240105_INSPECTIONS_20171231

NUH I H UAHULINA
Department of Environmental Qua!

Jail UD�vision of Water Resources
}¢
€` €� �, �; �i fit'
F� ility Number Q Division of SoI and Water Conservation
"�- .-- Q:Other: gency.ijl
Type of Visit: U Compliiane ection U Operation Review U Structure Evaluation O Technical Assistance
Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 7! Arrival Time: D Departure Time: i// County: Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: 4n tt
Certified Operator:
Title:
Phone:
Integrator:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
3
. i
Design
Curre©t��Desigu
Current
ii
[
Design Current
-.
Swine
Ca aci
P ty
Po P '
Wet Poult
Ca aci
Po
Cattle.
Ca ace Pop.
._
g<
�<
La er
Dairy Cow..=.:.
Non -La er
DairyCalf
�a
DairyHeifer
' `
Design
Ca
Current
A `p
D Cow
ED Poutt
'E 'aci
Non -Dairy
j:
3s
Beef Stocker
s
:'
Beef Feeder
°
Beef Brood Cow
. �.l
..
Turkeysr'
Otheri
�{
Other
9,p
Wean to Finish
We to Feeder
der to Finish
2a
Z 44
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
La ers
Non -La ers
Pullets
Turke Points
Other
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes o ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑Yes ❑N ❑NA ❑NE
❑ Yes �;O�ONA
"NA ❑ NE
❑Yes ❑NE
Page I of 2/4/2015 Continued

Facility Number: jDate of Inspection: 10 /
Waste Collection & Treatment
4. ts'storage capacity (structural plus storm storage plus heavy rainfall) less -than adequate? ❑ Yes NA ❑ NE
.1
a. If yes, is waste level into the structural freeboard? ❑ Yes [] No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ZJ
5. Are there any immediate threats to the integrity of any of the structures observed? Yes [] No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes rf No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t reat, notify DWR
7. Do any of the structures need maintenance or improvement? [:]Yes o [] NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No [] NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ N ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload [3 Frozen Ground [] Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
ENo ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
[] Yes
❑ No ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
�No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
[] Yes
No ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
L '"o ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
o ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
El Yeso
WN❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other: .
Z
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Ye5'
No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers ❑ Weather Code
❑ Rainfall 0 Stocking ❑ Crop Yield 0120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
NA
�No'[:]
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
NA
❑ NE
Page 2 of 3
21412015 Continued

Facility Number: '3 j - q r Date of Inspection: 1 C)121 /
24-Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ["fi oo NA ❑ NE
25. Is. the facility out of compliance with permit conditions related to sludge? Ifyes, check ❑ Yes o ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes to ❑ NA ❑ NE
27. Did the facility fail to secure,a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No [DNA-'�❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
`?(9 (v24 7Y y%
❑ Yes QjXo ❑ NA ❑ NE
❑ Yes [a -No ❑ NA ❑ NE
❑ Yes LrNo ❑ NA ❑ NE
❑ Yes L`_T 0 ❑ NA ❑ NE
❑ Yes M Mo ❑ NA ❑ NE
❑ Yes Ia NA ❑ NE
Yes I__I "'oI__I NA ❑ NE
r
o ',icy i S Phone: q %
Date:
21412015

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Type of Visit Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Emergency Notification e0ther ❑ Denied Access
Date of visit:
Facility Number 2 45
O Permitted O Certified OC�onditionally Certified © Registered
Farm Name: Be A Ve —!T
Owner Name: aid
Mailing Address:
3 Time•
Not O erational 0 Below Threshold
Date Last Operated or Above Threshold:
County: { .JIJl u 'r 611 S
Phone No:
Facility Contact: Title: I Phone No:
Onsite Representative: G ky > s tibm. . Integrator: _����+� r'vM ,✓�
Certified Operator:
Location of Farm:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 � " Longitude 0 6
Design Current
swine Uapacity ro uianon
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I I ❑ Dai
❑ Non -Layer I 1 10 Non -Dairy I I A
❑ Other I 4
Total Design Capacity
Total SSLW
Number of Lagoons
Holding Ponds / Solid Traps
Subsurface Drains
No Liquid
Discharees & 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?
Area Spray Field Area
I
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 I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: 1
Freeboard (inches):
05103101
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes Xo
Structure 6
Continued

Facility Number: t} — f O s Date of Inspection 22 4
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erosion_ ❑ Yes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ 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? ❑ Yes []No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do anv stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markines? ❑ Yes ❑ No
Waste Anplication
10. Are there any buffers that need maintenance/improvement? ❑ Yes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN.,�Hydraulic Overload ;2i'es ❑ 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
Ree uired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other 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? (ie/ 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 notif.- regional D'N'Q of emergency situations as required by General Permit?
(ie.� discharge. freeboard problems. over application) ❑ Yes ❑ No
23. Did ReviewerAnspector fail to discuss review/inspection with on -site representative? ❑ Yes -E—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? O#Y`ee�' ❑ No
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
�ornments (refer to qu oii j:`'ESrp lam any YFS as waversand/or ay erntm6ieadatio_'s oT strip outer m ares
Lse fvings of factltty to betterezplatn sttuativas. {ose_addttmoal pages as aecessary) ' ❑Field Copy ❑ Finai Notes =.
�hFs r-► �-�� on Lv�,s dope ;n response +-, a -Flyover lnfpe��dn- l,ti�
144
abseleve;t mff co1f'k'0n 0r)10 Wei W;el* IV andz� o� wa.s�e also,
Oaken
­0e✓e ►s o-,r G✓CV41C ah �,e ;elof's, y►�Jp�l-es lweee
de�cw-' 1 "Ae JW rv►1of/ ocGurr%� - o d�-�G��s YJe4cer4 Jv -/;e1o& -
�� l,.&,-e also ��,��y, . -7 -e >' r Qt /tea k 1%-� q r g el «-� vaCve
heed) /of a,' % ,911Ltcepw ;-k'.e✓`e is �o�ta[,', or, l�ci-sje ar�uyw�f -44e
r
Reviewer/Ins ector Name Tom" =r y�
P� _ -
Reviewer/Inspector Signature: Date: Z D3
05103101 Conmrued

Facility Number: 2,q — / 051 Date of Inspection 4 Q
odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge actor 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. \°ere any major maintenance problems with the ventilation fan(s) noted? (i_c. broken fan belts. missing or
or broken fan blade(s). inoperable shutters. etc.)
31. Do the animals feed storagc bins fail to have appropriate cover:'
32. Do the flush tanks lack a submerged fill pipe or a permanentitemporary cover?
Comments and/or
❑ Yes ❑ No
❑ Yes ❑ No
❑Yes ❑No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
q r cq e./ A t of ice' re/;e rl �1,e Pended we-rk q,'60J n emd�' 6e
w Q u l d be ae�' benel-"'t Td rstDlG
-<orne
we-�e✓' does he � t�a.nd aid Ai4-'btl L v4ss4 e a pr 11' C4)"0I,� .
05103101

Type of Visit 52fCompliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit 0 Routine 0 Complaint OFollow up 0 Emergency Notification 0 Other ❑ Denied Access
Date of visit: I / Time: s
Facilitv Number 2 t`
Not Operational 0 Below Threshold
© Permitted 0 Certified [3 Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: or
r '"""1 JZ7 County:
Owner Name: _iJ�`"`ad Phone No:
Mailing Address:
Facility Contact: Title: Phone No: A
Onsite Representative: G �' -S 'A Integrator: ��' " 2 Fly 4
Certified Operator:
Location of Farm:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ horse Latitude ' 01 " Longitude 0a I
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 gaUmin?
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
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: 1
Freeboard (inches): Z8
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Structure 6
05103101 Continued

4
Facility Number: Z — J 05
Date of Inspection 1 1 4
5. Are there any immediate threats to the integrity of any of the structures observed?-(icl trees, severe erosion,
seepage, etc.)
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)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
❑ Yes [--]No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
13. Do the receiving crops differ with those designated in the Certified Anima! 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 [:3 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
❑ No
18.
Does the facility fail to have al] components of the Certified Animal Waste Management Plan readily available?
(ie/ W1.3P, checklists, design, maps, etc.)
❑ Yes
❑ No
19_
Does record keeping need improvement? (ie/ 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?
❑ 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
❑ No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
E3 No violations or deficiencies were noted during this visit- You will receive no further correspondence about this visit.
Carrtmeats.(refer to gaeshon i€) dExpis any YES°answers ana/or�any recommendat!6;ifs r anyotlter couEmenm
ma 7 _�_
Use drawings of faces to lietter: e=plain situattoas (use additiwial pages as necessary)
_ s
_ [] Field Cot�v ❑ Final Notes
TL,;s inSpeG�►o� War C�r�g1.�G#�d 4,u sCe hew,44e 6cr ✓dA ��,�,� wc.x
Sec,eiPer JeG., es4A61,sile4. +err
The beY--►,Oda Aogs well avey- 4t,e vast •+�taJvr,'� a,C'-�L,e
Al.-. GJa✓d FIC"'s -/a seed Gin necessa y greys ;H dye s�r�,-t ; �P
7'r
q1 fead ha S -�t,e seed . The tea �►.-� Ver went* �c-, 71,e ai {Pa tvu n a(
Lvej(,�e�.tie
o;--% r/e OvQ✓S""( `� aj'egdy
-�L,e L�ac,•Se5 Arno[ ]a qrC'
v - TIne ood order' q%e e_V;deh4*
H,
Reviewer/Inspector Name -{'a�P4%"►�� ` - , 1„ `-
Reviewer/Inspector Signature: RZA Date: / VOL
O5103101 Continued
* A ,,, d q �v�o rP C,'q f ed .

o ". Division of Water Quality
�r
Division of Soil and Water Conservation
Other,Agency
- .. 1" i, f
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit 0 Routine O Complaint O Follow up 0 Emergency Notification 00ther ❑ Denied Access
Facility Number j Date of Visit: S 2 t Z Time: TJ SZ
Not Operational 0 Below Threshold
O Permitted O Certified D Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: _ fo 3 tle F-n County: C e 1 tf" t b u Jr
Uf
Owner Name: �,Q�^a►tGi WArO� Phone No:
Mailing Address:
Facility Contact: �_ Title: Phone No:
Onsite Representative: C A "; S �A ✓d 6?tt `1 P_=�� v S integrator: 1�✓e V^-+ , v r•-% %w-, -"(
Certified Operator: Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle []HorseLatitude o 6 Du Longitude 0 4 Du
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacitv Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer I ❑ Dai
❑ Feeder to Finish ILI Non -La er I I Non -Dairy
Farrow to Wean 1200
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts i
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Bolding Ponds 1 Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes JZNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes 0 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? ❑ Spiilway ❑ Yes ;TNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 1
Freeboard (inches):
05103101 Continued

Facility Number: Z1[ — j OS Date of Inspection S Zl DZ
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
[] yes'ONo
seepage, etc.)
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
Yes No
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes FZ`No
& Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes ONO
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes J2'No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes J72 No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes ❑ No
12. Crop type Be r m vd -I /' fay, JA4-L4 r✓/ g e-et ,''t Qyer s end _
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 j2rNo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes _[3No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
❑ dNo
(ie/ WUP, checklists, design, maps, etc.)
Yes
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes eNo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes _ETNo
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes _;2No
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 _0"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,ETNO
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visik
aube�uraw,kng.. vl iacuiiy ev uUtter exP1am)s1au2t«uub: tube xuuiuvn1$rpagMb 2$b;neeessaryt) V Field Copy u Final Notes
,yy :h's=-;--" - - _ _'.� s := J`T _ �� .. ' ...
!S. Ckernne Ci--Ss A,.,s rccekt+l� beep, j?1qV"4C0( 40, l I is Gn.+-t��r.� tJ� ibn
sd�_ne tAfcgs. Need qo e,n5vre of gaoo( s4a,.-id of '4t1e a c=hne ow1 �Lk
en �'�e �'� lv� . ► h i S g c L ,re•�rt e is -FO be )►Icl vded ;-,L
!�. 3e sure 46 p-4 44c yeotr o 1 011��j;cu�►o�-, ✓e.co>rds
-+ake so;l say►.Ples and Dave a,�0lyZe>a( 'eat' 5r"c'rl [e__ rh.ec-s orr'
c Vb �rv-\+1 \,j Sub wt,-)i " c,71? .Sa--v91& Av 462 ire �'; e ld .
Reviewertinspector Name ?-zPJ?�eL-j q
Reviewer/Inspector Signature: Date:
05103101 Continued

.I Facility Number: Z.14 — ]OS bate of Inspection
or 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?
❑ Yes ❑ No
❑ Yes - ErNo
❑ Yes —PNo
❑ Yes -ONo
❑ Yes - "No
❑ Yes I rro
❑ Yes ❑ No
I1. 'PO'1-' C;-^-CIe -fir viceeed J1,c
vtf �ow� ble � dr�c�v[,c I o�d�� ra-le as c v✓���-}I „[esf��ted .
-o ,�ed�Ge 4�-,c � cc load;,io
f' eta ap #-o fi',ot4e rot 4t • Also Gvrre"1 ola(e-- fI-t►-t_doe5
(704 address 'k7I v[)c ic,ad ;•-�� /-ct4es lie t-i xro.-� u,
Id �e a`'a``����e i� r1¢cir 'v-iv,�e 5l-t�u[d add�rCSS
Yl d'�/IVIiC fq- Gf. �O �a�reL� 4ke A 4, 4-'a.u1►G "
Af" beY'edt1ceo(AvM-t�e
JP5 �-L,e nozzle s; zc -File we -led rgd;u-5
),; )e c U back ALE ��OL✓ �"�iTe
18 . Weed -ta ob4a>ti ACregye 6yocVm4CV74g4;OV) -ro' 44e --4 iy �A, '*r",
a�CS�cJ✓1 qv,d e."IS
wt'L,,4 s iki-4,41ed PI
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05103101

