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❑ US WC Animal Feedlot Operation Review
DWO Animal Feedlot Operation Site Inspection
outine Q Complaint Q Follow-up of [AV ) inspection Q Follow-up of DSA C review O Other
Date o#° Inspection
E:
Fs€ei #itr• Number
Time of Inspection '>Sj24 hr. (hh:mm)
Farm Status: [3 Registered [3 applied for Permit
,Certified 0 Permitted
Total Time (in traction of Hours
(ex:I.25 for I hr l_5 min)) Spent on Review
or Inspection [includes travel and pr(wessing)
Not OperationalOperationaLj Date Last Operated: ............... -- ....................................................... ........................................................... ......
Farm Name: 4-..5..!� - County........ ......................................
Owner Name: .... .j?.:. 1.................... ...... .lC`.�F^rc.....................................,. ' Phone No: ..... .q.. .......2...5...E .............
1
Facility Contact:.. - ..��. ..,e ..............�5......... Title: 4/'�" ��� � Phone No: .......
1lrtifing lddress:......�......... ...'..%....
... ..,'a. ....... ..''.9..................................................... ......v.................
Onsite Representati`e:,.........................``,✓. .., ... Integrator:,...... ,?((.ram.., .......................,.....,..
Certified Operator:..�"�...i1..i,:1r�...................... . .,%fjf4.1�...................,.............. Operator Certification Nnmber:...J. C�'. ............
Location of Farm:
Latitude • 4 •: Longitude • 4 LL
Type of Operation
Swine
Design Current Design Current
Capacity- Population Poultry Capacity Population
❑ Layer
❑ Non -Layer
Vean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
Farrow to Finish
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons I Holding Ponds =:� ❑ Subsurface Drains Present JEI Lagoon Area 10 Spray Field Area
General
1. Are there any buffers that need maintenancelimprovement'? ❑ Yes 59-No
2. Is any discharge observed from any part of the operation? [] Yes allo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes EiNo
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes R No
c. If discharge is observed, what is the estimated flow in galimin?
d. Does discharge bypass a [agoon system'' (If ye, notify DWQ)
❑ Yes JR No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes 91 No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes ER No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes 21 No
4/30/97 maintenance/improvement?
Continued on buck
Facility Number: /0 -
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 (LaQgoons and/or Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Struc ure 1 Structure 2 Structure 3 Structure 4
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 WW.. or runoff entering waters of the State, notify DWQ)
15. Crop type .............&. F-........................ I ..... .............. r................................_....................5r.(z,
[] Yes
allo
❑ Yes
® No
❑ Yes
0 No
❑ Yes
G-No
Structure 5
Structure 6
❑ Yes
JgNo
®--Yes
❑ No
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 -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 ❑ No
❑ Yes �iNo
❑ Yes EjLNo
❑ Yes UNo
❑ Yes m No
0-Yes ❑ No
0 Yes 0 No
❑ Yes �INo
❑ Yes ULNo
❑ Yes - No
❑ Yes JWo
lO Yes 4, No
, "(,�jfc f;► Y.U' Y� Ga'% per.► > f/LIJj- �L +` �5�v�-�`cricrh, tht-y-.
-Iz2,-,�z .
PXA4 Ahlox,,,��,
Reviewer/Inspector Name _,4
Reviewer/Inspector Signature:
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit
Date: ? - / to --C'"e—
4/30/97
SECTION F.02/02
JUL-14-1935 15:22- FROM DEM WATER QUALITY SECTION TO
Site Requires Immediatc Attention:
Facility No. 0
DIVISION OF ENVIRONMENTAL MANAGEMEN-T
ANUY1AL FEEDLOT OPERATIONS SITE VISITATION RECORD
MATE: ___._3,k_' 1995
Time: 47, 0
Farm. Name/Own(
Mailing Address: &Oa v' !; S -7 v2 2 '�"i1 �� - , iV C 2S 41
County: _ 6�� as,�uc _
Integrator. _rtil 5 _�,_ _ Phone:,
On Site Representative: � r- �v -4 - -_ . Mow -
Physical Address/Location: "C-5 (L 13 3 S~
Type of Operation: Swine ✓ Poultry Cattle,ov
Design Capacity: Number of Animals on Site: +6 � jv
DEM Certification Number ACE DEM Certification Number: ACNEW_
Latitude: -Y--° _QYLongitude: _2 X ° '' " Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of I Foot + 25 year 24 hoar stone event
(approximately 1 Foot + 7 inches) Yes or 0 ,Actual Freeboard: 1 fit. P_ Inches
• Was any seepage observed from the lagoon(s)? Yes or 10 Was any erosion observed? r No
Is adequate land available for spray? Yes or No � Is the cover crop adequate? Yes or No
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings,? es r No
100 Feet from Wells? es r No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into waters ofe state by man-made ditch, flushing system, or other
similar man-made devices? Yes or(No)) If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes oq�_O)
Additional Comments: ', a r cr,.
0 !::� V I (0QL_Y1_"
Inspector Name
cc: Facility Assessment Unit
�ff__ _0 � vfln
Siang
t� \IJ [L
Use Attachments if Needed.
•
Site Requires Immediate Attention:
3P��� Facility No. 10 -
IV`=t
ISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: —I— Zo _ 1995
Time: I l l S
Farm Name/Owner: G-4 0 Art P S*,-�FIG- N u 1.se f r ee'i D E N1 AA S
Mailing Address:
County: 6 & %J N s "` t c, ,—
Integrator. Phone:
On Site Representative: F r lk N k , F- U Ij r� E Phone:
Physical Address/Location:
Type of Operation: Swine ✓ Poultry Cattle
Design Capacity: Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: itLongitude: D' Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) Yes or No Actual Freeboard: t_ Inches
Was any seepage observed from the lagoon(s)? Yes or No Was any erosion observed? Yes or No
Is adequate land available for spray? Yes or No Is the cover crop adequate? Yes or No
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? Yes or No
100 Feet from Wells? Yes or No
Is the animal waste stockpiled within 100 Feet of USES Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes or No
Additional Comments: L- lVr-e Q N "+tS 4W r w r^- eF— b P-jQ. vi
�,Je__ J.>t
Inspector Name
Signature
cc: Facility Assessment Unit
Use Attachments if Needed_