240071_INSPECTIONS_20171231

NUH I H UAHULiNA
Deparanent of Environmental Qual

I
Type of Visit Cor�np11ce In�ection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit oe Complaint O Follow up O Referral Q Emergency O Other ❑ Denied Access
Date of Visit:%4u Arrival Time: !an Departure Time: County: COI.lJ�161d Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: gee 1 /ADS EU. Integrator:
Certified Operator:
Back-up Operator:
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: = e = , = If Longitude: = ° = d 0
dg
urrent
Design Current
Design
Current
Swine=JapacIq�Polulation
Wet Poultry Capacity Population
Cattle Capacity
Population
❑ Wean to Finish
❑ La er
❑ Daia Cow
❑ Wean to Feeder
❑ Non -Layer
❑ Dairy Calf
Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
ElD Cow
El Farrow to Feeder
ElNon-Dairy
El Farrow to Finish
❑ Layers
El Beef Stocker
Gilts
ElNon-La ers❑
❑Beef Feeder
PE] Boars
Pullets
❑ Beef Brood Co
❑ Turkeys
Other
❑ Other ==10
❑ Turkey Poults
Other
!Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
ENo
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
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)
❑ Yes
o
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
El Yes
Zo
El NA
El NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
El Yes
o
❑ NA
[INE
other than from a discharge?
Page I of 3
12128104
Continued

Fajility Number: — Date of Inspection ! L
Waste Collection & Treatment �
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? El Yes M o ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: LA 6v-0J L46,6e* 7--
Spillway?:
Designed Freeboard (in): y
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental rent, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes YNo
o ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks) ,
4. Does any part of the waste management system other than the waste structures require ElE Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes WNo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes L' I No ❑ NA Cl NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWM_P?
❑ Yes
o
El NA
[Z[ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
VNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
❑ No
❑ NA
[:3/NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
NE
18. Is there a lack of properly operating waste application equipment?
El Yes
❑ No
❑ NA
[dNE
>Commeots (refer to, question' #) Explain any YES answers and/or any recommendations or any otents:u
Use drawings of facilityto better eiplatn situations. (use addtttonal pages as necessary).,
i2�s,�Nnro ro CO MIFIAS it F2oyri RrWOLD I19AM-E AJS61r OAA, UP 666- AMP* `
9vM#-,W67 MR- P6A1U-_ 5 W AtAf WATAI - 4 I-VMUA_ F ' V6k'- ,161-14W6, MaT-TcU
B y Ow(p V- svu 2EP.s, 176 LL4W * °11C-# N.t'r* 5v-Af Q MAIM 7-' MC
K , V 0 y rW 0,0' LAG-aW .04? _tA/ E VC- C. ,
Reviewer/Inspector Name J (, Phone: I b
Reviewer/Inspector Signature: Date: L L Q
Pape 2 of 3 12128104 tonfinued

l
1''acility Number: Date of Inspection I Yi 0
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ No ❑ NA JNE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA �NE
the appropirate box. ❑ WUP ❑ Ch kl' t ❑ D ' ❑ NA Qth
ec is s 'sign aps er
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
dNE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V
Rain Inspections ❑
Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
❑ NA
N E
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA
zf;E
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
❑ NA
Z�J26.
Did the facility fail to have an actively certified operator in charge?
ElYes
ElNo
[INA
E
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
[(NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
[2 NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
ETNE
and report the mortality rates that were higher than normal?
ZNE
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
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 ❑ No ❑ NA Q NE
General Permit? (ic/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ❑ No ❑ NA VNE
33. Does facility require a follow-up visit by same agency? 9/yes ❑ No ❑ NA ❑ NE
Additional Comments and/or Drawings:
Page 3 of 3 12128104

