100005_INSPECTIONS_20171231

NUH I H UAHULINA
Department of Environmental Quai

'j"'
Date of Visit: Q Time:
Facility Number lIr
rO Not O erationa] 0 Below Threshold
11 Permitted ®-Certified0 Conditiionallyy Certified [3Registered Date Last Operated or Above Thresh/old:
Farm Name: 6 ae' L zyt,.,l� k._� County: , /t✓� _, SWlcic
Owner Name: Phone No:
Mailing Address:
Facility Contact: Title:
6,
Onsite Representative: ,' e,--
Certified Operator:
Location of Farm:
Phone No:
Integrator•
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 04 " Longitude a 4 Du
Design Current Design Current Design trnrrent
Swine Ca acity P,o ulation Poultry Ga acih P,o ulation Cattle Ca aci l?o ulation
❑ Wean to Feeder ❑ Layer ❑ Dairy
Feeder to Finish I I ILI Non -Layer I I 11E] Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design C•apaeity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ La oou Area ❑ S rav Field Area
Holding Ponds 1 Solid TrapsJ ❑ No Liquid Waste Management System
—_ -_ —_ I F
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
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: 2
Fceboard (inches):
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Structure 6
05103101
Continued

Facility Number: % — r_
Date of inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (iel 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 anv 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 8 Hydraulic Overload
12_ Crop type
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
O Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
iV Yes ❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CA'WMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wenable 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 & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/'%'UP, checklists. design. maps. etc.)
❑Yes
❑ No
19_ Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21 _ Did the facility- fail to have a actively certified operator in charge?
❑ Yes
❑ No
22. Fail to notify regional D)N'Q of emergency situations as required by General Permit?
❑ Yes
❑ No
(ie! discharge. freeboard problems, over application)
23. Did Reviewer,'Inspector "rail 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
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
".:1-i.•� � � '' ��yFa'Jc..,.G°" j +�..
Comments'{refer to ggpWdn #): `EiPiani stty,YES answers"and/arz—a _momtnenclatians or any other eomnn"ents:4 _ �; v�
-a7iry
Use drawings of facility to better explain situations-, (use addiiiiiiat'pages as tiecre .' Field Copv El Final Notes
de /*AO4O-rlkJ J ��� ��J�v7 �n ��cam //i'Z
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Reviewer/Inspector Name�;;��-
Reviewer/Inspector Signature: Date: ZZ aJ
05103101 ` v Continued
gUz

O.-Division of Soil and Water Conservation -Operation _Review _.-
-0 Division of Soil •and Water Conservation - Compharice Inspection
rvision of Water Quality-Com
�IDpliance Inspection a
0 Othi rrAgency Qperaiion Review
14D Routine Q Complaint Q Follow-up of DWQ inspection Q Follow-up of DSWC review Q Other
Facility Number l0 - late of Inspection FWH24
lime of Inspection hr.
Permitted R Certified Q Conditionally Certified 13 Registered [] Not Operational ationalQ Date Last Operated:
Harm Name, ............... QYit? t....:,�4 d....l ll7n�............................................................. County:....... !! .4�kp�� ..............................
L `
Owner Name: ?? p!f.1..................Ur........---..---.......--..---..---......... Phone No:....���.�43....
Facility Contact: .............:.-..................... .-..............."I'itle:...-..................................................... Phone No:
{ .......
]Mailing Address: ....... i1.��......
...................................................... ........�,a; nt�a?}N.r.,..%L...................................... ...8!.�9.........
Onsite Representative: .�. Into rator `
'� P � ' ........... DD ``.... ``__ r f...1.......1.................................................. 'g • ....... rfib:u.�S..............................r................................
Certified Operator.......................�03R 1....t ....: W1?-r.4i................................................. Operator Certification Number:... 1.�.:LA ....................
Location of Farm:
V.J� ..... Alf ..... ..(�...1... Z, ...rn:�l. .... c.� ....f.....5�.... E` .......15........... x�.....��............................. "
......................................................................................................................................................................................................................................................................... .
Latitude ®• aG ` ®r6 Longitude `7la • ®` �<<
Swine Capacity Population
Poultry
Capacity Population Cattle
Capacity Population
❑ Wean to Feeder
JE1 Layer
I
I
I[] Dairy
Feeder to Finish
6 oto
10 Non -Layer
❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
d
❑ Gilts
Total SSLW
lw �oG::I_
❑ Boars
Number of Lagoons 2 ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'.'
b. Il'diccharge is observed, did it reach: ❑ Surface Waters ❑ Waters of the State
c. If discharoe is observed. what is the estimated flow in ual/min'?
d, Does discharge bypass a lagoon system?
2. Is there evidence of past discharge from any part of the operation?
3. Were: there any 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?
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: �'IZ
Freeboard (inches): ...__.......
❑ Yes [)d No
❑ Yes bgNo
❑ Yes ® No
N 1
❑��® No
❑ Yes No
❑ Yes ® No
❑ Yes 0 No
Structure 6
1 /6/99 Continued on back

F,Acility'Aunaber: I b— S Oate of Inspection j 6
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, El 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? ,R Yes ❑ No
S. 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 top of dike, maximum and minimum
liquid level elevation markings? y ❑ Yes UNo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes 1,9*No
11. Is there evidence of over application'? ❑ Ponding ❑ Nitrogen ❑ Yes NJ No
12. Crop type ...... r. ... LLAk% ,& i........ulkl�- ...G.,-&U&�.......... L. {1.
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? El Yes WNO
14.
Does the facility lack wettable acreage for land application? (footprint)
❑ Yes
ONo
15.
Does the receiving crop need improvement?
❑ Yes
K3 No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
V3 No
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
® No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
® No
19.
Does record keeping need improvement'? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
® Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
® No
21.
Did the facility fail to have a certified operator in responsible charge?
❑ Yes
JA No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
CA No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
[A No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
([ No
[�: No:violations or. de eiencies :were noted during thisyisit.. You will.reeeive no further ::::
eorrespgrideirtee: abb" this visit.: • : • :::::::::. : ::: ::: :: :::: :
Comments'(refer to ,question_#}:: Explain any YES answers and/or` any;;recommendadons or, any other com iients
..�: :
Use drawings of facility to'better explain situations. (use additional pages as necessary) -}
�*LO br AW P., PeVeded,
�- �roSiloh D.rtb.s ar ct}ltr Glc1AfI wMcltl o (�acl+-- ] t ('
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c orrcc,� ckc'+•ta�Z SOY e � nVN �,Ak s�oA ion- G-643 ,II,. & Sp" ,- Cc%h
IV
Reviewer/Inspector Name Pr1n. I J(A LP Inn
Reviewer/Inspector Signature: 1(1 Date: _ (/ arjg _ I1/6/99

❑ Division of Soil and Water Conservation ❑ Other Agency
Division of Water Quality
Routine O Complaint O Follow-up of DW2 ins ection O Follow-up of D.SWC revicAv O Other
Date of Inspection
Facility Number
Time of InspeTtion l^' ; 24 hr. (hh:mm)
EfRegistered ;.Certified (-Applied for Permit © Permitted 113 Not O erational Date Last Operated:
Farm Name: ... .�i. .............Jil ...................._......... County......... ,?C.1s 5e.�- r..t ..� :.........................
....................
Owner Name: vz.
Facility Contact: .... ..l.*F2 ................ W.,fk,R:..47............. Title:...........ef...2......................... Phone No:
Mailing Address: .... 11(.([PP...........LxaCtu n..Q.Ca n............. ? . ............... ..... ..l.. XI)...t'..�.p�................................. 'Z�.`1��..
Onsite Representative:......fJ..g . .�...............�✓.. iV. ._�... ............................... Integrator: ....... P�.rA.!,-�rrY�.f�5
Certified O era€or........ ..... O erator Certification Number•.... Cam: .................!✓ A.n........................ p :.�1.5.............
Location of Farm:
Latitude 0 6 69 Longitude 0 4 64
General
I . Are there any buffers that need maintenance/improvement?
2. 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 Surface Water? (If ves, 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? ¢
b_ Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7125/97
❑ Yes [R No
❑ Yes A No
❑ Yes . 91 No
❑ Yes R No
❑ Yes ® No
❑ Yes ® No
❑ Yes [9 No
❑ Yes R1 No
❑ Yes fia No
❑ Yes E{ No
Continued on hank

