240093_INSPECTIONS_20171231

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NOHTH CAHQLINA
Department of Environmental Qual

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❑ Division of Soil and Water Conservation 0 Other Agency
[2 Division of Water Quality
10 Routine O Complaint 0 Follo,�r•-up of DIVQ inspection O Follow-up of DSWC review O Other �
Dale of Inspection , 7
Facility Number q 3
Time of Inspection 14 24 hr. (hh:mm)
© Registered ® Certified [3 Applied for Permit 0 Permitted 10 Not O erational I Date Last Operated: •...........
Farm Name:...E,..,:.. County I �x ��
Via,.5.......ln.�,..................................I.................._. -:.....spa....�t..rr►-,...u.s......................i,AJ.'..........
OwnerName: .............. .............. ......................................... Phone No: ...... .................
Facility Contact: .................................... ... Title: . Phone No:
Mailing Address: ...L.L.q5..... i..... .5......CA I4..�...I.... r—Q."A ....4.... L.la.Y'^.1.i'r... .
Onsite Representative.-- I-c'. ............................................. Integrator:. .r.'..'1..li........ . fl.t A-s.....��^..4:..
Certified Operator;.......................Operator o I
........................................................................................ Certification Number:...._....................................
Location of Farm: '
c
Latitude =• 6 r—�64 Longitude ` =1 11
Design F Current Design f Current < Desn Current
Somme Capacity Papulayon`r '° Poultry Capacity Population Cattle Capacity P.opulahon
❑ Wean to Feeder
❑ Feeder to.Finish gg00
W ❑ Farrow to Wean r; _
. X.
❑ Farrow to Feeder ❑Other:" n
v
❑ Farrow to F1nish Total Design Capacltyf 1 Gf p p A
❑ Gilts s
❑ Boars 5 �f pb p
To tal LW
Number of Lagoons / Holdrng',Ponds ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
On
❑ No Liquid Waste Management System
❑ Layer
;
Dairy
❑ Non -Layer
ID
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, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
A. 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?
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 ❑ Na
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Continued on back

Facility Number: Z S. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons.11olding Ponds. Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4
Identifier: _Is
Freeboard (ft):
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 WNW, or runoff entering waters of the State, notify DWQ)
❑ Yes ❑ No
❑ Yes ❑ No
Structure 5 Structure 6
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
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 fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0 - No.violations-or deficiencies were- itoted during this'. visit. Yoit:wiil receive-no-ftirihei•� ;
Or;nr spotidehet about this. visit:::: ; : ; ; :: ; ; :
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Cq#mments (refer#o question #) Fxplatwany YES answers and/or any recommendations or any other camme�s,��" ,4
Use drawings of factbty to better explam mtuati&, use additional pages as necessary TKI u .
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L-o Q 1� , 7/25/97
Reviewer/Inspector Name. ;NaWE
Reviewer/Inspector Signature: Date: 7
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