820704_INSPECTIONS_20171231

�AM
NOHTH CAHULINA
Department of Enn IME -1-e ital Quid

Type of Visit *Compliance Inspection p Operation Review 0 Structure Evaluation O Technical Assistance
Reason for Visit * Routine O Complaint Q Follow up O Referral 0 Emergency O Other ❑ Denied Access
Hate of Visit: 7- 3/- D(p Arrival Time: #. /0 Q Departure Time- 2p County: Region: _!e0
Farm Name: _ kr AlK+-Ses- Owner Email:
Owner Name: _ Gla"Oe , ^/ _Wi6(c : 'Fa" r Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: Sow Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: a o =1 =" Longitude: =0=' = "
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
Design Current Design Current
Design Current
Swine
Capacity Population WetaPouftry Capacity Population
Cattle Capacity Population
❑ Wean to Finish
❑ Layer
a. Was the conveyance than -made?
❑Dai Cow
No
can to Feeder
❑ NE
1 ❑ Non -La er I
❑ Yes
Calf
C} Feeder to Finish
s
[] Dai Heifer
❑ Farrow to Wean=qAo
y
�DryPuEtry� �, +
El Dry Cow
❑ Farrow to Feeder
., �N� ,;
❑ Non -Dairy
❑ Farrow to Finish
❑ Layers
❑ Beef Stocker
❑ Gilts
Q Non -Layers
[] Beef Feeder
❑ Boars
❑ Pullets
❑ Bcef Brood Co
❑ Yes
❑ Turke s
❑ NA
ElNE
❑ Turkey Poults
❑ Other
❑ OtherNti'mter,,of
Structures:
Page l of 3
12/28/04
Continued
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
[:]Yes
[PNo
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance than -made?
❑ Yes
No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If ycs. 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
[INA
❑ NE
2, Is there evidence of a past discharge from any part of the operation?
❑ Yes
PfNo
❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
1�No
❑ NA
ElNE
other than from a discharge?
I/
Page l of 3
12/28/04
Continued

Facility Number: 70 Date of Inspection 7— /—
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
No
❑ 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:
Spillway?:
Designed Freeboard (in): 19
Observed Freeboard (in): 42 "
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
[�No
[INA [INE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
[;?No
[
❑ NA EINE
(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
❑ Yes
VI No
[:1 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 VNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > i0% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Scit
❑ Outside of Acceptable Crop Window ❑/ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) _ _ F,66 /s d o,_ 1U. / ,S.yl4lf �I�, n� rover -S ecd'
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWM P? ❑ Yes EX 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 99:No ❑ NA ❑ NE
1$. 1s there a lack of properly operating waste application equipment? ❑ Yes Wo ❑ NA ❑ NE
Comments (refer to question ft. £xplain;any YES answers and/or any recommendations or any other comments+ " a
.Use.drawings of facility to better explain situations. (use additional pages as necessary): r f*R
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Page 2 of 3
r ��_�_ Phone: b%
�gCDJff33-33 o
Date: 7
12128104 Continued

Facility Number: $7 —]p Date of Inspection
Re uired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ONo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes jn No ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑Design [:1 maps [:1 other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes W No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code
22, Did the facility fail to install and maintain a rain gauge? ❑ Yes [A No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [ffNo ❑ NA ❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
0 No
❑ NA
❑ NE
25_
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
(9 No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
[ 4 No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus toss assessment (PLAT) certification?
❑ Yes
0 No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted whieh cause non-compliance of the permit or CAWMP?
❑ Yes
[4 No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
R 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
R No
❑ 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
[VVNo
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
❑ Yes
MNo
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
PPNo
❑ NA
❑ NF
Additional Comments and/or Drawings:'.
Page 3 of 3 12/28/04
Page 3 of 3 12/28/04

Q Division of Water Quality s `
11 Facility Number O Division of Soil and Water ConservationJ1
J O Other Agency '
z...v
[Type
of Visit Compliance Inspection Operation Review Structure Evaluation Technical Assistance
for Visit 0 Routine O Complaint O Follow up O Referral O Emergency Q Other ❑ Denied Access
AEIL," 1t
Date of Visit: -��-oS Arrival Time: /7; ED Departure Time: County: .pOseq_ Region: I ,U
Farm Name: (.t/a,�r,�-iry�.t �!s�_�_/V_t/1S.[c� Owner Email:
Owner Name: R. 1T�q� �t/_e�.•i Phone: y/D- S4G – $7/-7
Mailing Address: �• QoX .�,.3 Ne,r&n ?
Physical Address:
Facility Contact: �oanit �1/�fi�tira5 Title:
Phone No:
Onsite Representative:—�.�an•� �i/:U,�rrwr_5 Integrator: to, er2✓�-,— i.el
Certified Operator: _G-ry--.t Operator Certification Number: If f
Back-up Operator:
Location of Farm:
Design Current
capacity Population
N(MR✓ean to Finish I I
0<ean to Feeder A ­7 1.c,
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Othcr
Back-up Certification Number:
Latitude: [o [1, [ I Longitude: =o =,
Design Current
Wet Poultry Capacity Population
❑ Layer
❑ Non -La et
Dry Poultry
❑ Lavers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any pan of the operation'?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
Number of Structures:
b. Did the discharge reach waters of the Statc? (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 DW Q)
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'?
❑ Yes [t+]�No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
EINE
❑ NA
EINE
❑ Yes
No
E:1 Yes
E❑
[a*No
❑ NA
❑ NE
❑ Yes
LTJ No
❑ NA
❑ NE
12/28/04 Continued

