820598_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qual

t O erasion 1 low Threshold
M Permitted ® Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: 'e0�4el fUl�County:s�
Owner Name: 2�g _..y4 lame Phone No:
Mailing Address: 2 3? -FP e . ,-1Z /Z41 . ��..��.J, /Y c
Facility Contact: 10a'11A11/ /"yi /.c- Title: Phone No:
Onsite Representative: �7 '14iC Integrator: a
Certified Operator: _ Vii[ Operator Certification Number:
Location of Farm:
[]Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 0� 0 " Longitude ' 06 0
Design Current �" - Design'` Gurref Destgn Current
�lz,lwine Ca achy P,o ulatron P�ault `C"aacity 1'o ulation Cattle Ca achy= P,o nlation
y :,' ❑ Wean to Feeder ;,
77
® Feeder to Finish 3 G 7Z
El Farrow to Wean
❑ Farrow to Feeder Other _ '~
El Farrow to Finish Total Design{Capacity
El Gilts sa$ M
❑Boars .1 Total SIF F
Number oiLagaons Subsurface Drains Present ❑ La oon Ares ❑ S ra Field Area
Holding Ponds /Solid Traps No Liquid Waste Management S stem NO
Non -La er La er t � ❑ ❑Non -D Dai
:
Dischar�se & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: E] Lagoon El 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 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?
W951e lecti & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? El Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): 3�
05/03/0!
❑ Yes �No
El Yes KNo
El Yes 5No
[I Yes [X'No
El Yes ff No
El Yes KNo
El Yes KNo
Structure 6
Continued
rO
�I
Facility Number Date of Visit: G 6dTime:
L
77
Dischar�se & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: E] Lagoon El 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 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?
W951e lecti & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? El Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches): 3�
05/03/0!
❑ Yes �No
El Yes KNo
El Yes 5No
[I Yes [X'No
El Yes ff No
El Yes KNo
El Yes KNo
Structure 6
Continued
rO
�I
Facility Number Date of Visit: G 6dTime:
L
77
El Yes KNo
Structure 6
Continued
rO
�I
Facility Number Date of Visit: G 6dTime:
L
77

I y
Facility Number: 82 —SS Date of Inspection 0
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
4. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type ,6 ud.,x , �i/�.P�i,.Ji n o e.J , !✓/i.ERf .sb v %ate 1 '
❑ Yes KNo
❑ Yes KNo
N'Yes ❑ No
❑ Yes FNo
❑ Yes 'No
❑ Yes �RNo
❑ Yes INJNo
13. Do the receiving crops differ with those designated in the Certified Animal Waste Mariagemcnt Plan (CAWMP)? ❑ Yes ® No
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
C'No
7 � � �� �� .✓.�.s ,4 coU,e.� p,C.ss.� fst��i�� o.� ��s<�.� slj�.�r
b) Does the facility need a wettable acre determination?
❑ Yes
Wo
c) This facility is pended for a wettable acre determination?
❑ Yes
O�No
15_
Does the receiving crop need improvement?
❑ Yes
/KNo
16.
Is there a lack of adequate waste application equipment?
❑ Yes
P[No
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
KNo
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ Wim, checklists, design�rtaps, c .)
El Yes
W No
19.
Does record keeping need improvement? (ie/ irrigiton, &eeboard, waste analysis & soil sample reports)
❑ Yes
eW-No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
NNo
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
Wo
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
EqNo
(ie/ discharge, freeboard problems, over application)
23.
Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ Yes
IRNo
24.
Does facility require a follow-up visit by same agency?
❑ Yes
5 'No
25.
Were any additional problems noted which cause noncompliance of the Certified A WMP?
❑ Yes
"No
my
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments{refer to question #) Explain any YES 'answer-s.ieco'mmenda ions or any' othei'commen'1 a=" w
vse tj` -, .
rawtngs of facaio.,to better explain situations. (use addWonal pages as necessary) �; ,� El Field Copy El Final Notes
r.
7 � � �� �� .✓.�.s ,4 coU,e.� p,C.ss.� fst��i�� o.� ��s<�.� slj�.�r
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: Z
05/03/01 Continued

Facility Number- g2 — Date of Inspection 6�d
Odor Is&W
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below JO 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 (+lo
28. Is there any evidence of wind drift during Iand application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes Wo
roads, building structure, and/or public property)
24. is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes �&J No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? /KYes ❑ No
Additional,Comments an( Vor,,Drawings:;,
Ak
I J
05103101

'�" i
,��F_`�DlvlSlOoiWB�CrTtp ` _r ti.
M±L.:
_. Ogg a_-�� '' "� h- - - c-�- � ...,_�'a � r - s-a� =-'ase•..
,,
TVim of Visit 0 Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit 0 Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
—]
Facility Number Z Date of Visit: Time:
Nat Operationd Q Below Threshold
4M Permitted a Certified 0 Con
dit
ionally Cerdf"ied [3 Registered Date Last Operated or Above Threshold: �_. �� • ••
Farm Name:'!! ............. County: ..... s . . . .......... ........... ....... ...._.... --..
OwnerName:...._...a?..... "..P »_........._ .................................. Phone No:............�i..�G..r.f.........
Facility Contact:....» .�j �i�.......Title: .... .»... ......J.... .... _..%�_� ..._. w Phone No:.
Mailing Address: .............z 1.. t-! f�s4—�...�t..?��r.....G.rr..t '�!!.L..i...C............... ..............--
Onsite Representative:.,,.....�Q�..Ck' �!G........./.... ................. Integrator: , l�Le�Sr
Certified Operator:...._ . .. �,._. ��- .. Operator Certification N/umber:...
Location of Farm:
•
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude �•� Du
' Cuinreat _ Cuirrent Ciastit
Design _ TJ!esigrt Deco =
5ivige - -
<'...-_a Po ulatlaq ,;: Poultry C" . _. d .. Po iilatEon .. Cattle . Po .uli6n .'
. �. Ca ci
Wean to Feeder❑Layer ❑ Dairy _
Feeder to Inish ,3�7Z 10Non-Layer I P3 Non -Dairy
Farrow to Wean _
Farrow to Feeder ❑ Other
Farrow to Finish : Total Ca
❑ Gilts De n Paciiy
Boars Total SSLW'
Niugber"of.f.agoons
,'.. :....- – . Subsurface Drains Present isg«►n Area Spray Field Area
,,•.
_; Holding Pomds /Solid Traps10 No Liquid Waste Management System
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation? ❑ Yes MNNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man -trade? ❑ Yes ® No
b. If discharge is observed. did it reach Water of the State'? (If yes, notify DWQ) ❑ Yes IRNo
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon systent? (If yes, notify DWQ) ❑ Yes K No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes PKNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes WNo
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes W No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier. ...........>..............................................................................................._........................................._..............................._.....I.............
Freeboard (inches):
5/00 Continued on back

Facility Number: eZ— J► Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below 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 /KNo
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 Iagoon? ❑ Yes No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes IN No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ® Yes ❑ No
ho
_.�_ .omments an orT rawmgs:,.
T
A61
J
0

Facility Number: Jaz — Date of Inspection 0
5. Are there any immediate threats to the integrity of any of the structures observed? (iet trees, severe erosion, ❑ Yes R"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 J: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 ;KNo
S. Does any part of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes JKNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes JWNo
Waste Aaplieation
10. Are there any buffers that need maintenance/improvement? ❑ Yes ;RNo
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes bitNo
12. Crop type A4gf— --
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes 2W
14. a) Does the facility lack adequate acreage for land application? ❑ Yes RNo
b) Does the facility need a wettable acre determination? ❑ Yes 14 No
c) This facility is pended for a wettable acre determination? ❑ Yes ® No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
1$. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ Wchecklists, desii, 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. pail 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 IS No
❑ Yes J@ No
❑ Yes X No
❑ Yes &No
❑ Yes ff No
❑ Yes RL No
❑ Yes A No
❑ Yes Wo
❑ Yes JV No
❑ Yes Cg No
❑ Yes 14 No
4 Y)41 44s:e)- d ficjehcie .wvrb )i1tg• ootiog (his'visit; - Xoo w�� �Y� a VK _
brit* ' deiQce: abwut this visit . '
co'l t fats {tref to questioa #) Eii�lam any YES answeis aadltir app, irecom>ntendatiuns i►tr airy ether commm�tk-,
-�' - -.-, '•�- T
--
_,.
Ilse drawer of facility to:better estpiatn stttiataiotzs. {use addttsonal p " es as necessary)
05_4&5z de- fie."K
AL
C�allxlrl
qV
Reviewer/Inspector Name z
_
Reviewer/Inspector Signature: Date: 2-,J- O g/pp

