310240_INSPECTIONS_20171231

Z N
NUH I H UAHULINA
Department of Environmental Qual

y
Type of Visit: (&Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ORoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: _ Region:
Farm Name: '�Arm Owner Email:
Owner Name: Phone:
Malting Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: sca� 6(owy% q,03L4 o 1 OS-1. integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
t �
Certification Number: -T—�
Certification Number:
Longitude:
Pys rren
Swl He apacl rw�
Wean to Finish
etP uLt—'-
Mo NAML
lz,yr
MRJ_9i
ON
1
C* t
Mesign u;ren
MC-jp— cit P0
L :YM P.
Dairy Cow
rM7
Wean to Feeder
Dairy Calf
"Farrow
Feeder to Finish
Farrow to Wean
Farrow to Feeder
to Finish
1276
,Q
Up! I
Layers
i
�—i ty
J�
treat
P op.
p_ —
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Non -Layers
Beef Feeder
Pallets
Beef Brood Cow
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Structure 0 Application Field 0 Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (if yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
0 Yes M No NA
[] NE
0 Yes 0 No 0 NA 0 NE
0 Yes [—]No E] NA 0 NE
0 Yes 0 No
0 Yes 3�L No
E] Yes 0'1,)NO
0 NA ONE
[—] NA 0 NE
0 NA ONE
Page I of 3 21412015 Continued

lFacility Number: 2_LAjj:j jDate of Inspectio
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? E] Yes TjNo F] NA E] NE
a. If yes, is waste level into the structural fireeboard? C3 Yes 0 No F] NA E] NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 'A 10 1A 30
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 No NA E] NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DVVR
7. Do any of the structures need maintenance or improvement? [:] Yes to No [—] NA NE
8. Do any of the structures lack adequate markers as required by the permit? E] Yes MNo E] 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 -A No E] NA E] NE
maintenance or improvement? r
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need El Yes �M No [:] NA E] NE
maintenance or improvement?
11. Is there evidence of incorrect Ian ' d application? If yes, check the appropriate box below. ED Yes I No [:] NA E] NE
Excessive Ponding F] Hydraulic Overload E] Frozen Ground E] Heavy Metals (Cu, Zn, etc.)
PAN M PAN > 10% or 10 lbs. Total Phosphorus [D Failure to Incorporate Manure/Sludge into Bare Soil
Outside of Acceptable Crop Window E] Evidence of Wind Drift EDApplication Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
Yes
No
NA
NE
Yes
No
NA
NE
F] Yes
[P No
E] NA
E] NE
Yes �4`No F] NA NE
Yes 0 No E] NA NE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 0 Yes 0 No
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check E] Yes EpNo
the appropriate box.
E] VVU P [I Checklists F] Design 0 Maps 0 Lease Agreements E] Other:
2 1. Does record keeping need improvement? If yes, check the appropriate box below. [-] Yes 0 No
El Waste Application F1 Weekly Freeboard F1 Waste Analysis E] Soil Analysis E] Waste Trarnsfers
M Rainfall 0 Stocking 0 Crop Yield El 120 Minute Inspections Monthly and I" Rainfall Inspections
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?
Page 2 of 3
[-]Yes allo
F] Yes 6 No
NA NE
NA NE
NA [—] NE
Weather Code
0 Sludge Survey
NA [] NE
NA NE
21412015 Cont;

JFacility Number: jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes C�N�
25. Is th�facility out of compliance with permit conditions related to sludge? If yes, check [-]Yes Wo
the appropriate box(es) below.
M Failure to complete annual sludge survey Failure to develop a POA for sludge levels
F-1 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? 0 Yes JFVNo
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? 0 Yes qNo
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)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
%Application Field 0 Lagoon/Storage Pond r_1 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?
NA NE
NA NE
NA [:] NE
NA ONE
[-] Yes P No [-] NA 0 NE
[] Yes CFNo [:] NA 0 NE
[-] Yes y No E] NA 0 NE
PYes [-]No [:] NA [:] NE
0 Yes
�PNo
E] NA
ONE
[-] Yes
JP3 No
E] NA
0 NE
[-]Yes
VNo
0 NA
ONE
%-umments truier to question ff): mxpuun any Yrz answers-anwor any auumonat recornmenuatums or any innercolmmeInts.
Use drawings of facilitV to better explain situations (use�additiomfl pages as necessarv).
� �A ew�-'
.soA '10 15
W A T(2,t 111 09
S),j M � I Li - 41 9-, 9 1
Lk-'6
C)
0
k13'V_
IDVV—�
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
e (-)
Phone: qj(j-jqU7_3qj
Date: 17
214120A

lype of Visit: (.,�'Compl' ce Inspection U Operation Review (_) Structure Evaluation (_) Technical Assistance
Reason for Visit: C, =outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: DepartureTime:Ff—a-4—v--ICounty: _ Region:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
_f 6 0 �- / '6
Title:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
esign Rurren
Swine C& 1!1-bl I
gp—Aci P.
Wean to Finish
-Y
0 �C.
Layer
es* n
sign age t
iiiiiiiiiiic-gAmcit P_
.7ym
.YAM
Dairy Cow
an a Fe d
L�L
Non -Layer
Dairy Calf
T _
cede to Finish
�'Z�o
Dairy Heifer
r
Farrow to Wean
Farrow to Feeder
Farrow to Finish
D _111
ILayers
D 11murren
sjjznAL0vurren
paci
11
Up.
Dry Cow
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Pallets
I
Beef Feeder
I Beef Brood Cow
1
lBoars
Qtlier
r
00—the
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Structure C] Application Field F-1 Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DAR)
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 Ej No [-] NA [3 NE
Yes
E] No
NA
Ej NE
Yes
[:] No
NA
F] NE
E] Yes Ej No E] NA E] NE
F] Yes fn'No E] NA E] NE
Yes ETNo [:] NA [:] NE
Page I of 3 21412015 Continued

Facility Number: ection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
Yes
D-No­O
NA
0 NE
a. If yes, is waste level into the structural fireeboard?
0 Yes
ONo
0 NA
E] NE
Structure I Structitre 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
_EYes
�N
5. Are there any immediate threats to the integrity of any of the structures observed?
ff o
0 NA
0 NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not property addressed and/or managed through a
0 Yes
P-1qu,
0 NA
0 NE
waste management or closure plan?
I
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
0 Yes
[;3N�o
NA
0 NE
8. Do any of the structures lack adequate markers as required by the permit?
Yes
[�j �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
C-] Yes
[D �No
0 NA
NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
Yes
[?-IVo-
0 NA
NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
0 Yes
��b
0 NA
0 NE
Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
PAN [:] PAN > 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge
into
Bare Soil
Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 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
O'No
NA
NE
15. Does the receiving crop and/or land application site need improvement?
Yes e[� No
NA
NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
0 Yes
E]r�No
0 NA
NE
acres determination?
17. Does the facility lack adequate acreage for land application?
0 Yes
[215o
0 NA
0 NE
18. Is there a lack of properly operating waste application equipment?
E] Yes
[D-Iqo
0 NA
ED NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
0 Yes
[2qo
0 NA
0 NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
0 Yes
E][No
0 NA
0 NE
the appropriate box.
OWUP F-1 Checklists 0 Design [:)Maps 0 Lease Agreements 00ther:
2 1. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes [;11�o 0 NA 0 NE
El Waste Application 0 Weekly Freeboard 0 Waste Analysis OSoil Analysis 0 Waste Transfers 0 Weather Code
0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections Monthly and V Rainfall Inspections 0 Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? Yes No NA 0 NE
E] NA ONE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes 2:
Page 2 of 3 21412015 Continued

jFacility Number: -11 - 2_ p jDate of Inspection: I / v /61
2�. Did the facility fail to calibrate waste application equipment as required by the permit? Yes Q,�o NA NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Yes E]-N-o NA NE
the appropriate box(es) below.
F-1 Failure to complete annual sludge survey Failure to develop a PDA for sludge levels
Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
0 Application Field El Lagoon/Storage Pond n Other:
0 Yes [![ �No [-] NA [-] NE
[-]Yes []No EJ-117V E] NE
E] Yes [3-N�oo NA E] NE
[-]Yes ONo EINA [] NE
0 Yes E]�`No [:] NA E] NE
Ej Yes [3-5o__ [] NA E] NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
0 Yes
EEJ�o
NA
E:] NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
E] Yes
[:I —No
NA
E] NE
34. Does the facility require a follow-up visit by the same agency?
[:] Yes
E3-N-o[:]
NA
F] NE
uomments (reter to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
? go .4,
J
Reviewer/Inspector Name: VIA- Id po---C Q Phone:
Reviewer/Inspector Signature: Date:
Page 3 of 3 2141

Type of Visit: (;YC lance Inspection 0 Operation Review (D Structure Evaluation C) Technical Assistance
Reason for Visit: 7Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Arrival Time: F-9 To__� DepartureTime: County: _ Region:
Title:
Onsite Representative: 5- r -9+4 Pcc­-, --\
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Owner Email:
Phone:
Phone:
Integrator:
Certification Number: .1 �- 0/ �-
Certification Number:
Longitude:
Wean to Finish
Wean to Feeder
4 es gn great
I r,0Pj=J6
I
tjQIM1qj�paciWM
Layer
INon-Layer
esign
d;�-
I
furgy
p.
esig, C*ffr7r.e—nt
P.
f
L.
Fe-eder to Finish
3 C_*"
fer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
I
JBoars
Pullers
lBeefBroodCow
I
Turkeys
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: E] Structure E] Application Field F-1 Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
E-] Yes ErNo EINA E] NE
[] Yes E] No Ej NA Ej NE
E] Yes Ej No Ej NA Ej NE
Yes
E] No
Yes
ff No
Yes
�No
E] NA [-] NE
C-] NA E] NE
[-] NA C-] NE
Page I of 3 21412015 Continued

IFaciflty Number: � I - 2_� 0 spection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? [-]Yes ffNo [-] NA D NE
a. If yes, is waste level into the structural freeboard?
Structure I
Identifier:
Spillway?:
Designed Freeboard (in): ]1 3-
Observed Freeboard (in): I
Structure 2 Structure 3 Structure 4
�Z_
lqlr
3 0
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large 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?
D Yes D No [:] NA E] NE
Structure 5 Structure 6
0 Yes E]�No D NA E] NE
I
Yes Ej No 0 NA [-] NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? E] Yes [jr �Nc E] NA E] NE
8. Do any of the structures lack adequate markers as required by the permit? Yes D 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 E] Yes [O"No D NA NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need C-] Yes 2]-No NA NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. Yes ErNo NA NE
F-1 Excessive Ponding 0 Hydraulic Overload [:] Frozen Ground [:] Heavy Metals (Cu, Zn, etc.)
F-1 PAN F-1 PAN > 10% or 10 lbs. Total Phosphorus [:] Failure to Incorporate Manure/Sludge into Bare Soil
F-1 Outside of Acceptable Crop Window E] Evidence of Wind Drift D 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?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the 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.
E]WUP EjChecklists DDesign D Maps D Lease Agreements
Yes
0 No
NA
[:] NE
Yes
C]"No
NA
D NE
El Yes
Ef No
NA
[-] NE
[:]Yes Z] No
[-] Yes ErNo
Yes E] No
Yes [,]'No
D Other:
NA NE
NA NE
[—] NA D NE
C] NA [-] NE
21. Does record keeping need improvement? If yes, check the appropriate box below. Ej Yes E]-'K-o DNA D NE
D Waste Application [:] Weekly Freeboard [:] Waste Analysis [:] Soil Analysis Ej Waste Transfers E] Weather Code
r-1 Rainfall D StockingD Crop Yield El 120 Minute Inspections D Monthly and 1 " Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? No NA Ej NE
Yes Er�o_
;11�
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? Yes [:] No NA D NE
Page 2 of 3 21412015 Continued

Facility Number: :3\ - 'I—L(O I I Date of inspection: I
24. Did the facility fail to calibrate waste application equipment as required by the pernid Yes [5No [—] NA [:] NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Yes E:rNo 0 NA 0 NE
the appropriate box(es) below.
F-1 Failure to complete annual sludge survey 0 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 B�No NA NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? Yes jjNo E<A 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)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
. El Application Field 0 Lagoon/Storage Pond 0 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 agency9
E] Yes ff No E] NA 0 NE
0 Yes Ej`N`o F-1 NA 0 NE
Yes El"No E] NA ONE
0 Yes
0 No NA
E] NE
0 YesEjNo
ONA
ONE
0 Yes
-"�E] NA
NE
El YesrNo
[—] NA
NE
comments (reter to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
G— PL e <
r el(
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
e
Phone: 110-)q6 7Y91
Date: S-
X
21412015