Facility Number: &-70q
I Date of Inspection�-oS-
❑ 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 Yes
Waste Collection & Treatment
[:] NA El NE
maintenance or improvement?
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
!J No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Structure l Structure 2 Structure 3 Structure 4
Structure
5
Structure 6
Identifier: 1
❑ 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
Spillway?: f)0
12. Crop type(s) Qer SL'#
13. Soil type(s)
Designed Freeboard (in): /2 X" -
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes
❑'l5lo
❑ NA ❑ NE
Observed Freeboard (in): 3'j
0'No
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination` ❑ Yes
❑ No
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
EEKo
❑ NA
❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
❑ NA ❑ NE
6. Are there structures on-site which are not properly addressed and/or managed
❑ Yes
O 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
allo
❑ NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes
FNo
❑ 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 Yes
�No
[:] NA El NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
ErNo
❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes
ONo
[] 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) Qer SL'#
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes
❑'l5lo
❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes
0'No
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination` ❑ Yes
❑ No
❑ NA [3NE
17. Does the facility lack adequate acreage for land application? ❑ Yes
❑ No
❑ NA BINE
18_ Is there a lack of properly operating waste application equipment? ❑ Yes
['No
❑ NA ❑ NE
freAwort rs Irf
Reviewer/Inspector Name ��IGr Ora., ftl0e,y Phone: O -Y - O
Reviewer/Inspector Signature: Date: �2
12/28/04 Continued

Facility Number: gDate of Inspection 7
Re wired Records & Documents ����
14. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes [;Ko ❑ NA ❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
20No
❑ NA
❑ NE
2No
the appropirate box. ❑ wyrp ❑ ChSpeists ❑ Din ❑ Damps ❑ o4 er
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
DNo
❑ NA ❑ NE
21.
Does record keeping need improvement? If yes, check the appropriate box below.
EKes
❑ No
❑ NA
❑ NE
['bio
rite Application ❑ t} ❑ V4'a. tc-�rtat)Sis ❑ S0r1 ARelyic ❑ V=a
rc- ransfers
❑ Annual Certification
❑ Raiofti ❑ S+aeler-T 2 Crop Yield [9<20 Minute Inspections ❑
3 Did the facility fail to notify the regional office of emergency situations as required by
[}Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
U,<
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment'?
❑ Yes
ErNo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
allo
❑ NA
❑ NE
23.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
[allo
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge'?
❑ Yes
[2"N'o o
❑ NA
❑ NE
27.
Did the Facility fail to secure a phosphorus loss assessment (PIAT) certification?
❑ Yes
❑ No
❑ NA
EKE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
2No
❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
DNo
❑ 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
['bio
❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately
3 Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
Er -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?
❑ Yes
ZNo
❑ NA ❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
[3 No
❑ NA ❑ NE
Additional Comments and/or Drawings:
Plea -re 4oVc L.iasTt /46A 1-a S4ov. Gd/reCT Gl/��%ca]r.o.1
Dverseed nv.^e.,A1r 71�e op/o, has cc So A over.*-eW i-&4 Ao be
fid.,, IVB, u.rrl lies -Mardi. Sa..►� �AU^ :'? was
J pq uor f. a,c /-A;j X ear,
� P/�ccs� S�rf rif!n p
g 4n APPrvut� �•t �- I 7Cdr
1 �1 • �I •hg �frE %%f7 � .h.'f v�� i h L o
J 7' l• ', CO�i�rtiA . n/S• � �t �vtrT�t[r �rgi'C Co%fi,y� •
12128104

