310474_INSPECTIONS_20171231

NORTH CAROL! NA
?7
Department of Environmental Quai

Type of Visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: �utine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 2 2 / Arrival Time: I 9,,_C7,eparture Time: County: Region: C ,
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design
Swine Capacity
Wean to Finish
Current
Pop.
Design C**urrent
Wet Poultry C►apacity Pop.
JLayer
Design C►urrent
Cattle Capacity Pop.
Dairy Cow
Wean to Feeder
Non -La er
I
Dairy Calf
Feeder to Finish
Design Curren#
l C_a aci P,o
Layers
reNotn
Dairy Heifer
Dry Cow
Non-Dal
Beef Stocker
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
ers
Beef Feeder
Boars
Beef Brood Cow
t?ther
Other
Turke s
Turke Points
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
❑ Yes ' ❑ NA ❑ NE
a. Was the conveyance man-made? ❑ Yes ErNo ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes P�No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) [:)Yes ENo ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ENo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes F5"No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3
21412011 Continued

Facility Number:'- Date of Ins ection: p
2�. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes F.;rNo
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes �No
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of fast survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes EfNo
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes PNo
Other Issues
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes { o
[3 NA ❑ NE
and report mortality rates that were higher than normal?
]"
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes P No
❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes PNo
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
0 Yes ; "No
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
'ZfNo
❑ Yes j(No
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes'
O/No
❑ NA ❑ NE
Comments (refer to question # ): Explain any YES answers and/or any additional recommendations or any other comments.
UseArawinas of facility to better explain situations (use additional Dafes as necessary).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
�w 4//r
r__4 y- w )4- `e (Fr-d5- /M Sd G,�,/ d-14--_
Phone:
Date: z Z l
21412011
6

Facili Number: - Date of inspection: z
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 0No ❑ NA ❑ NE
a. if yes, is waste level into the structural freeboard? ❑ Yes ):3-No ❑ NA 0 NE
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Structure 5 Structure 6
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threelst.he integrity of any of the structures observed?
❑ •Yes ffNo
❑ 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
❑ YesNo
❑ NA
❑ NE
waste management or closure plan?
r —
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 ��To
/�
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes No
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes E1410 ❑ NA ❑ NE
maintenance or improvement?
Waste A lication
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 'O'No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes 4ffNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
0 Yes _ ETNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes .❑<o
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes A�!rNo
❑ NA
❑ 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 �Qo ❑ NA ❑ NE
the appropriate box.
❑wUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. [] Yes �' o ❑ NA ONE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ,O—No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ,ENo 0 NA ❑ NE
Page 2 of 3 21412011 Continued

(3 Division of Water Quality
Facility Number 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit
pliance Inspection
0 Operation Review 0 Structure Evaluation
0 Technical Assistance
Reason for Visit
7Routine0 Complaint
0 Follow up 0 Referral 0 Emergency
0 Other ❑ Denied Access
Date of Visit: j (ol tT f Arrival Time: 9 p b Departure Time: County: Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: Dr-w,.PSE i � T r�
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Title:
Integrator•
Phone No:
Operator Certification Number:
Back-up Certification Number:
n°
Latitude:
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
—� ❑ La er
I❑ Non -La er
ILJ Farrow to Wean I I ( I
LJ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
« Longitude: [�0 ❑ g
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Ileifei
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
Number of Structures: =:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes E No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
[:]No
❑ NA
❑ NE
[:3 NA
❑ NE
❑ Yes
❑ No
❑ Yes
L]rNo
❑ NA
❑ NE
❑ Yes
PNo
❑ NA
❑ NE
12128104 Continued

Facili Number: 31 - 4'1q Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ❑ No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: CA
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 31
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes
rJ No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? IJ Yes
❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes
dNo ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes
C No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10, Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
ONo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? if yes, check the appropriate box below. ❑ Yes
�T. ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
0"No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
E No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑
Y
Z No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
Yes
❑ No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
El"No
❑ NA
❑ 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):
�.) Ct. EANI DjJ<k A n_cA S . -�J c-1-Sf ,
oG-t'JU LEASE ►4GA-Ed--MCuT tog- W-AUVL-. C0eRkn1rLY w/0 4Mh 9flL 910 LcAtoo
CpA,V,�_ty a(' A1(kD V BirN IV60CP 44V&W 3o 0Ar' S'Gv 0
00& �+✓ a�.LZ�t1✓G Tar✓.
�S,) fi.[iOC JUIZVE �1/C-CbEP, Fpl�ty► �S w.t-rl,f ovT 17rCr+s .�✓LE 2.�a�,
AM 09PP, elf Goon✓ Ltva.3 a6sAuk
Reviewer/Inspector NamePhone: 730- �3
Reviewerlinspector Signature: Date: f; +S
r 12128104 Continued

Acility Number: — 1 y Date of Inspection
Reciuired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes E , No [I NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check El Yes id No ❑ NA ❑ NE
the appropirate box. ❑ WIJP ❑ Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes O No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
LI No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
ZfNo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
D No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
eyes
❑ No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
ON—
[_1 NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
LI NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
f 2�o
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
[XTo
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
FKo
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
[Wo
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
2 No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
S No
❑ NA
❑ NE
Comments and/or Drawings:
12128104

Type of Visit O',C(ompiiance Inspection O Operation Review O Structure Evaluation O Technical Assistance
U Reason for Visit Routine 0 Complaint 0 Fallow up 0 Referral 0 Emergency O Other ❑ Denied Access
Date of Visit: I l r$ o V Arrival Time: Departure Time: County: DuPk4 Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Owner Email:
Phone:
Onsite Representative: D&A?';(_ i Noe o— Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone No:
Operator Certification Number:
Back-up Certification Number:
Latitude: = o = g = « Longitude: = o [= `
Design
Swine Capacitopulation
y
Current
Wet Poul
Ptry
Design
Capacity
Current Design Current
Population Cattle apacity Population
C
❑ Wean to Finish I
I I❑ La er
❑Dai Cow
❑ Wean to Feeder I
I
n-La ei I
I❑Dai Calf
❑ Dai Heifer
❑ Dry Cow
❑ Non -Da'
❑ Beef Stocker
❑ Beef Feeder
❑Beef Brood Co
Number of Structures:
�Jjml
Feeder to Finish oo
❑ Farrow to Wean
Dr? Paultry
❑ Layers
❑ Non -Layers
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
El Boars
Other
❑ Other1
El Pullets
❑ Turke s
❑ Turkey Poults
1110 Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes E2 No ❑ NA ❑ NE
[I Yes
❑No
❑NA
El NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
�N
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
12128104 Condnued

Facility Number: 3) — y Date of inspection u
Waste Collection & Treatment
4_ Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
ENo
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure
5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): �.
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
dNo
❑ NA
❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
.
6. Are there structures on -site which are not properly addressed and/or managed
ElYes
o
❑ NA
❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ElYes [J No ❑ NA ❑ NE
S. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes [9 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 El Yes L� No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes L7 No ❑ NA ❑ NE
maintenance/improvement?
It. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside of Area
12. Crop type(s) GW i 5 &O
13.
Soil type(s) ?AA
14.
Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ NA
❑ NE
15.
Does the receiving crop and/or land application site need improvement?
El yes
,L�l,/No
ET/No
El NA
[I NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,
[I Yes
L��.7 No
❑ NA
❑ NE
IT
Does the facility lack adequate acreage for land application?
❑ Yes
o
❑ NA
El NE
18.
Is there a lack of properly operating waste application equipment?
El Yes
WXo
❑ NA
❑ NE
ip
CVU,gi&
mentsi(refer to question;#): Esplam„any YES answers and/or any`recoinmend'at�ons ortiany,other comments
r wings of facility to better, explain situations. (use additional pages as necessary)T��.. # zI
I,) 066-0 To. *RF,(.00-9 W"1AY F0,EFL_4sl9.9 W,D aAMWALL EuC,) TN-1/6A S 5sj
,v AUG - `�•
WM S °4 IJ AP'��AL Gu�SE i.A(�vJ "fd �T+$P6C [yt,i�►
Reviewer/Inspector Name � � _ �aN�l p (. VL- Phone: Vd) -%alb 265
Reviewer/Inspector Signature: / Date: i 141;
J6I!V/VT ..V....I.-