" ...
- �:D�ves�on of Water Quality,
_-
Division of Sod and Wateir Conseirvation-
_
ECA � _ _
,
Type of Visit *Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit • Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number1 t?eteofVisit: l � Timt: 2-'04 Ninted on. M112000
Q =Not erationai O Below Threshold
Permitted M Certified 0 Conditionally Certified E3 Registered Date Last Operated or Above Threshold: .....................
Farm Name: ........... R.d ../..0 lf�aAG... #'.. ..................... County:...........,�,pl, , !!J..................
Owner Name : .......... ...................._...........���R...................... �................_.....
,�D /� .......... Phone No:
Facility Contact: ....1C . "' .. _.� f%iG_...................... . TTiittlee.`........................................_................., Phone No: -_......... ................ ......... --
Mailing Address: ..... � , ..L .�AW/0.... l✓,� e.,W4 &C..... r��.................................... ..........................
Onsite Representative: ......,tf�c�� ti,� r*�.................. ....... Integrator: �.................................
Certified Operator: ........ /AeA ................ Operator Certification Number:..........................................
Location'of Farm:
❑ urine ❑ Poultry [3 Cattle ❑ Horse Latitude • ` " Longitude • 6 «
F 'i Desagn Current Design Carrent Des�gtt ,. Cn7z e11t
Population Ca _ : Po ilation''capacity 'Poultry
a Wean to Feeder ❑ Layer ❑ Dairy
i
Feeder to Finish <71 1 3e,7ZNon-Layer 1 10 Non -Dairy
Farrow to Wean _
Farrow to Feeder EI Other
Farrow to Finish Total Desi Ca t i
Gilts � Capacity. -:-1
Boars Total §5M
Lagoons Subsurface Drains Present Lsgnan Area 10 Spray Field Ares
Hoidt
nds / Soli Traps j] No Liquid Waste Management System
r .. .. -
Discharges & Stream Yrttpacts
1. is any discharge observed from any part of the operation?
❑ Yes
9 No
Discharge originated at: ❑ Lagoon ElSpray Field E]Other
a. If discharge is oburved, was the conveyance: man-made`?
❑ Yes
B -No
h. if discharge is observed. did it reach Water of the State? (If yes, notify DWQ)
[] Yes
IN No
c. II' discharge is observed. what is the estimated flaw in gallmin'?
d. Does discharge bypass a lagoon systent? (If yes, notify DWQ)
❑ Yes
JE No
2. Is there evidence of past discharge from any part of the operation?
❑ Yes
Ir] No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes
® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate" ❑ Spillway
❑ Yes
No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
= Identifier: ........__..� .�..............................................I.....................
Freeboard (inches):
5/00
Continued an back

Facility Number: Z — Daty of Inspection 0 Printed on.• 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes J;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 E'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?
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
t
12. Crop type
f
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Pian (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records &-_Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ W_UW chec h ts, design maps etc.) /
19. Does record keeping need improvement? (ic/ irri6ifion, frecboard, 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![nspector 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?
WYes /—
❑ Yes fff No
❑ Yes KNo
❑ Yes &No
❑ Yes & No
❑ Yes allo
❑ Yes ,KrNo
❑ Yes &No
❑ Yes 19No
❑ Yes 1UNo
❑ Yes KNo
❑ Yes IR No
❑ Yes XNo
❑ Yes Ef No
❑ Yes ® No
❑ Yes allo
❑ Yes No
❑ Yes No
❑ Yes 19 No
❑ Yes [9No
yiyiafigris:o defcienc e5 werepQ#eti dix ng his:visjt: Yop wi�� ieeeiye Citi futtbo; • • .
curies n�ence: about this visit.
x
Co�mEuts {refer to g6estton #ij Exo'h n arty -YES answers and/or any-recommeadatious or other COMM
_arty
- - -7—
Use drawiaegs of facility to better explant situations (ttse addattonal pages as necessary) c *w'
_. _.. x--
7 C'b,✓,��.->x �Ef��.� rp c�v,�.�c o r �s...c .su•�+tt s r�/ot��✓
AL,
>r �c,aS�-
r
Reviewer/Inspector Name �i
Reviewer/Inspector Signature: Date: // 7 ZOG6 5/00

Facility Number: fZ — ,SQB Date of Inspection
Odor Issues
e
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 19 No
28. Is there any evidence of wind drift during land application? (Le. residue on neighboring vegetation, asphalt,
❑ Yes [2rNo
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes ® No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e_ broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes [RNo
31. Do the animals feed storage bins fail to have appropriate cover?
❑ Yes X No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
04 Yes ❑ No
Additional Comments an or: rawings:
e
Y

}; 13 Division of
Q
Division of
B!bivisionof
11 nfhnr.Aow
JJR Routine Q Complaint. Q Follow-up of DWQ inspection Q Follow-up of DSWC review 0 Other l
Facility Number Date of Inspection
Time of Inspection 24 hr. (hh:mm)
Permitted E3 Certified Q Conditionally Certified [3 Registered Not O erational Date Last Operated:
Farm Name: ......Zko 41,or l V �/9.i� .._................................. County:............SG......:.....................................
�...................................// ...............
OwnerName:.........1.4,fllt?.G..................Lv.R..ad./O..I...................................... Phone No:............................. Z./... Z.���............................
FacilityContac[: ........ Qp...I.....................[/..........n..T,itle:..............._.-....n............................ Pho�n/eNo:................................G.................
Mailing Address: ......... gLt..R....... �1�"1,.._4d�G''..../LQ.......... .......... ............ .....L..�ilt.... 4l C............................_ 21.32..
Onsite Representative: L.v � „ ................. Integrator ......_....,,,,
........ �'j %...../............................................/L../....F....................................
Certified Operator: ...... �.J.er................ ...._1...`.:....... ../�....................... Operator Certification Number:..........................................
Location of Farm: N.
.
Latitude =•=' 0•' Longitude =• =' ='C
:Design Current'' _Design': Current,; :i "",. Design Current
Swine. -
Capaci Population, .Poultry - -Ca acity Population. Cattle Capacity Po Mahon
❑ Wean to Feeder ❑ Layer ❑ Dairy
Feeder to Finish % ❑ Non -Layer ❑ Non -Dairy
❑Farrow to Wean 3 : -.-
,_...
❑Farrow to Feeder ❑ Other
❑ Farrow to Finish
Total Design Capacity 7
❑ Gilts.
❑ Boars Total'SSLW
Number of Lagoons _, ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holdmg Ponds / Solid. -Traps _ ❑ No Liquid Waste Management System ;
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ YesUp No
Discharge originated at: ❑ Lagoon [I Spray Field 1-1 Other fi
a. If discharge is observed, was the conveyance man-made? ❑ Yes No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes 11�o
c. If discharge is observed, what is the estimated flow in gal/min?
d. Dues discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes o
2. Is there evidence of past discharge from any part of the operation? ElYes KNO
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes q�o
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes 'NNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Q (r
Freeboard(inches): ...................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes �'Nq
seepage, etc.)
3/23/99 Continued on back

