310826_INSPECTIONS_20171231

NUH I H UAHULINA
Department of Environmental Qua!

Type of Visit 0 Compliance Inspection Q Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: Jam' �� Arrival Time: eparture Time: ; ounty: K/�1PGZ/! Region:
Farm Name: / Owner Email:
Owner Name: GEC Phone:
Mailing Address:
Physical Address:
Facility Contact: _ Title:
Onsite Representative: IN/7ZO
Certified Operator:
Back-up Operator:
I���� Phone No:
fla ntegrator:
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: = o = 4 = 46 Longitude: = ° = i = H
Design G-5 xrenfl esign
Current Design
Current
Swine Capacity Populae—tl Poultry Capacity
Population C•attte Capacity
Population
❑ Wean to Finish
JEI Layer I
1 ❑ Dairy Cow
I ❑ Dairy Calf
❑ Wean to Feeder JEJ Non -Layer I
eeder to Finish
❑ Dairy Heifer
Farrow to Wean Dry Poultry
❑ My Cow
❑ Farrow to Feeder
❑ Non
-Dairy
❑ Beef Stocker
El Farrow to Finish ❑ Layers
Gilts Non -Layers
❑ Beef Feeder
❑ Pullets
POBoars
ElBeef Brood Co
❑ Turkeys
Other ❑ Turkey Poults
❑ Other ❑ Other
Number of Structures:
Discharses & 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?
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?
Page I of 3
❑ Yes No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑Yes
❑No
El NA
❑NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
ANo
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
12128104
Continued

Facility Number:51 — Date of Inspection /(o
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ElNA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes /E3No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?: /140
Designed Freeboard (in):
Observed Freeboard (in): 5
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 threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes t[A No ❑ NA ElNE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes X
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 �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?
1 L Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes �No ❑ NA El NE
El Excessive Ponding El Hydraulic Overload ❑ Frozen Ground El 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 Wi
ndow ❑ Evidence of Wind Drift ❑ Appliccatio�n�O�uttss�ide of Area
12. Crop type(s) y�f..il1wa,,01 6�Loa��6�&_o0 �. / / 0 a h;
13.
Soil type(s) /` rd 6
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 acre determination ?
❑ Yes
//� No
❑ NA
❑ NE
17.
Does the facility lack adequate acreage for land application?
❑ Yes
/ No
[I NA
❑ NE
18.
Is there a lack of properly operating waste application equipment?
[3Yes
No
ElNA
❑ NE
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):
y �
a
4OyQo
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: Date: S
Page 2 of 3 "" — 12128104 Continued

F_ -
Facility Number: Date of Inspection (O O
Required_ Records & Documents
19. Did the facility fail to have 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 PNo ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
/No
❑ NA
ElNE
❑ Waste Application ❑ s 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?
ElYes
XNo
❑ NA
El NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
X,No
❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
�No
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
No
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
XNo
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
FfNo
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
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?
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
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
Comments and/or Drawings:
0
❑ Yes
No
❑ NA
❑ NE
❑ Yes
X No
❑ NA
❑ NE
❑ Yes
X No
❑ NA
❑ NE
❑ Yes
/No
❑ NA
❑ NE
❑ Yes
0.No
❑ NA
❑ NE
❑ Yes
JNo
❑ NA
❑ NE
Page 3 of 3 12128104

. lA
Type of Visit Cofnpliance Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit Routine Q Complaint Q Follow up Q Referral Q Emergency Q Other ❑ Denied Access
Date of Visit: Id S O Arrival Time: Departure Time: County: _T_)yPL� 2 Region:
Farm Name:
Owner Name:.,_,.
Mailing Address:
Physical Address:
Facility Contact:
Title:
Owner Email:
Phone:
Onsite Representative: D!SPL5 VWIntegrator:
Certified Operator:
Back-up Operator:
Phone No:
Operator Certification Number:
Sack -up Certification Number:
Location of Farm: Latitude: =e 0' = Longitude: =o =, = 1I
Design Currestt
Swine °Population
lWCapacitv
Dign Current
Wet Poultrye Capaci Po ulation
�> t3 p,
�.Design
Cattle
Current
Capacity P pu�lation
.. _
❑ Wean to Finish
❑ La er
❑ Dairy Cow
❑ Wean to Feeder
❑Non -La er
❑ Dairy Calf
® Feeder to Finish
❑ Farrow to Wean
(�
Dry Poultry
❑ La ers
❑ DairyHeifei
❑ D Cow
❑ Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
❑ Gilts
❑ Beef Stocker
❑Non -La ers
❑ Beef Feeder
❑ Pullets
❑ Boars
❑ Beef Brood Cowl
I
❑ Turkeys
Other
Number of Structures: a
❑ TurkeyPouets
❑ Other
❑ Other
Discharecs & Stream Impacts
/No❑
1. Is any discharge observed from any part of the operation?
❑ Yes
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
❑ No A
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
o
N
E A
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
No
❑ NA
❑ NE
other than from a discharge?
12128104
Continued

