual1. Or ganochlorine i'csticide% Orpnophosphorus Pesticides Or nnonitruecn Pesticides Acid 1 icrhicidcs Il: se/Nelnral&Acid Intractable Organics 'I'I'l Dieul Ranee I'urecablc Organics (%'OA houle rcq'd) TPH Gasoline Range ITI rill IEX Gasniine Ran e Photo tnnkton - Tent -laure on Arrival ff ): l 1111812010 RECEIVED NOV 2 2 2010 NC Dept, of Environment and DENR-fAYETTfVILLE REGIONAL OFFlCE Natural Resources On 1011712010 the tailpipe of my irrigation gun blew out, causing ponding on my farm. I did not realize this, and it was found on 10/19/2010,some lagoon watergot into a ditch. When it was found I had dirt hauled in -and blocked the ditch.A Honeywagon was called to recover the water from the ditch and field. I spent approximatly $9000.00 -in the clean-up. My son had started pumping on this spot by mistake. I was out of town. I do realize this was totally my responsabili ty and my failure to -check on this was my fault. Thank You, Felton F. Hobbs 7887 Keener Rd. Clinton NC 28328 Page I Notification of Wastewater Spill in Sampson County The Hobbs Hog Farm of Clinton had a wastewater spill October 17, 2010 of an estimated 40,000 gallons from a spray field. The untreated wastewater spilled into an unnamed tributary that [lows to Hoe Swamp, leads to Six Ruts Creek in the Cape Fear River Basin. The Division of Water Quality discovered the discharge during a routine farm inspection on October 19t", 2010 and is reviewing the matter. For information contact Hobbs Hog Farm at (910) 564-6680. INDEPENDENT www.clintonne.com Jules Molenda Publisher 303 Elizabeth Street • PO Box 89 (910) 592-8137,Ext. l l Clinton, NC 28329 Fax: (910)-592-8756 jmolenda @ heartland p ubl icat ions.com 10i-,>,-t.I (c) 01/02/2002 16:12 9105646680 HOBBS HOG FARM PAGE eg AFFIDAVIT OF PUBLICATION STATE OF NORTH CAROLINA -COUNTS' OF SAMPSON JULES MOLENDA, PUBLISHER, of the Sampson Independent, a newspaper published in Sampson County, N.C. ,being duly sworn, says that at the time the attached notice was published in tbe6ttM�SON INDEPENDENT, said newspaper met all of the requirements and qualifications prescribed by North Carolina General Statue ] -597; that said newspaper had a general circulation to actual paid subscribers; and was admitted to the United States mail as second class matter in Sampson County, N.C.; and further, that the attae}aed notice was PuPsled in th ,SAMPS N INDEPENDENT on 2010. Publisher Sbzn,lfq and sub ribed before me this the day of X44Ut 2010. r iL� NOTARY PUBLIC My`commission expires- _ RECEIVED JAN 2 4 2011 OENR-FAYETTEViLLE REGIONAL OFFICE Notice of Discharge of Animal Waste The Hobbs Hog Farm, facility number 82-208 at 7164 Keener Road, Clinton, NC had a discharge of swine waste of approximately 40,000 gallons. The discharge was first discovered by DWQ on October 19, 2010 during a scheduled site visit. The discharge began on October 16, 2010 and lasted until approximately 11:00 a:m on October 19, 2010. The untreated wastewater spilled into an unnamed tributary that flows to Hoe Swamp, to Six Runs Creek of the Cape Fear River Basin. The farm ditches were dammed, waste was contained on spray field, and no further irrigation will take place in this spray field until irrigation system is updated to better aid in the prevention of any future system failures. This notice was required by North Carolina General Statutes Article 21 Chapter 143.215.0 RECEIVED JAN 2 4 2011 OENR-FAYEfTEALLE REGIONAL OFFICE 01/02/2002 16:12 9105646680 HOBBS HOG FARM PAGE 02 11/181MY0 A CDept. of Envftnment and Mtunol 0ee-wUrces On 10/17/2010 the tail pipe of my irrigotiongun blew outcausing ponding on my farm. I did not realize this, and it *w found on 10/19/2010,some lagoon muter got into a ditch, when it was found I had dirt hauled in and blocked the ditch.A Honeywagvn was called to recover the water from the ditch and field. Ispent appmvinatly in the clean-up. f '�, !� My son had started pumping on this spot by mistake. I was out of town I do realize this was totally my responability and my Milk" to check on this was my fault. Thank You, Felton F Hobbs 7887 Keener Rd. Clinton AC 28328 RECEIVED JAN 2 4 2011 DENR-FAYETTEM1LE REGIONAL OMGE Nutrient Management Plan For Animal Waste This plan has been prepared for: Felton Hobbs Farm Felton Hobbs 7887 Keener Road Clinton, NC 28328 09-29-2005" This plan has been Greer Moore Private PO Box 338 Harrells, NC 28444 (910) 532-4493 Developer Signature Type of Plan: Nitrogen Only with Manure Only AM Q teed bv: Owner/Manager/Producer Agreement I (we) understand and agree to the specifications and the operation and maintenance procedures established in this nutrient management plan which includes an animal waste utilization plan for the farm named above. I have read and understand the Required Specifications concerning animal waste management that are included with this plan. r Signature (owner)` ate Signature (manager or producer) This plan meets the min Agriculture - Natural R adopted by the Soil and Plan Date standards ai yfspecifications of the U.S. Department of es Conseq4tion Service or the standard of practices consolvation Commission. ,!f , F-k lJJ 894157 - - - y Database Version 3.1 —Date Printed: 09-29-2005 Cover Page 1 :. .r" w—.! b♦--�Y' 1 �Fi R.` �� �.. - f�rr �� 1 \�i/V \,�1.s�'�' `- P� � ���''� / ' :yam yX. R� 1 Nutrients applied in accordance with this plan will be supplied from the ., following source(s): ..r Commercial Fertilizer is not included in this plan. Si 1 Swine Farrow -Feeder Lagoon Liquid waste generated 2,316,600 gals/year by a 600 animal Swine Farrow -Feeder Lagoon Liquid operation. This production facility has waste storage capacities of approximately 180 days. Estimated Pounds of Plant Available Nitrogen Generated per Year Broadcast 3575 Incorporated 6139 Injected 6761 Irrigated 3 886 Actual PAN Applied (Pounds) Actual Volume Applied (Gallons) Volume Surplus/Deficit (Gallons) Year 1 6,105.64 1,901,591 415,009 Note: In source ID. S means standard source. U means user defined source. Preview Database Version 3.1 Date Printed: 03-19-2007 Source Page I of I Narrative USED ON FARM RECORDS FOR MODIFYING CAWMP (AGRIMENT SERVICES USED ON FARM RECORDS ON 1/21/02). --------- - Database Version 3.1 Date Printed: 03-19-2007 Narrative Page I of I The Waste Utilization table shown below summarizes the waste utilization plan for this operation. This plan provides an estimate of the number of acres a,, cropland needed to use the nutrients being produced. The plan requires consideration of the realistic yields of the crops to be grown, their nutrient requirements and proper timing of applications to maximize nutrient uptake. This table provides an estimate of the amount of nitrogen required by the crop being grown and an estimate of the nitrogen amount being supplied by manure other by-products, commercial fertilizer and residual from previous crops. An estimate of the q uantity of so lid and Iiquid waste that will be applied on each field order to supply the indicated quantity of nitrogen from each source is also included. A balance of the total manure produced and the total manure applied is included in the table to ensure that the plan adequately provides for the utilization of the manure generated by the operation. Waste Utilization Table Year 1 Tract Field Source ID Soil Series Total Acres Use. Acres Crop RYE Applic, Period Nitrogen PA Nutrient RegV (lbs/A) Comm. Fen. Nutrient Applied (iWA) Res, (lbs/A) Applic. Method Manure PA Nutrient Applied (Ibs/A) Liquid ManureA pp6ed (acre) Solid Manure Applied (acre) Liquid Manure Applied (Field) Solid Manure Applied (Flea) N N N N 1000 gal/A Tons 1000 gals tons 5842 A S 1 I Norfolk 2.75 2.75 Small Grain Overseed 1.0 Tons 10/ 1-3/31 50 0 Q Irrig, 50 29.81 0.0 42.81 0.0t 5842 A S11 Norfolk 2.75 2.75 Hybrid Bermudograss Hay 6.5'1'ons 3/1-9130 •325 0 0 Irrig. 