710020_INSPECTIONS_20171231

NUH I H UAHULINA
Department of Environmental Qual

Type of Visit ,Cozpliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit V Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: 0$� Arrival Time: Departure Time: County: F EA'�?OZ_ Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: ill -ice 0q re G LET E n-
Certified Operator:
Back-up Operator:
Location of Farm:
Owner Email:
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: = o = 1 = « Longitude: = ° = 4 0
it
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population
❑ Wean to Finish
❑ Wean to Feeder
® Feeder to Finish 13S ZO
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other I
❑ Layer
❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -La ers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Im acts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
DDry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ 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
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
Zo
❑ NA
❑ NE
❑ Yes
2No
❑ NA
❑ NE
12128104 Continued

FacilityiNumber: 11— 'Lo
Date of Inspection llzJdS 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 1 Structure 2 Structure 3 Structure 4
Identifier: L.A 640J�__ �_ �{ "01J Z—
Spillway?:
Designed Freeboard (in): 1 J . 5-
Observed Freeboard (in): `js a �o
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?
❑ Yes I" No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes YJ No ❑ NA ❑ NE
Cl Yes ZNo ❑ NA ❑ 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? ❑ Yes E No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes O NNo ❑ 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 [2<o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10, Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes VNo
El NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. El Yes❑ 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) &—YL.yVlociA Go
13. Soil type(s) S
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes L/1 No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes C4 ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination, ❑ Yes DKo ❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes L,,d'No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes Q No ❑ NA ❑ NE
IRL,F;T 000L
�Tv�1 $ SI���G6EJ
Reviewer/Inspector Name .} �.N `. C2": Phone: 7a�s�.
T� „
Reviewer/inspector Signature: Date: z of
12128104 Continued

Facility Number: I I— a Date of Inspection S 0
Re4uired 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 appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑Other
❑ Yes QINo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
01 o
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Annual
Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I " Rain Inspections ❑ Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
(�� No
❑ NA
ElNE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ElYes
ETNo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
0 Yes
C1 No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
IiJ No
❑ NA
❑ 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
El<o
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes D o ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
LR No
❑ 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?
ElYes
0No
❑ 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
['1Vo
❑ 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
❑Xo
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
No
❑ NA
❑ NE
Additio'iA Comments and/or Drawings.
12128104
12128104

Type of Visit aCo pliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 7Routine O Complaint O Follow up O Emergency Notification O Other p Denied Access
Facility Number ( 2 o Date of Visit: 6'jf Time:
0 Not Operational Q Below Threshold
© Permitted © Certified 13 Conditionally Certified 13 Registered Date Last Operated or Above Threshold: . »» ...._ . _..
FarmName: ... MW:m...._.».... ............. _.............. ............ _._................ ........... _......... County:
OwnerName: . ».. »._._.._._._._........_....._....._.__.._._....__..._......__............. *Phone No: _......_...._.......... __ ._ ......._ ........ ._...._.w_._. _..
MailingAddress:..____ .._........................ _ . ___..._ .__..._ . _._. ... _ ._. _ ..___.... _ .._......_._.».............. ........................
FacilityContact: .............. .................................... —___.Title: r^Phone No: __ »��_.....» .. _......._......
Onsite Representative: .. `�. G�IS1i 1 ... _._._.... _.._............_..... ..... Integrator: _ .'�1 - u''S »......._...._...._.______-
Certified Operator: »» » ..» .».» ....... ._........_... _._.. »...» _........»... ».............. Operator Certification Number:........... _ ...__ _....
Location of Farm:
❑ Swine ❑ Poultry" ❑ Cattle ❑ Horse Latitude a 4 66 Longitude • 4 «
Discharges & Stream Impact
1. Is any discharge observed from any part of the operation? ❑ Yes [3/No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gaUmin?
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 [3<o
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes EJ/No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes [I/No
Structure I Structure 2 Structure 3 Structure 4 Structure S Structure b
Identifier: __ I._ ....»......_..... ` - _ __ »».»,.».........._._....».. , » »..»».. »...._
Freeboard (inches): 34 12
12112103 Continued