Facility Number: 3 — 84 1 Date of Inspection la 0
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?
St re 1 Structure 2 Structure 3 Structure 4
Identifier: (AGM
Spillway?:
Designed Freeboard (in): j q, 5
Observed Freeboard (in): 3 J.
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 L/_i No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes To ❑ NA ❑ NE
❑ Yes ZNo ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr t, notify DWQ
7. Do any of the structures need maintenance or improvement'? ❑ Yes Wo
N[INA [INE
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)
9.
Does any part of the waste management system other than the waste structures require [3 Yes
�,�
LdNo
❑ 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. ❑ Yes
No
❑ NA ❑ 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) '&-Lm J G b 5
13.
Soil type(s) 19
14.
Do the receiving crops differ from those designated in the CAWMP? ❑ Yes
❑ NA El NE
15.
Does the receiving crop and/or land application site need improvement? El Yes
Z
❑ NA ❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination'[] Yes
El NA El NE
17.
Does the facility lack adequate acreage for land application? ❑ Yes
/No
LQNo
❑ NA ❑NE
18.
Is there a lack of properly operating waste application equipment? ElYes
YNo
❑ NA ❑ NE
Comments (refer to question,#) , ExplainIany YES answers and/or any recommendations or any other comments.
Use drawings of facility to betternexplainisituations(usetadd�itional pages as necessary):
FA v.w, N N D can �n c_o I� Crap p.
ReviewerlInspector Name '' ° .r". �" .: >'` Phone: c[f0 —7a
Reviewer/Inspector Signature: Date: k 0 b J
6-
12128104 Continued

Facility Number: — Date of Inspection la a
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. ❑p ❑Checklists VY ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below, . ❑ Yes ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections eather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes NoP ❑ NA ❑ NE
❑ Yes 2 No El NA ❑ NE
❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
5KO ❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
UK ❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
FAo ❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
I o ❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes 12 No ❑ NA ❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
o
❑ NA
El NE
29,
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
El Yes
,,��
Ld'No
[]NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
ETNo
❑ 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
Li No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
El Yes
No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
No
❑ NA
❑ NE
Additional Comments and/or Drawings:
12128104
12128104

.y
Type of Visit 0 7Routine
pliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit Q Complaint O Follow up O Emergency Notification Q Other ❑ Denied Access
F c€lity Number Date of Visit: p4 Time: 3 O
0 Not Operational O Below Threshold
Permitted Certified © Conditionally CertMed 0 Registered Date Last Operated or AboThreshold:.
Farm Name: ......»... '„�. t ?-.»...... ................................... _----- county. ,,._, D a1L
Owner Name:
Mailing Address:
PhoneNo: _.�........ ._._....___._.».» ..».» ..._._ ._...._.
FacilityContact: ».......l!..... (.».» » Title:........._..__....___.._...._ ...._...__.. �Phone No: _...».».».......»....».....__._........
Onsite Representative: . t_ . lr ... ]!. _v Wes».__....»..._._»..»_»»».. Integrator:
Certified Operator:
Location of Farm:
Operator Certification Number:......._............_.».»._...».»..
❑ Swine ❑ Poultry ❑ Cattle ❑ Morse Latitude • ' =11 Longitude • 04 «
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 3 /Xo
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 Stale? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in galimin?
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:
Freeboard (inches): 3 _
12112103
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
Rio
❑ Yes
❑ Yes
To
;�o
Structure 6
Continued

[Facility Number: ^ — Date of Inspection o
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes INYOV
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes No
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement? ❑ Yes N
S. Does any part of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes ;eo
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes 13 10
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes Rio
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type C S&O
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes
14. a) Does the facility lack adequate acreage for land application? ❑ Yes No
b) Does the facility need a wettable acre determination? ❑ Yes io
c) This facility is pended for a wettable acre determination? ❑ Yes Jo
15. Does the receiving crop need improvement? ❑ Yes [zo
o
16. Is there a lack of adequate waste application equipment? ❑ Yes
Odor Lssues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes E.2 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 o
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 o
Air Quality representative immediately.
Reviewer/Inspector Name a
Reviewer/Iaspector Signature:
Field Covv ❑ Final Notes
Date:
12/12/03 Continued