325 193.76 0A 533.03 0,01 5842 B Sl l Norfolk 0.62 0.62 Small Grain Ovaseed 1.0 Tons 10/1-3131 50 0 1 0 Irrig. so 29.81 0.0 47.581 0.01 5842 B Sl I orfolk 0.62 0.62 Hybrid Bermudagrass Hay 6.5 Tons 3/1-9/30 *325 0 1 0 Irrig. 325 193.76 0• N 309.24 0.01 5842 C Sill Norfolk 1.95 1.95 Small Grain Overseed 1.0 Tons 1011-3/31 50 0 0 Irrig. 5 29.91 0.00 19.82 0.0( 5842 C SI ! Norfolk 1.95 1.95 Hybrid Bermudagrass Hay 6.5 Tons 3/1.9/30 •325 0 0 Irrig. 325 193.76 Ud 128.85 0.01 5842 D S11 Norfolk 1 A2 1.82 Small Grain Overseed 1.0 Tons 10/1-3/31 50 0 0 Irrig. 50 29.81 0.00 51.54 0.01 5842 D 811 Forfolk 1.82 1.82 Hybrid Bermudagrass Hay 6.5 Tons 3/1-9/30 •325 0 0 Irrig. 325 193.76 0.00 335.01 0.01 5842 E Si 1 Norfolk 0.80 0.80 Small Grain Overseed 1.0 Tons 1011-3/31 50 0 0 Irrig. 50 29.81 0.00 15.86 J.St 5842 E S11 Norfolk 0.80 0.80 Hybrid Bermudagrass Hay 6.5 Tons 3/1-9130 •325 0 0 193.7fi 0• 103.09 ,.91 5848 NF S11 Norfolk 11.85 1I.85Wheat, Grain 60bu. 9/1-4/30 k144 0 20 qIrdig.325 12 73.93 0.00 147.85 0.0t 5848 NF S11 Norfolk 11.95 11.85 Soybeans, Manured, Double Crop 35 bu• 411-9/15 0140 0 0 1 Q 83.47 0.00 166.93 0•Qt Preview Database Version 3.1 Date Printed. 3/19/2007 WUT Page 1 of 2 1 Waste Utinzutton Table I Year I Tract Field Source 1D Soil Series Total Acres Use. Acres Crop RYE Applic. Period Nitrogen PA Nutrient Req'd (ibs/A) Cann Fert, Nutrient Applied (lbs/A) Res, (IbVA) I Apphc. Method Manure PA Nutrient Applied (lbs/A) Liquid ManumA pplied (acre) Solid Manure Applied (acre) Liquid Manure Applied (Field) Sal'h Manun Applied'. (Field) N N N N low gal/A Tous , 1000 gais tons Total Applied, 1000 gallons -1,901.59 Total Produced, 1000 gallons 2.316.60 Balance, 1000 gallons 415.01 Total Applied, tons 0.0( Total Produced, tons ml Balance, tons 0 0a Notes: 1. in the tract column, — symbol means ]eased, otherwise, owned. 2. Symbol * means user entered data. Preview Database Version 3.1 Date Printed: 3/19/2007 WUT Page 2 of 2 ram. y' cam. The following Lagoon Sludge Nitrogen Utilization table provides an estimate of the number of acres needed for sludge utilization for the indicated accumulation period. These estimates are based on average nitrogen concentrations foreach source, the nuinber.ofanimals in the facility and the plant available nitrogen application rates shown in the second column: 4 Lagoon sludge contains nutrients and organic matter remaining after treatment and application of the effluent. At clean out, this material must be utilized for crop production and applied at agronomic rates. In most cases, the priority nutrient is nitrogen but other nutrients including phosphorous, copper and zinc can also be limiting. Since nutrient levels are generally very high, application of sludge must be carefully applied. Sites must first be evaluated for their suitability for sludge application. Ideally, effluent spray fields should not be used for sludge application. if this is not possible, care should be taken not to load effluent application fields with high amounts of copper and zinc so that additional effluent cannot be applied. On sites vulnerable to surface water moving to streams and lakes, phosphorous is a concern. Soils containing very high phosphorous levels may also be a conceal. Lagoon Sludge Nitrogen Utilization Table Crop Maximum PA-N Rate Iblac Maximum Sludge Application Rate 1000 gal/ac Minimum Acres 5 Years Accumulation Minimum Acres 10 Years Accumulation Minimum Acres 15 Years Accumulation Swine Farrow -Feeder Lagoon Sludge - Standard orn 1 Zb hu 1 13.16 21.43 42.85 64.28 tia%' 6 ton R_Y.F- 300 26.32 10.71 21-43 32-14 Soybean 40 bu 160 14.04 20.09 40.17 60.26 333456 Database Version 3.1 Date Printed: 08-31-2006 Sludge Page I of I The Available Waste Storage Capacity table provides an estimate of the number of days of storage �- capacity available at the end of each month ofthe plan: Available storage capacity is calculated as the design storage capacity in days minus the number of days of net storage volume accumulated. The start date is a value entered by the user and is define as ttie date'prior to applying nutrients to the first crop in the plan at which storage volume in the lagoon or holding pond is equal to zero. Available storage capacity should be greater than or equal to zero and less than or equal to the design storage capacity of the facility. If the available storage capacity is greater than the design storage capacity, this indicates that the plan calls for the application of nutrients that have not yet accumulated If available storage capacity is negative, the estimated volume of accumulated waste exceeds the design storage volume of the structure. Either of these situations indicates that the planned application interval in the waste utilization plan is inconsistent with the structure's temporary storage capacity. Available Waste Storaee Canacitv Source Kamm Swine Farrow -Feeder Lagoon Liquid Design Store a Ca aci a s Start Date 9/1 180 Plan Year Month Available Storage Capacity (Days)' 1 1 105 1 2 95 1 3 112 1 4 156 I 5 170 1 6 180 1 7 180 1 8 180 ] 9 180 1 10 167 ! 11 155 1 12 139 * Available Storage Capacity is calculated as of the end of each month. 333456 Database Version 3.1 Date Printed: 08-31-2006 Capacity Page 1 of I S f-6BB 5 T��� lrr-2-Combo Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field # A Facility# 82-208 Wetted Acres=(A) 1.862 Farm Owner Felton Hobbs OlC Ownee's Address OlC # Owner's Phone # Crop Type I BH PAN 325� Source Data Start Time End Time Total Min. # Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre (GaVAcre) Waste An0q PAN Applied Nitrogen Bel. (lbs/acr) Weather Code Inspectors Initials 2 5/24/2010 12:00 PM 2:00 PM 120 9 11.0 11880.00 6380.24 1.2 7.66 317.34 C 1 2 5/25/2010 12.30 PM 2:30 PM 120 9 11.0 11880.00 6380.24 1.2 7.66 309.89 C 2 5/26/2010 11:00 AM 1:00 PM 120 9 11.0 11880.00 6380.24 1 1,2 7.66 302.03 C 2 6/3/2010 3:00 PM 5:00 PM 120 9 11.0 11880.00 6380.24 1.2 7.66 294.37 C 2 6/4/2010 9:00 AM 11:00 AM 120 9 11.0 11880.00 6380,24 1,2 7.66 286.72 C TR 2 615/2010 2:00 PM 4:00 PM 120 9 11.0 11880.00 6380.24 1.2 7.66 279.06 C 2 6/6/2010 12:30 PM 2:30 PM 120 9 11.0 11880.00 6380.24 1.2 7.66 271,41 C 2 6/7/2010 1:00 PM 3:00 PM1 120 9 11.0 11880.00 6380.24 1.2 7.66 263.75 1 C 2 6/8/2010 10:00 AM 12:00 PM 120 9 11.0 11880.00 1 6380.24 1.2 7.66 256.09 1 C 2 6/9/2010 40 PM 6:00 PM 120 9 11.0 11880.00 6380.24 1.2 7.66 248.44 C 2 9/1312010 1130 AM 1:30 PM 120 9 11.0 11880.00 6380.24 1.5 9.57 238.87 C r 2 9/14/2010 2:00 PM 4:00 PM 120 9 11.0 11880.00 6380.24 1.5 9.57 229.30 C 2 1 9/15/2010 11:00 AM 1:00 PM 120 9 1 11.0 11880.00 6380.24 1.5 1 9.57 219.73 C 2 9/16/2010 2:30 PM 4:30 PM 120 9 11.0 11880.00 6350.24 1.5 9.67 1 210.16 C 2 911712010 10:30 AM 12:30 PM 120 9 11.0 11880.00 8380.24 1.5 9.57 1 200.59 1 C 2 9/18/2010 3:00 PM 5:00 P 120 11.0 11880.00 6380.24 1.5 9.57 1 1.02 C Certified Operator operators Certification e 'NCUA Waste Analysis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events. "Enter me value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event. "'Enter nutrient source (ie, Lagoonl5torage Pond 10, commercial fertilizer, dry litter, etc.) 