Facility Number: 1 — S
8. Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
]ZNo
Structures (Lagoons.Holding fonds. Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
k] No
Structure I Structure ? .Structure 3 Structure 4 Structure 5
Structure 6
Identifier:
Freeboard(ft): .. ............................................................................................................................................................................
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?
❑ Yes
® No
12. Do any of the structures need maintenance/improvement?
❑ Yes
[j§ No
(1f 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
® No
Waste Application
14. Is there physical evidence of over application?
❑ Yes
® No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type 4..5..!�!-:�-....................................................�i?�.. r
.......................................................................................................................
lb. 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?
❑ Yes
&No
18. Does the receiving crop need improvement?
❑ Yes
No
19. Is there a tack of available waste application equipment?
❑ Yes
No
20. Does facility require a follow-up visit by same agency?
❑ Yes
]9 No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
22. Does record keeping need improvement?
JR Yes
❑ No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
M No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
Yes
® No
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
❑ No
0 No.vitilations-or deficieincies.were-nated during this.visit.- You:vvin receive�ito•furttier
:::•correspondencealioutthis:visit:::�;�;�•::`::::;�;:-::.•:;;•�:::�:;:;::;.;::;:;:;;:,::;.•::-;;;;:;
MR, Wks
iZ y f,�i4r c� /L E e.a (i S> s .�. { P P t-F r v •�. i w w 5 T� s n f if .S 4
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:

❑ Division of Soil and Water Conservation ❑ Other Agency
[aDivision 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 t' !� 24 hr. (hh:mm)
[Registered RXertified ILApplied for Permit [3Permitted IDNotOperatianal Date Last Operated: ...............
Farm Name:... �.�t"�[L' ............. -7 County-:......... ��... .......... I ... ........
OwnerName:.......``................................................................................................................ Phone No:.......Z ....-......Z.............I...............
Facility Contact Title: w ...... Phone No:
Mailing Address: .... 7T.f-Ce........... ............. `_............... ..... r.`................-----.............
Onsite Representative:.........4................wA,f2..k................................... Integrator:....... ....................... ....... .............
Certified Operator ........ ,&A: .Jrl......, �JA A-� Operator Certification Number,...-��.�-�.5... .
.... ..............---...---..... ........
Location of Farm.
Latitude o• �' 44 Longitude =• 4 0«
u �� �� Design Current
;Design Current 3 _Deli Current
xs
t h P left
ww.
' Poult Ca aci Po ulation`$q Cattle Ca act Po ulation K :
ry P tY P, P t3' p
R . x:. .� .. , � < .. .; . ,.
ayer ❑ Dairy
ED or -Layer EE] " ❑Non -Dairy
.. �.. V.
❑ Other?' ,•
''
Total Design Capacity
-;
r ; Total SSLW
Number of Lagoons /Holding Ponds Z ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
❑ No Liquid Waste Management System
_a
apaci y , opu on
fF Wean to Feeder
Feeder to Finish
� t?
El Farrow to Wean
❑Farrow to Feeder
El Farrow to Finish
❑Gilts
❑ Boars
General
I. Are there any buffers that need maintenance/improvement? ❑Yes lR No
2. is any discharge observed from any part of the operation? ❑Yes 9 No
Discharge originated at: [I Lagoon ❑Spray Field [I Other
a. If discharge is observed, was the conveyance man -trade? ❑Yes ®No
b. If discharge is observed, did it reach Surface Water? (If yes. notify DR'Q) [I Yes G1 No
c. If discharge is Observed, what is the estimated floe' in gal/min?
.d. Does discharge bypass a lagoon system? (If yes, notify DWQ) El Yes 0 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 [3 No
5. Does any part of the waste management system (other than latroonslholdingpords) require ❑Yes 0 No
maintenance/improvement?
C. is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes fO No
7. Did the facility fail to have a certified operator in responsible charge? ❑Yes 0 No
7/25197
Continued on back

Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed? El Yes (,�No
Structures (Lagoons,[folding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes No
Structure 1 Structure 3 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ......................
Freeboard (ft):,,......2.5.5.................................. ....
10. Is seepage observed from any of the structures? ❑ Yes ® No
I I. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes ® No
12. Do any of the structures need maintenance/improvement?
❑ Yes
i;4 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
® No
Waste Application
14. Is there physical evidence of over application?
❑ Yes
[Z No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. p tyW
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?
❑ Yes
Q No
18. Does the receiving crop need improvement?
❑ Yes
No
19. Is there a lack of available waste application equipment?
❑ Yes
No
20. Does facility require a follow-up visit by same agency?
❑ Yes
[ No
21, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
[a No
22, Does record keeping need improvement?
19 Yes
❑ No
For Certified or Permitted Facilities Only,
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
[M No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
Yes
® No
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
❑ No
0 No'violitions-or deficiencies. were' -fike'd during this'. visit. You.4ill receive nti further
correspondeht 6 about this:visit: :; :::.:: ; ; ' .
hl r7y W A/Z4 wt c s 1-0 .11, c�' , =2 £ i3 ;.r*.crj &A, n Sv �,r� c r t (<
% 1>01-4ic w wSTt rjn.F.r 4 iir•rl7S.j
N�4-r) i
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: r� - hate.

DSWC Aa]<mal' ]
x � r
WQ Animalf
z
i
` Operation Review
:.<
Operation Site. Inspect><on
r
�M',G-Izoutine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Facility Number fj
Farm Status- . L t j-.,
Total Time (in !tours) Spent onRevie►v
or Inspection (includes travel and processing)
Farm Name:.. �t��Y L . �C1� � � fL__.�._ . County iJr► ,,, !!��
S _ .._
Owner ;Name: Phone No:
Mailing Address: I db R'f ��Y m(1 J -- ! o�:.,
, {
Ousite Representative: (-;�VtL au' _ —._ _ ». Integrator:...�
Certified Operator:.... R06u0 f�+� --- Operator Certification Number:___....__ . .....
Location of Farm:
Latitude Longitude
© Not Operational Date Last Operated:
r`-pe of Operation and Design Capacity
w
Swine Number: Poultry
i\rumber, Cattle i�`umlier,
.x { �w ,
❑ Wean to Feeder
i,=`5 ❑ Laver
❑ Dairy
Er"I
Feeder to Finish
3ZCX� %)PR-, ❑ Non -Laver k
. [I Beef
Farrow to Wean
„
�<
u ;
Farrow to Feeder
Farrow to Finish
❑ Other Type of Livestock
Number of LaQoans ! HaldmgPonds
-
❑ Subsurface Drains Present
�n
b
h
�' ����
Q.a
a
❑ La oon Area
?
❑ Spray Field Area:
.
? r;•roa ,k eai ,a 'S.',1� .. �'uA'.. i '.'F� :::..
.'k �.. ... .._
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes ['YINo
2. Is any discharge observed from any part of the operation? ❑ Yes M,<o
a. 11 discharge is observed, was the conveyance man-made? ❑ Yes 0-No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes [ o
c. If discharge is observed, what is the estimated flow in gaumin?
d. Does discharge bypass a lagoon system? (If yes, notiN DWQ) [I Yes [ ' o
i. Is there evidence of past discharge from any part of the operation? El Yes [fo
4. Was there any advese impacts to the waters of the State other than from a discharge? ❑ Yes 52'*No
5. Does anv pan of the waste management system (other than lagoons/holding ponds) require ❑ Yes Q-Ko
ma intenance.' improvement?
Continued on back