Facility Number: 3—
Date of Inspection
Required Records & Documents /
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes o
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ic/ WUP, checklists, design, maps, etc.) ❑ Yes IN
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes 014
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes CINo
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes o
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes �
28. Does facility require a follow-up visit by same agency? ❑ Yes &40
24. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes 6N/O
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, ship questions 31-35) Yes ❑ N�70"'
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes p'No
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes LdNo
34. Did the facility fail to calibrate waste application equipment? ❑ Yes N
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes o
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute inspections ❑ Annual Certification Form
12112103

Type of Visit $b Compliance Inspection 0 Operation Review Q Lagoon Evaluation
Reason for Visit JbRoutine 0 Complaint 0 Follow up Q Emergency Notification 0 Other ❑ Denied Access
Facility Number Date of Visit:
id Permitted [3 Certi d [3 Cond�nally Certified © Registered
Farm Name: fl L C
Owner Name: `YOisF S . lGC,
Mailing Address:
Time: L-L=. Z7 I
Date Last Operatq4r Above Threshold: _
County: 4AAPL ro
Phone No:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator: E
Certified Operator: Operator Certification Number:
Location of Farm:
0 Swine ❑ Poultry []Cattle ❑Horse Latitude 0 6 " Longitude 0 4
'Design. Current. Design Current ; Design Current
Swine Ca2acity Population Poultry Capacity Population Cattle Capaeltv Population
❑ Wean to Feeder 11 10 Layer I ❑ Dai
❑ Feeder to Finish ❑ Non -Layer I I ❑ Non -Dairy
El Farrow to Wean f --
❑Farrow to Feeder ❑ Other I^'
Total Design Capacity
El Farrow to Finish
❑ Gilts
❑ Boars Total.9SLW.
Number of Lagoons ILI Subsurface Drains Present ❑ La oon Area ❑ Spray Field Area i
Itoidin 1' Ponds 1 Solid Tira s " IK44- g p ❑ No Liquid Waste Management System_111
Dis�haraes & 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 gat/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?
ftaig Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches):
05103101
❑ Yes ZNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
ZNo
❑ Yes
ONO
❑ Yes
VNo
Structure 6
Continued

Facility Number: Date of Inspection(a 1J
5. Are there any immediate threats to the integrity of any of the structures observed? (iic/ trees, severe erosion,
❑ Yes
PyNo
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
El Yes
No
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
P No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
VNo
11. Is there evidence of over application ❑ xcessive Ponding PAN ElHydrau is Overload
ElYesj
No
/E
12. Crop type S, � , . — - , � A j — — �__A (�
I 1)f
B. Do the receiving crops differ with those designated n the Certified Animal Waste anagement an (CAWMP)?
❑ Yes
Vf No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
No
4No
b) Does the facility need a wettable acre determination?
❑ Yes
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
PdNo
16. Is there a lack of adequate waste application equipment?
❑ Yes
�] No
Reguired Records & DocUmgnts
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 faii to have a actively certified operator in charge?
El Yes
No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
[ No
(ie/ discharge, freeboard problems, over application)
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
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
ONo
9 �lALS
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Coinments refer to uc`stiots # Ex lain an ;Y*6," stirs end/or an re oinmeni3ations or an` atFier coii menfs
�..y y y `
� ':
lain
Use drawings of foci it to better ex situations use additional
P ( , page-gs necessary) - ❑Field Copy El Final Notes
I � � An�4 l��N�R� �f �m�� ���� ^ �CdR � ao�zAr✓c G
19A)
Reviewer/Inspector Name ' � �g
ReviewertInspector Signature: Date:
05103101 If Continued

Facility Number: — Date of Inspection
Odor IgRa
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?
2$. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the Flush tanks lack a submerged fill pipe or a permanent/temporary cover?
Additional Comments'an,dlor Drawings:;?,
❑ Yes 0 No
❑ Yes Wo
❑ Yes 0 No
❑ Yes V(No
❑ Yes VNo
❑ Yes No
❑ Yes ❑ No
O5103101