'Wearer Codes: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Rain, "now/Sleet, W-Windy -Person's Completing the irrigation inspections must initial to signify that inspections were completed at least eveiy 120 minutes. Note: It conditions beyond the permlttee's control have caused noncompliance with the CAWMP or pound, vxpkriii on reverse, la"Red V112, " RECEIVED JAN 1 q 2011 DENR-FAYETTEMLLE REGIONAL OFFICE y Irr-2-Combo Lagoon Liquid Irrigation Field Records One Forma for Each Field per Crop Cycle Tract # Field # 8 Facility# 82-208 Wetted Acres=(A) 0.532 Farm Owner Felton Hobbs OiC Owner's Address OIC # Owners Phone # Crop Type 8H I PAN 1 325 Source Data Start Time End Time Total Min. 0 Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre (Gall/Acre) Waste Analys PAN Applied Nitrogen Be]. (lbslaer) Weaver Code Inspectors Initials 2 7/19/2010 12,30 PM 2:00 PM 90 4 11.0 3960.00 7443.61 1,2 8.93 316.07 C 2 7120/2010 9:00 AM 10:30 AM 90 4 11.0 3960.00 7443.61 1.2 8.93 307,14 C �. t 2 7/21/2010 1:00 PM 2:30 PM 90 4 11.0 3960.00 7443.61 1.2 8.93 298.20 C 2 7/24/2010 11,00 AM 12:30 PM 90 4 11.0 3960.00 7443.61 1,2 0.93 289.27 C 1� 2 7/25/2010 1:00 PM 2:30 PM 90 4 11.0 3960.00 7443.81 1.2 8.93 280.34 C 2 712612010 10:00 AM 11:30 AM 90 4 11.0 3960.00 7443.61 1.2 8.93 271.41 C 2 9/13/2010 2:00 PM 330 PM 90 4 11.0 3960,00 7443.61 1.5 11,17 260.24 C 2 9/14/2010 4:00 PM 5:30 PM 90 4 11.0 3960.00 7443.61 1.5 11.17 249.08 C 2 9/15/2010 12:00 PM 1:30 PM 90 4 11.0 3960.00 7443.61 1.5 11.17 1 237,91 C AI 2 9/16/2010 2:00 PM 3:30 PM 90 4 11.0 3960.00 7443.81 1.5 11.17 1 226.74 C 2 9/17/2010 11:30 AM 1:00 PM 90 4 11.0 3960.00 7443.61 1.5 11.17 215.58 C .' 2 9/18/2010 1:00 PM 2:30 PM 90 4 11.0 3960.00 7443.61 1.5 11.17 204.41 C Certified Operator Operator's Signature Operator's CertM ation 0 'NCDA Waste Analysis or Equivalent. At a minimum, waste analysls is required within 00 days of land application events. "Enter the value received by subtracting column (10) from (8). Continue subtracting column (10) from column (11) following each irrigation event. "'Enter nutrient source (ie. Lagoonl5torage Pond ID, commercial fertilizer, dry litter, etc.) 'Weatf:r Codes: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Rain, S-SnowlSleel, W-Windy "Person's completing the irrigation inspections must initial to signify that inspections were completed at least every 120 minutes. Nulc: It c oochtions beyond the permittee's control have caused noncompliance with the CAWMP or permit, explain on reverse, RECEIVED JAN 2 4 2011 DENR-FAYETTEVILLE REGIONAL OFFICE Irr-2-Combo Lagoon Liquid irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field # C Wetted Acres=(A) 1.596 Farm Owner Felton Hobbs Owner's Address Owner's Phone # Crop Type I BH Facility# 82 208 Ole Ole # PAN L 325 Source bate Start Time End Time Total Min. # Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre (Gal/Acre) Waste Analyz PAN Applied Nitrogen Sal, (lbs/aor) Weather Code Inspector's Initials 2 6/1812010 11:00 AM 1:00 PM 120 12 11.0 15840,00 9924.81 1.2 11.91 313.09 C / - 2 611912010 9:00 AM 11:00 AM 120 12 11.0 15840.00 9924.81 1.2 11.91 301.18 C 2 6/20/2010 2:00 PM 4:00 PM 120 12 11.0 15840,00 9924.81 1.2 11,91 289.27 C ' 2 6/21 /2010 8:00 AM 10:00 AM 120 12 11.0 15840.00 9924.81 1.2 11.91 277.36 C ' 2 6/30/2010 1:00 PM 3:00 PM 120 12 11.0 15840.00 9924.81 1.2 11.91 265,45 C 2 7/1/2010 4:00 PM 6:00 PM 120 12 11.0 15840.00 9924.81 1.2 11,91 253.54 C 2 7/412010 12:30 PM 2:30 PM 120 12 11,0 15840.00 9924.81 1.2 11.91 241.63 C i 2 7/5/2010 9:00 AM 11:00 AM 120 12 11.0 1 15840.00 9924,81 1.2 11.91 22912 C 2 71612010 2:30 PM 4:30 PM 1 120 12 11.0 115840.00 9924.81 1.2 11.91 1 217.81 C 2 7/7/2010 10:00 AM 12:00 PM 1 120 12 11.0 15840.00 9924.51 1.2 11.91 205.90 C 2 7/8!2010 2:30 PM 4:30 PM 1 120 12 11.0 16840.00 9924.81 1.2 11.91 193.99 Cr41- 2 7/9/2010 4:00 PM 6:00 PM1 1.20 12 11.0 15840.00 9924.81 1.2 11.91 182.08 C / 2 9123t2010 10:00 AM 12:00 PM 120 12 11.0 15840.00 9924.81 1.5 14.89 167.20 1 C 2 9/24/2010 1:00 PM 3:00 PM 120 12 11.0 15840.00 9924.81 1.5 14.89 152.31 C 2 9/25/2010 10:00 AM 12:00 PM 120 12 11.0 115840,00 9924.81 1.5 14,89 137.42 C Certified Operator Operator's Certification # •NCDA Waste Analysis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events. -Enter the value received by subtracting column (10) from (8), Continue subtracting column (10) from column (11) following each irrigation event. -Enter nutrient source (ie. LagoonlStorage Pond ID, commercial fertilizer, dry litter, etc.) 'Weater Codes: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Rain, "now/Sleet. W-Windy "Person's completing the irrigation Inspections must initial to signify that inspections were completed m le0sl avM 120 minutes. Now It conditions beyond the permittee's control have caused noncompliance with the CAWMP ur permit, ex0nin on reverse. RECEIVED JAN 2 4 2011 DENR-FAYETTDALLE REGfONAL OFRCE Irr-2-Combo Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field # D Facility# 82-208 Wetted Acres=(A) 1.729 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Type BH PAN 325 Source Date Start Time End Time Total Min. it Sprinklers Flow Rate Total Volume (Gallons) volume per Acre (GallAare) Waste Anso PAN Applied N"en Bal, (lbs/acr) Weather Code Inspector's IntUals 2 7/4/2010 2:00 PM 4:00 PM 120 13 11.0 17160,00 9924.81 1.2 11.91 313.09 C ' 2 7/5/2010 12:00 PM 2:00 PM 120 13 11.0 17160.00 9924.81 1.2 11.91 301.10 C 2 7/6/2010 1:30 PM 3:30 PM 120 13 11.0 17160.00 9924.81 1.2 11.91 289.27 C i 2 1/7/2010 10:00 AM 12:00 PM1 120 13 11.0 17160.00 9924.81 1.2 11.91 277.36 C 2 7/8/2010 10:00 AM 12:00 PM 120 13 11.0 17160.00 9924.81 1.2 11.91 265.45 C 2 7/912010 2:30 PM 4:30 PM 120 13 11.0 17160.00 9924.81 1.2 11.91 253.54 C 2 7/10/2010 10:00 AM 12:00 PM 120 13 11.0 17160.00 9924,81 1.2 11.91 241.63 C 2 7/19/2010 4:00 PM 6:00 PM 120 13 11.0 17160.00 9924,81 1.2 11.91 229.72 C 2 7120/2010 3:00 PM 5:00 PM 120 13 7 11.0 17160.00 1 9924.81 1.2 11.91 1 217.81 C 2 7/21/2010 11:00 AM 1:00 PM 120 13 11.0 17160.00 9924.81 1.2 11.91 205.90 C 2 7/24/2010 12:00 PM 2:00 PMJ 120 13 11.0 17160.00 9924.81 1.2 11.91 193.99 C 2 7/25/2010 3:30 PM 5:30 PM 1 120 13 11.0 17160.00 9924.81 1.2 11.91 182.08 C 2 7/26/2010 2:00 PM 4:00 PM 120 13 11.0 17160.00 9924.81 1.2 11.91 170.17 C 2 9/23/2010 9.30 AM 11:30 AM 120 13 11.0 17160.00 9924.81 1.5 14.89 155.29 C 2 9/24/2010 4:30 PM 6:30 PM 120 13 11.0 1 17160.00 1 9924.81 1.5 14.89 140.40 C 2 912512010 2:30 PM 4:30 PM 120 1 13 11.0 17160,00 9924.81 1.5 14.89 125.51 C Owners Signature V- Operators Signature Certified Operator Operator's Certification # 'NCOA Waste Analysis or Equivalent. Al a minimum, waste analysis is required within 60 days of land application events, '"Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event. *"Enter nutrient source lie. Lagoon/Storage Pond ID, commercial fertilizer, dry litter, etc.) 