Facility Number: — Date of Inspection
5. 4kre there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes &No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes Q�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 Q No U
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 ❑ Yes (No
elevation markings?
Waste Application
10. Are there any buffers that need maintenancelimprovement? ❑ Yes 7No
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type Wrw L UA )
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ENo
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
oqqo
b) Does the facility need a wettable acre determination?
❑ Yes
B'Ro
c) This facility is pended for a wettable acre determination?
❑ Yes
[21Qo
15. Does the receiving crop need improvement?
[Yes
❑ No
I6. Is there a lack of adequate waste application equipment?
❑ Yes
[P<o
Odor Lssues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
❑-No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
[fio
I9. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
[:LNo
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
❑ Yes
[INo
Air Quality representative immediately.
❑ Field Copy ❑ Final Notes
4$,Z CaNTz-iJIJE Wc,R.K W KA1a ARLA a �ESGt ESA
33_) e.".'PtLt t< s u 0&E SVOO-' � .
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
I2112103 Continued

acility Number: — Date of Inspection 16
Re uired 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?
25. 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)
3I. 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 I" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
❑ Yes ❑ No
❑ Yes UNo
❑ Yes ❑ No
❑ Yes N
❑ Yes No
❑ Yes No
❑ Yes ��No
❑ Yes
❑ Yes
Yes ❑ No
❑ Yes [nr"No
Vy5 VAVO
❑ No
[�es VNOO
❑ Yes
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. I
12112103

Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit QrRoutine O Complaint O F=ollow up C! Emergency Notification 0 Other ❑ Denied Access
Facility Number �f ? p Date of visit: 0 Z Time: t Sd S
Not Operational 0-Helow Threshold
Permitted 0 Certified © Conditionally Certified 0 Registered Date Last Operated orAboveThreshold:
Farm Name: m�i k De c, County: r��923dk - _
Owner Name: /Z s CY Phone No:
Mailing Address:
Facility Contact: Title: Phone No:
Onsite Representative: f C4 `4 12e o 1 jAy- Integrator: rra I tr
Certified Operator:
Location of Farm:
Operator Certification Number -
[]Swine ❑ Poultry ❑ Cattle ❑Horse Latitude a 4 u Longitude 4 66
Design Current Design Current Design Current
Swine Capacity Population oultry Capacity Population Cattle Capacity Po ulation
❑ Wean to Feeder I IEJ Layer I ❑ Dai
❑ Feeder to Finish ❑ Non -Layer ❑ Non-Dai
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars i Total SSLW
i
Number of Lagoons © ❑ Subsurface Drains Present ❑ Lagoon Area TO S ra Field Area ,
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
t.
Discharges _ Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the Slate? (if yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: is ), Zj S/" l G I
❑ Yes XNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
ONo
❑ Yes ,ff/No
❑ Yes
O No
Structure 6
Freeboard (inches): 2
05103101 Continued

i►
Facility Number: Date of Inspection 2
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 ADDlication
[]Yes VNo
❑ Yes L2(No
❑ Yes ONO
❑ Yes gNo
❑ Yes WNo
10. Are there any buffers that need maintenance/improvement? ❑ Yes Ef No
It. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes &No
12. Crop type T�re. u C
13. Do the receiving crops differ with thosi designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ETNo
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ZNo
b) Does the facility need a wettable acre determination? ❑ Yes OrNo
c) This facility is pended for a wettable acre determination? ❑ Yes ;R'No
15. Does the receiving crop need improvement? ❑ Yes ZNo
16. Is there a lack of adequate waste application equipment? ❑ Yes ONO
Reauired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes ONO
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 d No
19. Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soil sample reports) [:1 Yes ,E!fNo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes 11� No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ONO
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ONO
23, Did Reviewed]nspector fail to discuss review/inspection with on -site representative? ❑ Yes ZNo
24. Does facility require a follow-up visit by same agency? I ❑ Yes No
S �
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? Let14 ghn k Yes ❑ No
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
nd/ar ani ecommother comme"ommen
Ummeii q ) p Y,
ain situations use adi! YYi(eUeex Main an YES answers itional=. a es
❑Field
tY p '" �� , ° ;p l; fflilaii'douffis
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Need 4o e_nSvre oy ZOO ,��, af,�'��cc�t*�ari, WaS¢e et
rlic�)C­% 40
4hU dwe1 Y'i d,hd t1eite (,v�s4e•17JAk end /'eG6rd lCc4 Q�'�S�c�
,q c6evd; ►� 17 �t �D[ Sa l j �tq,'n-�q, •�t Ct a]��;� ct-� -Fpv -f Gee c��rK oti `�v1 �=i-r 09eI � -
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e4e - T11e let c s C u-e r', r o XT I ai xAz� f A /'Q tee!] ✓tea >' •�-��; red
Reviewer/Inspector Name -��► f� Q �` l t"
Reviewer/Inspector Signature: Date: Z �Z
05103101 Continued