2
Type of Visit X Compliance Inspection O Operation Review 0 Lagoon Evaluation
Reason for Visit eRoutine O Complaint O Follow up O Emergency Notification 0 Other ❑ Denied Access
Facility Number Date of Visit: 3 24 O Time:
UNotOjngrational OBelowThreshold
© Permitted
Li Certified © Conditionally Certified
0 Registered Date Last Opera Above Threshold: _
Farm Name:
_ . _76 kc-
1-1- G
worn
County: -J l i ►'1
Owner Name:
— �G kL �:-e' ~ ✓hf
111— G
Phone No:
Mailing Address:
Facility Contact: Title: Phone No:
17 �� ! b (� el l s io,r• e s
Onsite Representative: Integrator:
Certified Operator:
Location of Farm:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude o ' o Longitude o 1
Design
Current
Design
Current
iiF
Design Cur"rent
SwineGa aci
1'e ulatlon
a ac
P,oultr.. ,Ci
P.o ulatian Cattle Ca aci P,o ulatian
❑ Wean to Feeder
❑ Laver
❑Dai
Feeder to Finish
$" /
❑ Non -Layer
❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
T©tal Design C►apacity
❑ Gilts
❑ Boars
Total SS
Number of NF❑ Subsurface Drains Present ❑ La oon Area
❑ S ra Field AreaBolding
Ponds / Salid T❑
No Liquid Waste
Management S stem
Dischartres & Stream lmnacts
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 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: I
Freeboard (inches): 3�
05103101
❑ Yes A No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes �No
❑ Yes &No
❑ Yes 'ONO
Structure 6
Continued

Facility Number: 31 —8216 Date of Inspection 2D f1
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 Anolication
❑ Yes 0No
❑ Yes JZNo
❑ Yes 1p No
❑ Yes ONO
❑ Yes PNo
10. Are there any buffers that need maintenance/improvement? ❑ Yes ONO
It. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes PTNo
12. Crop type Bermvdar_o7j-j1,al G'ra,�f)S'' aI(Gra.) ,Sv,"��/''qj,4,04)�'Wieje-, ,AnI4,041
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 XNo
c) This facility is pended for a wettable acre determination? ❑ Yes ONO
15. Does the receiving crop need improvement? ❑ Yes JZINo
16. Is there a lack of adequate waste application equipment? ❑ Yes VNo
Reguired
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?
ElYes
�No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
0No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes PNo
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? El 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.
rCommei is refer to ues�on # : Ex lain an YES.answers: and,//o-r an recommend r ; ' �" "� ations or an other�comments: ; M:
Use drawings of'fac ity to better,�ex lain situations. (use additional pages a necessary
, . ❑Field Copy ❑Final Notes
�6
1r1 in,11 Scn4 �`erlefal "Perini? (j C'40G 11 'wet 15%Anot tv%1I
1 oak ;orf c -roV-4I e r . dAled
�q. gesvre 4a Use a w�-i�e eAhA 1�s►.rvw�- i h %D dlq et" apply"co�t�'n
eve,V) 4.s M 41, e 2el��
rae+ . AUO ®Veeaty ok, Ocd .
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: —7 2d D L
05103101 Continued

Facility Number: Date of Inspection 3 ZQ 2
Odor ss
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes VNo
❑ Yes ONo
❑ Yes jZNo
❑ Yes ff No
❑ Yes EfNo
❑ Yes ZNo
❑ Yes ❑ No
Additional Coifiments;and/or�Drawings .
F`,c1d I
•
a ► t A F, O dl 1,V aL4� lgji EJ u -� r` Ga� ri t .
Ova-'Jd)) 4kc./"Z".;l4 G�v�s hd recoldS ore we R kef�.
05103101

-V Q10434-vision of Water Quality
Q Division of Soil and Water Conservation
Q Other, gency
Type of Visit OCCompliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit OR' outine O Complaint O Follow up O Emergency Notification O Other
❑ Denied Access
Date of Visit:I ne: .Oa Printed on: 7/21/2000
Facility Number Z
Q Not O erational Q BelowThreshold
Permitted © Certified © Conditionally Certified (3 Registered Date Last Operate or Above Threshold:
.........................
ILL
Farm Name:..........Jk':.........................1....`'' Y'-..................................... C,ounty:.............. .....�'�-::.............. �......
�'
OwnerName: ................................................... ........................................................................ Phone No:.......................................................................................
Facility Contact:.............................................................................."Citle:..................................................... .. Phone No:
............................................................
MailingAddress: ................................................................................................................................................................. ..........................
Onsite Representative: ..... D-e.h gl ....it)e11...�.. Integrator: ...P { ....... .................. .............. .... ..................
I..........
Certified Operator : ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
F\
swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• �� ��� Longitude �• �� �
Design Current
Swine Canneity Ponulation
❑ Wean to Feeder
Fecder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
[]Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Nan -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons JE1 Subsurface Drains Present ❑ LaC--t n Area ❑ Spray Field Area
Holding Ponds I Solid Traps JE3 No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes KNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? Yes [I No
b. If discharge is ohserved, did it reach Water or 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? (Il'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?
SuRucturc Irr Structure 2 Structure 3
Identifier:.........i::J-.............................................................................
❑ Yes ❑ No
❑ Yes d No
❑ Yes JKNo
❑ Yes NO
❑ Spillway ❑ Yes P�qo
Structure 4 Structure 5 Structure 6
Freeboard (inches):
5100 Continued on bark