Facility Number: ty Date of Inspection t 118 0
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes L j N ❑ NA ❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No
❑ NA
❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑Other
21.
Does record keeping need im vement? If yes, check the appropriate box below.
�,�
LKYes
El No
El NA
[I NE
El Waste Application Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis El Waste Transfers
El Annual Certification
❑ Rainfall El Stocking El Crop Yield Eloi
120 Minute Inspections Monthly and I"
Rain Inspections ❑
Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
[3No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
EIP<o
N/A
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
El Yes
El No
,❑,
[]NlA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
CY A
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
[]�No
❑ 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?
❑ Yes
E No
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
[,allo
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
dNo
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
El Yes
/
2 No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
�
❑
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
El0 Yes
No :
NA
ElNE
33. Does facility require a follow-up visit by same agency?
ElYes
No
❑ NA
❑ NE
Additional Comments and/or Drawings:
12128104

Type of Visit Qf Com lance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: ' Time:9�ff ov o
Not rational O Below Threshold
Permitted dCerdfied [3 Conditionally Certified Q Registered Date -fit OperatedorAbove Threshold:
Farm Name: _ __s:! °# �J 5W2n�� *2 County:.. DUIFLtrN __...... ___ .....
Owner Name:
Phone No:
Mailing Address:
Facility Contact: n _ Title:.__ _
Onsite Representative: �mps� �a8�
Certified Operator.
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse
Phone No: , _N
Integrator. �,22111`J _GUI-l-i�
Operator Certification Number:
Latitude • 4 " Longitude 4 "
Wean to Feeder_
Layer .r.
Feeder to Finish
Non -Layer
Farrow to Wean
-
Other
Farrow to Feeder
Farrow to Finish
- T©tal Deli;
Gilts
�° _ :7
Boars
Discharges & StreamImpacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/rain?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structm 2 Structure 3 Structure 4 Structure 5
Id trf i
❑ Yes Q No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes [�To
❑ Yes W
❑ Yes No
Structure 6
Freeboard (inches):
12112103 Continued

Facility Number: 3 — Date of inspection 1L
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, [] Yes [If/No
' seepage, etc_)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ yes i 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 maintenancelimprovement? ❑ Yes No
8. Does any part of the waste management system other than waste structures require maintenancerimprovement? ❑ Yes Y"O
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes LSO
elevation markings?
Waste Application
10. Are there any buffers that need maintenancehmprovement? ❑ Yes No
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ yes O No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type C'50
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWHIP)?
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?
Odor Issues
17. 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?
IS. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
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
Air Quality representative immediately.
❑ Yes EAT
❑ Yes plwo_
❑ Yes [-go,
❑ Yes
❑ Yes 01ro
❑ Yes 0110
❑ Yes
❑ Yes DiZo—
❑ Yes 7 _ --
❑ Yes
❑ Feld Copy ❑ Final Notes
Uy
Na 1►,� f �v�►'� ���E C-v�1J�
:5 U (L& "'rb "T(L� �jrcmA u
Reviewer/Inspector Name
Reviewer/Iuspector Signature:
Date: r 1 / 1 f/ o
lL/lL/V3 [ArRiJ[7L6(!

Facility Number:
Date of Inspection
.Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
25. Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
28. Does facility require a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
32. Did the facility fail to install and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
❑ Yes o
❑ Yes O'No/
❑ Yes ��:oo
❑ Yes N
ID Yes wo-
❑Yes �
❑ Yes No
❑ Yes ;r�
❑ Yes L71 or
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
12112103

