100033_Complete File - Historical_20171231

NORTH CAROLINA
Department of Environmental Qual

Type of Visit: 0 Compliance Inspection 0 Operation Review Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral XEmergency 0 Other 0 Denied Access
err
Date of Visit: Arrival Time: T . D Departure Time: County: &TOW Region:
Farm Name: 46e LI S_U' tWW Farm Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Sack -up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design
Swine Capacity
Wean to Finish
Wean to Feeder
Current
Pop.
Design C►urrent
Wet Poultry Capacity Pap. C►attle
Layer DairyCow
Design Current
C►opacity Pap.
Non -La er DairyCalf
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
PNon-La
DairyHeifer
Design C**urrent D Cow
1) , Po Al , Ga aci P,a , Non -Dairy
La ers Beef Stocker
ers Beef Feeder
Gilts
Boars
Pullets
Beef Brood Cow
Wither
Other
Turke s
Turkey Poults
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes IxNo ❑ NA El NE
Discharge originated at: ElStructure ❑ Application Field ElOther: c eVJL4 k"n
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes [] No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes b(No ❑ NA ❑ NE
❑ Yes V No ❑ NA ❑ NE
Page 1 of 3 21412015 Continued

Facili N tuber: Q -35 7 1 Date of Inspection: f6
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No ❑ NA
[�YNE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
❑ No ❑ NA
ONE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes
❑ No ❑ NA
� NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
❑ No ❑ NA
0 NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes ❑ No ❑ NA P' NE
❑ Yes ❑ No ❑ NA 14 NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ENE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA KNE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes �§ No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? P Yes ❑ No ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any otber comments..., ..
Use drawings of facility to better explain situations (use additional pages as necessary).
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Reviewer/Inspector Name:
Reviewer/Inspector Signatu
Page 3 of 3
hi
l3 �r_ M Phone: : qi� l 3F
re: - Date: u j le
C� 21417015

Facili Number: O -3 jDate 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: I
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): S
5. Are there any immediate threats to ' tegrity of any of the structures observed?
Yes ❑ No
❑ NA
❑ NE
(i.e., large trees, severe erosion, eepage etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat,
notify DWR
7. Do any of the structures need maintenance or improvement?
K Yes [:]No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes ❑ No
❑ NA
4NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes ❑ No
❑ NA
16 NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes ❑ No
[DNA
NE
Pq
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.)
/n
❑ 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 ❑ No ❑ NA [� NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No ❑ NA NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No ❑ NA NE
acres determination? ]�
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
U NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ 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
❑ No
❑ NA
[Zj 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
❑ No
[DNA
[4 NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield [:1120 Minute Inspections ❑ Monthly and I " Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
❑ NA
K] NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA
49 NE
Page 2 of 3
21412015 Continued

Type of Visit P Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit O Routine O Complaint f (Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number / Uate of Visij: Time:
160/1# Q Not O erational O Below Threshold
C
Permitted Certified 0 Conditionally Certified Register__ lam, Date Last Opera or Above Threshold: ... _._.
Farm Name: .......--.. �.Er1�° -!' County:.
Owner Name: .............=1......f el9)�l�::..........Lr+6,A1- � . .... Phone No:....... ................
Mailing Address:
FacilityContact: ............... -... -........... -........ -............. -.... ......... ..... Title :........................................... ............ Phone No:
Onsite Representative: �!l..l1,Y . Integrator:•--�
Certified Operator:
Location of Farm:
Operator Certification Number:
CgSwine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 4 " Longitude • 4 «
Swine _
[] Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
iber of Lagoons
,' ❑Layer
"; ❑Non-L
"nl other
Discharges & Stream Impac,_ts
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?
` z t-;Atu
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)
❑ Yes
ONO
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes JKNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ONO
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ONo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure ti
Identifier: ............................................................ ... .................................
Freeboard (inches):
12112103 Continued

