820393_INSPECTIONS_20171231

NUH I H LAHULINA
Department of Environmental Qual

0 Division of Water Quality
Facility Number 3 O Division of Soil and Water Conservation
O Other Agency
Type of Visit 0 Compliance Inspection Q Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit *Routine O Complaint 0 Follow up O Referral O Emergency Q Other ❑ Denied Access
Date of Visit: I'� t f! ,arrival Time: Departure "rime: County: Spy
Farm Name: � i�-- Lbw-, h Fewl'Yl _ Owner Email:
�a
_c
Owner Name: ck-ll_� Phone:
Mailing Address:
Physical Address:
Facility Contact: �� lam-V✓�a 1 _ Title:
tt
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
RegionF_120
Phone No:
Integrator:04,
Operator Certification Number:
Back-up Certification Number:
Latitude: =e =, [= Longitude: ❑° ❑ ❑
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Wean to Finish ❑ Laver
❑ Wean to Feeder 10Non-Layer
❑ Feeder to Finish
❑ barrow to Wean
❑ Farrow to Feeder
❑ Fat -row to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Dry Poultry
❑ Lavers
❑ Non -Layers
❑ Pullets
❑
Turkeys
❑ Turkey Poults
❑ Other
Discharces & 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 Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef -Feeder
❑ Beef Brood Cow
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?
Page I of 3
El Yes [__1 No [P NA ❑NE
❑ Yes
❑ No
29NA
❑ NE
❑ Yes
❑ No
® NA
❑ NE
ONA
❑ NE
❑ Yes
❑ No
❑ Yes
❑ No
[A NA
❑ NE
❑ Yes
❑ No
® NA
❑ NE
12/28/04 Continued

f
Facility Number: Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ No INA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ONA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Axe there any immediate threats to the integrity of any of the structures observed? ❑ Yes
❑ No
0 NA
EINE
(ie/ large trees, severe erosion. seepage. etc.}p
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
6. Are there structures on-site which are not properly addressed and/or managed El Yes
❑ No
� NA
❑ NE
through a waste management or closure plan?
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
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
(INA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the pen -nit? ❑ Yes
❑ No
�j 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
0 NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers,setbacks, or compliance alternatives that need El Yes
❑ No
NA
El NE
maintenance/improvement'?
11. Is there evidence of incorrect application'? If yes. check the appropriate box below. []Yes
❑No
J�D 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 Area
12. Crop type(s)
13. Soi I type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ No
Ep 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
❑ No ® NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
[:]No
E NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
E] 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):
AL
Reviewer/Inspector Name Phone. g�o�y33-33�
Reviewer/Inspector Signature: Date: 1�r1377�
Page 2 of 3 12/18/04 Continued

r
Facility Number: JR;L--31931Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available'? If yes, check
the appropriate box_ ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
❑ Yes
❑ No
[? NA
❑ NE
❑ Yes
❑ No
RNA
❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No )9 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?
❑ Yes
❑ No
F1 NA
❑ NE
❑Yes
[__1 No
®NA
EINE
❑ Yes
❑ No
2� NA
❑ NE
❑ Yes
❑ No
® NA
❑ NE
❑ Yes
❑ No
J& NA
❑ NE
❑ Yes
❑ No
aNA
❑ NE
❑ Yes ❑ No ETNA EINE
❑ Yes ❑ No E!�NA EINE
❑ Yes ❑ No UNA ❑ NE
❑ Yes ❑ No [INA ❑ NE
❑ Yes
❑ No
�9 NA
❑ NE
❑ Yes
❑ No
P NA
❑ NE
Page 3 of 3 12/28/04

a
3
Dir'ision of Water Quality �f�
Facility Number j 39 O Division of Soil and Water Conservation � y�
O Other Agency 7
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint Q Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: - / -per Arrival Time: Departure Tina: Gaunt': SG+ o•)Region: r�C7
Farm Name: Tire/( Q-o_weFR/_/r}.� Owner Email:
Owner Name: Tq��(! _ - Qorw.Ci//7_ Phone: / S_3�' �yO�Ig
Mailing Address: GO�!_�Qe/v�'�_ _���%Graur�t—!PGc►r.{— .__ �/��re.�%s NG___ g
PhN•sical Address: - -- — _-�
Facility Contact: -- —_ Title: -_—_-----____-- -_-- Phone No:
Onsite Representative:
Cerlified Operator:
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Population
❑ Wean to Finish
❑ '�Vcan to Feeder
-eedcr to Finish f
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Crilis
❑ Boars
Other
❑ Other
_— Integrator:
Operator Cerlitieation ,Number:
Baca; -up Certification Number:
Latitude: o Lonf!itude: �� s
Design Current Design Current
Wet Poultry Capacity Population Cattle Capacity Population
❑ Laycr
❑ No
❑ Non-La.ei
Ni�l:
Dry Poultry
❑ La.:rs
❑ von -Layer
❑ Pullets
❑ Turkevs
❑ Turku- 1,oults
❑ Other
Discharges S Stream Impacts
1. Is any discharge observed trout any Part of the operatiou?
Dischar ,_�eorit inated at: ❑ Structure ElApplication Field ❑ Ot]i r
a. lVas the conveyance ntan-madc?
❑ Dairy Cow
❑ Da#ry Calf
❑ Da#ry Hellcz
❑ Dry Cow
❑ Non -Dairy
❑ Bcel-Stockez
❑ 13ecf Fced-r
❑ Been Brood Coxv
h. [did [hc dischar e re<<ch ��tsters oftlr Starr'' f ]f �rti- Hari#� D`V(tl
C.
1lrhat is the estimated volunx that reached ,vatcrs of the State
Number of Structures:
d. Does discharl-Ic b%pa,s the manat ,cmcm �yslem:' (If v"_ noti#'% D O)
2. Is there evidence of a past discharge from any part of the operation`,
3. 1Vere there: any adverse impacts or potential adyersc impact, to the 1Vatcrs of the State
other than from a discharge?
❑ Ycs ❑ No ❑ NA ,'E
❑ Yes
❑ No
❑ISA.1
Ni�l:
❑ Yes
❑ No
DNA
2<F-
❑ NA
2N1:
❑ Ycs
❑ No
El Yes
❑ No
❑ NA
LQ NE
❑ lyes
❑ No
❑ NA
NE
11/28/04 Continued

Facility Number: y — 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?
Structure I Structure ? Structure 3 Structure 4
Identifier:
Spillway?:
Desisned Freeboard (in):
Observed Freeboard (in):
❑ Yes ❑ No ❑ NA O'1qR
❑ Yes ❑ No ❑ NA ❑15F
Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No ❑ NA ❑ lq
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed ❑ Yes ❑ No ❑ NA
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 01V_
S. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ❑ No ❑ NA FE
(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 E! Nt
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA -ETKE
maintenance/improvement'?
11. Is there evidence of incorrect 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 Drifi ❑ 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
L31*
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
0`9E
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination`[]
Yes
ElNo
ElNA
O'NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
0'NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
EKE—
�Coffij ieuts (refer. to question #): Explain any YES answers and/or any-recornmehdations or any outer eomnsents.
Use ftawiugs of facia ty .to better explain situations. (use additional pages.as necessary): y
Reviewer/ins ector Name
Reviewer/inspector ��rl(����_: � Phone: %J'!:dd4 - /f -Yl a>').7p
Reviewer/inspector Signature: Date: 7 //-a 5-
12128104 Continued

Facility Number: p2 — 93 Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
El Yes ❑ No ❑ NA
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA B<E
the appropirate box.
❑ WUP El Checklists El Design El Maps EJ Other r-,
21. Does record keeping need improvement? if yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA 01 E
❑ 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
,rNE
23.
If selected, did the facility fail to install and maintain rambreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA
2 E
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NAE
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"
El Yes
❑ No
El NA
,[-�<E
-,
t��, <E
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification`?
El Yes
❑ No
NA
El2
NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
f TVE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
ETNE
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
E'E
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to motif} the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
'9_
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
❑'1Qr
33.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
2E
A'4aitioual Comments.ind/or Drawings:
Fk�.� times A Io
/f U tsr,
"4pyy�, / /
`.' 01-114'r�aS GS�ru�
� rYr i
12/28/04

s©.VikfZ$tiistiL!f
z N, yy{
.. -•' _.' ;:. -� w. O'" .Vi t7[lii 8&dl Water Coasergatwongc
4
`i
K. ^COY
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 9 Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 3 Date of Visit: Time. : d�
.... O Not Operational Q Below Threshold
13 Permitted 19 Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: -- --
Farm Name: ...... q _..-..� o w c ri �a• w, ---- --------- County: S mow+ o N t?c3
Owner Name:-___ IL_.._ _. _.... ��4+'� __. _ __ __ ..- Phone No:
Mailing Address: Lb_� i... � � V e iJ rn 4u n a,r�
Facility Contact: --- .__ _ Title: ---_ ---- -- Phone No:
l�
Onsite Representative,— { aGIGw _ n �-? G!•-� ----,. ... _. Integrator.
tifi
Cered Operator:..- 'To h - . ......,G, �__�I�, epi � _ Operator Certification Number:
Location of Farm:
I "`
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude 64
Design Current Dedga Current Design Current
Swine Population ``''P�fr'3' Po tion Cattle Ca ad Po elation
Wean to Feeder Layer Dairy
Feeder to Finish 1,Li a o - Non -Layer Non -Dairy
Farrow to Wean
Farrow to Feeder 13Other
Farrow to Finish Total Design Capacity
Gilts
Boars Total SSLW
Number ofTegooas a
Discharges & Stream Impacts
I - Is any discharge observed from any part of the operation? ❑ Yes IN No
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 gaUrnin'? /y It
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 P No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway � Yes ❑ No
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Jf H
Freeboard (inc;hes):
12112103 Continued

Facility Number: 8'a - 3 Date of Inspection ld
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes (I No
seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or ❑ Yes 1% No
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public Stealth or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement? ❑ Yes ® No
8. Does any part of the waste management system other than waste structures require maintenancerimprovement? ❑ Yes 13 No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes [3 No
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes j9 No
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type ' 'Qa m u.e-
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAVJNT)? ❑ Yes ❑ No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement? ❑ Yes ❑ No
16. Is there a lack of adequate waste application equipment? ❑ Yes ® No
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attar below []Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No
I9. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ❑ 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 ❑ No
Air Quality representative immediately.
Field Copy ❑ Final Notes
A 6 e. C r% L k o s -'R
-tor
4AI e. G- y C.'".. -S .
13 o w p ra.w� + o` '� t-a..�s -�� f.
i �+ �, o� �'r p 7►,
1 °i�.� C i i ', -f n
4q'0O IST G K.� G C, -2 Q �, , 1 h GJU
G
-�' O K �U V.TGL� G SQ s..� p I G Q +^—A
f
y�f ' 4_
an t% I I. � � Gl
G
{ t
Fl QS �. S O lam. "P_S
i. 1
GST S ST C_W% -
��iD 0.I- _S: IFe_
Reviewer/Inspector Name '
Reviewer/Inspector Signature: Date:
12/12103 c7Continued

11 I
I
I
I i
I
I
i

� l
f
A.# S Division 4Wtet Qteality f b , ,
O Mlsw of Sailiand Water Conservation
O titherAgencv� �� � �, � �°Y � -`� .�
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit 4WRoutine 0 Complaint 0 Follow up ()Emergency Notification 0 Other ❑ Denied Access
Facility Number
Date of visit:
Not Operational 0 Below Threshold
M Permitted ■ Certified C3Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: ��� I A; -el Count':
Owner Name: j�_ce e ���� Phone N --o:
Mailing Address:
Facility Contact: /ti Title: Phone No: /
Onsite Representative: l F /�S Integrator:�/��
Certified Operator: i Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 01 0" Longitude ' I
Design Current
Swine Con.n U Pnrinlo4inn
❑ Wean to Feeder
Feeder to Finish f e}W Z �
Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacitv Population Cattle Capacity Population
❑ La erPE01
Da
❑ Non -Layer Non -Dairy
❑ Other I — I
Total Design Capacity
Total SSLW
Number.. of L2200.05 I- li lJ Subsurface Drains Present ALJ Lagoon Area ILJ Spray Field Area
Holding•Ponds 1 Solid Traps C� ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State`? (If yes, notify DWQ)
c. if discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If ves, notify DWQ)
2. Is there evidence of 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?
NVaste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:4s��po
Freeboard (inches):
05/03/01
❑ Yes XNo
❑ Yes ANO
XNo
ElYes
❑ Yes
�KNo
❑ Yes
�No
El Yes
�o
❑ Yes
No
Structure 6
/
Continued

Facility Number: ?2 — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes J�§No
seepage, etc_)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? El Yes No
(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? is Yes �(No
8. Does any pan of the waste management system other than waste structures require maintenance/improvement? )<Yes gapso
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes [�LNo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ONO
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes J!�No
12. Crop type God✓ -
13. Do the receiving crops differ v4th those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes X[No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes No
b) Does the facility need a wettable acre determination? ❑ Yes No
c) This facility is pended for a wettable acre determination? ❑ Yes o
15. Does the receiving crop need improvement? ❑ Yes
No
16. Is there a lack of adequate waste application equipment? ❑ Yes %No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes P(No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ic/ WUcheckliss. design, maps, etc.) ❑ Yes No
19. Does record keeping need improvement? (ie irrigatio eeboar waste analysis & soil sample reports) XrYes ❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑ Yes ;KNo
24. Does facility require a follow-up visit by same agency? ❑ Yes KNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ONO
© No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to question #): 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): # ❑ Field Copy ❑ Final Notes
(� �.� ��i�QiF�fi�.� /.� /�e7r�-�� � .r� sz�,��ei��� ��,•�!�/FiF �1�0
Reviewer/inspector Name
Reviewer/inspector Signature: Date:
05/03/01 Condnued

r
Facility Number: &Z —3 Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged Fill pipe or a permanent/temporary cover?
JK Yes ❑ No
❑ Yes WNo
❑ Yes [�J`No
❑ Yes tjZ'No
❑ Yes g] No
❑ Yes 91 No
;E9 Yes ❑ No
Additional Comments and./or Drawings:
45w-
.t5�T7�fyrrC
�/�4
05/03/01

of Visit %Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Wait V Routine O Complaint Q Follow up O Emergency Notification Q Other ❑ Denied Access
Facility Number 3Cj Date of Visit: u D l Time: ; �
Q Not Operational Q Below Threshold
Permitted Certified © Conditionally Certified 13 Registered Date Last Operated or Above Threshold: ...... _
Farm Name: .........
_,.., yac�k,'&k- Wdn.F��'n'tt..County: ;;k fl .... ............
�..--------- .................
Owner Name:
. ....
Phone No:
Facility Contact: .............�ac! .... &.r�`l^ ............................... Title:....... r. e......................._........... Phone No:..................................
Mailing Address: ..................1................... jj
Onsite Representative: D� ��r Integrator:.....��++.,..c ...... _.
Certified Operator:, s ...................... Operator Certification Number:...................
Location of Farm:
[Swine ❑ Pouttry ❑ Cattle ❑ Horse Latitude • 6 46 Longitude ' 6 66
Design Current
awing Ua acil
Wean to Feeder
Feeder to Finish JyOD
❑ Farrow to Wean
Farrow to Feeder
Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons
Holding Pofnds / Solid Traps
Design Current
Poultry Capacity population Cattle
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dais
❑ Other
Total Design Capacity
Total SSLW
Subsurface Drains Present 11❑ Lagoon Area
No Liquid Waste M
Discharges & Stream Facts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. if discharge is observed. did it reach Water of the State? (If yes, notify DWQ)
c. It' discharge is observed. what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ)
Design Cmrratlt _.
; 3paclty Pot in'
- Lj
❑ Spray Field Area
2. Is there evidence of 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?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: 01..'
r.5 .............. ........................... ......... ........ ............................ ..... I..............................
Freeboard (inches): Qq q.1
5100
❑ Yes $ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
QkNo
❑ Yes
P&No
❑ Yes 0 No
Structure 6
Continued on hack

�Vo yigi NOS' 00cln6''e00fed d(rtn�his'visjt' - Youwitl-tee1�0ye do fui-thor ,
cories deirce: abauti this :visit...... ..... .........:.:.:.:.:.................. .
►' Facility Number:- j�j Date of Inspection r /
Comn>ients (refer-to'question #): Explain any YES"answers and/or. any recommendations or any other its. d.�
Use d awit p otfadility to better explain situations. (use additional pages as necessary): -_ }
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
0 N
seepage, etc.)
i5- V-SCL&Q. d� t'�O�ns Cky of per 4-4-4 A)Pe) 00erSe'ed 4�V•q GsJPACkS�,
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
-PeM NI 'vw2iej acre,> e4j Amfh- U)LLPo ,f'Zi-r-0 4rr6,
closure plan?
❑ Yes
IV No
(If any of questions 4-6 was answered yes, and the situation poses an
Reviewer/Inspector Name
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
10 No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
( No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
No
11. Is there evidence of over application? Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
10 No
�+❑
12. Crop type Few
-
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
0 No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
C) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
IN Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
[ No
Renuired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
{ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WISP, check fists, desgn, maps, etc.)
❑ Yes
No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
jj No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
foo
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
0 No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
No
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ Yes
'� No
24. Does facility require a follow-up visit by same agency?
❑ Yes
IgNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
XNo
�Vo yigi NOS' 00cln6''e00fed d(rtn�his'visjt' - Youwitl-tee1�0ye do fui-thor ,
cories deirce: abauti this :visit...... ..... .........:.:.:.:.:.................. .
Comn>ients (refer-to'question #): Explain any YES"answers and/or. any recommendations or any other its. d.�
Use d awit p otfadility to better explain situations. (use additional pages as necessary): -_ }
I 1 `
�- Snro,ll rtx �1aS ci1�A wtintirt_ an rn; ilasP,� A;.�r� r`^a t� )nsic�< �ttc�
J
lt��
A,
C 60 a �, ha+sc c� fV-r-;'j r'j s t.'p' �,
i5- V-SCL&Q. d� t'�O�ns Cky of per 4-4-4 A)Pe) 00erSe'ed 4�V•q GsJPACkS�,
Zr -f'y
-PeM NI 'vw2iej acre,> e4j Amfh- U)LLPo ,f'Zi-r-0 4rr6,
1esa x45 ccs c�7 s
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: —L411 --L-10 1 S/pp

16
Facility Number: $ —9 I)ate of Inspection jv2 e
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
❑ No
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposcd of properly within 24 hours?
❑ Yes
MNo
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
Uf No
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
OfNo
30.
Were any major maintenance problems with the ventilation fan(s) noted'? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
EgNo
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
IF No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover'?
❑ Yes
❑ No
5/00

of Visit ® Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit A Routine O Complaint O Follow up O Emergency Notification O Other
Facility Number Z 3 Date of Visit:
j] Permitted 0 Certified © Conditionally Certified [3 Registered
Farm Name: �...��� ����!`,- ..............................
Owner Name:........... ..............................
Facility Contact: ....:�.� o /....................... Title:
Mailing Address:
Onsite Representative:
Certified Operator:.........,
Location of Farm:
❑ Denied Access
7 CJ Time: :d'U
Q Not Operational Q Below Threshold
Date Last Operated or Above Threshold: .........................
County: ............ 1:5jfm SD.% ........................................
Phone No:
................ Phone No: ............ . .... . ........... . .... . ........ .
Integrator:...........
Operator Certification Number:...........
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude a 6 46 Longitude • 4 �u
Design Current
Swine Canacity Pannlation
Wean to Feeder
Feeder to Finish p� -�--
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current.''
Poultry Capacity Population Cattle Capacity Po tion:
❑ Layer I I ❑ Dairy
❑ Non -Layer I Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Ntun!)er of Lagoons Z ❑ Subsurface Drains Presen ❑ Lagoon Area 10 Spray Field Area
Holding:Pouds /Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of 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?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structuje l Structure 2 Structure 3 Structure 4 Structure 5
Identi f ler: �} '
❑ Yes & No
❑ Yes No
❑ Yes IN No
❑ Yes
P No
❑ Yes
0 No
❑ Yes
� No
❑ Yes 10 No
Structure 6
Freeboard finches):
3/00 Continued on back

a �
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
Facility Number: —,_7 f Date of Inspection 0
(ie/ WUP, checklists, design, maps, etc.)
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
X No
seepage, etc.)
❑ Yes
❑ No
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
b'No
closure plan?
❑ Yes
Did the facility fail to have a actively certified operator in charge?
(If any of questions 4-6 was answered yes, and the situation poses an
❑ No
22.
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
C$ Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
[•Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
,® No
24.
elevation markings?
❑ Yes
RNo
Waste Application
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
10. Are there any buffers that need maintenance/improvement?
❑ Yes
[9;Io
H. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14, a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
❑ No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19.
Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ Yes
,® No
24.
Does facility require a follow-up visit by same agency?
® Yes
❑ No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
,® No
atioris:ot d�Pc�encies were nafed dung #h s:visjtt: Yoi� viii rt'eeiyefir. .
....
a�vU this visit_ . ... . . .. . • • • •
Comments (refer to question #)i 'Explain any YES answers and/or any recommendations or any -other comments. '._.
Use dr
aw
ings of facility to better explain/situations. (use additional necessary):
as necessajy):
alb Z/�� S/�a� i..6ar,4��.La,�d,�,� A.
,,,ate C •� /,ir r.� W2; 7 kc/iJ� l✓ /'-��J/ti�r r,�( �../r,-� .r0'� %�4'C
7�c� O !s �/9%1�.� t�..? �d � S ' �/mss C['r.w.�-amu /�l�$.S'Y�`N�/✓/�
1-4
� /,.• �d'J i �' f_� ,Yi�coa. ;.�f � ,cr �� «tel �-- � n��� _
Reviewer/Inspector Name
Reviewer/Inspector Signature: L�J i'bYl Date: KlZdl- 5700

0 Division of Water Quality
Q Division of Soil and Water Conservation
Q. Other Agency
kType of Visit ® Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit ® Routine O Complaint O Follow up O Emergency [Notification O Other
❑ Denied Access
Facility Number 1')UtC of Visit: } ,tel - Time: l/ S�Printed on: 7/21/2000
roNot O erational Q Below Threshold
© Permitted © CerJtified/ []Conditionally Certified 13 Registered Date Last Operated or Above Threshold- .........................
Farm Name: �Ll/C....N°Gt.�GH County:...-...f'`^y7...........................................................
.............................................................. ........... rco�
Owner Name `1�r c'G' �owh,�' Phone No. C5S
Facility Contact: ay' Title Phone No:
eFfr ....................' .' ................. ./...............�.....................1.._.................... / /� J ..........................-./............/.........
Mailing Address: .........a.p...�l�rw...�*�.',ftic�.......�ve. 1T?/?l��1�/lti(...1..11.........�(...�(..........
Onsite Representative: ,,,,,,,,,,,,, %�. %7�..................- ............... ..... Integrator:.... �/�
..................................................................................
Certified Operator: Operator Certification Number:................. ....................
Location 'of Farm:
Em
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude rte* & 14 Longitude • 4 44
Design Current
OWE "Pac1tv "acsro ulatsl
Wean to Feeder
Feeder to Finish y6o --Lg-
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity.Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons Z ❑ Subsurface Drains Present ❑ Lag.n Area ❑ Spray Field Area
Hoid­11.rg Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ONO
Discharge originaied at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made" ❑ Yes PNo
h. If diccharLTe is observed. did it reach Water of the State:' (If yes, notify DWQ)
El Yes 9 No
c. If clic hartrc is observed. what is the Cstnnated flovi' In gal/lnin?
d. Docs discharge bypass a lagoon system ? (If yeti, notify DWQ) ❑ Yes El No
2. Is there evidence of past discharge from any part of the operation'? ❑ Yes 9!r"No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge'? ❑ Yes k'No
Waste Collection & Treatment
4. Is storage capacity (I'rceboard plus storm storage) less than adequate'? ❑ Spillway ❑ Yes ❑ No
Structure 1 Structure ? Structure ; Structure 4 Structure 5 Structure G
Identifier:................3
..3 z ........
n
Freeboard (inches):
5100 Continued on back

If f5
r
Q Routine JIE=Vaint Q Follow-up of DWQ ins ection Q Follow-up of DSWC review Q Other
Facility Number Date of Inspection
Time of Inspection 24 hr. (hh:mm)
Permitted [� Certified E3 [ V � -Conditionally Certified E3 Registered 0 Not Operational Date Last Operated:
Farm Name: /.................... .: a.f�. lam ._.... :....... !Irl/?' ........._...:............._ County: -.. Ll!Yy marl...{7_..._...� ......._...._....._.....
l- c�
Owner Name:................-� �i.0 ..... ri �!� Phone No:.................. I7 — :3a — 029.2
//tom
.............................................._.._........._........_......._.'t'-......9..<......
Facilitv Contact: .. ..............1..I m4.... ........... Title: ............................................. ........ Phone No: .
Mailing Address: ...........
..........e..9.............B.. J f:......N ....... ... /... ...V...� _.. .5�
Onsite Representative:
Integrator:
.�........................................................... i1: 1..s...................i.......i.�...J....`...�..
y.... Operator Certification Number: Operator:.........:. ........C.r.................................................................
„
Location of Farm:
A.
............ ............................................................................................................................................................................. ............ ............................. ........................................
Latitude 0 • C ` <f Longitude • < -
Desi Current Desi Current
Design Design Design :Current
Swine
Ca Capacity Po elation: Poultry Capacity Population Cattle Ca ac><ty Population
❑ Wean to Feeder ❑ Layer ❑ Dairy
Feeder to Finish /11/60 JE1 Non -Layer [I Non -Dairy
Farrow to Wean
E] Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity ZY00
❑ Gilts
❑ Boars Total SSLW
Discharges & Stream Facts
Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
❑ Yes [I[ No
a. If discharge is observed, was the convevance man-made`?
El Yes M No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes Io
c. if discharge is observed what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon ssten'? (Il' es, notify DWQ) ❑ Yes No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑Yes jj No
Structure I Structur I Structure 3 Structure 4 Structure -5 Structure 6
Identifier: Prt^''`W--n Sz�
t!
Freeboard (inches): a0... - ..... ...... ...............
.h,
....... ...
S. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes WNo
seepage, etc.)
3/23/99 Continued on back

Facility Number. a— hale of Inspection
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
❑ Yes 0 No
7. Do any of the structures need maintenance/improvement?
❑ YesNo
kNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
E]Yes
Comments (refer to question. #): Explain any YES answers and/or any recommendations or an other comments: _
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
19• .� not ttilr � -�•. a
elevation markings?
❑ Yes
No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
No
11. Is there evidence of over application? []Excessive Ponding ❑ PAN
❑ Yes
No
12. Crop type��
Reviewer/Inspector Signature: Date: �l02
13. Do the receiving* crops differ with those d1agnated in the C tified Anima Wast' Management Plan (CAWMP)?
ElYes
[ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) "Phis facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
LlYes
[�l` No
16. Is there a lack of adequate waste application equipment?
❑ Yes
j No
ll��
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
❑ No
19. Does the facility bail to have all cg);nponents of the Certified Animal Waste Management Plan readily available?
(ie/ WU'V checklts, design maps, etc.) CA
❑ Yes
No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis &soil sample reports)
19Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
;4 No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
rV No
22. Fail to notify regional DWQ of emergency situations as required by General Permit'?
(ie/ discharue, freeboard problems, over application) ❑ Yes ❑ No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑ Yes 10 No
24. Does facility require a follow-up visit by same agency? ❑ Yes [ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
Nei yiMAtigris:ok. &ficierndes -were h6ted• diWirig ihis'visit: - Y'oir Will-eec60y iio further
corresp onden e: A' ' f this visit_ .. .:... • . •
..... •
Comments (refer to question. #): Explain any YES answers and/or any recommendations or an other comments: _
- ...
Use drawings of facility to better,., explain:situations (use additional pages as necessary):A.
19• .� not ttilr � -�•. a
ca
roll,
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: �l02
101 // 3/23/99

r�au�nooat t omments-anuior.mr l -ngs:
Ak
3123199
Facility Number: --- Date of inspection
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
® Yes
❑ No
liquid level of lagoon or storage pond with no agitation?
!
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
No
28.
Is there any evidence of wind drift during land application? (i -e. residue on neighboring vegetation, asphalt,
❑ Yes
No
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
No
30.
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yesko
o
31.
Do the animals feed storage bins fail to have appropriate cover?
r-1Yeso
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover'?
❑ Yes
r�au�nooat t omments-anuior.mr l -ngs:
Ak
3123199

Division of Soil and Water Conservation - Operation Review -
Division of Soil and Water Conservation - Compliance Inspection
M Division of Water Quality - Compliance Inspection
13 Other Agency - Operation Review
loRoutine O C'oniplaint 0 Follo'ts•-rip of DIVQ inspection O hollo-w -tip of DS1Y(-.. review O Other
Facility Number s 1):ile oi' Inspirtiun f d
Tins. of Inspection 24 hr. (hh:mrn)
© Pernsiticd ❑ Certified ❑ Conditionally Certified © Registered JE3 Not O erntional Dale Last Operated:
-......J.......................................................[otty:
..............-... Farm Name: ....... (�g
Owner Name :................ SJ .. tom✓ .................. .................... I'lsone No: 1 ............. � ............
Facility Contact. ............. l�-G 1 Title:...---.....
............. J ........
Mailing Address: ........d..../ '00
Onsite Representat.iVe:
....../.A.....................................................................................
Certified Operator:,,.,,,,�p ✓----..� /s-�l a�
.................................................................
Location of Farns:
I'Irone No ................................ ............
AAA
r.AI.5 '....,1Y.. f` --.----...I........
Operator Certification Number: ....................... ..................
........� ,7.k........l Firr.:........................................................... ................................................................................................................................
.... ............... T
Latitude • L Longitude • °
Design Current
Swine Capacitv Population
❑ Wean to Feeder
91 Feeder to finish 1eleV
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer❑ Dairy
❑ Non -Layer ❑Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons JE3 Subsurface Drains Present ❑ Lagoon Area 113 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
I)i,scharl4es & Stream Imliacts
I . Is any discharge ohscrved from any part of the operation (If yes. notify DWQ)'1
Di:char� c ori inatcd at: ❑ LaUoon ❑ Spray Ficld ❑ Other
a. If discharge is observed. was the COTIVC%'ancr man-m:ulc
I�. II dischar c k observed, did it reach: ❑ Surface Watcrs ❑ Waters ol• the State
c, lfdischar«c is ohscrved, "hat is the C -34M ated 11MV in callinin:'
d. Docs discharge hypa„ a lagoon system?
2. Is there evidence ol'past discharge from any part of the operation?
3. Were there any adverse impacts to the waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storane) less than adequate'?
Strticitire I Structure ? Structur, 3 SI UC'tUrc 4
Identifier: 7
Freeboard22
(iischcs}: -....
Structure 5
[:]Yes X No
❑ Yes KNo
❑ Yes DVVo
[]Yes CKNo
❑ Yes ,q No
❑ Yes ELNo
[!)Yes ,WNo
StruClure 6
1/6/99 Continued an back

Facility Number: — �53 Date of Inspection / f'
5. Are there any immediate threats to the inter*rity ofany of the structures observed? (ic/ trees, severe erosion. ❑Yes KNo
seepage. etc.}
6, Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan'? ❑ Yes X No
(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? AYes ❑ No
8. Does any pail of the waste management system other than waste structures require maintenance/irrtprovernent? ❑ Yes A No
9. Do any stuctures lack adequate. pugod markers with required top of dike_ maximum and minimum
liquid level elevation markings? ❑ Yes XNo
%Paste Application
10, Are there an}' buffers that need rnaintcnanCeliIII prOVcmcnt? ❑ Yes XNo
11. Is there evidence of over application? ❑ Ponding ❑ NitroL en ❑ Yes x1Vo
12. Crop type .. `
13. Do the receivin�, crops differ with those desi,natcd in the Certified Animal Waste Mana,ement Plan (CAWMP)?
14. Does the facility lack %wettable acrcage for land application'? (footprint)
15. Does the receiving crop need improvement?
16, Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Cover we & General Permit readifv available?
18. Does the facility fall to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP. checklists, dcsign, maps. etc.)
19. Does record keeping need improvement? (ic/ irrioation, freeboard, waste analysis & soil sample reports)
20. Is facilio, not in compliance with an,,, applicable setback criteria in effect at the time of design?
21, Did the facility fail to have a certified operator in responsible charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative'?
24. Does facility require a follow-up visit by same agmicy'?
❑ Yes 'b?No
//'Yes ❑ No
El bgNo
❑ Yes NJ No
❑ Yes []No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
..:.
[�. Mo.vita"tion' s.[ir. deliciende-'s'were noted. during Ais' - isit:. You mill.rereive no further :
W.0sp(illi.ei}ee.aj)i)6t"th s_visit.' _ _ ........".'.'.'.'.'.'.'.'.'.'"'.'.'.'.".'.'.
Comments (refer to question #): 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
Reviewer/Inspector Signature: Date: 2�
1/6/99

s
D Division of Soil and Watef-Cotiwrvation - Operation Review
© Division of Soil and Water Conservation - Compliance Inspection
�Dtvision..of Water Quality. Compliance Inspection
[3 Other.Agency - Operation Review'
[0 Routine 0 Complaint 8 Follow-up of DWQ inspection 0 follow-up of Dti1VC review 0 Other
Facility Number P Date of lnspection 2
-- �, 'Pirie of Inspection 24 hr. (hh:mm)
Permitted ©Certified [3 Condikinnally Certified [ RegisteredNot Operational
Date Last Operated:
Farm Name: /F!'' Count•:
/.......... .....-....-----•............................. jtf ......----....c.... .......................
OwnerName:....... .�'�`� ....... ........ ... .............................................1. Phone No: ..C.... ...'�' ..........................................
Facility Contact: ........ Title- . Phone No: ........................... ....... ................
Mailing Address : .............. :.J ........... !!V..�i...•C6 7 r T
baa ,�.!�.............. .......
Onsite Representative: ........: ...... f...s9 1............................... Integrator: .........L ................-'`........................
.....
Certified Operator .......��,�1.e_....... t✓1 -.............................................. Operator Certification Number: ....................... .
Location of Farm:
r
.................................................................................... .................................................. ............ ........................................................................----..--.....-........................
Latitude ' 1 Longitude a ` "
Design Current
Swine Capacity Population
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons JE1 Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Nlanagement System
Disehari�es & Stream Impacts
1. is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. li• discharge is observed, was the conveyance ratan -made•,
h. li' discharge is observed. did it reach: ❑ Surface Waters ❑ Waters of the State
c. If-disc:hartee is observed. what is the estimated I4ovv in +gallinin?
d. Does dischar-c hypass a kwoon system?
2. Is there evidence of past discharge from any part ol' the operation?
3. Were there any adverse impacts to the waters of the State other than from a discharge'?
Waste Collection & Treatment
4. Is stora,,e capacity (freeboard plus storm storage) less than adequate'?
Identifier:
freeboard (inches):
Structure I Structure 2 Structure 3
4::,;r ¢ /�
❑ Yes 1"No
❑ Yes jj�No
❑ Yes kNo
❑ Yes X No
❑ Yes J,No
❑ Yes KNo
Dq Yes ❑ No
Structure 4 Structure 5 Structure 6
1/6/99 Continued on hack

Facility Number: —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures [,a oons l oldin Ponds Flush fits etc.
9. is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4
❑ Yes ekNo
)<Yes ❑ No
Structure 5 Structure 6
Identifier:
............
.................
Freeboard ft /r . 5r ..
f10. Is seepage observed from any of the structures? ❑ Yes 'O -No
X41. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes %<No
-> 12. Do any of the structures need maintenance/improvement? kyes ❑ No
[� No.,s,iolations or deficiencies were noted during this,visit.- .You.will receive -60' ftirther
correspondence about this visit
r •. <..:': - - ..:. , yu,. ,� .,: uw.� � - -s;. .: :s ',., ., _ : ...,, � + , � :,, :,5 i.>:k.�- �E F.,,:: "ice cPY§ "'���� : r3Sw: � Y
7/25197
Reviewer/inspector Name
Reviewer/Inspector Signature: � ter` Date: %%zj ��
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
-13.
Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
XNO
Waste Application
— 14.
Is there physical evidence of over application'?
❑ Yes
'KNo
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type�(a! 2"....`1!r.� . .................................................................................................................................................
--16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
Pq No
--17.
Does the facility have a lack of adequate acreage for land application?
1KYes
❑ No
' 18.
Does the receiving crop need improvement?
❑ Yes
Wo
-19.
Is there a lack of available waste application equipment?
❑ Yes
)<No
—20.
Does facility require a follow-up visit by same agency?
A Yes
❑ No
—21.
Did Reviewer/inspector fail to discuss review/inspection with on-site representative?
❑ Yes
XNo
22.
Does record keeping need improvement?
❑ Yes
❑ No
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available'?
❑ Yes
❑ No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
❑ No
[� No.,s,iolations or deficiencies were noted during this,visit.- .You.will receive -60' ftirther
correspondence about this visit
r •. <..:': - - ..:. , yu,. ,� .,: uw.� � - -s;. .: :s ',., ., _ : ...,, � + , � :,, :,5 i.>:k.�- �E F.,,:: "ice cPY§ "'���� : r3Sw: � Y
7/25197
Reviewer/inspector Name
Reviewer/Inspector Signature: � ter` Date: %%zj ��

i
❑ Division of Soil and Water Conservation ❑ Other Agency
iral
ISDivision of Water Quality
10 Routioe O Complaint ®FolloM'-uD of l)WO insncction O Follow-uD of DSWC revieW O Other 1
Date of Inspection
Facility Number
Time of Inspection I 12.4 hr. (hh:n m)
©Registered © Certified [3 Applied for Permit 0 Permitted �Not Operational Date Last Operated: ...............
FarmName:.......... % l U, 'd..... ........ County:............. .....................................
.............. +
OmmerName: ............. ... ........................................................ Phone No: L `-.l�J✓......-. ..^ y .......
Facility Contact...........r Title: ..... Phone No:.. .................................................
Mailing Address: .... ......... ..f�. � Gl+� 0,.......,..
.........r....��..........r./ /..f.—.... ;�..............
Onsite Representative:....`. ....... ......----------------- Integrator: ti/...""'............ .-.........
Certified Operator; --------------V . ..-.r�}..,...... l............................... Operator Certification Number ..........................................
Location of Farm:
S . Jl..... .............
...............................................................
..................
....................................
............
...................
.......
..........................
......................
........................................................................ ................. .................................................................................................................................................... ..
Latitude Longitude
Design Current Design Current Design Current
Swine" Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder JE1 Laver I I El
Dairy
Feeder to Finish Qe ❑ Non --Layer Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder 10Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number. of Lagoons / Holding Ponds x—, I JE1 Subsurface Drains Present 1E1 Lagoon Area ID Spray Field Area
❑ No Liquid Waste Management System
General
I. Are there any buffers that need maintenance/improvement? ❑ Yes XNo
2. Is any discharge observed from any part of the operation? ❑ Yes No
1L
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes XNo
b. If discharge is observed, did it reach Surface Water? {If yes. notify DWQ) ❑ Yes �&o
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 V No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes *No
L
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ YesNo
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes o
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes No
7. Did the facility fail to have a certified operator in responsible chane? ❑ Yes No
7/25/97

Facility Number: 74 —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (LaQoons.Holdine Ponds, Flush Pits. etc.
❑ Yes kNo
9. Is storage capacity (freeboard plus storm storage) less than adequate? Yes ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (ft): .............. �f_
10. Is seepage observed from any of the structures'? ❑ Yes No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes JR No
12. Do any of the structures need maintenance/improvement? ❑ Yes KNo
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes KNo
Waste Application 1
14. Is there physical evidence of over application? ❑ Yes XNo
(If in excess of WMP, or runoff entering wate of the State, notify DWQ
15. Crop type ... !1=,. ,A�Fse..... .. t!e..... .... ��►..............................................................................................................
16. Do the receiving crops differ with those desi;nated in the /Animal Waste Management Plan (AWMP)? ❑ Yes k -No
17.
Does the facility have a lack of adequate acreage for land application?
�ryes
❑ No
I&
Does the receiving crop need improvement'?
VYes
❑ No
19.
Is there a lack of available waste application equipment?
❑ Yes
>�No
20.
Does facility require a follow-up visit by same agency?
'Yes
❑ No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ Yes
XNa
22,
Does record keeping need improvement?
❑ Yes
❑ No
For Certified or Permitted Facilities OntF
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
❑ No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
❑ No
No violations or deftcien' cies were noted during this.visit. You will receive no further
correspondebce about this visit:. .
tmetats (refef tii question #):" Explain any YES answers andlor any rmtrriendatinns or any ether comments'
;e drawings of fa ility to better explain situations. (use additional pages as necessary);
rii
pyry-TL��IiQ �>✓, "j_...�i' '� .�
/ yltl 71'7597
Reviewer/Inspector Name
Reviewer/Inspector Signature: ���� Date:

Facility Number: T
8. Are there lagoons or storage ponds on site which need to be properly closed?
�it_ructures (Lagoons, HoldingPonds Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2/ Structure 3 Structure 4 Structure 5
Identifier: ........... �1 ........... i tQ- h............................................................................................... I...... .
Freeboard (ft): ........... 6...��............... ..... / .............
...............................................................................................................
10. Is seepage observed from any of the structures'?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13- Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State,, notify DWQ)
15. Crop type �.c "
.......G'f - .w ig.. fP�E�. rf............................................................... ....
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19- Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/inspector fail to discuss review/inspection with on -sire representative?
22. Does record keeping need improvement'?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0: No violations or deficiencies were noted during this. visit..You.W'i11 recei've:no ftirther
eoerespondeike about this visit.
❑ Yes XNo
0 Yes ❑ No
Structure 6
❑ Yes tqNo
❑ Yes ZVNo
�k*es ❑ No
❑ Yes kNo
❑ Yes �tNo
❑ Yes �No
(91 Y s
❑ Yes
C1�Yes �<No
o
CRYes ❑ No
❑ Yes b�No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
ormnerits"(refer trs gi�es#ion #l): Explain any 'YES answers and/or aI MA
ny recomitiendahons or any ocher Caliii°ilts
spdra.vings of (ad VU Eo better explain situations (trse as necess
additional pages ary) k`
�' 40
%may � +r� e� �r G���1�J'—�r�cfr; 4�✓����/.+� /y'��� rcC��$
7/25/97
ReviewerAnspectorName 4414
Reviewer/inspector Signature: Date: //, 47

i
r_
R. .-� rg;�ri v a..c�rsgc.Rac.3 v}rc�a�►vaa;�ac.,ac�, �9 �` 'c, x` :"' ,� }• <� u.��'�- ,°.i, ,�yq��`
® Routine O Complaint Q Follow-up of DWQ ins ection Q Follow-up of DS1,VC review O Other
Facility Number Date of Inspection I/// 5
Time of Inspection : d U 24 hr. (hh:mm)
13 Registered IN Certified 13 Applied for Permit © Permitted 113 Not O erational Date Last Operated:
L„??
Farm Name: .............J.rA.�� 13owi c`'.....�2 e. ...................... County:........... P�' tSG........................................
Owner Name: ..............419.1�.G...... 1� ............ phone No:....���d .... 5. .. .lr..�.�......................
Facility Contact: .----- ............................ .......... .i......�.,�4:,1.�.,�................ Title: .. Phone No: ...................................................
....... q r�..............................................................
Mailing Address:.......1:/.1- �. `�:.�... (%��1� /?� � ..... �' ` ... . F�l?r�,rr� /. tl.... Ery��/i/f✓.
..... .....
vOnsite Representative: ...... J�4< ............................................... D4JeI` Integrator.........q................---... ..'.,.�....
...................
101—
...................
Certified Operator........... h�__� ........... .................. Operator Certification Number .........................................
Location of Farm:
�qv ..... ..........................I.....,......---...----............................
Latitude • 6 « Longitude ' 6 «
Design Current
Design Current Design ” Current,::;
Swine Capacity Population
Poultry
Capacity Population Cattle Capac' ityAPopiilatwa
❑ Wean to Feeder
10 Layer
❑ Dairy
Feeder to Finish /5/A�f
JE1 Non -Laver I
❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
10 Other
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
❑ Boars
Total SSLW
Number of Lagoons l Holding Ponds J❑ Subsurface Drains Present ❑ C_agoon Area 10 Spray Field Area >A=
❑ No Liquid Waste Management System k .
General
I. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ lagoon ❑ Spray Field §Zother
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes-, notify DWQ)
c. If discharge is observed, what is the estimated flow in gm/min?
d. Does discharge b}pass a lagoon system'? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6- Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7125197
❑ Yes ® No
*Yes Wo
❑ Yes N'No
❑ Yes RNo
❑ Yes ® No
❑ Yes RNo
❑ Yes WNo
WYes ❑ No
❑ Yes VU No
❑ Yes Q No
Continued on back

Facility Number: x2 —.3
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes 04No
Structures fl,agoons.11oldine Ponds, Flush Pits etc.1
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes IR No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
[� No violations or. deficiencies were noted during thisvisit. No4mill receive no furiher .:
correspondence about thisvisit.-
Co nents'refer to.gaeition #): Explaiii any YES answers and/or` any, recommendations or any other commenfs.
,Use draiof faciiity-to better explaiti situations. (use additional pfsges as necessary): �
AL
��.�/iA� �.,E� C-'.:.�/r �� � j�i l` ,�/�� f�c'•,•_, �fCllujk' 7'�P �� /��c
� d.e
/ 14,0/.d� Grli .ri9SC/rl�i4 ail 7/25/97
�c
ReviewertInspector Name
Reviewer/InspectorSignature:�..�f ,/'`� nate:
Identifier:
......... ..........................................................................................................................................................
Freeboard {ft}: ............... ........ 1. l.................
10.
is seepage observed from any of the structures?
❑ Yes
9 No
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
f5i No
12.
Do any of the structures need maintenance/improvement?
❑ Yes
® No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or maximum liquid level markers?
[]Yes
tqNo
Waste application
14.
Is there physical evidence of over application?
❑ Yes
§'No
(If in excess of WMP, or runoff entering waters of the State,, notify DWQ)
15.
Crop type ... .%A�...tx4:!�C.y....L'G'�F4f.-�'�?�'l................................................................
�.�/ ..............................---
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
A] No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
R No
18.
Does the receiving crop need improvement?
❑ Yes
IgNo
19.
Is there a lack of available waste application equipment?
❑ Yes
f4 No
20-
Does facility require a follow-up visit by same agency?
❑ Yes
No
21,
Did Reviewer/lnspector fail to discuss review/inspection with on-site representative?
❑ Yes
No
22.
Does record keeping need improvement?
Yes
No
For
Certified, or Permitted, Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
4No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
X No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
❑ No
[� No violations or. deficiencies were noted during thisvisit. No4mill receive no furiher .:
correspondence about thisvisit.-
Co nents'refer to.gaeition #): Explaiii any YES answers and/or` any, recommendations or any other commenfs.
,Use draiof faciiity-to better explaiti situations. (use additional pfsges as necessary): �
AL
��.�/iA� �.,E� C-'.:.�/r �� � j�i l` ,�/�� f�c'•,•_, �fCllujk' 7'�P �� /��c
� d.e
/ 14,0/.d� Grli .ri9SC/rl�i4 ail 7/25/97
�c
ReviewertInspector Name
Reviewer/InspectorSignature:�..�f ,/'`� nate:

_❑ DSWC Animal Feedlot Operation Review h {
}gj DWQ Animal Feedlot Operation Site Inspection Mrt
w.
0 Routine 0 Complaint 0 Follow-up of DWO inspection 0 Follow-up of DSIVC review O Other.
Fa�tyvumber Date of Inspection jp g
Time. of Inspection /Q Q 24 hr. (hh:mm)
10 Registered © Certified © Applied for Permit 0 Permitted f Not O erational Date last Operated:
Farm Name: ........-.....Vary.4�... t?�ai4a.4... .r{n................................................. C�ount�-:............�R).xnCS.9-h...................... .......................
Owner Name: ....... Z�f_,.L..l!..,,..C�trti?�:.11...................... Phone Nu:......�r�Z ���.........
Facility Contact: o ............. .. Title: t�c,,�,+� .tr✓........, . Phone No: ...... ............... r Y!j.....��.Fn
Nlailiig Address:....t�.x�..
7"A/... :................
Onsite Representative:...... 6!'k.K ....�9.................................................................... Integrator: ;"I< . ...................... ........
Certified Operator, ............... �?.� ..:-.......................... ............. Operator Certification Number,.....
Location of Farm:
AL
..........................................................................................................................................................................................................................................
Latitude :1 Longitude I
Design Current
Swine Capacity Population
❑ Wean to Feeder
Feeder to Finish /,too �
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Laver I I ❑ Dairy
❑ Non -Layer I 1 ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons 1 Holding Ponds ® ❑ Subsurface Drains Present ❑ Lagoon Area JE1 Spray Field Area
❑ No Liquid Waste Manauement System
General
1.
Are there anv buffers that need maintenance/itnpr(iventent?
❑ Yes
�No
rPrNo
Z.
Is anv discharge observed from any part of the operation"
[—]Yes
Dischar ,L! ori -mated Lit: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is e)hscrve(l. was the cntz+eyance cnan nr,tde?
❑ Yes
�o
b. Ifdischar`c; is observed. did it reach Surlacc Watcr:' lfl y4ti. noul'y DWQ)
❑ Yes
O�No
c. IfdischargLm is observed, what i the: estimated floe in -:ll/min'
d. Does discharge• bvpars a la<zaon s� stom-? i If ves. noel" D\VQ)
❑Yes
1
Is there evidence of past discharge from any part of tltc operation?
❑ Yes
8 -No
4.
Were there anv adverse impacts to the waters of the State other than from a discharge"
El Yes
-�No
5.
Does any part of the waste management system (other than la +oons/hoidine ponds) require
❑ Yes
No
mai ntenance/improvement''
G.
Is facility not in compliance with any applicable setback criteria in effect at the tirne of design'?
❑ Yes
No
7.
Did the facility fail to have a certified operator in responsible charge"
❑ YeVoNo
7/25/97 Continued on back