Routine O Complaint O Follow-up of DNVQ inspection -O Follow-up of DSWC review O Other
Date of Inspection q 7
Facility Number 1
Time of Inspection s o Use 24 hr. time
Farm Status:....
Total Time (in hours) Spent onReNiew
for Inspection (includes travel and processing)
Farm Nanze:..__.._ e 1!- __ _ County
Owner tiame:.... to ...._ a W ��....__ .. _...._.... _ .. ..�., Phone No:...('D.P? ... 644.=... 1.e..O _.. .......__.
Mailing Address:. .�1 �� I i� i s _ �rl — -- -- _ — -- - — �a��111 i�ti�.e.tl_ . ..... _....... . ...._
Onsite Representative: ... ......... _ .. Integrator: � - fxnU kA_.....--
Certified Operator: � -k4n Y_. A...... ..— ................ Operator Certification Number: -.._..—
Location of Farm:
_�.i1,_.,n►�cs__..
!F�_...o..r;.VAC_ !�.�....1(i7AcL .............. _....
....... - __.... _...._ .... _ ..... .... O
Latitude E-3-L74 Longitude
0 Not U erationai Date Last Operated:
type of Operation and Design Capacity
'#-.wt:I.e+.Y '
$.u>iier°,2;-
bg 1"umer C
y
❑ Wean to Feeder
k.qjEj❑ Laver < ❑Dairy .�..�
❑ Feeder to Finish
s
eef ❑Non -Laver ❑B
Wean;
Farrow to
ZPO r ��
_�..�
Farrow to Fader
;
Farrow to Finish' ` ❑Other Type of Livestocl.JA
°'
'�� Number of Lagoons "Haldzng�onds�� 1 - ��. �'',-�❑ Subsurface Dra►ns Present _ _ - _ �.� `�" 3
„.s w❑ Lagoon Area ❑Stray Field Area
T 4
General
1. Are there any butlers that need maintenance/irnprovement? ❑ Yes ® No
2. Is any discharge observed from any part of the operation? ❑ Yes 9� No
a. If discharge is observed, was the conveyance man-made? ❑ Yes MNo
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes W No
c. If discharge is observed, what is the estimated floe in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ® No
Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
4. Was there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes ® No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes [4No
maintenance/improvement?
Continued on back

6. Is facility not ire compliance with any applicable setback criteria?
7. Did the facility fail to have a certified operator in responsible charge (if inspection after I/l/97)?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures {Lanoons and/or floldina Ponds)
9. Is structural freeboard less than adequate?
Freeboard (ft): Lagoon I Lagoon 2 Lagoon 3
3.S
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 mamtenance/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 an'of the structures lack adquate markers to identify start and stop pumping levels?
Waste Application
14. Is there physical evidence of over application?
(If in excess of V4',,M,,P`, or
runoff entering waters of the State, notify DWQ)
15. Crop type "mid l . _ sktt�..... _ _ . ...
16. Do the active crops differ with those designated in the Animal Waste Management Plan?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the cover crop need improvement?
19. Is there a lack of available irrigation equipment?
For Certified Facilities Only- .
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
21. Does the facility fail to comply with the Animal. Waste Management Plan in any way?
22. Does record keeping need improvement?
23. Does facility require a follow-up visit by same agency?
24. Did Reviewcr4nspector fail to discuss review/inspection with owner or operator in charge?
❑ Yes 9 No
❑ Yes ® No
❑ Yes 9No
❑ )res 2No
Lagoon 4
❑ Yes ® No
E. Yes ❑ No
EX Yes ❑ No
❑ Yes q No
❑ Yes ®,No
❑ Yes
-ENO
❑ Yes
M No
IN Yes
❑ No:
j� Yes
❑ No
❑ Yes
E9 No
[] Yes RNo
❑ Yes- M:No
❑ Yes KNo
❑ Yes n No
Il./iz. t3an 5�+� 6r. d4��w• bjoJ15 s6u13 'be ,2seeJed. 8Iof.,%0 • axct s 6h hwr 00Jts
0 � 4-j- (o yorx s6uO �oe- �,- f W "J mseJed.. 7L (&5eo„ 104,11S Shot lj 6c mowed.
I t- C.GOL:s'�&I be,rmua a CM? tp za s i rn?roVr' wuk,*-. r
iq. Imo_ �,.v-w. �S iy. � Process a-� .r�gfail.ng G.+1 �rri�.�{or syS'�er►. a.`� '�3
Reviewer/Insp ector Name n x -
Reviwer/Inspector Signature: 1-anDate:
Division of Water Quality, Water Quality Section, Facility Assessment Unit 11/14/96