670071_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qual
II

Type of Visit oCompliance Inspection Q Operation Review O Lagoon Evaluation
Reason for Visit XRoutine O Complaint O Follow.up O Emergency Notification Q Other ❑ Denied Access
Date of Visit: Time:
FFacility Number
Not O erational Q Below Threshold
0 Permitted [3 Certified 13 Condidon/ally Cee ed. © Registered Date Last Operated st Above ITh'reshold: ............ .............
G /5�f - .. !�a m. ........................_... County: 1!//JN—-� !..
Farm Name: .._ .... ..._._ ........
Owner Name: �����...�T!!� _._..... Phone No: ........ ..W..W.. �.— - - �....._ . _.. ...... .
Nfailing Address:
FacilityContact:... ...................................... ......... ............ Title:........... _.......... ......................... Phone No: __ ...... W._.... --
Onsite Representafive:....1........ Integrator:
Certified Operator: . . ....... . .... . . . . . .......... �..... .. _ .. ......_ ......._ Operaior Certification Number:
Location of Farm:
ZSwine ❑ Poultry ❑ Cattle ❑ Horse
= De_ sign ; Ctsm
Swine _.CayPo ula
y
❑ Wean to Feeder
Feeder to Finish
�jQa
-
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
❑ Boars
Latitude • 4 " Longitude • 4 64
Desz Cnrrent.x Desi
Popltryy - Po Halation.: -Cattle x Ca a
Layer ❑ Dairy
❑Non -Layer ❑ Non -Dairy
Other
.y L
�Namber of Lagaotis '�
Hnld�n �Pondc `I S�lid'Tra�is _
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?
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 gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of 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?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure l Structure 2 Structure 3 Structure 4 Structure 5
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes Vio
❑ Yes ? No
❑ Yes ONO
Structure 6
Identifier: _..... ............................ ,..__� W .._ ...� .... _._.....
Freeboard (inches):
12112103
Continued

Facility Number: — Date of Inspection J
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes X`0
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
❑ Yes No
closure plan?
(If any of questions 4-6 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 NO
/�
8. Does any part of the waste management system other than waste structures require maintenanceirmprovement?
❑ Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
❑ Yes No
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes INO
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Yes XNo
❑ Excessive Ponding ❑ PAN PHy raulic Overload ❑ Frozen G nd ❑ Cop er and/or Zinc
12. Crop type �/�7ALG Fe �.E
/�4y)
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? /yes ❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes gNo
b) Does the facility need a wettable acre determination?
❑ Yes ❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes ❑ No
15. Does the receiving crop need improvement?
❑ Yes No
I& Is there a lack of adequate waste application equipment?
❑ Yes 1KNo
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes XNo
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes XNo
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes XNo
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 )XNo
Air Quality representative immediately.
Comments {refer to quash n #) ,Explain Laity ....:answers,and/or any recommendat�gns or any othermments.:, r li µ
Use drawings _of fatty to better explain stuatsans. {use addihonsi pages as trecessary) Field Cop []FinalNotes
RTZORN .LN / ,SC�.t` ��EG%} i�19,
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date:
12112103 Continued

Facility Number: — Date of Inspection /
�T
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
pryes ❑ No
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 EZNo
23. Does record keeping need improvement? If yes, check the appropriate box below.
XYes ❑ No
❑ Waste Application gFreeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes P'No
25. Did the facility fail to have a actively certified operator in charge?
❑ Yes ONo
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes ;9No
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes ff No
28. Does facility require a follow-up visit by same agency?
❑ Yes X,No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes INo
\'PDES Permitted Facilities
30, Is the facility covered under a NPDES Permit? (If no, skip questions 3I-35) ❑ Yes'XNo
31. If selected, did the facility fail to install and maintain rainbreakers on 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 forms 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
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
ddlttonal Comments and/or Di atYIT1 u 4 _
n) �
ea6�
12112103

