940013_INSPECTIONS_20171231

NUH I H UAHULINA
Department of Environmental Qual

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Site Requires Immediate Attention:
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL -FEEDLOT OPERATIONS,SITE VI•SiTATION.RECORD: ,
Date: $-aZS 1995
Time: 9/Q
Farm Name/owner : D E.t. /rtDAX 0 .J
Mailing Address:
County: 1jA*W/-Ub 7bv
Integrator: Phone:
On Site Representative: Phone: [phone]
Physical Address/Location: - Nc4& //,I? w1F4w. AAie,avt C'.46%*kd d`dqW-&-
Type of Operation: Swine -Ae Poultry Cattle
Design Capacity: IA,po No. of Animals' on Site: p
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) ffe-� or No
Actual Freeboard: Ft Inches{1pn1 Gt�tlt�76 0v'I 4
Was any seepage observed from the lagoon(s)? Yes or Ig��
Was any erosion observed? Yes or
Is adequate land available for spray? IG_A-Lar No
Is the cover crop adequate? !Mw-or No
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria?
200 Ft from Dwellings? or No - 100 Ft from Wells? mar No
Is the animal waste stockpiled within 100 Ft of USGS Blue Line Stream?
Yes or
Is animal waste land applied or spray irrigated within 25 Ft of a USGS Map Blue
Line? Yes or P
Is animal waste discharged into waters of the state b man-made ditch, flushing
system, or other similar man-made devices? Yes or
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
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Inspector Name Signature
cc: Facility Assessment Unit
Comments & Sketch on Back of sheet

I
DEM
SITE VISITATION RECORD
Page'Two
Comments: 1.1 _ A/O,- Go AJ S MX _ _ JAJ W tF -_ %(Q % t4 X4 a cr
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Sketch:
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