710070_INSPECTIONS_20171231

NORTH UARUL.INA
Department of Environmental Qual

Type of Visit: O'Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: 0 Routine 0 Complaint O Follow-up 0 Referral Gl mergency O Other 0 Denied Access
Date of Visit: I1 6 Arrival Time: 1 Q Departure Time: 2D D County: Region:
Farm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Title:
Back-up Operator:
Location of Farm: Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design
Current
Design Current Design Current
Swine C►►opacity
Pop.
Wet Poultry
C*apaciTy Pop. Cattle Capacity Pop.
Wean to Finish
La er
Dai Cow
Wean to Feeder
Non -La er
I alf
Dai Heifer
Feeder to Finish
Farrow to Wean
Design Current I Dry Cow
Farrow to Feeder
Dr, P.ouK
Ca aci Pao , Non -Da'
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turke Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No
0 NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
[] Yes
❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
D. No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
[:]YesI_
I N
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
U No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 21412015 Continued

17a cility aIymber: jDate of Inspection: h
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? Yes
a. If yes, is waste level into the structural freeboard? 'EYes
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: PG1 P'teaser- I
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): � C 14 t�
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
[:]No DNA ❑NE
❑ No ❑ NA ❑ NE
Structure 6
❑ Yes ONo ❑ NA ❑ NE
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes EfNo ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes E3 No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes EfNo ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑Yes %[J"No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA NE
maintenance or improvement?
11. Is there evidence of incorrect land application? if yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ONE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA
❑ NA EE
NA;]NE
❑ Yes [] No ❑ NA E NE
❑ Yes ❑ No ❑ NA �NE
Required Records & Documents
19. Did the facility fail to have the Certificate Coverage & Permit
Yes
No
NA NE
of readily available?
❑
❑
❑ Z]
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
[:]No
❑ NA E:fNE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA 'f] NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ t20 Minute Inspections ❑ Monthly and V Rainfall Inspections
❑ Sludge Sury
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
❑ NA
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA NE
Page 2 of 3
21412015 Continued

Facili umber: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No ❑ NA jeNE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ No ❑VNA
NNA NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
,, 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes �No
❑ Yes P No
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes
21'No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
):3'-NE
❑ Yes �No
❑ Yes
❑ Yesg�N
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other comments
Use drawings of facility to better explain situations (use additional pages.as necessary).
�,ro, N
��0- CFI
C0M^`.�
,, 6rd s
j,,,a 11 d a, I�.
Reviewer/Inspector Name: � L!/rk� t s �'AI
Reviewer/Inspector Signature:
Page 3 of 3
ra 7 ,7,0 77 0 21 � fr
0, ? 3 G ,. �� Cs
p II
Phone: � 1 a �% ! Vz% oy
Date: / /'(p
Y112015
r
J

.1a
(Type of Visit &Co pliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason far Visit Routine 0 Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: 7 I (? Arrival Time: 6G Departure Time: County: PG.017 E Region:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Owner Email:
Phone:
Title: Phone No:
Onsite Representative: W'_(Atk _ Ck(U-0 integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Operator Certification Number:
Back-up Certification Number:
Latitude: = o = f Longitude: 0 o =1' =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
ElLayer
Tcb ❑ Non -Layer
❑ Wean to Finish
91 Wean to Feeder
Feeder to Finish
Uv5rb
1o001
01 Farrow to Wean
"D.o6
7-en
ElFarrow to Feeder
ElFarrow to Finish
ElGilts
ElBoars
Other
❑ Other
Dry Poultry
❑ La ers
ElNon-Layers
ElPullets
❑ Turke s
El urkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ElStructure ❑ Application Field [IOther
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
El Dairy Cow
El Dairy Calf
El Dairy Heifei
El Dry Cow
ElNon-Dairy
ElBeef Stocker
❑ Beef Feeder
ElBeef Brood Co
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
2. Is there evidence of a 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?
❑ Yes /No ❑ NA ❑ NE
❑ Yes
❑ No ❑ NA
❑ NE
❑ Yes
❑ No ❑ NA
❑ NE
❑NA
El NE
[I Ye
El Yes
,❑N
L�fNo ❑ NA
El NU
❑ Yes
No ❑ NA
❑ NE
12128104 Continued

Facility Number: Date of Inspection u
Waste'Collection & Treatment
�
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes L/! No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier: PfrJV tom_ ?P-tJQC ILZ-
Spiliway?:
Designed Freeboard (in): O�� 1 I.f lb� Z d S
Observed Freeboard (in): 319 4f b 3 2
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes ENo ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes d No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? Yes ❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes LJ No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes O No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes IJ No ❑ NA ❑ NE
maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes 0"No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Croptype(s) Cos
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes 0 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination!0 Yes rNNo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
rrNo
ElNA
❑ NE
18. Is there a lack of properly operating waste application equipment?
ElYes
❑ NA
❑ NE
PeN04-iL, i ��,� ULAk AT IFUfA9.
10 J DE q. Z c-5-rA f3 c,Ts A G a -A Z Cov(fL aN f6i G3 A.,r_ SFOTJ ,
k4cAn 05 ANb CNOP5
Reviewer/Inspector Name `j p . ` LLL.a 6 Phone: (�T/b1
Reviewer/Inspector Signature: Date: 7/1-3 JoS
12128104 Continued

r Facility Number: 11 — ]0 Date of Inspection L3
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropiiate box. ❑ WUP ❑ Checklists ❑ ❑ ❑ p Desi Ma s gn Qther
❑ Yes L/ No ❑ NA ❑ NE
El Yes 2No ❑NA El NE
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall Cl Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I"
Weather Code
Rain Inspection�Wpo
22.
Did the facility fail to install and maintain a rain gauge?
El Yes
El NA
El NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
El Yes
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
'N ❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
v�No ❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No El NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
ONo
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
Q<o
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
[2<o
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
1Jzo
❑ NA
ElNE
33. Does facility require a follow-up visit by same agency?
ElYes
❑ NA
❑ NE
Additional Comments and/or Drawin s:
12128104

Type of Visit jj Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit �J Routine O Complaint O Follow up Q Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: //10 Tune: U4=
O Not Operktional O Below Threshold
Permitted 0 Certified 0 Conditionally Certified 0 Registered Date -fit Opera r Above Threshold:
Farm Name: .. LL L� Aft y Qr S County: f/��� — ............- .
Owner Name:/►f� �T� %K uo ,, Phone No:.... _
Mailing Address:
Facility Contact: ___ . ._ ------------ itle:.__. _ _ _Phone No:
Onsite Representative06' Integrator'.
Certified Operator:
Location of Farm:
Operator Certification Number:
I lei
V1 Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude �• �' �"
Swine Cairdcity 'a
Wean to Feeder
0610
0
Feeder to Finish
=0
Farrow to Wean
D
Farrow to Feeder
Farrow to Finish
Gilts
Boars
_:Cattle' .
r � Total Design`s Catty-�
Tc�tall SSLW r
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?
❑ Yes PrNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes 0 No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes P`No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes JgNo
S;cture 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches):
12112103 Continued

lfac#ity Number:
Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
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
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 maintenance/improvement?
9. Do any stucn= lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenanceJimprovement?
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Excessive Pon - g ❑ PAN Hydraulic Overload ❑ Frozen Ground El Copper and/or Zinc
12. Crop type X0
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CARiMP)?
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?
Odor Issues
17. 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?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
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
Air Quality representative immediately.
❑ Yes No
❑ Yes No
❑ Yes B No
❑ Yes No
❑ Yes No
❑ Yes O No
❑ Yes O No
❑ Yes ;YNo
❑ Yes ONo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes P No
❑ Yes Po
❑ Yes ANo
❑ Yes P No
❑ Yes )XNo
❑ Yes �No
;Comments {refzr'to gaeshon} agyYE�, aaswers aadlor any_ mr sy otleec o -
:Use dx� � of fsaiity tbctbrr arp�n;atr�ab� Eu9eoasl Pages as nec�aa'}')= ❑Field Copy ❑ F"mal Notes
Ali �F � l �p !� /��G�` C > C.dl�ie f�C 7 / C�R�s /*
Reviewerlinspector Name ''? -'',
_it -
ReAewer/iarspector Signattire: Date:
12112103 v Continued

F ZW; Number: -.'701 Date of Inspection
Reouire_d Records & _Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes Z 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 VNo
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes R1 No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes gfNo
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes JA No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes 14 No
27. Did ReviewedInspector fail to discuss reviewimspection with on -site representative? ❑ Yes (rNo
28. Does facility require a follow-up visit by same agency? ❑ Yes 0 No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes JXNo
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) VYes ❑ No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes VNo
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes JZNo
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes PNo
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ONo
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. ❑ Yes ONo
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

Type of Visit ACompliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification XOther ❑ Denied Access
flake of Visit: 0. Time: ' i�
Facility Number
Not O erational Q Below Threshold
©Permitted [3 Certified -I` 0 Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: reacts✓ l 4--/ County:
Owner Name: (R sl Gi a l / , _ -- Sf d e 6✓ Phone No:
Mailing Address:
Facility Contact: Title: Phone No:
Onsite Representative,. ;t� ,� f._ eyea- IL Integratort se
Certified Operator:
Location of Farm:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' � �" Longitude ' � �w
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 ❑ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: /
Freeboard (inches): 3
05103101 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 ❑ 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 El 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 ❑ Hydraulic Overload ❑ 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?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (iel 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?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
'Comments,(tefer-to'questioq #i) -Ea pbun any,YES anstivers and/o any recgttttnei�dations`ar anv nther_commeats.
Use. drawings. off acility to better ezplarn-sitn8tioas,'`(� addltlon8l pages as necesserv) u❑ Field Cony El Final Notes -
C he ch d %li; s A& /:ri 71 -7 3 4-
�h p y GrJcd/c �1 ✓m�Ji%� Q7 —&n ,- {t- k o4 Z IeA-r/s
� n s't plc Z 0 met. f 4',01y Y, `� 4r-hPW I ,
Reviewer/Inspector Name = .
Reviewer/Inspector Signature: A Date:
05103101 f Continued

Facility Dumber: — bate of Inspeciiim
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 ❑ No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt. ❑ Yes ❑ No
roads, building structure, andfor 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 biade(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 ❑ No
Additional,Gomments,and/or-Drawings..
O5103101

Type of Visit Xcompliance Inspection 0 Operation Review 0 Lagoon Evaluation I
Reason far Visit ZRoutine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Date of Visit:
Facility Number
0 Permitted [3 Certified 0 Conditionally Certified © Registered
Farm Name: iFende r = -13C
Time: 3l!
Date Last Operated or Above Threshold: _
County: C n dle,-
Owner Name: -Za h4'A 11-540ecker- Phone No:
Mailing Address:
Facility Contact: Title:
Onsite Representative: �E)+t gylja�� t Ci1ti21 G�eee�
Certified Operator:
Location of Farm:
Phone No:
Integrator:y /'yam h zl
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' ° IL Longitude 0 '
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Ca acity Po ulation
❑ Wean to Feeder 10 Layer I 1 10 Dairy
❑ Feeder to Finish JE1 Non -Layer I I IE] Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons
Holding Ponds / Solid Traps
Subsurface Drains Present ILJ Lagoon Area
No Liquid Waste Manaeement Svstem
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 I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: PS P-par — X P5-3rolf
Freeboard (inches): 3 4 o
05103101
❑ Yes )ZrNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ,O-No
❑ Yes ❑ No
❑Te Yes' o
Structure 6
Condnu�

Facility Number: 17 % — r] t7
Date of Inspection I at 7 1 pZ
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion,
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
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 maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste ADDlication
❑ Yes XNo
❑ Yes __2_rNo
❑ Yes',21No
❑ Yes 2rNo
❑ Ye�o
10. Are there any buffers that need maintenance/improvement? ❑ Yes,,,ffNo
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload 110yes ❑ No
12. Crop type Co'-pt L k/her4Sa 4beavls . Fgre-ti,✓da yet.y1 s,,.,gi1 GtY.,i'1Ol�ers �a�
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes_,Z-No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes 10
b) Does the facility need a wettable acre determination? ❑ Yes 10,No
c) This facility is pended for a wettable acre determination? ❑ Yes AEfNo
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?
❑ Yesio
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
❑ Yes �No
(ie/ WUP, checklists, design, maps, etc.)
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
'ETYes ❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ YesZNo
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 ❑ No
(ie/ discharge, freeboard problems, over application)
23,
Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
❑ Yes�AfrNo
24.
Does facility require a follow-up visit by same agency?
❑ Yes ,ff'No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes INo
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to question #l): Explain any YES answers and zany recoi�nmendatians tir aay other cowments s`
Use drawings of facility to better explain Atdatlons s(useaiidd�tlonal pages as; necessary) ❑Field Copy ❑Final Notes
Xt s�
It a►^o( 1- . A wgs4e n-in IXs;s � �c� �P�1. 3/� z®oZ t lr,s usce! C'6
,'✓'�' �,Gq��a�, a-VG�'t�� W�[�'ch c��c vr•�d r� R��'' j+�-�- 6t,-� ��iP
f was ptek+ WO10 ��ee7
haves b�-z vstd -Tia-215 , 010,0,k Gvl�-t�„��C ivr�� ��+e
CarfeLf aP7,0 �s: 5 , I Lvz,S -t"'e",id -AR;7� c4Ue6,
Reviewer/Inspector Name F_S®, Tst 41�i$
Reviewer/Inspector Signature: Date:
O5103101 Continued

r'
• 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 attor 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 �No
❑ Yes J�rNo
❑ Yes ❑ No
Cl Yes_'�No
❑ Yes ❑ No
❑ Yes Cl No
Ad'ditionaMotnments'and/or .D a*bgs:
7I ti di 1 i.��r��� aF �l•rh-� p-Vo►r/46le AJ.4,,agek? DGGv✓✓�O�
l�,.CIrOt fp 7�/U b y 16 s/,I PI,4 hl I6�/G�GrP
0 CC, 0r^&",ed Ovt �he 2oD$- Ga�� Cr'o� re ofeC41 W/ 7 pin�
r IA 3 Z) n174 Feld ?6 r e
Be sU re q
6a days Q� ��e ajo�l►c���oy,
Be .ry ee 4o use -4"&1 4ke l ar,-ec4 t�e� i�✓t ts� Al A)
aW c Y1 * Lj,e 4 C✓-e q 4 A T 99 2 Is
44-1''7
ctle well
O5103101

e
c►i Water
- ;� A 0 Ihvision of Sod aid C.tinservataon � �" ,�
.., .... `� . � i:H.,,M .-.x �_ r� .., a z �:-� r.....=".==�., :.i •.,Y _: ..,.e.r...<..:°�?"...a.r P ...m.=.. -.. � � r�ece �5��
Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Vislt,,WRoutine O Complaint. O Foflow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: 2 t7 Time:
O Not Operational Q Below Threshold
0 Permitted [3 Certified 0 ConditionaUy Certified © Registered Date Last Operated or Above Threshold: ------
Farm Name: ....... 1..... ...►ef.................................................................. County: .
........................... ..
............... r
Owner Name: ���.41.....�7A.QGI�..r Phone No:
FacilityContact: ...... ......................................................................... Title:................................................................ Phone No:
MailingAddress: ......................................................................
Onsite Representative:.U�.)Lln,• SJ t4.fpi !�iG ! C:r ] Integrator: My!� jL
�.................... g��
Certified Operator: ................................................... ............................................................. Operator Certification NImber: .................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle []Horse Latitude • 4 �4 Longitude • 6 «
Design : Current Dgp Current Design - Current
SaCaacoatoPtilty CaacPaulaton Pnn
Wean to Feeder ❑ Layer ❑Dairy
Feeder to Finish ❑Non -Layer ❑ Non -Dairy ! `
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
-10 Farrow to Finish
Total Design Capacity__;
to Gilts -
❑Boars 'Total SSLW
Numberoi Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area . ❑ Spray Fietd Ares
_Holding Ponds /, Solid Traps. - ❑ No Liquid Waste Management System
Diseharees & 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 I Structure 2 �4 Structure 3 Structure 4 Structure 5
Identifier �y ..� � ..• . 3rd
...................................................... •• .... - 4d..........................................................
.... .. ........
Freeboard (inches): ,j S �Z Z
5/00
❑ Yes )2 No
❑ Yes No
❑YesNo
nA
❑ Yes No
❑ Yes gNo
❑ Yes '0110
❑ Yes /No
Structure 6
Continued on back

Facility Ngmber: '� — Date of Inspection (�'% JQ I l ,
5. Are there any immediate threats to the integrity of any of the structures observed? (die/ trees, severe erosion, ❑ Yes VfNo
seepage, etc.)
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? ❑ YesXNo
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 ONO
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes .2!rNo
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑LHydraulicOverload ❑ Yes ONO
12. Crop type �Ecv ", V'A No,4 ? Sk41 / b✓'et h 1 e0,-P? , LGtt�r t �<Lru baa of
f
13. Do the receiving crops differ with those designated in the Certified Animal Waste
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?
Plan (CAWMP)? ❑ Yes ZNO
❑ Yes ,❑i 'No
❑ Yes ONO
❑ Yes Q NO
XYes ❑ No
❑ 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?
To yiolhiit�tis'o�r ilgf cleneies ftre )iOf during this -visit; Yoh w�l rec�iye �o �urthtr
cories�o dense: about this visit.
omments (refer to question #)' ;Explain -any YES answers andtoiany recommendattoi
fie ltawrrings of lacwty to better exphaii� situations '(use ddtog"ncessnr)a1peY=
15• �orJr �a i•�t��dv� (�s•MvG�o� `frT � �enG�er� ,
Peer- �17
❑ YesMO
❑ Yesxl�No
❑ Yes �No
❑ Yes [*110
❑ Yes 'PNo
❑ Yes 'XNo
❑ Yes�No
❑ Yes�No
❑ Yes XNO
AL
ReviewerAnspector Name
Reviewer/Inspector Signature:
1{'■/ V
Date: 3
5100

Facility Number: 7F Date of Inspection
&or Issues Yj r
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below /Yes 0
liquid level of lagoon or storage pond with no agitation? A
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes QJ 40
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes Q� 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 XNO
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 ,1No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes �J1No
32. Do the flush tanks lack a submerged till pipe or a permanent/temporary cover? El Yes /❑ No
Additional: Comments an or ra
J
5100

Division of Water Quality
- +• Q Division of Soil and Water Conservation- .
O'Other Agency
Type of Visit 0 Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint A Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit.: uj�UETime: Q Q S P3inted on: 7/21/2000
Q Not Operational Q Below Threshold
Permitted 0 Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: .......................
FarmName: ... n ¢ r de r Pe..... °�............. �. �.ZE.............................................................. co,Inc.:......�p.�?................................................-..............
Owner Name: �u net q I 5-40ge!
P.Y . Phone No:
Facility. Contact:........:..................................................................... Title:.................................. Phone No: ...................................................
MailingAddress: ............................... ........... .................................................................................................
„►h%h& C"eckryOnsite RepresentatiLAj..G..............j�C�D4^ PU'"ntregrator:
. ..-•............................
Certified Operator:.......... .............
............................................................ ......... ....!....'..1...V...�...'
..
Operator Certification Number:..........................................
Location of Farm:
rN
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• t -�` ��� 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
❑ Gilts
❑ Boars
❑ Layer ❑ Dairy
❑ Non -Layer JE1 Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons I0 Subsurface Drains Present I ❑ Lag-nn Area 10 Spray Field Area
Holding Ponds / Solid Traps 10 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
Suructure I Structure 2 Structure ; Structure 4 Structure 5
Identifier: ........................................................................ ...................
Freeboard (inches):
5100
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Structure 6
Continued on back

Faoitty Nilmber: Date of Inspection 8 / OD 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 ❑ 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 ❑ Hydraulic Overload
❑ 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
I8. 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)
ElYes
❑ No
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
No yiolafions:oc deficiencies were ito(ed• Oohing 4his.visit' • Y64 will •receive iio: fuether
;coriesporidence: 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 explain situations. (use additional pages as necessary):
7h!rfGL41'611 eer1Q,ro,ed )la r",h: av,/rev,et.,� GfCA`Ivy a/ difch.5+-ptcS p►, 8,151�G�
once Pt. q � Pe ►�d 0 _Jr s ;fie 9 j1d 4e 4 r�rnLnlve
gecjar` des wtvGA, Sv►� �s rs;6Ie le T'�eld-
-- ,f.o✓�d� (,eve,- on o0-rce4 q,eaf W 6,-aA
Reviewer/Inspector Name
Reviewer/Inspector Signature:
h "'r
Date: 9116 All% 5100

G(Division of Water Quality
Q Division of Soil and Water Conservation
Q Other Agency
Type of Visit JaS Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification Other ❑ Denied Access
Facility Number
[late of Visit: � 1 S 00 Time: D S Printed on: 7/21/2000
d
Q Not operational Q Below Threshold
© Permitted 0 Certified (3 Conditionally Certified E] Registered Date Last Operated or Above Threshold : .........................
Farm Name: 'PC 1161 e ✓ T.. ................................................................County: r ......................
.............Qp............................... r.
Owner Name: 6�A s�.G� G -S4 a e c , e r..................................... Phone No:
.................................................................................................................................................................
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
MailingAddress: ........... .............................. ...................................----.......---.....................................................................................................-......... ..........................
.
Onsite Representative: M!.LAClel'L'rec-A. lv-,AYV�1414,L.tr� C!'ettlntegrator:...�U�9k
...................................................
Certified Operator:..- .......... .................................................I.............-................................... Operator Certification Number :..........................................
Location of Farm:
10 Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 6 Longitude 0 4 O4�
Design Current
Design Current Design Current
Swine Capacity Population
Poultry
Ca aci Po ulation Cattle Capacity Population
❑ Wean to Feeder
❑ Layer
I
I
❑ Dairy
❑ Feeder to Finish
JE1 Non -Layer
I
I
I[] Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
LEI
❑ Boars
Total SSLW
Number of Lagoons 1 4 Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps I No Liquid Waste Management System
Discharges & Stream Imuacts
1. Is any discharge observed from any part of the operation? jo Yes ❑ No
Discharge originated at: []Lagoon19spray 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 dischar�,e 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
Structure I Structure 2 Structure Structure 4 Structure 5
Identifier: ........... ........... `., r n w e... ....'3p�� ..-- ........................
Freeboard (inches): 3,6 29 4 Z 18
5100
❑ Yes ❑ No
Structure 6
Continued on back A ■

Facility Ni nber: "1 —20 Date of Inspection 5� Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, CI 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 maintenancelimprovement?
❑ 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 ❑ Hydraulic Overload
❑ 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'? ❑ YesVNo
24. Does facility require a follow-up visit by same agency? TgYes ❑ No.
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
:: did-yiolatidiis:ok- di!fde tkc -were noted-diWifid 4his'visit.' - Voir will-teeeiye ii6 further
...............................
corresoricYei�ce: about this vtstt. ' .
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):
='nSre iar1 con A v c CT )n r^espohse n Notre+' Of A&L
1 11 �
1.,/as4Q pond ��j and rU>70F q
1"t4O ,44 o6ey'ved A+ Pe►lGf � s4e.
�n/�s�� �cnd �•••� �t�to( r�ha�f' ;��o L.�eadS d�sery e per^dc,- T S.4c In5+r-uc4e4( repre5cn4g4;ves 4o Gteah up tvas+e ivi4 peocess Wqs 4.4,-4ed.
2y, callow up ihsra.14"n wi 1r Le Per�A>•n-tad Q� B���/0040 l�o•��ad�Jr�vicut►
c j er-vl vry . T
Reviewer/Inspector Name '540 ►7 G W C, () MO A; S
1
Reviewer/Inspector Signature: Date: OQ 5/
t
1

Facility Number Q Date of Inspection
Time of Inspection 1 Z 1 24 hr. (hh:mm)
JM Permitted 13 Certified 13 Conditionally Certified © Registered JE3 Not OperationalOperationall Date Last Operated- ..........................
ndev,
FarmName: �C n� E ✓ 4 ............ County: .....................................................................................
OwnerName:........ �q a-!...............Ta.e:c.K.e-..........................-_.... Phone No:..................................................._..........._.......................
Facility Contact: ... Title: Phone No:
..............................................................................................................................
MailingAddress: ..................................................................................................................... ...............................................................................................................
II--
Onsite Representative:�� gu�� f.. xr ���2� e �iC�ta[f Cncal�rIntegrator:.. M.V r. .` .....�..�...M:.f ...........I........._.
y �- .-..-...- . I
Certified Operator: ................................................. ; . ...... I ...................................................... Operator Certification Number: ..........................................
Location of Farm:
r................................................... . ...........
Latitude �• �� ��4 Longitude �• �� �g4
Design Current
',Swine Capacity, Population
Wean to Feeder
ED 0
r715'0
Feeder to Finish
2000
f Qd
Farrow to Wean
-72 OD
C100
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design -Current -:::•D_esign Current
Poultry Capacity Po ulation Cattle
._Capaci o ulation
❑ Layer ❑ Dairy
❑ Non -Layer I Non -Dairy -
❑ Other
Total -Design, Capacity:-
Total SSLW-
Number of Lagoons ❑ Subsurface Drains Present ❑Lagoon Area JEI Spray Field Area
Holding Ponds Solid Traps ❑ No Liquid Waste Management System
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge c>rioinatcd at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ONO
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ) ❑ Yes P'No
c. If discharge is observed, what is the estimated flow in gal/min? n/.
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ONO
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 ZNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes M No
Structure I Structure 2 Structure 3 Stru tore 4 Structure 5 Structure 6
Identifier:
Freeboard(inches): !_..-.................._.............-._.._...................-....-... ..................................................................................................................... ...........
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion, ❑ Yes f9No
seepage, etc.)
3/23/99 Continued on back

Facility Number: ?I — 70 Date of Inspection
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
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 maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
la. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ErPAN
12. Crop type Coo' 11, t J h eq 4) Se y,Ejz,,, �,1 s , ge'"'ydo - /a
zr a
❑ Yes
Z No
B Yes
❑ No
❑ Yes
No
❑ Yes
No
❑ Yes
9No
$r Yes
❑ No
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 Iack of adequate waste application equipment?
Required Records & Documents
17.. Fail to have Certificate of Coverage & GeneraI Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WLTP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
24_' 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?
Q YiQlatiQns or . t c een(nes were p0te4 dtH`tng �his:ASIC -'Yo will �eeeipe �ti tui�ther . .
correspondence. anaut. this visit_
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
R Yes ❑ No
❑ Yes [' No
❑ Yes 0No
'ff ❑ No
19 Yes ❑ No
❑ Yes ,® No
❑ Yes V1 No
❑ Yes fD No
❑ Yes 15 No
❑ Yes '% No
❑ Yes 29 No
1 �✓®rah 4o non6c1,enu4 5^asses .Ao" ber►',tVaj PMA
I5, �r1s oo d s4ct nd of r ecerl- y
On-' sec,41o'-% QP ne,,e� new �7-gVc
nd►-?5o��ea"� veG�-�a�-ra►'I rer�'laveG(.�—
! oh -r; e to( 3 pv)), 3, q 61 6Gj'
6•� 1bS �ANIa6rG, �{.% 16spJJgG`�)89 Ibs P���acrr1b 2.2(r6sP�N,
5L
Reviewer/Inspector Name ? �,a he .Ve 9 r ,_ r:'a ,: .,
_
Date: r] Reviewer/Inspector Signature: �1 00

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?
Q Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes rM No
❑ Yes f q No
❑ Yes �R No
,'Yes ❑ No
►ona ..v ommen an or: t•awings: � .;: = w
?. s W Wo net,,
�oa�on.s_
tok
-1 nnef 0� lg5I)�
CWomet-J✓D� re�e���a��;aahJ�Fe44a,�
5
/,F- 0 G;n ]atgaoh d��;c,u --�or all 3 Ja�oans OtI
'qmot >�eQ�Pc1 w� 7li 11��C/aYGj�_
�-
� C1 A C IO e q c s o � T mil Pe ►2da � —[- oidd4o
►
-f�� ;s ih w�.��e � �-.�t. � ar�� we}�ed
rno✓'e ae�'ea e
y
qno( `�� .Mod} IG'� C, rZ' -Z's elCCGOroj�110'
comes
d Ic
Of KQ SI! ✓'e �'ilt7 1 /'✓� i �j Q� i Gn ���s YvlGt'�"G �1 al''� qt�t � e-
S,
'cre
-12�R-Z tS IiAve 30S
-Feld B
f �►� �;e�� 3 �� q�l�owcd I�� l6�ac.re �n f[Rh
�1�n • �,,, head 1
(z- - 11AS Igo AIAGrd . vSe Otia/
61V A1JowaP1Ces 1a►' ��dps otti� �nr2'S
Ne77e ' r 1 q''.'L Cct l fS t`a►�' Z i/ e �fr / o i oN o t� GB�'r1 L✓L1 ��t t� b d7�G>lf
U, e'4L, cd►^n beq�s / �Iq��-��d ;►� d>` 'c��eyn� �,,�l s �� ��,� same
ycgr. Gv���n~�,l y all rotes cra�0 ;olds ��e? ;n sa>ybe��s�
m c e s v/I e �- �- t �» S40 PI a W 1 -, rFz jal F,,-..gCJ 116a a
�lg�iT
10o4e scve,-l F �vYl� BGGvr��dt prl 44� M W
t.�inflow j� Sef4ev" bay-
�o �oW a4 11 c�+iau W i✓1G�OwS �� zva S tlP pl9�i ,
e�G : y �S ��oU 1 6e✓ f�-o-vve-A or- vJt I 7c> Pee g 2 Lie ii
3/23/99

sw = 0°Division of Soil and Water; Conservation'- Opefahon Review
_. _ - _ -
O.Diiision of Soil and Water Conservation - Cortipliance Inspection AW_
OrDi sion of Water�Quality -Compliance Inspection
Other Agency -'Operation Review
Routinc Q Com taint Q Follow-up of DWQ inspection Q Follow-u of DSWC review Q Other
Facility Number [late of Inspection
v
.,_ Time of Inspection 00 124 hr. (hh:mm)
Permitted © Certified 0 Conditionally Certified [3 Registered 0 Not Operational Date Last Operated:
Farm Name: _y
��� 1 \ `� � County:......... `.`!r_.............................I...............
Owner ?Name:......_...... Phone No:....
FacilityContact: .................................................................... .......Title:................................................................ Phone No:...................................
MailingAddress: ..........................................................................II............................................................................................................................... ..........................
Onsite Representative: ...................� �'1.... �.1 ....... Integrator:....... .....................................................
Certified Operator:............................................................................I....o ..R `....... )Operator Certi cation Number:...................:...............
Location ofkarmt c t i n . . , (� y � M 6'
r....�. r....... ....... 9............. ......................................................................•-------...............................................................---........................................................ I_
Latitude Longitude
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
Wean to Feeder
$0a
Feeder to Finish,o
Farrow to Wean
[y0
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Layer I I ❑ Dairy
❑ Non -Layer I I JCI Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons I0 Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field'Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Disebarges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)? ❑ Yes D9 No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
h. II'discharge is observed, did it reach: ❑ Surface Waters ❑ Waters of the State ❑ Yes ❑ No
c. If discharge is observed. what is the estimated i'low in aalhnin?
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?
❑ Yes ❑ No
❑ Yes �(No
❑ Yes XNo
❑ Yes Xj, No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: �7
Freeboard (inches): .......... ...................
?...
..............................................................................................................................................................................................
1/6/99 Continued on back

l?adlity Number: Tj 1 — Date of Inspection
5_ Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes IgNo
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 pact of the waste management system other than waste structures require maintenance/improvement? ❑ Yes No
9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings? y ❑ Yes KNo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes KNo
11. is there evidence of over application? ❑ Ponding ❑ Nitrogen ❑Yes VNo
12_ Crop type �.....,��...... .ff...................................I.......................
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes "7f 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
XNo
Reuuired Records & Documents
17,
Fail to have Certificate of Coverage & General Permit readily available?
❑Yes
H No
I &
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
allo
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
NfNo
21.
Did the facility fail to have a certified operator in responsible charge?
❑ Yes
No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
gf No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
kNo
24,
Does facility require a follow-up visit by same agency'?
❑ Yes
Rf No
1P.N'vealattons or. deficiencies .were noted during . 's.visit:.I'.tiu will.reiceive na f�irtiier .:. :
eor'resbbddeike; a;bbiit: this visit.: • ; • : • : ; ; ; ; ; ; ; ; ; ; ; ; :: ; :: ; :: ; ; ;
Comments (referto question #): Explain any YES answers and/or any_ recommendations'or any, othercomments ; �'�•
Use.drawings of facility'to better explain situations. (use additional pages as necessary): s - ==
v 1 k.-4 a L� ►%-%'L emu-. -l- 1 �. e� �e,- 2a k,
445 ►� �e�•-� sue.-►�e�'�
Reviewer/Inspector Name
Reviewer/Inspector Signature: ��! �- Date: 3 tIG LCR 11/6/99

C.
0
a
y J
o
4V
yC/

J
r] Division of Soil and Water Conservation ❑ Other Agency
Divisigaw
on of Water Quality` _
Q Routine O Cont taint O Follow-u 'of DNV ins action O Follow-u of DSWC review OiOther
Date of inspection
Facility Number
Time of Inspec(ion a 24 hr. (hh:mm)
Registered 13 Certified 0 Applied for Permit IpPermitted [3 Not Operational -fDate Last Operated:...,,......
FarmName: ��3 County:...... 1CJ. cY...............................................................
Ommer Name:... ......... .iD.Cr,.�............................ ................................... Phone No: ... 010)...M.S.-..6. .........................................
Facility Contact: SMLri �l.Mt.C? ............................... Tit.le:......h!1GsVt�L�tx`................................ Phone No:..0 L0�. 3..: J..3x.b.......
.... .....
Mailing Address:.......-4......... AIP.....1&W.U1n... s4tr,=t ........... ..................................................
[` 4
Onsite Representative:....... .]UU ............................................................. Integrator:.......;VA(AY#VMt .........................
Certified Operator .. Operator Certification Number ,...A��,`� l
[vocation of Farm:
lndxh.... .....P.�......i!1!!.. Si :....r�... ..Si�....i.7,�Q3.... l....i�.,. .......ic. S........k......Sji'....114.140.......................... I..... ... i.....
...........................................-----...........---.--...................- ........------.......................... ..----............................------.......---.---------...---...------.......---....---......
Latitude ��•.' �" Longitude �• ��"
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes ❑ No
2. 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 Surface Water? (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
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
❑ 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
Yes
❑ No
maintenancelimprovement?
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?
❑ Yes
❑ No
7/25/97
Continued on hack

Facility N umber: 1 — JD
8. Are there lagoons or storage ponds on site which need to be properly closed'? ❑ Yes ❑ No
Structures (Lagoons.11olding Ponds Flush Pits eta.
9. Is storage capacity (freeboard plus storm storage) less than adequate? ® Yes ❑ No
Stnrcture I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:.................................................................................. .............. .....................................................
1.................. ...........L.. .
Freeboard (ft): ...........Q... .................. ...Q : .... ...........................
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 ❑ 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 inaximunt liquid level markers? ❑ Yes ❑ No
Waste Application
14. is there physical evidence of over application? KYes ❑ No
(If in excess of WMP, or runoff entering waters of the State. notify DWQ)
15. Crop type
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 ❑ 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 Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes ® No
J.
22. Does record keeping need improvement? ❑ Yes ❑ 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.violations or deficiencies were'note'd-ducing this.visit.-.Youmill receive no further
correspondence about this.visit'., :
Co`mments;(refer'to question #). Explain any Y> S answers and/or any recommendations or any, other comments: :'
Use drawings of luctltty to better explain situatiuse additional pages as necessary): F
`t 'kA- e ,& lrauf tTNSV4i( #,t 0�a f r' ff6garc� , i.-t tt..ve[S s6L. } be_ low" 4o rec�v i�"J
�,,4 G a res �cnS ► b� avui a s me
14. GK[eSswe- tongue 00.5 Asewe- d ih 5?VN Yruns ate,L, / +9,jf Rvno* M5 o%s 1-03
t h -71 � I tri__+15 Ci'.q 1 �Oyr)Ctnir�l �'lM iG LJfLff S Y�o a�+ tp v�C tD Lt?AnAT "1T t t�1 �Sj �vL•4`,,� 11
Pojf� t„�txS1C. Pas 06ty*3 i� � S�o'rm W[ti'kts' + ,"5e. o.{� a. m'"''�'� Ahtser AT. $t� U
4,,t jA, "),kw MJ J6 ��+ VjO. % k 6Uk ors b A-,W,
lit eW eutuse. u&Jer!�" -file. 7/25/97
Reviewer/Inspector Name INell
Reviewer/Inspector Signature: 14 Date: $

13Division of Soil and Water Conservation Other Agency
13
140 Routine 0 Complaint 0 Follow-up of DNVO insuection 0 Follow-up of DSWC review 0 Other
Date of Inspection j V2.olt1
Facility Number E Q
9
Time of Inspection 1L� �CY? 24 hr. (hh:mm)
DRegistcred PCertified [3 Applied for Permit CtPermitted IE]Not Oper Date Last Operated: ..........................
Farm Name: .......... ....... ..................................................................... County:..
,...,fir..... .......................
OwnerName:..... . V.&.t ........ .................................................................. Phone No: Zuo.�.na�iX3.0 ..........................................
Facility Contact: ......... &10w.-A ............................... Title: W,L;'QpC ..................................... Phone NO: ...........
Mailing Address: �02 . ......... ik.P ....... Runck_....Sc�wd ...... 9.1 .................. ...... .. . ........................................... -r4.4.q.1 ...........
Onsite Representative: ...... Aclkn ...... ROA ............................................................ lntegrator....Akuq� ................................................................
Certified Operator .......................... ...... . ......... ................. Operator Certification Number 4-4-1.1 ............
Location of Farm:
...... i94........ at ....... ...... I&IJA ........ a S�L .. . .................................................
. F ....................... ........... . ................. .................. .......... ............ I . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A A a " An WE.........................
Latitude
Desigri ::Cui
Wean to Feeder
V00
Feeder to Finish
2-000
Farrow to Wean
74OLI
0 Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Longitude
Design .Current
. . . ........ . . . Cattle
P e-::
Poultry Capacity opulation
,10 Layer '10 Dairy
10 Non -Layer ❑ Non-D
v10 Other
T-4W.Desigh Capact
_,T66d SSLI
Imil t,"
General
1. Are there any buffers that need maintenance/improvement? 0 Yes ]A No
2. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Lagoon [I Spray Field 0 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 cal/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
0 Yes
El No
0 Yes
No
El Yes
No
❑ Yes
W No
Yes
IN No
0 Yes
10 No
N Yes
D No
[3 Yes
UNo
C3 Yes
R No
Continued on back

r`
Facility Number: 1 70
8. Are there lagoons or storage ponds on site which need to be property closed?
❑ Yes
No
Structures (l.a ootts Iloldin Ponds Flush Pits etc
9. Is storage capacity (freeboard plus storm storage) less than adequate?
R1 Yes
❑ No
Stnicture 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier: .........I .................. .... Z.........
Freeboard(fty ............d,._2 ............... $ , ..................................................................................................................................................I..................
10. Is seepage observed from any of the structures?
A Yes
❑ No
1 I- Is erosion, or any other threats to the integrity of any of the structures observed'?
❑ Yes
No
12. Do any of the structures need maimenancelimhrovement'?
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 inaximum liquid level markers"
❑ Yes
No
Waste Application '
14. Is there physical evidence of over application'?
,o Yes
❑ No }
(If in excess of WMP, or runoff entering waters of the State. notifv DWQ)
15. Crop type rr►UJ?.......SYv+a�.��..... YAi .... COX ti....... L�4`�A�....:.........�.4A1...........
5 ,.......... ,.......... 1 y......................................................................
lb. 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
No
18. Does the receiving crop need improvement?
❑ Yes
No
19. Is there a lack of available waste application equipment?
❑ Yes
V No
20. Does facility require a follow-up visit by same agency?
Yes
❑ No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
JM No
22. Does record keeping need improvement?
N Yes
❑ No
For Certified or Permitted Facilities Onl •
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
0 No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
tA Yes
❑ No
25. Were any additional problems noted which cause noncompliance of the Permit?
® Yes
❑ No
0 No.violations or deficiencies werenote'd-during this. -visit.- You.will receive no further
correspondence A.bidt this.visit:• .
Comments.(iefer;to question Explain any YES answers and/or any recommendations -or any `other coinmenis. p a
Use-drawir es of facility to better explain' situations:`(use additional pages as necessary)
s Ca„�;� S•E,-U��u-c. sho�fd IoQ bv� I'F' �e �+n g��r �,°e4� �o r tt�t�c� v-,��. d�- tr�a �P.
••
Tr us* �-.n O be, era cv,� 5pr" pack" 1;� jug hta� 4% Sprmy Fclj should .'b._
1'0` ) s k,. r rw qA r t 4 IRV_LLOr%J. "10cm LWA S64 f ower-e A +rt tt re)
12. 9Q,4, art&, or, ba t (6Soc�15 96d3 tie, tv-See-64. CetVa, 'Zr- S-6rp, WU,.kV-dtVP ion shotd 6 -
nn 101)tbr, A4-z . kj«<< oo-Sl- 56aa
lo. Vas5�66 seq ar, (Q9QOh 41.
14.-00,43 w"'sk-km sr" r&4m OP k, 5fnk.
7/25/97
14. "w c(t}s dqsK n {or cerr. r.Jk . J W
Reviewer/Inspector Name
tiG
Reviewer/Inspector Signature: Date:

4
Facility Number:.. 11...... Date of Inspection: l W7.047
Additional Comments and/or Drawings :'---
".s tpr jj47 sW%)jJ 6 upJ*.kj 4,rJ czpi f< PA; U j
c4vvlJ be 1&644 t%e\ ,L�Y-Oj rttCfdS . I-aldor, J,--,icpl 56A ba 1A ferf4ej PICU" Waste
Sa Lis S6jW be uf d&W. Pr W, 6� Ser I (`fO5 it hw� r I vWId hc ;,, pfan. I
24 Deb its 1 r\ I kV 6414 �taa GwOj-,. kj I deco, S6,/Ij be. ;5►os-oel O�
� t�� - - e
?er,�O w"r— wmvyJ kio4lcr Onfayo, 4 7— - No J i�-tc�n -110
4/30197

Site Requires Immediate Attention:
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIO S SITE VISITATION RECORD
• DATE: , 1995
Time: / 2-/
Farm Name/Own(
Mailing Address: J A2& Wli/!�gt_��'
County: �> - - d�SL7
Integrator. [1 1'¢ Phone:
On Site Representative: O W d Phone:
Physical Address/Locatio_n: ;7 I - • Sw /Mj('
ar/ '-Sibs
Type of Operation: Swine _VL Poultry Cattle
Design Capacity: -5;70V Sall) Number of Animals on Site: s4
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: ° 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 I Foot + 7 inche 91agoon(s)?
r No Actual Freeboard:'��Ft. Inches
Was any seepage observed from e Yes No Was any erosion observed? Yes r No
. Is adequate land available for spray? Yes or N Is e coverc adequate? Y/ej��or,N% 1r,
Crop(s) being utilized: K Im�R� Srkt s vat [mil/ ►' �I�P �
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwelling . Ye, r No
100 Feet from Wells Ye 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 o e state by man-made ditch, flushing system, or other
similar man-made devices? Yes r No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific a eage with .overr crop)? Yes or No
Additional Comments: Pt� � _ 6 _1A1
. �G �. � yJ•-�j
Inspector Name gnature
cc: Facility Assessment Unit Use Attachments if Needed.

995 17: 01 9102591291 PENDEP Cni]P EXT SEP P1113E 53
U
Site Requires Immediate Attention
Facility Number. _�' I r 16
SITE VISrrATION RECORD
DATE: _July 18 _ 1995
Owner: Randy Sucker Farm Name: Pender Farm
County:
Agent Visiting Site: 29mat-h Cook gender SWCn Phone:
Operator: John Bullard Phone: [phone]
On Site Representative: John: Bullard Phone: "
Physical Address: 2.0 miles NW of the intersection of SR 1207 and SR 1206. Farm
road is in the right. •
Mailing Address: 3762 Halfway Branch School Rd.
Ivanhoe, NC 28447
Type of Operation: Swine X Poultry Cattle
Design Capacity: 3400 Sow Number of Animals on Site: 3400 sow Farrow wean
Latitude: o ,' Longitude:jo °
Type of inspectiozz: Ground X Aerial
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) Q or No Actual Freeboard: 2 Feet 3 Inches
For facilities with more than one lagoon, please address the other lagoons' freeboard under the
comments section,
Was any seepage observed from the lagoon(s)? Yes or(9 Was there erosion of the dam?: Yes or
Is adequate land available for land application? G or No Is the cover crop adequate? 0 or No
Additional Comments:
Fax to (919) 715-•3559 Signature of Agent

1995 17: 01 9102 591291 PEHDEP COOP EST =,ER PAGE 06
•
Site Requires mediate Attention
SITE VISITATION RECORD
Facility Number.
71- 7o
DATE; July 1B 11995
Owner: #+(,11:nhv Fmrnlly Faring
Farm Name: Pender Farm # I
County: - Ponder
Agent Visiting Site: Kenn§ h Cook Fender SWM Phone: 259
Operator unknown Phone:
On Site Representative: unknvw" Phone:
Physical Address: tersection of SR 1207 and 1206. Farm road
Mailing Address: d
Ivanhoe, NC 28447
Type of Operation: 'Swine , X Poultry Cattle
Design Capacity: inknr,_, = Number of Animals on Site: one
Latitude: o Longitude: o "
• Type of Inspection: Ground X Aerial
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) Yes or No Actual Freeboard: Feet Inches
For facilities with more than one Iagoon, please address the other lagoons' freeboard under the
comments section.
Was any seepage observed from the lagoon(s)? Yes or No Was there erosion of the dam?: Yes or No
Is adequate laud available for land applicatiou? Yes or No Is the cover crop adequate? Yes or No
Additional Comments: Ear-m-j-, rurreritly under construction.
Fax to [phone] . Signatur"e of Agent

110
Site Requires Immediate Attention: No
Facility No.�
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATION SITE VISITATION RECORD
. DATE: /� , 1995
Time:
Farm Name/Owner: KdA&>67
Mailing Address: O?�- 1V4LaJ14 iW&
County: /l��_
Integrator [�%�/� it Phone:
On Site Representative: ZA98Y Phone:
Physical Address/Location: 1 D
ZO(a bit/ 1) 9--
Type of Operation: " Swine Poultry Cattle
Design Capacity: fib Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: 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 inche Yes r No Actual Freeboard:'t_&_Ft. Inches
. Was any seepage observed from the lagoon(s)? Yes r No Was any erosion observed? Yes or No
Is adequate land available for spray Ye r No Is the I cover crop adequate? Yes or No
Crop(s) being utilized: _ p� Nor PL4i1IrZP
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings Ye r-No
100 Feet from Wells Yes 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 o he state by man-made ditch, flushing system, or other
similar man-made devices? Yes Kr No If Yes, Please Explain:
Does the facility maintain adequate w to management records (volumes of manure, land applied,
spray irrigated on specific acr age with cover crop)? Yes or No
Additional Comments: IV k-J W l t
4
ZVIiV
Inspector Name Si tore
7
cc: Facility Assessment Unit
Use Attachments if Needed.