'Wearer Codes: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Rain, "now/Sleet, W-Windy "Person's completing the irrigation Inspections must initial to signify that Inspections were Completed at least every 120 minutes, Note. If conditions beyond the permltte4o control have caused noncompliance with the CAWNIP or permit, explain on reverse. RECEIVED JAN 2 4 2011 DENR-FAYETTEVILLE REGIONAL OFACE Irr-2-Combo Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field #I E I`acility# 82-208 Wetted Acres=(A) 0.665 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Typal BH I PAN 1 325 source Date Start Time End Time Total Min. # Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre (Gal/Acre) Waste Analyst PAN Applied Nitrogen Sal. (lbstacr) Weather Code Inspectors Initials 2 6/5/2010 2:00 PM 3:30 PM 90 5 11.0 4950.00 7443.61 1.2 8.93 316.07 C 2 6/6/2010 10:00 AM 11:30 AM 90 5 11.0 4950.00 7443.61 1.2 8.93 307,14 C 2 617/2010 2:00 PM 3:30 PM 1 90 5 11.0 4950.00 7443.61 1.2 8.93 298.20 G 1.11 - 2 618/2010 1:00 PM 2:30 PM 90 5 11.0 4950.00 7443.61 1.2 8.93 289.27 1 C r' - 2 6/9/2010 10:00 AM 11:30 AM 90 5 11.0 49500.00 7443.61 1.2 8.93 280.34 C 2 6110/2010 100 PM 4:30 PM 90 5 11.0 4950.00 7443.61 1.2 8.93 271.41 C ✓ 2 6/12/2010 11:00 AM 12:30 PM 90 5 11.0 4950.00 7443.61 1.2 8.93 262.47 C i 2 ISM312010 2:00 PM 3:30 PM 90 5 11.0 4950.00 7443.61 1.2 8,93 253.54 C �= J- 2 6/14/2010 10:00 AM 11:30 AM 90 5 11.0 4950.00 7443.61 1.2 8.93 244.61 C i 2 6/18/2010 12:30 PM 2:00 PM 90 5 11.0 4950.00 7443.61 1.2 8.93 235.68 1 C ( 2 6/19/2010 3:00 PM 4:30 PM 90 5 11.0 4950.00 7443.61 1.2 1 8.93 226.74 G 2 6/20/2010 10:30 AM 12:00 PM 90 5 11.0 4950.00 7443.61 1.2 8.93 217.81 C 2 9/23/2010 3:00 PM 4:30 PM 90 5 11.0 4950.00 7443.61 1.5 11.17 206.65 G 2 912412010 2:00 PM 3:30 PM 90 5 11.0 4950.00 7443.61 1.5 11.17 195.48 C 2 9/2512010 3,00 PM 4:30 PM 90 5 11.0 4950.00 7443.61 1.5 11.17 184.32 C Certified Operator Operator's Signature � r Operators Certification tt "NCDA Waste Analysis or Equivalent. At a minimum, waste analysls Is required within So days of land application events. "Enter the value received by subtracting column (10) from (8). Continue subtracting column (10) from column (11) follo-Mng each Irrigation event. "'Enter nutrient source (ie. LagoorlStorage Pond 10. commercial fertilizer, dry litter, eto.) 'Weater Coders; C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Raln, S-Snow/Sleet, W-Windy -Person's completing the irrigation Inspections must Initial to signify that Inspections were completed at least every 120 minutes. Note: if condltlane beyond the permittee's Control have caused noncompliance with the CAWMP or permit, explain on reverse. RECEIVED JAN 2 4 2011 DENR-FAYETTEVILLE REGIONAL OFFICE Irr-2-Combo Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field # NF-1 Facility# 82-208 Wetted Acres=(A) 0.685 Farm Owner Felton Hobbs OIC Owner`s Address OIC # Owner's Phone # Crap Type I Soybeans I PAN 1 140 Source Date Start Time End Time Total Min. # Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre Waste Analy2 PAN Applied Nitrogen Bal, (lbstacr) Weather Code Inspectors Initials 2 8113/2010 1.00 PM 2:00 PM 60 1 129 7740.00 11299.27 1.5 16.95 123.05 C 2 8/14=10 1:00 PM 2:00 PM 60 1 129 7740.00 11299,27 1.5 16.95 106.10 C 2 8/15/2010 2:30 PM 3:30 PM 60 1 129 7740.00 11299.27 1.5 16.95 89,15 C 2 8/16/2010 2:00 PM 3:00 PM 60 1 129 7740.00 11299.27 1.5 16.95 72.20 C }% 2 8/17/2010 10:00 AM 11:00 AM 60 1 129 7740.00 11299.27 1.5 16,95 55.26 C Owner's Signature Operator's Signature Certified Operator Operator's Certification # •NCDA Waste Analysis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events. —Enter the value received by subtracting column (10) from (B), Continue subtracting column (10) from column (11) following each Irrigation event. "'Enter nutrient source (le. LagoonlStorage Pond ID, commertiaf fertiliser, dry litter, ft.) 'Weater Codes: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Raln, S-SnowlSleet, W-Windy —Person's completing the irrigation inspections must Initial to signify that inspections were completed at least every 120 minutes. Note: It Conditions beyond the permittee's control have Caused noncompliance with the CAWMP or permit, explain on reverse. RECEIVED JAN 2 4 2011 DENR-FAYETTEVILLE REGIONAL OFFICE Po lrr-2-Combo Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field 1< NF-2 Facility# 82-208 Wetted Acres=(A) 0.685 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Type I Soybeans I PAN 1 140 Source Date Start Time End Time Total Min. fl Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre (GallAcre) Waste Analysts PAN Applied Nitrogen Bal, (lbslacr) Weather Code I Inspector's Initials 2 8/29/2010 1:00 PM 2:00 PM 60 1 129 7740.00 11299.27 1,5 1 16.95 123.05 C 2 8130/2010 12:00 PM 1:00 PM 60 1 129 7740.00 11299.27 1.5 16.95 106.10 C ` 2 1 8/31/2010 1:00 PM 2:00 PM 60 1 129 7740.00 11299.27 1.5 16.95 89.15 C LA 2 9/112010 11:00 AM 12:00 PM 60 1 129 7740.00 11299.27 1.5 16.95 72.20 C 1 - owner's Signature operator's signature Certified operator operator's Certification # 'NCDA Waste Analysis or Equivalent. At a minimum, waste analysis is required within el) days of land application events. **Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each Irrigation event, -Enter nutrient source (to. Lagoon/Storage Pond ID, commercial fertilizer, dry litter, atc.) "Wester Codes: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Rain, S-SnowlSteet, W-Windy "•Person's comOetlng the irrigation Inspections must Initial to signly that Inspections were completed at least every 120 minutes. Now If conditions beyond the permittee's control have caused noncompliance with the CAWMP or permit, explain on reverse. RECEIVED JAN 2 q 2011 DENR-FAYETTEVILLE REGIONAL OFACE I rr-2 Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field # NF-3 Wetted Acres=(A) 0.685 Farm Owner Felton Hobbs Owners Address Owner's Phone # Crap TypelSoybeans Facility# 827208 OIC OIC # PAN 1 140 Source Date Start Time End Time Total Min. # Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre (Gal/Acre) Waste Analy PAN Applied Nitrogen Gal. (Ibslacr) Weather Code Inspector's Initials 2 8/29/2010 130 PM 4:30 PM 60 1 129 7740.00 11299,27 1.5 16.95 123.05 C 2 8/30/2010 2:00 PM 3:00 PM 60 1 129 7740.00 11299.27 1.5 16.95 106.10 C 2 8131 /2010 9:00 AM 10:00 AM 60 1 129 7740.00 11299.27 1.5 16.95 89.15 C 2 9/1/2010 3:00 PM 4:00 PM 1 60 1 1 1 129 1 7740.00 1 11299.27 1.6 16.95 72.20 C ' Owners Signature &A_L_� Operators Signature Certified Operator Operators Cerbficatlon # •NCDA Waste Analysis or Equivalent. At a minimum, waste analysis is required within e0 days of land application events, "Enter the value received by subtracting column (10) from (8). Continue subtracting column (10) from column (11) following each Irrigation event. '-Enter nutrient source (le. Lagoon/Storage Pond 10. commercial fertilizer, dry litter, etc.) `Weater Codes'. C-Clear, PC-Partty Cloudy, Cl-Cloudly, R-Rain, S-Snow/Sleet, W-Windy —Person's completing the Irrigation inspections must initial to signify that Inspections were completed at least every 12D minutes. Note: It conditions beyond the permittee's control have caused noncompliance with the CAWMP or permit explain on reverse. RECEIVED JAN 2 4 2011 DENR-FAYEfTEVILLE REGIONAL OFFICE ,. I rr-2 Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field Facility# 82-208 Wetted Acres=(A) 0,685 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Type I Soybeans I PAN 1 140 Source Date Start Time End Time Total Min, # Sprinklers Flow Rate Total Volume (Gallons} Volume per Acre (Gal/Acre) Waste Analy PAN Applied Nitrogen Bal. (lbslacr) Weather Code Inspecitor's Initials 2 9/3/2010 10:00 AM 11:00 AM 60 1 129 7740.00 11299.27 1.5 16.95 123.05 C 2 9/412010 1:00 PM 2:00 PM 60 1 129 7740.00 11299.27 1.5 16.95 106.10 C i 2 9/512010 3:00 PM 4:00 PM 60 1 129 7740.00 11299.27 1.5 16.95 89.15 C 2 9/6/2010 12:30 PM 1:30 PM 60 1 129 7740.00 11299.27 1.5 16,95 72.20 C *4L Owners Signature Operator's Signature Certified Operator Operator's Certification # •NCDA Waste Analysis or Equivalent. At a minimum, waste analysis Is required within 60 days of land application events. "Enter the value received by subtrwUng column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event ""Enter nutrient source (le. Lagoon)5torage Pond ID, commercial fertilizer, dry litter, etc.) 