0 Division of Soil and Water Conservation ❑ Other Agency
M Division of Water Quality
JGRoutine'`O Complaint (&Follow-up of DWQ inspection O Fallow -up of DSWC review O Other
Date of Inspection �11 I49
Facility Number
Time of Inspection 24 hr. (hh:mm)
©Registered ® Certified [a Applied for Permit loPermitted 113 Not Operational Date Last Operated:
FarmName:......... �..-...... LL m.s......................................................................... County: ...... Golo6u.5.........................................................
Owner Name: .................sfr.{}....................."N.tit ............................................. Phone No:...�°i lk .(a`� ..7.`�............................................
Facility Contact: 1 ........... Title:................................................................ Phone No:.............:.....................................
Mailing Address: .... , 4...... ! .....- mci�L?I(1.----.....mw. .......S.W............. ....r��!r �11�r / �•� . LS�:�q.........
t. '
` � { QQ
Onsite Representative:... ........ttsll�.��11.11.................................................. Integrator:--....: .................
Certified Operator....... Cefr .kvfll(x... jr .046 d] ..................................... Operator Certification Number ,.-_99r.4z
Location of farm:
lx�......!�ax.. .. ...:�0 .t,......91..... .(:. T..�?..3.:..rss.�t S�.-ho.r.J&1s mf ......4.................................................................... A
... ............................................... ...... ..... ................ .... IV
Latitude �•� ��� Longitude �• �� �r�
'Design ;Current Design Current
Swme �: Capacity Population ;` PoultryCapactty" Population Cai
❑ Wean to Feeder
Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design •Current
Capacity.:: Populafiot
►airy
f36�, oco
Number of Lagoons / Holding ;Ponds.> j 1 jU Subsurface Drains Present JjU Lagoon Area JLI Spray Field Area :=
r
u Q �' ❑ No Liquid Waste Management System
General '
1. 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 yes, notifv 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 lagoonstholding ponds) require
Mai ntenance/improvement?
6. 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?
7/25/97
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑'Yes ❑ No
Continued on back

Facility Number: Z4 — -1I
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons,tlolding Ponds, Flush Pits, etc.l
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure i Structure ? Structure 3 Structure 4
Identifier:
Freeboard (ft): ..........
.....�..j.....................................................................................................
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)
❑ Yes ❑ No
PYes ❑ No
Structure 5 Structure 6
❑ Yes ❑ No
❑ Yes ❑ No
Yes ❑ No
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 ........ L................................. .............. ........ ..0 rx"
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?
1.9. 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?
0-No.violations•or deficiencies.werenoted-during this:visit.- YouwviR i-ecei've-ho, Airihei
:•ctirresponde�tceab�out#ltis:yisit:-,� :���:: .-��:•:-.��..:�:�:�.•::�� :.�. .. :•. .�. .�.. � .•
i• Lar?o- kaAt knso*iticok Nee64-t1• LASOOLN
w�fi�l�ntr.
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
CR Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
U'A '56ui I Da �Ov�QYt(1 t ►� 0. CY S�lO+h St �y�� �-� w[ /
bt- t-c..-sect) . r
6e_ rtuAJ +- lufr Wig kCar�s.
7/25197
Resiewer/Inspector Name�n`'�° '
r
Reviewer/inspector Signature: & „� -,G % Date: S�f 4 ie8

❑ Division of Soil and Water Conservation 0 Other Agency
IN Division of Water Quality
O Routine O Complaint O Folto%%-up of DIVQ inspection O Follow-up of DSWC review .Q Other
Date oflnspection t qb
Facility Number
Time of Inspection �Q 24 hr. (hh:mm)
0 Registered ® Certified 13 Applied for Permit ® Permitted 10 Not Opera Date Last Operated: ......
Farrar Name:.............. !! �.rts..�.vR.. �...
....L.�............�.'cY�!t,.�...-.....t....-........................................ County:....... xa�a.�.sJ.S....................�..` ��...�
Owner Name:........ S..C..n.... ................0. 3..L�-.cam .k............................. Phone No: .... �.I..�..4.�....0.1.1.2.111...................
Facility Contact: ..................................................................... . Title Phone No:
Mailing Address:.....�..5?.+ . �. ,.....1 .u+ .r..g,,�. j.... A .t,. .:1. ... 1 ....... r,i.�r.....EA..1...�.�...... h1c ........... .��i.i.,�.... Ste.
Onsite Representative:..%!r.. �/1i.,...�..-.a.ka�..+"]..Integrator:....�j.x1►l.y�.�.................... .............................
Certified Operator;..-e sn �n a t1rL .} :.......j1�% a r..�.�........................... Operator Certification Number:.....V. ........
...... ..........
Location of Farm:
��n....S'.A.a. �....�.i. .....0 ... �C :O..ir.4,d.�.A.... ....._4.:�......1nn.�..i.1� d..... �!lbC.�C..�.....D.......t..t!►.�:7GS �.G�`.t.6
:�. E... .............. ........................................... ... ... ........
Latitude MI& 4 44 Longitude 0 ®` ®"
�estgn Curient DesE Current Design Current
a
Swme� T Caparlty
Populateon'= Pontry CapacityPopulatton Cattle Capacrty �Populatiom
- ,, s
�._ v ...
r ❑ Wean to Feeder
x-, - - - _ . • . .
❑ Layer p' ❑Dairy
Feeder to Finish
❑Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
- .n, T
As
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
�� g sty T 1 Desiji Cap c
❑ Gilts
SSL
❑ Boars
_ .. .......-.
_. _ ;Total .a O
N b oUL gixtns 1 Holding Ponds ❑Subsurface Drains Present ❑Lagoon Area
p Spray Field Area
7 h w h
E
......... ....
r
❑ ltio Liquid Waste Management System
aM.
General
1. Are there any buffers that need maintenance/improvement? RYes ❑ No
2. Is any discharge observed from any part of the operation? ❑ Yes R No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes E� No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes @ No
c. if discharge is observed, what is the estimated float• in gal/min?
A. Does discharge bypass a lagoon system? (if yes, notify DWQ) ❑ Yes E9 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 0 No
5. Does any part of the waste management system (other than lagoonslholding ponds) require ❑ Yes ® No
maintenance/improvement?
6. is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes tR No
L
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes tP No
7125/97 Continued on back

Y
Y �
Facility Number: 2 q — -j
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures iLaQoo�•_ns ling Ponds, Flush Pits, etc.l
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2
Identifier:
Freeboard(ft)................................................................
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 b •.ti,, w................... ........ ......s,ex!.`x► :.gsa'i hn...................................................................
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 Pernutted Facilities Onh
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?
[3: No.violatitins_or deficiencies.were noted,duririg this,- visit.-.You:will receive.ito:further_: l
::correspondence about this'visit:• : :. .
❑ Yes gNo
® Yes ❑ No
Structure 6
❑ Yes KNo
❑ Yes ®-No
❑ Yes E(No
❑ Yes E(No
❑ Yes Jallo
❑ Yes Ed No
❑ Yes O No
❑ Yes O-NO
❑ Yes No
K Yes ❑ No
❑ Yes 19 No
❑ Yes E[ No
❑ Yes R[No
❑ Yes iI No
❑ Yes JRNo
��- t= v � � � I: c b S ��• � v w�-� i 1.ti {,0 G r�z- tiro o d s � S o 0.•,.� ' i ,r�-S p e c � � Y�i W p-� ,+.
A � t� �
e a S a i-erv. fit a L v'
- FPPS v--"-o- w, ca
c x"T v L$L LL
3- W .1 ��- d. + kA% C v trb�a�
s sn - l I w.vwo v w� w a i
d �-e� w A r .(,e�o�� r} • iti. , i d rep ; n_ s fln rt o LA ► �-4 r� £,� r .. p o Sa
W a z k 1tiq .d LS o rc.a t d a v4 ! ^^ .S t Po v14 i t 0 LA.)
t-d- A& Y v ,-..p,�� d-a-„J .1 a s � c o -L OL P c t - � b Le .
r • .. . 7. n _ _ A W 25/97 ,
Reviewer/Inspector Name
Reviewer/Inspector Signature: _ A Q . t �`� - ` 7 . e Q ...�� ,� n „ Date:

Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review Q Other
Facility Number
Date of Inspection G 9'
Z
Time of Inspection �Z_3a 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: ❑ Registered ❑ Applied for Permit (ex:1.25 for I hr 15 min)) Spent on Review
® Certified ❑ Permitted or Inspection includes travel andprocessing)
❑ Not Operational Date Last Operated:
Farm Name: _....LJA. P �.�..1..��.fi _ _. y.-..�.. _........ __.... .__ ....._ .... County:....... Co[ynlps! .............. ...... _ .. _.
Land Owner Name: Phone No:
Facility Contact:... �.lta ..j,�}tf�:ir.�� �_.._ �. _.... Phone No:..��ld� :. �..
�................... Title:._........_............
Mailing Address: 1� .� !fix.? ......__ ...._ ....—.._.�. f� _�.1 3 T ILL ---... --- ..... �`.��......
Onsite Representative:..,,.C,,._.,��
Certified Operator: ,... �� {� ...,l tl � �..... Operator Certification Number: AI.e
Location of Farm:
Latitude 3` • !�l G ©44 Longitude ©• ®` ©`°
Type of Operation and Design Capacity
sf"+,;-' Desig n Current �Dest n Current; Dent nCarrentgag
Swtue Ca act „Po ulation ou1�3'..°. °Ca aci Po datioa: ttle�; € Ca aci efPa ula'tian.::`
.. z�.�
❑Wean to Feeder �❑ LaV D
Feeder to Finish ❑Non La er : ❑ Won -Dairy I
ti
Farrow to Feeder Tfltal Design Cap�aeity
Farrow to Finish
w
,r .
❑ Other - ��
Numberf Lagoons /�Hold�ng Ponds x ❑ Subsurface Drains Present ^ �
n� ❑ Lagoon Area I0 Spray Field Area u
ene
1. 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 yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in ga!/rnin?
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
4/30/97 maintenance/improvement?
❑ Yes P, No
❑ Yes 14 No
[:]Yes
1� No
❑ Yes
{Lio
si/hr
❑ Yes
N No
[I Yes
thNo
❑ Yes J;joNo
❑ Yes (,jj No
Continued on back

Facility Number: ...Z�
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?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (La+oons and/or lloldina Pond
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure I Structure 2 Structure 3
3.3
10. Is seepage observed from any of the structures?
Structure 4
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes JO No
❑ Yes NkNo
❑ Yes W No
Structure 5 Structure 6
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?
Of in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type
�ra�►1�..ca....
..�----....C��._.-��+1!I�.i��.............._............................_.......
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?
For t=eMffled_ Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
❑ Yes W No
❑ Yes P9 No
q Yes ❑ No
❑ Yes No
❑ Yes No
® Yes ❑ No
❑ Yes ® No
❑ Yes No
❑ Yes No
❑ Yes JA No
❑ Yes [J9 No
❑ Yes No
❑ Yes No
❑ Yes No
Cominetits"(refer ta`question''#1) Eacplatn'ariy YES'eanswers atid/oi `any recommei►dattons'ornny other comments'
Use drawings of facility to better explain situattons" (use aiidtttona( pages as necessary}
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CC. VIVtstOn Of Warer L1uattry, Waier VUaltty Section, ractlity Assessment Unit 4/3U/97

Site Requires Immediate Attention:
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT 1
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD a 4 " 7
DATE: 7 - .2 T1995
Time:
Farm Name/Owner:_����—
Mailing Address:
County: (a_!L'4+=� A4 —
Integrator: r a ivies„_—. __.,_ _._ Phone:
On Site Representative: Phone: -J �/_9__ 1p 2�
Physical Address/Location: J-Ce yr
Type of Operation: Swine ✓ Poultry Cattle
Design Capacity: Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number. ACNEW
,. Latitude: 3° ;2 b ' /_" Longitude: " . Elevation: Feet' -
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year24 hour storm event
(approximately 1 Foot + 7 inches) Oor No Actual Freeboard: Ft. Inches
Was any seepage observed from the lagoon(s)? Yes o� Was any erosion observed? Y s o>�D
Is adequate land available for spray?. Yes or No Is the cover crop adequate? Yes or No
Crop(s) being utilized: 4,0 4.6A�i1 9., — ef A aqok'vfe4t"'O,
Does the facility meet SCS minimum setback criteria? 00 Feet from Dwe lings? 'Zoor No
100 Feet from Wells? �0 or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or(O'
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes or No
is
Inspect r Name Signature
cc: Facility Assessment Unit Use Attachments if Needed_
01