Tacility Number: /71 —20 Date of Inspection 2 2 D 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 actor 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? ❑ YesNo
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 2 f4o
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes -EfNo
32. Do the flush tanks lack a submerged fill pipe or a permanenthemporary cover? ❑ Yes ❑ No
Additional Comments and/or Drawings:
IU,o4e ► 7-tie-r-e Fs seme -Pl e 4 o w ►^ q 4e be l' e�
wJ1 6e '''� �a� fac-� cc 6ot,14
5/00

Facility Number 71 ZD Date of Visit: /z 7 b( Time:
Not O erational 0 Below Threshold
® Permitted ®,Certified © Conditionally Certified ❑ Registered Date Last Operated or Above Threshold: ..............
FarmName: .....,....Aa.k.kG............................................•..... ...................•....... County:.... h.h+r................................... .......................
OwnerName:..........Ldl1Il!!1,.. !Yi.................................................................................... Phone No:.....................................................................................:.
Facility Contact:
Mailing Address:
Title:
Phone No:
OnsiteRepresentative: ...... 010..13x.✓•.................•.................................................................. Integrator ......... 6.h� A/: .s
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
E3 Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �' �� �•� Longitude �• �� ���
i o h k �'+71 I1esi Cl>E1'rerit ta �sr
Design Current Design Current
Swine PoWt 1 Ca ace Ca
y,_.......... �.
Ca acr ;.Fo elation.. =7 Po ulatioir , ;tle s ', Ca d �Pd ulatlon rC
❑ Wean to Feeder 10 Layer ❑ Dairy
;; {a Feeder to Finish 21) ❑ Non -Layer I irl Non -Dairy
❑ Farrow to Wean
❑ h
❑erFarrow to Feeder Other � 1
❑ Farrow to Finish Total Deslgn Capaelti ,
❑ Gilts a
G, j{' ❑ Boars TotaliSSLW '
I
s Numbet of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ 5pray Field Area
Holdtng Foods /Solid Traps;.' ❑ No Liquid Waste Management System
Discha es & Stream Impacts
1. 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 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 t0 No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes �g-No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes 3 No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .................................... .................................... ................................... .................................... .................................... ....................................
Freeboard (inches): 3 11 1 3
5/00 Continued on hack

W �i
Facility Number: -11 Date of Inspection L
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 Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type l*r6e4L #4,6
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?
(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?
Y' N •YMPL000s:OK 0044010H •ware 00:ed• 0(w}fg tMis'Visitt • X00 01-teiooite 06 COMO .
:...............corresDoridence:ahoutthis
Comtnents (refer.,to questiori #) Explain any YES�'answers and/or' any recommendations or, any. other �co�mme
❑ Yes M No
❑ Yes 91 No
❑ Yes 121-No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes & No
❑ Yes . ®No
❑ Yes W. No
❑ Yes [9No
❑ Yes ® No
❑ Yes ® No
❑ Yes [X.No
❑ Yes ® No
❑ Yes ® No
❑ Yes Qallo
❑ Yes ®.No
❑ Yes 0 No
❑ Yes IN No
❑ Yes ® No
❑ Yes ZNo
❑ Yes [9No
l 0
!%f 5` /�I�a l��Arcgr►� ,Fif? ti
1t,o,td 6p Cl+
/e -G�'rt r e �r P� o w�1 c�
.cet, woe//
1Aete-
Go/s Alld,
f T! r,
L'
;'11,1 V
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: Z 5/00

1VV
I Facility Number: -71 — ZD I Date of Inspection I IZ,l7 ar i
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below [:]Yes 4] 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 Iagoon? ❑ 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 ® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes No
orra ommen an or . ra ngs:' : J.4b , 1 ,; i �.
5/00