'WaaterCodes: C-Clear, PC-ParttyCloudy, CI-Cioudly, R-Rain, S-Snowtsleet, W-Windy -Person's completing the Irrigation inspections must initial to signify that inspections were completed at least every 120 minutes. Note: If conditions beyond the pennittee's control have caused noncompliance with the CAWMP or permit, explain on reverse. RECEIVED JAN 2 4 2011 DENR-FAYETTEVILLE REGIONAL OFFICE Irr-2 Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field # NF-5 Facility# 82-208 Wetted Acres=(A) 0.679 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Type Soybeans PAN 1 140 Source Date Start Time End Time Total Min. # Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre (Gal/Acre) Waste Analysis PAN Applied Nitrogen Bal, (Ibslacr) Weather Code Inspector's Initials 2 913/2010 1:00 PM 2:00 PM 60 1 129 7740,00 11399.12 1.5 17.10 122.90 C 2 91412010 9:00 AM 10:00 AM 60 1 129 7740.00 11399.12 1.5 17.10 105.80 C 2 9/512010 12:00 PM 1:00 PM1 60 1 129 7740.00 1 11399.12 1.5 17.10 88.70 C 2 9/6/2010 3.00 PM 4:00 PMj 60 1 129 7740.00 1139912 1.5 17.10 71.61 C ENE Owner's Signature —�J'1611 ge4- Certified Operator Operators Signature T —JU�L *�-(L Operator's Certllicatton # 'NCDA Waste Analysis or Equivalent- At a minimum, waste analysis is required within 60 days of land application events. "Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each Irrigation event '-Erner nutrient source (ie. Lagoon/Storage Pond ID, commerbal fertilizer, dry litter, etc.) •Wentur Codes: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Rain, S-SnowlSleet, W-Windy I trt sums completing the irrigation inspections must initial to signify that inspections were completed at least every 120 minutes. NO(:. II cunitihni is. beyond the permittea's control have caused noncompliance with the CAWMP or permit, explain on reverse. RECEIVED JAN 2 4 2011 DENR-FAYETTEVILLE REGIONAL OFFICE Irr-2 Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field # NF-6 Facility# 82-208 Wetted Acres=(A) 0.685 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Type I Soybeans PAN 1 140 Source Date Start Time End Time Total Min. # Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre (GallAcre) Waste Analy2 PAN Applied Nitrogen Bel, (lbsfacr) Weather Code Inspector's Initlais 2 8/7/2010 9:00 AM 10:00 AM 60 1 129 7740.00 11299.27 1.5 16.95 123.05 C 2 8/8/2010 11:00 AM 12:00 PM 60 1 129 7740.00 11299.27 1.5 16.95 106,10 C s 2 8/912010 9:00 AM 10:00 AM 60 1 129 7740.00 11299,27 1.5 16.95 89.15 C 2 8/10/2010 2:00 PM 3:00 PM 60 1 129 7740.00 11299.27 1.5 16.95 72.20 C Owner's Signature Certified Operator Operator's Signature Operator's Certification # `NCDA Waste Analysis or Equivalent. At a minimum, waste analysis Is required within 60 days of fond application events. "Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each Irtigation event. —Enter nutrient source (ie. LegoorVStorage Pond ID, commercial fertilizer, dry litter, etc.) *Wester Codes. C-Clear, PC -Pertly Cloudy, CI-Cloudly, R•Raln, S-Snow/Sleet, W-Windy -Person's completing the irrigation Inspections must initial to signify that inspections were completed at least every 120 minutes. Note: If conditions beyond the permittee's Control have caused noncompliance with the CAWMP or permit, explain on reverse. RECEIVED JAN 2 4 2011 DENR-FAYETTEMLLE REGIONAL OFFICE I rr-2 Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field NF-7 Facility# 82-208 Wetted Acres=(A) 0.589 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Type So beans PAN 1 140 Source Date Start Time End Time Total Min, # Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre (Gal/Acre) Waste Analy PAN Applied Nitrogen Bal. (lbslacr) Weather Code tnspectoee Initials 2 8R/2010 11:00 AM 12:00 PM 60 1 129 7740.00 13140.92 1.5 19.71 120.29 C 2 8/8/2010 1:00 PM 2:00 PM 60 1 129 7740.00 13140.92 1.5 19.71 100.58 C 2 8/9/2010 12:00 PM 1:00 PIVII 60 1 129 7740.00 113140.92 1.5 19.71 80.87 C 2 8/10/2010 4:00 PM 5:00PIMI 60 1 129 7740.00 13140.92 1.5 19.71 61.15 C Owners Signature 4�k_ Certified Operator Operator's Signature Operator's Certification # •NCDA Waste Analysis or Equivalent. At a minimum, waste analysis is required within 50 days or land application events. "Enter the value received by subtracting Column (10) from (B). Continue subtracting Column (10) from column (11) following each Irrigation event. —Enter nutrient source (is. Lagoon/Storage Pond ID, commercial fertllizer, dry litter, etc.) 'Wester Codes: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Rain, S-SnowlSleet, W-Windy —Person's completing the irrigation inspections must initial to signify that inspections were completed at least every 120 minutes. Note: if conditions beyond the permittee's control have mused noncomplianoe with the CAWMP or permft, explain on reverse. RECEIVED JAN 2 4 2011 DENR-FAYETTEVILLE REGIONAL OFFICE I rr-2 Lagoon Liquid Irrigation Field Records One Farm for Each Field per Crop Cycle Tract # Field #I NF-8 Facility# 822208 Wetted Acres=(A) 0.589 Farm Owner Felton Hobbs OiC Owner's Address OIC # Owner's Phone # Crop Type Soybeans I PAN 1 140 Source Date Start Time End Time Total Min. # Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre (Gal/Acre' Waste Analye PAN Applied Nitrogen Bal. (lbslacr) Weather Code Inspectors Initials 2 8/13/2010 11:00 AM 12:00 PM 60 1 129 7740.00 13140.92 1.5 19.71 120.29 C 2 8/14/2010 11:00AM 12:00 PM 60 1 129 7740.00 13140,92 1,5 19.71 100,58 C 2 8/15/2010 12:00 PM 1:00 PIVII 60 1 129 7740.00 13140.92 1.5 19.71 80.87 C 2 8/16/2010 11:00 AM 12:00 PM 60 1 129 7740,00 13140.92 1.5 19.71 61.15 C = 2 8/17/2010 2:00 PM 3:00 PM 60 1 129 7740.00 13140.92 1.5 19.71 41.44 C ' l Owner's Signature Operators Signature Certified Operator Operator's Certification # •NCDA Waste Analysis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events. -Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each Irrigation event. —Enter nutrient source (le. LagooniStorage Pond ID, commercial fertilizer, dry litter, etc.) 'Weater Codes, C-Clear, PC -Partly Cloudy, Cl-Cloudly, R-Raln, S-SnowlSleet, W-Windy —Person's completing the irrigation inspedions must initial to signify that inspections were completed at least every 120 minutes. Note: It conditions beyond the permittee's control have caused noncompliance with the CAWMP or permit, explain on reverse. RECEIVED JAN 2 ?^'?. OIi. r r Irr-2 Tract # Wetted Acres -(A) Farm Owner Owner's Address Owner's Phdne # Crop Type So beans Lagoon Liquid Irrigation Field Records On a Form for Each Field per Crop Cycle Field NF-10 Facility# 82-208 0.685 Felton Hobbs OIC OIC # PAN 140 Source pate Start Time End Time Total Min. # Sprinklers Flow Rate Total Volume (Gallons) Volume per AcreWaste i(Gal/Acre) AnAIA PAN Applied Nitrogen Sal. (Flea) Weather Code Inspectors Initials 2 9/7/2010 11:00 AM 12:00 PM 60 1 129 7740,00 11299.27 1.5 16.95 123.05 C - 2 9/8/2010 1:00 PM 2:00 PM 66 1 1 1 129 7740.00 11299.27 1.6 16.95 106.10 C 2 9/9/2010 1 1:00 PM 2:00 PM 60 129 7740.00 11299.27 1.5 16.95 89.15 C 2 911=010 10:00 AM 11:00 AM 60 129 7740.00 11299.27 1.5 16.95 72.20 C Owners Signature LJ1.1= �9_L Certified Operator Operator's Signature . — Y__ J _�'_ '44 � Operators Certification 0 'NCi]A Waste Analysis or Equivalent, At a minimum, waste analysis is regJired within 60 days of land application events. "Enter the value received by subtracting column (10) from (e). Continue subtracting column (10) from Column (11) following each Irrigation event. —Enter nutrient source (Ia. LagooNStorage Pond 10, commercial fertilizer, dry litter, etc.) "Wetter Codes: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Rain, S-SnowlSloet, W-Windy **Person's completing the irrigation inspections must Initial to signify that inspections were completed at least every 120 minutes, Note: If conditions beyond the permitlee's control have caused noncompliance'Nth the CAWMP or permit, explain on reverse. RECEIVED JAN 2 4 2011 Irr-2 Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field # NF-11 Facility# 82-208 Wetted Acres=(A) 0.589 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Type so beans PAN 140 Source Date Start Time End Time Total Min, # Sprinklers I Flow Rate Total Volume (Gallons) Volume per Acre (GallAcre) WasteAnalys PAN Applied Nitrogen Bat. (lbslacr) Weather Code Inspector's Initials 2 9/7/2010 2:00 PM 3:00 PM 60 1 129 7740.00 13140,92 1.5 19.71 120.29 C _! 2 9/8/2010 230 PM 3:30 PM 60 1 129 7740.00 13140.92 1.5 19.71 100.58 C 2 9/9/2010 4:00 PM 5:00 PM 60 1 129 7740.00 13140.92 1.5 19,71 80.87 C 2 9/10/2010 9:00 AM 10:00 AM 60 1 129 7740.00 13140.92 1.5 19.71 61,15 C :� 1 Owners Signature�_J✓ IkLOperator's Signature Certified Operator �.. Operator's Certification # 'NCDA Waste Analysis or Equivalent. At a minimum, waste analysis is required within 60 days of land application events. —Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each irrigation event, —Enter nutrient source (is, l.agoonlStorage Pond ID, commercial fertilizer, dry litter, etc.) "Weater Cates: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Rain, S-SnowlSleel, W-1Mndy "Person's completing the irrigation inspections must initial to signify that inspections were completed at least every 120 minutes. Note: If conditions beyond the permittee's control have caused noncompliance with the CAWMP or permit, explain on reverse. RECEIVED JAN 2 4 2011 DENR-FAYETTE'O LLE REGIONAL OFFICE NCDA&CS Agronomic Division Phone: (919)733.2655 Web site: www.ncagr.goy/agronemi/ Report: WO1140 _ •'=��•.'''.` �.' /r • ,,� ,..: Waste A nalysis Rohort Grouer. Hobbs, Felten 7687 Keener Rd Clinton, NC 28328 Femx: Copiesl0. Received: 08/11/2010 Completed: 08117/2010 Sampson County sample information Laboratory Results (parts per million unless otherwise noted) sample 1D: i N P K Ca A S Fe Aln 2n Cs 8 Mo Ci C rotal 349 44.3 us 1V3 39.7 27.1 3.27 0.51 1.70 i.o6 1.42 01 IN N Waste Corte, -NH4 Na Al Cd PS Al Se H pH SS Or DAM CCE% ALE( ALS -NO3 303 7•86 Description: OR•N Swine L n Lig, &W RecomingildWoul: Nutrients Available for First Crop lbs 10M auatts Other Elements lbs It7t7t7 ons Applknlion Method N P205 W Ca Mg S Pe Mat Zn Cu 8 No Cl Na Nl Cd Pb Al se V lrrigatlon 1.5 059 7.1 0.00 0.23 0.16 0.02 T 0.01 0.01 0.01 2.5 RECEIVED JAN z 4 2011 DENR-FAYETTBILLr REMNr11.OFFICE Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. - Thank you for using agronomic services to ntanage nutrients and .safegtrurel environmental quality. - Steve TrrWer, Com►nissioner of Agriculture NCDA O Agronomic Division phone: (919)733.2655 Web site: www.natgr.g"/agrosomi/ Report: wagoo6 Groaner: Hobbs, Felton Copies IV: 1 � i•1':TI Waste naR.-., ort lsis y 7887 Keener Rd Clinton, NC 28328 Received: 06/16/2010 Completed: 06/22/2010 Sampson County Sample lafortn.ulon Laboratory Results (parts per Milian unless otherwise noted) Sample IQ: N A K Ca Mg S Fe Ain 7n Crr & Mo C1 C 01 Total 277 48.7 793 98.1 37.7 37.0 4.58 0.64 1,41 1110 1,15 1N-N Waste Coder •NN4 AL5 NO3 Na N! Cd A At Se Lr' P11 SS ON DAN CM ALB( Descrip1W., Oil-N 271 7.48 Swine Lamon Lin. Urea RtgommCadadool: Nutrients Available for First Crop Its-do-0-0 Other Clements 1bs11OLVgqUons AppUcatlon Melhod N P103 W Ca Mg S Fe Mrs %n Cn B No a 1Va Ni Cd A Al Se !d Irrigation 1.2 0.65 6.4 0.57 0.22 0.22 0.03 T 0.01 0.01 0.01 2.3 RECEIVED JAN 2 4 2011 DENA - YPnMUJE RECAOM OFHCE Reprogramming of the laboratory-inirlrmstion-managament system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust fund Commission. Thank you jar using agronomic cervices to manage nutrients and safeguard environmental quality. - Steve Troxier, Commissioner of Agricuilure NtDmx(S Agronomic Division Phone: (919)733-2655 Web site: www.omgr.gov/agronomil - — --��� Report: W07492 Grower: Waste Analysis Report Hobbs, Felton 7887 Mener Rd Union, NC 28328 Farm: Copies to: Received; 04/14/2010 Completed: 04/21t2010 Sampson County Sampie information laboratory Results (points per million unless otherwise noted) sample lDr N P li Ca At S Re Aft, En Cu B Ma G1 C Pota! 432 29.0 580 181 48,2 40,8 8.53 041 1.03 OA6 0.85 l MIN Waste Code: -NH4 ALS •Ni93 Na Nf Cd fb At se li PH SS ON DM% CCB% AU(Kgd) 144 7.56 aftm ptlon: OR-N Sa1ne Upon Uq. Urea Nutrients Available for First Crop m5flamtUans Other Elements ft ff- anions AppliwOon Metbod N P205 K20 Ca M8 $ Fe Ain Zn 04 a Ma C1 Na Nt Cd A6 At Sa U irrigation 1.8 0.39 4.6 1.1 0.28 0.24 0.05 T 0.01 T T 1,2 North Carohna h RECEIVED JAN 2 4 2011 DEJ8-FAYUrMLLE PEC,'ONA!', cFFic,, Reprogramming of the laboratory-informatior+-management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. -Steve rrozier, Commissioner of Agriculture 0 p A n m � � n m mC q CD„ 1 2 r O m ry?. -8 r FORM SLUR-1 Slurry and Sludge Application Field Record For Recording Slurry Applicaton Events on Different Fields Farm Owner Facility Number Spreader Operator Tract & Field # Date mm/dd r ''Weather Code Crop Type Field Size (acres) Application Method' Number of Loads per Field Volume of each Load" ailons � Cis G� •Y(/ L/l�' .. 4 �� 4 o Ja •' 1 / �- G do v v C z-- , 7 3 r+� JALi " SI = soil incorporated (disked); BR = broadcast (surface applied). *" Can be found in operator's manual for the spreader. Contact a local dealer if you do not have your owner's manual. I Weather Codes: C-Clear, PC -Partly Cloudy, C#-Cloudy,,R-Rain, S-Snow/Sleet, W-Windy 3/14/2003 FORM SLUR-2 Tract 0 Field Size(Wetted Acres)=(A) Farm Owner Owner's Address Owner's Phone # S�rry and Sludge Application Field Records One Form for Each Field per Crop Cycle Field # Facility Number /� Spreader Operator 7 k- t -) 1Cre ��-+^� and Address C' Operator's Phone # From Animal Waste Management Plan �j5 , ! f �� Crop Type � � ja Recommended PAN �v 6 d� L Loading (Ib/acre) = (B) 1 2 3 a 5 8 8 Lea ** "Nutrient Source Date (mmldd/yr) ` Number of Loads per Field Volume of each Load' (gallons) Total Volume (gallons) (2) x (3) Volume per Acre (gallorWacre) (4) ! (A) Waste Analyst PAN" (lb/1000 gal) PAN Applied (lb/acre) (6) x (5) 11000 Nitrogen Balance— pblecre) B - a= --b . .-.,v—ry occ JAN Crop Cycle Totals: D pUU Owners Signature Certified Operator (print) .1 1 _j Spreader Operator's Signature Operator Certificaibon No. " Can be found in operator's manual for the spreader. Contact a local dealer If you do not have your owner's manual. See your waste management plan for sampling frequency. At a minimum, waste analysis Is required within 60 days of land application events. *"Enter the value received by subtracting column (7) from (B). Continue subtracting column (7) from column (8) following each application event. "'Enter nutrient source (Ia. LagoonlStorage Pond ID, commerical fertilizer, dry litter, etc.) 12/202006 ;IVED y 2011 LE REGIONAL OFFICE Irr-2-Combo Lagoon Liquid irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field AA Facility# 82-208 Wetted Acres=(A) 1.862 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Type SG PAN 33.89 (PAN Rate from Application Field Record IRR-2) Source Date StartTlme End Time Total Min. # Sprinklers Flow Rate Total Volume (Gallons) Volume per Acre (GalfAcre) Waste Analp PAN Applied Nitrogen Bel. (lbslacr) Weather Code Inspectors Initials L2 11l712010 2:00 PM 4:00 PM 120 9 11.0 11880.00 6380.24 0.97 6.19 27.70 C L2 11/8/2010 100 PM 3:30 PM 30 9 11.0 2970.00 1595.06 0.97 1.55 26.15 C Ownere Signature, - Operators Signature Certified Operator