[Vacility'Number: /12 — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes WINO
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes ZNo
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 P(No
8. Does any part of the waste management system other than waste structures require maintenancerimprovement? ❑ 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 maintenance/improvement? ❑ Yes ❑ No
I I- Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
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
Odor Issues
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 ❑ No
19. 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)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ Yes ❑ No
Air Quality representative immediately.
Contents (ier46 q`iresizon i#) Eicpla any YFS a andLor ainy recommeudat<oas orany otner�comnieats. �
Hers
Use drawings o! iac�hty to better�e glum sEt ations. (use f onal�pagesaas necessary} x ❑ gield Copy ❑ Final Notes i
s rw off✓ u,Ec. ,05GrJG/ s
`
� vV�O Y.Jg.j C U S S D� SE�Q�A-T�oiJ s '"'� tN � : SATE' /SF.-PigE5EiJ7.q-T�
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T
Reviewer/Inspector Name �'- p Q�L . Etlr%>�.- :plG/!!r� - t=
-_
Reviewer/Inspector Signature: Date: / f7
12112103 Continued

ncjfity=Number [ O 3 3
40 Division of Water Quality
0 Division of Soil and Water Conservation
O Other Agency
Type of Visit O Compliance Inspection 0Operation Review O Structure Evaluation --//O Technical Assistance
Reason for Visit O Routine O Complaint O Follow up O Referral O Emergency SaOther ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: Q (W+NJ+PJZ-C (—Region:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title:
OnsiteRepresentative: �iPL.rar�o RaQSTJsa+� MA6xk �- integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone No:
Operator Certification Number:
Back-up Certification Number:
Latitude: ❑ 0 0 d Longitude: ❑ o= g"
Design Current Design Current Design Current..:
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish ❑ Layer Dairy Cow
❑ Wean to Feeder 1LJNon-La et
© Dairy
Feeder to Finish �{
ElFarrow to Wean
ElFarrow to Feeder
ElFarrow to Finish
ElGilts
ElBoars - -- - -- -
Other
u ElOther
Dry Poultry
❑ Layers
ElNon-Layers
❑ Pullets
❑ Turkeys
El Turkey Poults
❑ 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?
Calf
❑
❑ Dairy Heifer
❑ Dry Cow
LJ Non -Dairy
❑ Beef Stockei
❑ 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 2No ❑ NA ❑ NE
❑ Yes
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?
Calf
❑
❑ Dairy Heifer
❑ Dry Cow
LJ Non -Dairy
❑ Beef Stockei
❑ 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 2No ❑ NA ❑ NE
❑ Yes
LJ Non -Dairy
❑ Beef Stockei
❑ 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 2No ❑ NA ❑ NE
❑ Yes
❑ No ❑ NA
❑ NE
❑Yes
❑No ❑NA
El NE
❑NA
El NE
❑Yes
El Yes
El NA
YNoo
❑ NE
El Yes
❑ NA
❑ NE
12128104 Continued

Facility Number: 16 - 3 Date of Inspection
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 J Structure 2 Structure 3 Structure 4
Identifier: CA-(,,,✓
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): _ 2.40
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 Ei No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes dxo ❑ NA ❑ NE
❑ Yes tj"No ❑ 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 EfNo ❑ NA ElNE
8. Do any of the stuctures lack adequate markers as required by the permit? ElYes E 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 [✓ No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. 3/yes ❑ No ❑ NA ❑ NE
L(J 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
El o El NA
El NE
15. Does the receiving crop and/or land application site need improvement?
El Yes
o ❑ NA
El NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
El Yes
WNo ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
' ❑ NA
El NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
rNo❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any. other,co.mments
Use drawings of facility to better explain situations. (use additional pages as necessary):
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ZECLS pvt_t.'o AT RATE SuWE4L� THAd FT-C&P " CoNIP'�IdS D_(_TAJE.
So r,^C_ Lo, l A11-61Ns oN PASt'Jx-- 6ZCt✓b NJL-V':r_tjG LZ 4? (�Lfl.
ZCQ04Gst TO taw U A6nk6rY'iE�' ON eeEL- SSEC 0J(L. tJG- SC�1 HEA�1' rJ 0
to i3c. a-T 4-r rAfrut fyu. RAIL. flLSa W14a7 Ac Z0tJ,s T4 I�N- Noa�Xa
Reviewer/Inspector Name - �� — - - �(.L - -- -- — Phone:Q/O I
Reviewer/Inspector Signature: Date: if 3p 0 (o
Pauv 2 of 3 1212RI04 Continued

