710052_INSPECTIONS_20171231

NUH I H UAHULINA
Department of Environmental Qual

,i
0 Division of Water Quality
` 0 Division of Soil and Water Conservation
O Other Agency
Type of Visit 0 Compliance Inspection 0 Operation Review Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up 0 Emergency Notification 0 Other ❑ Denied Date of Visit:
Access-,"
/ v Time:
Facility Number Z
Not O erational Below Threshold
O Permitted 0 Certiifiied O Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: �pkec r �T/ -f-E County: Bel-IJr T
Owner Name: Phone No:
Mailing Address:
Facility Contact:
Onsite Representative:
Title:
Integrator:
Phone No:
Certified Operator: Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Norse Latitude 0 �� �61 Longitude ' 4 Du
Design Current
awme
❑ Wean to Feeder
❑ F52Ler to Finish
arrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons
Holding Ponds / Solid Traps
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ La er I ❑Dai
❑ Non -Layer I 1 10 Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Subsurface Drains Present
No Liquid Waste Manager
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, ghat 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 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): 1
05103101
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Structure 6
Continued

FaciDh• Number:
—�Z_j Date of inspection m
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑Yes ❑ No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? El 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 anv 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 maintenancelimprovement? ❑ Yes ❑ No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CARMP)? ❑ 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
Re uired 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?
(iel WUP, checklists, design, maps, etc.) ❑ Yes ❑ No
19. Does record keeping need improvement? (iel 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•iinspection 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
�© No violations or deficiencies were noted during this visit..You will receive no further correspondence about this visit.
Use drawings of facdiN.. to better
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Reviewer/Inspector Name : fs
Reviewer/inspector Signature:
051031
❑ Field Copy ❑ Final Notes
a1"13 r.1W.e P' e S1 e't l4
Date:
Z.
Continued

Division of Water Quality
O Division of Soil and Water Conservation
0 Other Agency
Type of Visit )" Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit O Routine 0 Complaint O Follow up Ct Emergency Notification QrOther ❑ Denied Access
Facility Number Date of Visit: 0- Time: �
Not Operational OBelowThreshold
Permitted O Certified O Conditio lly Certified E egistered Date Last Operatpz;�
hreshold:
Farm Name:A t�^e- Count}
�r
Owner Name: �F !J j`j =cJ G 5 Phone No:
Mailing Address:
Facility Contact: Title: Phone No: C
Onsite Representative: �A A Integrator: �fY�ZZ•tM S-�� .
Certified Operator:
Location of Farm:
Operator Certification Number:
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude C�• 4 u Longitude 0 �� u
Design Current
Swine Capacity Pe ulatioi
❑ Wean to Feeder
❑ Feeder to Finish
Farrow to Wean
DD
Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons
Holding Ponds 1 Solid Traps
Design Current Design Current
Poultry Capacity Population Cattle Ca acity Population
❑ Layer JEJ Dairy I
❑ Non-LayerIQ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
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 galimin?
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 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches):
Field Area
❑ Yes PNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
PTNo
❑ Yes
❑ No
OYes ❑ No
Structure 6
05103101 Continued

Facility Number: f7-- Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ 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 ❑ 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 applications 0 Excessive Ponding Q PAN ❑ Hydraulic Overload ❑ Yes ❑ No
12. Crop hype 16;,e zs 1 t ln2AM!5 i
13. Do the receiving crops differ with those design/ted 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 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?
(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 facifity 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?
❑ Yes
;KNo
(ie/ discharge, freeboard problems, over application)
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
[XNo
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
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit
vcommentsY(refer:#o uestion n ,i F- �. . .
q #) Erplard any YE$ answers and/or any recommeiidahons or any:other compnents:
. � T, K_
Use drawings facility to Better Wations. additional mmecessary)
of eiplam s (use pages ❑Field Copy El Final Notes
-
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Reviewer/Inspector Name
Reviewer/Inspector Signatur,�� Date: P-3
Eff&
05103101 Condnued

Facility Number: — Date of Inspection
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?
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 permanentitemporary cover?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Additional Comments andlorDrawings:;' - �.. S
IN,E
c
40 fz�- --Ic 14).- Ay
�1� (�fiR�6rl.�. ��fl" /7`�Gzc�9 ��vF.r �✓F��r� /7`lG/�
404
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- %f %aN�in�� J`"D��az ��. �i� S�iP✓moo ��rQ-, ©r���e l,�F �P�fi�
SST
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OF / ZM
05103101

Date of Visit: 43 Time: 2 "Jr
Facility Number
Not OlDerational 0 Below Threshold
® Permitted 13 Certified 0 Conditionally Certified [3 Registered Date Last Operated or Above Threshold:
Farm Name: /4�✓GS/ /�i✓/r! _J"II�SC _ County: /ea�f��
Owner Name: _ [ li )"4 S Phone No:
Mailing Address:
Facility Contact: Title: .Phone No:
0 Onsite Representative: A,f✓ — __ Integrator: 1JC_'q1y2'Tz1411 �
Certified Operator: Operator Certification Number:
Location of Farm:
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 6 " Longitude ` f
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 gat/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):
05103101
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
Structure 6
Continued

r46",
Facility Number: 71 — j L Date of inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion.. El Yes ❑ 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 ❑ 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
«ante Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ❑ No
11. Is there evidence of over application? f R Excessive Ponding ❑ PAN ❑ Hydraulic Overload ® Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAVI'MP)?
❑ Yes
❑ No
14. a) Does the facility lack adequate acreage for land application?
El Yes
El No
b) Does the facilitv 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 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?
Oe/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19. Does record keeping need improvement? (ie/ irrigation. freeboard, waste analysis & soiI 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. Frail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
❑ No
(ie% discharge, freeboard problems, over application)
23_ Did Reviewer1rispector fail to discuss reviewiinspection 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 AVi'MP?
❑ Yes
❑ No
© No violations or deficiencies were noted during this visit You will receive no further correspondence about tfiU visit.
Gontments (refe�'to gaestioii j '"Eiplam'; aiiy YES answers andtor_arry iretomm ei�d aoas or any of comments:_ r 4
Use drawings of facility to better ezplaiu sKuations: (ase addWonai pages as necessary) . ❑ Field Co pv ❑ Final Notes ,--:
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F'Rom YL
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/rt !4 444it -;�_ 5'fi',eA44 -IV Glee 44 Is Ae A'Z_ die
y
Reviewer/Inspector Name E
Reviewer/Inspector Signature: Date: /
05103101 le Continued

Facilith• Number: i! -- Date of inspection.
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?
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. NKcre 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 stora_e bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanentitemporary cover?
Additional Comments and/or Drawings:
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
O5103101

Time:
Permitted E3 ce Tied E3 Conditionally Certified [3 Registered Date Last Operate"r Above Threshold:
Farm Name: _/Z77,0djRQ/ &A County:
Owner Name: --7F,- 09942e� M1 ��o J�dk Phone No:
r
Mailin- Address:
M
Facility Contact: I — Title: —
Onsite Representative:
Certified Operator:
Location of farm:
Phone No:
Integrator: 960-AV411
Operator Certification Number:
CJ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude
-De'si'g'n-_':,:�,"Curre_ I M�'
-b n Current
t
P K6�,,
-i —Pop
iw Rvafcih�" ou 'o
[El Wean to Feeder La
-yer a I
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Other
U2oars
Number Subsurface Drains Present JE1 Lagoon Area ID Sprav Field Area I
V z
AN
J­4""Hold' i _ftiid$.'-h'S6lid,1TrM No Liqu id Waste Management S stem
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?❑ Yes VINO
Discharge originated at: C3 Lagoon El Spray Field El Other
a. If discharge is observed, was the conveyance man-made? El Yes D No
b. If discharge is observed, did it reach Water Of the State? (If yes, notify DWQ)
[__1 Yes [:1 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) El Yes [:1 No
2. Is there evidence of past discharge from any part of the operation? El Yes A No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than froma discharge? 0 Yes �dNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? E3 Spillway 0 Yes VNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches):
05103101 Continued

'Facility Number: —Jr Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? El 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 X No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes VNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes 0 No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes Vj No
1 I. Is there evidence of over applicatioaP ❑ Fgcessive Ponding ❑ PAN F-1 Hydraulic Overload ❑ Yes A No
12.
Crop type V-K 2F_
tJU�I.,F
13.
Do the receiving crops differ with those designated the Certified Animal Wast agement Plan (CAWMP)?
❑ Yes
ANo
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
o
b) Does the facility need a wettable acre determination?
❑ Yeso
7�fN
c) This facility is pended for a wettable acre determination?
❑ Yes
o
I5.
Does the receiving crop need improvement?
Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
P�No
Reguired 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?
(ie/ WUP, checklists, design, maps, etc.)
X,Yes
A40
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
O Yes
❑ No
20,
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
A 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?
❑ Yes
00
]� No
(ie/ discharge, freeboard problems, over application)
y`''
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
9. No
24.
Does facility require a follow-up visit by same agency?
El Yes
1 No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
ElYes
XNO
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Cirmatents{referbto gdestiun:#):'Explatu sny YES answers and/or any recommedatwaas-or sny, other comareints;
-
Use :drawings of faciirty.to.better explain situations. (nse additional pages as necessary) U Field Copv ❑ Final Notes
01 OECz� fZ o
(v I�}�E0 CPS AMP A7 4P 7
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c��o �as� �Fs�FD�� �F� g �R���� NF tJt4o(-l= FEio
EF o s d g Cyr s �E� �ESeuF Sf�ap �� try �� F
1W
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: LOla4167
05103101 V Continued

Facility Number: Date of Inspection
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?
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?
❑ Yes ❑ No
❑ Yes A No
❑ Yes 0 No
❑ Yes �`0
❑ Yes �No
El Yes Q�'vo
ElYes /❑ No
Additiorial Comments and/or Drawings:
IJ�}'tea L v t.J t (776 ram, ECG i�F'�E�p 1�i7'7`y G- Nm Lo W E &
J it
H p, I-� CO
8 � Dt2p FoQ _D� oA�(S(1-
(-�'Jpo_KO5
__
AI�p F, Ors �aALSS. NFp v p441-1,
AIva-,70,5R_ �P\6-FC 6,tArA_R_e y� �� Iq 102.
` MKq f.t) �r 7d R� ��. �r1� �F� IYiA��-�rL�r�Y �Gan� 70 fow
�SC
LAC A�'7'zc l W7_00zx 5 Fo/z �eRmuOA
LOUR ��
RECOR05
to NE-Eo DE5,2" �' �C��FZCl�7��►.)5 1 '�R RRZ�14-T�
POMP _(P3-5-rFftO Of AP 4 o Pd �,
Mot
O510310I

Dtvision of Water utility D
Q.
itision of Soil and Water Conservation
Q then Agency x <
Type of Visit Acompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit (Xpoutine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Date of Visit' d O Time: 43 Printed on: 7/21/24{30
1 --- j Facility Number a
Q Not Operational Q Below Threshold
Permitted ❑ Certified [] Conditionally Certified p Registered Date Last Operated 'or Above Threshold: ................
Farm Name: .......L.51 .!' jr ....'^................ County:`""�Q.`'.................................................
.... ..... .....
Owner Name: ...................................................
Facility Contact: .............................................................................. Title:
MailingAddress: .............................................................................................
1
Onsite Representative. .�..v.--R!.�..(71 ... .... ...
Certified Operator:
Location'of Farm:
Phone No:
PhoneNo:........ ...........................................
..... Integra€or:.....��fSL..............
.... Operator Certification Number:.
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • & && Longitude ' 4 «
Design Current
Ks' -- •==.. " ("eraewily Dna��il9finn
eder
inish
1 We
p
- eeder
lilts
Irt ` inish
Design Current Desigrs . C.urrent
Poultry Ca� acity Population Cattle -Ca0idtY Po elation
❑ Layer I ❑ Dairy
❑ Non -Layer I I0 Non -Dairy
❑ Other
Total Design Capacity
Total SSLW-.,:
` ❑ Subsurface Drains Present ❑ Lagnm Area 10 Spray Field Area
❑ No Liquid Waste Management System r t {
Discharges & Stream I. rnpacts
1. Is any discharge observed from any part of the operation?
❑ Yes
XNo
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 gaUmin?
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
KNo
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
)<No
Structure l Structure 2 Structure 3 Structure 4 Structure 5
Structure 5
Identifier: .......................................................
Freeboard (inches): 9 l
5100
Continued
on back

Facility Number: T)l _ a Date of Inspection Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 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 P(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 3N0
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes X'No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ,fNo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes gNo
IL Is there eviden of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ,f No
12. Crop type e y tEq
G1i2
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 KNo
b) Does the facility need a wettable acre determination? ❑ Yes 9No
c) This facility is pended for a wettable acre determination? ❑ Yes kNo
15. Does the receiving crop need improvement? ❑ Yes X.No
16. Is there a lack of adequate waste application equipment? ❑ Yes ,KNO
Reuuired Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
X No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
No
(ie/ WUP, checklists, design, maps, etc.)
WYes
❑
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
tYes
[f No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
K No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
5jrNo
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
kNo
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'?
❑ Yes
R No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
kfNo
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
)qNo
:: ISO vi. . . .. . o... fl:... i.. were noted dui`i .. f.... s.... it will receive t.. further
6 ri*TideRce' abauti this visit. : ...........: : ' :
L-A� e�--eg
�� #'��`�`� ,ca� �-�e�� �� ��5 �2c,.-- . Cs,���-ram �er•�-'"'�n ���-�R
��'� +�1MQ �✓` �.l'.� � �'-1`�lC Gt� 4•-a�e �j�r-mac G� V1�` ram,
Reviewer/Inspector Name - N w _.rems' *t =
Reviewer/Inspector Signature: Date: 10 ('311C7 mop

acility Number: — 9L Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below 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 No
28. 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)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes �WNo
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 ONO
31 _ Do the animals feed storage bins fail to have appropriate cover? ❑ Yes E�No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes )<No
itiona Comments •an or' rawings:.MX.
.. _ _
`
4.
kA
'C7
lv-v� 5�-� 64-V
Ly
Y
we

5
IhvtstoQ of Wa#er Quality _ i
ivtsion of soil and Water se Conrvation , +
Other -'A enc
-
Type of Visit ACompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit- ®`rime: I= Printed on: 7/21/2000
r- Q Not Operational Q Below Threshold
P(Permitted © Certified j_7 Conditionally Certified 13 Registered Date Last Oper d or r ove Threshold : .......................
FarmName: .... A. .... �!�:E=.`.......sYL'.1.`j................................................ County. ...................
OwnerName: .......................................................
Facility Contact:
Mailing Address: ...................................
Onsite Representative: ,I...r--
Certified Operator: ...............................
Location of Farm:
Phone No:
Title:.............................................................•• Phone No:..........:........................
.............................................. ..... ........................................................................ ..........................
Integrator: ..... )G Gi 1�. ..................................................
....................................... Operator Certification Humber:..........................................
A
❑ Swine ❑ Poultry ❑ Cattle ❑ Morse Latitude a �' ��� Longitude e
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
Farrow to Wean�j
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer I I ❑Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons I I❑ Subsurface Drains Present ❑ Lag--n Area. ❑ Spray Field Area
Holding Ponds / Solid Traps JE3 No Liquid Waste Management System
Discharges & Stream Im�ac_t5
1- Is any discharge observed from any part of the operation? ❑ Yes W'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/iron?
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
Structure I Structure 2 Structure ; Structure 4
❑ Yes WNo
Structure 5 Structure 5
Identifier:
Freeboard (inches):
5100
a-r
Continued on back

l
Facility Number: tM— Date of Inspection Printed on: 7/2I/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes fi(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 WNo
(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
j <No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
VNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
Yes
9No
elevation markings?
❑
Waste Application:
10. Are there any buffers that need maintenance/improvement?
❑ Yes
KNo
11. Is there eviden a of ove application? ❑ Excessive Ponding ❑ PAN ElHydraulic Overload
%
❑ Yes
&NO
12. Crop type S
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
[YNo
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?
XYes
❑ No.
16. Is there a lack of adequate waste application equipment?
❑ Yes
XNo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
t(No
IS. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
Yes
(ie/ WUP, checklists, design, maps, etc-)
❑
_INNo
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
NNo
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?
Ge/ discharge, freeboard problems, over application) ❑ Yes D(No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes 9No
24. Does facility require a follow-up visit by same agency? ❑ Yes ONo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes O�(No
�: K6.*Whtigris ot- deficiencies -were h6ted during tbis:visit' • :You will -receive rid further
:: carres ondence: abouti this 'Visit.'. ............ .......... ........ .
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
�� � . .�� ,� �s �+� ti--,•ems � c +� �c.,e,��.�- �-- � �'o
ty

Facility Number: Date of Inspection Printed on: 7/21/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge Wor below 0"�es -❑ 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 VNo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ONO
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 N'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 C!'No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes P No
32. Do the flush tanks lack a submerged fill pipe or a peRmancnt/temporary cover? ❑ Yes ;dNo
ihona -omwnents and/or .rawtngsc
IPA
)LLI ��A— \ k—V VV%P—
P
r.
5/00

i
D Division of Soil and Water Conseewation _Operation Review
D Dn+rsioa of Soil and Water Qonservatton Compliances Inspectioh
[] Otiter.Agency: Operatdtwt Review ry
H- w . _...:
1-7
Ip Routine Q Complaint Q Follow-up of DWQ inspection Q Follow-up of DSWC review 19 Other
Facility Number Date of Inspection
Time of Inspection 24 hr. (hh:mm)
IMPermitted 0 Certified 13 Conditionally Certified [3 Registered 0 Not O erational Date Last Operated:
ll 1
Farm Name: .........pt" /bI
.-..-(:.f.P�j......rq ✓'�^�1 ' ..�`�.. Count e G
�'~ `` JL y.
Owner Narne:.......�.,t � filrl:�s.... � „ .....
Phone No:... ................
FacilityContact: ........................................... ............................... Title:.................. ...... Phone No: .................................................
MailingAddress: ...............—.........................---.......................................................................... ,......... .............. ......... ..........................
" G Integrator:.. Representative ... ./ ............................. ? GA ................................................... Certified Operator: ................................................... ............................................................. Operator Certification Number:,.........................................
Location of Farm:
Latitude Longitude • �� ��
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
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 ❑ Yes 0 No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 1
Freeboard(inches): ................................. :........... ........................ .................... ................ ..................... I............. ......................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
3/23199 Continued on back

Facjlity'Number: % —52, Date of Inspection
6. Ard there structures on -site which are not properly addressed and/or managed through a waste management or
losure 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?
8. Does any part of the waste management system other than waste structures require maintenarice/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 evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
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?
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?
(le/ 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?
0: i'41 •yioiati6ris:oi: de#id ndi-i g were noted• during 4bis:visit: • ."ii will •ceeei 4e tno further - . -
... ...... .....
correspon[�enCe. shout. this visit_
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
JZ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes 29 No
❑ Yes ❑ No
❑ Yes ❑ No
Comments (refer to question #): _-Explain any YES answeirs and/or aiiy receimmendations orany other comments.
Use drawings of facihty:ao'betterexplaitii situations (use11addetional pagles as necessary)
JD, P-gI ✓Irtar )T-ITrA�/1''� !+.I C,OeASfat �iGt!Oi A�'td �1�►y� js Se3r J gp�rAX �I
A� ,o Woods. Na d�-��� orswe)) ;S : ,,s A/.e4. 1
AAV f s eA T'' e Me r /Q wtQ in f-Ri ]�f'Q� G i btl rS W L'L�K s� y �1
-eDe,M 11 f a�;,j j-., G-4ss' aid' cev4 4-n -Arr1 poA, Fz1r►'helv!
say s 1,b Jhal bce�► -1'1� rP S nt'� -��t;1 mo r i �ikld I i,' j �
�d�a y . J —
ReviewerlInspector NamelniA --J mt
Reviewer/Inspector Signature: Date: q l at 9
3/23/99

r
J-�
Division of Soil and •Water Conservahon -' Operation Review T
(] Division of Soil an
Water_ Conservation - Compliance Inspection
Division of Water Quality - Compliance Inspection
Other'Agency-- Operation Review 7
Routine 0 Complaint 0 Follow -tip of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility- Number Date. of Inspection
- _- -_ Time of Inspection 1 14130 24 hr. (hh:mm)
© Permitted Ce..yrtified^� 0 Conditionally Certified 0 Registered E3 Not Open. Date Last Operated:
Farm Name: .--.......�7.1Js1t �tllY l.........�Od...... f�W....... fin .. .......................... County:...... g 9 Y..............................................................
Owner Name: . s............ Phone No:-......���Q�q.`.--..................................
FacilityContact: .............................................................................. Title:..-......... Phone No:.-.-.-.......... ...............-...............
MailingAddress: .....�E (► .......... g. .... ..... W4... ....................... ......... ......�t)re,Sul.t...i1 �........... ..................................... ?x .......
Onsite Representative: ...... ....... Jfrfti.11....... "........................................ Integrator:.......ft............................................................
Certified Operator: .................................. ........ IL ................................................... Operator Certification Number:..........................................
Location of Farm:
.................. lDk%.........h14�
Latitude Longitude 0 • �' �"
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
® Farrow to Wean
1000
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity 1000
Total SSLW
Number of Lagoons I0 Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds I Solid Traps I0 No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
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 Waters ❑ Waters of the State
c. If discharge is observed. what is the estimated flow in gallmin?
d. Does discharge bypass a lagoon system?
2- Is there evidence of past discharge from any part of the operation?
3. Were there any 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?
Structure l Structure 2
Identifier:
Freeboard (inches): .............21
1 /5/99
Structure 3 . Structure 4
❑ Yes [j No
❑ Yes
[� No
❑ Yes
[0 No
N
❑ Yes
No
❑ Yes
J No
❑ Yes
No
❑ Yes P9 No
Structure 5 Structure G
Continued on back

A Faci�ilRy Number: — �r� Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, El Yes No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? I ®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 pat of the waste management system other than waste structures require maintenance/improvement? (-]Yes ONo
9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings? ❑ Yes No
Waste Application
10. Are there any buffers that need maintenancelimprovement? ❑ Yes ® No
11 _ Is there evidence of over application'? fA Ponding ❑Nitrogen CdJ Yes ❑ No
12. Crop type ......�Q.p.—U A........1............s.i?4A4,{................. ........................................................................................ ......... I....................
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? 'gYes ❑ No
14. Does the facility lack wettable acreage for land application'? (footprint) ❑ Yes No
15. Does the receiving crop need improvement? ❑ Yes ® No
16. is there a lack of adequate waste application equipment'? ❑ Yes ® No
Renuired Records .0 Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
Ely., xrtmn No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(icl 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 certified operator in responsible charge?
❑ Yes
91 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 reviewhnspcction with on -site representative?
❑ Yes
® No
24. Does facility require a follow-up visit by same agency?
Yes
❑ No
C]' Njo.Vloiattons -or. deficiencies .were noted. during this:visit:. Y.oa will -receive nor further... •
• c0&- spotideitce_ about; this visit.: _ : : : : : • ; • ; • ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; : ; ; ; ;
Comments:(refer to question#): Explain any YES answers and/or any -recommendations or any other. comments. -
Use drawings of facility to better. ex lain situations. (use additional pages as,necessa
�. Evffs� cu� o.� d�� wpph�I� shwa �e_ �f�4� a,..� vtse�� , •
11. o{p3evVEtU t ^ �i {! � � � • ` 1 U
13, Mom, 1Iva g sumtY.�,r•nuL�/wi ar,n ia�.�cu .n ('i-t��5 (CSC [ter
]g. CkOA 1C. 4 ou),w k%?
la. s r l r COrj= sko�id �A, ",VLefi eras r PA-M e�(e�E�{-ior� 1R��1 slno� last
qj,_ riSQr ruY*b�r. ��R zr sl,. „1d be Nby Yk1 voCVrtu ;�-
0,-W a4 4
Reviewer/Inspector Name�� / iG pl -! -• �!%Ytl� ' - _,
Reviewer/Inspector Signature: �,r Date: Z� t eat11/6/99

* Date of Inspection Facility Number: : p 9
AddltiOn3] Comments and/OF,Dl25VingS
is e e� Ati t�
vv,
-Sy.
S CI
�u�
S�vul �je.
tic+ Orlk� Po,,-
L s%,Cv UQ
4/30/97

0 Division of Soil and Water Conservation ❑ Other Agency
.Division of Water Quality
LO-Routine O Complaint ' O Follow-up of I)WQ inspection O Follow-up of DSWC review O Other
Date of Inspection ?/
Facility Number
Time of Inspection 24 hr. (hh:mm)
© Registered UCertified © Applied for Permit [3 Permitted JE3Not Operational Date Last Operated:
FarmName: / County: ....................................................................................
..... h.. ...........v�......�. /.`....'�.............. ..-----.............
Owner Name: •,�'. .. ...... ,/ "' � .. ..... Phone No:... J ..'...............................................
1' ..............
Facility Contact:. ........ ............ Title:..... . .......................... Phone No:...................................................
Mailing Address: ................. ................ .........................
Onsite RepresentaEive:... Integrator:.-. �llri...................................................
Certified Operator ......... Operator Certification Number,.......�..`v
Location of Farm:
C
C
Latitude 0•.0' �" Longitude
General
1. Are there any buffers that need maintenancelimprovement? ❑ Yes WNo
2. Is any discharge observed from any part of the operation? )ZYes W No
Discharge originated at: []Lagoon' ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes g No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes RQ No
c. If discharge is observed, what"is the estimated flow in ,al/min? c5 [sPs�
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes 0 No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes Rj No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes ® No
5. Does any part of the waste management system (other than lagoons/holding ponds) require UYes ❑ No
maintenancelimprovement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes JD No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes JA No
7/25/97 Continued on back

Facility Number. 1 —
8: Fire there lagoons or storage ponds on site which need to be properly closed? ❑ Yes ZNo
Structures f Lagoons,tioldine Ponds, Flush Pits, etc.]
9. Is storage capacity (freeboard plus storm storage) less than adequate? AYes ❑ No
Structure i Structure 2 Structure 3 Structure 4 Structure 5 Structure 0
Identifier:
Freeboard(ft): ........................................................ ............ .......... ............. .......................... .......... ....................... .............. ....................................
10. Is seepage observed from any of the structures? ❑ Yeti Q No
11. Is erosion, or any other threats to the integrity of anv of the structures observed'? ❑ Yes ® No
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 ................ ..f �Cl•...........................................................................................................................................
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?
y
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/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 AW1MP?
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
E9 No
10 Yes
❑ No
❑ Yes
,® No
.................................................
❑ Yes
J9 No
❑ Yes
06 No
D No.violations or de'ficiencie's.were-note'd-ducing this:visit..Yoitmill receive no ftirtlier
correspondence atrout fhis.visit -
❑ Yes No
❑ Yes] No
Yes NO
❑ Yes Ji N'o
❑ Yes FgNo
❑ Yes JO No
❑ Yes J2 No
❑ Yes ❑ No
Comments(iefei to question #): Expla.in any YES answers and/or'any recommendations or any other conntiients, � w h
Use drawings of facility to better explain'situations. (use additional pages as necessa1 )
l� 5 ic7')'s � � >(�G.��� �l lit; � �U✓�`�'C> �✓'.sr-� Ai1��' ��
7/25/97
Reviewer/inspector Name N.I
Reviewer/Inspector Signature: Date: 2 f�

V .....
[] Division of Soil and Water Conservation 0 Other AgencyAt
® Division of Water Quality
® Routine O Complaint Q Follow-up of DIVO inspc-ction O Follow-up of DSWC review O Other
Date of Inspection iz %71
Facility Number 5
Time of Inspection EL0 24 hr. (hh:rnm)
U Registered IM Certified © Applied for Permit © Permitted JE3 Not Operational Date Last Operated :............ „
Farm Name: .+- .U.uILOI.ar... -... '. S Q.. ..... Cvunty:.P e d.; - I i. . .0...
Owner Name:. ..i. a.:n... ...............KUX:� n..h.r.. ...... ............... Phone No:....` .L o. .... ...r.. .6.Q.p.........-----.........
Facility Contact: ...... Title:......••• ............. .. Phone No:
.........................................................................................................................................
MailingAddress: ...... `.�t....................................................I...................... ....... ........................... 7-.5....
Onsite Representative:.. ............?�t sin p .. ............. Integrator:..Iit nni..........................
Op . Operator Certification Number:. .............................. Certified erator:.............................................................................................................. .........
Location of Farm:
J rL
Latitude 0 4 46 . Longitude 0 1 °4
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
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 gaVmin?
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 laaoonstholding ponds) require
maintenance/improvement?
b. 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 operator in responsible charge?
7/25197
❑ Yes ® No
❑ Yes 0 No
❑ Yes fa No
❑ Yes
U-No
❑ Yes
® No
❑ Yes
IgNo
Cff Yes
❑ No
❑ Yes
XNo
❑ Yes
M No
Continued on back

t
Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed? ElYes No
Structures (l,agoons.tlolding Ponds. Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes No
Structure I Structure 2 Structure 3 Structure 4 Structure.5 Structure 6
Identifier:__......1..:.-1.................
Freeboard(ft):.......................................................................................................................................................................................................................
10. Is seepage observed from any of the structures? ❑ Yes KNo
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes J9No
12. Do any of the structures need maintenance/improvement? Yes ❑ No
(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? ❑ Yes KNo
Waste Application
14. Is there physical evidence of over application? Yes [].No
(If in excess of WNW, or runoff entering waters of the State, notify DWQ)
15. Crop type �A-lre'''k+.+lr a�— ............. �.✓f +..� .L..._.. .�. 4.►s .................. ti► ......
16. Do the receiving crops differ with those designated in Animal Waste Management Plan (AWMP)? ❑ Yes R1 No
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes ® No
18.
Does the receiving crop need improvement?
Yes
❑ No
19.
Is there a lack of available waste application equipment?
❑ Yes
® No
20.
Does facility require a follow-up visit by same agency?
❑ Yes
No
21.
Did Reviewerhnspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
22.
Does record keeping need improvement?
CKYes
❑ No
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
® No
0• No.vitilationsso' de.ficiencies.were- noted -during this:visit.- You:wili recei:ve,nti f4rther,:
correspondence about this'. visit'.
Comments (refer4to question #) E:rplain any YES adswers and/or aty recomendattt►ns or any athej M
o ,91
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Use dt�atwtgs�of fac��ity'to bette-expla�n s<tuat�ons (use addttional pages asecesssr�'� �
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Re�ewer/Inspecr N r ,me . `
Reviewer/Inspector Signature: A Date: q7
F-A .^,k 11^7 i y n-v j y k a� d 0 •1 Lu.�l�� i 0. i i-P� V 11- U J d 1�-o v L L- u
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r" {� DZj o_ J I

Site Requires Immediate Attention: A10
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: , 1995
Time:
Farm Na
Mailing
County:
Integratc
On Site ]
Physical
Type of
Design (
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: ° 9 Longitude: _t6° O2 ` Au " Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately I Foot + 7 inches OrNo Actual Freeboard" �Ft. � Inches
Was any seepage observed from the lagoon(s)? Yes �N Was any erosion observed? Yes r No -
Is adequate land available for spray? Yes or No Is the cover crop adequate? Yes r No
Crops) being utilized: G. L L Qi
Does the facility meet SCS minimum setback criteria? 200 Feet from Dweilingsve r No
100 Feet from Wells?( e�r No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into waters of the state -by man-made ditch, flushing system, or other
similar man-made devices? Yes r N 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) e)r No
Additional Comments: A107— Sf AZ+41,W6 -OYYt Q/ Df--- %iISA
AY- 1P/ � 9� . - A/ar Y6-T- 0-6�erl
Inspector Name �S}
cc: Facility Assessment Unit
Use Attachments if Needed.