Facility Number: 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)
❑ Yes ,8 No
7. Do any of the structures need maintenance/improvement?
❑ Yes
dqNo
8_ Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
JNNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
+
elevation markings?
❑ Yes
(KNo
Waste AFRlication
t
10. Are there any buffers that need maintenance/improvement?
❑ Yes
&NO
11. Is there evidence of over application? ❑ Excessive P nding ❑ PAN
❑ Yes
0 No
I "—. A
12. Crop type a q
13. Do the receiving crops differ with those designated ) he Certified Anima ante Man (ementlan (CA P)?
❑ Yes
IN No
14_ a) Does the facility lack adequate acreage for land application?
Cl Yes
N No
b) Does the facility need a wettable acre determination?
❑ Yes
&,•No
c) This facility is pended for a wettable acre determination?
❑ Yes
OkNo
15. Does the receiving crop need improvement?
❑ Yes
ONo
16. Is there a lack of adequate waste application equipment?
❑ Yes
;(No
Reauired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes WNo
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 ffi`N0
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes 91No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes P`No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes AIM
22_ Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes )I�No
23. Did Reviewer/Inspector fail to discuss reviewlinspection with on-site representative? ❑ Yes 1@K No
24. Does facility require a follow-up visit by same agency? ❑ Yes Wo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes �R o
o viola itjris of dgficier�e es i tzre rioted trrittg #his visit: yob will -receive 00 rurther
-•-cor'res• ondesRce�aboit>�this.visit:•..• •.. .•-•....•.•.•.•- :.•.•.•.:....•.• :.-.•.
.
Comments (refer to question##) Explatn anyxYE5 ansFve s andlar any recommendations or any 6#her conitttents.
Use;dr awtttg� of faciltty to;better explaan:sttuations (use addi L( akpages as necessary)
+
d rQ 5 l! 071,/ j�
t
Reviewer/Inspector Name Z JD
_�S
Reviewer/Inspector Signature: Date: L
3123199

pa. • r. .ate .Y�.i'�:^"... :'v.. R,'::::- - .. .rte ., . _..,. .. ; .r �... ... w4 .
gr ❑ Division of Soil and Water Conservation ❑ Other Agency r
� �. ®Division of Water Quaiity ���
HD Routine O COMDlaint O Follow -un of DWO inspection O Follow-up of DSWC review O Other
Date of Inspection �i p
Facility Number 2 Time of Inspection , d o 24hr. (hh:mm)
Megistered M Certified [3 Applied for Permit © Permitted 0 Not O erationa] Date Last Operated
Farm Name: ..............•� � f.G � County: at?.............I...... .......................
........................................................... ...........,�q..'llo... q
OwnerNance:........ rta .... .........v.�............ ............I......................... Phone No: ......... r.L..� �1..... G..�.. �� ..................
Facility Contact: ..............Zs ....�lF�.1'PA........ Title:
J.................... ...............................p........... Phone No: ...................................................
MailiMailin Address: --_.. N. 4� .: /v� A L '72 ........................................... ..........................
ng 7.._/ . , ........�..i.�.. P....../........................./I.................I.................../y� /
Onsite Representative:....... /.fC �r� Integrator:......I..!!.. �iy,�''_- ---------------------
y / ,.................... '�//J
Certified Operator;. _ ... .---.-,.....✓.Y!�_-/ ................................... Operator Certification Number .............. ........_... _.......
Location of Farm:
J
_.�.! ... ..�Y.R........................................................................... ............................. ....................................... ..... �I►
Latitude Longitude �• �� ���
Wilk Poultry ';;Capacity„
❑ Wean to Feeder
® Feeder to Finish _L7Z
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Soars
❑ Layer ILI Dairy
$;;<❑ Non -Layer ❑ Non-Dairy
F '
❑ Other I I
Total Design'CapacityC
- _
Notal-SSLW =,.
n
Subsurface Drains Present 110 Lagoon Area J❑ Spray Field Area
No Liquid Waste
t6F
General
1.
Are there any buffers that need maintenance/improvement?
❑ Yes
�ffNo
2.
Is any discharge observed from any part of the operation?
❑ Yes
1�a No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
91 No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
19 No
c. if discharge is observed, what is the estimated flow in gal/min?
d- does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
)gNo
3.
Is there evidence of past discharge from any part of the operation?
❑ Yes
),No
4.
Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
FPNo
a
5.
Does any part of the waste management system (other than lagoonstholding ponds) require
❑ Yes
P No
mai ntenance/improvement?
b-
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
W No
7.
Did the facility fail to have a certified operator in responsible charge?
❑ Yes
IF No
7125/97