Type of Visit:- A Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 011outine 0 Complaint 0 FoHow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time:1 J(J61-5 Departure Time: County: Region:
../ I
Farm Name:W*Y(A (3"wm v-Aav�, Owner Email:
Owner Name: <&ZowA/ Phone:
MailingAddress: L) L1915 C5 A/C 50 C441 Coe 501
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: Integrator:
Pol L4
ertif,
Certified Operator: )__-.-�A/y/V CA, C— ��JC�At Cation Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Qign
W* e C.
SAME MMKC�i P.
Wean to Finish I
lt7ryMjLG9_MCi=P2PM_
ILayer
I
De e G at
si n Eire
Ho
mlC9FP—�!LC:it-M � P.
y
.y
.y
.y
Dairy Cow I
Wean to Feeder
I
jNon-Layer
I
Dairy Calf
Feeder to Finish
S't&6
Dairy Heifer
'IL
Farrow to Wean
Farrow to Feeder
ow to Finish
Layers
--i
RYWIP!
rr
-eini
MP
Dry Cow
Non -Dairy
Beef Stocker
G71ts
Non -Layers
Beef Feeder
Pullers
Beef Brood Cow
—Turkey
I I
Turkeys
oults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: [] Structure 0 Application Field Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste managernerit 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?
F] Yes _1P No [-] NA E] NE
[—] Yes F] No C:] NA C] NE
E] Yes [] No
E] NA
NE
E] Yes [:]No
E] NA
NE
[] Yes V No
E] NA
Ej NE
El Yes '�PNo
E] NA
E] NE
Page I of 3 21412014 Condnued

IFacility Number: -3 jDate of Inspection. �J�
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? Yes No NA NE
a. If yes, is waste level into die structural fireeboard? Yes No NA NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: LAA061V H
Spillway?:
Designed Freeboard (in): PT. S
Observed Freeboard (in): 14 0,
5. Are there any immediate threats to the integrity of any of the structures observed? E] Yes P 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 [3 Yes
KNo
E] NA
[3 NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat,
notify DWR
7. Do any of the structures need maintenance or improvement? Yes No
[3 NA
NE
8. Do any of the structures lack adequate markers as required by the permit? Yes No
yl�
E3NA
NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require Yes No
NA
NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need Yes No
NA
[3 NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. Yes No
NA
[—] NE
F-1 Excessive Ponding [3 Hydraulic Overload E] Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
E] PAN F-1 PAN > 10% or 10 His. Total Phosphorus [:] Failure to Incorporate Manure/Sludge into
Bare Soil
0 Outside of Acceptable Crop Window E] Evidence of Wind Drift E] Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAV'rMP?
E] Yes
'M No
Ej NA
[—] NE
15. Does the receiving crop and/or land application site need improvement?
El yes
No
NA
E] 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
i4No
NA
E] NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
Yes
No
NA
NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
Yes
No
NA
NE
the appropriate box.
E] WUP DChecklists E] Design E] Maps E] Lease Agreements E]Other:
2 1. Does record keeping need improvement? If yes, check the appropriate box below. [:] Yes V No NA [—] NE
Waste Application E] Weekly Freeboard E] Waste Analysis E] Soil Analysis E] Waste Transfers Weather Code
Rainfall E] Stocking Q Crop Yield E] 120 Minute Inspections E] Monthly and V Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? [] Yes No E] NA [:] NE
23. If selected, did the facility fail to install and maintain rambreakers on irrigation equipment? [:] Yes 9 No E] NA E] NE
Page 2 of 3 21412014 Continued

Facility Number: P Ll o Date of inspection:
24. Did the . facility fail to calibrate waste application equipment as required by the permit?
Yes
W No
NA NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
Yes
"o No
NA NE
the appropriate box(es) below.
M Failure to complete annual sludge survey MFailure to develop a POA for sludge levels
M Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
Yes
No
NA NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
E] Yes
No
NA E] NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
Yes
No
NA [] NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
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)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
0 Application Field E] Lagoon/Storage Pond M 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?
E:] Yes t�fNo NA � E] NE
[—]Yes )ANo NA E]NE
E] Yes ��o
Yes No
M,
E] Yes No
Yes o
[:] NA E] NE
NA NE
NA NE
NA NE
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of faclility to better explain situations (use additional pages as necessary).
CAt.10AArld"'I
%"j .04 .
V#&l
Plop /'05
-5011, gola
so'w�' -5LAN C-
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone: q16 --4q(09-� EO
Date: y /12 1 Iq
Page 3 of 3 21412014

forVisit: ZRoutine OComplaint OFollow-up OReferral OEmergency 00ther 0 Denied Access
Date of Visit:
Arrival Time:ER� Departure Time:
County:
Region:
Farm Name:
Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Certified Operator: VIY%!, , C. J&kyw
c
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
je;sign 6 -
P.
�E
Wean to Finish
�@Zugcitjm
Layer
F-ritv
7=
P.
esign Sage
mc�gpj—cit
�ym P.
Dairy Cow
Wean to Feeder
I
7
lNon-Layer
I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
M1i7rVqPv0q—tUlfiWCFP—Aaei
La ers
Mire -sign
me - nt
t:ren
P.
Dry Cow
Non -Dairy
Beef Stocker
Gilts
Beef Feeder
Pullers
jBee Brood Cow
I
i000th�er
MNon-Layers
Turke s
T ,
u e Poults
k
ther
0 0 r
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: E] Structure E] Application Field Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
[-] Yes 9No C-] NA 0 NE
E] Yes [-]No
[-] Yes E] No
Yes
[-]No
Yes
RTNO
Ej Yes
rNo
E] NA E] NE
I
E] NA [-] NE
E] NA NE
NA NE
NA E] NE
Page I of 3 21412011 Continued

.- 1;1
IFacifity Number: 14 1 - 'aL+Ul I Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? 0 Yes ZfNo [-] NA 0 NE
a. If yes, is waste level into the structural freeboard? [-] Yes [-] No 0 NA 0 NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: P-)
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? Yes Pl,�o [:] NA 0 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 WfNo 0 NA [:] NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? Yes ONo [:] NA ONE
8. Do any of the structures lack adequate markers as required by the permit? Yes g No 0 NA 0 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 JZrNo
NA
0 NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[-]Yes ONo
NA
NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
El Yes VNo
0 NA
NE
Excessive Ponding 0 Hydraulic Overload E:] Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
PAN [:] PAN > 10% or 10 lbs. Total Phosphorus E] Failure to Incorporate
Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window E:] Evidence of Wind Drift 0 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. 4 No
[-] NA
NE
15. Does the receiving crop and/or land application site need improvement?
Yes-1
)ZT'No
0 NA
NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
Yes ��o
NA
0 NE
acres determination?
17. Does the facility lack adequate acreage for land application?
Yes PNo
NA
0 NE
18. Is there a lack of properly operating waste application equipment?
0 Yes �kNo
0 NA
0 NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
Yes No
[:] NA
NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
[-]Yes No
0 NA
NE
the appropriate box.
E] WUP OChecklists 0 Design 0 Maps 0 Lease Agreements
OOther:
2 1. Does record keeping need improvement? If yes, check the appropriate box below. Yes No
. P
F-1 Waste Application Weekly Freeboard Ej Waste Analysis Soil Analysis E] Waste Transfers
M Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? [-] Yes 4!!�No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
[-] Yes 0(�r& 0
[:] NA E] NE
E] Weather Code
0 Sludge Survey
0 NA ONE
[:] NA [:] NE
Page 2 of 3 21412011 Continued

Facility Nu!nber: jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? [—]Yes ONo E] NA Ej NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check E] Yes ZjNo E] NA E] NE
the appropriate box(cs) below.
E] Failure to complete annual sludge survey Failure to develop a POA for sludge levels
Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? [-] Yes JE!rNo [:] NA [—] NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
[-]Yes 7TNo
E] NA
C] NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
Yes ;2No
Ej NA
E] NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
E] Yes VrNo
[:] NA
[:] NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
Yes PEI'No
E] NA
E] NE
permit? (i.e., discharge, freeboard problems, over -application)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
Yes 6No
NA
[—] NE
0 Application Field 0 Lagoon/Storage Pond M Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
E] Yes La -No
NA
F] NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
E] Yes r7rNo
7-
[3 NA
[—] NE
34. Does the facility require a follow-up visit by the same agency?
E] Yes G24o
[] NA
E] NE
�ommeius kreier to question fFj: rxpjain any ir Ei, answers anator any atianionai recommermanons or any otner comments.
Use drawin2s of facilitv to better explain situations (use additional pages as necessarv). I
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:
214120f]

Type of Visit: .�p Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 321outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Owner Email:
Phone:
Phone:
Onsite Representative: SCCnT
Integrator:
Certified Operator: N:��A/V/v LA
(Tac'---vv
0'(3/0
Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
esign age
;Zap.Lci ro
Wean to Finish I
it
ILayer
esign
OFMCit-yMpop-
I
mu 9 en
geftsign air
.Lcit-
�Cffp—.YM P.
ow
Dairy Cow
Wean to Feeder
I
INon-Layer
I
Dairy Calf
alf
X_
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
. . . . . . . I
Layers
ign
-apaci
:re
rre
Kre t
Dairy Heifer
leifer
Dry Cow
Non -Dairy:
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Pullets
Beef Brood Cow
Turkeys
ey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: OStructure DApplication Field F1 Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
D Yes WNo
[-]Yes [-]No
D Yes D No
OYes [:]No
[—] Yes No
El Y
DNA D NE
DNA ONE
D NA D NE
[-] NA [—] NE
E] NA D NE
[:] NA D NE
Page I of 3 21412011 Continued

J]Taciflt�- Number: Date of Inspection: 161illIg-
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? Yes NA E] NE
N No
a. If yes, is waste level into the structural fireboard? Yes [] No NA D NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: e
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? D Yes No DNA D NE
(i.e., large trees, severe erosion, seepage, etc.) P$
6. Are there structures on -site which are not properly addressed and/or managed through a D Yes )IN No [—] NA [:] NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? D Yes A No E] NA D NE
8. Do any of the structures lack adequate markers as required by the permit? Ej Yes 1�71 No NA Ej NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require Yes No NA [:] NE
maintenance or improvement? 0
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need Yes 0 No D NA E] NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. Yes No [—] NA [:] NE
M Excessive Pending D Hydraulic Overload [:] Frozen Ground D Heavy Metals . �4�
Fj PAN [] PAN > 10% or 10 lbs. D Total Phosphorus [:] Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Approved Area
12. Crop Type(s):
-3 6) (fc3"( (,-�C-_A i �
13. Soil Type(s): q-,41 (V 5 C-1 13 L 0S 6�,o JU3
14. Do the receiving crops differ from those designated in the CAWMP? D Yes 0 No D NA ONE
15. Does the receiving crop and/or land application site need improvement? [:]Yes J�`No D NA D NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable D Yes No D NA D NE
acres determination? f�
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the 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.
Yes )p No
Yes qN0
E E - EN
a
V4
IVE,
OV,rUP OChecklists E] Design E] Maps D Lease Agreements 00ther:
2 1. Does record keeping need improvement? If yes, check the appropriate box below. [-] Yes X No
Me Waste Application E] Weekly Freeboard [D Waste Analysis [a Soil Analysis [:] Waste Transfers
MoRainfall [:]Stocking 2 Crop Yield El 120 Minute Inspections E] Monthly and I " Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? [] Yes No
23. If selected, did the facility fail to install and maintain rainbTeakers on irrigation equipment? [-] Y No
[:] NA [:] NE
[:] NA [:] NE
NA [:) NE
NA Ej NE
NA [:] NE
Weather Code
Sludge Survey
[-] NA [:] NE
[:] NA [:] NE
Page 2 of 3 21412011 Continued

Wacittt�-Number: 31 - PLIC3
I Date of Inspection: IC)IIJIIQ
24. Di"d the Wility fail to calibrate waste application equipment as required by the permit? [:] Yes 5ro
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Yes No
the appropriate box(es) below.
F-1 Failure to complete annual sludge survey [-]Failure to develop a POA for sludge levels
[:] NA [:] NE
0 NA F] NE
F-1 Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? Yes No F] NA E3NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [3 Yes No E] NA [] NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
E] Yes
No
0
0 NA
0 NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
Yes
No
0
NA
NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
Yes
No
NA
NE
permit? (i.e., discharge, freeboard problems, over -application)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
Yes
No
NA
E] NE
E] Application Field E] Lagoon/Storage Pond M Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAVRVIP?
Yes
No
41
NA
[:] NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
Yes
No
gNo
NA
E] NE
34. Does the facility require a follow-up visit by the same agency?
Y
NA
E] NE
Comments (refer to question#): Explain any YES answers and/or any, additional recommendations or an othercomments.-
T.
Use drawings of facility to better explain situations (use additionalpages'as necessary).
A,
OL
SLjLkDC,L_ '5(&�Ltjrz �3U A/6 G F go I
QC)'
Reviewer/Inspector Name:
Reviewer/Inspector Signature
,,-I
Phone: CT/Cj 43r`�
Date: )0111.419
Page 3 of 3 21412011

Type of Visit: ' ACompliance inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 1&outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name:- 9aCXW PA(CM Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: Phone:
Onsite Representative: 'Sco-rr Integrator:
�biqAIAAA &Lrjv3/V cool I
Certified Operator: Ce-ftification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude: Longitude:
Region:
1?ovs
Wean to Finish
Ei-esign Qjen
gfpa—�c i P ;opj I M
L
L I et "P—ou I Tyj 0
Layer
esign
LC, jp- c !-VAN
ugen
D G at
esign urre
-M .0
tyV, P
�Cg-p ci P_
Dairy Cow
Wean to Feeder
[Non -Layer
Dairy Calf
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Layers
ign
�i
r Kle t
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullers
Beef Brood Cow
]Other
—Turkey
I I
Turke
oults
Other
1:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: E] Structure E] Application Field Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (if yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
[:]Yes �No [:] NA E] NE
E] Yes [-]No
[]Yes [:]No
0 Yes E] No
Yes No
Y ;� 0
[-] NA C] NE
E] NA [:] NE
NA NE
NA NE
NA C] NE
Page I of 3 21412011 Continued

Facility Number: �� I - �Q I Date of lnspection�.�
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
0 Yes
No
[-] NA
[:] NE
a. If yes, is waste level into the structural freeboard?
E] Yes
[—]No
[DNA
E] NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
D 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
No
0
NA
ONE
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? D Yes No [:] NA D NE
8. Do any of the structures lack adequate markers as required by the permit? Yes No D NA Ej 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 DNA D NE
maintenance or improvement? 0
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need Yes No NA [:] NE
maintenance or improvement? 0
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. Yes 0 No NA D NE
n Excessive Ponding D Hydraulic Overload D Frozen Ground [:] Heavy Metals (Cu, Zn, etc.)
OPAN n PAN > 10% or 10 His. Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
n Outside of Acceptable Cro Window D Evidence of Wind Drift [:] Application Outside of Approved Area
12. Crop Type(s): q� 6 Z� 55; C'W U'�W)ex se
13.SoilType(s): qP1,V5
14. Do the receiving crops differ from those designated in the CAWW?
[-] Yes No
D NA
NE
15. Does the receiving crop and/or land application site need improvement?
D Y No
0 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?
D Yes No
E:] NA
D NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
Yes No
D NA
0 NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
El Yes �kNo
[-] NA
D NE
the appropriate box.
OWUP [:]Checklists D Design E] Maps D Lease Agreements E] Other:
2 1. Does record keeping need improvement? If yes, check the appropriate box below. [-] Yes _1A No D NA D NE
Waste Application 0 Weekly Freeboard C3 Waste Analysis E] Soil Analysis D ytaste Transfers D Weather Code
Rainfall E] Stocking E] Crop Yield E] 120 Minute Inspections Monthly and V Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? [:] Yes No NA NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [-] Yes No NA NE
Page 2 of 3 21412011 Continued

Facility Number: �2 Date of Inspection:
24'. Did th� facility fail to calibrate waste application equipment as required by the permit?
[:] Yes No E] NA E:] NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Yes No [:] NA [:] NE
the appropriate box(es) below.
E] Failure to complete annual sludge survey [:]Failure to develop a POA for sludge levels
Non -compliant sludge levels in any lagoon
List structurc(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? Yes No E] NA [] NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? C] Yes No E] NA Ej NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document Yes No [:] NA [] NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
E] Yes
No
[] NA
Ej NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
E] Yes
No
T
F] NA
F] NE
permit? (i.e., discharge, freeboard problems, over -application)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
Yes
0 No
C] NA
[:] NE
E] Application Field E] Lagoon/Storage Pond F1 Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
E] Yes
No
Cj NA
E] NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
E] Yes
No
E] NA
[:] NE
34. Does the facility require a follow-up visit by the same agency?
E] Yes
$LNo
F] NA
E] NE
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other
Use drawings of facility to better explain situations (use additional pages as necessary).
6�'l
CA C t eCATI CvQ 1��W'E n ('-' S
K)
C
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:
21412011

kv_K;W�
'AM
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
December 3, 2010
Danny C. Brown
Danny Brown Farm
4495 S NC 50
Chinquapin, NC 28521
Dee Freeman
Secretary
Subject: -Sludge Survey.Testing Dates — - I
Certificate of Coverage No. AWS310240
Danny BrownTarm
Animal Waste MaDagement System
Duplin County
Dear Danny Brown.
The Divisi6hpofWater Quality (Division) received your sludge survey' information on November
i
.-.4; 2010.�M, th. the, survey.results; �you'recluested an extension of-the,sludge survey requirement-.i.�:;:,
I'BJr the,two,lagoons:at.the Danny Brown Farm facility. Due to4he�amotmt of treatmefiti.volurne"
available,: the -Division, agrees -that -a�sltidge survey is not needed untiL2012: for- your.- lagbons;, c.,
,The next sludge�stifvey for the.two'lagoons:at Danny BrownTarm,ofacility, should be perforrned;.,:.
-before Dkernber 3 1 � 2012.: Thank:you -for youi�attenfion �to this matter Please call,me, at (919)�
715-6937 if yen have any questions. .; � :, , ;
Sincerely, �, .. . I I
—Mk . - -
Miressa D. Garoma
AnimalTeeding Oper ations Unit:
cc: Wilmington Regional Office; Aquifer Protection Section�
Permit File AWS310240
1636 Mail Servi�e Center, Raie.gh, Nonni CwOna 27699-16-IR
Local tion: 2128 Caphf, BW_ Ra!e�h, North Carolina 27,604
Phone: [phone] � FAX: 9'9-715-1588 � Custorne, Semce: 1-8,7-623-6748
Intempt
.. I D. Ec 01 k 2010d g J
One
NortliCarolitia
Aaftirally
A, r)nnol�;ziqv U,firmAve Action

TypeotVisit W,'Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit )�Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: F) I/a/45 Arrival Time: F/—/qy7 Departure Time: County: I�L� IAI Region:
Farm Name: "6avNus Ep(zrn - Owner Email:
'�bAN ---1 (2'. &oL.-�ovt
Owner Name: N LA - Phone: c?)b- 'DF5-cJt0z'3
Mailing Address: CJ (4 9 5) S /Y C 5Q� "/6!�Unz piN /VO- 92591
Physical Address:
Facility Contact: Title:
Onsite Representative: SCOT7- ZqCi.,J W
Certified Operator: C. ��qsj%..�Jv
__3
Phone No:
Integrator:
Opkat"oregrication Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: =0 =' =" Longitude: =0=, M.,
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: El Structure 0 Application Field 0 Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
El Yes XNo [] NA [I NE
El Yes
0 No
El NA
El NE
• Yes
El No
El NA
[I NE
El NA
El NE
• Yes
[I No
0 Yes No [INA [3 NE
El Yes No [I NA [] NE
12128104 Continued

Facility Number: -Z, I
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? D Yes No 0 NA [:1 NE
n
a. If yes, is waste level into the structural freeboard? El El o [I NA [I NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: L450CV4
Spillway?:
Designed Freeboard (in): It,
Observed Freeboard (in): ;�_,C>
5. Are there any immediate.threats to the integrity of any of the structures observed?
El Yes
o El NA El NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
El Yes
No 0 NA El NE
through a waste management or closure plan?
If a ny of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
El Yes
�No EINA El NE
8. Do any of the stuctures lack adequate markers as required by the permit?
Yes
No [] NA El 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
El Yes
No 0 NA [I NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
El Yes
kNo El NA El NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
El Yes
No El NA El NE
El Excessive Pending El Hydraulic Overload [:1 Frozen Ground [] Heavy Metals (Cu, Zn,
DPAN CIPAN>10%orl0lbs E]Total Phosphorus El Failure to Incorporate Manure/Sludge into Bare Soil
[I Outside of Acceptable Crop Window [:1 Evidence of Wind Drift El Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? Cl Yes �(No 0 NA D NE
15. Does the receiving crop and/or land application site need improvement? Yes tZ No EINA [:1 NE
/ 1%
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? E] Yes No [:1 NA 0 NE
17. Does the facility lack adequate acreage for land application? 0 Yes No [] NA El NE
18. Is there a lack of properly operating waste application equipment? El Y TNo [:1 NA [I NE
Commeutx�refcrtoquestidd-#):
Explaiwany'YES answers' any- recommendation'��,di�'giiiy'otlier� comments'.. -
,and/or
Use drawings of facility to better explain situations. (use additional pages ii�necessaryy-­
Reviewer/Inspector Name
-]Phone: CV0 -_)96-4D�9LI
Reviewer/Inspector Signature:
llp\� Date: I / /;?//Cj
Page 2 of 3 12128104 Continued

Facility Number: 3 ) — I Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? 0 Yes XNo 0 NA 0 NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check El Yes KNo 0 NA 0 NE
the appropriate box. El WUP 0 Checklists El Design El Maps [:1 Other
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes )�No 0 NA El NE
El Waste Application El Weekly Freeboard 3 Waste Analysis El Soil Analysis O/aste Transfers FlAual Certification
El Rainfall 0 Stocking El Crop Yield El 120 Minute Inspections El Monthly and I " Rain Inspections ED Weather Code
22. Did the facility fail to install and maintain a rain gauge? 0 Yes 4 No 0 NA 0 NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
0 Yes
ONA
0 NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
0 Yes
No
jo
0 NA
0 NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
0 Yes
No
ONA
El NE
26.
Did the facility fail to have an actively certified operator in charge?
0 Yes
XNo
ONA
0 NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
0 Yes
D(No
ONA
0 NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
0 Yes
XNo
ONA
0 NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
0 Yes
No
N
[:1 NA
0 NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
0 Yes
No
k
ONA
0 NE
If yes, contact a regional Air Quality representative immediately
3 1.
Did the facility fail to notify the regional office of emergency situations as required by
0 Yes
No
P
ONA
ONE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
11 Yes
rVi
)� No
ONA
ONE
Page 3 of 3 12128104

Type of Visit V compliance inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit )�LRoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other [I D I
Date of Visit: Arrival Time: Departure Time: County: "U/v Region:
FarmName: Sl�(ZOAZ:ov �--P�Lfn Owner Email:
OwnerName: \t�4,VWLA C &Ou--W Phone:
Mailing Address: w4145 - 5 /VC ��Q /H-, NO- 059 1
Physical Address:
Facility Contact: Title:
Onsite Representative: e�.CCC)L�w
Certified Operator: `0 (.I"//Vq ) (f - G VA-0 /V
Back-up Operator:
Location of Farm:
Phone No:
Integrator:
Operator Certification Number: I ?a I �s
Back-up Certification Number:
Latitude: MO[ ---- 1. [� " Longitude: [�o=' ="
or' D '0W
Design.' ,C rcnt��" esign - - Curren esi ren
Svvim� ,",Capacity.Populition
*'-',: Wet Pimlil -Y'��'�'Cipicityzr'o UfAt" a a i elation
PAI .. ....
]E]
Wean to Finish
El Laver
1
0 Dairy Cow
Wean to Feeder
0 Non -Layer
I
El Dairy Calf
I
afeedert Finish
5woa
Dairy Heifer
E] Farrow to Wean
D Cow
Non -Dairy
El Farrow to Feeder
_'E] Farrow to Finish
El Layers
[Uj Non -Layers
I
Beef Stocker
O-G-lits
der
Boars
Pullets
rl Beef Rrnnd Covi
El Turkeys
,'Other,
'El Turkey oults
I[] Other
ElOther
N b g tructu S!
r
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: El Structure [I Application Field El Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
0 Yes J�No [INA EINE
[I Yes
El No
[I NA
El NE
[I Yes
[I No
El NA
[I NE
EINA
[:INE
Elyes
[]No
El Yes
No
[] NA
[I NE
0 Yes
o
[INA
El NE
12128104 Continued

�acili� NumbeT-
Date of Inspection Mw]
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 fireeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier: !�L
Spillway?:
Designed Freeboard (in): S
Observed Freeboard (in): 3 CY
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large 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?
0 Yes *No
0 Yes 0 No
Structure 5
0 NA 0 NE
ONA ONE
Structure 6
0 Yes P No El NA ONE
Ej Yes 1��No 0 NA El NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? El Yes 9No 0 NA 0 NE
8. Do any of the stuctures lack adequate markers as required by the permit? El Yes V�No El NA ONE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require 0 Yes 0,No ONA ONE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
0 Yes ANo El NA El NE
11. Is there evidence of incorrect application? If yes, check the appropriate box below. El Yes *o [:1 NA ONE
El Excessive Pending 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
[:1 PAN E:IPAN>10%orl0lbs [:]Total Phosphorus El Failure to Incorporate Manure/Sludge into Bare Soil
E:1 Outside of Acceptable Crop Window El Evidence of Wind Drift 0 Application Outside of Area
12. Crop type(s)&—_--zCN) S C-3 Clqw- k6A �1 S(9
13. Soil type(s) R04 1/y -S 6. L C>3 050 (C�
14. Do the receiving crops differ from those designated in the CAWMP? OYes %No ONA 0 NE
15- Does the receiving crop and/or land application site need improvement? 0 Yes Z�No 0 NA 0 NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? 0 Yes K No 0 NA El NE
17. Does the facility lack adequate acreage for land application?
El Yes No
Ej NA
E] NE
18. Is there a lack of properly operating waste application equipment?
0 Y �:
El NA
ONE
-11 — '.1 .- milents. i
Comments (refer to question #): giplain anyVES answers-andiorany4cem�mi6"d iions-,orjanyotherA
Use drawings of facility t6 better explain situations. (use additional es -as necesiii"
,pag
//V F I G C_ t� � 1 0 V, r�
Reviewer/Inspector Name Fqtvl A _mf) A Ig I/VC& Phone: 16- -
Reviewer/inspector Signature: _LJM�Qm� - 8ZIU-10 Date:
12128104 Continued

kcili_;�u Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? 0 Yes XNo EINA El NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check D Yes XNo [INA [I NE
the appropriate box. El WUP El Checklists [313esign El Maps [I Other
21. Does record keeping need improvement? If yes, check the appropriate box below. El Yes X No El NA El NE
El Waste Application El Weekly Freeboard El Waste Analysis El Soil Analysis [3 Waste Transfers E/Iknual Certification
El Rainfall [I Stocking [I Crop Yield [1120 Minute Inspections El Monthly and V Rain Inspections OWeatherCode
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?
OtherIssues
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
3 1. 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?
El Yes gNo
El Yes 9No
No
El Yes
El Yes *o
E] Yes X No
E] Yes IN No
El NA El NE
El NA El NE
El NA El NE
El NA El NE
El NA El NE
El NA El NE
El Yes
?(No
D NA
El NE
E] Yes
%No
[I NA
0 NE
El Yes
VNo
El NA
0 NE
El Yes
ANo
E:1 NA
El NE
0 Yes
�A
XNo
[:1 NA
El NE
12128104

Division of Water Quality
FaeiMty Number 0 Division of Soil and Water Conservation
0 Other Agency
TypeofVisit A Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit x Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name:
OwnerName: "LANAMk ?�JqQL-31V
-..N
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: 1SCC>­rT
Certified Operator­A�AN)V (A C . i�,�Lcz-L�4V
__3
Back-up Operator:
Owner Email:
Phone:
Phone No:
Integrator:
Region:
Operator Certification Number: Jacis
Back-up Certification Number:
Location of Farm: Latitude: =0 Longitude: o
Design Current_,� Design Current Design Current, --
Swine Capacity Population WetPoultry Capacity Population Cattle Capacity Population
Other
=00ther
Dry Poultry
E] Layers
El Non -Layers
El Pullers
El Turkeys
El Turkey Poults
El Other
Dischar2es & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: El Structure El Application Field El Other
a. Was the conveyance man-made?
[I Dairy Cc
El Dairy Calf
I
I
El Dairy Heifer
-
El Dry Cow'
El Non -Dairy
El Beef Stocker
0 Beef Feeder
Number of Structures:, E
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
0 Yes 4No El NA El NE
0 Yes
El No
El NA
0 NE
E]Yes
El No
[:1 NA
ONE
Ej NA
El NE
0 Yes
[I No
El Yes
No
[] NA
[] NE
0 Yes
No
El NA
El NE
12128104 Continued

Facility Nbinben Date of Inspection Mw]
Waste Coflection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
El Yes
X No
El NA
[I NE
a. If yes, is waste level into the structural freeboard?
0 Yes
[:1 No
El NA
[:1 NE
Structure I Structure 2 Structure 3 Structure 4
Structure
5
Structure 6
Identifier: L4-GOC6A/
Spillway?:
—_
Designed Freeboard (in): 7—cs—
Observed Freeboard (in): L
5. Are there any immediate threats to the integrity of any of the structures observed?
El Yes
No
4
[I NA
[] NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
[I Yes
No
El NA
[I NE
through a waste management or closure plan?
Jtq
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?
0 Yes
A No
El NA
[I NE
8. Do any of the stuctures lack adequate markers as required by the permit?
[I Yes
JV No
EINA
El 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
El Yes
No
El NA
El NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
0 Yes
No
[INA
El NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
El Yes
_KNo
[INA
El NE
El Excessive Ponding El Hydraulic Overload El Frozen Ground [I Heavy Metals (Cu, Zn, etc.)
El PAN [--IPAN>10%orl0lbs El Total Phosphorus El Failure to Incorporate Manure/Sludge into Bare Soil
[I Outside of Acceptable Crop Window El Evidence of Wind Drift El Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
E]Yes ji�No
EINA
EINE
15. Does the receiving crop and/or land application site need improvement?
Yes J� No
El NA
0 NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
E] Yes --p No
El NA
El NE
17. Does the facility lack adequate acreage for land application?
D Yes RNo
EINA
EINE
18. Is there a lack of properly operating waste application equipment?
[] Yes EN:No
[I NA
El NE
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 I H004AIDR I A INCE 5 1 Phone: 't/0- f 'f(9 - -E 5d -f
Reviewer/Inspector Signature: _L ImNnm6COn - A ca" 9D Date: I
12128104 Continued

Facility 'Numh�er-) Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? [I Yes ANo El NA El NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check 0 Yes �KNo [:1 NA [:1 NE
the appropirate box. 0 WUP [I Checklists El Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. El Yes KNo [I NA [I NE
Waste Application El Weekly Freeboard El Waste Analysis El Soil Analysis El Waste Transfers [I Annual Certification
Rainfall [:1 Stocking El Crop Yield El 120 Minute Inspections El Monthly and V Rain Inspections [:1 Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
0 Yes ANo
E] NA
E] NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
[:1 Yes
PNo
0 NA
NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
0 Yes
FNo
El NA
NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
0 Yes
ANo
[:1 NA
El NE
26.
Did the facility fail to have an actively certified operator in charge?
0 Yes
KNo
NA
NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Yes
;� No
NA
NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
El Yes
IR No
EINA
[I NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
0 Yes
VI No
�K
EINA
Ej NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
0 Yes
o
li��
E:1 NA
E:1 NE
If yes, contact a regional Air Quality representative immediately
3 1.
Did the facility fail to notify the regional office of emergency situations as required by
El Yes
No
J�
[:1 NA
(I NE
General Permit? (ie/ discharge, fireeboard problems, over application)
32.
Did Reviewer/inspector fail to discuss review/inspection with an on -site representative?
0 Yes
No
E] NA
[:1 NE
33.
Does facility require a follow-up visit by same agency?
El Yes
J?�No
El NA
EINE
[Aiidifioinal Comments and/or Dra�vimgs:
Page 3 of 3 12128104

IFacility Number PM11
Division of Water Quality
Division of Soil and Water Conservation
Other Agency
Type of Visit (D(Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit gRoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: DVA�W Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Owner Email:
Phone:
Onsite Representative: I clzr /3 Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
wine
Other
M Other
Phone No:
Operator Certification Number:
Back-up Certification Number:
Latitude: [� = = Longitude: =0=, ="
Design Current Design Current
Capacity Population WetPoultry Capacity Population
I I � 10 Layer I I
I I I� ILI Non -Layer I I
5,166
Dry Poultry
El Layers
El Non -Layers
El Pullets
El Turkeys
[:1 Turkey Poults
El Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: El Structure El Application Field El Other
a. Was the conveyance man-made?
�Design�'�
Cattle C - apacity
Dairy Cow
FEl
El Dairy Calf
I
El Dairy Heifer
El Dry Cow
El Non -Dairy
El Beef Stocker
El Beef Feeder
d Cow
Number of Structures:
E_
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
EI Yes RfNo EINA EINE
El Yes
El No
El NA
[I NE
[-I Yes
[I No
EINA
EINE
El NA
EINE
El Yes[]
No
El Yes ZNo, E]NA El NE
0 Yes [?I No [:1 NA 0 NE
12128104 Continued

lFacitity Number: 3/ �-�YO Date of Inspection
I /
%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 2 Structure 3 Structure 4
Identifier: tA C� 'A// 1A C'�� -Z-
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large 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?
0 Yes E(No ONA ONE
OYes 0 No 0 NA ONE
Structure 5 Structure 6
0 Yes 21 No El NA ONE
0 Yes dNo El NA 0 NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t eat, notify DWQ
7
7. Do any of the structures need maintenance or improvement? 0 Yes E No El NA 0 NE
8. Do any of the stuctures lack adequate markers as required by the permit? 0 Yes RNo 0 NA 0 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 El Yes ONo El NA ONE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need 0 Yes d Nc [INA ONE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. El Yes /No" [INA ONE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
OPAN OPAN>10%orl0lbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Area
12. Crop type(s) G C H) '; ('-�o C'W -5
13. Soil type(s) (Lr, Z_j3-S G-0 L,4>,s r'�"? tL<2
14. Do the receiving crops differ from those designated in the CAWMP? El ET�b 0 El NA El NE
15. Does the receiving crop and/or land application site need improvement? El Yes WNo 0 NA 0 NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? El Yes ONo 0 NA 0 NE
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
0 Yes o
0 Yes E�Zo
Comments (refer to question fl: 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):
A xm-t-)4
El NA El NE
E] NA E] NE
Reviewer/Inspector Name I a Aga 16� I A-,-' —1 Phone: (9/q) -7 7 (7 — 7 3
ReviewerfInspector Signature: C-Ig el_ 4y,,� Date: / 01-2-7406
Page 2 of 3 12128104 Continued

Facility Number: 3 Date of Inspection
Ilteguired 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. M M �U I,]: M M M L
VY Ur ec sts Des gn Maps %Jt er
El Yes [4o [I NA El NE
El Yes Uf4o El NA El NE
21.
Does record keeping need improvement? If yes, check the appropriate box below.
El Yes
El NA
ONE
El Waste Application El Weekly Freeboard El Waste Analysis El Soil Analysis El Waste Transfers
El Annual Certification
[I Rainfall El Stocking El Crop Yield El 120 Minute Inspections [:1 Monthly and V
Rain Inspections El
Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
El Yes
2'No
EINA
El NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
El Yes
EXo
[I NA
[I NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
0 yes
E3<o
El NA
E-1 NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
El Yes
UXb"
El NA
Ej NE
26.
Did the facility fail to have an actively certified operator in charge?
El Yes
Ca<o
El NA
El NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
0 Yes
0/0
El NA
El NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
El Yes
aN/o
[I NA
ONE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
El Yes
EKo
[:1 NA
[I NE
and report the mortality rates that were higher than normal?
�o
30.
At the time of the inspection did the facility pose an odor or air quality concern?
0 Yes
BI �
El NA
[I NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
E]Yes
Q<o
[I NA
[:1 NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
El Yes
[R<o
[:INA
[:1 NE
33.
Does facility require a follow-up visit by same agency?
El Yes
t�No
El NA
[I NE
Additional Comments and/or Drawings:
Page 3 of 3 12128104

Type of Visit eco
pliance Inspection
0 Operation Review 0 Structure Evaluation
0 Technical Assistance
Reason for Vi!-
7Routine 0 Complaint
0 Follow up 0 Referral 0 Emergency
0 Other El Denied Access
Date of Visit: Arrival Time: Departure Time: County: 002LQ�) Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Owner Email:
Phone:
Onsite Representative: A- -n ii 63 (L�-'Jd Integrator:
Phone No:
Certified Operator: Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: =0 =. =" Longitude: =0=, ="
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: [3 Structure El Application Field El Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
El Yes ErNo 0 NA EINE
El Yes El No El NA 0 NE
El Yes
El No El NA
EINE
No El NA
El NE
El YesE]
E]Yes
EINA
[__1NE
El Yes
�Z<o
No Ej NA
El NE
12128104 Continued

--- ---------- I
jracitjty�Number- —31 — oly(7 Date of Inspection
N�aste,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 2 Structure 3 Structure 4
Identifier: (AbOD'l L—A fzool%� '2—
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): *3 (e
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large 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?
E]Yes Ell�o EINA EINE
El Yes El No El NA El NE
Structure 5 Structure 6
El Yes 0 NO El NA EINE
E]Yes � No El NA El NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t7hreat, notify DWQ
7. Do any of the structures need maintenance or improvement? 1: No El NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? El Yes El o NA [I NE
3
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part oNhe waste management system other than the waste structures require E]Yes E; /No NA C3 NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need El Yes P—No [__1 NA NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. El Yes P /No (] NA NE
[:1 Excessive Ponding [:1 Hydraulic Overload [I Frozen Ground El Heavy Metals (Cu, Zn, etc.)
El PAN [:IPAN>10%orl0lbs El Total Phosphorus El Failure to Incorporate Manure/Sludge into Bare Soil
El Outside of Acceptable Crop Window [I Evidence of Wind Drift [:1 Application Outside of Area
12. Crop type(s) C- 5-r, v 4�3Ca—y"tLJO-A C
13. Soil type(s) " & D's go R_ -6 K A ZrKJ S
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
0 Yes
El Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination'�E] Yes
17. Does the facility lack adequate acreage for land application? D Yes
18. Is there a lack of properly operating waste application equipment?
0 Yes
El NA El NE
ETNo 0 NA 0 NE
dNo El NA El NE
dNo El NA El NE
PN_l'0' El NA El NE
Reviewer/Inspector Name (J -�A CZA)
, �-.1 Phone:( '9gZ --)4
Reviewer/Inspector Signature: oe�r4,x' - Date: / 1/) k /or I

Facility Number: Date of Inspection
Re4uired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? 0 Yes EI'N/o EINA El NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check El Yes E3/No El NA [] NE
the appropirate box. 0 WUP El Checklists El Design El Maps [I Other
21.
Does record keeping need improvement? If yes, check the appropriate box below.
El Yes
El NA
F-1 NE
El Waste Application El Weekly Freeboard El Waste Analysis F-1 Soil Analysis El Waste Transfers
El Annual Certification
El Rainfall El Stocking El Crop Yield El 120 Minute Inspections 0 Monthly and I"
Rain Inspections El
Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
El Yes
0"No
EINA
EINE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
E]Yes
E34o'
EINA
EINE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
D Yes
Q1<0
El NA
EINE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
El Yes
�<o
El NA
El NE
26.
Did the facility fail to have an actively certified operator in charge?
El Yes
[�Xu
El NA
F1 NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
E]Yes
[tj'*No
El NA
[] NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
E]Yes
D<q- El NA
�No
El NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
El Yes
� El NA
ED NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
El Yes
M No El NA
0 NE
If yes, contact a regional Air Quality representative immediately
3 1.
Did the facility fail to notify the regional office of emergency situations as required by
[3 Yes
ON o El NA
El NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
[I Yes
zr�_ [:1 NA
Ej NE
33.
Does facility require a follow-up visit by same agency?
Ej Yes
7No [I NA
[3 NE
AJilitionaL.C-ornments and/or Drawings: _V '-'W 3;24N
12128104

7
ANIMAL FACILITY ANNUAL CERTIFICATIONFORM
Certificate of Coverage orPermitNumber AICI�,��-�Iz4xr
��- County. Year 2003
Facility Name (as shown on Certificate of Coverage or Perini
Operator in Charge for this Facility V' —
Certification a
LapqApprication of animal waste
I-- as allowed by the above permit occurred during the past calendar year
�_ YES NO. If NO, skip Part I and Part 11 and proceed to the certification. Also if animal waste
was generateTb—utnot land applied, pleas e attach an explanation on how the animal waste was'handled.
Part I
I . Total number of application Fields oo�rPulls 0 (please check the appropriate box) in the Cer fled
Plan (CAWN2): - _ / �- ti Animal
Total Useable Acres approved in the CAWNp
2. Total number of Fields 2-10'r'Pulls El (please check the appropriate box) on which land application
occurred during the year- /�7 Total Acres on which waste was applied
3- Total pounds of Plant Available Ni -69--4r�l
V f 7Z71 z trogen (PAN) applied during the year for all application sites:
4- Total pounds of Plant Available Nitrogen (PAN) allowed to be land applied annually by the CA fp d
the permit �Z )Wv an
- I
RECE1Vt.-1-J
5. Estimated amount of total manure, litter and process wastewater sold or given to other persons and taken
Off site during the year FEB. 111 :,;
0 — tons E3 or gallons ff-�-;Iease check the appropn te Mx)
6. Annual average nil rnber of animals by type at this facility during the previous year: ,WATEROAjrf�, ,�
7. Largest and smallest nuinber of animals by type at this facility at any one time during the previous year.
Largest
Smallest
(These numbers are for informational
Purposes only sinm-e the Only Permit limit on the number of ani'mals-
at the faci1ity is the annual average numbers)
8. Facility's Integrator if applicable:
Part][[: Facility Status:
IF THE ANSWER TO.'�-NLY STATE-MENT BELOW IS "NO111 PLEASE PROVIDE A WRITTEIN
DESCRIPTION AS TO WHY TEE FACILITY WAS NOT COMPLL-�-NT, TPE DATES OF AINYINON
CONIPLIANCE, AND EXPLAIN CORRECTWE ACTION TAKEN OR PROPOSED TO BE TAKEN TO
3PJINTG TI-US FACILT TY BACK INTO Co&fpLL-,t
_NICE.
1. Only animal waste generated at this facil , iry -�vas �ppiied to the permitted sites during Yes ff"No
the past calendar year.
`J
AFACF n-IA-ni

2- The facility was operated in such a way that there was no direct runoff of w
the facility (including the houses, lagoons/storage ponds and the applica on aste firom zyess 0 No i'
the past calendar year. ti sites) during
I There was no discharge of waste to surface water from this facility during the past "e
calendar year. 2/Y s C3 No
4. There was no freeboard violation in any lagoons or storage ponds at this facility during 2"Y'es 0 No
th - e past calendar year.
5. There was no PAN application to any fields or cro s at this facility greater than the &-Yes 0 No
levels specified in this facility's CAWNfP during Te past calendar year.
6. All land application equiRment was calibrat d at least once during the past calendar Xear. Yes O-Nio
ooas di ot exceewe/ Itie GZ n
7. Sludge accumulation in A
rQ1 d e volume i'V=ch klag'0'-" Yes C1 No,4!�/j
was designed or reduce the lagoon's minimum treatment volume to less than the volume
for which the lagoon was designed.
for this acility is a ched to i Ce 11 No A�
L
S. A copy of the Annual Sludge Survey Fo thi C r1ificat,on. 0 Yes
9. Aimual soils analysis were pe f
past calendar year. do " 1dea eaczirdefd . /receivineanQ waste dtfrini'the iff- El No
10. Sod pH was maintained as specified in the permit during the past calendar year? 2--�:es El No
11. All required monitoring and reporting was performed in accordance with the f4cility's M4.-s 11 No
permit during the past calendar year.
12. All operations and maintenance requirements in the permit were complied with during ONo
the past calendar year or, in the case of a deviation, prior authorization was received
from the Divis ion of Water Quality.
13. Crops as specified in the CAWNfP were maintained during the past calendar year on all [IN.
sites receiving animal waste and the crops grown were removed in accordance with
the facility's permit.
14. All buffer requirements as specified on the permit and the CAVVNfP for this facility were El No
maintained during each application of animal waste during the past calendar year.
I certify under Penalty of law that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure thit- qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information subinitted is, to the best of
my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing- violations."
Zj1pature of permifte--
different from Permittee-)
Date
AFACF 3-14-03

Type of Visit 0 Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit O/Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other 0 Denied Access
Facillity Number Date of Visit: FI—Fioluj I mune:
10 Not Operational 0 Below Threshold
dPermitted dcertified E3 Conditionally Certified 13Registered Date Last Operated or Above Threshold:
Farm Name: oAwq\l ORA41) FAOJM County: bupwa)
Owner Name:
Mailing Address:
Facilitv Contact:
Title:
Phone No:
Phone No:
Onsite Representative: _SCI)TT P, &.'od ___ Integrator. CA&AA'L!.;;
Certified Operator:____. Operator Certification Number:
Location of Farm:
0 Swine 0 Poultry 0 Came 0 Horse Latitude =0 =' =11 Longitude =0 =1 =-
�Desp' Des'zgi�-­;,�* V­- _"C t
_JarTen
Swine
4
_�'ca�7 opfilation on
Wean to Feeder
��FFDairy
er F sh
to
S -1 (p 0
52*b
R
Non -Layer
Non -Dairy
t W
Farrow to Wean
Other
arrow to Feeder
F ow to
rFarrowtoFinish
w to F h
iir
G C s
ilts
'lit
Boars
'Ej
Discharges & Stream Impa
1. Is any discharge observed from any part of the operation?
Discharge originated at [I Lagoon El Spray Field 0 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 CoBection & Treatment
4. Is storage capacity (freeboard plus storm storage) less dm adequate? 0 Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: — I I -
Freeboard (inches): 3
12112103
[I Yes 2/No
0 Yes r-I No
[I Yes [] No
Yes E] No
Yes [3/No
Yes Ml�o
0 Yes 2<0
Structure 6
Continued

jFadlity Numb Date of Inspection C113610-14
5. Are there any immediate threats to the integrity of any of the structures observed? (iet trees, severe erosion, Yes ONo
seepage, etc-)
6. Are there structures on -site which are not properly addressed and/or inana ed through a waste management or Yes [2(No
closure plan? (If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? Yes ff 1/40
8. Does any part of the waste management system other than waste structures require maintenancerimprovement? 0 Yes 3<0
9. Do any snictures lack adequate, gauged markers with required maximum and minimum liquid level [I Yes U9,0
elevation markings?
Waste Avuhcation
10.
Are there any buffers that need maintenancelimprovement?
0 Yes
E14o
11.
Is there evidence of over application? If yes, check the appropriate box below.
0 Yes
� 'No
Ij Excessive Ponding [] PAN [I Hydraulic Overload 0 Frozen Ground [I Copper and/or Zinc
12.
Crop type fStn�ALPDP� ( %� 75C�b CS &-,)
13.
Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAVW)?
0 Yes
ETN_0
14.
a) Does the facility lack adequate acreage for land application?
Yes
CIONo
b) Does the facility need a wettable acre determination?
13 Yes
D<0
c) This facility is pended for a wettable acre deterniination?
0 Yes
6<c
15.
Does the receiving crop need improvement?
0 Yes
WO_
16.
Is there a lack of adequate waste application equipment?
E] Yes
2N/0
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below Yes 0<0
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? Yes Ej`No
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, 0 Yes ffRo
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 0 Yes 2'f4o
Air Quality representative immediately.
Field Covy M Final Notes
CA,M,XT,t
zi-Vo
Atjt>
31- 2ql
"P,\)6 ACCCSS Tb
At--
114C SNP^t
I-Agt6 (-ZeLb6,
W.LLL- L,001(-
Lpro
TO&
At.V-V*� d�- W14RT
MA4
ji (co 7 0
(if E)o&V-
Reviewer/Lospector Name &�
Reviewer/luspector Signature:
Daft:
12/12103 Continued

Facility Number: -31 Date of Inspection
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
0 Yes
CTNo
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
WUP, design,
0 Yes
qAo
(ie/ checklists, maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
0 Yes
6KO
0 Waste Application 0 Preeboard 0 Waste Analysis 0 Soil Sampling
Yes
ffNo
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
0
25. Did the facility fail to have a actively certified operator in charge?
0 Yes
O/Mo
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
0 Yes
E;(No
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site repres entative?
0 Yes
2rNo
28. Does facility require a follow-up visit by same agency?
0 Yes
&3/N,
29. Were any additional problems noted which cause noncompliance *of the Certified AVOAP92
0 Yes
VNo
r%TPDES Permitted Facilities
30.
Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
0-Yes
[I N
31.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
facility
0 Yes
yes
71,0
rlMo
32.
Did the fail to install and untintain a rain puge?
0
�<
33.
Did the facility fail to conduct an annual sludge survey?
0 Yes
34.
Did the facility fail to calibrate wage application equipment?
0 Yes
7No
�70
35.
Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
0 Yes
OStockingForin OCropYieldForm ORainfall 0 Inspection After I" Rain
0 120 Minute Inspections 0 Annual Certification Form
[3 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit
Addhi6hM�CoiiifiiEiu§ iiiWO'E'Drawin X7�75
--X
Al
12112103

V
of Visit P compliance Inspection 0 Operation Review 0 Lagoon Evaluation
ReasonforVisit PRoutine OComplaint OFollowup 0 Emergency Notification 0 Other El Denied Access
IFacility Number I Date of Visit:
Pf Permitted J67);rtilled [3 co ditionally Certified 131tegistered
Farm Name tofv ;9,49 "),v
I
Owner Name: 04-�,JS/
Mailing Address:
Time:
Date Last Operate�_�r Above Threshold: —
County: J'�Atvz�-/v zv'IM
Phone No:
Facility Contact: - ___ Title: Phone No:
Onsite Representative: 1�50_ Z) -7 AR PC,) tj Integrator: �A PRO a—, j
Certified Operator:
Location of Farm:
Operator Certification Number:
Vswine OPoultry []Cattle []HorseLatitude ='=I=- Longitude ='=I=-
D —
esign
SIR sign rrent
apaci
RJENEU. non
U Wean to Feeder
La er
KF
ceder to Finish
5, PC D
LO Non -Layer I
Famow to Wean
Other
Farrow to Feeder
Farrow to Finish
otal esign a aci
El Gilts
El Boars
ININEENESSIONEENESSET-LwotwalTSSLkw7M
It e o agoons
Subsurface Drains- P=resent j[1LagoonArea ID Spray Field Are, I
9111orfirlsf/iSolidli][7--raps
�JLJ No Liquid Waste Management System
Dischames & Stream Impacts
1. Is any discharge observed from my part of the operation? 13 yes No
Discharge originated at: 0 Lagoon 0 Spray Field 0 Other
a. If discharge is observed, was the conveyance man-made? 0 Yes 0 No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) El Yes [I 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) D Yes 0 No
2. Is there evidence of past discharge from any part of the operation? [I Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? 0 Yes No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? El Spillway 0 Yes No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure
Identifier 1 �2
Freeboard (inches): 25
05103101 Continued

Facility Num Date of Inspection
5.
Am there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
0 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? (If any of questions 4-6 was answered yes, and the situation poses an
0 Yes
�No
immediate public health or environmental threat, notify DWQ)
7.
Do any of the structures need maintenance/improvement?
0 Yes
No
8.
Does any part of the waste management system other than waste structures require maintenance/improvement?
0 Yes
No
9.
Do any stuctures lack adequate, gauged markets with required maximum and minimum liquid level
elevation markings?
0 Yes
ko
Waste Application
10.
Are there any buffers that need maintenance/improvement?
0 Yes
P� No
11.
Is there eviderM of over applicati n? 0 Excessive Ponding 0 PAN Hydraulic Overload
zz
0 es
ipfNo
12.
Crop type "'J� ��A 61`Y)ALLGAAyij (DJUSEAD I a
Z okdl:�DWAL��
"Y4
1
T
13.
Do the receiving crops differ with thosej1esignated in the Certified Animal Waste Man;gement Plan (CAWMP)?
1
0 Yes
No
14.
a) Does the facility lack adequate acreage for land application?
0 Yes
No
b) Does the facility need a wettable acre determination?
0 Yes
No
c) This facility is pended for a wettable acre deterimination?
0 Yes
No
15.
Does the receiving crop need improvement?
0 Yes
No
16.
Is there a lack of adequate waste application equipment?
0 Yes
No
1
Renuired Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
0 Yes
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
'VN0
(ie/ WUP, checklists, design, maps, etc.)
0 Yes
No
19.
Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
0 Yes
No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
0 Yes
No
21.
Did the facility fail to have a actively certified operator in charge?
0 Yes
No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, fireeboard problems, Over application)
0 Yes
No
23.
Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
0 Yes
10
No
24.
Does facility require a follow-up visit by same agency?
0 Yes
No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
0 Yes
/p/No
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
vbc—u-ruwliigs-u-t,inciitiytouener�expimn�simanons;,tus�jaaaiuonaipages,g ecessar7j:, Field Copy El Final Notes
if I Z' M � 7 f "r r 2 0 1 f� , '* ov�"* '&� 4, A�' �' �
6EF'\J 0,,p,,,
ID
�00T_R'�LL-ZrOa- C,%AQL-1 0octs ZNj FrRLo P12�
RLI Ap"�
0 PIt, b)E-r
-2-N 'FPvt)—c Or 40111-
Reviewer/Inspector Name 1&�5 7ga
Reviewer/Inspector Signature: Date:
_L11AA-Afl;�) L,'_ (%a4� 1
05103101 Continued

Facility NumEer-�� Date of Inspection Printed on: 7/21/2000
Odor
Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge Wor 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
0 No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
0 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?
D 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.)
El Yes
No
31.
Do the animals feed storage bins fail to have appropriate cover?
D Yes
No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
[] Yes
No
Additional.Comme and/or Drawings:
LL
RECOPD-5
5100

Type of Visit oCompliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit 6 Routine 0 Complaint. 0 Follow up 0 Emergency Notification 0 Other [3 Denied Access
Facility Number Date of Visit: Time:F—'—z 1-5 --1
10 Not Operational 0 Below Threshold
[3 Permitted 13 Certified 13 Conditionally Certified 13 Registered Date Last Operated or Above Threshold: .... .....
Farin Name: . ....... 24.tnq.-�j .... lnp�yn .... G
....................................... County: ......
O,wner Name: .......... pann.�. ....... B 3��n ......................................................... Phone No: .............................................................. . .... . ..
Facility Contact:
Title:
Phone No:
MailingAddress: ..................................................................................................................... ........................... . ................................................. . . . .. ..... . .............. —_
Onsite Representative: ..... �ac�ll j3,r,&t_.y -I Integrator. ....��radtk .................................. ...... ...... .
...........................................................................................
Certified Operator: ...................................................
Location of Farm:
Operator Certification Number:
0SwIne []Poultry oCattle 0Horse Latitude =*=IF---]" Longitude F__10 [ I- F 1-1
Design , Current
P
Vn�ritv Panniation
0 Wean to Feeder
0 Feeder to Finish
0 Farrow to Wean
0 Farrow to Feeder
0 Farrow to Finish
0 Gilts
10 Boars
cattle
10 Other I
Total D&ign Capacity
Toial SSLW
— I * 0 Subsurface Drains nt jj[] Lagoon Area 10 Spray Field Area
Number. of Lagoons
Holding Pon v ds/ �Oild Traps Management System ------ i
Discha & Stream Impac
1. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Lagoon [I 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 gaUrmn?
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 I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: .......... j ... k Z ........... .................................... ................................... .................................... .............................
Freeboard (inches): Lif 7-
5/00
0 Yes ONO
• Yes ONO
• Yes ONO
14 1r,
0 Yes Jallo
[] Yes �'No
0 Yes ;3�No
[] Yes /No
Structure 6
Conginued on back

lFacility Ntim�r. 3 �1— 2- �40 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (it/ trees, severe erosion,
[]YesZNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
0 Yes
F1 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?
0 Yes
ONo
9. Does any part of the waste management system other than waste structures require maintenancelimprovement?
0 Yes
A No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
Yes
ONo
elevation markings?
0
Waste Application
10. Are there any buffers that need maintenance/improvement?
0 Yes
ONo
11. Is there evidence of over application? 0 Excessive Ponding 0 PAN 0 Hydraulic Overload
0 Yes
ONo
12. Crop type Eav-,-,ydo, 5-rac0l Cinkin � Ca,ri Ljheot4 , :L246ec,,%�<
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Pla� (CAWMP)?
0 Yes
J21WO
14. a) Does the facility lack adequate acreage for land application?
0 Yes
0 ' No
b) Does the facility nee I d a wettable acre determination?
0 Yes
0 No
C) This facility is pended for a wettable acre determination?
0 Yes
0 No
15. Does the receiving crop need improvement?
0 Yes
JZNo
16. Is there a lack of adequate waste application equipment?
[I Yes
j2rNo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
0 Yes
RrNo
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) El Yes PNo
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) 0 Yes j2rNo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? 0 Yes ONo
21. Did the facility fail to have a actively certified operator in charge? 0 Yes PNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) 0 Yes JZNo
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site repr I esentative? 0 Yes ZNo
24. Does facility require a follow-up visit by same agency? 0 Yes ONo
25. Were any additional problems noted whic It cause noncompliance of the Certified AWMP? 0 Yes ;allo
0 . . . . . . . . . . . j . . . . . . Wi . . . . . . . .
*i0tpitioils' r ftfje ..... q - )1004 00dag �his'vj I t; - Y00 30dl-tebqi*c� 0
1q. -T-Ile p
,, needs A wej)ot�je e4zre's
4v i-T 4,v 4.,
IS. avevvill 41,e ceot-4-d 6cr,,wdc,, 15- jpyoveA j-1 f;e1olts; neeA 4e, el;--t;��e
----------
Revievver/Inspector Name 6
Reviewer/Impector Signature: Date: 112.610) S/00

"Jyacilk:lNum�ber- 7) �—ZZJO 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 E] 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 _.PFNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, 0 Yes J2'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? 0 Yes ONo
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 Z No
31. Do the animals feed storage bins fail to have appropriate cover? Yes 0 No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? E] Yes [] No
lAdditional:C-ommentsandTor—Dmwings:
5100

3ivision of Water Quality
IF '0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit kompliance Inspection 0 Operation Review 0 Lagoon Evaluation
ReasonforVlsit ORoutine QrComplaint OFollowup 0 Emergency Notification 00ther 0 Denied Access
Facility Number -21/0 Date of Visit: E Printed on: 7/21/2000
-244 1 110 Not Operational 0 Below Threshold
E3 Permitted [3 Certified [3 Conditional y Certified 13 Registered Date Last Operated or Above Threshold: ......... .. ...........
I IV . ..... d .. : ............
a t, ....... .............
Farm Name: ...... .4. p ......... �q . .... .... B��,?pv vs,\, County:
.. . ..... r
Phone No: ................................................................ ......................
Owner Name: ...... DI(AM ........... ... ............................................
Facility Contact:
Title:
Phone No:
MailingAddress: .............................................. ....... ......................................... .............................. ........ — ..........
(b#V V-\-
Onsite Representative: .... ...............
....................................................................... I .................. .............................. -- ..................
Certified Operator:
Location of Farm:
Operator Certification Number:
[]Swine []Poultry [I Cattle [I Horse Latitude = 0 =1 =,, Longitude = 0 =1 =11
Design Current
Swine CaDacitv PODulation
[]
Wean to Feeder
E]
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
E]
Gilts
[j
Boars
Number of Lagoons
Holding Ponds / Solid Traps
Design Current Design Current
Poultry Capacity Population at e Capacity Population
IEJ Layer —T 1 10 Dairy I I
01 Non -Layer I I IE]Non-Dairyl I
JE3 Other I
Total Design Capacity
Total SSLW
Waste
Lagoon Area W Spray Field Area
Discharges _ Stream Impact%
1. Is any discharge observed from any part of the operation?
E] Yes
E] No
Discharge originated at: E] Lagoon [] Spray Field F-1 Other
a. If discharge is observed, was the conveyance man-made'!
F1 Yes
[I No
b. If discharge is observed. did it leach Watei of the State'? (If yes, notifv DWQ)
E] Yes
Ej No
c. lfdischal�e 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?
Kyes
No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
E] Yes
[I No
Waste Collection &Treatnient
4. Is storage capacity (freeboard plus storm storage) less than adequate? El Spillway
E] Yes
[] No
6�Wcture I !NU Clur Structure 3 Structure 4 Structure 5
�.1414
Structure 6
Identifier: ................ ...... .. ....................... 3-S . ................................... .................................... ......... .......................... ....................................
Frecboard (inches):
5100
Continued
on back

