710055_INSPECTIONS_20171231

Division of Water Quifity
O Division of Soil and -Water Conservation
= O Other Agency
Typo of Visit ]&Compliance Inspection Q Operation Review O Lagoon Evaluation
Reason for Visit oRoutine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
F_
Facility Number Date of Visit:
© Permitted ❑ Certified © Conditionally Certified © Registered
Farm Name-V ; C-�I s ,, EY 0* h 5
OwnerName:..................V.i• �1oy.......v..................................................................
.........................................................................
Facility Contact:
Title:
00 Time: �3Q' Printed on: 7/21/2000
Not Operational O Below Threshold
Date Last Operated or Above 'Threshold:
County: ... P.e. d e (�
.................................
PhoneNo:.......................................................................................
Phone No:
MailingAddress:...............:......................................................................................................................................................... ..........................
Onsite Representative: r G A h S Integrator. �� a pe rt/(en "
..........................�.Y........v..........................................I............ ................... 1
Certified Operator:
Location of Farm:
Operator Certification Number:
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 9 O&s Longitude �• �4 69
Design. Current
Design . Current Desi� Current
S 5 -elation
Poultry Capacity Population -Cattle Cia
ci =Po ulatfon'Capacity
wean to Feeder
❑ Layer ❑ Dairy
Feeder to Finish
10 Non -Layer I 1 ❑ Non -Dairy
Farrow to Wean
Farrow to Feeder
❑ Other
Farrow to Finish S70 D
TOtAI'IieSlgll CapBClty
r' '
Gilts
Boars
TotwrSSLW
Nitber..0 Lagoons
I0 Subsurface Drains Present 110
LagArea
❑ Spray Field Area
.Holldmg:Ponds
/Solid Traps
10 No Liquid Waste Management System
_
DischaMM & Stream Im acts
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 I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches):
5100
❑ Yes X No
❑ Yes 10 No
❑ Yes '0 No
l�
❑ Yes ONo
❑ Yes No
❑ Yes No
❑ Yes %No
Structure 6
Continued on back

Facility Number: f7l —5 Date of Inspection ] Qjy 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 )dNo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes A 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 ONO
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes A No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes 19 No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ONO
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes KNo
12. Crop type 1B e r Y%-% Ada
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 JM No
Reauired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? I ❑ Yes J4 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 ONO
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes ONO
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes JRNo
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes RNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes JZNo
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'? ❑ Yes 00
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 ONO
U.Vo •yiuiaiidris :or• &fie nd6e .I*C-r6 p6tec3• dirid this'visit: • Y:oif will •tebOW iio further. - : • :.I
correspondence: ahvut. this visit; .. ......
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments
Use gs drawin of
.. ...,.. __. _ facili t3'..t6,tietter explain situatloas (use. additioinal pages as
`T'hFs TArV%•% ;S, v0tf¢ er -)ke Wy-Ld FraDrat►'s, 7•}-)e de�d1 hQys
he-ve bcevk rrernoVez� And disjoo5eo( W-
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date:
5/000

Facility Number: hate of Inspection Printed on: 7/2112000
dor blues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge 3Jor below ❑ Yes �9N0'
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes M'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 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 J'No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes JSNo
32. Do the flush tanks lack a submerged fill pipe or a peimanenJtemporary cover? ❑ Yes 14No
5100

0 Division of So>il-and Water- Conservathin -Operation Review
,lElDiVmionof Soil and Water Conservation Compliance Inspection ;_
®.Division of Water'Quality Cm opliance Inspectian
E3"Other Agency ` O i ahon Review
9 Routine Q Complaint Q Follow-u of DW inspection Q Follow -tip of DSWC review Q Other
Facility Number i 5 Date of Inspection 1 1 94
Time of Inspection 1 500 J 24 hr. (hh:mm)
© Permitted ® Certified [3 Conditionally Certified Q Registered 10 Not Operational I Date Last Operated:
Farm Name: v' of F rv+1 e h e
"........ ........... �VAYIS.................................._...................... County: C%..............................---......•.
Owner Name:...............0 r ..CC4-ar Evrrn.S Phone No:.... ............. ...................................
Facility Contact: ..... Title: ............................. Phone No:...................................................
:Mailing Address: ........ . ........................................................................................................... ..................................................................................... ..........................
Onsite Representative V ' e4or V am..Integrator: Zrc(c endEr,
................................................................................................... .......1..................
. ...... ................................
Certified Operator:,,.,
Location of Farm:
.................................................................... Operator Certification Number:..........................................
...........................................................................••--.................-............................................................................................................-.....---....._........_...........-......................... T
Latitude 0 ° i Longitude • ° "
== Design Current, = ='. Design- Current Design Current
Swine - Capacity Population Poultry Capacity Population _ -Cattle Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
® Farrow to Finish
SC
Q
❑ Gilts,
❑ Boars
�Nii mberof Lagoons . © ❑Subsurface Drains Present ❑ Lagoon Area
Holdiog 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)
] Spray Field Area
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
Identifier: 1
2-1
Freeboard (inches): ............................
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
H/a
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes 8 No
Continued on back

Facility Number:''] l -S5 Date of Inspection l2 ! 9
l
6. Are there} structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes Pg 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 pan of the waste management system other than waste structures require maintenance/improvement? ❑ Yes 0 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 Po�n+ding ❑ PAN
❑ Yes
® No
12.
Crop type -c,r % v of q Gr4 -ZC j 15'__11 ! t C I q i r1
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
C9 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
m 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-yiolati6iis:or• die ciencie5 .'were hbfed• during this:visit; • Y:oi.t wiil •keceiye lid further • : • ;
c0* rrespondence. about_ this visit. _
comments (refer:to question #) EicplaL aniy: YES answers and/or any recornmendahons of any other eomments:
Jse_drawings of facility`io_better ekplain" Ong. '(use additional pages as. necessary)
- - s
r 1r, EvAKt ' rCGord•.f wer-c Aes4eop cet dve NurricAfje Fh,j 6(. A,
The I-'�°on a•nof � koo 1•,Qrase` were �rooctJcd dui 4o �'1//��ccyG(,►� l
�rorwrN✓rriea►tc Flo 4-1 ae oon,..I,,/a r
ra4- rW 4�,e t.iay 0 -the reo-f; N/i r, Ev<v%s IkNoteGa4ed 41,n-k he W;ij ConS,'61cr
�'a-(avorA {7 C bu oQT o- Ar- 4r k; S ►1D4% -P4fY-► . 1' e ,CVa►1S t rtd; ce4cd 4 kA4
j,r he i 5• ha+ (you jh+ Gt44, Ine w; 1; beej%n re1V�1a4;oiq.s 4.5 rcye^ in
4l,t' Spr;,,9 0� Zaoo . T-�f M r, &-✓ans skat-Od con�Ac� ;D(JQ 4+ t910)395--?900
i-' res+0eki" wi 3E 6cc,vr zk4 _ILt h.s f'a".^N . —11
IReviewer/Inspector Name 1 S-�artet..eP �.a.`'"f�t f t_ � 20.3L _� a I
Reviewer/Inspector Signature. D Date: i Z// H 9
3/23/99

Facility Number: r7l - 55
hate of Inspection 1 1
s
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
M No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
m 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
® 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
® 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
X No
3/23/99

C3 Division of Soil and Water Conservation 0 Other Agency
`IXDivision of Water Quality a��*,I.
jokRoutine O Com taint O Follow-u of I)W ins ection O Follow-u of DSWC review O Other
Date of Inspection Z
Facility Number mm Time of Inspection 24 hr. {hh•)
13 Registered © Certified [3 Applied for Permit © Permitted 113 Not Operational I Date Last Operated:...
Farm Name:0.2�--�:...5 RI-S tir�11.! n.. .. ..........
..... County: P71n..P.2_.`�...............I...... 1......................
OwnerName: ..... .V.3. 04?................................. V.. ?(J........................................ Phone No:..... Z ._�1...q..�........................................
Facility Contact: .......Il.!..L .... ............ Title: ...... Q.�✓!:t ++: . ....... Phone No: ..............................
.... .................... .....................
Mailing Address: .......... 2M. .A.....C...,:Q.....��P�..� ............................ .......KVT.5.. td.? ...............................z�1. Z�J
OnsiteRepresentative:...V..:.... ............i,(lt!' 5............................................... Integrator: ..... .e..n-/-7 . .,...........................................................
Certified Operator;...1.t......................_lh35....................................... Operator Certification Number:...................
Location of Farm:
Latitude a 4 0 aL Longitude C GL
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
(�
❑ Gilts
❑ Boars
General
I. Are there any buffers that need maintenancelimprovement?
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 operator in responsible charge?
7/25/97.
❑ Yes 1 No
❑ Yes P(No
❑ Yes y,&No
❑ Yes itNo
❑ Yes U(No
❑ Yes No
❑ Yes ❑ No
❑ Yes ONo
❑ Yes E No
❑ Yes W No

Facility Number: 1 — 55
8. Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
RjNo
Structures (_,LaeoonsMolding Pondf.Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
J&No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier:
Freeboard (ft):..........LS...................................... ....
10. Is seepage observed from any of the structures?
❑ Yes
)o No
11. Is erosion, or any other threats to the integrity of any of the structures observed?
R Yes
0 No
12. Do any of the structures need maintenancelimprovement?
E4 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
®..No
Waste Application
14. Is there physical evidence of over application?
❑ Yes
R[No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type r,?.1[...............................................................................................................................................................................I..................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
VNo
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
U(No
18. Does the receiving crop need improvement?
❑ Yes
® No
19. Is there a lack of available waste application equipment?
❑ Yes
io No
20. Does facility require a follow-up visit by same agency?
4-Yes
❑ No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
ONo
22. Does record keeping need improvement?
❑ Yes
5(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
VNo
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
O No i?
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
Z No
0' No.viQlationsstlr deficiencies. were-noted-dtiring this:visit.- Yodw.1H receive°h&further :
co&t9POWe to Aboid lbis: visif.:::
%�/�Z• C:�,�i�iG ,�i� � ��- ,� � L��„ �. r++��•� � : �r��i.S. /�fl� .ram
7oC /: l bo, -1 �l�dgl sJ! S.G�4S. j! ! � fi r•
6"4 7-, loa55 i i �r �r,� �� t/s ��,-�.. �/�t G'. __e(1S�O1_�?
AI- �� �� WA
%� %lt�
7125197
I Reviewer/Inspector Name
I Reviewer/Inspector Signature:
Date: QY5;,Ay 91

�-; ❑DSWC Anlma� Feedlot Operat>Eon Rev><ew �
e t
y
�� ' � �-��xbWQ�Anlmal Feedlot Operation Slte Inspection � =� ���� � ��
Routine O Com faint 0 Follow-up of DWQ inspection O Follow-up of DSWC review 0 Other
Date of Inspection
Facility Number �
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:... _ _......... _. .. .......... .......... _ ...........r......_.......
Farm Name: ^ ....Y 1.�...�LS_..rr!!1� ...._ ......__...._._....__.......... _ ..... County: _.».. �.Pdr ». ......»..... ............__.
Land Owner Name: rlllf�P� .... _YqY .._ .._. N.. _ Phone No. -
Facility Canctact:..._._.. Y i.4 ... —.... !�QRit7S.�..._ ..---•_... Title: _...>?S.ilNar _ ..... __... _ Phone No:�............
...
Mailing Address: _2.15L... ..�G.. � .._ _ ..... .... ._ .. �1 � 1 i!!_. _ .......,..... .� ........
Onsite Representative: y._........ .._.... .__......
_....__.
Certified Operator: U° Y�! .............................. _.... ,,,._ ... Operator Certification Number:
Location of Farm:
_ Qn..lat!:. ��.. Q,.. r�[►n....�...1�,.,i~ ....ice.. 1 K AA_ ► :_. 0
MST
Latitude • 4 ©K Longitude ©• ®f 44
Type of Operation and Design Capacity
t, Deslgn� CurrenD t �' esign Current Design Current
Swine #¢ ;:
aclPo ulatian� 'h"Y'`� Ca ace `k.Po elation 4ate:.CaaciPa"ulai�on,
❑ Wean to Feeder �P Layer ❑ Dairy°
❑Feeder to Finish ❑ Non -Layer ,_ ❑ Non.-DaiTy
Farrow to Wean
Farrow to Feeder �r �Tvtal Design Capacity
Farrow to Finish
'
So -�
..r. �..Tota1SSLW, B,.
❑ Other . ,....�..H _ �. ::._ ... ,� µ _ v.. b
NumberofLagoons'a! Holding Patads ^Subsurface Drams Present
s n _zu J
�� � �.:: ❑ wo
La rea goon A $ ❑ Spray Field Area
u
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
4/30/97 maintenance/improvement?
❑ Yes B No
❑ Yes JR) No
❑ Yes P No
❑ Yes No
N�
❑ Yes No
❑ Yes ;9 No
❑ Yes JR No
❑ Yes iA 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
MNo
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
f a No
8. Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
QNNo
Structures Lagoons and/or Holding Pond.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
KNo
Freeboard (ft): Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
7- 5
10. Is seepage observed from any of the structures?
❑ Yes
® No
11. Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
10 No
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
[:]No
Wgste ppli�n
14. Is there physical evidence of over application?
❑ Yes
No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
C
15. Crop type 5?451.... �1[zYLU...._........................... ...5[x?A,.�.. i.................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
No
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
N'No
18. Does the receiving crop need improvement?
❑ Yes
EgNo
19. Is there a lack of available waste application equipment?
❑ Yes
14 No
20. Does facility require a follow-up visit by same agency?
❑ Yes
R No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
Q No
Eor Certified acili ie v
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
,® No
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
JA No
24. Does record keeping need improvement?
❑ Yes
Jallo
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cc. Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

Faciliry Number.:1 1 c'
Division of Environmental Management
Animal Feedlot Operations Site Visitation Record
Date:G
Time:
General Information:
Farm Name: U 'rb2c f p s 3__75 t,,j t h e _ County: CeAA 1e-"
Owner Name: CZUPhone No: 2
On Site Representative: - I ; cya 1n�_ Integrator: Q-
Mailing
Physical
Latitude: 3' /34o 153 Longitude:�2 4j�_
Operation Description: (based on design characteristics)
Type of Swine � No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
❑ Sow 0 Layer 0 Dairy �.no
❑ Nursery ❑ Non -Layer ❑ Beef
❑ Feeder
OtherType of Livestock Number of Animals:
Number of Lagoons: _ (include in the Drawings and Observations the freeboard of each lagoon)
Facility Inspection:
Lagoon
Is lagoon(s) freeboard less than I foot + 25 year 24 hour storm storage?:
Yes No El
Is seepage observed from the lagoon?:
Yes WO'No Ef'
Is erosion observed?:
Yes 0 No Or
Is any discharge observed?
Yes Q No 2r-"
❑ Man-made Q Not Man-made
Co ver Crop
Does the facility need more acreage for spraying?:
Yes E] No CY"
Does the cover crop need improvement?:
Yes ❑ No E'
( list the crops which need improvement)
Crop type: Acreage:
Setback Criteria
Is a dwelling located within 200 feet of waste application? Yes 0 No a
Is a well Iocated within 100 feet of waste application? Yes ❑ No G�'_
Is ani al waste stockpiled within 100 feet of USGS Blue Line Stream? Yes Er No 0
0.Cvlr tS So d Ov— A G
Is animal wa"_�Aand applied or spray irrigated within 25 feet of Blue Line Stream? Yes a-�No 0
AOI -- January 17,1996

Maintenance
Does the facility maintenance need improvement? Yes ❑ No Er
Is there evidence of past discharge from any part of the' operation? _ Yes ❑ No o'
Does record keeping need improvement? Yes ❑ No Cl'
Did the facility fail to have a copy of the Animal Waste Management Plan on site? Yes ❑ No Q---
Explain any Yes answers: v `,,- c " _sue cJ 9%d •
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Signature: Ur" 1 Date:
cc. Facility Assessment Unit Use Attachments if Needed
Drawings or Observations r _
c (/VLoItiC"�_ S i °�O WV", U"` J5t- 'j �_. °�" o� -��'•2
AOI -- January 17,1996

•
Site Requires Immediate Attention: N b
Facility No. l 1- 5 5
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: �/ , 1995
Time: 1 ! i (p _
Farm Name/Owner:_ C_ 0,on S
Mailing Address: :3 -6�- C _ S� ,'�'1 C f .j
County:
Phone: a 9 3 9 �l
f 1Fv��� Phone:
Integrator. —
On Site Representative: �Q
Physical Address/Location:
Type of Operation: Swine (;--- Poultry Cattle
Design Capacity: '^
Number of Animals on Site: " O Q -50 L D-i
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude_°� ' �Z7 . " Longitude: ��' `� " Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) Yes or No Actual Freeboard" 3 Ft. Inches
Was any seepage observed from the 1
Is adequate land available for spray?
Crop(s) being utilized: I aA-C
Does the facility meet SCS minimum
)? Yes or No Was any erosion observed? - Yes or No
No Is the cover crop adequate? (e or No
criteria? 200 Feet from Dwellings?(Yes,& No
100 Feet from Wells? Yes or No
Is the'animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes o Na
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? Ye 08
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)? Ye or No
Additional Comments:
Signa
cc: Facility Assessment Unit
Use Attachments if Needed.

•
QPERRT I014S BRR-ICH - WO Fax : [phone] Jul 21 ' 95 13: u9 P. U4/ 14
Sitc Requires L=nedlate Attention
Facility Number. -7
SUE VIMATION RECORD
DATE July 18 1995
Owner. Victor Evans Farm Name:
County:
Agent Visiting Site: Jeff Raifsnider Phone: [phone]
Operator. r ?- - - _ _ phone: [phone]
On Site Rcvmcntative, Phone: --
Physical Address: Entrance is 0.7 miles north of C-1-0=6 Bridge Rd. (Hwy 1318) on
South side of dwallim north of Ma 1318 .
Mailing Address: 7851 NC HW 53 E
Burgav, N.C. 25425
Type of Operation: 'Swine Poultry Cattle
Design Capacity: 40 sove Number of Animals on Site: 40 3aye farrow - finish
Latitude: °,, Longitude: o"
Type of Inspection: Ground " Aerial
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard. of I Foot + 25 year 24 hoar storm event
(approxely I Foot + 7 inches) Ye or No Actual Freeboard: 3 Feet 0
imatInches
For facilities with more than one lagoon, please address the other lagoons' freeboard under the
corniuents section.
Was any seepage observed from the lagoon(s)! Yes or(o Was there erosion of the dam?: Yes oiN
Is adequate land available for land application? Ycj or No Is the cover crop adequate? Yes or No
Uramown unknown
Additional Comments:
spotted inside be= at ]park side, furthest from hog houses.
Fax to [phone] " "VStgMrure of Agent