Type of Visit Compliance Inspection 0 Operation Review 0 Lagoon Evaluation I
Reason for Visit oRoutine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number '7 rI j Date of Visit:
Q Permitted [3Certified D Conditionally Certified [3Registered
Farm Name: - ,5.•14;.-1 pi
Owner Name: DO -. J L-- ein
Mailing Address:
Time: f 0
Date Last Operated or Above Threshold: _
County: n S/ a t.'_.)
Phone No:
Facility Contact: Title: Phone No:
Onsite Representative: et'IN 5�� �"t Integrator:
Certified Operator:
Location of Farm:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 4 a Longitude 0 '
Design
Current
Design Current Design Current
Swine Ca achy
P.o Wation
Poultry C•a achy P,o ulation Cattle Ca aci P,o ulation
❑ Wean to Feeder
❑ Layer El Dairy
El Feeder to Finish
❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑Other
❑ Farrow to Finish
❑ Gilts
Total Design Capacity
❑ Boars
Total SSLW
Number of Lagoons ��1�_J ❑ Present Subsurface Drains ❑ Lagoon Area ❑ Spray Field Area
Bolding Ponds / Salid Traps I� ❑ LiuiNo d Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes ONo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. if discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
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 .�TNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection _4 Treatment
4. is storage capacity (freeboard plus storm storage).less than adequate? ❑ Spillway ❑ Yes gNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 1
Freeboard (inches):
05103101 Continued

aciGty Number: to?- r] Date of Inspection tZ q O
S. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes ONo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
El Yes �/ No
/
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes ONo
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes ONO
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes ,ONO
Waste Apolication
10. Are there any buffers that need maintenance/improvement?
❑ Yes ONO
1 1. Is there evidence of over application? ❑ Excessive Ponding [I PAN ❑ Hydraulic Overload
❑ Yes 9No
12. Crop type �er v d j�g to SL yC ar'-f
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ YesJ2rNO
14. a) Does the facility lack adequate acreage for land application?
❑ Yes ❑ No
b) Does the facility need a wettable acre determination?
E�Kes ❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes ❑ No
15, Does the receiving crop need improvement?
''Yes ❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes gNo
Reauired Records & Documents
17, Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes ❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
❑ Yes ErNo
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes 2rNo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes,ZNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes .allo
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes ONO
24. Does facility require a follow-up visit by same agency? ❑ Yes ''No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? 0Yes ❑ No
E3 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit
. _..: . - - -
Comments (refer dquesdon #) ' Explain:any YES answers and/or any re comr � mendatEons or.any otherc)mments
,use drawings of facilTtY to better explain situattons.;. use`addidonal pages as necessary) ❑ Field Copv
_ mp Final Noo tes
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G a off" l �i p�/ �'c�t-} �'G �a 4 ]°C�" 1' )s' car•-1 p Je (c o- ;rl VG'GC�
-
Reviewer/Inspector Name
Reviewer/Inspector Signature: n Date: V% e1 Z
05103101 Continued

Facility Dumber: t4/7 — Date oflnspvction IZ UZ
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
29, Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes []No
❑ Yes ONo
❑ Yes '11No
❑ Yes 10 No
❑ Yes a40
❑ Yes .elo
❑ Yes ❑ No
Additional Commentsand/or Drawings:. - I
-fl,C J1c, ��' eV -/4e ;PPrr-t%J h2zo'J �o 6a e11 PCkc'd n`, , ✓ee
1 r ee r s � � � tn; L•,J +lI ' rpg v � �ec�
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bc✓ v u d ci Ar % r G� ; vU► GtJ i •-�Dlraw1 , q 1 SO � G W� -s�e 'r �^-1 j�
4P s i-I ✓esaoy, so 44L [ 0e" l ej I!e f h AP1 cly ' r
y 66
G�ti.� S n� -��,� 111s%aZ- �'I®� /j ��t�►�'� eLeh�•
Fe, of �, re S c, v e F; e Id -art h eed s le 6e /jo seal Col
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7L�e,•e is alrp a D( - ke rejcve '�e�r tjefl
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-f l,c 4e 5G O e C;C Id fo so;1 -fie s p u osel , ►'t'1- swe�-� % �o t;
hmve a ZOO-. coil 4ed� rep.# 4Le ea e
-1 rd/ , e ld1
T4,e+-r A,OpPGt S 40 be ti `/P rra �''�f0 ve�^�,U�tri 7L e r4�0at-x
end sw;►~1� �,o�cse �f�� as 9ra01,4'ied . �. Swee- ;►j I s
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M v-. St,jEe4 i 's L,A ;"e41CL,�-f-J Otl 4�C /;molds Q'- e. odd DMC5
05103101