�,J— 7-qj
IFacility Number: q I - I iy� Date of Inspection Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures o#bsed;7 (�tel trees, severe erosion,
Yes
E] No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
C] Yes
E] 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?
0 Yes
E] No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
El Yes
[I No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Yes
E] No
Waste Application
10. Are there any buffers that need maintenance/improvement'?
Yes
[I No
11. Is there evidence of over application? E] Excessive Ponding [-] PAN El Hydraulic Overload
El Yes
El No
12. Croptype
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?
E] Yes
C] No
c) This facility is pended for a wettable acre determination?
El Yes
[] No
15. Does the receiving crop need improvement?
Yes
El No
16. Is there a lack of adequate waste application equipment?
Yes
E] 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.)
E] Yes
No
19. Does record keeping need improvement? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
[] Yes
E] No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
E] Yes
E] No
21. Did the facility fail to have a actively certified operator in charge?
E] Yes
0 No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ic/ discharge, freeboard problems, over application)
E] Yes
C] No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'?
Yes
E] No
24. Does facility require a follow-up visit by same agency?
Yes
[:1 No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
E] Yes
E] No
&lkie,�ri tk,s 6,fe,d, d, tttihiiih, i's 'v,is,ii.*
................. * ......
corresp6iride��e*abb�t'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):
cf�,Jwj�_4 1-0.5 'V� driN64-, 1 �-_VJA41
fl. F-01.
1A sllv�. VtjkV,1LX Nr,�Cl� Oa�p,%_ Rlro-rl K,
fAOCAW v-1 I)" '
4,� . CV6� �;01 Ajt-� L4­ D0�61.
t Al NAtc-11— ,
�Cv�� VA& Q -
-it evrt v�,o+- SA_4,,-A4_P4- WwAs� Aser&-(ot ��_-4,d,&
Reviewer/Inspector Name e, Le.—
Reviewer/Inspector Signature: Allf 7 41 1/ 1 / '1% Date: Irz 17 C'r) 5100

N
Ss,
C4
i>O
lZ c
17
SA
is
zz
- tw
I

31- 4zfo
Facilit� Number: 3) ].-)ate or Inspection
brnments and/or Dra'w'] g'
n S:l
ct /
M
7/25/97

[3 Division of Soil Operatioii�Fiyiev�
oil and Watei!Conser�ation
13 Division of S
7C.in
.13'Division of Waterj��ualii;�� Idianqe iinsp�e�tiim
&Other Agency e"'evv
90i
IQ Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow -tip of DSWC review 0 Other
Facility Number Date of Inspection
I Time of linspection 24 hr. (hh:mm)
KPermitted E3 Certified 13 Conditionally Certified [3 Registered Date Last Operated:
Farm Name: .... Oil .............. 5 . ........... 2� ................. County: ............. ................................
Owner Name:
....... .1/ ........... . ...... Bfz�W ...................................... Phone No: .....
FacilityContact: .............. Title: ................................................................ Phone No: ...................................................
MailingAddress: ..................................................................................................................... ...................................... .................... ..........................
Onsite Representative: ....... 1-5 ......................................... Integrat ........ ... ..........................................
Certified Operator: ................................................... ............................................................. Operator Certification Number;
Location of Farm:
Latitude = 0 =1 =1 Longitude = 0 =1 =11
Design
Current-
- - ------ ---- D D ign ren
esign Current, es Cur t
71 Capacity
Pop ulation
P, attle
oultrY Capacity Population. Capacity Population
Wean to Feeder
Layer JE1 Dairy
KFeeder to Finish 5'7(
-j(jc9
JE] No -Layer I Non -Dairy I
Farrow to Wean
Farrow to Feeder
'I[] Other
Farrow to Finish
Total DeMgffc4pacity
E] Gilts,
Boars
TotaI_SSLW
Lagoons
Subsurface Drains Pr n7tjE1LagwnArea JXSpray Fi
_), Solid Traps
in
ID No Liquid Waste Management Syste�
Discharges & Stream Impac
1. Is any discharge observed from any part of the operation? Yes No
Discharge originated at: [I Lagoon [] Spray Field n Other
a. If discharge is observed, was the conveyance man-made? [I Yes No
K If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) Yes No
c. If dischar2e 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? 0 Yes [XNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? El Yes 9No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? [I Spillway C I Yes [XNo
. Structule I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches): ......... e, ........... .......... 0..' ............ .................................... ................................... ................... ................ ...................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, E] Yes XNo
seepage, etc.)
3/23/99 Continued on back

lFacility Num Date 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)
7. Do any of the structures need maintenance/improvement?'
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Applici!tion
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence j9f over application? [] Excessive Ponding [] PAN
12. Crop type
13. Do the receiving crops differ with those designated in the �rfified Animal
D�
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
F7-73_-�a
Yes %No
Kyes El No
E] Yes KNo
11 Yes K No
E] Yes 0 No
[] Yes ONO
Plan (CAWMP)? Kyes [I No
[] Yes El No
Renuired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
I S. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in 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 agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
N+*i0Eati#ii.s'0j.r- difflcie�nd.Lg -*&O'hO(ed. d&izid tbis'visit'. YowWi1j-te6a*0 ir.io futtb&.
correspitridefitie'abbik th' visit"
is
m—/— 0 < "'o Aa, 1A , AIJ,
Reviewer/Inspector Name
0 Yes [] No
Yes E] No
Yes E] No
E] Yes R No
E]Yes 5rNo
0 Yes A No
AYes El No
El Yes �q No
0 Yes [A No
[] Yes
[] Yes
4yes
[] Yes
,C 1111se , SO /70 eosl�w will -/�q
IW,og al,114e ^71A 1,&A1we4A h4ukd Ail
lva-f - &Wtf., w-f Av de-lerIn �t e a, K
�1 5d 4Z�44 Al
111AR 7/_
�Awdw�
Reviewer/Inspector Signajufe—��_, JUL-444711 / Date:

IFacility!"Um 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?
Yes
0( No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
Yes
KNO
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.)
Yes
O(No
31.
Do the animals feed storage bins fail to have appropriate cover?
Yes
gNo
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
-E�Y�
Additional Comments and/or, Drawinps:�
(('ff11!5 7W W/'// Ike
'6V' ti
3/23/99

Facility Number Date o Visit �� Printed on: 3/23f2OOO
rO Not Operational 0 Below Threshold:]
M Permitted M Certified [3 Conditionally Certified 13 Registered
Farm Name: DAvuy.BxawxEAnn. ...................................................................................
Owner Name: DamW .....................................
Facility Contact:
Title:
Date Last Operated or Above Threshold:
County: D.upHa ..................... .......................... W.jRQ .........
Phone No: ........................
Phone No:
MailingAddress: 4.495.S.NC,50 ........................................................................................ ChitulmapilL.N.0 ........................... ....................... 28521 .............
Onsite Representative: .................................. . .......... . ........................................................... Integrator. CArjru1VAY.wd&J= .............................................
Certified Operator:31anny-C . .............................. Bxmxn ............................................... Operator Certification Number: ISM .............................
Location of Farm:
H Swine [] Poultry [] Cattle lAtitude F7T-I" Longitude F-7-7 -1 - =1 F__37_�-
Discharees A Stream Impacts
1. Is any discharge observed from any part of the operation? [3 Yes [] No
Discharge originated at: [I Lagoon [I Spray Field [] Other
a. If discharge is observed, was the conveyance man-made? Yes E]No
b. If discharge is observed, did it reach Water of the State? (if yes, notify DWQ) Yes FINo
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ) [__1 Yes 0 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? El Yes [I No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? [I Spillway Yes Ej No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ................................... ................................... .................................... ................................... ........................... ........ ...................................
Freeboard(inches): ................ I(I ............... ................ I(L ............... ................................... .................................... ........................... ......... ....................................

lFacility Numb Date of Inspection F-2/18/2000 1 Printed on: 3/23/2000
5. Are there any munediate threats to the integrity of any of the structures observed? (iet tees, severe crosion, 0 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? 0 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 maintenancelimprovernent?
8. Does any part of the waste management system other than waste structures require maintenancefunprovement?
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 maintenancerimprovement?
11. Is there evidence of over application? 0 Excessive Ponding [] PAN
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
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 Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iet WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ict irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ief discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/hispection with on -site representative?
24. Does facility rrquire a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
;A -146-vitolafiini� dr*&Tiiiiiiciei-iviie*iioieif:duiini Aii -�iiii;'V-6ti* W' ilfriiehit ]rt6
..........................................................
. CA,
Freeboard Check. Left message on Mr. Brown's home answering machine. Read fiveboard gauge and left site.
[] Yes []No
[] Yes []No
[I Yes 13 No
[I Yes 0 No
0 Yes [] No
0 Yes No
[] Yes No
0 Yes El No
Yes No
Yes No
Yes Ej No
[] Yes [] No
Yes No
Yes No
Yes No
rl Yes 0 No
El Yes [I No
C] Yes No
[] Yes No
E] Yes []No
Reviewer/Inspector Name I Awi�. "i c

Division of Soil and Water. Cimse'rvation - OperatiowRivie-4
Division of Soi-lafid Watci&'Con�ei�vadon -
i EtDivisi mpliatice lr�pection �c-,
on of Water -Quality - o
er
Agency-0
—Oiradon Riivieii..
JoRoutine
QkComplaint 0 Follow-up of DWQ inspection
0 Follow-up of DSWC review 00ther
Facility Number �—�J
I
I Date of Inspection
I
I 6/2/11�
Time of Inspection
[�� 24 hr. (hh:mm)
E3 Permitted
[3 Certified [3 Conditionally Certified
E3 Registered
1[3 Not Operational Date Last Operated;
FarmName:
.......... ............... .... ..............................................................................
County . ..........
..... ....................
............................ .......................
OwnerName:
................................................... ........................................................................
Phone No:
Facility Contact:
Title:
Phone No:
MailingAddress: .................. ................ ................................................................................. .............................. . ...................... ................. * ... ...... *** ................
Onsite Representative: .................................. Integrator: .... (.: .................................................
Certified Operator: ................................................... ............................................................. Operator Certification Number: ..................................
Location of Farm:
Latitude = 0 =1 =_1 Longitude = 0 =1 =I -
Swine
Design Current Design Current----'--'--,
C I 2Dacitv PODUlation Poultry' C2DaCitV P01311latiOn' --Cattle
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts,
Boars
Number of Lagoons
Holding Pofids Solid Traps
Other
-Capacit)
Total Design
:;��-Total:SSLW
Subsurface Drains Present Lagoon A
rE1 No Liquid Waste Management System
Current
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? C] Yes [] No
Discharge originated at: [I Lagoon [I Spray Field [] Other
a. If discharge is observed, was the conveyance man-made? Yes E] No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) 0 Yes [I No
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon systent? (Ifycs, notify DWQ) 0 Yes 0 No
2. Is there evidence of past discharge from any part of the operation? OYes El No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? 11 Yes El No
Waste Collection & Treatment
4. Is storage capacity (fireeboard plus storm storage) less than adequate? 0 Spillway 0 Yes E] No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches): .............. VA ............ ................................... .................................... ................................... ................................... ...................................
5. Are there any immediate threats to the integrity of any of the structures observed? fie/ trees, severe erosion, Yes E] No
seepage, etc.)
3/23/99 Continued on back

IFacility Number: 13 Date of Inspection
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 maintenancelimprovement?
E] Yes
E] 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
elevation markings?
E] Yes
E] No
Waste Application
10.
Are there any buffers that need maintenance/improvement?
[j Yes
[] No
11.
Is there evidence of over application? Excessive Ponding [] PAN
E] Yes
E] No
12.
Croptype
13.
Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
F-1 Yes
El No
14.
a) Does the facility lack adequate acreage for land application?
El Yes
El No
b) Does the facility need a wettable acre determination?
[] Yes
No
c) This facility is pended for a wettable acre determination?
El Yes
No
15.
Does the receiving crop need improvement?
[I Yes
El No
16.
Is there a lack of adequate waste applicatio n equipment?
E] Yes
[] No
Required Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
[I Yes
El 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
E] No
19.
Does record keeping need improvement? fie/ 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
E] No
21.
Did the facility fail to have a actively certified operator in charge?
[_1 Yes
El No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
fie/ discharge, freeboard problems, over application)
E] Yes
0 No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
E] 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
E] No
IJ
I...-corresp6Tideii&a:bO*
J7* &hc'ie*�n' db'� h, , 'd'. d,(
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . oi*i6 d fu t & .
rb 6fe g �bis'visit: - Y66 Will -feb . . . . . .
.......
.............................
U*f thls.AAL
Lc�
014
--� T.
w_jvqc�y\lz <z '� <:k6ilt, t�' q I "-C-J- A_1� P1 sp/A
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date:
3/23/99

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
E] 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?
C] Yes
No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
El Yes
El 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?
E] Yes
E] 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.)
E] Yes
[] No
31.
Do the animals feed storage bins fail to have appropriate cover?
E] Yes
0 No
32.
Do the flush tanks lack a submerged fill pipe or a pennanent/temporary cover?
E] Yes
E] No
Additional Comm nts�and/or-Drawin
e _gs_
3/23/99
3/23/99

D Division of Soil and Water-Cimservatiow, 0 eration-Riev-4 w'-__--
p -1 �_ �
E3 Division 'and W46r__toAsirvation'-'C nspictiiiii
of Soil
9mP
_�Conipliancelns ti
Division of Water Qualitj'-
pec on
OtherAgency �Operafii Review -
Complaint 0 Follow-up of DWO inspection 0 Follow-up of DSWC review 0 Other
Facility Number Date of Inspection L_7jj7Z2jj
I Time of Inspection 24 hr. (hh:mm)
Overmitted Certified [3 Conditionally Certified E3 Registered
Date Last Operated: ..........................
Farm Name: ............ %)Al ....... &,VA,). 0­. F.CV-1 . . .................................................... County: ...... "Ir
b . .................................. .......................
Owner Name: Phone No:
_W��
.............................. 6&vu! .......... _q.(.13 .......................................
Facility Contact:
Title:
Phone No:
Mailing Address: ........ L.k.L..( ... C.t..5.. � ...... IS.: .... N.!;:�
......................................... .......... Ch
.................
Onsite Representative: ............. A<4.tj .........
...................................................... Integrator: ......... cam./L ......................................................
Certified Operator: ......... % . ........ �c ........... ......... ...... : ........................... Operator Certification Number: ..........................................
Location of Farm: -A
Latitude = 0 =1 =11 Longitude = & =1 =-
Design Current-'
Swine
Capacitv Population -
Wean to Feeder
Feeder to Finish
6
Farrow to Wean
_!�71,C)
Farrow to Feeder
0 Farrow to Finish
0 Gilts,
0 Boars
Design - Current
Number of Lagoons Subsurface Drains Prese7ntl[l Lagoon Area I[] S
HoldingVonds/Sofid Traps
No Liquid Waste Management System
Discharges & Stream Impac
1. Is any discharge observed from any part of the operation?
Discharge originated at: El Lagoon 0 Spray Field El Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the Suate? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gallmin?
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? [I Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: k-V7_
Freeboard(inches): .............. 3.1 ............. ................................... ....................... ............ ................................... .............................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
[I Yes 1� No
0 Yes
[FNo
Yes
No
N /A -
t
Yes
No
E] Yes
No
El Yes
EN No
[I Yes [D No
Structure 6
Yes rri No
�Ia
Continued on back

lFacility Number: 31 -z--t6 Date of, I lispection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? E] 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? P Yes No
Y-u
8. Does any part of the waste management system other than waste structures require maintenance/improvement? El Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? El Yes [�F]S[o
Waste Arrilication
10. Are there any buffers that need maintenance/improvement? El Yes [;�bNri
11. Is there evidence of over application? E] Excessive Ponding 0 PAN 0 Yes a No
12. Crop type "k 6M4 sfth vi� r"LLJ ICV46,
13. Do the receiving crops differ with those designated in the Certified Animaiwaste Manage nent Plan (CAWMP)?. El Yes Wo
14. a) Does the facility lack adequate acreage for land application? E] Yes F] No
b) Does the facility need a wettable acre determination? E] Yes E] No
c) This facility is pended for a wettable acre determination? 07yes '[] No
15. Does the receiving crop need improvement? . rVoYes E] No
Y�
16. Is there a lack of adequate waste application equipment? Yes PNo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? El Yes )9 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.) C] Yes 1'2 No
19. Does record keeping need improvement? (ie/ irrigation, fireeboard, waste analysis & soil sample reports) aYes / E] No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? E] Yes No
21. Did the facility fail to have a actively certified operator in charge? El Yes No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) El Yes No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? El Yes No
24. Does facility require a follow-up visit by same agency? 0 Yes RNO
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? E] Yes to No
11"Nib-li,iblih,tild,tisl*o*tld,4�Irilcile�n'ti�*�1*14�Iri�,lbI I IddliW", *g1�b*is1'v1js1it1'1 Ylolit''w1i, I I I I I I I * * I I I I I I
. . . . . . . . . . . . . . . . . . . . . . . . 4Ke . . . . . . 11 _t&dvi� 00 flukth ele - - - - -
. . . . . . . . . . . . .
....... ....................................
corresp6fid6tie'a'bbf�f this *Asit-'.
Comments (refer to question#): Explainany YES answers andfor any recommendation-s-o-r- any other conurients.
Use drawings of facility,torbetter explain -situations. (use- additional pages as necessairy)-'�­` -
Is-, Z"YXu�,_ �Nl -56LO wrij ty\ A
ouv,
FE
Reviewer/Inspector Name
n�
Reviewer/Inspector Signature: 7�i — /_ Aj� Date: 7A 7/9 1
3/23/99

1 Facility Number: 5�— Zj4O Date of Inspection
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor below
E] Yes
I�N 0
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, -
El Yes
No
91
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
E3 Yes
P 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.)
E3 Yes
l;DNo
7'
31.
Do the animals feed storage bins fail to have appropriate cover?
El Yes
1P No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
E] Yes
.4 No
3/23/99

M[3 Division of Soil and Water Conservation 130therAgency
�A'
110
Division of Water Quality
Facility Number Date f Inspection 1(/Jz.�qw
I Time f Inspection �� 24 hr.
[3 Registered Pkertified E3 Applied for Permit 0 Permitted JE3 Not Operational Date Last Operated: ..........................
FarmName: ............... ....... ........ Fly . . ............. .......................... ....... County: .... DLI.�14y% ........................................ .......................
Owner Name: ........ . ..............
W.r ..................................................... Phone No: .... .........................................
........ .... Eq
FacilityContact: .............................................................................. Title: ................................................................ Phone No: ...................................................
Mailing Address: ..... �A.I.T ......... ap.�Akl . .... r..J..( . ..... ki . . .... . ............................. ....... p1l; ................................. L&S-lu ..........
Onsite Representative: .... Na.�L .... ?.cxj-.iLjsZoA ... j6n .... �Sc,.it ... Baih . ........ Integrator: ........ CAJW.Q!�A ................................ : ....... ....... ..........
Certified Operator .................................................. ............................................................. Operator Certification Number ..........................................
Location of Farm:
Latitude=& Longitude = OF q, 1,
General
1. Are there any buffers that need maintenance/improvement?
0 Yes
10 No
2. Is any discharge observed from any part of the operation?
Yes
M No
Discharge originated at: El Lagoon [I Spray Field D Other
a. If discharge is observed, was the conveyance man-made?
Yes
No
b. if discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
Yes
No
c. If discharge is observed, what is the estimated flow in gal/min?
)d
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
0 Yes
RNo
3. Is there evidence of past discharge from any part of the operation?
0 Yes
[,V No
4. Were there any adverse impacts to the waters of the State other than from a discharge?
[I Yes
[21 No
5. Does any part of the waste management system (other than lagoons/holding ponds) require
0 Yes
No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
[I Yes
No
7. Did the facility fail to have a certified operator in responsible charge?
0 Yes
No
7�25/97

Faciliity No
8.
Are there lagoons or storage ponds on site which need to be properly closed?
Yes
No
Structures (La2oonsHolding Ponds, Flush Pits, etc.)
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): ........... IS ............... .................................... ................................... ....................................
.................................... ....................................
10.
Is seepage observed from any of the structures?
El Yes
El No
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
0 Yes
[2j No
12.
Do any of the structures need maintenancelimprovement?
Yes
0 No
(If any of questions 9-12 was answered yes, and the situation poses
an inumediate public health or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or maximum liquid level markers?
Yes
Ed No
Waste Application
14.
Is there physical evidence of over application?
Yes
Jjj No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ......... �eg.NJA ......... 5.y-oll .... �;mln ................. LO.r..� . ......... "LLai ....... ;5�ey .. 1101.�
.............................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? [;I Yes 0 No
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Js 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 reviewhinspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Ont
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?
.-,,coffespi)bdehtogihoiittbis'visiL,','
0 Yes U-No
[�l Yes 0 No
0 Yes J3 No
Yes E No
Yes No
Yes No
El Yes 6 No
Yes [51 No
0 Yes IN No
4t,_ ou�,, �Izu w-At 4 41� Le�
15�WLO - S 0�\14 10 �t$C�V� 1 . 1A) U� cfkl(-� (Ir
16 We_s\<_ W
IT.
V-�Mkw 61 bet, - k � III?.
7/25/97
Reviewer/Inspector Name
N,
CT 6r�7
Reviewer/Inspector Signature: Date: it I ldcw

DSWC Animal Feedlot Operation Review
[!I!DWQ Animal Feedlot Operation Site Inspection
N
Date of Inspection q/31117
Facility,Number
I Time of Inspection 24 hr. (hh:nun)
Megistered E3Certified la Applied for Permit UPermitted JE3 Not Operational Date Last Operated: ..........................
Farm Name: ......... DA r, Countv: ......
. ......... .......... r: ......................................................... I ...... .1 .. 411 ......................................... .......................
OwnerName: .......... �M. rtj ...... I Srow� .. ............................. : .......................................... Phone ............................................
Facility Contact: ........ ........ %WA ............................... Title: ........... N.My ..................................... Phone No: ... 0156,43T..-AU.1 ...........
MailingAddress: ..... 4.4.17 ..... ............................ ......................... ...... . .................................. . ........
Onsite Representative: ........ blw-r-� ... .. &ot . ........................................................ - Integrator: ....... CP-f 6 .........................................................
Certified Operator* . ................ ................................. ............................................................. Operator Certification Number� ..... I-V1.15 .....................
Location of Farm:
Latitude = 0 =1 =41 Longitude = * =1 =11
Swine Capacity Fopulation
El Wean to Feeder
R2 Feeder to Finish S—?6 0
E] Farrow to Wean
El Farrow to Feeder
E] Farrow to Finish I
Gilts
Boars
Poultry Capacity Population Cattle Capacity Population
ID Layer Dairy I I
F0 Kon-Layer Non-Dairyj I
I[] Other
Total Design Capacity
Total SSLW
Number of Lagoons / Holding Ponds A] Subsurface Drains Present 110 Lagoon Area 1ptSpray Field Area
10 No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement"
[I Yes
50 No
2. Is any discharge observed from an), part of the operation?
0 -Yes
Ja No
Discharge orig-inated at: El Lagoon E] Spray Field [] Other
a. If discharge is observed, was the conveyance man-made9
0 Yes
10 No
b. If dischar,,e is observed. did it reach Surface Water? (Ifyc.s. notil V DWQ)
0 Yes
[3 No
c. If discharge is obsened, what is the estimated flow in --alhni0
KI
d. Does dischai ge bypass a lagoon system'! (if yes, notify DWQ)
14L
0 Yes
M No
3. Is there evidence of past discharge from any part of the operation?
El Yes
`4 No
LAI
4. Were there any adverse impacts to the waters of the State other than from a discharge?
0 Yes
FA No
5. Does any part of the waste management system (other than lagoong/holding ponds) require
Yes
[51 No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
El Yes
No
7. Did the facility fail to have a certified operator in responsible charge?
El Yes
No
7/25/97
Continued on back

Facility Number: 3k 24D
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Laerions,tiolding Ponds, Flush Pits, etc. t
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Freeboard (ft): ....... Z-A .................... ...........................
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?
El Yes
§�No
El Yes
NJ No
Structure 5 Structure
............................ ..... .............................
6
............................. ....................................
C1 Yes
H No
El Yes
0 No
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 evidenci of over application?
(if in excess of WMP, or runoff entering waters of the State, notify DWQ)
I . . I.t
15. Crop type ....... �P!;sm .... N�sr�ww.iA ........................... ............ Cori .................. ...................... 14 .................
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?
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?
No vioNtions or deficiendes. %vem nowd during this visit. Youl�ilj receive no flirther
correspondence Ahout this'visit.,'.
0 Yes JO No
0 Yes K No
0 Yes UNo
0 Yes [9 No
[I Yes JR No
Q Yes 0 No
El Yes IR No
0 Y es 4N No
0 Yes [R No
N Yes El No
0 Yes R] No
El Yes ER No
El Yes El No
17. I�Wr p,?� S�OUW 6� ep�*4cj'
C"k �&trnwk cvo� S6�d 6.9 Zhx�V-L�044��
"� rri!�kio& Mo. 41UVO �t On 'SI -0 aW 4-500V\ rrAH �"rr,- 1A 4-V-CJAU
L 1"), — %
rrcoy� S.
")" 1 7/25/97
Reviewer/Inspector Name irfA&A— VVA-
Reviewer/Inspector Signature: /I - 0� Date: OL1111131-)