820586_INSPECTIONS_20171231

NUH I H UAHULINA
Department of Environmental Qua!

visit: C7 %.ompuance inspection v vperatnon tcevtew V structure rvatuanon V aeennicap Assistance
for Visit: eRoutine 0 Complaint Q Follow-up O Referral Q Emergency Q Other O Denied Access
:
r-,
Date of Visit: � Arrival Time: (�`•'�� Departure Time: AIoaCounty: Region. 9 ?''y
Farm Name: c,q4 6, Owner Email: s
Owner Name: �" ��� s �� Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: << Integrator: W ! — `-
i
Certified Operator: f Certification Number: �f q3 %S
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Discharges and 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?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
❑ Yes Q' oC�❑ NA ❑ NE
❑ Yes ❑ Nb [3 -NA ❑ NE
❑ Yes ❑ No [g__NA ❑ NE
d, Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes [] No ❑`NA ❑ NE
2. is there evidence of a past discharge from any part of the operation? ❑ Yes �o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facili Number: - Date of Inspection: oZtvt;7Z
/fl
19_ Did the facility fail to have the Certificate of Coverage & Permit readily available?
Waste Collection & Treatment
No
❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? if yes, check
❑ Yes
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
[3-NU--O NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
[:�NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
El"No
Identifier:
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
[] Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield E:1120 Minute Inspections ❑ Monthly and l" Rainfall Inspections
Spillway?:
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
6 No
❑ NA ❑ NE
Designed Freeboard (in):
❑ Yes
Q No
❑ NA ❑ NE
Page 2 of 3
Observed Freeboard (in): Ct
2/412015 Continued
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
(21-bl°
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a
❑ Yes
E'lffo
❑ 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
[g-Ko-­
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
[.a- oor
❑ 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
0 No
❑ NA
❑ NE
maintenance or improvement?
Waste-Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
[3'lgo
❑ NA
❑ NE
maintenance or improvement?
11- is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [2 -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 E] Application Outside of Approved Area
12. Crop Type(s): 49 e lLc- � 41
13. Soil Type(s): t"A'L go
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes E3 -<o ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes [I No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑.No [] NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes C3 o ❑ NA ❑ NE
Required Records & Documents
19_ Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? if yes, check
❑ Yes
F -1,14'o
❑ NA ❑ NE
the appropriate box.
`
❑ WUP [:]Checklists ❑Design ❑ Maps [] Lease Agreements
❑ Other:
21. Does record keeping need improvement? if yes, check the appropriate box below.
❑ Yes
El"No
❑ NA [] NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
[] Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield E:1120 Minute Inspections ❑ Monthly and l" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
6 No
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
Q No
❑ NA ❑ NE
Page 2 of 3
2/412015 Continued

Facili Dumber: ?,- I Date of Inspection: 2E,
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [2<o E] NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check [:]Yes Q—Ko- ❑ NA ❑ NE
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 fust survey indicating non-compliance:
26. Did the facility fail provide docun►entaton of an actively certified operator in charge? ❑ Yes C] ­ Kb ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [:]Yes CDNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes o ❑ NA ❑ NE
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? ❑ Yes �No ❑ NA ❑ NE
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 ❑ Yes [a To ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility? If yes, check the appropriate box below.
[—]Yes
L d "'o
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
Q Yes
[3 -No
[] NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
[:]Yes
C2 -No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
[/] No
❑ NA
❑ NE
a � ,� q :. �� �_.. . y ( - �'���� _ry) � Yer comments.
Comnitetts refer t.%,- ueshOii E""`lain an YE5 answers and/or an addeteonaltrecommendateons organotle
=.
Use dravvtngs�oftfaci ty�to better a leen sitnatioos_ use addtttonal: a es:,as,necessa at :t 16L CO
Reviewer/Inspector Name
Reviewer/Inspector Signature
Page 3 of 3
_Z(X T
Phone: v — 0 `�
Date:0__U
214120]5

II ype of visit: Q'C:ompliance Inspection V operation Keview V structure Evaluation U I ecltnical Assistance
Reason for Visit: (?Ikoutine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: ! Q County: Region:[
Farm Name: - SZ1A!&!, Wcp/<�AK SWO-� Owner Email:
s
Owner Name: Phone:
;Mailing Address:
Physical Address:
Facility Contact: b O 6-e Title: Phone:
Onsite Representative: (C Integrator:
Certified Operator: gC Jy , -
Back-up Operator:
Location of Farm:
Latitude:
Certification Number: %y Pd b
Certification Number:
Longitude:
Discharges and 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?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
❑ Yes NA ❑ NE
❑Yes
[:]No
Design Current
Design CurrentDesiCapcPop.
❑Yes
[]No
C"_jj
Wet PoultryapacCattle
16- —ac i 1-yM Pop.
Wean to Finish
airy Cow
Wean to Feeder
Non -La er
Dai Calf
Feeder to Finish:._-
Dai Heifer
Farrow to Wean
-== Design'' -=Current
Dry Cow
Farrow to Feeder
D , Poul _ : Ca Ci ;Po
Non -Dairy
Farrow to Finish Layers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
.__ ..
Turkeys
Other
_.�,,
Turkey Pouts
Other
Other
Discharges and 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?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
❑ Yes NA ❑ NE
❑Yes
[:]No
D -M -A
❑NE
❑Yes
[]No
EJ -KA
❑NE
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes ❑ No
❑ Yes [3 -No
C] Yes ,❑-No
[n NA
❑ N E
❑NA
❑N
❑ NA
❑ NE
Page I of 3 2/4/2015 Continued

Facility Number: Date of Inspection: 17 '41
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �o ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? 0 Yes ❑ No Q AA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes r,- o [] NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes 2 No ❑ 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 �o ❑ NA ❑ NE
8_ Do any of the structures lack adequate markers as required by the permit? ❑ Yrs 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 0 No ❑ NA ❑ NE
maintenance or improvement?
_Waste Aonlication
10. Are there any required buffers, setbacks, or compliance alternatives that need [] Yes [3 N ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 2 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 Approved Area
12_ Crop Type(s):
tC-11z*— ,
4 !
13. Soil Type(s): C� i ^
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [t]-fQo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 2'90 ❑ NA ❑ NE
16_ Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes �o ❑ NA ❑ NE
acres determination? r
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Reouired Records & Documents
❑ Yes ONO ❑ NA ❑ NE
[:]Yes 2'1Vo ❑ NA ❑ NE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
(D No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? /Eyes, check❑
Yes
lD "�
[DNA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
do
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
E!5 No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes fNo ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Nember: Date of Inspection:
❑ Yes
�o
❑ NA
24.Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
[;d.No
[] NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
e -N -o
❑ NA [ NE
the appropriate box(es) below.
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
0 Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
0' -No
❑ NA
❑ Non-compliant sludge levels in any lagoon
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
[2'f4o
List structure(s) and date of first survey indicating non-compliance:
❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes
01 o
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
�o
(] NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes [g -Mb ❑ NA ❑ NE
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? Q Yes Q o ❑ NA ❑ NE
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 ❑ Yes [2 -No ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
�o
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
ff—No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
[:]Yes
0' -No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
[2'f4o
❑ 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).
C,,t('b &- 3-- (-b
Reviewer/Inspector Name:
Reviewer/Inspector Signatut
Page 3 of 3
C4 cto-30k, bKv,
Phone: U 3 3 33Y
Date: �1 �OkAfl
21412015

Type of Visit: CKompljancc Inspection O Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit:Arrival Time:UUT
� Departure Time; County: Region:
Farm Name: (';o 1CQ _ �KK 5>� � Owner Email:
Owner Name: 5 0..x Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
t(
Title: Phone:
Latitude:
Integrator: 195
Certification Number: L
Certification Number:
Longitude:
Design Current
❑ No
Design . Current
Design Current
[:]Yes
Swine Capacity. Pop.
Wet Poultry
Capacity =Pap.
Cattle Capacity Pop.
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
Non -La er
Da' Calf
Feeder to Finish
MR
.:.:
Da' Heifer
Farrow to Wean
Design CU" ent
�i'u
Cow
Farrow to Feeder
D . I?ault .'�
Ca aci
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
t?tber
Turkey Poults
Other
10ther
Discharges and Stream Impacts
i. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (if yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
❑ Yes [ K_6 ❑ NA ❑ NE
❑ Yes
❑ No
[ o�'NA
❑ NE
[:]Yes
❑No
❑ NA
❑ NE
d. Does the discharge bypass the waste management system? (if yes, notify DWR) ❑ Yes ❑ No [�? A ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes [3No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters []Yes [/� No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3
2/4/2014 Continued

Facility Number: - Date of Inspection:
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? ❑ Yes
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Spillway?:
Designed Freeboard (in): �} L
Observed Freeboard (in): 0`V
5. Are there any immediate threats to the integrity of any of the structures, observed?
(i.e., large trees, severe erosion, seepage, etc.)
[30 ❑ NA ❑ NE
❑ No D2 -<A ❑ NE
Structure 6
❑ Yes [jj-Nn ❑ NA ❑ NE
6. Are there structures on-site which are not properly addressed and/or managed through a
❑ Yes
[g No
(DNA
❑ NE
waste management or closure plan?
❑ Yes
l o
❑ NA
❑ NE
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
[!j'No
❑ NA
❑ NE
S. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
©filo
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[R -No
9. Does any part of the waste management system other than the waste structures require
❑ Yes
[3"No
❑ NA
❑ NE
maintenance or improvement?
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
[:]Yes
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 13`�o ❑ NA
❑ 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): 16 C<J�/k—�—+� 5G o
13, Soil Type(s):
nto 4 — Z at o kOc t-Ro�
❑ NE
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
0,N -o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
l o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
[algo
❑ NA
❑ NE
acres determination?
[—]Other:
17. Does the facility lack adequate acreage for land application?
❑ Yes
[:� No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[R -No
❑ NA
❑ NE
Reauired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[ o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, cheek
❑ Yes
[2"No
❑ NA
❑ NE
the appropriate box,
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
[—]Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
Ej7No
❑ NA
❑ NE
❑ Waste Application [] Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather
Code
❑ Rainfall ❑Stocking ❑ Crop Yield [:1120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
jXTNo
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
[:]Yes
�o
❑ NA
❑ NE
Page 2 of 3 214/1014 Continued

Wacility Number: jDate of Inspection: 07�( Ma
24. Did the facility fail to calibrate waste application equipment as required by the permit? [:]Yes [P�No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [!r&o ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey E] Failure to develop a POA for sludge levels
❑ Non-compliant sludge levels in any lagoon
List structure(s) and date of fust survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? 0 Yes [g.No ❑ NA ONE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes rZKo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
[No
❑ NA
❑ NE
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?
❑ Yes
VNo
❑ NA
❑ NE
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
❑ Yes
[J'No
DNA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tilt drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
eNo
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
[—]Yes
ffNo
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
❑ Yes
YNo
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
0 Yes
L._..I No
❑ NA
❑ NE
Comments (refer #o question #): Explain any YES answers and/or any additional recommeatiahons+.anyothe. rcammenfs` ;.
Use drawings of facility to better explain situations `(use "additional pages as necessary).`
€ f M
CA'U 4 (", -
4w�e; o_- 105
Qc3
Reviewer/Inspector Name: vo A Phone:L�33
Reviewer/Inspector Signature: tj
w Date:ag
Page 3 of 3 2/42014

Type of Visit:om/�pliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: elioutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 1-�-`5rrival Time: I q'1 e Departure Time: ja County: � , Y C Region:
Farm Name: .SOjjkj., (jb `cQ J C� L4 -e_ Owner Email:
Owner Name: n._`Tot:26_ Phone:
Mailing Address:
Physical Address:
Facility Contact: fq a� Title: Phone:
Onsite Representative:.
Certified Operator:
Back-up Operator:
Location of Farm:
1(
Latitude:
Integrator:
Certification Number: 17 69
Certification Number:
Longitude:
Design CQrrent
❑ Yes
Design
Current
Design Current
Swine Capacity Pop.
Wet Poultry
Capacity
Pop.
Cattle Capacity Pop.
Wean to Finish
Layer
IIIA
❑ NE
Dai Cow
❑ Yes
Wean to Feeder
Non -La er
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
Da' Calf
Feeder to Finish
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
Dai Heifer
01A
Farrow to Wean
2. Is there evidence of a past discharge from any part of the operation?
Design
Current
Cow
❑ NE
Farrow to Feeder
D. P,o,tel
Ca aci
P,o
Non -Dairy
Farrow to Finish
ILavers.
Beef Stocker
Gilts
Boars
Non -Layers
Pullets
Beef Feeder
Beef Brood Cow
1111
Turkeys
Other
TurkeyPoults
Other
Other
Discharges and Stream Imnacts
I . Is any discharge observed from any part of the operation?
❑ Yes
❑_Nr ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
IIIA
❑ 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
❑ No
01A
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
io
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
[:]Yes
DTo
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2014 Continued

rFacility Number: -x&V jDate of Inspection:
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Eg-+46— [] NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No [�'IS�A ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 1�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ° ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a
❑ Yes
NA
❑ NE
waste management or closure plan?
❑ Yes
21'o
❑ NA
❑ NE
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
[3 --Mo—
❑ NA
❑ NE
9. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
E3,Kr
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
17. Does the facility lack adequate acreage for land application?
9. Does any part of the waste management system other than the waste structures require
[] Yes
Q -No
❑ NA
❑ NE
maintenance or improvement?
❑ No
❑ NA
❑ NE
Re uired Records & Documents
Waste Application
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
©'1q—o
❑ NA
❑ NE
maintenance or improvement?
No
❑ NA
❑ NE
the appropriate box.
. is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes �Ta ❑ 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 Approved Area
12. Crop Type(s): 5 t, , - r W
13. Soil Type(s): c� fit t
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
21'o
❑ NA
❑ NE
15. Does the receiving crop andlor land application site need improvement?
❑ Yes
[c f' o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑'No
❑ NA
D NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑<]o
❑ NA
❑ NE
19. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
❑ NE
Re uired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
MNo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
o
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minuic Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
WN
❑ NA
❑ NE
23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑Yes
Npo
[:INA
❑ NE
Page 2 of 3 21412014 Continued

Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 2],Alo ❑ NA ❑ NF
25. is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes *-o— ❑ NA ❑ NE
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 to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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?
cz'jc� 4 e-, �­ $ I,- �- (
5(
& - I )-- _i-3 . 'y
Reviewer/Inspector Name:
Reviewer/inspector Signature:
Page 3 of 3
❑ Yes �o
[]Yes LD"'
❑ Yes Eq -KJ
i
❑ Yes ' No
❑ Yes ["No
❑ Yes �No
❑ Yes [2r<0
[:]Yes [a No
❑ Yes [ No
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
[] NA ❑ NE
0 N ❑NE
❑NA ❑NE
[DNA E] NE
[3NA E] NE
Q NA ❑ NE
Phone: "to
3 -
Date: 19S
V41206

A tins
13D
Itype of visit: gj"mpnance tnspecuon t_j uperanon tteview V btructure -Evacuation V I ecnntcat .assistance I
Reason for Visit: utine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: 4r0Cf I County: -4:46'l
Farm Name: _9k t ' c Owner Email:
Owner Name: t v Phone:
Mailing Address:
Physical Address:
Region_pl�v'
Facility Contact: P
I �.10' Title: Phone:
Onsite Representative: f Integrator: (K i
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Discharees and 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?
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)?
❑ Yes [g -No ❑ NA ❑ NE
❑ Yes
❑ No
NA
❑ NE
❑ Yes
[:]No
LAS A
Design CurrenE ..;
❑ Yes
Design
Current
Design Current
Swine
Capacity . P P v
Wet Poultry
Capacity
Pop.
Cattle OFapacity Pop.
Wean to Finish
La er
D Cow
Wean to Feeder
Non -La cr
Da Calf
Feeder to Finish
U
;J li
Design
:,
Crur�rent I
Dai Heifer
D Cow
Farrow to Wean
Farrow to Feeder
D . P,oul
La ers
Non -La ers
Pullets
Turkeys
Ca aci
P,o
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cowd 1 :1
Farrow to Finish
Gilts
Boars
Mkt -
Other
Turkey Poults
Other
Other
Discharees and 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?
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)?
❑ Yes [g -No ❑ NA ❑ NE
❑ Yes
❑ No
NA
❑ NE
❑ Yes
[:]No
LAS A
❑ NE
d. Does the 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 observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes
❑ No
[J'ITA
❑ NE
❑ Yes
[2,< V
❑ NA
❑ NE
❑ Yes
CEI<o
❑ NA
❑ NE
Page I of 3 2/4/2011 Continued

Wacgty Number: jDate of Inspection:
Waste Collection & Treatment '
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ lA O Yes B ❑ NA ❑ NE
a. if yes, is waste level into the structural freeboard? ❑ Yes 0 No Iii A ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 1
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ YesNo ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes 0 No ❑ 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 t eat, notify DWQ
maintenance or improvement?
1 1. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes rNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, 2n, etc.)
❑ PAN ❑ PAN � 10% or 10 lbs_ ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable CropWindow
//�0 Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): 9 �` �"''-�✓`�I � 0
7. Do any of the structures need maintenance or improvement? ❑Yes o ❑ NA ❑ NE
S. Do any of the structures lack adequate markers as required by the permit? E] Yes Flo ❑ 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 �fv ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance altern
13. Soil Type(s): Wa,4 ly c
14. Do the receiving crops differ from those designated in the CAWMP?
❑ YesN
❑ NA
C:] NE
15. Does the receiving crop and/or land application site need improvement?
❑ YesrNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
© Yes❑
atives that need
❑Yes
No ❑ NA
❑ NE
13. Soil Type(s): Wa,4 ly c
14. Do the receiving crops differ from those designated in the CAWMP?
❑ YesN
❑ NA
C:] NE
15. Does the receiving crop and/or land application site need improvement?
❑ YesrNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
© Yes❑
NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[No
❑ NA
❑ NE
Re uired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
[] Yes
Z3,Ko
❑ NA
❑ NE
20. Does the facility fail to have ail components of the CAWMP readily available? If yes, check
❑ Yes
El N
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes Ej<o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [!No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [:]Yes ETNo ❑ NA ❑ NE
Page 2 of 3 2/4/2011 Continued

jFacHity Number: jDate of Inspection:
2.44. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [B-T�❑ NA [3 NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes O'Jao ❑ NA ❑ NE
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 fust survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes- !o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes to ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes CgKb ❑ NA
❑ NE
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?
[:]Yes NA
❑ NE
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
❑ Yes ❑111' ❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes ICJ < ❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
0 Yes No ❑ NA
❑ NE
33. Did the ReviewerAnspector fail to discuss review/inspection with an on-site representative?
❑ Yes No ❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes U lYo ❑ NA
❑ NE
Cammeats (refer to*-ieshon Explain any:- a_zR*0is;and/or,an a
q aP . y� A, . y dtiit,onalcommenda�onsor any o'thercoaimentisl
Use drawings of facility�to,better, lain necessary)
ea situatzons.(us e`idditranal pages: as
S lu- SG j f -13 - 13
Reviewer/Inspector Name: •� (`
Phone: _ q3
Reviewer/Inspector Signature: �j +
Date
Page 3 of 3
2/4/2014

r i
�\ h5 '1-% NI&I Its
Type of Visit: O'Compliance Inspection U Operation Review Q Structure Evaluation (_) Technical Assistance
Reason for Visit: 044utine 0 Complaint 0 Follow-up 0 Referral Q Emergency 0 Other 0 Denied Access
Date of Visit: val TimeDeparture Timer county; LK �k Region c7
Farm Name: <faS4 2 u&P Z S P 60(4Owner Email:
Owner Name: (j o : _ Phone:
Mailing Address: _
Physical Address:
Facility Contact: V-6 Title: Phone:
Opsite Representative: it Integrator: 13 ek&5-
Certified Operator: S LA, - Certification Number: �2 r f -OL
Back-up Operator: h t3 Certification Number: 2766w
Location of Farm: Latitude: Longitude:
Design Current
Design
Current
Design Current
Swine Capacity Pop.
Wet Poultry ; ".-,Capacity
Pop:
Cattle • p
i&Fe
Ca aci Po
Wean to Finish
La er
Dai Cow
Wean to Feeder
-Layer
Dai Calf
Feeder to Finish VZ -V
airy Heifer
Farrow to Wean
Design
GuFre nt
Dry Cow
Farrow to Feeder
D . P�ault ,
Ga achy
V.
1'0
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
.
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes L.3.Wo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No [R4A ❑ NE
b, Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑ No LYi"A ❑ 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 DWQ) ❑ Yes ❑ No Ca>K ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes [jP6 ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ®'iffo ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 1� V Y y 0 N � ( a��� ` O' V ' �`� 2/4/2011 Continued

t �
Facility Number: Date of Ins ectibn:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 6,KO ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes El &- ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
❑ Yes
Spillway?:
❑ NA
❑ NE
❑ Yes
[2lo
Designed Freeboard (in):
❑ NE
❑ Yes
10
❑ NA
Observed Freeboard (in):
❑ Yes
No
❑ NA
❑ NE
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
[jjXb
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
❑ Yes
QV1Vo
❑ NA
❑ NE
6. Are there structures on-site which are not properly addressed and/or managed through a
❑ Yes
to
❑ NA
❑ NE
waste management or closure plan?
EfrNo
❑ NA
❑ NE
23. If selected, did the facility faii to install and maintain rainbreakers on irrigation equipment?
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
[t No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
F7L>d'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
❑ Yes
E3-f4o
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
t6$4
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [;Wo ❑ 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❑/E� vidence of Wind Drift E] Application Outside of Approved Area
12. Crop Type(s): Lg�C Sb
13. Soil Type(s): I V U , 1 %__ U I L /FIV[ r__ {Z (It -A
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?
Required Records & Documents
❑ Yes
P nj'_No
❑ NA
❑ NE
❑ Yes
[2lo
❑ NA
❑ NE
❑ Yes
10
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
L2rl�o
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes�o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
F] Yes
E3 -<o
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
QV1Vo
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
EfrNo
❑ NA
❑ NE
23. If selected, did the facility faii to install and maintain rainbreakers on irrigation equipment?
❑ Yes
dNo
❑ NA
❑ NE
Page 2 of 3 2/4/2011 Continued

Facili Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes CaN+f ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? if yes, check ❑ Yes [][jbLe,1 ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a AOA 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 to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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:
❑ Yesr
o
❑ NA
❑ NE
[-]Yes
E2>e>'
❑ NA
❑ NE
❑ Yes
L(54o
❑ NA
❑ NE
❑ Yes Zero ❑ NA ❑ NE
❑ Yes �❑ NA ❑ NE
❑ Yes a "" ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes IaKo❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes &q'o NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes Qo1Vo ❑ NA ❑ NE
Reviewer/Inspector Name:
Reviewer/inspector Signature:
Page 3 of 3
2/4/2011

E- $1111x.
(Type of Visit: C'Compliance Inspection O Operation Review Q Structure Evaluation Q Teehnical Assistance I
Reason for Visit: Ge ioutine O Complaint O Follow-up a Referral 0 Emergency 0 Other O Denied Access
Date of Visit: Arrival Time: Departure Time: I Af''t County: 6(1 to baa
Farm Name: Eo 0 r\\1 o0 E Owner Email:
Owner Name: _ _ N -Sc] r Phone:
Mailing Address:
Physical Address:
Region: R" 120
Facility Contact: CIy T,rj Title: Fi' Rn\ j1 wN P� € K Phone;
Onsite Representative: Isa vr! E_ Integrator: M uRr y '1&20w 11
Certified Operator: Certification Number: `i 6(} ,
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Sine
Wean to Finish
Wean to Feeder
Design Current
Capacity Pop.
Design
Wet Poultry Capacity
Layer
Non -La er
Current
Pop.
Design Current
Cattle Capacity I'o .
Dai Cow
Dai Calf
❑ No
[TNA
Feeder to Finish
S6 11 5'la-
-
Design'
D., .oul a Ca .acity
Current
P,o
Dai Heifer
D Cow
Non -Dai
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers ers
Beef Feeder
Boars
Pullets
Bzef E3rood Cow
Qthcr
Other
Turke s
Turkey Poults
Other
Discharees and 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?
h. 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)?
❑ Yes [yNo ❑ NA ❑ NE
.. A,
❑ Yes
❑ No
0 NA
[] NE
❑ Yes
❑ No
[TNA
❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes [—]No [Z NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ❑ No EJNA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [4 No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2011 Continued