i
.
Q Division of Soil and Water Conservation
Q Other Agency
Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit J-6 Routine O Compiaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: Time: ® Printed on: 10/26/2000
Q Not O erational Q Below Threshold
0 Permitted Certified 13 Conditionally Certified [r Registered Date Last Operated or Above Threshold
---� �� County:..V``........................................................
FarmName:.........................................................................................................
OwnerName:.................................................................................................................... Phone No:.......................................................................................
FacilityContact: .............................................................................. Title:................................... . PhoneNo:...................................................
'Hailing Address: ................................................
Onsite Representative: ... cw.k, ...............................
Certified Operator:.......
Location of Farm:
......................................................... .
Integrator:.....!ei-� .
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Morse Latitude 0 ° °i Longitude 0 4 t�
Design Current
Swine Canacitv Ponulation
❑ Wean to Feeder
Feeder to Finish
FCJO
Q
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer JE1 Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holding Ponds I Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacks
1. Is any discharge observed from any part of the operation?
❑ Yes
N No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
❑ No
b. If discharge is observed. did it reach Water of the State? (If yes, notify DWQ)
❑ Yes
❑ No
c. If discharge is observed. what is the estimated flow in gal/min`?
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
WO
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes
kNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes
O(No
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier: ....................`.................................................................._........................_.............._.....................................................................................
Freeboard (inches):
5/00
Continued on back

Facility Number: ELLi�1 Date of Inspection I printed on: 10/26/2000
5. Are there any immediate threats to the integrity of any of the structures observed? Oe/ trees, severe erosion, ❑ Yes XNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes 19(No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evideZC—,Q—
I?
13. Do the receiving crops differ with those designated in the Certi
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment'?
❑ Yes ] No
,KYes ❑ No
9Yes ❑ No
❑ Yes %No
❑ Yes ]if No
Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
yiulatigris:or ilefcien�ie5 •were in44, dpri Mi'4h' is;visit:- Yo_4 wi' I_te* c�iye iio; lFuith�r ,
corres�o denee' about this visit
❑ Yes 9No
❑ Yes ❑ No
[:]Yes ❑ No
0 Yes ❑ No
❑ Yes �No
❑ Yes ONO
❑ Yes ❑ No
9Yes ❑ No
❑ Yes D<No
Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes ONO
❑ Yes VNo
Comments(refer to question #): Explain any YES answers and/or any -recommendations ar any other commentsr
- W
Use drawings of facility -to, better explain situations. (use additional pages as necessary):
5
t&�- .Q—wed evv�e��a.-\ c:u 'X �.i� �� +fie` �
j� � Tsz \`� ,� c+.cssri'-� . S +-e�� A � i s t,rt ll tie fi
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CAS' �5;-.A L�,l
��� A ram.-oIIQ

Facility Number: Date of Inspection `3 I Printed on- 10/26/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below b(Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
Additional Comments and/orDrawings:,
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes �'No
❑ Yes XNo
�� � 5�.� sG � � . Cam,-..�-- 1�, � [ � h--.� -�•'ts ,�
p ``'`'� � �. rc�Ps cc►--�1 e�; f-�-act-2 �3we hti� ��-Y�
c�)
Q�—.
5100

Facility Number Date of Visit: -a0 Time: ® Printed on: 10/26/2000
Q Not O erational Q Below Threshold
0 Permitted © Certified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold:
�Ut-, Si,, e County:. V!!$tV1.� .........................
Farm Name: .... ...._........................ ................................................................... ............
................................................
OwnerName:...... .............................................
Facility Contact: ......................................
Phone No:
Title: ................................................................ Phone No:..............................
MailingAddress: ..................................................................................................................... .........................................................
Onsite Representative:..... ,- Integrator:.... �
Certified Operator: ..................................... ............. ........................................ .................... Operator Certification Number:.....................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude
Design Current Design Current Design Current
Swine Capacity Population poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer I Ell Dairy
Feeder to Finish 03 ❑ Non -Layer I I[] Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ID Spray Field Area
Holding Ponds / Solid Traps JE1 No Liquid Waste ;Management System
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'?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. II' discharge is observed. what is the estimated now in gal/min?
d. Does discharge bypass a lagoon system`? (if yes, notify DWQ)
2. Is there evidence of 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?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:...................................................................................................
Freeboard (inches): 19
5100
❑ Yes ONo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes NrNo
❑ Yes IWNo
❑ Yes IxNo
Structure 6
Continued on back

