370002_INSPECTIONS_20171231

NUH I H LAHULINA
Department of Environmental Qual

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Site Requires Immediate Attention: a✓4
Facility No. .317 - 61.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
Date: -14 _ , 1995
Time: L4tl—
Farm Name/Owner:e 'JZ
Mailing Address: v
County: s
Integrator: Phone:
On Site Representative: Phone:
Physical Address/Location:
Type of Operation: Swine Poultry Cattle
Design Capacity: 3 No. of Anz'mals on Site:
DEM Certification No.: ACE DEM Certification No.: ACNEW
Latitude: Longitude: Elevation: Ft
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Ft +
25 year 24 hour
storm event? (approximately 1 Ft + 7 in) Yes or No
Actual Freeboard: Ft Inches A/ / N
Was any seepage observed from the lagoon(s)? Yes os(jj�
Was any erosion observed? Yes ordp-
Is adequate land available for spray? lfii;� or No
Is the cover crop adequate? 6;1- or No
Crop(s) being �J
utilized:
Does the facility meet SCS minimum setback criteria?
200 Ft from Dwellings? eYe_0or No 100 Ft from Wells?
or No
Is the animal waste stockpiled within 100 Ft of USGS Blue Line
Stream?
Yes arc-0—
Is animal waste and applied or spray irrigated within 25 Ft of
a USGS Map Blue
Line? Yes or
Is animal waste discharged into waters of the state Oman -made
ditch, flushing
system, or other similar man-made devices? Yes orw—
If Yes, please explain:
Does the facility maintain adequate waste management records (volumes of manure,
land applied, spray irrigated on specific acreage with cover crop)? Yes or No
L • a n�,s a ;LD Z
Inspector Name Signature
cc: Facility Assessment Unit
Comments & Sketch on Back of Sheet

DEM
SITE VISITATION RECORD
Page Two
Comments:
Sketch: