510049_PERMIT FILE_20171231

_T1j_-s.4-1SSS 1S'2b FROM Del WATER QUALITY SECTION TO
RP.O P. 02/02
Site Rewires Immediate A7enton-
Facilisy No. __11
DIVISION OF -ENVIRONMENTAL MANAGEMENT
ANIMAL FE=LOT OPERATIONS'SITE VISPFATION RECORD
DATE: ( 0 -1 L, 1995
Time: JYJ 0
Fsnn Nar=/Oaanez :_ L't'! t G 41 /9'11
Mailing Address:
Integrator. Phone: _
On Site Representativc; �����+/ Phone: _ q3,�Z9_�_, -�
Physical AddxesslLocadotz:
Type of O�c xon: Swine Poulrry Cattle
Design Capacity: f 12�. _ Number of animals on Site:
DEM Certification Number: ACE DEMI Certification Number: ACNEW
Latitude: - Longitude: - " Elevation: _Feet
Circle Yes or No
Does rhe A.n-imai Waste Lagoon have sufficient freeboard of i Foot + 25 year 24 hour ssorrn cvem
(3ppzozirnately 1 FOOC + 7 inches) 6,or No Actual Freeboard: � —F[. Inches
Was any seepage observed from the la oou(s)? `des or& Was any erosion observed? Yes oro
Is adequate land available for spray'? or No Is the ever crop adequate? j or No
Cm'P(s) beingutilized: �PnS4t4 ;' -r_ _ - -- - - - - --- -
Does the facility meet SCS minimum setback criteria? 200 Feet from Dweaings.?&�or Na
100 Feet from Wells? (.�Q or No
^_r animal waste stockpiled within 10.0 Feet of USGS Blue Line -Stream? Yes or�
animal waste land atsplied or spray irrigated'within 25 Feer of a USGS Map Blue Line'? Yes o;
'; animal waste discharged into waters nobe state by than-madc ditch, flusbingsystem, or ocher
matt -made devices'? Ives� r if � es. Please Explain.
�r ncy rrtc facility ruaintain adequate waste managemcnt .records (volumes of ruanure, land ` applied.
Spray itrigared on specific acreage with cover crop)'? is or6)
Addsno Comments: Yv v lA I jD o S
s -
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S igna cure
cc: Facility Assessment Unit Use Atmchments if s'veeded.