QF Division of Water Quality'.
Q Division of Soil and Water Conservation s
�i Q Other Agency'
Type of Visit -8 Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification 0 Other ❑ Denied Access
Facility Number
Date of Visit,
"�' ZD
Permitted © Certified [3 Conditionally Certified [] Registered
K� ve h 6a r 14 FA rFarn Name: .......an.d.T.............................. ..............................................
Owner Name: ......
...............................................
l �(� 't'iine: �Q Printed on: 7/21/2000
Q Not Operational Q Below Threshold
Date Last Operated or Above Threshold: .........................
PhoneNo: .......................................................................................
FacilityContact:.............................................................................. Title:................................................................ Phone No:
MailingAddress: ........................................................................................................ ........ ............. I...................... ..........................
aw
! 4{
Onsite Representative:.. a.. .> [ ' S Q►-�Ye��y Ac ✓ 1444itegrator:... ��.r.ra.1��.`r....................................................
.. ................,.............. (.....U.............�...
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
RiSwine ❑ Poultry ❑ Cattle []Horse Latitude �• �° ��� Longitude �• �� ���
Design Current
Swine Canacitv Ponulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I I ❑ Dairy
❑ Non -Layer 1 1. ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons Z 10 Subsurface Drains Present ❑ Lags+on Area I0 Spray Field Area
Holding Ponds 1 Solid Traps JCI No Liquid Waste jblanagement System
Disebarges & Stream impact~
1. Is any discharge observed from any part of the operation?
Discharge originated at: El Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
h. If discharge is observed. did it reach Water of the State'? (Ifyes, notify DWQ)
c. II'dischar�-c is observed. what is the csumatcd Ilow in galhnin?
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
Su-uc:ture I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: ................................................2........................................ ....................................
Freeboard (inches): 21 2-Z_
5100
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Structure 6
Continued on back

Facility Number: / -ZQ Date of Inspection 00 Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed'? (ic/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
❑ Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application'?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement'?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required Records tic Documents
17. Fail to have Certificate of Coverage & General Permit readily available'?
❑ Yes
❑ No
18, Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available'?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19.
Does record keeping need improvement'? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time oi' design?
❑ Yes
❑ No
21.
Did the facility fail to have a actively certified operator in charge'?
❑ Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
XNo
24.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
Rio *Ma ticjris:o dgciencies mere ngted dirtfig ttsis:visit; You will Teegiye Rio' #'uethgr
correspondence. about. this visit.
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
M'C4 %iqt rdw2 q►'1 �1611-MV d l4 SOLl- f� trct I/l�iIr'S 40 (Ji..fGvSS -PI ar4, Lj
eogS4Gi &- 1 "��c,�, 41,e Aar, h4- 4O Altoty k- s0f`lty� N eeU"� r
( P j J Svc N'1
A.
T
Reviewer/Inspector Name e_7.. n eW 11>' s
Reviewer/Inspector Signature: Date: b i 0 0 5— 0

�; hn,,.,
!.rj•....3a,:OtherrAgency-.Opens
IQ Routine 0 Cum taint 0 Follow-up of DWQ inspection 0 Follow-uE of DSWC review 0 Other
Facility Number Zp Date of Inspection - 20-
Time of Inspection 24 hr. (hh:mm)
Permitted [3 Certified 0 Conditionally Certified 12RC istered LQ Not Operational Date Last Operated:
Farm Name: ...... f.t ................ �1. K!�l!/. ........ ..04. —k 1..91-y2County:............/ lY.... ... ... ...........
f� /
Owner Name :.... ....L l ( AL ................... �. �.�L.�&I.....................• Phone Not ....... ��.r���:...l..se�� ......................
Facility Contact: ....L/.....!........I:..... . ......................Title:... 0411' ................ ................ Phone No: �`/.�.. .
Mailing Address:....!? .3....1/Y '.......!•%. .I .... � ... ... ..... V4114Cr. ..�...1. i..�...........�.t V&4e ..........................
. ...................
Onsite Representative :.... tf�l..'!!.p'' -... !S�`�'I'... ��1� 1�... ./ /.ssf� egrator:.... ll..................................... I............
Certified Operator: ,.,,,!/f'1'V ................ ..../................... Operator Certification Number: ..........................................
Location of Farm-
tJ
.........................
........................................................................................................................'.............................................................................-.................................................
.......... ................ ... w
Latitude �'���'6 Longitude
Design V! 1,C1
Swine
Capacity, • Po `
❑ Wean to Feeder
Feeder to Finish w
❑ Farrow to Wean
❑ Farrow to Feeder
1` 1 Farrow to Finish
❑ Gilts
M Boars
Number of Lagoons '
F t
Holtling Ponds'/, Sohd Traps
DeSlg[1 Current'' �� �,l Fj° k ,Design Cprr'eilt '
Poultry Ca aci Po 'elation Cattle ;Caiac� ' `<Po uladon
❑ Layer ❑Dairy
❑ Non -Layer I `' ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SiSLW',
❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
40eE] No Liquid Waste Management System ' ;'T
DischaMU & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did. it reach Water of the State'? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (Ii-yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation'?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than.from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: #/
Freeboard(inches): ..........2.... r....'...................................................................................................................
❑ Yes KNo
❑ Yes �No
❑ Yes Dd No
❑ Yes 0 No
❑ Yes RjNo
❑ Yes I(No
❑ Yes 0 No
Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes jgNo
Continued on back