t .
Facility Number: o —33 Date of Inspection �1 p
Rewired Records & Documents
I9. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes ❑ No ❑ NA L1 NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA LINE
the appropiate box. ❑ wup ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA � NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? El Yes ❑ No ❑ NA LINE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA [Z'NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA fNE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑ No ❑ NA ff NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes ❑ No ❑ NA N
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No ❑ NA NE
Other Isseres
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes /Imlo
WNo
[I NA [-INE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document El Yes ❑ 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 dN o ❑ 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 u No ❑ NA ❑ NE
General Permit? (iel discharge, freeboard problems, over application) dNo
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ElYes ❑ NA ❑ NE
33. Does facility require a follow-up visit by same agency? ❑ Yes No ❑ NA ❑ NE
Additional Comments and/or Drawings:
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12128104

Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation I
Reason for Visit 0 Routine 0 Complaint 0 Follow up O Emergency Notification Other ❑ Denied Access
Facility Number 1 Q 3 Date of Visit:
0 Permitted OCertiifed 13Conditiioonally Certified 0 Registered
Farm Name: 26/1
y W^t"'f:p
Owner Name: L u K
Mailing Address:
Time -
Date Last Operated or Above Threshold: _
County: G r vn y Uj i C k
Phone No:
Facility Contact: Title: Phone No:
Onsite Representative: ' 1 `rY'�'_ integrator: Fre! 3 i v!n Jlstadezed
Certified Operator:
Location of Farm:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 C Longitude a t
Destgn Current Design 'current Design Current
Swine Ga a P,o ula *on PbouItry Ca aci Ro ulation C_attEe Ga aci P,o ulation
❑ Wean to Feeder
❑ Layer
❑ Non -Layer
❑Dairy
❑ Feeder to Finish
[I
-Dairy
❑
Farrow to Wean
El Farrow to Feeder
&Stream Impacts
1. Is any discharge observed from any part of the operation? El Yes ❑ No
Discharge originated at: El Lagoon ❑ Spray Field El Other
a. If discharge is observed, was the conveyance man-made? El Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (if yes, notify DWQ) El 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) El Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? El 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? El Spillway ❑Yes J�ZNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure b
Identifier: j
Freeboard (inches):
05/03/01 Continued

a
Facility Dumber: Jm — 3 3 Date of Inspection
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
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 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?
22. Fail to notify- regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems. over application)
23- Did Reviewev'lnspector fail to discuss reviewfinspection 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?
XJ Yes []No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ",ZNo
❑ Yes ❑ No
❑ Yes ❑ No
L© No violations or deficiencies were noted during this visit. You will receive no farther correspondence about flits visit.
Comments refeir to aesbon` E lav" Yl answers,and/ar,.ttn reeummendattons or a other eomments:�_ ° ';
dra ih t lain sitna use adtte na! a es as
Use r wings of fac ty o better exp a tion ( e - o , P g _ necessary) ,- - .' �] Field Copy ❑ Final Notes t
Iayon ho.s serve seef,4^c bceh n,a¢='oi
IM10f "s -he mason �a ��d� y'1 in spec1'P"M . T4- does
A�01pe� f . A_o4 44eee' 1d se+n60 "s-le /P vdG�le 1 All Ae qge 0/
(1,9,60n )", L,oles 4"� wee &/) 4,0 4e,"y 44e SCV')-
tfere -k Le N4l a Ions
Reviewer/Inspector Namej_.
Reviewer4uspector Signature: Date: 1 3
05103101 Continued