1
Type of Visit )U Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit A6 Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number I
Date of Visit:
Permitted Certifi"e'dd Q Conditionally Certified [3 Registered
Farm Name: t+ ,1f�}}
Owner Name: _ 00 /" _
Mailing Address:
Date Last Operated or Above
-Threshold-
County: vozxoaz;! V !�i AZ9
Phone No:
Facility Contact: Title: Phone No:
Onsite Representative: _ 0 0 ) E 9 Integrator: & '0' 1"
Certified Operator:
Location of Farm:
Operator Certification Number:
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 4 " Longitude 0 4
Wean to Feeder
U La er
Feeder to Finish
OO
❑ Non -
Farrow to Wean
❑Other
Farrow to Feeder
Farrow to Finish
Gilts
Boars
111111116N,—umber of Lagoons �llJ Subsurface Drains Present I LJ Lagoon Area LJ S ra Field Area I
Holding Ponds / IM No L't uid Waste Management System
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation? ❑ Yes )2�No
Discharge originated at: ❑ Lai~oon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge'from any part of the operation? ❑ Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure b
Identifier:
Freeboard (inches): so
05103101
Continued

Facility Number: 3 1 — Date of Inspection`f-"-`�
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate puhlic health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over appl71A)946-
t100 ❑7,40(46aa�2-
cessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type DiZT
13. Do the receiving crops dill with those design ted 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 or other Permit readily available?
18. 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?
❑ Yes 0 No
❑ Yes /No
❑ Yes No
❑ Yes No
❑ Yes JzfNo
❑ Yes /No
❑ Yes )ZNO
❑ Yes A No
❑ Yes �No
❑ Yes No
❑ Yes ❑ No
❑ Yes VrNo
❑ Yes �fNo
❑ Yes VfNo
❑ Yes 0 No
❑ Yes 0 No
❑ Yes No
❑ Yes 9No
22. rail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes A No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes j] 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 VNo
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
_to better explain'
yrv.,,C,
❑ FieldCopy❑ Final Notes
To A�P Gf%fKG �iP�EBDRk,O 196 lFiP 41241- %���/)1zT
"Cad
Reviewer/Inspector Name 1
Reviewer/Inspector Signature:
aS/nUnI
Date:
rnutin„od

Facility Number: 31 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 at/or below ❑ Yes x 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 ;dNo
2& Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes No
roads, building structure, and/or public property) f
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 XNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes xNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes �No
5/00

h �DtvtsAon of Water QuaLty ...
Q
4
'-Diyision of Soil and Water Coriservation
Age Cy
er n
Type of Visit A Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up O Emergency Notification Q Other ❑ Denied Access
Facility Number 3 7 Date of Visit: D Time: Printed on: 7/21/2000
11 O Not Operational O Below Threshold
U Permitted otcertified © Conditionally Certified © Registered Date Last Operated or Above Threshold: ..............
+�� 5� N `Y Count`: v �L i�
Farm Name:...................................................................................
Owner Name:Q m 5e N 0� I .. Phone No: ., 3.8.
Q........'.......................................................r........................... .?.... a.. ..fP..`...................-----........---..
Facility Contact: ........15.. . Title Phone No:
Mailing Address: ................................................1t`1C.Y........Btr!zZAeP....RD............. .... ... :`'.......
Onsite Representative:.........�....... N.D.......................................... Integrator:... A!= .................................... .................................
Certified Operator:....... •.... ......... .....d ............................................... Operator Certification Number:
,, ..........
...........
Location of Farm:
f r— 0 N G 6 i Cj�v5520A-5S &T- qo311j1 6011-)4 -rV&vAZQs +
0N Rr RFre..a -r-vPri , f .T
swine []Poultry []Cattle ❑ Horse Latitude 0 4 .; Longitude • ° 64
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Ca aci Population
❑ Wean to Feeder 10 Layer ❑ Dairy
Feeder to Finish 68D 5'Sf7 JE1 Non -Layer ❑ Non -Dairy
❑ FarroW to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish To Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lag-nn Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System .
Disci & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other \
a. If discharge is observed, was the conveyance man-made? ❑ Yes Mo
b. If discharge is observed. did it reach Water of the State? (If yes, notify DWQ) [] YesNo
c. If dischargc is observed. what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes wo
2. Is there evidence of past discharge from any part of the operation? ❑ Yes *0
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes &No
Structurc I Structure 2 Structure 3 Structtre -1 Structure 5 Structure fi
y
Identifier: .............. .'.....................................................
Freeboard (inches):
5100 Continued on back

' Facilitf Number: 3 j — 4-74 Date of Inspection Zi Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Anulication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type C p rr►
❑ Yes dikrNo
❑ Yes KNo
Yes ❑ No
❑ Yes RNo
❑ Yes KNo
❑ Yes GNo
❑ Yes kNo
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes W!o
14. a) Does the facility lack adequate acreage for land application? ❑ Yes Wo
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
❑ Yes
KNo .
16. Is there a lack of adequate waste application equipment?
❑ Yes
Ek
Required Records & Documents
17, Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
1,9No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
Yes
ONo
(ie/ WUP, checklists, design, maps, etc.)
❑
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
R"No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
k1Vo
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
KNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
WO
Oe/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'?
❑ Yes
�NO
24. Does facility require a follow-up visit by same agency?
❑ Yes
krNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
PNo
violaitoris :or &fteieacie5 -were noted diWi ft this: visit; - Y;ou will receive irW further. -
corieso orideike. about this Visit_ : ' : : ' :
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
S'arpjL GL z. b'n -012 1 /!%A-09 /,0 AA,- t Coy' A--% ./lL. -.G4 ff.�.G-Gti
}.
A,
IV
Reviewer/Inspector Name &V�c
Reviewer/Inspector Signature: Date: /b LviC, 5100

Facility Number: — % 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 �t/or below
❑ Yes
❑ No
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
RNo
28.
Is there any evidence of wind drift during land application? (i_e. residue on neighboring vegetation, asphalt,
❑ Yes
r--'No
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
D(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
k10
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
�'No
`[I
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
El Yes
No
S/00

Facility Number ,3 f Date of Inspection I -Z 3
Time of inspection 1 j 4$ 24 hr. (hh:mm)
© Permitted ® Certified Q Conditionally Certified 0 Registered 0 Not O erational Date Last Operated:
Farm Name: 1)-kU- 5S- ir!<. -# 2. County:.... .� �!....... -..................................................
................ -..............-...............-..-............-.............................-..............-
Owner Name: ......... em n................ d Ej �e- Phone No:........-... .........................................
FacilityContact: ......................................... ..................................... Title: ................................................................ Phone No:
MailingAddress:.................................................................................... ...........
Onsite Representative:... e►•�o:Sey.....Mo.b.L ..... Integrator: ..................................................
[ ..... .....................I..
Certified Operator:................................................................................................................ Operator Certification Number:..........................................
Location of Farm:
...............................................:...........................•---..................................-..........--....---.......-..-.--...--....................................................-...-.......-...-....-.....-........-.... �r
Latitude Longitude �• �� �4C
Design Current = _ Design Ceirrent Design Current
w.
Swine .:Capacity Population`_ Poultry Capacity . Population .., Cattle Capacity Population
❑ Wean to Feeder
® Feeder to Finish
t, 00
5760
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
i"ber of Lagoons_ ❑ Subsurface Drains Present ❑ 1-agoan Area ❑Spray Fieid Area 4
Holding Poh& / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ElLagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ® No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes M No
c. If discharge is observed, what is the estimated flow in gal/min! h %
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes [9 No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes 59 No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 1
Freeboard (inches): ..-.....�.�- ................. .......................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes M No
seepage, etc.)
3I23199 Continued on back