Facility Number: — ytj
Date of Inspection
f
6. Are there stnuctures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑ Yes
IM No
yy
(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
ONO
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
KNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
N No
_Waste Application
10. Are there any buffers that need maintenancelimprovement?
❑ Yes
[(No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
XNo
12. Crop type Le56ut_
13, Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
11�21 No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does'the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15.
Does the receiving crop need improvement?
Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
9No
Required Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
IgNo
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
%No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
XYes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
W No
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?
(ie/ discharge, freeboard problems, over application)
❑ Yes
I$ No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
[gNo
24.
Does facility require a follow-up visit by same agency?
❑ Yes
I(No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
O�No
Rio •vijAati#hs'o:r• dgficjencies -Wore n¢ted. hitting •t:hjs'vXsjt; • :!6p Aill-teceiye lid further; .
corr6sp6fidence' about: this visit'.:::..... ' :: .. .. : .
fCC A /fit il>s IQCIlr wus bo kf jeroft liar. Aan�
orm rm %S /l6W dWl°� fP�J IJ P. 7
6n -rah 1�, �oA• rarrw hPlante- kes C f� G,_-Pyarvt R1Ve"AA rarm 4& jAm+t� ,
(C�rtlY- lbw Zip rn►t ►� Yt��l 1trBt�. (,k4A6V) of --avn- AXYllf.- C"t.. AEk Mxo-. c.i,"e_ ex -
AV Wcl 1. 5pl�o�ke�lae�se ,
i Ww� ow•oL Wt �,1�c.i+tiagt. P Jo w 4-ek .
15,1Norti ova anus +� rep_,oi
hikoq
dd �-Yx4- need- ��ruvw -�s�t C" t
oath �} co+1}aG k- � }�eo,.-. w C avr's a� �ewdv. T, .� ys1� P �lh�
Pam' natty:! o Sn; I a kA1-1 &91 A& � iAt_ -L. �_W_A.., 1i0I`tS" . w
Reviewer/Inspector Name � Jjr �/ �/�`' " /y�/ / �y �, - 4 //�J 'vr♦� � /� f�!y
=7^. '7! �19 �' 3 'V f.: ✓/ i ��! 3 L�/ f /L L.rwF`,�i.x.3�- ..4:Y
lReviewer/InspectorSignatu-rx.�� „_ Date:

Facility Number: '7) — ZU Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application'? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan bells, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
Additional;,(-omments`andlOrs Drawiligs:,�.,
V�
A
Fr7l".
0 Yes &Z9�
El Yes KNo
El Yes VNO
[]Yes eLNO
0 Yes &No
0 Yes PKNO
0 Yes

Cl Division of Soil and Water Conservation - Operation Review ;'" a� 3
L3Division of Soil aod. Water' Conservation,- Compliance Inspection
I;}1V1SIOnOfWater QUahty,;.{..omphanCe'Inspi'CtIO❑
bot r" Agency'- Operation,Review
Routine 0 Complaint 0 Follow-t> > of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number Date of Inspection
Time of Inspection B:pp 24 hr. (hh:mm)
E3 Permitted 0 Certified 13 Conditionally Certified © Registered � Not O eratiorial Date Last Operated:
Farm Name: �3�tl..Lwk.. r'fA!!.iY\................................ Cotinh•:. r �1.�.�.iL`................
Urvuer Nance :......................... !.� 4G Lk1!��................................... Phone No:......4. .� �ti�-..�. �.....................................
Facility Contact: .................. Title: ... Phone No:
MailingAddress: .......... gSi?1........ ?:r .......1 WI.A........................................... ............. .1.A.y+?..L...//��i.................................... .ark .�. ......
Onsite Representative: V Integrator ................1„ f S
.....................�........I��...r.. � "awl............................. �; �.lr.�r:a...l......... ..........................................
Certified Operator: .....Won ..........� ........ A-w-wb&L ....................... Operator Certification Number:........ 1.4.4.20 .................
Location of Farin: TT
....................5t t1 ... Q.........
....4?.:.......................................................................................................................
............................................................................................................................... ........ . w
Latitude u+�� °c Longitude
Design Current
Swine Capacity Population
❑ Wean to Feeder
Feeder to Finish
S Z,d
SID
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I ❑ Dairy
❑ Non -Layer In Non -Dairy
❑ Other
Total Design Capacity 3
Total SSLW
Number of Lagoons Z.- ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps JE3 No Liquid Waste Management System
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation (If yes, notify DWQ)? ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes MNo
b. If discharge is observed. did it reach: ❑ Surrace Waters ❑ Waters or the State ❑ Yes [P No
c. If discharoe is observed. what is the estimated flow in gal/min? NL&
d. Does discharge hypass a lagoon system? ❑ Yes No
2. Is there evidence of past discharge from any part of the operation'? ❑ Yes EA No
3. Were there any adverse impacts to the waters or the State other than from a discharge? ❑ Yes No
Waste Collection & Treatment
4. 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: 1 Z
Freeboard (inches): ....................... ........ ............................ ............. I......................
�6..............................................................................
1/6/99 Continued on back