Facility,Iumber: — Date of Inspection / G� Printed on: 7/21/2000 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes �No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes NrNo
(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 ,k o
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ,,�io
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level \\
elevation markings? ❑ Yes KNo
Waste A 1212lication
10. Are there any buffers that need maintenance/improvement? ❑ Yes X ' 10
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes No
12. Crop type 1�L rAZ e-,
13. Do the receiving crops Xi '�r with th e d4signated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ic/ 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?
.. �'. . Yio 00hs:or• deficiencies *6re noted• during �his'visIC • Y:oo witl•i eegiye 1)a further
;comes• oriderN e: 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):
Reviewer/Inspector Name V-e e,V. C
Reviewer/Inspector Signature: r--_
❑ Yes IRNo
❑ Yes RN\ o
❑ Yes R4io
❑ Yes qNo
❑ Yes NZNo
❑ Yes XNo
❑ Yes &No
❑ Yes .=No
❑ Yes f �^No
❑ Yes " El -No
❑ Yes 4NO
❑ Yes G?No
❑ Yes Z< o
❑ Yes _,\N\ o
El Yes _,No
AL
,6 v ,~ Wt Aj Atre S Wlw yo t-
r e cZ e �rir f{G k ivd+�
000 TCjla 3�iS-39g�a �L,
/L� Date: /!) �2.i / town-) 5100

Facfty Number: 3 — Date of Inspection ZO' Printed on: 7/21/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or bjelow ❑ Yes '5�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 t�rNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes 2No
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 '��T0
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 0,No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ,K.No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes TO
Additional Comments an orDrawings:
5100

t+� 0 Division of Soil and Water Conservation Operation Review
y' i Division of Soil and Water Cpnservahon Compliance Inspection€J
3.Drvision of Water Quality Coitnpliaice Inspecgaan 'I'�, f },?! 91 t�, i� E t . #, G E,;t s _ t •}r s g P "� 1 i F14
�" ... " irryr a f` ",! ,� t ' - �: 1 �i ,��1 t 1r �. •,r i II� " '.a
;., E Other Agency.= Operij'haon Review•
LO Routine Q Complaint Q Follow-uE of DWQ inspection O Follow-up of DSWC review O Other
FIh- 1
Facility Number 3 Date of Inspection
Time of Inspection (1 24 hr. (hh:mm)
IN Permitted [3 Certified [3 Conditionally Certified 0 Registered 113 Not Operational I Date Last Operated:
Farm Name: .........� �. County:'l'........................................................
........................................................... ...... ... n
Owner Name: �G�P �� r Phone No•
........................................................................................................................................................
FacilityContact:.............................................................................. Title:................................................................ Phone No:...................................................
MailingAddress:.................................................................................
Onsite Representative: � r WGl r s,1...(�e h � ��'1 Integrator:...... S R4f e
p ................................................ I...........
Certified Operator:................................................................................................................ Operator Certification Number:..........................................
Location of Farm:
A
............................. ........... ................................................. ............... ................... ............. .. T
Latitude o•o� ��� Longitude
Design Current i j F G, E Design'1 Current i Design 'Curr'e it '
Swine.'Ca acity Po ulation Poultry`„ fCa�acit Po 'ulation�� Cattle Capacity Po`ulation
❑ Wean to Feeder ❑ Layer ❑ Dairy
11
01 Feeder to Finish �J ' ; ❑Non Layer ''F Non -Dairy
❑ Farrow to Wean
Other
❑ Farrow to Feeder ' : ❑ " 1
❑ Farrow to Finish
Total � Design [Capacity
❑ Gilts
w"
cc
❑ Boars E t !.7L otal W
Number of Lagoons Og, < < ❑ Subsurface Drains Present ❑Lagoon Area ❑ Spray iaaeld Area
S Holding `Ponds / olid Traps ❑ No Liquid Waste Management System '
>„
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at:' ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'?
b. If discharge is observed, did it reach Water ol'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: I
Freeboard(inches): ......1.............................................................................................................................. ............................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes 9 No
Structure 6
❑ Yes A No
Continued on back
3/23/99