Fac111t3, Number:.
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures fLa#oons and/or lioldino Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure I Structure 2 Structure 3
—.....� `.......
10. Is seepage observed from any of the structures?
Structure 4
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13, Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes t No
❑ Yes 19 No
❑ Yes 10 No
a Yes ❑ No
Structure 5 Structure 6
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify notify DWQ)
15. Cropel e1 t�L Fp 5 aloe 14�,---------------------------------------------------------------
.
type �.. } ---- •t• -....._....'_"7--_`n-5
--•-- ---'-- y... -------------------------------------------------_----------....._
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
B. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
For Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
❑ Yes M No
❑ Yes &No
❑ Yes ® No
❑ Yes IPNO
❑ Yes KNo
ER Yes ❑ No
❑ Yes &No
Oyes ❑ No
❑ Yes 9 No
0 Yes ❑ No
❑ Yes allo
0
Yes ❑ No
Comments (refer to question ff): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. ((fuse additional pages as necessary):
L Oia S (rVC_{v VS L-rCJUt
N��S r�_-s miscue t.es�a L�s� ,{,��er comae.,.- Grip AsA-P
q <l e/ 5 �J F c c v rA&'-
-". 1 � R•-+171 C it �t 11itS � 1 n 1 ! t 1 �C� pl�'� k. S e.C.O �'�.5� �
Rei,iewer/Inspector Name s. F "te,�AWx , " x
Reviewer/Inspector Signature: V J_,p-Z' Date:
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

DIVISION OF ENVIRONMENTAL MANAGEMENT
November 27, 1995
Mr. Jack Bowen
SUBJECT: Compliance Inspection
Sampson County
Dear Mr. Bowen:
On November 21, 1995, an inspection of your animal operation was performed by the
Fayetteville Regional Office (FRO). Please find enclosed a copy of our Compliance Inspection
Report for your information. It is the opinion of this office that this facility is in compliance
with 15A NCAC 2H, Part .0217, and that Animal Waste Management is being properly
performed.
Should you have any questions regarding this matter, feel free to contact me at (910) 486-
1541.
Sincerely,
40- j Lt-
Val Jones
Environmental Chemist
DTJ/mla
Enclosure
cc: Facility Compliance Group

DIVISION OF ENVIRONMENTAL MANAGEMENT
X wel-W m' , ) "/
pl9k C- !�-'6 ( a CL-rL
SUBJECT: Compliance Inspection
County 5 j`504,1
Dear : All , 4I �/�/1/
'4t V K54
On, , an inspection of your animal operation was performed by the
Fayetteville Regional Office (FRO). Please find enclosed a copy of our
Compliance Inspection Report for your information. It is the opinion of this
office that this facility is in compliance with 15A NCAC 2H, Part .0217, and
that Animal Waste Management is being properly performed.
Should you have any questions regarding this matter, feel free to contact
me at [phone].
Sincerely,
Go so
tn—i
WT
Enclosure
cc: Facility Compliance Group

i
Site Requires Immediate Attentiop-
Facility No, -9
DIVISION OF ENVMONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: I I 2 i , 1995
Time: 1 I; -7t
Farm Name/Owner: A-'
Mailing Address:
County: _ �)kj 7�'q yml
Integrator: _ I - _I 1< - Phone: ^q 16
On Site Representative:—4/v)pG� _ _ Phone:
Physical Address/Location: 7 >< / l z f O �� ` -� s,�
Type of Operation: Swine V' Poultry Cattle �
Design Capacity: Number of Animals on Site:
DEIM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: _ Longitude:
Circle Yes or No
rdpa1/5 3
Does the Artirnal Waste Lagoon have -sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately I Foot + 7 inches :;b or No Actual Freeboard: -3—Ft. d Inches
Was any seepage observed from the lagoon(s)? Yes or No Was any erosion observed? Yes or
Is adequate land available for spray? Yes or No ?

Farm Name/Owner:
Site Requires Immediate Attention: NO
Facility No. 9-,L '193
4 -
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
Mailing Address:
County:_ !:�hM¢s*l
Integrator: '�{(
On Site Representative:_
Physical Address/Location:
DATE: -7— 'Z--7, 1995
Time: 10 . -2-'s
z,-7- A- AArtaV It N,C
Phone: Ola- ,. r3 z : 547Z-9
Phone:
A, ai6wn . S . : h Ljr% A i r_. x 1 nom!
Type of Operation: Swine Poultry Cattle
Design Capacity: /Z y d Number of Animals on Site: i
DEM Certification Number: ACE DEM Certification Number:
7d 0 , « 0 , «
jXt>
ACNEW
tutu e_ Longitude.
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm
(approximately 1 Foot + 7 inches) Yes or No Actual Freeboard: Z Ft. o Inches
Was any seepage observed from the la oon(s)? Yes or a~ as any erosion o�gor
ed? Yes or
es
Is adequate land available for spray? or No Is the cover crop adequate? No
Crop(s) being utilized: .F -W am s=�Scu.E
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellin.�' 9 �r No
100 Feet from Wells? �r No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or Q
Is animal waste Iand applied or spray irrigated within 25 Feet of a USGS Map Blue Line: Yes or 1
Is animal waste discharged into water o�e state 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 r s (volumes of manure, land applied,
spray irrigated on specific acreage with cover crap)? Yes or No
Additional Comments:
Revels
Inspector Wame
Signature
cc: Facility Assessment Unit Use Attachments if Needed.
event

J -Ida %,,,f V zo
to n
1
t
TdF1
s e+s'+ot is rqT
� tdv'T ey
TM
' +. till ° X71TMfm�r� ^ L
\ RR
t fi r
r
F1 !i + pwsH T91T F TT1T ! S r, (!C ' + i r 7mb+
�\ .v, i TTT7 r a r :i, r "m J �I
r +ait
7itd} r 7iit r� TRT � � � � sy S�1 TeQt 'R
zm :;+ 7m
,\ ► TTT1
T'T;'T
[d5T >
♦\ Ts7T
TRS Tact t+" tiy7l
O parr >Tzr
r
TYii Ytrr 'FM
' � � - \ \ Y {♦ ili 1 +Y EYiI X41
>� \ TiI �% '�. 7Rt TT'[ TEST n
TITS
00
¢TM •
17-
V/ P - al Lr r i" rMT
TIITT r i' :TTT
-11 W V 4 ' ` r � rl p ♦ T r 4 �r� ar ,P, fYs'nsRe A
Wa + rr• t r+ �♦ TTrr �aT �s affil �l t
,Arra ' ,
e TtTi TT �� TM
,v reaY TMT :rrT
rm
IS
• = u! � ♦,•aar eT�t iia � . ,. ....;-
r MT
•c\ � tt � doeJtejl4� ._