Operators Cerdcation 0 'NCDA Waste Analysis or Equivalent. At a miriunum, waste analysis is required within 60 days of land application events. "Enter the value received t>y subtracting column (10) from (8), Continue subtracting column (10) from column (11) following each irrigation event, '"'Enter nutrient source (to. Lagoon/Storage Pond ID, commercial fertilizer, dry litter, etc.) Weater Codes: C-Clear, PC -Partly Cloudy, Cl-Cloudly, R-Rain, S-Snow/Sleet, W-Wkrdy "Person's completing the Irrigation inspections must inRlal to signify that inspedlons were completed at least every 120 minutes. Note: If conditions beyond the parmittee's control have caused noncompliance with the CAWMP or permit, explain on reverse. RECEIVED JAN 2 4 2011 DENR JAYETTEMLLE REGIONAL OFFICE Irr-2-Combo Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field # 8 Facility# 82-208 Wetted Acres=(A) 0.532 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Type I SG I PAN 1 50 Source Date Start Time End Time Total Min. # Sprinklers flow Rate Total Volume (gallons) Volume per Acre (Gal/Acre) Waste Anal PAN Applied Nitrogen Bal. (lbslacr) Weather Code Inspectors Initials 2 111712M 2.00 PM 4:00 PM 120 6 11.0 7920,00 14887.22 0.97 14.44 35.56 C 2 1118l2010 3:00 PM 3:30 PM 30 6 11.0 1980.00 3721.80 0.97 3.61 31.95 C 1 Owners Signature V.M,fJ Y ` 1 Operators Signature �—I� v4t,— Certified Operator Operators Certification # "NCDA Waste Analysis or Equivalent. At a minimum, waste analysis is required within Bo days of land application events. *'Enter the value received by subtracting column (10) from (B). Continue subtracting column (10) from column (11) following each Irrigation event. "'Enter nutrient source (is. LagoonlStorage Pond ID, commercial fertilizer, dry litter, etc.) "Weater Codes: C-Clear, PC -Partly Cloudy, Cl-Cloudly, R-Rain, S-SnowlSleet, W Windy —Person's completing the Irrigation inspections must Initial to signify that Inspections were completed at least every 120 minutes. Note: If Conditions beyond the permittee's control have Caused noncompliance with the CAWMP or permit, explain on reverse. RECEIVED JAN 2 4 2011 OENR-FAYETi EVUE REGIONAL OFRCE Irr-2-Combo Lagoon Liquid Irrigation Field Records One Form for Each Field per Crop Cycle Tract # Field # C Facility# 827208 Wetted Acres=(A) 1,596 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Type SG I PAN 1 50 Source Date Start Time End Time Total Min. # Sprinklers Flow Rate Tote! Volume (Gallons) Volume per Acre (GBVAcra) Waste Analys PAN Applied Nitrogen Bel. (lWacr) Weather Code Inspectors Initials 2 11/16/2010 1:30 PM 3:30 PM 120 15 11.0 19800.00 12406.02 0.97 12.03 37.97 C 2 11122/2010 12:00 PM 1:30 PM 90 15 11.0 14850.00 9304.51 0.97 9,03 28.94 C Owneea Signature (." Operators Signature Certified Operator Operators Certification # •NCDA Waste Analysis or Equivalent. At a minimum, waste analysis is required within BD days of land application events. -Enter the value received by subtracting column (10) from (8). Continue subtracting column (10) from column (11) following each Irrigation event. —Enter nutrient source (ie. Lagoon/Storage Pond ID, commercial fertilizer, dry litter, etc.) "Wester Codes: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Rain, S-Snow/Sleet, W-Windy —Person's completing the Irrigation inspections must initial to signify that Inapeotlons were completed at least every 120 minutes. Note: If Conditions beyond the permittee's control have Caused noncompliance with the CAWMP or permit, explain on reverse. RECEIVED JAN 2 4 2011 DENR--FAYETTEVILLE REGIONAL OFFICE FORM SLUR-2 Ind Application Field Records One Form for Each Field per Crop Cycle Tract # Field # Field Size(Wetted Acres)=(A) 3 Facility Number Farm Owner P ! - V7 Spreader Operator Owner's Address —7Yp&7 and Address Owner's Phone # S r ' 7 ��� 7 Operator's Phone # From Animal Waste Management Plan 1 Crop Type 6 ` Recommended PAN Loading (Ib1ac►e) = (8) " 1 2 (3) (4) 5 B LIK liv 42� L ""Nutrient Source Date (mrrdddlyr) Number of Loads , per Field Volume of each Load' (gallons) Total Volume (gallons) (2) x (3) Volume per Ape (gallonstacre) (4) ► (A) Waste Analysis PAN" (Ib11000 gal) PAN Applied pblacre) (6) x (5)11000 Nitrogen Balance"' (lblacre) B - 7 Bo . a oTa -, ��°� td e 0 0 L32(2, 6.3 0, a :IVED Crop Cycle Totals: o 0 7. -7'f7 1 JAN 2 4 2011 Owners Signature .Q, �,. Spreader Operator's Signature REGIONAL OFFICE Certified Operator (print) Operator Certification No. Can be found in operator's manual for the spreader. Contact a local dealer N you do not have your ownees manual. ** See your waste management plan for sampling frequency. At a minimum, waste analysis is required within 80 days of land application events. *"Enter the value received by subtracting column (7) from (B). Continue subtracting column (7) from column (8) following each application event. ***Enter nutrient source (le. Lagoon/Storage Pond ID, commerical fertilizer, dry litter, etc.) 12/2012006 W Irr-2-Combo Lagoon Liquid Irrigation Field Records One Form for Each Fleld per Crop Cycle Tract # Field #1 D Facility# 82-208 Wetted Acres=(A) 1.729 Farm Owner Felton Hobbs OIC Owner's Address OIC # Owner's Phone # Crop Type I SG PAN 46.25 Kl't1Z Mot - source Date Start Time End Time Total Min. # Sprinklers Flow Rate Total Volume (Gallons) Volume per Ape (GaVAcre) Waste Analys PAN Applied Nitrogen Bal. (lbslacr) Weather Code Inspectors Initials 2 11/14/2010 12:00 PM 1:15 PM 75 14 11.0 11550.00 6680.16 0.97 6,48 39.77 C 2 12/22/2010 3:00 PM 5:15 PM 135 14 11.0 20790.00 12024.29 0.97 11.66 28.11 C ,;(- 0i V Owners Signature 2&AiAOperators Signature Certified Operator Operator's Certification 0 •NCDA Waste Analysis or Equlveient. At a minimum, waste analysis Is required within 90 days of land appheation events. "Enter the value received by subtracting column (10) from (8). Continue subtracting column (10) from column (11) following each Irrigation event_ -Enter nutrient source lie. Lagoon)Storege Pond ID, commercial fertilizer, dry litter, etc.) `Wester Codes: C-Clear, PC -Partly Cloudy, CI-Cloudly, R-Rain, S-Snowlsleat, W-Windy RECEIVED ��-Person's Completing the Irrigation Inspections must Initial to signify that inspections were completed at least every 120 minutes. El VLr1 Note: it conditions beyond the pennittee's control have Caused noncompliance with the CAWMP or permit, explain on reverse. J JAN 2 4 2011 DENR-FAYEfTEVILLEREGIONAL OFFICE NCDA&C3 Agronoadr Divides Phone:. (919)733-2635 Web site: www.nW4D!