Facility•Ntlmber: 3 — Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes tf 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? JO 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 9 No
Waste Application
10, Are there any buffers that need maintenance/improvement? ❑ Yes JR No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes 09 No
12. Crop type �� ?
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Re aired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?.
(ie/ discharge, freeboard problems, over application)
23. Did ReviewerlInspector 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?
.. Rio viol'altiQ .:or ii�ficierlcies vt=�re i>t tee c1µF:ifigthis.visit' • Y:oir'will•ree�iye Rio:fu>�tit�r: .
correspondertce.about this visit. . . .... I .. I ...... . .. .
Jse'drawings of facility to better explain
"situations (use addetional:pages'as necessary)
7, Mom 1 mgoot, Gvglls .
l9, Afew onot 1 7 s; s nee4ed. 1,04 one 4440 2/19119.
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes Z No
Ef Yes ❑ No
❑ Yes No
❑ Yes g No
❑ Yes j No
❑ Yes No
❑ Yes 25 No
❑ Yes ff No
r14
Reviewer/Inspector Name i S^
Reviewer/Inspector Signature: Date: 6PL3Z q11
t? 1 14.�' yl 3/23/99

1Fajcility 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 ❑ Yes )0 No
liquid level of lagoon or storage pond with no agitation?
27, Are there any dead animals not disposed of properly within 24 hours? ❑ Yes No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes j No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
SM
32: Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? *Cs No ao
Additional omments an or rawtngs;
3/23/99

i t Diiision of Water Quality A htx
r
Q Dinston of Soil and Water Conseivation
y t D OtheFAgency_
r
peof Visit Compliance Inspection O Operation Review O Lagoon Evaluation
ason for Visit Sy outine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Bate of Visit:
0 Permitted 13 Certified] © Conditionally Certified 13 Registered
Farm Name: ,JCP r ra�t'S
�............ A.....................L.L.............................................
Owner Name: r {'�
��a .... ................... f, ...- L..C�............................
7•iroc: Q Printed on: 7l2112000
Not Operational O Below Threshold
Date Last Operated or Above Threshold: ............
County:..7s�.....���j........
Phone No:
FacilityContact: ...............................................................................ritle:................................................... Phone No: ..
MailingAddress: .........................1/...........................................I........................................................................................................................................ ..........................
Onsite Representative: !��....... ....fly(.. :G............................................ Integrator:...., `t &).................................................
C
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location 'of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 6 66 Longitude • 6 �Gi
Design Current
i'iAt_.,t , Canacity Ponufafinn
Wean to Feeder
eeder to Finish
S f
Farrow to Wean
A.
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Design Current
Poultry Capacity Population Cattle
❑ Layer ❑ Dairy
❑ Non -Layer ❑Non -Dairy
❑ Other
Total Design Capacity
Total 'SSLW
�� �'r. Number of Lagoons = � ❑Subsurface Drains Present 10 Lagnnn Area JU3 Spray Field Area
n,Holdiag Ponds / Solad Traps ❑ No Liquid Waste Management System
Discharees & Stream Impacts
I. 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. II'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?
Strufturc t Structure 2 Structure 3
Identifier: .............. (.................... ................
Freeboard (inches):%
siao
❑ Spillway
Structure 4 Structure 5
❑ Yes ?No
❑ Yes XNo
❑ Yes o
A
❑ Yes 'XNo
❑ Yes ❑T10
❑ Yes YNO
❑ Yes z No
Structure/6
Continued on back

