510089_PERMIT FILE_20171231

?Lj_-14-1995 15=-6 FROM DEM L.IATER QUALITY SECTION TO
M
Fei-O P. 02x02
S ire Requires Immediate A tte rr d or -
Facility No.
DNMION OF'ENVIRONIENTAL MANAGEMENT TT
ANIMAL, FEEDLOT OPER.AIMNS SIT!~ VISITATION RECORD
DATE: _ � l�_ 1995
Time. f le o (1 -_
Fann Narae/4wner.� -'f► L'�S i�
Mailing Address:
Counrv-
Integazor Phone:
On Sim Representative: Phone:
Physical. Address/Locariort:
Type of Operation: Swine -e""- Poultry Cattle
Design Capacity:. Number of Animals an Size-,
DEM Certification Number- ACS DEM Certification Number: ACNEW
Larirude:3� ' �' Z� Longitude: -7 / 7 '• Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of l Foot + 25 year 24 hour storm event
tappro:drnately i Foot + 7 inches) Yes or No Actual Freeboard: � t. .Inches
Was any seepage observed from the lagoon(s)? Yes or No Was any erosion observed? Yes or No
Zs adequate land available for spray? Yes or No Is the cover crop adequate? Yes or No
CmF(s) being udUzed:
Does the facility meet
minimum setback critezia? 200 Feet from Dwellings? or No
104 Feet from Wells? -(92� or No
_he ar:isnal waste stockpiled within 100 Feet of USGS BIue Linc-Str=tn? Yes or No
animal waste land applied or spray irrigated wirhin 25 Feet of a liSGS Map Blue Line'? Yes or No
'; artimai waste discharged into waters of the stare by mart-madeditch, flushing system, or rather
•limilaT man-made devices? Yes o& It Yes, Please Explant.
i ,s rtic facility ruaintain adequ:zte waste mariagemcat.Tecords (volumes of ruanure, land applied.
spm- y irrigated on specific acreage with :.over crop)? Yes oro
Additional Cornments:�.�'�+�1"� ��� -- ���10-1z !,Jv_,?s
cc: Facility Assessment Unit
Signature T
Use Attachments if Needed.