acility<.Number: — Date of Inspection 0 Printed on: 10/26/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes N No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ,�fNo
(If any of questions 4-6 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
,(No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
JNrYes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
PVrVes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
No
11. Is there evidenc of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
ONo
12. Crop
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
Yes
El No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
JXNo
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
&'No
16. Is there a lack of adequate waste application equipment?
❑ Yes
WNo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
XNo
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
bd
(ie/ WUP, checklists, design, maps, etc.)
Yes
❑ No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
,� Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
ONo
21.
Did the facility fail to have a actively certified operator in charge?
,Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
4 No
(ie/ discharge, freeboard problems, over application)
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
O'No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
NrNo
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
DdNo
1o•violatidiis:or• dg>fci6nties were naa#ea• di�rring this:visit' • Y;ott will reeeiye fid further .
.corresporidenee: atbaut this visit. ......... .
Comments (refer to question #): Explainany YES answers and/or any+recommendations-or any. other'cominents:':.
Use_drawiings of facility to better explai" situations. (use' -additional pages as necessary):
r42�1
t i.-r rr r c
S
Reviewer/Inspector Name 9 l6 -39 5--3 1 G a ?(--
Reviewer/Inspector Signature: Date: � a F 00 5100

Facility Number: — Date of I spection a $ G U Printed on. 10/26/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below 0(Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes 1'�(No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes Pq'No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ONO
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc_) ❑ Yes No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes XNo
Additional omments an or- rawings:
A.
c�5L
F.. ` (�
�-e_7" vt
gA) kkQ cZc
Gam.,
5100

3 Division of Soil and Water Conservation - Operation Review
Division of Soil and Water Conserirahon .Compliance Inspection
-� D vision of Water Q iahty Comp) anee Inspection =E= W F
.
13 Other Agency=aOperaho_=Review '
-
Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number Date of'Inspection tQ °1
Time of Inspection 1055 124hr.(hh:mm)
E3 Permitted A Certified © Conditionally Certified 0 Registered Q Not Operational I Date Last Operated:
Farm Name: �— /�1 )
S�✓. e �! . r�i?..........s..... County:
Owner Name: 117.Z12 e� 1 Phone No:
...................................:..::..J.........-............-........................................................................... .......... ...............................
FacilityContact: ................................................--.. Title:....................................----........................ Phone No:...................................................
MailingAddress: ..................................................................... ...........
Onsite Representative:....... ¢ .I .........
..... ...... .. Integrator: pj .�1�„42r
......h..•SW QC�. 1 l { U G
............... ............................ .....
Certified Operator:
Location of Farm:
........... .... ....... -...... ......................................... I................... Operator Certification Number:
Latitude • �� C� Longitude • ��°�
Design Current. ; ` Design Current:- Design Current
Paul ry Capacity Po ulaLon Ca achy Population t {y Cattle Capacity Population
[] Wean to Feeder JE1 Layer ❑ Dairy
Feeder to Finish OOD 22❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean - -
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish
Total Design CapaCrty
❑ Gilts _
10 Total,SSLW
Number-afLagoons ❑ Subsurface Drains Present ❑ Lagoon Area ID Spray Field Area
Holding Ponds % Solid Traps � ❑ No Liquid Waste Management System
,_.
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?
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 gal/min'?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of 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?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure l Structure 2 Structure 3 Structure 4 Structure 5
Identifier: ?
Freeboard(inches): .........1.Z.................— .............. .................. ................................---........
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
❑ Yes ONO
❑ Yes JS No
❑ Yes No
11
❑ Yes 14No
[]Yes ,ZfNo
❑ Yes 0 No
XYes ❑ No
Structure 6
.............................
[:]Yes ff No
Continued on back
3/23/99

Facility Number: &J7f —/? Date of Inspection
L7
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
.closure'*plan?
❑ Yes
ONo
(If any of questions 4-6 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
if No
8. Does any part of the waste management system other than waste structures require maintenarice/improvement?
❑ Yes
JM No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Od Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement?
-❑ Yes
® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
XNo
12. Crop type $ 0 t F rf
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
X Yes
❑ No
IS. Does the receiving crop need improvement?
[9 Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
H No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
® No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
® No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
Off Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
J4 No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
9 No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
'S No
23.
Did Reviewerlinspector fail to discuss review/inspection with on -site representative?
❑ Yes
[9 No
24.
Does facility require a follow-up visit by same agency?
Yes
❑ No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
0: _No-yiblatioris :or- di f effendi g •were nbted• dtWifig {his; visit: - Y:oit ;will •Teceiye 0 further - : -
correspo' ndence: abouf tuts viis't_
Comments (refer to questiion #): Explain any YE ansvwers and/or -'any -recommendations or -any other comineuts. w'
UseArawings of facility to better explaiti situations ftise:addidonal pages as necessary)_ _
e -ccbvgg-4 iS 2 r"Ic4 es . Le lTooYl level ? t-t
1'" r a hYl e y' as
N^ v e 1 ,qa U el( mgrk er 1 nAl �ed"�i�� 1 0011 .5-0 Ao rr ee_ bn d level c `y o
CG•s>� f�E t� ►"'1 �Y} eG. t d)'rl�'1 �rYil QG�i�il4 �g r ,'rle Y Kp e W2 ¢ k 1 1 Qgavn
Peep Gtr01 kvd YeGoro(ed ' l y J
Oa�le V�d'��%'GW h�-�D TLto(J jPjQk7
ia� ��lS Sc tC q 444' 44 �leiU
Reviewer/Inspector Name I
Reviewer/Inspector Signature:
hew
Date:
3/23/99
&reey�

Facility Number: I,l Date of Inspection lD -
Odor Issuug
26 • Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes rg No
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
In No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
D3 No
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
KYes
❑ No
30.
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
E9No
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
CKNo
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
;R Yes
OKNo
1 Acldlttonal .Uomments andlor drawings: a
ih Wa s-�e �I�.� ;4L
U! l s show,, c y, O"Ip I Ad U r e Gt c/�i es 1 n d s'�,d. 11lso se VY Q COYP
B� U da�� lac�S-�Q loin end o�►� Qer,'i � ��j� v�' a1 �;e��Is d• e
,�s r^a _ PIenix selid,A;s b ©&J4ober ID !q
.�d� � � �� y. J 9q.
s Fq r y-ic/ tv' 11 ,,-e sad -rre SL lie ;;e-ld i7,44;k7
150mc ,4fen5 W coas4,,lI dieIcts ne4 same 7'��°evw ra4. 4/o,,k 4,o
e5+1b1'S4 Co<-�1 ak► e]; Me a6604;'9 4, ,ro,"1
emo ve 5-enct ll rP,n ov e r.Sc ram Sir
A 7o gvo�d
q ?
1 !Ve a -� 'G4� s Malts-b v�Y�-�' aid s> ►� 4e f4rrt,
Lv,014e >� a 1� S t S +� .s�a� P� be +(keM "4011 �'�ly
aVLd ke + �,�i-1-Lt (eco,'df �,ShatJ Gor�eGi�` gCr�R e� 00
p �
Use 7 A C r'nkS-�'ro•� L,)q �, lah; YCCaleulu-le 'PAN
bG�a�Ce o'ncef Gor',-elL�io'�S qre nt4d�, FwrvlLr PI"' �d Wheal ?�
i'eSGUe t ie{Gt . �l1p- h � vOPs weY-e aC- ')ve- �1 q*'p[-/1► j . rrdY; sp �G�r►�2t�
�D t!hqn2e -TkA Z r� f'e 1e�T fesr-ve GrfI;Goli'Oy' wk,',-i
✓4 4er - ►n wheelb i6 )S no-� it? �O14A . T'ee; jJg4'.0s,
Y'CC'OfA5 S�ok1d be kepf 4 ��''ve treR✓� , Fq e per A-7 s 1716 oid
J JJq y7c&Ord s b '-1- 0on e bdw een -
A pt v :3 c,01-rq>rr+s e!' 4�a ✓e ��+ c>roes Li n� -i' i e.ldS cvkebi Ta f )<ii1 -��'?4T
- 0V1 �pv jl are lower coei �4ql -F, G[d >^ec! v!rel ��� on � c
-pia er gC,'ec.ie ��. - 'S i1slown oh d vS�cG�. HIVe
r � J � �1Gt -�� �l�rnarra' ;r�i5�iah
N CV6N f -•�W61
LJ;jw.,nh � �d�
1 Z-7 Gyr� � r7�1 TV FYI W d—i-14on j N6 'Z94& 5
3/23/99

Facility Number Date of Inspection
Time of Inspection 24 hr. (hh:mm)
© Permitted 9 Certified 0 Conditionally Certified © Registered R Not Operational Date Last Operated:
Farm Name: ......... ....... .� ........ .. Cuuntv:.....
c u.,.................................. Qlns(ac..)...............-.....................-.....................
Owner Name :..... ........- .ram................:?�-?e al.............................- ..... Phone No:..................
FacilityContact: - .....--..... ........................................................•-.......Title:.....................-..-.............................'.......... Phone No:.....................-.............................
MailingAddress: .......................................................................................................................................................................................................... ..........................
Onsite Representative:........... 1r1Q ..... (r�.��.. Integrator:.....1 `!w.................................
.......................................... .......................
Certified Operator:,,,,,, ......... Operator Certification Number:
...........................................................................................................................................
Location of Farm:
r................................................................................ ........... ............ ................................ ................................................... ...... .......... ......... ......................................................
�
Latitude �� �4 �•� Longitude • ° 64
L
r Design Current- Design Current Design Current
Swine -
Capacity Po ulation PoultryCapacity Population Cattle Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
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 ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway - RYes ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): ............•.................. .
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
3/23/99 Continued on back

Facility Number: --� j Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑ Yes
❑ No
(If any of questions 4-6 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
❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
❑ No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
❑ No
24. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
0: N6 -vi6lati6iis :or- aeficie-neies -were p6ted dicing this:visit: • Y:oii will •receive ii6 furthee • : • :
corres� oride.nce...about this visit :::::: :::: ... . . .. . .
Comments{refer:to..question #)•: Explain any_ YES answers and/orany recommendations_or any --- other coeiments: u
Use,drawings of facility to better explain situations. (use additional`pages as=necessary)
00r. i
U--ve-� St -,A 'w- prrJe K � `I n a �fe S�1S'� b � IM aVl l'1,t� G� S 5�� G 5
Reviewerfinspector Name
Reviewer/Inspector Signature. _ _ Date: 91'71q V
3123/99

[] Division of Soil and Water Conservation [3 Other Agency
aDivision of Water Quality
R Routine O Complaint O Follow-up of DWO inspection O Follow-up of DSWC review O Other 1
Date of Inspection
Facility Number p ®24 hr. (hh:mm)
Time of Ins ection
© Registered 13 Certihed [3 Applied for Permit [3 Permitted JE3 Not Operational Date Last Operated:._,..••..
Farm Name: L ............../�t�................................
..•••..�-tr.�.1�.-�:''f`.in�.l*t ..::...........�ri.Q��...---... ...... County: ,�'}.:,�G
Owner Name:... '1........ .i�! `t''c:` -....................................................... Phone No: z.Q....�:.
3...........................................
Facility Contact: 1).&nl...........��7....L t- .Title:....... Wi-� 2 Phone No:., rZ� . G 7..�.........
................ ...........
Mailing Address: ... 3.61 ........ ......... ........ I.I.Age.............................................. Z
Onsite Representative: ........................................................................................................... Integrator:..........���............................................
Certified Operator;......................................................... ....... Operator Certification Number-,....................
Location of Farm:
Latitude • ' 66 Longitude ' 6 46
Design Current.
" .
Swine - Capacity` Population
❑ Wean to Feeder
Feeder to Finish
jeo
r1, (o
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
I
I EE
Number of Lagoons ! Holding Ponds ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
0 �;
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement?
2. 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?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operaior in responsible charge?
7/25197
❑ Yes K No
❑ Yes MNo
❑ Yes ER No
❑ Yes ® No
❑ Yes ❑ No
&Yes ❑ No
❑ Yes A No
❑ Yes ❑ No

F
Facilit j&Number'
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Laeoons.Holding Ponds Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3
Identifier:
Freeboard(ft): ........... L7...................................................................................
10. Is seepage observed from any of the structures?
❑ Yes allo
❑ Yes JO No
Structure 4 Structure 5 - Structure 6
I I. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Alrnlication
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type JAi • - �r.r� v t I ............................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Riviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0• No:vWaitionsor. deficiencies.were-noted-during this:visit.• You. -ill receive•ito•ftirih�er : -
coerespondence. about: this:yisat.- : ; :. _: _ :.:. ; : .. .
//g, /VZ,�.W po ter
❑ Yes W No
❑ Yes Gf No
IN Yes ❑ No
❑ Yes E9 No
❑ Yes RNo
❑ Yes Ej No
❑ Yes Q No
JaYes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes J� No
❑ Yes No
❑ Yes No
7/25/97
j Reviewer/Inspector Name
Reviewer/Inspector
Date:

S a w
❑DSWC An malFeedlot Operation Review
FL
P
®DWQAn1eg
ma1 Fe64­
,Operatlon S><tefInspectlon M x
O Routine ei Com taint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection i
Facility Number f.1 Time of Inspection 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: ® Registered ❑ Applied for Permit (ex:1.25 for 1 hr 15 min)) Spent on Review
❑ Certified ❑ Permitted or Inspection includes travel andprocessing)
❑ Not Operational Date Last Operated:
Farm Name: S.uaLiu� r~•'•.5.._. -- ...... __..... ....., County:.fG1. �e .. ......__....._._....!�.
Land Owner Name:.. �c .... _.......t .. phone No:
Facility Conctact:.... ....__.---._.............. ........_................ `jTitle: ...... Phone No:
Mailing Address: __.� ......�a �s L'-� Y1... ..._. .. .....C1C..7..i� �.c ...._ ... _......... �.,.3.1
Onsite Representative: p •.,�,..... _�.�.�.�±.�....._................._.----_...... integrator:._N.�.�..�......._..
Certified Operator: ......_......._.............. _�.......... ..... _.... ..... ..... .....__.... Operator Certification Number:
Location of Farm:
a.ri..�-ems e �. fi_� �►...�w:�t!, - �.�i.! L ,_....._..... _ ...._ ...._......
_...__..... _....... _...... _ ....__.... _ ....__....__...._._...._ .... _..... a
Latitude 3ti `©` =- Longitude
True of Operation and Design Capacity
Sw�tne
Design CurrentDesign V Current �DesignA Cii lent
F
❑Wean to Feeder
Ca aci �Po``uEation� .ouitryy,� ,Ca aci P© Ulahon Cattle n CsY aciPo` ulahon
�La er sz [I Da"ry
;11-1 Non -Layer 1 ❑ Non Da'
Total Design Capaciy o a # i€ y
1DD ,� (� ���
_... ...... r a 7Lp
at 1 SSLY♦ a
i g�
Feeder to Finish
Farrow to Wean'SPINx.:
Farrow to Feeder
Farrow to Finish
Other
Oth
. Number of Lagoons/Holding Pu ds ❑ Subsurface Drains Present X
:
` 3 ❑ Lagoon Area]R ❑ Spray Field Area
n ra
1. Are there any buffers that need maintenance/improvement?
2. 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?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
4/30/97 maintenancelimprovement?
9 Yes &No
❑ Yes ® No
❑ Yes
E9 No
❑ Yes
UNo
P)A
❑ Yes
® No
Yes
❑ No
❑ Yes
J,No
0 Yes
❑ No
Continued
on back

Facility Number:... ...... --.... ....
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes ® No
7. Did the facility fail to have a certified operator in responsible charge?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (La?oons and/or Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft)-. Structure 1 Structure 2 Structure 3 Structure 4
......j....3.......... - ... _...._......_ ..... ................ .
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
IRf Yes ❑ No
❑ Yes ® No
NJ Yes ❑ No
Structure 5 Structure 6
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste ApPlication
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type %. �' -��` .......,�-c 1rC ....... W... ..... ..... - ...._� .... �_...._ ......
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Iaspector fail to discuss review/inspection with on -site representative?
For -Certified Fgcilitig5 Only
22. Does the facility fail to have a copy of the Animal Waste Management PIan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
❑ Yes & No
❑ Yes 0 No
❑ Yes a No
K Yes ❑ No
El Yes ❑ No
❑ Yes ® No
❑ Yes ® No
J,Yes ❑ No
❑ Yes BNo
,Yes ❑ No
❑ Yes R No
❑ Yes RNo
❑ Yes ® No
Yes ❑ No
Comments (refer to'queshan Ezplain'ariy YES answers`and/or,any recbmmeiidatlons or any other comments .
Use drawings; of facility W betierexplarn sitiratrons (use additional pages as necessary) n4n
p g �r�..-</h c 1 ti s i at
'
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a
Reviewer/Inspector Namen:.
Reviewer/Inspector Signature:�.e _ •� �`1 a Y� Date: I Ik R
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

Facility Number: ..LI ...... Date of Inspection-1
,Additional Comments. knd/orDraM
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4/30/97