Facility Number: -11 — 4 Date of inspection
45. A*elhere any immediate threats to the integrity of any of the structures observed? (ic/ trees, severe erosion, ❑ Yes ONo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan'? ❑ Yes D3No
(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 KNo
9. Does any part.of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes "No
9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings? ❑ Yes �WNo
Waste Annlication
10. Arc there any buffers that need maintenance/tmprovctnent? ❑ Yes ® No
11. Is there evidence of over application? ❑ Ponding ❑ Nitrogen El Yes No
12. Crop type ' ...................... tS.!*..!1.C,............................................. ............ ........... ........ ................ ................ ...................................................... I.,.............................
13, Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes $No
14. Does the facility lack wettable acreage for land application? (footprint) JO Yes ❑ No
15. Does the receiving crop need improvement? ❑ Yes 9 No
16. Is there a lack of adequate waste application equipment? ❑ Yes 19 No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ 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
® No
19.
Does record keeping need improvement'? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
N Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
JZ)No
21.
Did the facility fail to have a certified operator in responsible charge?
❑ Yes
'0 No
22,
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ic/ discharge, freeboard problems, over application)
❑ Yes
® No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
N No
1Vo.violations'or. defidencies .were noted. during .this•visit.. Y'ou �viil.reeeive nog further
,•egrrespondence;about;tttisvisit.;..-,,,,,,,,,,,,,,,,,-,
...-...-..
Comments (referto question #): Explain. any YES answers and/or any recommendations or any other ctimiruents.,
Use dr g y' p ( p g as necessary),,1 `1 awin s of to better explain situations. use additional a es (-'
14- lkrrx IAALs loecv% �ir �e� �r W �, ck MiVxA+r-On. A,
S 1 (NI rtcoYI) S, Mr Re.(ve.-;ho�1� be 1yt� �" to, `�>r�'u�'+� 5ew"O:,\
pP 1 00.� O, t s�ev)a Uc '�tr- ej ptLu II.- 'Ons of r,,:4-vvi61uhLes
}�o+rwl- ILW
t° (�}�pt+) i Se�Y\ }1n,� Y Goy S 6c IJ be R Gfc 4 Gu l G- C U cLv+ +�hA t 1�
r J
�-o (� + � +� � r` fl fn? {� w1�5 u ;�- �-•1..�. ons��c.i S . So, 'If Skov
Reviewer/Inspector Name 6o-an Nr- \,
A
Reviewer/Inspector Signature: Date: 3%Qh9 _ 11/6/99

Division of Soil and Water Conservation [3 Other Agency
bivision of Water Quality
® Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection
Facility Number Time of Inspection 24 hr. (hh:mm)
Registered Certified © Applied for Permit © Permitted 10 Not Operational I Date Last Operated :..............
Farm Name: r `
HodL,.�r1C........r�......................................... County...,........P�^o[✓..................... ......................
` SOwner Name:............%.`"y......
`............`.v�,rr[................................................... Phone No:.........go ...........'Z......s.�.�.....g...............
...........
Facility Contact: ...... Title: . .... Phone No:
Mailing Address: � ,�D �- �C'hd °y' rCG "`".......... .................................... ................................................. ..........................
'r
OnsiteRepresentative:........................................................................................................... Integrator:............... r �'1'1.......1...................................................
Certified Operator, ........... ............................... �`�'�$'' ... Operator Certification Number �3 .
.......................................................................Z................q..........
Location of Farm:
ME
0
Latitude ' ' " Longitude • =' 0'°
Design j GurrenE Design F, Current Design Current
Swme ; ' ;f Capacity Population..' Poultry Capacity Population Cattle„ Capaciq.: j opuiat!on,,,�
..
❑ Wean to Feeder ❑ Layer ❑ Dairy.£
Feeder to Finish O Non -La ' > 35`Z ❑ -Layer ❑ Non -Dairy
❑ Farrow to Wean h r
❑ Farrow to Feeder ❑Other r
❑ Farrow to Finish ;' -Total Desiign CapacityE
h: Gilt. A
❑ r W
Boars
Q , , Total SSL
s
Number of Lagoains /Holding Ponds ,© s' ❑Subsurface Drains Present ❑Lagoon Area ❑ Spray Fie
Are$
' ❑ No Liquid Waste Management System z
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
j(No
2. Is any discharge observed from any part of the operation?
❑ Yes
9?(No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
[No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
YNO
c. If discharge is observed, what is the estimated flow in gel/min?
d. Does discharge bypass a lagoon system? Of yes, notify DWQ)
❑ Yes
9No
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
IKNo
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
KNO
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
A
7/25197

Facility Number: -- I — 2p
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (LaQoons,11olding Ponds. Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2
Identifier: ( Z
............ .......... ...............
Freeboard (ft):................................... f,.�
...........
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?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)`
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type I.....eS.G...................................................................... .......................................................................
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.vialations•or derciencies.were noted,during this;visit.: You'wil1 recefve;no•fdrth.er,
. • egrrespuudeitce aboitl this:visit:• : ::: - : ; : ... . . .: :. .. .: :.: :: .
❑ Yes (6No
❑ Yes �No
Structure 6
❑ Yes
)ij'No
❑ Yes
kNo
`Yes
❑ No
❑ Yes �(No
❑ Yes KNO
❑ Yes �(No
❑ Yes '�dNo
❑ Yes 9No
❑ Yes ICI No
❑ Yes �No
❑ Yes O�No
❑ Yes J(No
❑ Yes PfNo
❑ Yes f�No
No
❑ Yes
1 Z . L ajan}, # [ort,h�e -ia wok j� on fork -a- Lirm4,5 mrouw-vl f Q,506Pt,
L ,_�bo,1 ki'Z }a uor (6- ipi 64 rG q,,Gas a ye, 4 1 ., nor I4,Smc�/n.
���� bvYYuw �rG�S �n ;H air lu�aor� ws�� wi PL\ Glf�r �"�� l/GSe�•�.
EK+ pre- t"d `'f T"I 1u15oon -Ifcr y re-.5deel
7/25/97

Routine p Complaint p now -up of inspection p Follow-up of DSWC review p Other
Date of Inspection 3/18/97
Facility Number
Time of Inspection r : 24 hr. (hh:mm)
-- ota tine m racti_on of hours -
Farm Status: Certified �(cx:L25 for 1 hr 11.5 mitt)) Spent on Review
ar Ins ectioti itcltidcs hflvcl aiid" roce'ssiiii• )''''
Farm Name: Randy..Riivenhaxk.Earm............................................................................ County: Pender WiRO
Owner Name: Randy ..................................... Rivvabark ................................................. Phone No: 910:1SS.-.5685 ...........................................................
Mailing Address: 250.7.1'ezttler1ca..Rw............................................... Willar.d.N.0 ............................................................ 2X4.7.1..............
Onsite Representative: Dianc.Riycn.bark...................................................................... Integrator: CarraalB.Faods.luc...... 1.
Certified Operator: Randy..L............................... Mxeabark ..............
Location of f arm:
Operator Certification Number:lf470.............................
Latitude ®o ®, ©'+ Longitude ®- ®� 11
p Not Operational Date Last Operated:................................................................................
Type of Operation and Design Capacity
A
T
General
1. Are there any buffers that need maintenance/improvement? p Yes ® No
2. Is any discharge observed from any part of the operation?
a. If discharge is observed. was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
[]Yes ® No
p Yes ® No
p Yes ® No
p Yes
® No
p Yes
® No
p Yes
® No
p Yes
® No
Continued on hark