Facility Number: Date of inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
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)
24. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts. missing or
or broken fan blade(s). inoperable shutters. etc.)
1. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submersed sill pipe or a permanentitemporary cover?
❑ Yes ❑ No
❑Yes El No
❑ Yes ❑ No
❑ Yes ❑ No
❑ )'es ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Additional Comments and/or Drawings:
A.
4c '049e o1 --ire lqg on-1 • Jq rl qn meelefi �-O k de velnpe4
Lth O� �•�n�l c►-►-► ea��ed � 5 SDD h as � DO`S j' � 1 e -�p sJaj� �� seepASe .
` F4 4r wle-� wegAc -, J �-4 lve Rave bees Aav ; PxJ a 16 h5 PV "q ,
"]e �DTd�'1�iat1 �or UPGar�;P%-- liu�r►1Gn►yeS Crcq- 1 � ,
,�er��e.� pe•�-« j �f®,� Ja 1 r�-l`4e /g oa 1)
To eve exped";1)'ottjef y �orwa ✓d ky �P1ahs
4A e1.' ; n arc � e seepa�e. .Seep,4Se Ae
Q V, e rr 14 � r7d a 66,o r d; n� 1 y , - Ae � i lr ; Si e
t"q. �Qnd A AJq -ce or e �T
I �3 )�" Dr �t16-�iLP e V D1Q-�ta`1
See ��e
p ]1J r 411 �ev, Vey
1 Qh �4 aA�Arf'CS S -T hC SCcPGtG l Sd� -��er� r'J 7� Pa s'1 r �, 1%1*
ly
V i�4 T�e �t�+�l'O►'1 • j�tV C ✓G, v i )v 14-'e,5 r
4hP SeerGOJG. -Fter 1,4S A, LP) � v� �Goh-��rG� W,=��, �►r'?
w i-- ► 40 hear bacA"- 44e co ;:;J1OWv1e xvA
E d O r yjFGe`2 t' 1 G-� e
dpeT-
,A,p! k YD(1 -6G,r yD[d r ��TD/�S �� f/f �rd ✓ A9)Jd -tlo r- yolfr-
Garr���t�c� GDBJvci'q�,'a� Ih r'es0%vrhq l ►-fit .
05103101

Type of Visit r" Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Emergency Notification 40 Other ❑ Denied Access
Facility Number Date of Visit: Time:
Not O erational Below Threshold
Permitted O Certified 0 Conddiitiona�lly C 'fled 13Registeer}ed Date Last Opera or Above Threshold:
Farm Name: �I JELG i 1/� r r / �Q�f'��S_ n L� Count3:1
Owner Name:
Mailing Address:
Facility Contact:
Title:
Phone No:
Phone No:
Onsite Representative: / [ / /!/ Integrator: I A r-aI____
Certified Operator: J Operator Certification Number:
Location of Farm:
A Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' ° Du Longitude
I}estgn
Swine Ca achy
Current Design Cu�rre"nt Design Current
P,o ulation Ploultry Ga acity P.o ulation Cattle Ga aci P,o ulatian
❑ Wean to Feeder
❑ Layer
JEJ
Dairy
Feeder to Finish
to 41,019
Non -Layer
❑ Non-Dairy
❑ Farrow to Wean
-
❑ Other
Total Design ;Capacity
Total SSI.W
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons 0
Holding Ponds /Solid Traps
❑ Subsurface Drains Present ❑ La oon Area _❑
❑ No Liquid Waste Management S stem
Spray Field Area
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes )2"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 JZNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes �'o
Waste Collection & Treatment
4. is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes '1 No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches):
05103101 Continued

Facility Number: C — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
gNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑ Yes
El No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
❑ No
Waste Application
10. Arc there any buffers that need maintenance/improvement?
❑ Yes
❑ No
11. Is there evidence of over applic ion? Exces ' e Ponding ❑ PYJ ❑ lkydraulic Overload
❑ Yes
❑
l
12. Crop type
13. Do the receiving crops differ with those des' ted in the Certified Anima Waste Ma gement Plan (CAWMP)?
❑ Yes
o
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
Reauired Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
❑ No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21_
Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(iel discharge, freeboard problems, over application) ❑ Yes ,VrNO
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes ,ONO
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
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Conmeiits (refer to questign #f) Explain anv YES answers and/or any recommendateo©s or a©y other comments'
Use drawings of -facility to'better explain situati6ns. (use,additiorial `pages=as necessary). ❑ Field Copy ❑Final Notes A.4
��sPEcrafl�J ,C_/or�,ou�c�f� jo
ReviewerlInspector Name I
Reviewer/Inspector Signature:
rD 14804er
Date:
r L
r �
05103101

f
l
r
-
! 7
J
I
m

D!vlston of Water Quality }% 3.,-.Yi. a ? a• -.-i-� y,- -�'.
,` l.
D!v!slon Of SOLI and Water COnservatlon '' '-
Other A enC t
x.. ?'. �'r .kf`;, .�,. .� ... ..�.i .� ^`,.'.. ._-- ..r . .,. ,. _ .x ..� -.... ... _r ..'r. ._„ ., .. �_ ��<�'� . �. .,. .. _ . ..�vs; � :»ik'.s:. �*J..w •;
Type of Visit O Compliance Inspection OtOperation Review O Lagoon Evaluation
Reason for Visit *Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number
3 Date ofVisit: �:Z-Ox Time: :OQ
Ip Not Operational 0 Below Threshold
Permitted [] Certified © Conditionally Certified [3 Registered Date Last Ope d or Above Threshold:
Farm Name: ..�.. .WC` r•- .. l�..t...t"" County: L11. W { C.I`..................
F
Owner Name:.,�.�...:. h.t!-N ......... Phone No:
Mailing Address:. .....................
Facilitv Contact: ......... Title Phone No:
P
Onsite Representative: i..............�ML.'a/.......................................... Integrator:.................. ......................
.................
Certified Operator:................ a, .Cs.�vo� ...................... Operator Certification Number: ... [,�.� ���............
Location of Farm:
a
_ I Vi
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �' �•` Longitude �• �� �it
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder JE1 Layer I ❑ Dairy
Feeder to Finish ❑Non -Layer ❑ iry
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons L_� ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps 10 No Liquid Waste Management System
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation? El No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is ohserved. was the conveyance man-made? ❑ Yes ❑ No
h. if discharge is observed, did it reach Water of the State? (II' yes, notify DWQ) ❑Yes ❑ No
c. If discharge is observed. what is the estimated flow in tzalhnin?
d. Does discharge bypass a lagoon .wstcm`'(lf ycs. 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 storatTe) less than adequate? ❑ Spillway ❑ Yes No
Structurc I Structure 2 Structure ; Structure 4 Structure 5 Structure 6
Identifier: ...................................
Freeboard (inches):
05103101
Continued

IFacility Number: 33 I Date of inspection l�J
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 1XNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? El Yes [� No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes j] 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?
11. Is there evidence of over application? ❑ Excessive Ponding
12. Crop type a of u-
13. Do the receiving crops differ with those des noted in the Certi
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?
❑ PAN ❑ Hydraulic Overload
ante Management Plan (CAWMP)'?
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?
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?
❑ Yes No
❑ Yes j No
❑ Yes X No
❑ Yes ❑ No
Yes ❑ No
❑ Yes ❑ No
❑ Yes Df No
❑ Yes P No
❑ Yes 4 No
❑ Yes � No
❑ Yes K No
❑ Yes No
❑ Yes No
❑ Yes j No
❑ Yes WNo
❑ Yes [] No
❑ Yes No
13 No violations or deficiencies were noted during this visit. You will receive no further 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): ❑ Field Copy ❑ Final Notes
7 ODt-� r
Soi ( �P�r i Doc+rd 7 - 2 -as f.w_:�q 1Q?$tsu•�.. e �ir�,+-. • �-' �/ +
`.icy° 40-Z
odd a-oA� 3-31-
a tJ 'd iML ego !
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
05/03/0I
Continued