I
Date of Visit:
Facility Number e
. j Q =Not erational Q Below Threshold
L 4' pitted [Ce
rtified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: _l`I''....Nt _ _ ....._...._ .............. County: ...... 5....... .................. ...........
_........
Owner Name: �jtJa�[n _ f.r _.... ......,..._ .......... Phone No:
_.� `�...
Mailing Address: �:... �0i� .. aa3...... .._.__._._ � � .__. ---Nrw!a'` ✓_� _ � ». Ne
Facility Contact: (,v,l(i.."s 1ie Phone No:
.._........�o—ir .«...._...« ...............«......._....`f ....... Title: Title• �yl�
.........JL...�.:«...:1�..........._.._...._.-�.......�... ........_....................�...... rte__'......
Onsite Representative:./`h
_ "i Integrator: Ae L.
/t..�;w
Certified O erator:—__._!5s!+t.............. Operator Certification
Number-...... ...___..._..
Location of Farm:
pl wine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 4 Du Longitude 4 «
p
._ w .,r
swim
can to Feeder sr 74 - - .2f f6o
Feeder to Finish o
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
�F-
:- -
Number of Lagoons
...
Other
_ Total Desi
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?
i l tapacitY
ahSSLW
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 gailrnin?
❑ Yes D41,0
❑ Yes ❑ No
❑ Yes ❑ No
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. is there evidence of past discharge from any part of the operation? ❑ Yes [3410
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes alo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes DINo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:...._....--•-----................................... ---------
--------
-----
--------
Freeboard (inches): 3,q
12112103 Continued

c
Facility Number: 4j%7 —04 Date of Inspection
S. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion. ❑ Yes [+1No
seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or ❑ Yes dNa
closure plan?
(If any of questions 46 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 U(No
S. Does any part of the waste management system other than waste structures require maintenancermprovement? ❑ Yes E(No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes GJ�No
elevation markings?
Waste Application
IO_
Are there any buffers that need maintenance/improvement?
❑ Yes
63"No
11.
Is there evidence of over application? If yes, check the appropriate box below.
❑ Yes
[RI No
❑ Excessive ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground [:]Copper and/or Zinc
12_
/Ponding
Crop type C 0 &SUI -Ae! 4[.R
13.
Do the receiving crops differ with those designated in the Certified Anima! Waste Management Plan (CAWMP)?
❑ Yes
(ff No
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
Eg"No
b) Does the facility need a wettable acre determination?
❑ Yes
511No
R,1_...
c) This facility is pended for a wettable acre determination?
❑ Yes
[r'No
15.
Does the receiving crop need improvement?
❑ Yes
MNG
16.
Is there a lack of adequate waste application equipment?
❑ Yes
GrNo
Odor Issues l
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes 21rgo
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
I9. 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)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ Yes ["No
Air Quality representative immediately.
Comments [refer to gaesbton) )>Frcp n any YES answers and/or a�recammendataons or an other conts.� =— Y
—, :.: --- -— J
Use dra gf fae� to bettetr sttuatro>3s. rise additional es as necessa y
�Ssry lam_ iy) Feld Cop ©Final Notes
�o -tV— G^ . W&lrit„
Cr��.s f
azx bad
-
Reviewer/Inspector Name',
... y'� t ...:a,. 1 y; - �•. _ '_� __ "f-__ t mil
iGir'dfm �
R,1_...
_ _. ..1...1 ...; 1_:
Reviewer/Inspector Signature:
Date: ,pA oq
12/12143 v Continued

Facility Number; Date of Inspection s
Rem, uired Records & Document-,,;
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes [Erfio
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes [;�go
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes B'I o
❑ 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 �lo
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes 091fo
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes 521�0
27. Did Reviewer/inspector fail to discuss review/inspection with on-site representative? ❑ Yes 910
28. Does facility require a follow-up visit by same agency? ❑ Yes [fio
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes B'go
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) ❑ Yes [r foo
3 L If selected, did the facility fail to install and maintain rainbreakers an irrigation equipment? ❑ Yes ❑ No
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes ❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required fomms need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1 " Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
No violations or deficiencies were noted duriag this visit. You will receive no further correspondence about this visit.
a.
itAonal COttlnlents a13t1fdr:D€aWi -a
A�
n !
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12112103

1 0
Routine 0 Com faint 0 Follow-up of DW Q Inspection 0 follow-up of DSWC review 0 Other
FDate of Inspection - Faculty Nundw lime of Inspection Use 24 hr. time
Farm Stator: --r\J e- uj F; f-vv\Arja rc�) Total Time (in hours) Spent o~ew
I I or Inspection (indudes travel and processing)
Firm Nami.• —16LOIC ir e vI_ Sw a F., rac 04 ZTA C. County. 5;4-m 0,56 m
Owner Mine: Into r Phone No:(24 5,7y - /:z
Mailing Address: J-0. 6 LY' NesJL,, e;0-0,je-1, tic. 2F3 6�z
OnsitepXpr,esentative. Cie-mjj Wcxrre-v%- ff aev-0tot-J
Certified Operator-.---I9eC-9xLJ- LJAcr-el,— Operator Cerdfwetion Number. - 9
ISS
Latitude Longitude
r13 Not Operational Date Last Operated;
Type of Operation and Design Capacity
t
-P id MUMIDff
umbei Numbee3r
wean to Feeder 315-0FeederDairy
13 Beef I
Feederto Finish T
gF
'S
YRI
Farrow to wean
W
I'M
Farrow to Feeder M
IM Farrow to FinjLb -�"ZE3 Other Type of Liman&
r- RIZ ?i
aSubsuWa—ce Drains Present
Lagoon Ar=ea--z,Spray FI -111 Area I
1. Are thin any buffers that need ncoancminuproveragw?
I Is any discharge obsoved ftm any pan of the operation?
If discharge is observed, was the ctmveyance nuninade?
b. If discharge is observed, did it reach surface WaW7 (If Yes, notify DWS
G If discharge is observed, what is the estimated flow in pVWin7
& Does discharge bypass a lagoon system? (if yes, notify DWQ)
3. Is there evide= of peg discharge fium any part of the operation?
4 Was them any adverse mTaM to the watm of the State other than Emma durJzW?
Yes ;$ No
4
E3 Yes JjNo,
13 Yes [3No
S. Does my part of the waste managernent system (other than lagoons/holding ponds) require
E3 Yes �No
E3 Yes ;RNo
E3 Yes 14 Na
13 Yes ffl No
10 Yes ONO
Condmied an back
1. Are thin any buffers that need ncoancminuproveragw?
I Is any discharge obsoved ftm any pan of the operation?
If discharge is observed, was the ctmveyance nuninade?
b. If discharge is observed, did it reach surface WaW7 (If Yes, notify DWS
G If discharge is observed, what is the estimated flow in pVWin7
& Does discharge bypass a lagoon system? (if yes, notify DWQ)
3. Is there evide= of peg discharge fium any part of the operation?
4 Was them any adverse mTaM to the watm of the State other than Emma durJzW?
Yes ;$ No
4
E3 Yes JjNo,
13 Yes [3No
S. Does my part of the waste managernent system (other than lagoons/holding ponds) require
E3 Yes �No
E3 Yes ;RNo
E3 Yes 14 Na
13 Yes ffl No
10 Yes ONO
Condmied an back

6. Is fio-ifty not in compliance with any applicable setback criteria?
I M the facility fail to have a certified operator in respowillt d=p (if inspection after In/M?
& An them lagoons or swmp ponds on site which need to be properly closed?
"etures aAgoom and/or Holding
9. U strucbmal fiveboard less dun adequawl
quawl
Freeboard (ft): JAgoon I Lagoon 2 Lagoon 3
10. Is seepage observed from any of the sbuckwes?
11. Is erosion, or any other ffimits to the integrity of any of the structures observed?
12. Do any of the strum m need maint nanceimprovement?
(if any of questions 9-12 was answered M and the situation posts in
immediate public health or environmental threat, notify DWQ)
13. Do'sny of the structures lack adquate markers to identify start and stop pumping levels?
as-ste AULIcntion
14, Is them physical.cyidence of over application?
(if in excess of WMP, or runoff entering waters of the State, notifyDW()
15. Crop W
16. Do the active crops differ with those designated in the Animal Waste Management Plan?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the cover crop need iinprovement7
19. Is them a lack of available irrigation equipment?
EiLr Certified Facilities Only
20. Does the facility fail to have a copy of the Animal Wa ste Management Plan readily available?
21. Does the facility fail to comply with the Animal Waste Management Plan in any way?
22. Does record keeping need improvement?
23. Does facility require a follow-up visit by same agency?
24. Did RrnewerIbnpector fad to discuss review/inspection with owner or operator in chwge?
D Yes No
E3 Yes No
13 Yes No
0 Yes qNo
Lagoon 4
0 Yes C(No
0 Yes jP No
0 Yes 13 No
ZYcs E3 No
E3 Yes
O(No-
C] Yes
is sTjjj LkJer Co.%-s4r,&c-+ o
13 Yes
P(No
[3 Yes
M No
E3 Yes
13 No
0 Yes 0 No
13 Yes 13 No
C3 Yes 0 No
0 Yes 0 No
0 Yes 13 No
C&iimebas'(rifer to qucsfi6n #) Explain any iYES an*wsnndl 'dad "A
"..recominen ons or:pqy.
RTSpi1 Jai
say
13 5+-,+ - S%op m,rkcr5 +D 6e
is sTjjj LkJer Co.%-s4r,&c-+ o
Reviewerfinspector Name
ReviwerftspectOT Signature: Date: 41_ Z 7 7
C= Division of Water Ouaftry. 7-r-atin Section. FacHiry Assessment Unit 11/14/96