Facility Number: 3 — Z Date of inspection Printed on:
.Z 7/21/2000
1
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure elan? ❑Yes �i�10
(If any of questions 4-6 was answered yes, and the situation poses an /
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes'oNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes�dNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes�No
Waste ADalication
10. Are there any buffers that need maintenance/improvement? ❑ Yes ONo
11. Is there evidence of over application? ❑ Excessive Polndiin+g PAN [:]Hydraulic Overload Yes [I No
on
12. Crop type Zee e-t V d r, ! o*re . /l 6 ► a;,
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? [:]Yes ONo
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? ❑ Yes01NO
16. Is there a lack of adequate waste application equipment? ❑ YesNo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes,,f!fNo
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ YesJZ'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.�ffNo
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes E!rNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes _ 2"T"N' o
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 P No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes I'No
yH>Eafigris;oi• dgficienties -vtwere nofed- O(Wi . g Sy sit.. ;Your ;will- . ecoiye lio Utthoe - ;
corres�oridence:abaut this visit.' -
,. or an recommendattotus o"r an otiie� cominentst° Cammeats (refer to questsan #) ;Explain any YES answers and/ y
it- —7­�tere, wo s sbnie QVe �4 l; _ tOti b-0 Ps;4 sDAern QY 44e
zBo6- zo�)�,,h,,% Cf"o'r, sa �a� b1,�)ro/w_
rI - 0 V C'_� t?� ! 1 e447 Bn �%✓it. ex bO Ve It ll< ^n4; ✓?
'*Xs !�' sl a+�-te a�� ►'cq� iOs, F, ✓� �' `
ee C oru �e;1d -/o �C, b- wC.S-�e -ra,�� pP�z�'�sc
f P y

10
i+acility Number: —8 Date of Inspection Printed on: 7/21/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes�i No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes_,�?No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes�No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes. ' O
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes'J2'No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
t
o.rawings:
tone'. -ammen an, __r ,.... ..
-l►c 4ac;It-f y a-rA Growl are I've1J
5/00

w _..._
. . ❑ DSWC Animal Feedlot Operation Review"
W Animal Feedlot Operation Site Inspection � Q P P vim
-Itoutine 0 Com faint 0 Follow-tr of I)W( ins c tion 0 Follow-u of DSWC review 0 Other
Date of Inspection q t
Facility Number g Time of Inspection a 24 hr. (hh:mm)
Registered [3 Certified [3 Applied for Permit ® Permitted 113 Not O Date Last Operated:
Farm Name:... %:u,-w�. ... w> ..r..r........................................................ County:...... ..
4..�.t�n..................... .......
.�A%4. U..
Owner Name: ......pb.. ,.... :......... �..rigf�.r............................................... Phone No: ..��.�..��a....Z�..9...^,y.'.'i..�.�.....................
Facility Contact: .0 4 ....irJ �.1s............. Title: ...... Phone No: .................................
Z 13, •z-" T,.r Ne v �r; ,� R-a 04- Rode 141 lip rJ L. 2 $ `-i S g
Mailing Address: ..P.ta........$. .,......r, . Y.b............................................................... .1..�.. .n .hu�l� il.lf.�.uaM. h2................ 2-2- 3.:�,.�..
r
Onsitc Representative:.,.D.� Y�-o � .... 4��..�.5.......I--......................................... Integrator:,...,t.r...e.�....
1 L. - ..........................
Certified Operator:............................................................................................................... Operator Certification
Location of Farm:
A.......n.N- .....o.........�.. 1..f................................................................................................................................................................................. ..............
...................................................................:.....................................................................................................................................................................................I............... .
Latitude • �, Elln"
Longitude
ag�]• ®�°
Design Current
Design Current
Design Current
.Swine Capacity Population
Poultry
Capacity Population Cattle
Capacity. Population
❑ Wean to Feeder
10 Layer
10 Dairy
Feeder to Finish
JE1 Non -Layer
JE1 Non -Dairy
El Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
Total SSLW
❑ Boars
Number of Lagoons / Holding Ponds ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
❑ No Liquid Waste Nianapernent System
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge ori4-inated 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 gallmin?
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?
❑ Yes No
❑ Yes No
❑ Yes
B No
❑ Yes
01A
RNo
❑ Yes
0 No
❑ Yes
E9 No
❑ Yes E&No
RYes ❑ No
❑ Yes ® No
❑ Yes ®_No
Continued on back
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97