0- No. vio'lationsor' d'iciencies.rvere no'ted-during this.visit'--_You.rvill ireceive',n' 6 f irtherr.
c6rresNndence aboitt this:visit , : :, : - :.... ::: :... .
Gv�ments {refer #o gtnsdc►n �j Explain any�YES ansyvers andlor any recommendations ur any other commettfs"���s�, �
Use"��wi�rgs�of fac�ty�to:`better'explaun s�tustions. {use add,tio�al pages as:necessary}' �, � <y � ,�'� � ��` f��
Facility Number: S2 — 9
E
12. �%9 r�i t�C two od ��Av� / A c lack, s-!./ 41r,,l ✓ .0
8. Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
No
Structures (La2oonsJloldine Ponds, Flush Pits, etc.)
ERevjewer/InspectorNamewer/Inspector
Signature: Date: S r/
9. Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
No
Structure 1 Structure 2 Structure 3 Structure A Structure 5
Structure 6
Identifier:
Freeboard(ft): ............7..�.....................................................................................................••...............................................••
....................
..............
10. Is seepage observed from any of the structures?
❑ Yes
bkNo
11. is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
KNo
12. Do any of the structures need maintenance/improvement?
"Rj Yes
❑ No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
gi No
Waste Application
14. Is there physical evidence of over application?
❑ Yes
JN No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
h l
15. Crop type ...... 7.. / � .dcr 1.....................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
IR No
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
10 No
18. Does the receiving crop need improvement?
CM Yes
❑ No
19. Is there a lack of available waste application equipment?
❑ Yes
RNo
20. Does facility require a follow-up visit by same agency?
❑ Yes
W No
21. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
❑ Yes
J4 No
22. Does record keeping need improvement?
❑ Yes
No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
Ig No
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
1$ No
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
JqNo
0- No. vio'lationsor' d'iciencies.rvere no'ted-during this.visit'--_You.rvill ireceive',n' 6 f irtherr.
c6rresNndence aboitt this:visit , : :, : - :.... ::: :... .
Gv�ments {refer #o gtnsdc►n �j Explain any�YES ansyvers andlor any recommendations ur any other commettfs"���s�, �
Use"��wi�rgs�of fac�ty�to:`better'explaun s�tustions. {use add,tio�al pages as:necessary}' �, � <y � ,�'� � ��` f��
E
12. �%9 r�i t�C two od ��Av� / A c lack, s-!./ 41r,,l ✓ .0
R� ,U s+✓ ,!{��s� � tip � 2
ERevjewer/InspectorNamewer/Inspector
Signature: Date: S r/

Site Requites Irnnwdiate Attention: N o
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
AND AL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: D s , l99S
Time:
Farm NameA)wner:
Mailing Address: 1:�`T t '!�o x - C,Lt tvjKn N tJ - C..
County: S Ath- S b1j
inter"r.
On Site Representative: Phone: 91�
Physical Addrecs/Locsion-u -Ivb AQ* 'k C.k
r—QAw.- 11
Type of Operation: Swine POL "' � Caine
Design CAparity: 17_7-4 Number of Animals on Site: ,Z2 -Li
DELM Cmification Number: ACE— DEM Certification Ntunber, AC.NEW_
Latitude: Longitude:
Circle Yes or No
Does the Animal Waste Lagoon hMe
ufficient freeboard of 1 Foot * 25 year 24 hour storm event
(approximately 1 Foot + 7 inchesor No Actual Freeboard: Wit. Isuhcs
Was any seepage observed from the 1 oon(s)? Yes ON Was any erosion observed? Yes 0&
Is adequate lead available for spray Yes No Is the cover crop adequate . Yes No
Crop(s) being utilized:
5 i ZAR-5
Does the facility nccet SCS minimum setback criteria? 200 Feet horn Dwelling6KXePor No
100 Feet from Wells? (re orNo
Is the animal wmat stockpiled within 100 The of USGS Blue Line Sur=? Yes o��s�'rN
Is animal waste land applied or spray irrigated within 25 Fact of a USGS Map Blue Line? Yes a&
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
stimilar man-made devices? Yes No U Yes, Please EXPWn-
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray iinigated on specific acreage with cover crop)? Yet
Additional Comments:
La
Atha S KA
cc: Facility Assmment Unit Use Attachmentb if Needed.