6. Is facility not m compliance with any applicable setback criteria?
L l Yes LTINO
7. Did the facility fail to have a certified operator in responsible charge (if inspection after 1/1197)? ❑ Yes C o
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes 0K
Structures (Lagoons and/or Holding Ponds
9. Is structural Freeboard less than adequate? ❑ Yes 2910
Freeboard (ft): Lagoon i Lagoon 2 La+oon 3 Lagoon 4
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
11 Do any of the structures lack adquate markers to identify start and stop pumping levels?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type 1'�5cs1 SILL -
16. Do the active crops differ with those designated in the Animal Waste Management Plan?
17. Does the facility have a lack of adequate acreage for land application?.
I S. Does the cover crop need improvement?
19. Is there a lack of available irrigation equipment?
For Certified Facilities Oniv
20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
21. Does the facility fail to comply with the Animal Waste Management Plan in any wav?
22. Does record keeping need improvement?
23. Does facility require a follow-up visit by same agency?
24. Did Reviewer/Inspector fail to discuss review/inspection with owner or operator in charge?
Ma
❑ Yes EKO
❑ Yes ©-flo
❑ Yes 0110
❑ Yes USIo
❑ Yes gal�o
❑ Yes M,-!�o
❑ Yes 2<o
❑ Yes 91' -o
❑ Yes Elfgo
EKes [o
❑ Yes ��o
❑ Yes ONO
❑ Yes P f' o
[xtd 1oG irXy L �f S5PS-w to i:'�CiJ JraS s ` evc,4 surrovnc�S
tt,rnc� h� 11cUSc'.> �,t i4' c,,vK2- 5 4-ok60r-
Ne-e3 �, VO ���v11\ (-`rPcrz- e. vu-. W S � rcll
Reviewer/Inspector Name
Reviwer/Inspector Signature:
Date:
cc. Division of Water Quality, Water Quality Section, Facility Assessment Unit "'-' --- (- ` 1 1/14/96

JUL-14-1995 15:22 FROM DEM WATERQUALITY SECTION TO
WIRO P.02/02
Site Requires immediate Attention:
Facility No. o-
DIVISION OF ENVIRON-WNTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SrM VISITATION RECORD
DATE: — , 1995
Time: `/3 .71)
Farm Name/Owner. ,RJ 6'k "a
Mailing Address:
County: A &
Integrator. 2 r0c&rnoLO-a4ai +a a _ Phone:
On Site Representative: Phone:
Physical Address/Location:/ .�e�-� � �-_ ��C S1�- �`-�� b 6w o x �� "
Type of Operation: Swine i::�! Poultry Cattle
Design Capacity: 3a.0 D _ Number of Animals on Site: aA
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: Longitude: _ Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of I Foot + 25 year 24 hour storm event
(approximately I Foot + 7 inches) IFr
No Actual Freeboard: ,—,Ft. (a Inches
Was any seepage observed from the lagoon(s)? Yes orb Was any erasion observed? Yes or49
Is adequate land available for spray? gor No 1s the cover crop adequate? 66r No
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? 'l e or No
100 Feet from Wells? fc) or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or'Q
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes orp
Is aninW waste discharged into waters of the state by man-made ditch, flushing system, or other
similar roan -made devices? Yes or & If Yes, Please Explain.
Does the facility'rnaintai.n adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)?
I C�
• &_DcA.t __A_o ,-&k
Inspector Name
cc: Facility Assessment Unit Use Attachments if Needed.