Facility Number: 3) —
8. Are there lagoons or storage ponds on site which need to be properly closed'? ❑ Yes sRNo
Structures (Lazoons,floldinu Ponds Flush Pits etc.
9. Is storage capacity (freeboard plus -storm storage) less than adequate? ❑ Yes &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 9 No
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 r , t..c e 1..................... w+a....................................fS.�rt!+ a.�.�...q.ar a ..�.t.r�...................
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. deficiencie's.were noted -during this: visit.- Yotimill receive no further
` cprrespondence A4out this;visit.
® Yes ❑ No
& Yes ❑ No
❑ Yes 0 No
❑ Yes ®-No
❑ Yes
JRNo
❑ Yes
-ELNo
ff Yes
❑ No
❑ Yes
®. No
0 Yes
❑ No
❑ Yes
91 No
❑ Yes
® No
❑ Yes
® No
❑ Yes
IN No
❑ Yes
O'No
Comments (refer to question "#): Explain any YES' answers and/or any recontimendations or any other comments.
Use drawings of facility to better e.xplatn situations., (use,additional pages as necessary) �,
• -^�R.. r✓• � w..-$ � ��In rr I � ti 1•R, • .�-' .•.n .�j �.Wy � ,
t-s LkQ Y t Q b 44,V„JL4_ 1CF"► t", Ot u�,� Lt , ih�_g c.0 !t s k4 v 4L 4
:A-tx o� w t r +� C.o v--'l--c-H
I g• We r V_ o -. - t..o r--u t. f-i v� -tA�}- � crJ 1tia.r¢- tnR-c�-� S c�-.r � [ i •• S � .� �+ �,
t t$
4t's o Y,c o4 b e4CA, �L-vc-c.y w ti 1[ LLe, �S P� t •� c r �o d o o.•,.- 1 a-0. rto ..� us n i
j U 7/25/97
Reviewer/Inspector Name
Reviewer/inspector Signature: Q„_ j„1. y �n Date: •1 19 f q

Division of Soil and Water Conservation 13
Other Agency }
Division of Water Quality
1%,Routine O Complaint O Follow= of DWQ inspection O Follow-up of .DSWC review O Other
Facility Number
r�_.,�___ Date of Inspection M
Time of Inspection 24 hr. (hh:mm)
©Registered 0 Certified 0 Applied for Permit CgPermitted rl3 Not O erational Date Last Operated:
11
Farm Name: . !' �5....... County:...... `! ....... ........................-............................
................................................
Owner Name:..... Q .. !xLF... 1''C ........................ .... Phone No: Mg a�. d.� .......................,
............................. ............................. .......
Facility Contact: ..i....!! �t"'�........... Title:. Phone No:
k ..................... .
Mailing Address: ..ro..Z........' 1... ..... .... .......... Rea RAS ........... .........
-I sg... .......... ... ............... .....
Onsite Representative ..... ....... Integrator:.
. .. e� ....................G�- .....:.........:. ...�.`��. - . ..
Certified Operator: .................................................. .... ..................... I................................... Operator Certification Number..........................
Locat'on o Farm:
ti............:...................... ` ....... "�
....... .
.,�.... .... ...... ...... ...... ...
.. ....�..... .. Lr1.1....�. ....6�.�
....... ,... .........
....,,... .. .
Latitude •6 " Longitude ` 044
Design Current Design Current .:Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑Layer ❑Dairy
Feeder to Finish ❑ Non -Layer I I JE1 Non -Dairy
❑ Farrow to Wean
El Farrow Other
Farrow to Feeder
❑ Farrow to Finish ,r Tofa! D sign Capacity
❑ Gilts..
❑ Boars z Total SSLW
Nt r of:L�otins / Holding :Ponds Subsurface Drains Present Lagoon Area Spray Field Area
"x ❑ No Liquid Waste Management System
A
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes 0No
2. Is any discharge observed from any part of the operation? ❑ Yes RNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes No
c. If discharge is observed, what is the estimated flow in gal/min? RA
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes 14No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes 04 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 Iagoons/hoIding 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 No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes No
7/25/97 40

Facility Number:'3 —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons,Holding fonds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate'?
❑ Yes X No
❑ Yes & No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier:..............................................................................................................................................................................
...................................
Freeboard(ft):..........eD..5...............................................................................................................................................................................................
10.
Is seepage observed from any of the structures?
❑ Yes
%No
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
Yes
❑ No
12.
Do any of the structures need maintenance/improvement?
Yes
❑ 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
No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type ........ sj................................................................................... ....
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
9No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
0 No
18.
Does the receiving crop need improvement?
❑ Yes
UNo
19.
is there a lack of available waste application equipment?
❑ Yes
gNo
20.
Does facility require a follow-up visit by same agency?
❑ Yes
O No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
[gNo
22.
Does record keeping need improvement?
Dd Yes
❑ No
For Certified or Pernutted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
14 No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
M No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
EYNo
[7° No.viO'Ntions'o'r deficiencies.were'noted-during this'.visit.' 164: 'ill receive'no-furtlier
- correspodepce ab;ot�t this; visit. " : . . :. . .: :. : . .:
Il ,.�.��1 w��— I�+.1 1.-.�e� �vrc4, �� f p� i-�► .
Ab
��r
Cs^ff�d a w G c/`, 1 t S �-�o ►-d �cV!t` i. i_ J ire r -� p 17/25197
f � l '1 4 T
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date: 'a.G 19 y