710095_INSPECTIONS_20171231

Type of Visit Q Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit Routine O Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: p�tjDfty Region:
Farm Name:
Owner Name:
Mailing Address: T
Physical Address: _
Facility Contact:
Onsite Representative: AO" H_.il.-
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Owner Email:
Phone:
Phone No. -
Integrator:
Operator Certification Number:
Back-up Certification Number:
Latitude: =]' =' = Longitude: = ° =' =
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population
❑ Wean to Finish
® Wean to Feeder S2oa d
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ Layer
❑ Non -Layer
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ urkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifej
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
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 O No ❑ NA LINE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
[]NA
❑ NE
❑ Yes
❑ No
❑ Yes
0No
❑ NA
❑ NE
❑ Yes El No ❑ NA ❑ NE
12128104 Continued

r
Facility Number: 7 I —
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1
Structure 2 Structure 3
Identifier: iEAGNCT' 1
I IX GN +Ge 2
Spillway?:
Designed Freeboard (in): 15,
Observed Freeboard (in): 3 t
Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large 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?
❑ Yes JZNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes VNo ❑ NA ❑ NE
❑ Yes 0No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or en"ron ntal 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 �o ❑ 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 El Yes EfI 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/improvement? ��
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ElE Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or I 0 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. Crop type(s) (-% L.Lc- C T C t.4) S6 U
13.
Soil type(s) LA/A 00
14.
Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
9No.
❑ NA
❑ NE
15.
Does the receiving crop and/or land application site need improvement?
❑ Yes
LNNo
ElNA
ElNE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination`
❑ Yes
O No
❑ NA
❑ NE
17.
Does the facility lack adequate acreage for land application?
❑ Yes
D'NNo
❑ NA
❑ NE
18.
Is there a lack of properly operating waste application equipment?
El Yes
E21/o
❑ NA
❑ NE
Comments {refer to quest Explain any YES answers aBdlor any recommendations or any otMUTEomments.
Use drawings oftfa lm.'O Netter` eapl a rtoatrons.. n drtional pages as necessary):
`l.} 5a r.rt� RP iu W aT S al.► D1.K-C W14US nE a,-M, iJ� Cy o��,r s IJ�� I� Gov f rz(s. l,,Z.��A}�5S
01�,) U GPiT� Q ��' EL� ro-fU41 51-bLKX-0JC[ iofLrrM NEEpS To fil` Voi..►C If
r—
Flo I �wb Ee' .la-� � a-L.� {1V E� � .
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Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: Date: '% L S
12128104 Continued

Facility Number: f — Date of Inspection S
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes F�No ❑ NA ❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
VNo
❑ NA
❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
2l.
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 ❑ Stocking ,[Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1"
Rain Inspections ❑
Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
dNo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
dNo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
E(NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
[l"NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
EJIQ
A
El NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
El
El No
WNA
El NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ElrNo ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
DF4o
❑ 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
❑-No
❑ 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
El Yes Yes
--,, rr
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
��//
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
ElP Yes
Into
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
LN'No
❑ NA
❑ NE
..4 y " �.... .• --.. F, � �- .`.
Addlhonal Comments and/or
N,.S t.f���.} �_�� -vA 4^ 1 rp �, �'�iA�y u*•�. r+
12128104

Type of Visit 9rb6mpliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 30 Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: Tune:
0 Not 2Eerational 0 Below Threshold
Permitted 13 Certified 0 Conditionally Certified 13Re&tered Date -Last Operated�,A/bove Threshold:
Farm Name:J-k f County: �Ll�. . _ .. .
Owner Name: 1� ,U�,�G(� 'Phone No: ,
Mailing Address: _
Facility Contact:
Title:
Onsite Representative: �✓/►�FTiS�yC:� i��n1z4C
Certified Operator.
Location of Farm:
/)P)hone No:
.
Integrator.
Operator Certification Number:
10 Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• �< �« Longitude
Curiet } tt w CIIiiffit aAk1 C11rrEat
. s'caabaa
Swtue Ca BPo lion_ ,Eouy _ ? .Po 'oo CatHe`� `_
wean to Feeder 2p0 Q Layer Dairy
Feeder to Finish Non -Layer Non -Dairy
Farrow to Wean. -
Farmw to Feeder
Farrow to Finish
Gilts
Boars " ° TotWi SSLW
M charees & 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
tructure 1 Structure 2 Structure 3 Structure 4 Structure S
Identifier- �i .4eZ
❑ Yes jo No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes 0 No
❑ Yes ;'No
❑ Yes Z No
Structure 5
�.�.- _
Freeboard (inches):
12112103 Continued

x' Facilify Number: Date of Inspection O
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 0 No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes 9j No
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenanceimprovement? ❑ Yes j 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 ❑ Yes jo No
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes A No
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes 0 No
❑ Excessive Pondmg ❑ PAN El Hydraulic Overload ❑ Frozen Ground ❑ gapper and/or c
12. Crop type A
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan ( Wl Per ❑ Yes ,�j No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes A 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
Odor Issaes
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below [] Yes A No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes No
19. 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)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ Yes No
Air Quality representative immediately.
Field Copy ❑ Final Notes
G!%� �.r1 �-5tg2�z5,�Z,1,�_ d�TT,�2 �'/�s �✓f ��..s'
4,4
14W 4AW
/3> Qu1NF2 (,�/'ocE�o �d�,•Y�t.4�� �zx.� � � � �SC�� rF.4�
Reviewer/inspector Name
Reviewer/Inspector Signature:
Date:
lL✓lL/VJ 1.01lR1{KG(i

r' Facility Number: — 5 Date of Inspection
Rectuired Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes ONo
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 No
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Sail Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes r No
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes 0 No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes R(No
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes 4 No
28. Does facility require a follow-up visit by same agency? ❑ Yes 16 No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes .P�No
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, slap questions 31-35) ❑ Yes Ej No
31. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No
32. Did the facility fail t-o install and maintain a rain gauge? ❑ Yes ❑ No
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes ❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required forms aced improvement? If yes, check the appropriate box below. ❑ Yes ❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1 " Rain
❑ 120 Minute inspections ❑ Annual Certification Form
IE3 No violations or deficiencies were noted daring this visit. You wRl receive no further correspondence about this visit. I
X1
s" J k � 4r2,p /ZO �rl air/, ,�•�SP z ai✓
at) Melwaq Q- f
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�pd�% �9� �•c
12112103

Type of Visit A Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit o Routine O Complaint O Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number Date of Visit: Time:
Not O erational Below Threshold
0 Permitted Ij Certified © Conditionally Certified 13 Registered Date Last Operated or Above Threshold:
Farm Name: County.
County:
Owner Name: _ _ti%rn L F _ _ ��14�. c1 Phone No:
Mailing Address:
Facility Contact: Title: Phone No:
Onsite Representative: L;�F_�61 2— Integrator:
Certified Operator: Operator Certification Number:
Location of Farm:
16 Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 ' " Longitude 0 6
Design Current
awine Unpacity ro ulation
CH Wean to Feeder ,j yD0 5boo
El Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
Gilts
Boars
Number of Lagoons
HoldmgiPonds l:.Solid'Traps
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer PI Dairy❑ Non -Layer Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
u Subsurface Drains Present JU Lagoon Area IL
❑ No Liquid Waste Management System
Discharees & 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 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: 2& 00 _ Z� 1 _
Freeboard (inches): ?Z Z!i
05103101
ray Field Area
❑ Yes
WrNo
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
JdNo
❑ Yes
PNa
❑ Yes
VNo
Structure 6
Continued

.(I
Facility Number: — j Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion,
❑ Yes
,V No
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
❑ Yes
No
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
�dNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
Waste Application
to"No
10. Are there any buffers that need maintenance/improvement?
Cl Yes
No
11. is there evidenc of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes
YNO
12. Crop hype a� &6_695660)
13. Do the receiving crops differ with those designated in thl Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
IVNo
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
Is there a lack of adequate waste application equipment?
❑ Yes
��No16.
Re fired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
[--]No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.)
ElYes
01j,Na
l9. 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
21. Did the facility fail to have a actively certified operator in charge?
El Yes
,1140
�(J 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
F�40
24. Does facility require a follow-up visit by same agency?
❑ Yes
No
P"
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
0No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (eeferta question # ain any YES answers and/or any recommendatrons:ar any," outer comments. `
Use drawings of facility to better explain situations. (use additional as necessary) `
pages Field Copy Final Notes
_., ,- ":a �.s.,
kz-eP F)LL5 694WO Z- oOAJ 044460
�01
©1t�. G4e"O,J 2q)
s)
O"kaea 5,
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date: t�
05103101 C ntinued

5
• V
Facility Number:- —951 Date of Inspection Printed on: 7/21/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes )ZNo
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑,10
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 [1No
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//Fo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes /❑' O
32. Do the flush tanks lack a submerged fill pipe or a per►nanent/temporary cover? ❑ Yes XNO
Additional omments an orDrawings:
lo, r 4,4,
(916)
A6i
5100
J

/ _- _
�,Dtvrsion o£Soil and Watef Conservation `Upeiatiora Review
�) CI,Division of Soil and .Water Conservation - Compliance Inspechon `
[&,Drvision of. Water Quality -.Compliance Inspection vy
aQiOther Agency - Operation Review
Routine Q Complaint O FolIow-up of DWQ inspection O Folio,*% --up of DSWC review Q Other
Facility Number I)ate of Inspeclion -�
Time (if Inspection qp 24 hr. (hh:mm)
Permitted Of Certified 0 Conditionally Certified © Registered E3 Not Operational Dale Last Operated:
Farm Name: ........l,..d.izper. ..... �l t' .....L,.. �....................... County:.............��4�a ........---............ - 110 I .....
LErS :......
Owner Name:.....11! .m-f. .................... ...� .k. ..... Phone No:.... �1�1/)...a� �. 1 ........................
Facility Contact: .... �(!f!J.(�. ... .�Xtl Title:.......... fJ.(dJrv,.lt............ ... ........ Phone No:
.....................J..................................
Mailing Address: ... t ...... .... ..�r ......... ll[.��L../...11/ ........ 1):..L1.... ..(,d :1..1..1
r�
7..
Onsite Representative:-Jlft./-�......... —I F .!!l!t. ............. ... Integrator: ......... -.f'L r......................................................
Certified Operator:........ & . ,,,,,,,,,, ,,,,,,,,,,,,,, ... Operator Certification Number:
..................
Location of Farm-
.................. : ....................................................................................................................................................................................................................................................... T
Latitude �•�� D.r Longitude
Swine
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Design Current Design Current
Capacity Population Poultry Capacity Population
dD< ❑ Layer
❑ Non -Layer
Cattle Capacity Population
❑ Dairy I I d
❑ Nan -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons -Is ubsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made:'
b. If discharge is observed. did it reach: ❑ Surface Waters ❑ Waters of the State
1
c. If discharge is observed. what is the estimated flow in ¢al/tnin?
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?
Identifier:
Freeboard (inches)
Structure I Structure 2
�r 4 4 M,
U............... ........�:............
Structure 3 Structure 4 Structure 5
❑ Yes KNo
❑ Yes ❑ No
❑ Yes ❑ No
_AlH_
❑ Yes ❑ No
❑ Yes ;'No
❑ Yes J No
❑ Yes No
Structure 6
1/6199 Continued on back

Facility Number: 7 Date of Inspection
6. Afe 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
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type ISA . .Sr %,r�� . l
13, Do the receiving crops differ with~#Tose 9s4nated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(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?
0: Vo yiolaiioris'or• ftrjd6ndL-9 were ngte0. d(Wing t. s.v. s. t. Yoii will-feeeiye i further
;coirisporid6c' e. a out this visit.. • • • • • _ ......
❑ Yes XNo
❑ Yes b6No
❑ Yes 9 No
❑ Yes 5(No
❑ Yes O�No
❑ Yes fgNo
❑ Yes KNo
❑ Yes 9No
❑ Yes 9No
❑ Yes X No
b(Yes ❑ No
❑ Yes 9 No
❑ Yes U(No
❑ Yes ((No
Do Yes ❑ No
❑ Yes U(No
❑ Yes Wo
❑ Yes JKNo
❑ Yes VNo
❑ Yes j$No
❑ Yes ® No
Comments refer to" uestion # : Ex lain an =YES;answers and/or an rec©mmendations oWan other cortunents. r.
Use.drawings °of facility to;better,explain situations ,(use additional -pages asinecessary}
%� ��� �%rn,c � s SO/ � �lySiS C�1�lS�r_ .. /� �C1n�ssc��iGf' CrG�lrG�i� � i�►-r �r,e,�f-- �
Lyt r�� r �/i%it - -1vY u� I2['l drt rnr�Jr®►�l ePicw /K S q111,1'e 1,/
few
J9�/!ftsryrsn�AW s><ar�— %C�P�o 1aGs� crof4 "-__ I�.P-Z i-.a• fa
ree k,�-gg C4.< n
/-sae a ALA ..vpY'ei,alr, s.'n - e6l en-1 C lue
Reviewer/Inspector Name
Reviewer/Inspector Signatur . Date:

Facility Number: —p Date of Inspection
Odor' lssfte-'b
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? ❑ Yes )(No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes JZNo
. 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 Da 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 IkNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? 1-1 Yes M
Additional'Comments. an o— rawrn .-
�IdID� �L7��r11� �jL� p+t-� D Tr�/ /�.iS �✓lYi -f�/ �. ,r av�lf �Ps1/�. l
3/23/99

- - j] Division of Soil and'WaterConservation
Operation _Reytew =a
Division of Soil and Water Conservation - Compliance Inspection
Dwt 'ion of Water Quality Compliance Inspection '
- - © Other Agency - Operation Review- - 4
HD Routine 0 Complaint 0 Follow-up of DWO inspection 0 Follow-up of DS% C review 0 Other 1
Facility Number I Date of inspection : %OPri �
"Vitae of inspection ® 24 hr. (hh:mm)
-
© Permitted (`Certified ©Conditionally Certified ❑ Registered [3Not Operational Date Last Operated:
Farm Name: ' �r .�'{` �....-1 �— ......... ........................... County:..... y...................--....-........ .....................
Owner Name: ..li''�......7:{...
� Phone NO.
.......................................................................................
Facility Contact: ...----.---.. ........ Title... ............... . .........--..... Phone No:...................................-...............
Mailing Address:
Onsite Representative:U"t'`v............ Integrator:......L`!4c� ....................................................
mac.
Certified Operator: ................................................... ..................................... . ...................... Operator Certification Number:.................-........................
T,.Acaqon F rrn:
............... ...... . .-.. .......
..........4�-�+............�L-' ji..
Latitude �` �� Longitude �' �� �" 5NiM
Swine Capacity Population
Wean to Feeder
QQ
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSL W
Number of Lagoons 10 Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps JE1 No Liquid Waste Management System
DischarsLes & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated at' ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. II• discharge is observed. did it reach: ❑ Surface Waters ❑ Waters of the State
c. If discharge is observed. what is the estimated flow in galhnin•?
d. Does discharge bypass a lagoon system?
2_ Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts to the waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3
Identifier:
R Freeboard (inches):
1 /6/99
Structure 4 Structure 5
❑ Yes [�<No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
0 No
❑ Yes
I' No
❑ Yes XNo
Structure 6
Continued on back

Facility Number: r) i —q S 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 pact of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings`?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Ponding ❑ NitroVcn
12. Crop type .......................... .......... �..
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. Does the facility lack wettable acreage for land application? (footprint)
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(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 certified operator in responsible 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?
[N. N.o.viatations:or. deiidenries .were no.te.. during.tfiis.visit:. You ii ilt.rerceive no further .:.:.
:: comr sporidehee:aboiit:this:visit.:-:•:•:•:•:•: :•:•:•:•:•:•:•:•:•:•:•:.:-:-:
❑ Yes gNo
❑ Yes C9 No
❑ Yes jes"No
❑ Yes Wo
❑ Yes [(No
❑ Yes 4No
❑ Yes O(No
❑ Yes M No
❑ Yes NrNo
❑ Yes O"INo-
❑ Yes DI No
❑ Yes %No
❑ Yes [KNo
MYes ❑ No
❑ Yes Of No
❑ Yes WNo
❑ Yes 9No
❑ Yes C4 No
❑ Yes 5'No
Comments (refer. to question#): Explain any YES answers and/or any.recoinmendations or any other comments __
Use drawings of facility to better explain situations. (use additional.pages as necessary)c
- 6.,Q_
m
l / YG\ C a� �r. `'�`vtlY t CJ. �1�C+► , &515` f�p� 1t--r ` rvn�rle_4_
r
D ID�
S ���s �►-. �-. Ct-o � c � ` y -�`rr-es Cs � �
lrrieo CQ�
Reviewer/inspector Name e h 1/e,
Reviewer/Inspector Signature: , 0, k-,— <:::� Date: 30 3 9
1/6/99

ivision of Soil and Water Conservation ❑ Other Agency
Division of Water Quality
IRRoutine O Complaint O Fo11ow-ue of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection
Facility Number Time of Inspection C9 <3 O 24 hr. (hh:mm)
0 Registered Certified [3 Applied for Permit [3 Permitted 10 Not O erational Date Last Operated:
Farm Name:...... �. ��n t f /u� 5�- �' 7i Count • .. �f" t'1................. � .�..�..........
.............................................................................. y........
Owner Name J C'''� L f e e- Phone No: 2 16 Z gs (
............................................................................................................................................................
Facility Contact: ..................................................... ...... Title: ... Phone No:
Mailing Address:...... D iJS �_, �/ .l#. ....................... .. i ...........................� � 1..................... ...-----....---...........
....................................... .... ........... .
Onsite Representative: ....... J. .`" .!.` ....,.j. �v Integrator:........
..................•---......---...........I .....
�-.�---
Certified Operator;.............J7 04 - G ��`� Operator Certification Number L
....................................----.--------..._............. .....j ......l..7.. ....
Location of Farm:
Latitude a 466 Longitude 0 6 46
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
KNo
2. Is any discharge observed from any part of the operation?
❑ Yes
r 0
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ YesNo
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ YeP(L
c. If discharge is observed, what is the estimated flow in gaUmin?
d. Does discharge bypass a lagoon system`? (if yes, notify DWQ)
❑ Yes
„l- ..o
'idio
�4.
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
Were there any adverse impacts to the waters of the State other than from a discharge?
ElYes
6�7()
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
V7NO
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
t(o
7. Did the facility fail to have a certified operator in responsible charge?
El yes
jVNo
7/25/97

Facility Number:
)�8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (LaEoons.Holdiniz Ponds. Flush Pits. etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Struc)ure I Structure Structure 3 Structure
Identifier: l
.....................�.../........................ ...................... .................................... .............................
Freeboard (ft): ................. ..I....f........... Z �!�
............................................................................................
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Structure 5
Waste Application
14. Is there physical evidence of over application?
(If in excess of AMP, 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)?
17. Does the facility have a lack of adequate acreage for land application? -
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
No.violatioitsOr. deficienci& were noted during this:visit. You:wil} receive no furtlier
correspotidepce. abouf tbis:visit.
❑ Yes �No
❑ Yes I No
Structure 6
❑ Yes PfNo
❑ Yes XNo
XYes ❑ No
❑ Yes tkrvo
❑ Yes /KNo
..................................
❑ Yes PIZ
❑ Yes�,No
❑ Yes Ijy.No
❑ Yes
❑ Yes;101
❑ Yes
�No
r Yes
❑ No
❑ Yes
❑ YYes/] No
❑( r'
4e'e lC-50o. C' j V .Li- 1 /%rCue. L�roS:o+•t
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: /p1�j� (r„��1�/ Date:

Routine O Complaint O Follow-u of DWQ ins ection
O Follow-up of DSWC review O Other
Date of Inspection 7 2
Time Inspection 24
Facility Number
of ((-,cso hr. (hh:mm)
Farm Status: ❑ Registered ❑ Applied for Permit
Total Time (in fraction of hours
(ex:1.25 for 1 hr 15 min)) Spent on Review
D9 Certified ❑ Permitted
or Inspection includes travel andprocessing)
❑AANot Operational Date Last Operated: .....
..........
Farm Name:
11
.......... County:..__.... _ . .... _..., ........
.. �
Land Owner Name:.. .�Lc. .� . ....
r
.... ......... Phone No: 11Q).L .`..�
Facility Contact :..... .. .... ... u .... ..
l........... Title:..
N.1iLt,>� Phone No:
Mailing Address: g!�.Y .. 5... ....� �_. ......._............ _...._._..... .._...... ...... ��..11� 4 ..................... �L ..:..
4t.i
Onsite Representative: p & �,..........._....._..........----
,............_.... Integrator. _....... ... ...._...._._........_..._.
Certified Operator :..... _....._._..... _......_................_ .....__.... .. Operator Certification Number:
Location of Farm:
1� �4Ri k?sa.I ct i n tairar�. 513... I..-.... ►r t` ...�� ..._6n .. $ . o`t. b......I.I.rati .s... . _................. 4
1V.... .j.qq
....... ............... ........ ........ .........
-
Latitude Longitude �• ��
Type of Operation and Desien Capacity
Design CurrentDesign �k Current- IlesEgn Cu ent
Sw�ise Cattle
Ca aci Po �ulatibn PQu hY Ca acity , Po u ation p 4 Ca ace Po ulahon '
Wean to Feeder La ❑ Dairy
Feeder to Finish ❑ Non La er ❑Non D
Farrow to Wean y " TE
Farrow to Feeder TotalDt'slgn Capacity a
Farrow to Finish
........ Total SSLW
' ❑Other ��
W Number of Lagoons z/ Holdxnrg Ponds Z Subsurface Drains Present
❑Lagoon Area ❑Spray Field Area
E.
n"
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 EPNo
❑ Yes 0 No
❑ Yes R:No
❑ Yes JZ No
❑ Yes
05 No
❑ Yes
RNo
❑ Yes
jil No
❑ Yes
No
Continued
on back

Facilit Number: ..2 ....... -�..� ..
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?
8. Are there lagoons or storage ponds on site which need to be properly closed?
S ructures (Lagoons and/or Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (fl): Structure 1 Structure 2 Structure 3
Structure 4
❑ Yes VNo
❑ Yes IV No
❑ Yes 9No
❑ Yes M No
Structure 5 Structure 6
10.
Is seepage observed from any of the structures?
❑ Yes
[ANo
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
(M Yes
❑ No
12.
Do any of the structures need maintenance/improvement?
$? Yes
❑ No
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
`No
Waste Application
14.
Is there physical evidence of over application?
❑ Yes
1 No
(If in excess of WMP, or runoffentering waters of the State, notify DWQ)
15.
Crop type d- ....................use_irQta..........---.......-......__ .............
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
[XNo
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
U)No
18.
Does the receiving crop need improvement?
:Yes
❑ No
19.
Is there a lack of available waste application equipment?
❑ Yes
No
20.
Does facility require a follow-up visit by same agency?
®Yes
❑ No-
2 1.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
For
Certified Facilities Only
22.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
E$No
23.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
No
24.
Does record keeping need improvement?
❑ Yes
No
ComrrEents refer to' eshoa' Ex lam an YES answers'andlor:an recommendations or an other comments
( � � F Y , Y Y ,
Use drawings of facility to better explain situations (use additioft 11pages as necessary) ;,,
111z. Croslor. &re&-S -oh by o�-[i skoult] %e- (A3 Li claftSeCM• 13 V10- Q
�g i[rC1RA�pVI 4 V !n� ` beer_, 1'X5WW 0,1V AID cy4� ^� Ql e� e+1
of Cey-V. �_- CoT Ov\ r kt jW k Sko­JW 10 e Clam- S+ J I
a
Reviewer/Inspector NameEM
Reviewer/Inspector Signature: _ Z Date:
-vT-
cc. Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97