760018_INSPECTIONS_20171231

Facility Number 7G 18 Date of Inspection 9/28/99
Time of Inspection 13:00 24 hr. (hh:mm)
13 Permitted ® Certified [3 Conditionally Certified 13 Registered In Not Operational I Date Last Operated: 31119.9.............
Farm Name: ...................................
County: &Uldo ph ....... :................................. W5RA........
OwnerName: Tim.&LINa........................... Latex...................................................... Phone No: 91.9r. U-513.9..........................................................
Facility Contact: 1in.I.,ww1vy................................................... Title: Qw xr................................................. Phone No: .......................
MailingAddress: LZUlulu!.e3'.RuAd.............................................................................. sWuNc ................................................................ 2735.5 .............
OnsiteRepresentative:Tjm.Lajtgjcy............................................................................... Integrator:......................................................................................
Certified Operator:.Tjmp,thy..&.......................... Latmia ............................................ Operator Certification Number:181J7Q
Location of Farm:
k:sxmt.t.oca.tta�t;...��y�.49.taw�aa<•�d.itiib�>��txa.tux�. xi�ht..ant.Ald.Sl�a1�x..Lid,��v.a�uxQxiuntax�l�:.1.l�.nniltr.;�axd..t�tlr�t.x��t.�
Latitude Longitude 79 • 35 { 20 «
Design Current
Swine C nnnrity Pnnntntinn
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
® Farrow to Finish
30
0
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity 30
Total SSLW 42,510
Discharees & 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): .................................... ............... ....................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ❑ No
seepage, etc.)
3/23/99 Continued on back

Facility Number: 76-18 Ifte
of lnspectinn
If ti. Are there structures on -site which are no properly addressed and/or managed through a 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 AVRlifilliall
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
9/28/99
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑.Yes
❑ No
❑ Yes
❑ No
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?
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?
Rio violations:or delFicieneies were :noted ;during this: visit. ;3�ou;will rcei've no further ; ;
correspondence. about this .visit. . . .. .. . .. .
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
wility is out of business. Owner wants to remain on the registration list in case he decides to restock animals. He will notify
he decides to restock. Facility is certified.
Reviewer/Inspector Name R. Corey Basinger
ReviewerlInspector Signature: Date:

_ p,Division �of SDil'Rii ter�C:onservation .`'Operation Revie
w"
p Division of Soil an Ater Conservation - Compliance Inspection s.
' r .
„ Division of. Water Qaality -Compliance Inspection
" p Other Agency - Operation Review
16 icoutine 0 Lompiarnt 0 ronow-up or uwt2 inspection 0 h(
Facility Number
Registered M Certified p Applied for Permit p Permitted
Farm Name: Lai►gley!.s.Hog.F.arm................................
-tip of I)NWC; review 0 Other 1
Dale. of ItIspeclion 10/22/99
Time ot, Inspecdoit ® 24 hr. (hh:mm)
p Not 01= Date Last Operated:
„ County: Randolph WSRO
thrncr N:unc: T.im.&..l.,isa.......................... Unlq ...................................................... Phone No: 33fir.62U-5139 ..........................................................
Facility Contact: 11m.1angley.................. ..... .. .... 331� fj22-5a.39.
............. ................ I'ille:(]YXnlrJ<:.......................... ......... Phone Nu: -
MailingAddress: J153.Rainey..Read............................................................................... sulcy.Nc ................................................................ 2.7.355 ..............
OnsiteRepresentative: T.i,m.L.aal&y............................................................................... Integrator:.......................................................................................
CertifiedOperator:UmoLkyA ........................... Langley ................................... ......... Operator Certification Number:IR8.7.Q.............................
Location of Farm:
Latitude ©0®� ©•� Longitude
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
p can to Feeder
p Feeder to mis
❑ arrow to Wean
p Farrow to ee er
® Farrow to Finis
p Gilts
p Boars
p
Layer
p airy
p Non -Layer p Non -Dairy
In Other
Total Design Capacity 30
Total SSLW 42,510
Number oMagoons / Holding Ponds, ©.
- f7
u
sur ace
rains
Present 11[3
Lagoon Area In Spray Field Area
o
Liquid Waste
ManagemCRt
System
(,Cneral '
I. Are there any buffers that need maintenance/improvement? la Yes ® No
2. Is any discharge observed from any part of the operation? p Yes M No
Discharge orfgfnaied at: p Lagoon p Spray Field p Other
a. I f dischargc is observed, was the con vcyancc man-made? p Yes ® No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) p Yes ® No
c. If discharge is observed, what is the estfntatcd flow in gal/ntin?
d. Does discharge bypass a lagoon system? (Ifyes, notify DWQ) p Yes ®No
3. Is there evidence of past discharge from any part of the operation? p Yes M No
4. Were there any adverse impacts to the waters of the State other than from a discharge? p Yes ® No
5. Does any part of the waste management system (other than lagoons/holding ponds) require p Yes ® No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? [3 Yes ® No
7. Did the facility fail to have a certified operator in responsible charge? C] Yes H No
7/25/97

Facility Number: 76_18 Datc0nspcctioli ® •
8. Are there lagoons or storage ponds on site which need to be properly closed? p Yes N No
Structures(I.,aj_;oous,l-inldinl PnnclNJAush fits,cie.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? p Yes ® No
SINLOIII•C I Stl-LICCure 2 Snructure 3 Structure 4 ".)'I]-Lt0tn•e 5 Structure 6
1deniitier: #1 #2 #3 #4 #5
Freeboard01):................ 3................. ............. ..2f.......... ....... ................ 2.'................. ............... 2................. ............... 4:................ ...................................
10. Is seepage observed from any of the structures? p Yes ® No
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?
Waste AvOication
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ....... C.orn..(Silagt".&.gain.)....... .Swa.11.Grain.(Wheat,.Barley,............................................................
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 rpeilitics 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?
..:oyiq I.ons.or atcrencies-were.no e . during urinKs vtsi . - oa wi .retceive nc ur er . .
•:..... ... .ie�a4oti.ttfitis•Y...; ......•. :. •.•.•.•.•. •.
p Yes
® No
p Yes
M No
p Yes
M No
p Yes
M No
p Yes M No
p Yes M No
p Yes ®No
p Yes M No
p Yes ®No
p Yes ®No
p Yes ®No
p Yes ® No
0 Yes N No
p Yes N No
Comments (refer twquestign ) !'f,Ezp am�any4 ,,ES�answers and/or'anyf;recomm€enfdat dnstor;ahy other.comments�
EUsefdrawtngslofiactl,>ty,�tolbetters+explamtsittiations'. useiaddittonal pages as€neressary) 3
3,.. fa.• E . ?..f , ,.. •i.�..:..., :.. i., ,., df.i,.f o..FI€-.�����.i�!"!a "�.Eit1t9
I f
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:

0
Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other .
Date of Inspection
Facility Number t
Time of Inspection 3= 3 24 hr. (hh:mm)
[] Registered Wertified [3 Applied for Permit © Permitted 113 Not Operational Date Last Operated:
Farm Name:...........L �4�1G .. ...... 0<o...I iewJ.......................................... County:...,. + ( .......................... Nsko....
Owner Name:..71-ei ..P..... f Srg .. Phone No:...-33 .", 6 ZZ..............................
Facility Contact: .....f...'..�' �- le ... Title:.......... d "tom Phone No 2 - 5 t 3A7...........
.....................................---................................ I ........1- L..
Mailing Address: ........ J.,Z5....��..... 2a;'?ey... `I .:................................................. ..........!`i:.Lr�....................... I................. .. 35"
Onsi#e Representative: ................... �L�/-�r�rCy................................................... Integrator:..........:................................,..........c.,............
Certified Operator;,........ � d �j.,. ' -` �- ....... I. .. Operator Certification Number;...... g. .I ............
Location of Farm:
.iy...'H .............. or.. ..l....... -eis,t..... §?....:.s ....fit.... ...�. .Q......... :fa...........e ...... h.S`y... ............................ ...........
.......... ..... .. ... ........................ .....
Latitude • f 7j3 LG Longitude ®• 1 Li
Capacity`'
❑ Wean to Feeder
❑ Feeder to Finish
Farrow to Wean
¢Sb
1 B0
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
7.f _'
a'J & a .truEa4a�u a�waaac
❑Layer ❑ Dairy
❑ Non -Layer ❑Non -Dairy
❑ Other
Total Design Capaao
' Total SSL w:
I❑ Subsurface Drains Present J1❑ Lagoon Area
❑ No Liquid Waste Management System-
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaUmin?
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
!9'�rgSv
Spray Field Area
❑ Yes )No
❑ Yes RNo
❑ Yes XNo
❑ Yes )J No
❑ Yes f2 No
❑ Yes gNo
❑ Yes RNo
❑ Yes IQ No
❑ Yes RNo
❑ Yes eNo

!Facility Number: — • .
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes (I10
Structures (Laaoons.Ilolding fonds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes EINO
Struc/ture 1 Structure 2 'Structure 3 Strru/cture 4 Structure 5 Structure b
Identifier: ............../..................................2'.......................,�7......,............... 7r......... ..... ................... ..................................
Freeboard(ft): ..............................................d�........................................ ....................... 1........... ......................... .........................................................
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?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type `"�
.........................................t.... ....' .�'t''t
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?
0: No.vitilatians or deficiencies.we're-noted;dtrring'this,visit. Yov:will receive no,ftirtl%er:
correspflndence about t�tis:visit:• : : . : .: . : ;
❑ Yes Wo
❑ Yes too
❑ Yes [tko
❑ Yes 1�10
❑ Yes Pd'No
............................I .........
❑Yes fffio
❑ Yes PkNo
❑ Yes 1�4 o
❑ Yes •RNo
❑ Yes .fNo
❑ Yes f�rNo
❑ Yes VNo
❑ Yes C�No
❑ Yes 6�No
❑ Yes 5'No
Reviewer/Inspector Name ..fir. :, (a P .. h.. k . 0 rim
Reviewer/Inspector Signature: ' Date: / P1 7 'Z-

_ t%
I* Routine p Complaint p r'oiiow-up of Lowy inspection p re
�.1
Facility Number
■ Registered p Certified p Applied for Permit p Permitted
Farm Name: Langley.'.s.Hog.F.arm........
Up of uswC review p utner
Date of Inspection
Time of Inspection 24 hr. (hh:mm)
in Not OperatIona Date Last Operated:
........ County: Randolph WSRO
Owner Name: Tim.&.Lisa.......................... Lumgley....................................................... Phone No: 919.n622:.S.139.............................................. ......... ...
Facility Contact: Tips..Laugley....................................................Title: Oulke:r................................................ Phone No:
Mailing Address:.1253..Rainey..Ruad................................................................................9taley.Nll;................................................................ Z7.155 ..............
OnsiteRepresentative: Tiju.Langley............................................................................... Integrator:.......................................................................................
Certified Operator: T.i.makhy..R........................... .[. Ungley ............................................ Operator Certification Number:188.7.9 ............................
Location of Farm:
Latitude ©• ®' ©" Longitude ®• ©' ®"
7Design-Current—;3 esi rr urren , esi n urren
��� kk �, � a i,�t �� ! g �� k _..t:.g '.
�
Capacity Population �P�oultry,e Capacity.Population,:'':,€ ,Capacity Populat�on:lE!(
p Wean to Feeder
❑ Feeder to Finish
❑ Farrow to can
p Farrow to Feeder
❑ Farrow to Finis
❑ Gilts
p Boars
❑Layer p airy ..
1' ❑ Non —Layer ❑ Non- airy
ter
TO ifl,;Mgl 450
TOtaLS, SLW�"
1,11n , u snr ace Mains Present lin Lagoon Area In Snrqv Held Area
���° �rct �Yt Kkll p; �II ,J _ o _i.11
yips F S; I - F f
I! Ik i i
, S�aii }'� lei I•
General
1. Are there any buffers that need maintenance/improvement? p Yes IS No
2. Is any discharge observed from any part of the operation? p Yes ® No
Discharge originated at: p Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? p Yes ® No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes N 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? p Yes N No
4. Were there any adverse impacts to the waters of the State other than from a discharge? p Yes ® No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes ® No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? p Yes ® No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes ® No
7/25/97

ace ► y Number: 76_18
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Laizoons,Holding Ponds Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
p Yes M No
p Yes a No
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier:
Freeboard (ft): ............9.A.11............ ............ 2..0..fit............ .............2..1.R ............ ............ .4..o..fit............ ............ 10..t1............
.............. I .......... ,.........
10. Is seepage observed from any of the structures?
p Yes
M No
IL Is erosion, or any other threats to the integrity of any of the structures observed?
p Yes
M No
12. Do any of the structures need maintenance/improvement?
p 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?
H Yes
p No
Waste A1212lication
14. Is there physical evidence of over application?
p Yes
a No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type .......C.arn.kSi)age.&..rain.)Small.Grainl.(Wheax,.Barley.................................................................................................................
16. Do the receiving crops differ with those designated in the ,4rumal Waste Management Plan (A WMP)?
p Yes
p No
17. Does the facility have a lack of adequate acreage for land application?
p Yes
a No
18. Does the receiving crop need improvement?
p Yes
®No
19. Is there a lack of available waste application equipment?
p Yes
a No
20. Does facility require a follow-up visit by same agency?
p Yes
® No
21. Did ReviewerlInspector fail to discuss review/inspection with on -site representative?
p Yes
a No
22. Does record keeping need improvement?
p 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?
p Yes
p No
24, Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
p No
25. Were any additional problems noted which cause noncompliance of the Permit?
p Yes
p No
PR - . o.vio tons.or wiencies-were.nos uryng is vist :. on. wy .reretve no' ur. er .: ,
6� 606nOrieo �Wtif tbis visit;
Oil me►its (refer to question #,): Explain any YE5 answers andlor any iecgmmendAtions or any other eariiinentst
Use drawing of facility to better explain situations: (use additional. pages as.necessarry):
�f4 �i �lfffiI P IIt1A�3 lib fiP�iFl it i E ,.3 fldiilll € t� a i
' aS rTaMi. &ID". rdS 4' k .>v` "x5i i:1S'0+.re'';�""re
13 - NRC►S/SWC was out$$tos�rrvey last week'Ins tallationjof#markersshouldXbetforthco�nmg .
planyt+NWIS�W,C,w, rk�ngonit +' r
2,3-23 No plan yet 1j`` ; i ;
w r �
*** Facility is in goad shape r�Should have no pDrroblems wA11104tlfdahNi'.�.;
7125'1,9r7,
.r
Reviewer/Inspector Nameorey B spin cr
Reviewer/Inspector Signature: Date: Zj Oq� ��9

�" g ❑ DSWC Anil Feedlot Ojj�
peration Review F�
'�DWQ Animal Feedlot Operation Site Inspection
U,
Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSkVC review 0 Other
Date of Inspection !0
Facility lumber
Time of Inspection 24 hr. (hh:mm)
Registered [3 Certified [3 Applied for Permit © Permitted [3 Not Operational Date Last Operated:
Farm \3tE:..............LI� k16& Ff-Pm {Ount.
......................................................................................................... ..,..,%......,./,.t.l..D.O,..G...P...�...>.<........................... .�...t.}..j....%I.7..q........
Owner Name: TM 8 Lrs� L4nlip4� y Phone No:y��_ ��z z 5/3
.......................I..........................,.............................�...................................... ............
Facility Contact: ......... !77.........L,A, ,L C, ... ... "Cale................................ I ........... Phone No .......
Mailing Address: / ZS 3 >Q4.may m > 3ey...,..AC............................................. .Z7.35.5
Onsite Representative:,..... %.......4.-.4 1 F.............................................Integrator:....................................................................................
Certified Opera( or-7;� ?oTN/ f (-NG�t .Y Operator Certification Number :....1B8. ..............
Location of Farm:
T.........,................Yw; Lda AAGif..../...ri... ....!"! ..................
Latitude 0® « Longitude ®• 3S 1®64
Design Current
Design Current
Design'. Current
Swine Capacity Population
Poultry
Capacity Population Cattle
Capacity Population
❑ Wean to Feeder
10 Layer
I
❑ Dairy
❑ Feeder to Finish
❑ Non -Layer
❑ Nan -Dairy
Farrow to Wean
_9D
000
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
¢� r
❑Gilts
Total SSLW
/ 9�
[I Boars
Number of Lagoons / Holding Ponds Q ❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
❑ No Liquid Waste Management System
Genera[
1. Are there any buffers that need maintenance/inip rove ment?
❑ Yes
�Ko
2. Is any discharge observed from any part of the operation?
❑ Yes
KVo
Dicchargc originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was [lie convevance man-made?
❑ Yes
T!fNo
b. If dischar-e is observed, did it reach Surface Water? ([f yes, notify DWQ)
❑ Yes
PfNo
c. If discharge is observed, what is the estimated flow in gal/ntin?
d. Ds>es ciischarge bypass a lagoon systeari`? (lf'yes,.notify.DWQ)
❑ Yes
EJ�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
KNo
maintenance/improvement?
6. is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
KNo
7, Did the facility fail to have a certified operator in responsible charge'?
❑ Yes
�dNo
7/25/97
Continued on back

Facility Number: -Pp — t$ •
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lal;oons,11olding Ponds. Flush Pits, etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate? ,
❑ Yes ,fNo
❑ Yes jdNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
t� C..�.......... 2 cf�
Freeboard(ft):....................................................... ........,..... ..,... .......,.,......,.....
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?
Vasa. Application
14. Is there physical evidence of over application?
(if in excess of WIMP, or runoff entering waters of the State, notify DWQ)
bOu)lC�obA�......(,
5. 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.violations or deficiencies were -no' ted-durin ' this"visit..You:will receive no further
correspondence about this:visit. ':
❑ Yes XNo
❑ Yes ;<No
❑ Yes CVo
Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes J9No
❑ Yes 50No
❑ Yes 19 No
❑ Yes ErNo
❑ Yes 2TNo
Cl Yes ,XfNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility,to better explatii situations:.(use additional pages as n eee ssary) AL
l3 . N&,51SXC_ GuQS du7" - -4 r p lQ5;7- G1�1< .
Atb AO_V_5W
Z3 - z� -- �a p,, JJ/••� K y�
7/25/97
....,. w
n�: €
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: %