b. Is facility not in compliance with any applicable setback criteria?
p Yes
® No
7. Did the facility fail to have a certified operator in responsible charge (if inspection after 1/l/97)?
❑ Yes
Ig No
8. Are there lagoons or storage ponds on site which need to be properly closed?
p Yes
® No
Structures {I_agijons and/or Holding !'onds)
9. Is structural freeboard less than adequate?
l) Yes
ONO
Freeboard (f}): Lagoon 1 Lagoon 2 Lagoon 3
Lagoon 4
2 2.5
10. Is seepage observed from any of the structures?
[)Yes
® No
11. Is erosion, or any other threats to the integrity of any of the structures observed?
p Yes
® No
12. Do any of the structures need maintenance/improvement?
® Yes
p 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 adquate markers to identify start and stop pumping levels?
p Yes
N No
Waste Avnlication
14. Is there physical evidence of over application?
p Yes
® No
(if in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type
16. Do the active crops differ with those designated in the Animal Waste Management Plan?
Yes
® No
17. Does the facility have a lack of adequate acreage for land application?
p Yes
® No
18. Does the cover crop need improvement?
p Yes
® No
19. Is there a lack of available irrigation equipment?
p Yes
® No
Fpr Certii ed Facilities Only
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
p Yes
® No
21. Does the facility fail to comply with the Animal Waste Management Plan in any way?
p Yes
® No
22. Does record keeping need improvement?
p Yes
® No
23. Does facility require a follow-up visit by same agency?
© Yes
® No
24. Did ReviewerlInspector fail to discuss review/inspection with owner or operator in charge? p Yes ® No
Reviewer/inspector Name
Revie►ver/[nspector Signature:f/'/��1�i �L.�. Date:
cc: Division of Water pua ily, Water Quality Section, Facility Assessment Unit 1 11141,'46

•
Site Requires Immediate Attention:
Facility No. 7/
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
Farm Name/Ownt
Mailing A ess:
County:
Integrator:
0
DATE: ��� - r-� , 1995
On Site Representative: y J jei v) -+-
Physical Address/Locatig4_1: 1�
Phone:
Type of Operation: Swine Poultry Cattle
Design Capacity: .2 G �7 0 Number of Animals on Site: ' 4, 1-'/ D
DEM Certification Number: ACE_ DEM Certification -Number: ACNEW
Latitude: 3Y * 5R Longitude: --3Fr- _° _Q_�L' !y " 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) l s r No Actual Freeboard: Ft. ��o Inches
iWas any seepage observed from the lagoon(s)? Yes or ]@Was any erosion observed? Yes o&
Is adequate land available for spray? or No Is the cover crop adequate? es or No
Crop(s) being utilized: 46tcao _
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings?a or No
100 Feet from Wells? or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes o6 .
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes 6N
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yesa(E03 If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with covet crop)? Ve or No
Additi5pal gomments:
+f5 n(rota --
Inspector Name
43V 6C.._
Signature _!
cc: Facility Assessment Unit Use Attachments if Needed.

OPERATIONS ERANCH - W0 Fax:[phone] Jul 18 '95 12:11 P.17/27
Site Requires I=cdlam Attention
•
•
0
Facility Number.
SITS VISITATION RECORD
DATE: July 17 F 1995
Owner: Rand Rivenbark Farm Name:
County: _ Pander_-_ „
Agent Visiting Site: oak Fender SWCn Phone:
Operator: - 2ndX Rivvenbark - Phone: [phone]
Oa Site Representative: NONE Phone:
Physical Address: Fan road is an left at the end of SR 1319 in the Penaerlea area
Mailing Address: 9501 Fenderlea Hwy -
Willard, N.C. 28478
Type of Operation: .Swine x Poultry CAtd*
Design Capacity: 264.0 Finishing' Number of Animals en Site; 2640 finishing
Latitude: o ' �" Langztttde;e
Type of Inspecdou: (5round ---IL— Aerial
Circle Yes or No
Dots the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 roux storm eveat
(approximately I Foot + 7 inches) Y9 or No Actual Freeboard; 4 Feet _d Inches
For facilities with more than one lagoon, please address the other Iagoons' freeboiud render the
cot=ents section.
Was any seepage observed from the lagooa(s)? Yes armF Was there erosion of the +lam?: Yes o N
Is adequate land available for land application? �or No Is the cover crop adequate? Yes o
Additional Comments:
Lr,
Fax to [phone]
Signature of Agent