/kgmomi/ Report: W04293 Grainer,- Hobbs, Felton Copies la, 7887 Kerner Rd Clinton, NC 28328 RECEIVED y aste nalysas sport JAN 2 2011 a / 9 z Received:` 12/09/2010 Completed: 1211612010 T�/F I-Inke to Helpful information Sampson Couph' DENR-FAYETTEUILLF REGIONAL OFFICE Socaple lnh nmtlon labboratory Results (parts per mow unless otherwise noted) Sample M N P jr Ca Mg S Fe Mn in Cn B Mo ct C H-D ` Total 4.74 8.09 44.7 82.4 21.7 7.63 1.42 0.11 2.33 0.29 0.20 W INN Waste Code: -NH4 Na Nt Cd P6 Al Se U PH SS C N DM% CCB% ALB ALS C,,, -NO3 40.3 5.9 Deseriptton: OR-N Swine Upon Li . Urm Natrlenis Avallable for First CmP lbs 000 allows Other Elements @S 000 dkM 4AP6oation Medbod N PJ05 X20 Ge Mg S Fe Mn Sn CU B Mo C1 Na AN Cd A Al Se M Irrlgatlon 0.02 0.11 o.36 0.4a 0.13 o.04 0101 T 0.02 T T o.34 Broadcast 1 0.02 0.11 0.36 0.48 0.13 0.04 0.01 T 0.02 T T 0.34 comgietI& Dec. 14, 2010 The pH of the lagoon kpd 1s well below the desired rungs for buterlal action and waste prorusshrg. Begin a4mthrg pH by adding i lb. of vVicubmil 11M per 1000 cu. It of Bgptd resna"in ft tagm. Sample mo and condnoo to add Ibne onUil pH Is wltbla the ideal M of 7.0 - 8A, You 2M want to contact it Teclinlcel for asslstsnse. Sample Information Laboratory Results (parts per million unless admvise noted) Sample la. / N P 6 Ca M8 S Fe AM Eh Cu B Mo a C Total 119 89.4 342 91.9 57.7 15.7 3.02 0.35 3.09 0.44 0." HIF {J�y Q Waste Code: 0d IN-N N714 �{ ALS 4! -NO3Na M Cd P6 At Sa Il H SS GN MCM AL8 70- 7.94 Diescrtplfmr: r 1, e� OR> Wne Lagoon L,`U Nutrients Am dkMe for First Crop Ift/Imilaubw Other Blemenb lbs legs allows Applioa 0" Metbod N P205 _ M Ca Mg $ Ao lobs b • Cie 8 Mo C! Na M Gi A Al se u Inigadon 0.50 1.2 3.7 • 0.54 0.34 0.09 0.02 T 0.02 T T 0.59 Broadcast 0.50 1.2 3.7 0.54 0.34 0A9 0.02 T 0.02 T T 0.5 North Carolina AL Tobacco Trust Fund Commission Reprogramming of the laboratory -information -management system that makes this report possible Is being funded through a grant from the forth Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxkr, Commissioner of Agriculture NCDPAW Agronomic Division Phone: (919)733.2655 Web'site., wwj=V.gov/aSw*M1/ Report: W03156 �``'"� •' E ` ' 1 i' 7 Y Grower Hobbs, Felton 7897 Keener Rd dinlon, NC 28328 Cap is to, c C � -iWaste Analysis Report Farm: Received: 10/191201 0 Completed: 10/2512010 Links to H21pful_Inf9r1iation Sampson County sample Resaw (pub per minion onless etheMN Hated) Smapte IA! N P d Ca 14 S Pe Mn Zn Cu a Mo a C ] rota! 233 95.6 411 231 49.3 23.7 7.77 1.10 1.62 0.91 0.79 1N•N Waste CO& •NM4 Na M Cd A Al Se U PH SS CN DM% CC8% ALEOW ALS Mj 140 7.28 Aescrohoft: OR N Same Lalpon L , Urea COMM iVul ent, Available for First CM 0311000finum Other Element, Ms/low—MUM- MO" N PJ05 ICsO Ca Mg S Fe Mn 8h Q a Mo Q Na Nl Cd 16 Al se M 1rrlpwn 0.97 1.3 3.3 1A 0.29 0.14 0.05 0.01 0.01 0.01 T 1.2 North Carolina Tobacco Trust Fund Conitn1won RECEIVED JAN 2 4 2011 DENR-FAYETTEVILLE REGIONAL OFFICE Reprogramming of the laboratory-lnfommUommanagemant system that makes this report possible Is being funded through a grant from the North Carolina Tobacco Trust Fund Comn*alon. Th ank you for using agronomic services to manage nutrients and safeguard environmental quality. -Steve T raxler, Commissioner of Agriculture kc FORM FRBn-1Waste Stru ur shoat ally reapita#ion RECEIVED --JAN 2 #F@fflpwrw FPdw Number - r U;/k: dus I )Nn - AY€TTFmLLE REGIo NAALOFHCE 4 0,,, 4 _ �h m®e�■�rIIIM MIMO�� Maim MICHIIIII m�����■t ,I iAIIIIIIIIIIIIII IN reffiIIIIIIIIIIII Ma%m I 10011111���l� 1. Lagoon freeboard is the difference between the lowest point of a lagoon embankment and the 1,evel of liquid. For lagoons with spillways, the differenoe between the level of liquid and the bottom of the spillway should be recorded. 2. Freeboard plus available storage capacity must be recorded at least weekly. 3. Rainfall must be recorded for every rain event. (( 3/14/2003 L. L7H^ FORM FRBD-1 Waste Structure Freeboard and Daily Precipitation Record Farm Owner . sl Operator t! li, 11, 61,s RECEIVED JAN 1 # 2011 e _ AL OFFICE Facility Number & . - Date (M49 M Struc#Wra Freeboard inches 'motion �ndties Initials # j# 2- # 3 # # # •%- - �v -a F 3 � � 4 ?i o ��� r l- -r . ►o 3� zg,� ! 3 2cr g� y� 2`7i y t� o �r z14 z-7 3 21 tt 30 30 1b rl y f.c )o y7 '3 b 3a 211 3)L 3t 11.40� iI''Y y—rv— 30 37 ; f t .r -ro Z9 q1 ; 30 eta 30 33 Z_ Zy -?-/ x- 24 44 2S, }. = ee �- if 4 ._ 1 7, A3 - .2 47- .. �_3 Lagoon freeboard is the difference between the lowest point of a lagoon embankcnertt and the levei of liquid. For lagoons with spilMrays. the difference between the level of liquid and the bottom of the spillway should be recorded. 2. Freeboard plus available storage capacity must be recorded at least weekly. 3. Rainfall must be recorded for every rain event. 3/1412003 01/02/2002 16:12 9105646660 HOBBS HOG FARM PAGE 04 �:,'.I�.',h',' I :, }t{r,�t:}Illui tit•I> Ic'.c`;iltll K�nalr Invoice i II �1� i ti}t•. r!I I;t'iilll! I�I}i1Cl [date 11v.ltie ii �.e;fi kiinl '�4it r}i I VIII-i34-11i4 ( Flif+ I r. t�1 • t.., , ...f i.'ny.l RECEIVED JAN 2 q 2011 _ OENR-FAYETTEMLLE REGIONAL OFRCE I poll forms Sho I j N%t 1 f4!!?ir��lA }]tI-RintRy _1! item ("fx* DBSa1pGOn Price Each Amount i ('allat in t+) Felton 1 tie:r.i. RaLk 110C & I'urnp 8500) 85001 } S 1 sht'l s I ays on Wen Its LwI lawmn %kaW mil of fit4d and t khcs. 45,IM) 1.125.01 ,s Ih lr�r' 10.W 150.04I ! srt titilr:u�, o.9I1 1;3.I1u DOD' .1 h.:,nk .\ mi 1c"t' pllr t+Vsiut•.ti �. I , �r E V is a_ �C p I dLi) `-�•- �, Total s2.360.1K► _. - — - - - 7 - � pr "� a,4 f � - -/D �' � (y rDeH � -- 01/02/2002 16:12 9105646680 lr'linfc��:. NC 2832E I PO i ._. HOBBS HOG FARM PAGE 05 unbar Tenn on"I w / smo via Prvjact ItBm � ! DpCf�ptlOA r 1..... , ... �i 5pi.11 Clean Up...�_.._._.__....._T�--� r s t D 30 days .. i I713U.0U Pd" Each 1.00 15,000-00 31 - 60 don B1- s O dop Tax I Amount ..--15, 004. 00 I I i Sub-Tolal� $15, 000. 00 Stale Taps 7.00% on 0.0D 0.00 Tiftat $15 , 000.00 90 days TOW RECEIVED JAN 2 4 2011 RENR-FAYETTEVILLE REGIONAL OFFICE ItBm � ! DpCf�ptlOA r 1..... , ... �i 5pi.11 Clean Up...�_.._._.__....._T�--� r s t D 30 days .. i I713U.0U Pd" Each 1.00 15,000-00 31 - 60 don B1- s O dop Tax I Amount ..--15, 004. 00 I I i Sub-Tolal� $15, 000. 00 Stale Taps 7.00% on 0.0D 0.00 Tiftat $15 , 000.00 90 days TOW RECEIVED JAN 2 4 2011 RENR-FAYETTEVILLE REGIONAL OFFICE 4�lv NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES FAYETTEVILLE REGIONAL OFFICE DIVISION OF WATER QUALITY March 20, 2000 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. Elbert Spell 7612 Keener Road Clinton, NC 28328 Subject: Noticc of psaie !c Elbert Spell's Hog Farm Facility No. 82 - 208 Permit No. AWS820208 Sampson County Dear Mr. Spell: You are hereby notified that, having been permitted to have a non discharge permit for the subject animal waste disposal system pursuant to 1 SA NCAC 2H .0217, you have been found to be deficient in your 2H .0217 Permit. On February 24, 2000, staff' from the Fayetteville Regional Office of the Division of Water Quality performed a routine fly -over of the Spell Hog Farm located off SR1746 in Sampson County. During the Ely -over, it was observed that the facility was irrigating and wastewater was ponding and appeared to be entering the woods adjacent to the field. An investigation by an inspector that evening and the following afternoon determined dud the wastewater was confined to the waste application field. The General Permit condition 111.6.e. states: " The Permittee shall report by telephone to the appropriate Regional Office as soon as possible, but in no case more than 24 hours following first knowledge of the occurrence of any of the following events: E Overapplying animal waste either in excess of the limits set out in the CAWMP or where runoff enters surface waters." The Division of Water Quality will take no further action for this incident at this time. Failure to comply with the above condition may result in the facility losing its General Permit and being required to obtain an individual non discharge permit for the facility-. 22S GREEN STREET, SUITE 714, FAYETTEVILLE, NORTH CAROLINA 28301.5043 PHONE 910.466-1541 FAX 91 0-486-0707 AN EQUAL OPPORTUNITY /AFFIRMATIVE ACTION EMPLOYER - SO% RECYCLED/10% POST -CONSUMER PAPER r Mr. Elbert Spell Page 2 March 20, 2000 If you have any questions concerning this matter, please do not hesitate to contact me at (910) 486-1541. Sincerely, Robert F. Heath Environmental Specialist cc: Sonya Avant -Compliance Group Wilson Spencer -Sampson Co. NRCS Trent Allen-DSWC Fayetteville Office Gerald Warren -Warren Farms Central Files -Raleigh lr� ¥t� � ../JR Or ' s p - � ^ ry. �U.�J"`. "°� `�' . L� ,R * y � `d 'fix 'a�i?!' _ -� - - .• _�-. i��