Facility Number: $ jDate of Inspection: 'i
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ( No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No [9'*`NA ❑ NE
Structure 1 Structure 2 Structure 4— Structure 4 Structure 5 Structure 6
Identifier: G010 p
Spillway) : AIL
Designed Freeboard (in): C� No��
Observed Freeboard (in): AS
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [9�`No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes [R(No ❑ 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 DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes [!(No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [E�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 �No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [f No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [ZNo
❑ 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 Approved Area
12. Crop Type(s): 44 O R& Cs= 0
13. Soil Type(s): R
1J iZ l-" UT N
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes Evf No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes [j No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes CZNo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑WUP ❑ Check] ists ❑ Design ❑ Maps ❑ Lease Agreements
[:]Yes [�(No
❑ Yes [;rNo
❑ Yes [fNo
❑ Yes [g,'No
❑ Other:
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. []Yes [S�No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes [y No ❑ NA ❑ NE
❑ Yes &No ❑ NA ❑ NE
Page 2 of 3 21412011 Conrinued

t
[Facility Number: 3 jDate of Inspection: 7
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes dNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [fNo ❑ NA ❑ NE
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 E!(No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 0 No E� NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
PrNo
❑ NA
❑ NE
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?
❑ Yes
[v No
❑ NA
❑ NE
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
[:]Yes
[2"No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31 _ Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
GeNo
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
[�No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
❑ Yes
allo
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
allo
❑ NA
❑ NE
Reviewer/Inspector Signature: If Date: -gh lo I
Page 3 of 3 V4/2011

ivis-"ion of Water Quality
Facility Number ®- ®Division ofaSoil and Water Conservation—r�--�t"j
_
Uther Agency
Type of Visit:();Compliance Inspection 0 Operation Review O Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint Q Follow-up O Referral Q Emergency Q Other O Denied Access
Date of Visit: /� -f — //nn Arrival Time: ' d� Departure Time: 3 4 County: �'.rtwory
Farm Name; . �.r C a/� S Qe7" 5, 1; P. Owner Email:
S
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: t�LL., 92 Title: /`~ Phone:
Region-
Onsite Representative: ��rR� Integrator: tWP_1�04
-v
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Discharges and Stream lmoacts
1. is any discharge observed from any part of the operation?
❑ Yes
0 No
❑ NA
. Design Ciurrent :: 'I?esign Current:
Design Current
Swine
o p ty p Wet Cap el Pop
Ca aci Po
Cattle Capacity Pop.
�F�--.,�
4J
❑ Yes
Wean to Finish
Layer
Dai Cow
Wean to Feeder
Non -La er s
Dai Calf
ceder to Finish
❑ NE
Da' Heifer
Farrow to Wean
Design Current -•
D Cow
Farrow to Feeder
D , Poul --Ca aci Po g
Non -Dairy
Farrow to Finish
Lavers
Beef Stocker
Gilts
Boars
Nan -La ers
Pullets
Beef Feeder
Beef Brood Cow
❑ NA
Turkeys
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
11 TurkeyPoults
❑ NA
Other
Other
Discharges and Stream lmoacts
1. is any discharge observed from any part of the operation?
❑ Yes
0 No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
EINE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ 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 DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
2_ Is there evidence of a past discharge from any part of the operation?
❑ Yes
® No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
CK No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 1/4/2011 Continued

lFacility Number: Date of Inspection:
'
Waste Collection & Treatment
❑ Yes
[Z No
❑ NA
❑ NE
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
0 Yes
®, 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:
IT Does the facility lack adequate acreage for land application?
❑ Yes
® No
❑ NA
Spillway?:
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[0 No
❑ NA
Designed Freeboard (in):
Required Records & Documents
Observed Freeboard (in):„'l.
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[3 No
❑ NA
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
® No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
the appropriate box.
6_ Are there structures on-site which are not properly addressed and/or managed through a
❑ Yes
fo No
❑ 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 DWQ
7. Do any of the structures need maintenance or improvement?
(..Yes
❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the perurit?
❑ Yes
El 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
® 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 CA 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 Approved Area
12. Crap Type(s): &-rM Lj x_ �4V �f � �r 1
13. Soil Type(s): Np#-f�-01K C149 /��...�.
14. Do the receiving crops differ from those designated in the &Wd?
❑ Yes
[Z 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
0 Yes
2] No
D NA
❑ NE
acres determination?
IT Does the facility lack adequate acreage for land application?
❑ Yes
® No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[0 No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[3 No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
® No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists [] Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [a No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall [] Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? [:] Yes [M No
23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 54 No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑NA ❑NE
Page 2 of 3 2/4/2011 Continued

Facili Number: - Date of Inspection: p--/ i/ -�/%
24. Did the facility fail to calibrate waste application equipment as required by the permit? [:]Yes [,No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ® No
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
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [] Yes ® No
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?
❑ NA ❑ NE
[DNA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
[—]Yes ®No ❑ NA ❑ NE
❑ Yes ® No ❑ NA ❑ NE
❑ Yes ®No ❑ NA ❑ NE
❑ Yes Q�L No ❑ NA ❑ NE
❑ Yes
N No
❑ NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
0 No
❑ NA
❑ NE
Comments (refer to question #): Explain any: YES answers and/or any additional recommendations or k6otii'er comaieats.
UMMMIlUsae-drawines oUWility to better explain situations fuse additional naizes as necessarv).
- AL)oe'�7"'
k�-`"
U1:iP�3 Gn�.
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:y33 33 0 0
Date: Zk: /"/
214/2011

Type of Visit & , m�/pliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason far Visit e'Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: G Arrival Time: Q :QD Departure Time: County: Region:
Farm Name: l -*ZOwner Email:
Owner Name: ra� -S &-- Phone:
Mailing Address:
Physical Address:
Facility Contact:Title:Phone No:
Onsite Representative: H"�/.� ! i��l „ . Integrator: :t'_8
Certified Operator- f'�crz Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: = U = li Longitude: =0=S
°=S = it
Discharges & Stream Imyacts
I . Is any discharge observed from any part of the operation?
❑ Yes
RNo
❑ NA
Design Current
Design Current
Design Current
Swine Capacity Popu
a. Was the conveyance man-made?
Capacity Population
❑ Wean to Finish
1 10 Layer
❑ NE
❑ Dairy Cow
Wean to Feeder
❑ Non -La er
❑ Dai Calf
�E'
Feeder to Finish Alm
c. What is the estimated volume that reached waters of the State (gallons)?
❑ Dairy Heifer
❑ Farrow to Wean FDry
Poultry
❑ Dry Cow
❑ Farrow to Feeder
❑ Layers
❑ Non-Dairy—
El Farrow to Finish
❑ NE
❑ Beef Stocker
Gilts
ElNon-La ersEl
feeder
PE113oars
Pullets❑Beef
❑ Beef Brood Cowl
FINo
❑ Turkeys
EINE
Other
❑ Other
❑ Turkey Poults
❑ Other
Number of Structures:
Discharges & Stream Imyacts
I . Is any discharge observed from any part of the operation?
❑ Yes
RNo
❑ 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 DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
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)
❑ Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
14 No
❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
[:]Yes
FINo
❑ NA
EINE
other than from a discharge?
1212$/04
Continued

Facility Number: — Date of Inspection /o
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ®.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: tSl1J1`'-'e_ 1%
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ONO [INA ❑ 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? UjYes ❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes 14 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 14 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ;RNo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes MNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or I0 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)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
Cl Yes
E&No
Cl 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 ?
❑ Yes
® No ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
® No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
9[No
❑ NA
❑ NE
7
Reviewer/Inspector Name Phone:'9'-o- }- 3? o 0
Reviewer/Inspector Signature: Date:
Page 2 of 3 12/28/04 Continued

L
i
Facility Number: Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes EZ No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes EK No ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists
❑ Design El Maps El Other
21. Does record keeping need improvement? if yes, check the appropriate box below. ❑ Yes Ga No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes allo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes &No ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
®,No
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
® No
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
JR No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
allo
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
JZ No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
RNo
❑ 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
ZINo
❑ 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
;jI 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
CKNo
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
C.No
❑ NA
❑ NE
A�dditronaf Comments andlor Drawings: �"
•
Page 3 of 3 12/28/04

i
Type of Visit ®-Compliance Inspection O Operation Review V Structure Evaluation U Technical Assistance
Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: �- Arrival Time: ' p D Departure Time: County: Region:
Farm Name: O �r�+��'� a Owner Email:
Owner Name: / J_ _ _ Gr �.5 cr-- Phone:
Mailing Address:
Physical Address:
Facility Contact: / i, 5 D I l a J - Title: )0%,271 ✓ Phone No:
Onsite Representative: integrator:
Certified Operator: 2 "~- Operator Certifica 'on Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: [=O
=,
0 Longitude: = o =' =a
Design Current
Design Current
Design G�rrent
Swine Capacity Population
Wet Poultry Capacity Pppulatlon
Cattle Capacity Popnlation
❑ Wean to Finish
JEI Layer
❑ Dairy Cow
❑ Wean to Feeder
❑ Non -La er
❑ Dairy Calf
Feeder to Finish❑
❑ Yes
Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
❑ Yes
ry
❑
❑ Farrow to Finish
ElLayersLa ers
❑Beef Stocker
❑ Guts
❑ Non -La ers
El Pullets
❑Turke s
El8eef Feeder
❑ Beef Brood Co
❑ Boars
Other
❑ Other
❑ Turkey Poults
❑ Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any pan of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
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 pan 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 KNo ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
RNo
❑ NA
❑ NE
❑ Yes
LKNo
❑ NA
❑ NE
12/28/04 Continued

Facility Number: —ff& I Date of Inspection D
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?
❑ Yes RNo
❑ Yes [--]No
[I NA [I NE
[INA [:1 NE
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure b
Identifier: 6D J`fl n vl^t
Spillway?:
Designed Freeboard (in): 1 1 1 q
Observed Freeboard (in): _ 42. J2
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [,No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
5. Are there structures on-site which are not properly addressed and/or managed ❑ Yes [&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? RYes ❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes g 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 ER No ❑ NA ❑ NE
maintenance or improvement?
Waste Aaolicalion
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 54 No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? if yes, check the appropriate box below. ❑ Yes &No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > ]0% 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. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the
WMP?
❑ Yes 2No [INA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes M No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes ® No ❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes ® No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ®No ❑ NA ❑ NE
Comments (refer to gne'stion,#}: Ixplatn:;any YES ansHndlor any recommendatrons'or any, other cotuments
Use drawinf! -' facility:to better explain situations. (else addttronai pages as necessary)' _
Reviewer/lospector Name " ,��- j Phone:O 3 330'
Reviewer/Inspector Signature: Date: %�—llJ`,o--7-00
12/28/04 Continued

Facility Nu ber:Date of Inspection /p `
Renuired 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 appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
❑ Yes [R No ❑ NA ❑ NE
❑ Yes [NNo ❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. Cl Yes CRNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
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?
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
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes
allo
❑ NA
❑ NE
❑ Yes
QkNo
❑ NA
❑ NE
❑ Yes
W No
❑ NA
❑ NE
❑ Yes
91 No
❑ NA
❑ NE
❑ Yes
El No
❑ NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes J. No ❑ NA ❑ NE
[] Yes ® No ❑ NA ❑ NE
❑ Yes [&No ❑ NA ❑ NE
❑ Yes ® No ❑ NA ❑ NE
❑ Yes [3No ❑ NA ❑ NE
❑ Yes RNo ❑ NA ❑ NE
12/28/04

Type of visit (ae—omplianee Inspection O Operation Review 0 Structure Evaluation Q Technical Assistance
Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency O Other ❑ Denied Access
Date of Visit: Arrival Time:
Q , i7b Departure Time: V County: <<7'�- Region: l? tJ
Farm Name: ySD n PI!4 t aLA S477A V I KOwner Email:
Owner Name: d Q . j a'r`' Phone:
Mailing Address:
Physical Address:
Facility Contact: F�, �Q�-SD"'~ I r Title:
Onsite Representative: C f ;� 14 D f lQ n et
Certified Operator: iaf l.'
Back-up Operator:
Phone No:
Integrator: �-
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: =0
=' =66 Longitude: E--] ° Q ' ="
Swine. �''
❑ Wean to Finish
Design TTf.rent
EapactyPopulahon
Y Design Current
R'et l'rsuftr� .. Eapacity Population
isY
❑ La er
Design Current
Cattle Capacity Population
El aia Cow
❑ Wean to Feeder
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
❑Nan -La er
❑ Dairy Calf
Feeder to Finish
0
a. Was the conveyance man-made?
❑ Dairy Heifer
❑ Farrow to Wean
❑ NA
Drv,Poultry '
❑ Dry Caw
❑ Farrow to Feeder
❑ No
❑ NA
Non -Dairy
❑ Farrow to Finish
❑ La ers
❑ Beef Stocker
❑ Gilts
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
-Layers
❑ Beef Feeder
❑ Boars
❑ NE
❑ Pullets
ElBeef Brood Cow
:.
L ._
El Turkeys
-
or
Other
❑ Other
[3No
❑ Turkey Poults
❑ Other
Number of Structure
other than from a discharge?
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation?
❑ Yes
3,No
❑ 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 DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
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)
❑ Yes
❑ No
❑ NA
❑ NE
2. is there evidence of a past discharge from any part of the operation?
❑ Yes
JZ No
❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
[3No
❑ NA
❑ NE
other than from a discharge?
Page .1 of 3
12/28/04
Continued

Facility Number: Date of Inspection
:1
[3No
❑ NA
❑ NE
Waste Collection & Treatment
allo
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes 9 No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Suucture 3 Structure 4
Structure 5 Structure 6
Identifier: 4>rn0V&L1 irma%'nXq
Spillway?:
Designed Freeboard (in): Z9
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes 10 No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed
❑ Yes ®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?
ayes ❑ No ❑ NA ❑ NE
S. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes RNo ❑ NA EINE
(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 allo ❑ NA ❑ NE
maintenance or improvement?
Waste Avolication
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes 2 .No ❑ NA ❑ NE
mai ntenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes [0No ❑ 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 Hare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) ALrd4t__ 1_arz r -r_5 -Y
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CA
15. Does the receiving crop and/or land application site need improvement?
❑ Yes [4 No ❑ NA ❑ NE
❑ Yes 2 No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[:] Yes
� b��s
w �r
[3No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes
allo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes
Flo
❑ NA
❑ NE
Ir -ILP ha.� do^� r 3 6 -ad.
Reviewer/inspector Name Y } { Phone: dipJ3-33rd
Reviewer/Inspector Signature: Date:
Page 2 of 3 l-IilaIoa t-onunuea

Facility Number:Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes Qd No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes nNo ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design g C1 Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below_ ❑ Yes RNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
KNo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
RNo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
ER No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
�No
[:1 NA
ElNE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
[QNo
El NA
El NE
27.
Did the facility fail to secure a phosphors loss assessment (PLAT) certification?
❑ Yes
[K No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
VNo
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
[&No
❑ 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
O.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
❑ Yes
QS.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
[K No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
RNo
❑ NA
❑ NE
Additional Commenis and7or Drawings: 2 1'. F
Ak
Page 3 of 3 12/28/04

t
rvisiou of Water Quality
Facility Number �- ��� O Division of Soil and Water Conservation /?
- - O Other Agency
Type of Visit ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 01foutine 0 Complaint 0 Follow up 0 Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: d`� Arrival Time: IP,D 0 1 Departure Time: Count Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: ,i S �a Title:
Onsite Representative: —
Certified Operator: Ser-z,y
Back-up Operator:
Location of Farm:
Phone No: 910-a31>--.Z;P7o
Integrator: .411�
Operator Certification Number:
Back-up Certification Number:
Latitude: E 0' 0 Longitude: 0°= u
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population
❑ Wean to Finish
❑ Wean to Feeder
Feeder to Finish 5L,700
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ Layer
❑ Non -La el
Dry Poultry
Non -L,
Pullets
Turke
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'?
:.- r
Design. >; Cu:
Cattle CapacityPope
❑ Dairy Cow
❑
Dairy Calf
❑ Dairy Heifei
❑
Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
Number of Structures: 3
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 DW
Q)
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 [2 No ❑ NA EINE
❑ Yes [--]No ❑ NA EINE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ® No ❑ NA ❑ NE
❑ Yes 54 No ❑ NA ❑ NE
12/28/04 Continued

V
Facility Number: — Date of inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes [9No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 - Structure 4 Structure 5 Structure 6
Spillway`.:
Designed Freeboard (in):
Observed Freeboard (in): J f
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [U No [:1 NA El NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed ❑ Yes ® 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? M Yes X"" ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes (0 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 [XNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes KNo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes L!�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. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
XNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
XNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[:] Yes
®.No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
allo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[RNo
❑ NA
❑ NE
Comments (refer to question ft 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_):
V.
,4" �✓`c_ t�/ ra s
TOj�lrcv
Reviewer/Inspector Name f' p �---� Phone: %LeZ13 ;33LCE
Reviewer/Inspector Signature: Date: Q
12/28/04 Continued

it
Facility Number: — Date of Inspection D"a
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? Yes No [:INA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes 13,No ❑ NA ❑ NE
the appropirate box. ❑ WUp ❑ Checklists ❑ Design [I Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes C&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 allo ❑ NA ❑ NE
23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 5kNo ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
RNo
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
10 No
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
QkNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
[0 No
❑ NA
❑ NE
Otherissues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
[--]Yes
JZ No
[INA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
® No
❑ 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
ERNo
❑ 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
f@ 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
® No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
CKNo
❑ NA
❑ NE
Additional Comments and/or Drawings:
12/28/04

A
10 Division of Water Quality
Facility Number�j g 6 0 Division of Soil and Water Conservation
O Other Agency
Type of Visit 0 Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit 4 Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: 133 0 0 Arrival Time: / 3: DO Departure Time: /S' County: .Sa tin f SO r1
Farm Name: Sopir)V5 GT,S0hny �S swl t'? [ Owner Email:
Owner Name: Ec6'so z7r• Phone.-
Mailing
hone:Mailing Address: 3 V%LnC-c S� . j Cj,�4jn JC 2532
Phvsical Address:
Region: FRO
Facility Contact: a n,5 OO lr aod Title: O JL Phone No:
Onsite Representative: C1 P1' 5 i'`(rjo rt I f�!M t'1?� Integrator: y
Certified Operator: Operator Certification Number: 9�67�
Bach -up Operator:
Back-up Certification Number:
Location of Farm: Latitude: F --I o F --I l [� 61 Longitude: a ° = I = u
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population
❑ Wean to Finish 10 Layer
❑ Wean to Feeder i ❑Non -Laves
® Feeder to Finish /3 RSO R co 0
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Dry Poultry
❑
Layers
❑ Non -Layers
❑ Pullets
❑ Turke ys
❑
Turkey 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?
Cattle
Design Current
Capacity Population
❑ Dairy Cow
i
❑
Dairy Calf
❑
Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
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)?
Number of Structures:
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
N NA
❑ NE
❑ NA
❑ NE
❑ Yes
to No
❑ Yes
5d No
❑ NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
12/28/04 Continued

Facility Number: Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
19 No
❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
0 NA ❑ NE
Structure I Structure 24 Structure3,10 Structure 4
Structure
5
Structure 6
Identifier: SG SS SS
Spillway?:
Designed Freeboard (in): — ff
lI�f !j
Observed Freeboard (in): o�� 33 33
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
® No
❑ NA EINE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed
❑ Yes
[� 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?
jW Yes
❑ No
❑ NA ❑ NE
S. Do any of the stuctures lack adequate markers as required by the permit?
[:]Yes
UdNo
[--INA ❑ 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
® No
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
10 No
❑ NA ❑ NE
maintenance/improvement?
]L _ Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
[� 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 ElEvidence of Wind Drift [IApplication Outside
of Area
12. Crop type(s) &ee-rvIJA P454. rfI Small ct'?a. r1
-
13. Soil types) Mb1r�ICatnn?6u,.-A,I JQg* r , QV1dSL&-,0 j "y,11 11,
Lq taS
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
® No
❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
Q No
❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,❑
Yes
[9 No
❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
® No
❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
® No
❑ NA ❑ NE
�Pl4Yai:�;Mi'S.-mom • r . , 4�.b=:.rtxr3se'o'.- :,:y: ..-fis { 1� -'3`. , i
Reviewer/inspector Name 10 4; 4 0 Phone; %✓ry%
Reviewer/Inspector Signature: Date: �� -,o-'Va6
12128104 Continued

Facility Number: 0i, — Date of Inspection I O r10 AWD
f Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes g] No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes 0 No ❑ NA ❑ NE
the appropirate box. ❑ VAR ❑ Checklists ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes JR No ❑ NA ❑ N E
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 29 No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes N No ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
®No
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
® No
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
® No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
XINA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
® No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
CK No
❑ 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
K No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional off ice of emergency situations as required by
❑ Yes
[A 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
O No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
V1 No
❑ NA
❑ NE
Ad�diihoaal.Commcnts$and`/or;DrawliEgs
12/28/04

r
[Type of Visit 0 Compliance Inspection Q Operation Review O Lagoon Evaluation I
Reason for Visit • Routine Q Complaint Q Follow up D Emergency Notification Q Other ❑ Denied Access
Facility Number 5` G Da:P of visit' 'rune: �
o Not Operational o Below Threshold
EWe'r'mitted Q�ee'irdfied 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: __— �� �gag
_-_ - County: •S._. !!! £Q� f/�D
Owner Name: _ _ �ZQf'an�r. Fle�Jsa,q / 'Phone No:
?Mailing Address: i�ph t C
Facility Contact: _ H#4 e..- `
Q'sah.- Tide:
Onsite Representative: He- ex t Allm
Phone No: 2./C3 -Aga- d out
Integrator _L�LUr�
Certified Operator _ Hear X _ _: Operator Certification Number. 2y RO t- _
Location of Farm:
Eg4wine ❑ Pocittry► ❑ Cattle ❑ Norse Latitude • 441 Longitude ' leu
Discharges & Stream l_mtiacts
1. Is any disdwge observed from any part of the operation? ❑ Yes 0hqo-
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made'? ❑ Yes [moo'
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑Yes CTl�n�
c. If discharge is observed, what is the estimated flow in gal/rnin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes [}Ko
2. Is there evidence of past discharge from any part of the operatiop? ❑ Yes 3 -Ko -
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes [3 o
Waste Coffection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes Bq4'0`
Structure I Structure 2 Structure a Structure 4 Structure 5 Structure 6
Identifier:
Cr
Freeboard (inches): 3q 30"
12112103 Continued

Facility Number: g�� Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
LSO
seepage, etc.)
+ ,CLI, N4Cn � %`or b4rr�
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
❑ Yes
019o_
closure plan?
} Z
(.^n � Or Gt/�f I>7UiG� f v hart
(If any of questions 4-6 was answered yes, and the situation poses an
firM4J �o l
pie% tsT�6/rf7 q
immediate public health or environmental threat, notify DWQ)
/-/a; s erayecl f'+r weeds fly .'s ��� �r;s
'i. Do any of the structures need maintenances improvement?
❑ Yes
2,90-
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
[3dCo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
❑ Yes
O'R"o
elevation markings?
Waste Apnllcation
10. Are there any buffers that need maintenanmrunprovement?
❑ Yes
21TO
11. Is there evidence of over application? If yes, check the appropriate box below.
❑Yes
D#6--
❑ Excessive Ponding ❑ PAN ❑ H draulic Over Frozen Ground ElCopper and/or Zinc
10
12. Crop the 716e,,
13. Do the receiving crops differ with diose designated in the Certified An Waste Management Plan (CAWMP)?
[I Yes
[-�'lffo
1'
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
MM
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
[Ido`
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attar below
❑ Yes
❑ 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
MNV
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
214o�
Air Quality representative immediately.
f ommeats {retex to gnEeon�- any YES smswets arxdlar ate'. or aotltetaaomm- �— -
Offi—OM9� Irl Y []-Field Copy Final Notes
Z
+ ,CLI, N4Cn � %`or b4rr�
Gilf(f G!'d►rgd /G -ve m00%(
fc7/re,/�
//
} Z
(.^n � Or Gt/�f I>7UiG� f v hart
firM4J �o l
pie% tsT�6/rf7 q
cod
/-/a; s erayecl f'+r weeds fly .'s ��� �r;s
5,0d {'.'c%( . A/ay P4,
age:.. �'.� �e SPr,I,g Jed p,.siOOP, t'. 4e
Hv
Reviewer/Inspector Name �< W� .:t7�ang:, RRR
Reviewer/Inspector Signature: Date:
12112103 � Continued

Facility Number: g2 ."`M Date of Inspection
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22. Does the facility fail to have all comg�vents of the Certified Animal Waste Management Plan readily available?
(ieJ ch ts, de , mugs etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑' a Ap ficatio ❑ ysis.l �] ySP4 P np
y-/3 -ny- 3, 3, 7-!, . s .2
24. Is facility not in compliance with any applicable sett i criteria in effect at the time of design?
25. Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
27. Did Reviewer/Inspettor fail to discuss review/inspection with on-site representative?
28" Does facility requite a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
NTPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
31. If selected, did the facility fail to install and maintain rainbreakera on irrigation equipment?
32. Did the facility fail to instal] and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35" Does record keeping for IgPDF.S requbrd forms need improvement? If yes, check the appropriate box below.
❑ -SteeleagForm ❑ Crop Yield Form ❑1 ❑ "
❑ Yes [moo`
❑ Yes P -11o'
❑ Yes 3 -mo-
❑ Yes E31go
❑ Yes O -NO
❑ Yes C3'No
❑ Yes [No
❑ Yes allo
❑ Yes ❑'No
E
❑ Yes DNZ
❑ Yes Dwo"
❑ Yes 0-1<63
❑ Yes Mic—
❑ Yes O -No
Q No violations or deficiencies were noted daring this visit. You will receive no further correspondence about this visit
Additi—anal'Cotsagd/ozl)iasvitng&' �,� _ -
I J3. Q yaie 40 vse C-rvrl-e., f wit 4 sa,PVle e n �' RR - � For,., s,
two /Qv�jf ,'r, SeP/Cw.6er. � DC7 �1 Were *tot C drveeeol� y C�r/'�„f S arisyo/r.
y ave �`o le& lee
5
I2/I2/03

Type of Visit Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit 106outne O Complaint O Follow up O Emergency Notification O Other
Facility Number Date of Visit:
Permitted i
Farm Name:
Owner Name:
Mailing Addre
Facility Contact: Title:
Onsite Representative- !S
Certified Operator: _ " S d 2^= --
Location of Farm:
❑ Denied Access
Date Last Operated or Above Threshold:
County
Phone No: 2
saw - N z
Phone No:
Integrator: a q r r O rs
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude ' 4 l�
`Design Current,,D sign Current, Design Current
M%,�t flClty P,O ulatiOII POult , M Ca acitv�Po ulatioo Cattle Ca aci P,o ubttion
❑ Wean to Feeder ❑ La er ❑ Da'
ja Feeder to Finish �? ❑Non -La er i
��- ❑ Non
Farrow to Wean
❑ Farrow to Feeder ❑Other
El Farrow to Finish
Total Des>Egn
❑ Gilts '
lloarss To91'SSLW
--..�.�---.® •; ._ R 4_ k `� • _ter
Number of Lagoons © ❑ Subsurface Drains Present ❑ l.a oon Area ❑ Spray Field Area
Holding Ponds /Solid Trapsy ❑ No Liquid Waste Management 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 CWfteStign & Treatment
4. is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
[y�a
Identifier: r�7'�� 401 ?--
Freeboard (inches): 2 _22 .3
❑ Yes tN 0
❑ YesVNO
o
El Yes
❑ Yes Ir"No
❑ Yes UrNo
❑ Yes �'No
❑ Yes
Structure 6
05/0.3/01 Continued

Facility Number: —S` Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ffNo
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 q(No
(if any of questions 4-6 was answered yes, and the situation poses as
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes A gNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes kNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ��ii
elevation markings? ❑ Yes E o
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes No
11. is there evidence of over application? ❑ Excessive Pondiny ❑ PAN ❑ Hydraulic Overloadr El Yes No
12. Crop hype 1) P_ ✓-� , , J o r r �� --> x, A / 5 A, . (,-7 rr `-k 9 , i -_� s
13.
Do the receiving crops differ with those desiinated in the Certticd Animal Waste Management Plan (CAWMP)?
❑ Yes
qNo
14,
a) Does the facility lack adequate acreage for land application?
❑ Yes
P!rNo
b) Does the facility need a wettable acre determination?
❑ Yes
gNo
c) This facility is pended for a wettable acre determination?
❑ Yes
WNo
15.
Does the receiving crop need improvement?
Vf ! r' Yes
l6,
is there a lack of adequate waste application equipment?
❑ Yes
LKNo
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
9 N
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
RNo
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ YesNo
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
El Yes
No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
Po
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
(ie/ discharge, freeboard problems, over application)
'J�No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ YesNo
24.
Does facility require a follow-up visit by same agency?
❑ Yes
49,No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
&0
fig
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit
of facilliy to better ezplam situations (use adi3thonal`pae
ges as necssary)
❑ Field Covy ❑ Final Notes
oaf u,aJ ,'� rvu_) G�o�s ��S 'yyP�
�r1 fs_Prrl/1G Q� 1 .S�r�9ff �I►tdD ff�,r{�/ Id a,,t.t� Gc1!(1
6a -j [l1J 14c,Ue �b �e S f. L`le ne-,< 15 /' • C�o�. i+tke �a &�a�k1 ,
we /Pi �-te. ld Y, T, a f he n e� fre �t/� �' ar,-, Cars
9 � � y
i�elh PlsZ��� f 1 I -le el,d o -r 40clvl rf:
. , / y _
Reviewer/inspector Name
Reviewer/Inspector Signatur . �- Date:
O5103101 Continued

Facility Number: Date of Inspection - -
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (Le. 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
o
❑ Yes;No
o
❑ Yes
❑ Yes
❑ Yes
❑ No
Additio©kl Comments; and/or Dmwin : _ .,; .. .: . ti .. '
05/03/01
05/03/01

Facility Number DateWit-• Time:
3"ate
ofX 0 1 10 Not Operational Q Below Threshold
0 Permitted 16 Certified © Conditionally Certified (] Registered Date Last Operated or Above Threshold: ..._....._..._...•
Farm Name: ........ ..-..�a4L� �[..:...�'....��:.3:n.[... ........................... County :.......... �.................
W ... ..C!
Owner Name: als . ....t..Scz.� ......_ . _ » .. Phone No: , .... ...
Facility Contact: ..._ t1i ..... t.5cx!3 .....................Title:......... .5 ........ .... . ,..... Phone No: ........... ...�
Mailing Address: ... 2Q ;_2X_J�6ie.�....... ............................... -...... ..._"..,,....-- .......... �rs�3 ta?. �.jV_<_a............. ...----...._
Onsite Representative: _._ .. �. � _ _ W Integrator: Ceirrc?.i�5--
Certified Operator: ....... . . ....... . ...... . ............. . ....... . ................................................ . ......... Operator Certification Number:..................
Location of Farm:
Swine ❑ Poultry ❑ Cattle ❑ Horace Latitude • �` �« Longitude �• ���
Design . Current = - Design Cur rent _:=Desigo, ==_ Current
Swfne _
_r-
: _
C` a . '.Po elation _ - . Po>I tTY :..Capacity . _PlupeYaifioo Cattle ::', , ;;:Capacity= : Potinlation .
Wean to Feeder
Feeder to Finish JS cj8o
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
--
` = Number o! Lagooti4 OCL Subsurface Drains Present I Lagoon Area
10 Spray Field Area
Hakh>ag Ponds % Soiid Traps _ No Liquid Waste Management Syste�a
Discharr & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑Yes
Po
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
❑ No
h. 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)
[3 Yes
❑ No
2. Is there evidence of past discharge from any part of the operation?
❑ Yes
INNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? [] Yes
Ido
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes
KNo
Structure I Structure 2 Structure 3 - Structure 4 Structure S
Structure 6
Identifier: ...... C21.614 ....................... . ......................... ............._.................................
.......... I .............. I..........
Freeboard (inches): a p7
5/00
Continued on back

y
Facility Number: a — Date of Inspection a br d
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
S. 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 maintenaneef mprovement? ❑ Yes No
IL Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload / �)j
Q Yes %No
12. Crop type .3 u r•�u�ca 1 Srv�n i G tn, ; n i� S �� 'i c - 'n �GJ Li t / �w�tnn s 1 '1, �1 —
13- Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes RNo
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? j Yes ❑ No
16. Is there a lack of adequate waste application equipment? ❑ Yes P No
Reuuired Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
N No
1$.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ Yes
[3 No
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
ZNo
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
R'No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
j No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
comes o�idehc aND'f this :visit: .. .. ... _ ... . .
(ie/ discharge, freeboard problems, over application)
❑ Yes
XNo
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ Yes
[3 No
24. Does facility require a follow-up visit by same agency?
❑ Yes
0 No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
OirNo
yigl��igtis;o dgfeienc{e were ptirrg SIS;v�s�t; Yojr vvlleet~iiye 40 fpt�th$r .
comes o�idehc aND'f this :visit: .. .. ... _ ... . .
Cotsaaents {refer to quesbud #} Explain any_ answers andlor anyrecomtmendations or any titer cont>it itfa
'
Use dira�vu> S;of facility to better erpiat�a sitnatiods. (use addi ional pages as necessary) � ,-
1S– Ctr►���� '�-o Wnrtc o1� �� �n ��� #-,'¢��4
a
AW6 - sol #,, d e_ `taken r► cX �- ^# n, �t ZX 4,, iw- •P r, 11 eK f
pM.'
5 p r %rv�s ,
Reviewer/Inspector Name
„Date;
Reviewer/Inspector Signature- �' off$' tt 5100

Y' Facility Number: $oZ — Date of Inspection I $` Jr O f
(Mor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes [ No
28. Is there any evidence of wind drift during land application? (i-e- residue on neighboring vegetation, asphalt, ❑ Yes No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ly 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 lxNo
31. Do the animals feed storage bins fail.to have appropriate cover? ❑ Yes l No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
5100

}i
D�vl<siain of Water Qaahty T
r - _ Q ivision of Soilaid-Water Canservahon -
DyOtlier Agency _ -
Type of Visit Compliance Inspection O Operation Review D Lagoon Evaluation
Reason for Visit ORouline Q Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Z Rate of Visit: J—ZD-fRl 'Time: E=Printed on: 10/26/2000
Q Not O erational Q Below Threshold
#Permitted [:] Certified [3CIIL4?�
Conditional Certified U Registered Date Last Operated or Above Threshold: ------------ ............
JO n ,f /t County:FarmName:....................... ...rc.f..t�.�:1,C./..t'�tl.........�............... ......�!°��. .�.............
Owner Name:..... t .............+......................... �a. f>` ........-... Phonc No:......._.Z 1....................._._........
- 3• -
Facility Contact:... h . g.1.1C .. .................'Title:....... �i.r...................................... Phone �ti'o:... ..... ~............I................
Mailing Address: � � Q.[� �—
P A............................................................................................. .............-... ...................................0
Onsite Representative: ,• (;.•f . 1 a.c ffh^— ............. __ Integrator:
Certified Operator.-..,. rw?'�i^-�/ .. aLS..U?^� Operator Certification Number: ..... .....................................
Location of Farm: I
IMir
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• �� Longitude �• �� �«
Design Current Design Current Design Current
Swine Ca2acity Population Poultry Capacity population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer - ❑ Dairy
Feeder to Finish 13,290 ❑ Nein-Layer I I ❑ Non -Dairy
Farrow to Wean
❑ Farrow to Feeder Other
Farrow to Finish Total Design Capacity / -7 Z L'
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present 110 J.agoon 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'?
❑ Yes
ANO
Discharge originated at. ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance titan -made?
❑ Yes
P(No
I \
h. If discharge is observed. did it reach Water of the State'? (If yes, notify DWQ)
[I Yes
o
c:. If discharge is observed. what is the estimated flow in gallinin?
d. Docs discharge bypass a lagoon system' (If yes, notify DWQ)
❑ Yes
V(No
2. Is there evidence of past discharge from any part of the operation?
❑ Yes
PNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes
Wo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
❑ Yes
ONO
Structurc I `structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier: .................................... ...................................-.....................................................
z.,
1=recboartl (inches):
5100
Continued
on back

J' V1
L
Facility Number: Vt-5+�(v Date of Inspection Z -ZOO Printed on:
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 of
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'?
10/26/2000
❑ Yes P(No
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 Annlication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑
12. Crop type
ive Ponding ❑ PAN ❑ Hydraulic Overload
^ 4'►
13. Do the receiving crops differ with thosetp6signated in the Certified Animal Wale Management
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?
a=1
❑ Yes No
❑ Yes ►KNo
❑ Yes RIO
❑ Yes V,No
❑ Yes j(No
(CAWMP)? ❑ Yes No
❑ Yes No
❑ Yes J�,No
❑ Yes gNo
❑ Yes P No
❑ Yes JKNO
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
J& 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?
❑ Yes R(No
❑ Yes�No
❑ Yes No
❑ Yes No
❑ Yes ArWo1
❑ Yes 110
❑ Yes j(No
❑ YesgNo
[]Yes # o
.U� **'04k: ti'. , clfc. . . .. ...noted itt ing his:v.. . Y:oj will p&..e*t.. fu. . . ...
c0rires0 andeiue about thLs visit_' • : • . • .
E o refer to question #1): Explain'any-YFS answers and/or ani recominenda6ons:or:any other cortiments `-
.i TM
dr -nen
gs of facility to betteir explain situations. --(us e additional pages as.necessary):
a records.
Reviewer/Inspector Name
Reviewer/inspector Signature: Date: %,� ZO–�W S700

t
Facility Number: .�,-Z Date of Inspection Z -20 -':z Printed on: 10/26/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27- Are there any dead animals not disposed of properly within 24 hours? ❑ Yes o
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, d 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 0�o
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 P'No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ffl!�lo_
32. Do the flush tanks lack a submerged fill pipe or a pennanent/temporary cover? ❑ Yes ❑ No
o Comments as r
o' ra
,ddih
J
5100

At V
F- Facility Number0—=1 I
Date of Inspection
Time of Inspection r 24 hr. (hh:mm)
Permitted Certified Q Conditionally Certified
Certified Q Registered [3 Not Operational hate Last Operated:
Farm Name: ..........._.2-Q ZLZ.... -----�
.....................
Owner Name: ............ t ..........�J....• rn �Q..`Y{,................................................
�.. _. _.!....
Facility Contact: J ............ ........ Title: ...............
Mailing Address:............ x.56 ,...D�.......o...................................................................
Onsite Representative:
.r... .... �Y—
................ ........... .......... ...........................
Certified Operator: ..... _....... J
Location of Farm:
County:........ G('iYbQrl� �-CJ.
Phone No: .............I -ll!..- a�— .?�3
................................... •.
Phone No:
Integrator: cg n:.V
Operator Certification Number:
Latitude Longitude L� • C' �"
`Design
,.
Srviine ; , , Ca acit
Wean to Feeder
Feeder to Finish
Farrow to Wean
❑ Farrow to Feeder
-7 ❑ Farrow to Finish
- ❑ Gilts,
❑ Boars
Current: ' . - ,,;,,,,, ,,, ; ,, , ,Design Current_- Design Current
opulation ,Poultry 'Capiacity Cattle " CaL)aciq Po dation--
a..a rac.nazea .i,�• -- -
- '- T©tal.Design Capacity
$a fl
T-SSLW
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: C] Lagoon ❑ Spray Field E] 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 gallmin?
d. Docs 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
StructumIStructure ? Structure 3 Structure 4 Structure 5
Identifier: �Ar!) W 5;Lj,_�
Freeboard (inches): ..............................................................................
._r ....... ......................`I _........................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3123199
❑ Yes K No
❑ Yes kNo
❑ Yes �91,
No
❑ Yes !VNO
❑ Yes KNo
❑ Yes JVNo
❑ Yes No
Structure 6
❑ Yes �No
Continued on back

z
Facility Number: Date 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 Applic<€tion
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over annlication: ❑ Excessive Pc
12. Crop type
13. Do the receiving crops differ with those designated in the Certi
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?
Management Plan (CAWMP)?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) .li,-a-43
19. Does record keeping need improvement? (ie/ irrigation, freeboard 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 gNo
VYes ❑ No
XYes ❑ No
❑ Yes XNo
❑ Yes No
❑ Yes No
❑ Yes 1XNo
❑ Yes 9No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes 9XI No
❑ Yes Ix No
AYes ❑ No
❑ Yes 5(No
j�Yes ❑ No
'❑\ Yes R'No
❑ Yes gNo
❑ Yes 56 No
❑ Yes � No
El Yes V
'XYes T❑� No
Io VlolafnS,Ol' &rjclet dC• t'£rE' [lOt�a diWing-(his'vlslt' - Y;oit will -t&' 'OW Bio' fufther -' - . -
' . ' iCOCI e5 OII[�t?[iCe. �fJlit t�t1S V ISEt� .
comments J L
Cro-mAit nts {refer to_qu teon #) Explatt :any , nswers and/or any recoi imendatrons or any otherki
Use di awrngs of facility to<betterexplatn sttuatioits (utse addtttonal pages as necessary)
n j
an, S �. l -4<J
�� `'�n� f6fjt.•cy) �n"►�P ,.�.v'�'t, � w! '_{trio ti�`F� r�
� �
S,rn�n„r� �. 7prre _-' '*'' l� Ol1t•It�
�2.fC����,,�
���j
s
Reviewer/Inspector Name,
Reviewer/Inspector Signature: Date: /0 elf
v fY 3/23199

.') .. 1'
Facility Number: ga— Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) '
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes 0 No
❑ Yeso
ElYesJNo
o
❑ Yes
E]Yeso
E]Yeso
❑ Yes ❑ No
Additional_Comments a_n_ or awings _ _ .__ s _ - _ _ x - �.__ -
`
UV
OU VJ kwo a
l�
t
CSC tSV1"'-SG -k 4r
Ak
IAfI 3 �r 7b�( to Az4 wt CKWO, P.
0711 1A.;2
cowmP
4-' �9 5;55� k64,
3/23/99

Division of Soil and Water Conservation [3 Other Agency
10 Division of Water Quality
10 Routine O Complaint O Follow-up of DWO inspection O Follow-up of DSWC review O Other 1
Date of lnspection X:L P -9J
Facility Number
Time of Inspection 5 24 hr. (hh:mm)
13 Registered Certified [3 Applied for Permit A Permitted 10 Not Operational Date Last Operated: ..........................
Farm
erated:......-
Farm Name: T G iS 061 County:.. SS4/h, SQvi ..........
F .............. �+------................................--------.................... .......................gy�pp .............
Owner Name:.....,.. SOl1ll....�'.U�............ Phone No: ....... �!.0...-cxf 3-- a'T3. F ..........................
Facility Contact:....... ..... ton
... T tler-'......� ..................
Mailing Address: ........ I..:O &L ha :.........................................................
Onsite Representative: ........ ....ra............... .........
Certified Operator:..----- - .. a�............. .. �... ESQ i �... -.....
Location of Farm:
.................................... Phone No:...................................................
tdarSctwj... N.c.. ................ �a
. ...... ...
Integrator:..... C:rmlls-�----
...........-......... ....... e ....... .........._..
Operator Certification Number:....... -q0/ fj4 .r..
Latitude Longitude �• 0' �"
l' •tAF.'+e ,::. { :..
Dcstgn Current
Mw y':w'k Yk v# l " fMiYSInSV W"3`F
,, Design �Carrent - � Design g -"Current
- .,
Swtrte - Capacity. Population
Poultry RM Capacity Popuiat4on
❑Wean to Feeder
Layer ❑ Dairy
Feeder to Finish c'>j$�
❑ Nan -Layer ❑Non -Dairy
J..t
Farrow to�Finish
< b
Gilts
I0 Other .:;.
❑ Boarsars
w hfr
Total`Deslgn°Capacltyj /,3 wo r-
Tota! SSLW
Number of Lag oons 1 Holdtng,Ponds - ©' ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Y uid Waste Management System
❑ No Liq
General
1. Are there any buffers that need maintenancelimprovement? [I Yes OdNo
2. Is any discharge observed from any part of the operation? ❑ Yes [(No
Discharge originated at: [I Lagoon [I Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes 4 No
b. If discharge is observed, did it reach Surface Water? (if yes, notify DWQ) El Yes No
c. If discharge is observed, what is the estimated flow in gal/min? AIIA
d. Does discharge bypass a lagoon system? (if yes, notify DWQ) ❑ Yes KNo
3. Is there evidence of past discharge from any part of the operation? ❑ Yes 11 No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes 0 No
5. Does any part of the waste management system (other than lagoonsiholding ponds) require Pa Yes ❑ No
maintenance/improvement?
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
7125197
Continued on back
Farrow to Wean
❑ Farrow to Feeder
Farrow to�Finish
Gilts
❑ Boarsars
General
1. Are there any buffers that need maintenancelimprovement? [I Yes OdNo
2. Is any discharge observed from any part of the operation? ❑ Yes [(No
Discharge originated at: [I Lagoon [I Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes 4 No
b. If discharge is observed, did it reach Surface Water? (if yes, notify DWQ) El Yes No
c. If discharge is observed, what is the estimated flow in gal/min? AIIA
d. Does discharge bypass a lagoon system? (if yes, notify DWQ) ❑ Yes KNo
3. Is there evidence of past discharge from any part of the operation? ❑ Yes 11 No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes 0 No
5. Does any part of the waste management system (other than lagoonsiholding ponds) require Pa Yes ❑ No
maintenance/improvement?
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
7125197
Continued on back

Facillq Number
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes J�f No
Structures(Laioons.Holding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ONo
0 No.violations or deficiencies were noted"during this.visit..Yo'U will receive no ftirther
coeresp6hdence about this. visit:• : ". .
Comments (refer;to uestion #): 'Explain any_7� S -answers and/or anv recommendations or any other comrn6i1s ; , y
q
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
N f• a e - - erl-
Identifier:
Freeboard(ft): ..».»...1 �+.»r�................. r�/_..........»».�W�l....»....... ......... ................... ........................ »........
_..... ....................................
IQ,
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?
XYes
❑ 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 stealth or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or inaximunt liquid level markers?
0 Yes
V(No
Waste Application
14.
Is there physical evidence of over application?
❑ Yes
K No
15.
(If in excess of WMP, or runoff entering waters of the State. notif DWQ)
Crop type ........ ....................................
_...................................
_..................
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
P(No
I7.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
Of No
18.
Does the receiving crop need improvement?
❑ Yes
No
M
Is there a lack of available waste application equipment?
❑ Yes
No
20.
Does facility require a follow-up visit by same agency?
❑ Yes
Q(No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on-site representative'?
Cl Ycs
O(No
22"
Does record keeping treed improvement?
Yes
P(No
Far Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
XNo
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
_460es
A No
25.
Were any additional problems noted which cause noncompliance of. the Permit?
Yes
❑ No
0 No.violations or deficiencies were noted"during this.visit..Yo'U will receive no ftirther
coeresp6hdence about this. visit:• : ". .
Comments (refer;to uestion #): 'Explain any_7� S -answers and/or anv recommendations or any other comrn6i1s ; , y
q
s:{
Ufacthty t+i:be#ter;explain sitttatiatns (ti seadditional
se drawtnks°pf pages as necessary).
N f• a e - - erl-
.►
� �i� `� •e Gly m. aiu..r�.. � P �t __' j
5. rcuvwt ie d&Ol AJ,�J
•7125197+
Uri` its
ewer/inspector lame
LRev':

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Govemor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
April 8, 1998
F. J. Faison, Jr.
Sonny Gold / Sonny Swine
PO Box 856
Warsaw NC 28398
4 *A
D E N R
Subject:
Dear F. J. Faison, Jr.:
REA17
TM`s:
4P9 14 1998
Application No. 82-0586
Additional Information Request
Sonny Gold / Sonny Swine
Animal Waste Operation
Sampson County
The Non -Discharge Permitting Unit has completed a preliminary engineering review of the
subject application. Additional information is required before we can continue, our review. Please
address the following by May 8, 1998:
1) On March 13, 1998, your facility was inspected by the Division of Soil and Water
Conservation. This inspection found that cotton was being grown on the waste application
fields. Please contact your technical specialist (Howard L. Hobson, Carroll's Foods, Inc,
PO Box 856, Warsaw, NC 28398, [phone]) and have your Waste Utilization Plan
revised to include cotton. Please submit two copies of the revised Waste Utilization Plan:
Please reference the subject permit application number when providing the requested
information. All information should be signed, sealed, and submitted in duplicate to my attention at the
address below. The information requested by this letter, must be submitted on or before May 8, 1998 or
the Division will return your application as incomplete in accordance with 15A N.C.A.C. 2H.0200 and
your facility will be considered to be operating without a permit.
Please be advised that operation of the subject animal waste management system without a valid
permit is a violation of North Carolina General Statute 143-215.1 and will subject you to the enforcement
authority of the Environmental Management Commission.
P.O. Box 29535, Raleigh, North Carolina 27625-0535 Telephone [phone]$3 FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Application No. 82-0586
F. J. Faison, Jr.
Page 2
If you have any questions regarding this request, please call me at [phone], extension 362.
Sincerely,
1" ` r cI
Michael T. Lewandowski, PE
Environmental Engineer
Non -Discharge Permitting Unit
cc: Fayetteville Regional Office, Water Quality
Permit File
Howard L. Hobson, Carroll's Foods, Inc.

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hurst, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
June 26, 1998
F.J. Faison
Sonny Gold / Sonny Swine
PO Box 856
Warsaw NC 28398
R 5cC�E, V, r b ect:
.'I;) 0 � 1998
REG.. OFFICE
Dear F.J. Faison:
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Reissuance of Certificate of Coverage
No.AWS820586
Sonny Gold / Sonny Swine
Swine Waste Collection, Treatrnent, Storage and
Application System
Sampson County
The Division of Water Quality modified the Swine Waste Operation General Permit originally issued to
this facility on May 6, 1998. In accordance with the issuance of the revised General Permit, we are
forwarding this Certificate of Coverage (COC) to F.J. Faison, authorizing the operation of the subject
animal waste collection, treatment, storage and land application system in accordance with General
Permit AWG100000. This approval shall consist of the operation of this system including, but not
limited to, the management of animal waste from the Sonny Gold / Sonny Swine, located in Sampson
County, with an animal capacity of no greater than 13280 Feeder to Finish and the application to land as
specified in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until April 30, 2003, and shall hereby void
COC No AWS820586 dated May 6, 1998. The COC shall hereby incorporate by reference any specific
conditions of the previous COC issued to this facility. The purpose of this COC is to allow coverage
under the revised General Permit. Please review the revised General Permit (enclosed) and pay
particular attention to Condition 11. 10 regarding tree removal from lagoon embankments, Condition III.1
regarding inspection frequency of the waste treatment, storage and collection system and Condition III.6
regarding notification requirements for system failures, spills and emergencies, Pursuant to this COC,
you are authorized and required to operate the system in conformity with the conditions and limitations
as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the
General Permit or the CAWMP may result in the revocation of this COC, or penalties in accordance
with NCGS 143-215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive
relief.
P.O. Box 29535, Raleigh, North Carolina 27825-0535
An Equal Opportunity Affirmative Action Employer
Telephone [phone] FAX [phone]
50% recycled/ 10% post -consumer paper

Certificate of Coverage AWS820586
Sonny Gold / Sonny Swine
Page 2
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and
binding.
The subject farm is located in the Fayetteville Regional Office. The Regional Office Water
Quality Staff may be reached at [phone]. if you need additional information concerning this
COC or the General Permit, please contact Mike Lewandowski at [phone] ext. 362.
Sin erely,
4
for A_ Preston Howard, Jr., P.E.
cc: (Certificate of Coverage only for all cc's)
Sampson County Health Department
Fayetteville Regional Office, Water Quality Section
Sampson County Soil and Water Conservation District
Permit File

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality -
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
F. J. Faison, Jr.
Sonny Gold / Sonny Swine
PO Box 856
Warsaw NC 28398
Dear F. J. Faison, Jr.:
1 ilk" •
NCDENIt
NORTH CAROLINA &M-ARTMENT OF
ENVIRONMENT AND NAruRAL RESOURCES
May 6,19981",
RECE111
,1f 4Y 1 5 1998
FAYETTEVILLE
REG. OFFICE
Subject: Certificate of Coverage No. AWS820586
Sonny Gold I Sonny Swine
Swine Waste Collection, Treatment,
Storage and Application System
Sampson County
In accordance with your application received on March 31, 1998, we are forwarding this
Certificate of Coverage (COC) issued to F. J. Faison, Jr., authorizing the operation of the subject animal
waste collection, treatment, storage and land application system in accordance with General Permit
AWG100000. This approval shall consist of the operation of this system including, but not limited to,
the management of animal waste from the Sonny Gold / Sonny Swine Farm, located in Sampson County,
with an animal capacity of no greater than 13280 Feeder to Finish and the application to land as
specified in the Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until December 31, 2001. Pursuant to this
COC, you are authorized and required to operate the system in conformity with the conditions and
limitations as specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of
wastes to surface waters. An adequate system for collecting and maintaining the required monitoring
data and operational information must be established for this farm. Any increase in waste production
greater than the certified design capacity or increase in number of stocked animals above the number
authorized by this COC will require a modification to the CAWMP and this COC and shall be completed
prior to actual increase in either wastewater flow or number of animals.
Please be advised that any violation of the terms and conditions specified in this COC, the General
Permit or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS
143-215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This
request shall be made within 30 days of notification by the Division.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycledt 10% post -consumer paper

Certificate of Coverage AWS820586
Sonny Gold / Sonny Swine
Page 2
This COC is not automatically transferable. A name/ownership change application must be
submitted to the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacccptable, you have the
right to apply for an individual non -discharge permit by contacting the engineer listed below for
information on this process. Unless such a request is made within 30 days, this COC shall be final and
binding.
The subject farm is located in the Fayetteville Regional Office. The Regional Office Water
Quality Staff may be reached at [phone]. If you need additional information concerning this
COC or the General Permit, please contact Mike Lewandowski at [phone] ext. 362.
Sincerely,
K
A. Preston Howard, Jr., P.E.
cc: (Certificate of Coverage only for all cc's)
Sampson County Health Department
Fayetteville Regional Office, Water Quality Section
Sampson County Soil and Water Conservation District
Permit File

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN RECEIPT RE!QUESTED
F.J. Faison
Sonny Gold I Sonny Swine
PO Box 856
Warsaw NC 28398
Farre Number: 82 - 586
Dear F.J. Faison:
March 20, 1998 RECEIVED
AR 2 3 19913
FAYETTEVILLE
REG. OFFICE
You are hereby notified that Sonny Gold / Sonny Swine, in accordance with G.S. 143-215.1 OC,
must apply for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter,
your farm has sixty (60)_ddays to submit the attached application and all supporting documentation. In
accordance with Chapter 626 of 1995 Session Laws (Regular Session 1996), Section 19(e)(2), any
owner or operator who fails to submit an application by the date specified by the Department
SHALL NOT OPERATE the animal waste system after the specified date. Your application must
be returned within sixty (60) days of receipt of this letter. Failure to submit the application as required
may also subject your facility to a civil penalty and other enforcement actions for each day the facility is
operated following the due date of the application.
The attached application has been partially completed using information listed in your Animal
Waste Management Plan Certification Form. if any of the general or operation information listed is
incorrect please make corrections as noted on the application before returning the application package.
The signed original application, one copy of the signed application, two copies of a general location
map, and two copies of the Certified Animal Waste Management Plan must be returned to complete the
application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any questions concerning this letter, please call J R Joshi at [phone] extension
363 or Jeffery Brown with the Fayetteville Regional Office at [phone].
Sincerely,
fill- oward, Jr., P.E.
CC" Permit File (w/o encl.)
Fayetteville Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, North Carolina 27826-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

❑ DSWC Animal Feedlot Operation Review
® DWQ Animal Feedlot Operation Site Inspection
I& Routine O Complaint O Follow-up of I)WQ inspection O Follow-up of DMVC review O Other l
Date of Inspection[ . ­ I D -x-97
Facility Number Time of Inspection !� 24 hr. (hh:mm)
■ Registered © Certified [3 Applied for Permit [3 Permitted JE3 Not Operational I Date Last Operated: ..........................
Farm Name: ..i [&/! CountF:........,.A./J
.............................................
'Sb
Owner Name: Sar..... r'/p/1®.✓ Phone No �10 %r'Z. + .� �... .
... ................................................................................... ...
11
Facility Contact: ....... LIr'r °'f%, ..Z95; 4 . Title .... Phone No ....................................................
Mailing Address: ............. ............. ..... ....K/�st4V>V.% l.. �..4�.......��............................................... ..........................
eo
Onsite Representative:....---... .. : ........................................ Integrator:...l�,r�P+ o,'J' ��. -.....
Certified Operator,...... j .... ,t' !- cation Nunbc r:rz d .................. ..... fi
Location of Farm: .�Iirt/u �jj �j[a•-+� �,.. 7',✓j���.J sj/�� ��.�,,��.� 2_r,_ /`�
................................................................................
.-..................................
Latitude 0 i 64 Longitude ' 4 64
Design Current Design Current Design �Curent:.
Swuse .y Capacity Population Poultry =` Capacity, ,Population Cattle Capacity, Population:.
... _ .
❑ Wean to Feeder ❑ Layer JE3 Dairy
IF Feeder to Finish Ty,; xQ 10 Non -Layer I0 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity.]
❑ Gilts
❑ Boars Total SSLW
Number`of Lagoons 1 Holding Ponds 10 Subsurface Drains Present 110 Lagoon Area ID Spray Field Area
❑ No liquid Waste Management System K .. .
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. lfdischarge is observed, dict it reach Surface 'Vater'? (lf yes, notify DWQ)
c. If dischar.-e is observed, what is the estimated flov., in galhnin?
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
mai ntenance/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'?
7125197
❑ Yes 10 No
❑ Yes g No
❑ Yes %No
❑ Yes 10'' No
❑ Yes 4�No
❑ Yes IR No
❑ Yes �No
❑ Yes KNo
❑ Yes [ KNo
❑ Yes �1' No
Continued on back

Facility Number: � —s'4d
8. Are there lagoons or storage ponds on site which need to be properly closed`'
Structures (Lagoons,[fold ing Ponds, Flush Pits, eta
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
A
Freeboard(1t): ....C.2 ..........................................
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)
❑ Yes
ff No
❑ Yes
QfNo
Structure 5 Structure G
❑ Yes
DQJO
❑ Yes
DqNo
Nzyes
❑ No
❑ Yes
RNo
❑ Yes
UIo
15. P type ........ .
15- Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes 19No
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes 91 No
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 Pennittrd 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 Perrnit?
No.vialations or. deficiencies were -note' during this. visit. -.You.W'ill receive 'no ftirther
Or'respatidehibie O out this. visit'.
9 Yes ❑ No'
❑ Yes ® No
❑ Yes Cjj�No
❑ Yes allo
A Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Cothments (refer [i>'. question #).=`Explatti'any .YES atitsw'ers and/or arty recommendattons.or ani other crtriunettts:
r.: .
F. - nalpgesaecesaUsdrawihjsoffacilitytbetter-explain situations:(use addttiry)
7125/97
J
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: `�—��

FacUiryNumber. 92 SWo
Division of Environmental Management
animal Feedlot Operations Site Maitation Record
Date: 422-96
Gene�a�nfor�atifln: -
Farm Name: ScmA,4 G o i county. Sa,.-pso e.r
Owner Name: F. 3' . Fk t s o ry Phone No: (9 1 d) 533 -34_34
On Site Representative:_ F. Z Fa; so N Integrator- Car -o. -011's Fo C.d xt c
Mailing Address: 7>. 0 . ;3- x S S �, -_
Wu.rS.,J NG. Z$,j915
Physical Addressliocation:
Latitude: I I Longitude: ! I
Qperation Description: (based on design, characteristics)
Type of Swine No. of Animnah Type of Poultry No. of Animals Type of Cattle No. of AnbnaLs
❑ Sow O Laycr O Dairy
❑ Nm=y 0 Non -L"= ❑ Beef
0 Fuo 7 5 zo
OrherTjPs of Livestock Number of Animals:
Number of Lagoons: I (include in the Drawings and Observations the freeboard of each lagom)
Adlity Imectiol
Lagoon
Is lagoon(s) freeboard less than 1 foot + 25 year 24 hour storm storage?: (3.2 -
Is seepage observed from the lagoon?:
Is erosion observed?:
Is any discharge observed?
Q Man -+node 0 Not Man-made
Cover Crop
Does the facility need more acreage for spraying?:
Docs the cover crop need irnprovernaat?:
( list the crops which nerd improvement)
(gyp typela r. r AA Ik G r s 3 ^! Acreage:
Setback Criterfa
Is a dwelling located within 200 feet of waste application?
h a well located within 100 feet of waste application?
1;s animal waste stockpiled within 100 feet of USGS Blue Line Stream?
.Is animal waste land applied or spray irrigated within 25 feet of Blue Line Suram?
AGI — Janne►17,IM
Yes 0
No 13"
Yes 0
No Cr
Yrs 0
No Er
Yes 0
No 1-wr
Yes 0
No Or
Yes 0
. No 30'
Yes 0 No Car
Yes U. No @'
Yes 0 No Qr
Yes 0 No 0-

Maintenance
Does the facility maintenance need improvement?
Is them evidence of past discharge from any part of the operation?
Does record keeping need improvement?
Did the facility fail to have a copy of the Animal Waste Management Plea on sae?
Yes U No e
Yes ❑ No Cid
Yes ❑ No 0 ----
Yes ar"No O
ExplaEin any Yes answers; ?k-, -9 'r J a ^J W r,
W�.s�� k+t,a,�v��*�w��....�, nian.i �o.., De,L�.•�•-�+.•r-fit L497 .. ,._
cc F4cafity Assessment Unit
DimAngs or Obsemti
AOI — January 17,19%
Date: -
Use Am=hmmv
ate: UseAm=hmmv jfNee&d
L eo 3.2
--------------------
Q g o.,
• _ .+` �y r"ry.- wr. 1! 7:1 :n tin- �J Y. I��f ►r��„�-�M�„tiM1t. �Ya .Y �'�t._.
'�{r •'�"�.•wl :r �7`.••t- 'n �,ri /{:1 .�.. `1.Y.. i�►N.�w1rt1�►v+ MSI.

Site Requires Immediate Attention:
Facility No. 7
_
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: 1995
Time: I1
Farm Name/Owner:AIVV j r j *J' S G�
Mailing Address: t 0.13 S y✓ Al 9f eh1t'3- 3y
County: M P 5 Q-✓
Integrator: _ 1 S T o SPhone:
On Site Representative: Al CG-- Phone:
Physical Address/Location: #ky Q e &eAAA: S/L
1�
Type of Operation: Swine Poultry Cattle
Design Capacity: Number of Animals on Site:. _'� f 2d _
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: Longitude: o r
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) We or No Actual Freeboard: r Ft. Inches
Was any seepage observed from the lagoon(s)? Yes orA Was any erosion obse ed? Yes or
Is adequate land available
Crop(s) being utilized:
Does the facility meet SCS
for spray?ee or No Is the.cover crop adequate9 e, or No
r,0 A i41 1'7 6 ILM 14 PA -
minimum setback criteria? 200 Feet from Dwellings? or No
100 Feet from Wells? Co or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes orw
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line: Yes or 10
Is animal waste discharged into water of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes ory If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? 6R or No
Additional Comments:
.rte` -s
Inspector Name
Signature
cc: Facility Assessment Unit Use Attachments if Needed.

JUL. 14 "35 11: 4EAM
I -r -
WORTH CAROLMA DP.PARTMEn OF EtN3:RONPM? , BIMTE & NATURAL RESOURCES
DMSION OF =117Il30NMENTAL MANAGE ENT
Fayetteville Regional Office
Animal Operation Complia=e Inspection Fora
+WO
NSPE i N �iiA,ia st.�o r r'7[ii1.1� .
Sber+�y D F .'r dKrtY TAt!b
7125 5 T-
L -
Y ! t .r'S . AA�i.[r �.�iK►r 7r7 ��`ta. ~' r►.'Fi�
p'6 .. 854 G Z
2j.L- a434 -
All, questions answered negatively will be discussed in sufficient detail in
the Carments section to enable the deemed Permittee to perfo= the appropriate
corrections:
SECTION I
[mal 0 eration T
Ecrses, cattle, swine, poultry, Or sheep
SECTION 11
Y 1 N
3. Does the number and type of animal meet or exceed
the (.0217) criteria? [Cattle (100 head),
horses (75), swine (250), sheep (1,000), and
poultry (30,000 birds with liquid Waste
System) ] •
2. Does this facility meet criteria for
Animal Operation REGISTRATION?
3. Are arlima-ls confined fed or maintained
in this facility for a 12 -month period?
4. does this facility have a CERTIFIED ANnQLL
WASTE KAHAGEKPRT n AIS:
S. Does this facility maintain haste management
records (Volumes of manure, land applied,
spray irrigated on specific acreage with
specific cover =OR)?
6. Does this facility meet the SCS minimum
setback criteria for neighboring houses,
wells, etc?
r

hZr�DSWC Animal Feedlot Operation Review n x r
psrx.� -
®DWQ Animal Feedlot Operation Site Inspection
Q Routine O Complaint O Follow-up of DWO inspection Q Follow-up of DSWC review O Other
Date oflnspection /0 /-�
Facility Number Z Time of Inspection 3=Y zA hr. (hh:mm)
® Registered 13 Certified [3 Applied for Permit [3 Permitted JE3 Not Operational I Date Last Operated:
................Countv:.........Farm Name:......��✓cC................. ..........�)
...........................................
Owner Name ........... 5©•• .✓ ...... � ''� Phone No:.C?Z6....�9Z...................................................
5141r
Facility Contact:...........�j�+! .. ,.t"di.............. Title:.................. .... Phone No: ................................
Nlailing Address:
...1�-......:...................dr�S...,�...�f.......3
Onsite Representative: ........... :.,,/�.n�...�.. -................................... Integrator: C�/l?�,�01�1 ........... ..fir.- .✓.5r...�.
��` % ..�.
Certified Operator; ............... .% .. .......................................... Operator Certification Number-,.... .4/ 9�
Location or Farm:
.............................................................................................................................................................................................................................................................
u.... ..1....7... , .... ..._/ ..... -.. ...... - ../• .. .... t-- ............... ...........................
...................
Latitude Longitude
Design Current Design -.Current Design ; Current .
Swine Capacity Population Poultry Capacity Population:: Cattle Capacity Papulation
❑ Wean to Feeder
❑ Layer ' ❑Dairy
Feeder to Finish ❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
El Boars Total SSLW
Number of Lagoons / Holding Ponds ❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
❑ No Liquid Waste Nlanagement System
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes 19 No
2. Is any discharge observed from any part of the operation? ❑ Yes No
Dischargc 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 91 No
c- If discharge is observed, what is the estimated flow in gal`niin?
d. Does discharge b -,,pass a lagoon system" (If ycs, notify DWQ) El Yes No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes JRNo
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes Wo
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? ❑ Yes No
7. Did the facility fail to have a certified operator in responsible charge.' ❑ Yes RrNo
7/25/97 Continued on back

Facility Number. ,Z 51
—
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons,Holding Ponds, Flush Pits, et
9. Is storage capacity (freeboard plus storrn storage) less than adequate?
Structure I Structure. 2 Structure 3 Structure 4
Identifier:
Freeboard(ft): ...........res .................................. ................... -....................... ...........
.....,
W. 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 threats 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)
Q Yes P''No
C1 Yes KNo
Structure 5 Structure 6
15. Crop type t6.,,� rin� ^�
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.viola'dons or. deficiencies were'nated-during' this visit. You will receive no further-'
Otrespotidence. al oitt this.
0 Yes JKNO
❑ Yes KNo
Yes D No
❑ Yes ;iOo
❑ Yes M No
"Yes ll No
❑ Yes KNo
Yes D No
Q Yes N No
❑ Yes RNo
D Yes (KNo
ayes ❑ No
D Yes ❑ No
D Yes 0 No
D Yes D No
recomeiidattonior any odi ixoriitnents. x
Comtneats (refet to question#).-EXplain any YES,answers abd/dr any m
Useed rarFangs of facility to better explain:sittmns titi(use addtiiotl Pages as necessary} a`" y
if
2 //iF �.J r;� s'�.E ��p/c,>, �d� a /Gv� 7� �✓,p/�i' Gvr.�/
f -
/ ¢/� IFiO� �O✓�i�'Yr/r0/ - a..OM�JC�h'O.:/..J ,e�/6W40�4i j//if/e � 4,
22. Ei..frXD • c�,�!!-vlCE.t✓ Ni !/s CiS.E //�� �/
10 ----0 Z { 2r1w ®,G A sC a ! 7125197
�
Reviewer/Inspector Name (� n
Reviewer/Inspector Signature: Date:
aWo

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
November 13, 1996
F.J. Faison
Sonny's Swine 5-8
PO Box 856
Warsaw NC 28398
SUBJECT: Operator In Charge Designation
Facility: Sonny's Swine 5-8
Facility ID#: 82-587
Sampson County
Dear Mr. Faison:
®F_=HNFZ
rCEI'VE D
NOV 19 1996
FAYETTEViiLLE
REG. OFFICE
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on-going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation, If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 9191733-0026.
Sincerely,
A. Preston Howard, J4P..,rector
Division of Water Quality
Enclosure
cc: Fayetteville Regional Office
Water Quality Files
IftT
P.O. Box 27687,RIM 16 �4 C
Raleigh, North Carolina 27611-7687 An Equal Opportunity/Affirmative Action Employer
Vgice 919-715-4 100 SCI°% recycled/1Q% post-consurner paper

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
November 13, 1996
F.J. Faison
Sonny's Swine 1-4
PO Box 856
Warsaw NC 28398
SUBJECT: Operator In Charge Designation
Facility: Sonny's Swine 1-4
Facility ID#. 82-588
Sampson County
Dear Mr. Faison:
IDCHNF;Z
RE`CEIVED
Nov 19 1996
FtiY� 1 1 ell LLE
REM OFFICE
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on-going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 9191733-0026.
Sincerely,
A. Preston Howard, Jr., P� Director
Division of Water Quality
Enclosure
cc: Fayetteville Regional Office
Water Quality Files
VM T
P.O. Box 27687, W ;6C
Raleigh, North Carolina 27611-7687 An Equal Opportunity/Affirmative Action Employer
NIVoice 919-715-4100 50% recycled/10% post -consumer paper

Facinry Number. g? - 5
Division of Environmental Management 82 - 587
Minimal Feedlot Operations Site Visitation Record
Date:
General a
Farm Name: S nNN U S S W; N e- _ County: S'a Su,u
Owner Name: F. 3_ Fat son/ _' --Phone No: (WO) - iew�
On Site Representative: F. T. Fal Tarr Integrator: Cot rrp 11 s road _T" c- _
Mailing Address:_ _ PO a-,(
WCArSR'i . NC 2139$
Physical Address4-ocation:
Latitude:_/ f Longitude: I I
Qneration Description: (based on design characteristics)
,Type of Swine No. of Animals Type of Poultry No. of Animals ape of Caalt Na. of Animals
D Sow 0 Layer 0 Dairy
0 Narmy O Non -Lager D Beef
Oteeder - F; N5 3 4- O
r'
OtherT)pr of Livestock Number of Animals:
Number of Lagoons: 2- (include in the Drawings and Observations the freeboard of each lagoon)
Facility InWgction::
Lagoon
Is Iagoon(s) freeboard less than I foot + 25 year 24 hour, storm storage?: Z. µ f,4-- Yes O No U(
Is seepage observed from the. lagoon?: LgIvvNS 14 te" Yes 0 No Cd'
Is erosion observed? - Yes 0 No
Is any discharge observed? Yes 0 No Mr'
0 Man-made 0 Not Mann -mode
Cover Crop
Does the facility need more acreage for spraying?:
Does the cover crop recd mprovemcnO:
( list the crops which need 6-Vroveas m)
Crop type: &c r ng" do- C !-a C.S Acreage:
Setback Criteria
Is a dwelling located within 200 feet of waste application?
Is a well located within 100 feet of waste application?
Is animal waste stockpiled within 100 feet of USGS Blue Line Stream?
'Is animal waste land applied or spray irrigated within 25 feet of Blue Line Stream?
AOL - January 17,19%
Yes 0 No Lei
Yes 0 . No UY'
Yes 0
No 0'
Yes ❑
No C�
Yes 0
No C9�
Yes 0
No

Maintenance
Does the facility maintenance nerd improvement? Yes ❑ No
Is there evidence of past discharge from any part of the operation? Yes © No Ci
Does record keeping need improvement? Yes ❑ No I�
Did the facility fail to have a copy of the Animal Waste Management Flan on site? Yes a( No O
Explain any Yes answers' 7 in c sc-- +ow t d vXa ; o rJ 5 4 r r� u r
ivJtis -4t vu -o b be ee3f 9
Signatue: I'1 Date: zYL —
e= Facay Assessn ew Unit Use Attachmew (f Needed
Drawing or Observatlon;
_ _ L+lili .'.4J -� r - � .. .. - ..�.A�•- wr. a�! ars eaa _ .114' h�rr�f.tlr.i.weM/Yr. wi+ T'='^�� hi'__.
}A: rti. - .�.•. .�: n�. w1'.. �• . .Ana eS, .�.. •a..',.y
AOI — January 17,3996

Site Requires Immediate Attention:
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
Farm Name/Owner:
Mailing Address: A o
County:
Integrator:_
On Site Representative:_
Physical Address/Location:
DATE: 1995
Time: U r
Sa ,v� -
h Fon
je
Phone:
Phone:
�' S v.y
.o .� f 3
Type of Operation: Swine a.. J Poultry Cattle
Design Capacity: Number of Animals on Site: :C36'1 _
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: Longitude: '
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 15 year 24 hour storm event
(approximately 1 Foot + 7 inches)2ggoon(s)?
or No Actual Freeboard: Ft. Inches
Was any seepage observed from the Yes or 1�6 Was any erosion observed? Yes or�@
Is adequate land available for spray?e, or No Is the qover crop adequate? Xi or No
Crop(s) being utilized: v
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? or Op
100 Feet from Wells? or
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or tlD�
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line: Yes orto
Is animal waste discharged into water of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or N& If Yes, Please Explain.
Does the facility maintain adequate waste management record (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? 'e or No
Additional Comments:
Inspector Name
Signature
cc: Facility Assessment Unit Use Attachments if Needed.

' JUL 14 '95 11:4&;M
IgQRTs CAROjanh DEP?,RTNMJT OF ENVIR010 T, 6FALTS & NXTUPAL RESOURCES
DIVISION OF EWV17A0HK-7Ii= NANAG =
Fayetteville Regional office
Animal operation Compliance inspection Form
All. questions answered negatively will be discussed in sufficient detail in
the Coaments Section to enable the deemed Permittee to perforce the appropriate
corrections:
SECTION I
?mal Operation T
Horses, cattle, swine, poultry, or sheep
51=10x 11
Y ) N ! COMMENTS
1. Does the number and type of animal meet or exceed
the (.0217) criteria? [Cattle (100 head),
horses (75), swine (250), sheep (1,000), and
Poultry (30,000 birds with Liquid waste
system) ] •
2. Does this facility meet criteria for
Animal Operation REG15TRRT%W.
3. Are anTma15 confined fed or maintained
in this facility for a 12 -month period?
4. Does this facility have a g4Ejj= ANI?ML
iP�E KMAG ENT PI.W.
5. Does this facility maintain waste management
records (Vol=es of manure, land applied,
spray irrigated on specific acreage with
specific coyer crop)?
5. Does this facility meet the SCS minimum
setback criteria for neighboring houses,
wells, etc?
�Durly SWINE "Scc+lil ' ' X130 .y 7 5 -
FACILITY;.3'Ei.FPH0WX NI]?48F t
P.D. 6 N.0 8
-3+34
All. questions answered negatively will be discussed in sufficient detail in
the Coaments Section to enable the deemed Permittee to perforce the appropriate
corrections:
SECTION I
?mal Operation T
Horses, cattle, swine, poultry, or sheep
51=10x 11
Y ) N ! COMMENTS
1. Does the number and type of animal meet or exceed
the (.0217) criteria? [Cattle (100 head),
horses (75), swine (250), sheep (1,000), and
Poultry (30,000 birds with Liquid waste
system) ] •
2. Does this facility meet criteria for
Animal Operation REG15TRRT%W.
3. Are anTma15 confined fed or maintained
in this facility for a 12 -month period?
4. Does this facility have a g4Ejj= ANI?ML
iP�E KMAG ENT PI.W.
5. Does this facility maintain waste management
records (Vol=es of manure, land applied,
spray irrigated on specific acreage with
specific coyer crop)?
5. Does this facility meet the SCS minimum
setback criteria for neighboring houses,
wells, etc?

�tj - C- CL, �� u�•�� `�
Field Site Manage -m at
1, Is animal Waste stockpiled or lagoon
constrsctian within 100 ft_ of a USGS
Map Blue Lire Stre-am?
2. Is aninal waste land applied or spray
irrigated within 25 ,ft, of a aSGS Dian
Blue Lime Stream?
3. Does this facility have adequate acreage
cn which to apply the waste?
4. noes the land application' site have a
cover crop in accordance with the
CFRTIPICATION PLAN?
5. Is animal waste discharged into waters of
the state by man-made ditch, flushing system,
or other similar —n -made devices?
6. Does tae arimal waste management at this
farm adhere to Best Management Practices
(5�') of the approved CERTIPICAT�QN?
7. Does animal waste lagoon have sufficient
freeboard? Mow much? {Approximztely )
8. Is the general condition of this CAPD facility,
including management and operation,
satisfactory?
SECTION ry
COM. Me-nts
. L:L 14 'S=1 11: 4GA -

Plan Amendment to Include S&WCC Chronic Rainfall Practices and Standards through March 31, 2000
1. If this facility can comply with its existing pwrmit and CAWMP it must do so.
2. Temporary Addition of New Sprayfields (') (Check appropriate boxes.)
[] A. acres of cropland. List crop types used:
[) B_ acres of hardwood woodland @ 100 lbs PAN 1 acre added_
[j C. acres of pine woodland added @ 60 lbs PAN / acre added.
3. Summer Perennial Grass (Check appropriate box.)
f: -A. Application window extended for 5'L acres of perennial grass until first killing frost.
?Jt. An additional 50 lbs of PAN applied to . z- acres of perennial grass prior to killing frost.
4. PAN Application Increased for Small Grains g Winter Grasses to be harvested. (Check appropriate box.)
[}'A. PAN application increased up to 200 lbs per acre for/.77 acres of small grains or wintergrasses to be harvested.
UX PAN application increased up io 150 lbs per acre for acres of overseeded summer perennial included in 3. B.
5. Waste Analysis (Check appropriate box.)
[,}<. Prior to December 1u, 1999 the calculation of PAN will be based on a 35% reduction of the last analysis taken
prior to the first 25 year 24 hour storm event. (Current waste analysis must be used after Dec.1' .)
[l B. Use current waste analysis to determine PAN_
6. Required - Maximum Nitrogen Utilization Measures for Small Grains and Winter Grasses.
A- Use of higher seeding rates,
B. Timely harvest of forage to increase yield, and
C. linguing during periods of warmer weather.
7. Required - Irrigauon Management Techniqucs to Reduce Runoff and Ponding Potential_
A. Making frequent, light irrigation applications, and
B. Not irrigating immrdiamiy before predizted rainfall.
8. Tn.- owner / manager is required to manage the movement of animals to and from the facility to minimize environmental
impacts, ensure compliance with the facility's permit and amended CAWMP, and avoid discharge to surface waters.
9. .Authorization to me the additional practices included in this amendment expires if a facility discharges to surface waters.
Any discharze is a violation and may result in an enforcement action.
10. The owner / operator is required to keep records of all waste applications.
11. This revision must include a map or sketch of new land application areas.
Facility Number '5 --'
IT Facility Name
�
/,f 'l L baso
~a; il'tzer 1 Mat►aa� N (PR tiT) Technical Specialist Name (Piz1?r
\-
a: slt Owner / Mar,zgcj Signature Technical Specialist Signature
Date // T
Dat- 9'
This document must be filed at the SNN'CD office and be attached to the facilities CAA'
and be available for inspection at the facility.
{*) i�ew temporar} sp ayfi-lds trust meet applicable buffer and setback requiremens. Waste must not be applied to wetlands -
11/12/1999

A