r� . _' -%
Facility Number: Jo _33 Date of Inspection :.2 - a Printed on: 5/4/2001
Odor Issues
25. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below r-+e—E3 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 Af No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes �'�io
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 ,lj 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 eNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes krRo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? Fes--gNo
Additional ommments and/orDrawings:
-- �e C keck l��-(b I a res p(l's'col�rc over zs-or
Al. - T( ages . ag.qs�a�.SsNwup
"'el 6 -, jd-t-ai acres aD-���/-7 z')klu/ f
w4t 7- lv-et.f acres = ��•3l�/S-� �wu� = �f % c ep
_ ages = 5 •05 / !R • o cvcL p
�+Jot.i c4{ sct 13es-4 a,1 7tis [ 'CO QiSo
w
O5103101

�.. .
]'Division of Soil and Water 'Conservation =Operation Itevrew
- ];Division of Soil and Water Conservation - Compliance Inspection
0Division `of Water Quality - Compliance Inspection
13 Other -Agency- Operation Review -
Routine O Complaint O Follow-u of UWQ inspection Q Follovs-up of DSWC review Q Other
Facility Number Date of Inspection I (Z6QQ
Time of Inspection 1 1 0 124 hr. (hh:mm)
Permitted- 19 Certified 0 Conditionally Certified 0 Registered 113 Not O erational7 Date Last Operated:
Farm Name: ............... ¢i�.... tn� ±��p....ter,�i, ,....Arse..« ........................ I................... Cofinty:....... ,l1rLY-tuaCL............................ .......................
Owner Name: ........................ I I 4-, ... V16I&I........ Lc �. ....... I .... I .......... .......
Facility Contact: ......................... Ay�llY.......I—urq1 ......... Title: ............ .....
Mailing Address: ........ .{a t ..... .... Mt ... �..w..�.r.....�1
................................................
Onsite Representative: ............... J-1;.4Qy ...... uksdY
Certified Operator: .................... Fpql ,K...........
Location of Farm:
... af......... R.:..AG6'....1f.
Phone No: -..-%R t0 2
................. Phone No:................................... .
......... V1l'11^9na...{...I!r................................. 7`............
Integrator:...... ................
Operator Certification Number: ... 46 5.
......................
1.......... .................. .................................................................................... ...................................................................................................................................
---------------
Latitude 0� ©' ®�' Longitude
Swine Capacity Population
❑ Wean to Feeder
® Feeder to Finish
(, 400
LLAoo
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Poultry Capacity Population Cattle Capacity Population
❑ Layer I I ❑ Dairy
❑ Non -Layer I I 1E1 Non -Dairy
❑ Other
Total Design Capacity 6 y G p
Total SSLW utc oap
Number of Lagoons j ❑Subsurface Drains Present 110 Lagoon Area ID Spray Field Area
Holding Ponds 1 Solid Traps JE1 No Liquid Waste Management System
Discharges & Stream Impacts
1. 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. II' discharge is observed. did it reach: []Surface Waters ❑ Waters of the State
c. If discharge is observed. what is the estimated flow in gal/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:
Freeboard (Inches): ............1-....................
❑ Yes [, No
❑ Yes
[�J]No
❑ Yes
j0 No
❑ Yes
U§ No
❑ Yes j No
❑ Yes No
❑ Yes �] No
Structure 6
1/6/99 Continued on back