Facility Number: 3 j — �r] Date of fnspectit)n 12 3
6. Ptre there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ® No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? R1 Yes ❑ No
8_ Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes Q No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes 9 No
Waste Anolication
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes Eff No
12. Crop type I.J he,t4 I .soy l?eG its
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes Pn No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ® No
b) Does the facility need a wettable acre determination? ❑ Yes V3 No
c) This facility is pended for a wettable acre determination? ❑ Yes [A No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Renuired 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?
(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?
N6•yi6latit)ris or• deficiencies *ere noted- dirriitg this;visit; - Yoir wi�i i•eceipe Rio fui•the ; ;
comes ozideirce: a�on�tti this :visit: :::: ::::: :: :
❑ Yes 0 No
❑ Yes ® No
❑ Yes 0 No
JA Yes ❑ No
Yes ❑ No
❑ Yes t0 No
❑ Yes 0 No
❑ Yes 0 No
❑ Yes ® No
❑ Yes J91 No
❑ Yes 19 No
C©rn ents (refer, to question #):. Explain any YES answers and/or`anyrecommendatioris-or any otl er_comments.`
Use drawings of facility td-bettee-explain':situations (tise-additional;pages as necessary] -
LR9eon wells S1,.ot.do[ Ge )►taued 4,4 reJ.-ave tAfCejdf And el woadtr vea�a-f .
'Prober' o tAr s r,nVe►, SGtoLt, (d lJ .r k er4i ed ,Pi 6,,,e q,,eil s- l�
!8. —r11je reqee 4wo WaS+e rbtmf th 4- e reCOndf• On& k A41-4
12-0 `� {
Ar1G( 's! i�} Ytep( /� y l4nq io Q U i)+7rt I�Lte ' e'l Mho MW /0"%4 r s et +� 5 t`� ►�e�
O f O�ooe.Lt b 4� t r►1Cr JOr' �P.GiI i L� I S�OCG { k I t S� '�� Pt Dfa r .�+.Gr rn 01 Gi
Sh6liIt-f Sjgd dg4e n,I.✓ We-jr'+e pIAr)-
✓
4 e,e , `41, JReviewer/Inspector Name
Reviewer/Inspector Signature: . Date: j Z. & P? 1�
3123/99

Facility Number: 3Date of Inspection 1 2 3
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes h No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ® No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ® No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ® No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ® No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes El No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ® No
or rawin tonC... � .W �
Far5kou.14 A-0 ottf ihs�G�q �da� Can-iro% C�eGkius�.
174e ~r zl�ttk INAve -fv-411 JrCli tv Lvei46,1 re14ker 4L4h x-'ri col
LJ �e °t-l'" AS I S M eW Ave, Gels e . i v1 o-ed cr }o a [let./
j
n c r o t PS +D be Qrf l led ov? .
11. New n,�as-l-e , L ,,,F le s he c0of be 4t kcii, L xs 4 evte i f of JeA 1 12-
L't-Ls4e Ck V14 r y s ; s are 3,0 1) d (00 of sty & be. f'o r e A K. d 6 9 44 J 9,-r4,, fire
(al►1d�+�f+S. 14 %adle £a�tj k� Sail
da-k ap? 4 we Fa,r'%'Nerl 5kat.t a Q&Igl Si S
ral 1��� on rz r'6rd S. .Sall s%r'`V ie A_%-q f i d -S�1 otfld be .� kc(.t eei�e
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3/23/99

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\19
AS D Division of Soil and Water Conservation [3Other Agency` N z
.Division of Water Quality°
3
l
Routine O Complaint O Follow-up of DWO inspection O Follow-uv of DSWC review O Other
Facility Number
© Registered Wertified [3 Applied for Permit
© Permitted
Farm Name:........
Owner Name: 5g:�S/---... J.............................................
FacilityContact:.............................i./................................................ Title:.............
5
Mailing Address: Mt1 ';,. ..... . .- ���-.-. .--. -.:.,-
Onsite Representative:.(.r1..Z'�.1.�;.✓.................. ...............................
Certified Operator;
Date of Inspection t C 11?
Time of Inspection ® 24 hr. (hh:mm)
0 Not O erational Date Last Operated:
q
Phone No:.....1..4.G..� ... 3.Xql ....................
........................................ Phone No:.............................................
.. . ...................... Sa-S
Integrator:....-- c......................................
........................ Operator Certification Number;.........................................
Latitude Longitude
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
RNo
2. Is any discharge observed from any part of the operation?
❑ Yes
[XNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
kNo
b. If discharge is observed, did it reach Surface Water? (If yes, notify DVi'Q)
[I Yes
[(No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ)
❑Yes
VNo
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
VNo
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
ONo
5. Does any part of the waste management system (other than lagoonstholding ponds) require
❑ Yes
_4No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
VNo
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
O(No
7125197

Facility Number: — �9qj
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (LaeoonsMoldine Pon sc�Flush Pits. etc.
❑ Yes );�No
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes 9No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft):......... ea.:-j................................. ... ...:...._................................. ..................... _............. ..................-----..............................................
10. Is seepage observed from any of the structures? ❑ Yes gNo
11. Is erosion, or any other threats to the integrity of any of the structures observed? 9Yes ❑ No
12. Do any of the structures need maintenancelimprovement? Yes ❑ No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes .0 No
Waste ADnlication
14. Is there physical evidence of over application? ❑ Yes CdNo
(If in excess of WNW, or runoff enteni waters of the State, notify DWQ)
15. Crop type ....... t..,s2...SRS.tic•..........................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes �(No
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. viola' tions•or dAciencies4e'reinoted-iluritig this:visit.- Yo_ u4ifi recei�eno hiriher-
corrt*)MOO ahout this.visit
Cl Yes (YNo
❑ Yes b(No
❑ Yes MiNo
❑ Yes 14No
❑ Yes k No
fVYes ❑ No
❑ Yes( No
❑ Yes KNo
❑ Yes VNo
h It -a_) w k e -�1�� �� ��, b�,..e e 111jk xj�llj
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1
Division of Soil a«§„�..���''..-�=.��,�,=d�Y�.,�,,,,m..,.�.x:�;'::-,8=..,»x��
Q nr Cd Wateonservation ❑ Other Agency
JON x ® Division of Water Quality
f�
♦$;Routine O Complaint O Follow-up of DWO inspection O Follow-up of DSWC review O Other
Date of Inspection �e�
Facility Number �+`i
Time of Inspection `. o 24 hr. (hh:mm)
Registered © Certified © Applied for Permit © Permitted 113 Not O crational Date Last Operated: ..........................
l�
FarmName:........ ....... 4s1.i.+4�...... i7............................................................... County: ..... ttjl ll..............................................................
t ( 11
Owner Name:........ j�..�Innl�S. j........:..............NA..L................................................ Phone No: ,1 � .J... .-.. . �t.3. ...........................
t . .. s ' Facility Contact:....��.ta,�S�N...... Nfibp�.......................... Title:........�.!:t).�r..................................... Phone No:�.19�....��..... .�..�.......
MailingAddress: ..... �� i......6.1A.......l�. s:2�L.1 ........ 7�..! ............................. .....�G#? �1 t..N.. G...........................................
Onsite Representative :...._.bt._i �............... 11.�Q�a�L............................................ Integrator: ....Sc..... .........................
__........
Certified Operator; .......... be.y�p51.1........+.41PL...................................................... Operator Certification Number...........l..i�..!..�:.. .
L�
Location of Farm:
Ti i ....&4.... ` n.w........ V...t ..dui..:.. � .... ........ ,c r ...i...... o :. ......... ;
.' !!.4.S...R.n.....rk..sid... l^i. q1�....................................................................................................................................................................................... .
Latitude 0' 0' 69 Longitude • 06 C6
Design , Current Design Current • - n Design Current
Swore
Capacity Pa elation Poult' Capacity PopulatEon Cattle Capacity Populahtin
ry, = `
:u
p ; . ,
❑ Wean to Feeder
10 Layer
❑ Dairy
($ Feeder to Finish
f,;00
❑Non -Layer
I0Non-Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other I_
z e
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
❑ soars
fl Total SSLW r - c"
-. .
rNumber bf L goons
/ Holt Ponds ❑ Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area
� x
❑ No Liquid Waste Management System<
x
General
1. Are there any buffers that need maintenance/improvement? Yes ® No
2. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ® No
b. If discharge is obsen-ed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes No
c. If discharge is observed, what is the a:stimated flow in 4gaUmin?
-d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑Yes No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes IN No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes ® No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes No
7125/97 Continued on back

1
Facility Number: • 1 — 471A
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagomis,11olding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2
Identifier:
Freeboard (ft): ............ I...r,..
.........................................................
10. Is seepage observed from any of the structures?
Structure 3 Structure 4 Structure 5
11. is erosion, or any other threats to the integrity of any of the structures observed'?
❑ Yes ,® No
®' Yes a No
Structure 6
.............. ....... I ............................
❑ Yes CR No
❑ Yes CK No
12. Do any of the structures need maintenance/improvement? CK Yes ❑ No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application"
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
(9 Yes ❑ No
❑ Yes (I No
15. Crop type .Q.t.!--.............................W............_......................dl- tr....._..........................................................._......_...._...............................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? El Yes f4No
17. Does the facility have a lack of adequate acreage for land application?
IS. 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 ReviewerAnspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Pern-ritted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0- No.vioiations-or deft�iertcies were noted-dur_ing this.visit.- Vou. 411 receive 'no' further
` correspondence A out this_visit.,'
❑ Yes CKNo
®,Yes ❑ No
❑ Yes Q[ No
W Yes ❑ No
❑ Yes EgNo
® Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Coiiiinents (refer to question #) :.'ExpWri aFwYES answers andlor.any recommendations or any,other comments
Use drawings of factlttyeto better, explain sttuat6ns, (use additional pages as;"necessary}, a
� • �� �. �a5 � rji. 1 yy �` j( . I J �
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be �s Jo[t44 Jo �rc�ra evro-,'Ion, Disc ocM by Wvw-skeoI(1 be. �v�,dd � seeded.
%
4. OVaA- u,ll �4 061Y (e Dee- i , 1197.
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fr� lre - ���N Lo. RsSt�irit� 7I25197
Reviewer/Inspector Name ,
Reviewer/Inspector Signature: �� � Date: i IhXA -7

Site Requires Immediate Attention:
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: S— , 1995
Time: 2 . SO
r
ti �Farm Name/Owner:
Mailing Address:
County: FJ)0 � tin - -
Integrator. Phone:
On Site Representative: Phone:
Physical Address/Location: 966 Tr0rki ' - ron t �
m, e53^ ri a t.
Type of Operation: Swine c/ Poultry Cattle ff L
Design Capacity: Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: . b 3 ' Longitude: 11 " 4q ' � Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) Yes o No Actual Freeboard, bl Ft. 3 Inches
Was any seepage observed from the lagoon(s)? Yes or No Was any erosion observed? Yes or No
Is adequate land available for spray? Yes or No 2 Is the cover crop adequate? Yes or No ?
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? Yes or No
100 Feet from Wells? Yes or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes o No If Yes, Please Explain. PO 55i_ b )R 5 ee�
>. V
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage`` with cover crop)? Yes or NoD
Additional Comments: i c ee 5 toy li+'1 Cyr+ baak-s, Jew
S
5
Inspector Name
4. - #) Oros f k(3 50— Po55�h1e. di;
- 24�0�
Signature
cc: Facility Assessment Unit
Use Attachments if Needed.

T
OPERRTIONS ERANCH - W0 Fax.[phone] Jul 13 '95 9:16 P.11/17 M --
Site Requires I:mvec+taw a ncntiori
1
ii
SlU MITATION RECORD
DATE: -- f, % -� 1995
Owner: . FaLm Name-:
County.,- _
Agcnc Visiting Sit:.t1 Phone:
Operator: _ _ Phone:
On Site Represemative: ` _ _.drone:
Physical Address:u
Nfailing Address:
Type of Operation: swine � Powtry
Desiel/�iCana: iry: ._ _ N�nnjberof Animals on vitc;
Latitude: 1 f1 Longitude, --a
_ -a --
Type of Inspection: GJ ound Aerial _..__
•
Ci cle Yes or No
]does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 yea: 24 hour storm event
(approximately 1 Foot + 7 inches) Yes o ND()- Acmal Freeboard: - Feet Inches
For facilities with more than one lagoon, please address the oilier lagoons' freeboard under the
corrunents section.
Was any seepage observed from the iagoon(s)? Yes o _' ~ Vas there erosion of the darn?: Yes or .No
Is adequate land available far lard application? Yes or No Z: the =q er crop add irate? Yes or No
Additional Comments:
Fay: to (919) 715-31a59 SisTlaturz: c>