•i •W
Facility Number: 16 -- 33 Date of Inspection
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/improverent?
8. Does any pact of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings?
Waste Application
10. Are there any buffers that need mainienance/improvement?
11. Is there evidence of over application? ❑ Ponding ❑ Nitrogen
12. Crop type ............... ............. I.............
LG a
❑ Yes (3 No
❑ Yes (A No
❑ Yes SNo
P Yes (I No
❑ Yes 50 No
❑ Yes I] No
❑ Yes No
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) ❑ Yes ® No
15. Does the receiving crop need improvement'? ❑ Yes [ffNo
16. Is there a lack of adequate waste application equipment? ❑ Yes �( No
Renuired Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
U No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.)
❑ Yes
[SbNo
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
No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes [P 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 [ No
El. No.violations:Or. deficie-ric*jes.were hated. during 0is.visit:. You mill.retceive nor furitier
eorrespo�idence.a. ...his visit: . . . ..1­11.. .... . . . .. . . ..... .
Comments (refer to question #): Explain any YES answers and/or anyyrecommendaiions or any other comments
Use drawings: of facility to better ekplain situations. (use additional pages as necessary):
IVgL- ZS �����C, OvdaCo a � OmziA�
J
g. Fcedvr� "Vtas �V- COAL sl•,tA Le rQfQ 6 rvtt- �,Pfyv,� c)"Q -L vutuV n
C",�
Reviewer/Inspector Name
Reviewer/Inspector Signature:
------- Date:lln'r}i 11/6/99

0 Division of Soil and Water Conservation 0 Other Agency
4" 1aDivision of Water Quality
O'Routine O Complaint O Follows -up of DWO inspection O Follow-up of DSWC review O Other
Date of Inspection
Facility Number
Time of Inspection 24 hr. (hh:mm)
0 Registered [3 Certified © Applied for Permit Permitted JE3 Not Opera Date Last Operated:
/I — County
Farm Name: �..1.l.. ..�k�I..F.i�{� fi'A.,�II.l�� .... _ •........��..til....C2r��.r.�.a:.�.�..............................
...... ..... ................. .....................
Owner Name:
......�... �...P:.---•.----....�kf:�..1.......�..11..f:.?...�7....�.................................. Phone No:......... Z..a`V7...,�.....�...g �..�.:..�.............................
Facility Contact:....... ,� s'r..✓n 7 Title:........i�.(,. t�—.. ............... Phone No:.............:.....................................
...�z....n......................... �."....'.......
Mailing Address.......... Z ..........[ ..%�.................�w�k .....! i .......r�l�.;...�'7.t'lk .EzrlL�t..f. .......... .77
Onsite Representative:.... .. .... o.a........ rt. �� st Integrator:..................•.........................................
..........
Certified Operator;-...fTA -- _. v✓i `� Operator Certification Number,....
Location of Farm:
I r................................................................. p �. : s...............
C
ME
Latitude �•.�� ��� . Longitude �• �' o«
General
L Are there any buffers that need maintenancelimprovement?
❑ Yes
Ll No
2. Is any discharge observed from any part of the operation?
❑ Yes
Rl No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
El No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
0 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
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
0 No
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
® No
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
® No
maintenanceli mprovement?
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?
7125/97
❑ Yes ® No
Continued on back

Facility -Number: —
S. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoonsdioldine Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4
❑ Yes IN No
❑ Yes EPNo
Structure 5 Structure 6
Identifier:
Freeboard (tt)
............................................................................................................................................. .......................
........s.-T. ....... ................................................................................................................................
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)
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 .......#' ...........................
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 fait 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.violations or deficiencies. were note'd-during' this:visit.- .You.will receive no further
correspondence about this'visit
❑ Yes 9 No
INYes jR1 No
® Yes ❑ No
❑ Yes $] No
❑ Yes [M No
..........................................
❑ Yes
® No
❑ Yes
No
❑ Yes
No
❑ Yes
© No
❑ Yes
p No
❑ Yes
© No
❑ Yes
❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes A No
Co' ments-(iifer<to question #) ExplaEn any ' ES answers�and/or any recommendations or arty other comments,,
Userawiitgs of fac�ltty to.betterexplain situations (use additional pages as necessary} ` K
;
l VI Z>j /V pps, 14-P `non t R-05 <v
fi 15149,E A21-13 s' 4/471,­f Z--f�C i ? �� l�✓�1c L.
7/25/97
Reviewer/inspector Name
Reviewer/inspector Signature: Date: