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Home My WebLink About820642_INSPECTIONS_20171231NORTH CAROLINA Qepartment of Environmental Quality Reason for Visit: e Routine 0 Complaint OOtber Date of Visit:~ Arrival Time: II/ ~0004/l Farm Name: ~ttifC~5 fiLe . ..,. Departure Time:l,z...:/J(Jf" I County: $~Jl)J Region : r<-ft.O Owner Email: Owner Name: Qd.t'Yi6 B r~ {Lt Mailing Address: Physical Address: ..,.,; /J. ' Facility Contact: dllmt'S f) nu Title: Onsite Representative: w; I ( ta tY' l) sl,e.-v Certified Operator: Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: 0 Structure 0 Application Field a. Was the conveyance man-made? Phone: 0 Other: b . Did the discharge reach waters of the State? (lfyes, notify DWR) c. What is the estimated vo lume that reached waters of the State (gallons)? Phone: Integrator: 7M;-t{~':t_IJ Certification Number: Certification Number: Longitude: DYes ~No DNA ONE 0 Yes 0No fdNA ONE DYes 0No ¥1 NA ONE d . Does the discharge bypass the waste management system? (If yes , notifY DWR) 0 Yes 0No fD NA ONE 2. Is there evidenc e of a past discharge from any part of the operation? 3 . Were there any observable adverse impac t s or potential adverse impacts to the waters of the State other than from a dis charge? Page 1 of3 0 Yes~ No 0 Yes t:BNo DNA DJ':IE DNA ONE 21412015 Continued IFaciUty Number: I Date of Inspection: waste Coilection & Treatment 4 . Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure 2 Structure) Structure 4 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? DYes ~No DYes 0No DNA ONE lsp NA 0 NE Structure 5 Structure 6 0 Yes f{lJ No 0 NA 0 NE 0 Yes 'fj9 No 0 NA 0 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 s tructures need maintenance or improvement? 8. Do any of the structures Jack adequate markers as required by the permit? (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 maintenance or improvement? Waste Application I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? D Yes 0 Yes 0 Yes DYes ~No DNA ONE fSNo DNA ONE ~No DNA ONE ~No DNA ONE II. Is there evidence of incorrect land application? If yes, check the appropriate box be low . 0 Yes ~No 0 NA 0 NE 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PAN 0 PAN> 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12. Crop Type(s): 13 . Soil Type(s): 14 . Do the receiving crops d iffer from those designated in theCA WMP? 15. Does the receiving crop and/or land appli cation site need improvement? 16. Did the facility fail to secure and/or operate per the irri gation design or wettable acres determination? 17. Doe s 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 Certifi cate of Coverage & Permit readily avai lable? 20. Does the facility fai l to have all components of theCA WMP readil y avai lable? If yes, check the appropriate box. DYes D Yes 0 Yes D Yes 0 Yes 0 Yes 0 Yes ~0 I ~No ~No G;tNo ~N o ~N o ~No DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE 0 WUP 0Checklists 0 Design 0 Maps 0 Lease Agreements 00ther: ------------------ 21. Does record keeping n eed improvement? If yes, check the appropriate box below. 0 Yes · ~No 0 NA 0 NE 0 Wa ste Application 0 WeekJy Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Weathe r Code 0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rainfall Inspections 0 Sludge Survey 22. Did the facility fail to in stall and maintain a rain gauge? O Yes ~N o 0 NA 0 NE 23. If selected , did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Ye s llJ No 0 NA 0 NE Page 1 o/3 214120 15 Continued IFacmty Number. '1?2-(;, i.(z.. I I nate oriuspectlon' t:ji¢1' 24~ Did the facility fail to calibrate waste application equipment as required by the permit~ 0 Yes ~No DNA ONE DNA ONE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. 0 Yes lfJ No 0 Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels 0 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? 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? j 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. D Application Field D Lagoon/Storage Pond 0 Other: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 33. Did the Reviewer/lnspector fail to discuss review/inspection with an on-site representative? 34. Does the facility require a follow-up visit by the same agency? <;o(J hx-""1 ~. Ja~.s B•"'tt?. DYes ~No DNA ONE DYes ffl No DNA ONE DYes f¥J No DNA ONE 0 Yes ~No DNA ONE 0 Yes ~No DNA ONE 0 Yes 1¥1 No DNA ONE DYes (ENo DNA ONE \ DYes ~No DNA No Dw.,_usl'p '-/-ro.Vt.c.'..J,'D., . Sv.,.:~~'e/J sf,'{ f h4S p~v,'ouS fa/"" re~s. .. t))c~~k u-J.-t.·-Ltit-h b~-J f}llc.'l etc. 5 M;.f l\ f-.le (j w; II frov''li.P 0 1'\ c~ (l&.J plat\ ts JoN( f2oktt ~bf~ -b vJ !<. edt qJo -l:, '2Li -4-ot.J l Reviewer/Inspector Name: Reviewer/Inspector Signature: Page3of3 Phone: 9/0~00 Date: 1-;/¢ 21411015 , Division of Water Resources • 0 0 Division of Soil and Water Conservation Other Agency Facility Number: 620642 Facility Status: -------- lnpsection Type: Compliance Inspection Reason for Visit: Routine Active Permit: AWS820642 Inactive Or Closed Date: Sampson Region: -------------------------County: Date of Visit: 11/06/2015 Entry Time: 12:00 pm Exit Time: 1:00pm Incident# Farm Name: Waycross Farm Owner Email: Owner: Murphy-Brown LLC Phone: Mailing Address: PO Box487 Warsaw NC 28398 Physical Address: Sr 1120 1242 Leonard Ln Rose Hill NC 28458 Facility Status: • Compliant D Not Compliant Integrator: Murphy-Brown LLC 0 Denied Access Fayetteville 91 Q-296-1800 Location of Farm: Latitude: 34• 50' 07" Longitude: 75• 10' 54" From Rose Hill. go west to Concord Church. turn Lt(on NC 903?) .. take first road to the right past Halls Pond (on Halls Pond Rd (CR 1120 or 1943)) fann driveway on left in sharp right curve before Waycross. Question Areas: • Dischrge & Stream Impacts • Waste Col, Stor, & Treat • Waste Application • Records and Documents • Other Issues Certified Operator: Wayne 0 Sanderson Operator Certification Number: 17903 Secondary OIC(s): On-Site Representative(s): Name Title Phone 24 hour contact name Michael Norris Phone: On-site representative Michael Norris Phone: Primary Inspector: Robert Marble Phone: Inspector Signature: Date: Secondary lnspector(s): Inspection Summary: page: Permit: AWS820642 Inspection Date: 11/06/15 Waste Structures Type I Lagoon Identifier Owner-Facility : Murphy-Brown LLC lnpsection Type: Compliance Inspection Closed Date Start Date Facility Number: Reason for Visit: Disignated Freeboard 19.50 820642 Routine Observed Freeboard page: 2 ' Permit: AWS820642 Inspection Date: 11/06/15 Discharges & Stream Impacts Owner-Facility : Murphy-Brown LLC lnpsection Type: Compliance Inspection 1. Is any discharge observed from any part of the operation? Discharge originated at: Structure Application Field Other a. Was conveyance man-made? b. Did discharge reach Waters of the State? (if yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d . Does discharge bypass the waste management system? (if yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? Faci l ity N umber: Reason for Visit: 3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than from a discharge? Waste Collection, Storage & Treatment 4. Is storage capacity less than adequate? If yes, is waste level into structural freeboard? 5. Are there any immediate threats to the integrity of any of the structures observed (I.e./large trees, severe erosion, seepage, etc.)? 6. Are there structures on-site that are not properly addressed and/or managed through a waste management or closure plan? 7. Do any of the structures need maintenance or improvement? B. Do any of the structures lack adequate markers as required by the permit? (Not applicab le to roofed pits, dry stacks and/or wet stacks) 9. Does any part of the waste management system other than the waste structures requ ire maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? 11. Is there evidence of incorrect application? If yes. check the appropriate box below. Excessive Pending? Hydraulic Overload? Frozen Ground? Heavy metals (Cu, Zn, etc)? PAN? Is PAN> 10%/10 lbs.? Total Phosphorus? Failure to incorporate manure/sludge into bare soil? Outside of acceptable crop window? Evidence of wind drift? Application outside of application area? 820642 Routine Yes No Na Ne DODD D D D DODD DODD DODD DODD DODD Yes NoNa Ne D DOD D DODD DODD DODD DODD D DOD Yes No Na Ne D DD 0 DODD D 0 D D D 0 0 D D D D page: 3 ... Owner-Facility : Murphy-Brown LLC Facility Number: Permit AWS820642 Inspection Date: 11/06/15 lnpsection Type: Compliance Inspection Reason for Visit: Waste Application Crop Type 1 .Crop Type 2 Crop Type 3 Crop Type 4 Crop Type 5 Crop Type 6 Soil Type 1 Soil Type2 Soil Type 3 Soil Type 4 Soil Type 5 Soil Type 6 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management Plan(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 acre determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Records and Documents 19. Did the facility fail to have Certificate of Coverage and Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropriate box below. WUP? Checklists? Design? Maps? Lease Agreements? Other? If Other, please specify 21. Does record keeping need improvement? If yes, check the appropriate box below. Waste Application? Weekly Freeboard? Waste Analysis? Soil analysis? Waste Transfers? Weather code? Rainfall? Stocking? 820642 Routine Yes No Nil Ne DODD DODD DODD DODD DODD Yes No Na Ne DODD DODD 0 0 D D D D DODD D D D D D D D D page: 4 • Owner-Facility : Murphy-Brown LLC Facility Number: Permit: AWS820642 Inspection Date: 11/06/15 lnpsection Type: Compliance Inspection Reason for Visit: Records and Documents Crop yields? 120 Minute inspections? Monthly and 1" 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 a rainbreaker on irrigation equipment (NPDES only)? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 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 phosphorous loss assessment (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report mortality rates that exceed normal rates? 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 regional DWQ of emergency situations as required by 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 I Storage Pond Other If Other, please specify 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 on-site representative? 34. Does the facility require a follow-up visit by same agency? 820642 Routine Yes NoNa Ne 0 0 D 0 0 DOD 0 DOD D DOD 0 DOD D D D DODD DODD Yes NoNa Ne DODD DODD DODD DODD D D D DODD DODD DODD page: 5 Division of Water Resources • D D Division of Soil and Water Conservation Other Agency Facility Number: 820642 Facility Status: Active Permit: AWSB20642 ------- lnpsection Type: Compliance Inspection Inactive Or Closed Date: Region: -------Sampson Reason for Visit: Routine --------------------------------County: Date of Visit: 10f2312014 Entry Time: 01:00pm Exit Time: 2:00pm Incident t1 Farm Name: Waycross Farm Owner Email: Owner: Murphy-Brown LLC Phone: Mailing Address: POBox 487 Warsaw NC 28398 Physical Address: Sr 1120 1242 Leonard Ln Rose Hill NC 28458 Facility Status: • Compliant D Not Compliant Integrator: Murphy-Brown LLC D Denied Access Fayetteville 91 0-296-1 BOO Location of Farm: Latitude: 34 • 50' 07'' Longitude: 78" 1 0' 54 • ------------ From Rose Hill, go west to Concord Church. tum Lt(on NC 903?) .. take first road to the right past Halls Pond (on Halls Pond Rd (CR 1120 or 1943)) farm driveway on left in sharp right curve before Waycross. Question Areas: • Dischrge & Stream Impacts • Waste Col. Stor. & Treat • Waste Application • Records and Documents • Other Issues Certified Operator: Wayne 0 Sanderson Operator Certification Number: 17903 Secondary OIC(s): On-Site Representative(s): Name Title Phone 24 hour contact name Mike Ammons Phone: On-site representative Mike Ammons Phone: Primary Inspector: Robert Marble Phone: Inspector Signature: Date: Secondary lnspector(s): Inspection Summary: page: Perrnrt: AVVS820642 Inspection Date: 10/23/14 Regulated Operations Swine I 0 Swine -F.eeder to Finish Waste Structures Type Identifier Owner-Facility: Murphy-Brown LLC Facility Number: 820642 lnpsection Type: Compliance Inspection Reason for Visit: Routine Design Capacity Current promotions Closed Date 5,100 Total Design Capacity: Start Date TotaiSSLW: Disignated Freeboard 19.50 5,100 666,500 Observed Freeboard 48.00 page: 2 Permit: AWS820642 Inspection Date: 10/23/14 Discharges & Stream Impacts Owner-Facility : Murphy-Brown LLC lnpsection Type: Compliance Inspection 1. Is any discharge observed from any part of the operation? Discharge originated at: Structure Application Field Other a. Was conveyance man-made? b. Did discharge reach Waters of the State? (if yes, notify DWO) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (if yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? Facility Number: Reason for Visit: 3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than from a discharge? Waste Collection, Storage & Treatment 4. Is storage capacity less than adequate? If yes, is waste level into structural freeboard? 5. Are there any immediate threats to the integrity of any of the structures observed (I.e./large trees. severe erosion. seepage, etc.)? 6. Are there structures on-site that are not properly addressed and/or managed through a waste management or closure plan? 7. Do any of the structures need maintenance or improvement? 8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or improvement? Waste Application 10. Are there any requ ired buffers, setbacks, or compliance alternatives that need maintenan ce or improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. Excess ive Pe nding? Hydraulic Overload? Frozen Ground? Heavy metals (Cu, Z n, etc)? PAN? Is PAN> 10%/10 lbs.? Total Phosphorus? Failure to incorporate manure/sludge into bare so il? Outside of a cceptable cro p window? Evidence of wind drift? Application outside of application area? 820642 Routine Yes NoNa Ne Yes No Na Ne Yes No Na Ne D D D D D D D D D D D page: 3 i Owner-Facility: Murphy-Brown llC Facility Number: Permit AWS820642 Inspection Date: 10/23/14 lnpsection Type: Compliance Inspection Reason for Visit: Waste Application Crop Type 1 Crop Type2 Crop Type 3 Crop Type 4 Crop Type 5 Crop Type 6 Soil Type 1 Soil Type 2 Soil Type 3 Soil Type4 Soil Type 5 Soil Type 6 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management Plan(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 acre determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Records and Documents 19. Did the facility fail to have Certificate of Coverage and Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropriate box below. WUP? Checklists? Design? Maps? lease Agreements? Other? If Other, please specify 21. Does record keeping need improvement? If yes, check the appropriate box below. Waste Application? Weekly Freeboard? Waste Analysis? Soil analysis? Waste Transfers? Weather code? Rainfall? Stocking? 820642 Routine Yes NoNa Ne Coastal Bermuda Gra~s (Hay) Com, Wheat, Soybeans Small Grain Overseed Blanton Goldsboro Norfolk Wa51ram Yes NoNa Ne D D D D D D D D D D D D D D page: 4 Owner-Facility: Murphy-Brown LLC Fa ci lity Numb er: Permit: AWSB20642 Inspection Date: 10/23/14 lnpsection Type: Compliance Inspection Reason f or V isit: Records and Documents Crop yields? 120 Minute inspections? Monthly and 1" 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 a rainbreaker on irrigation e quip ment (NPDES only)? 24. Did the facility fail to calibrate waste application equipment as required by the pe rm it? 25. Is the facility out of compliance with permit conditions related to sludge? If yes , check 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 cha rge? 27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certificatio n? Other Issues 28. Did the facility fail to properly dispose of dead animals within 24 hours and/or d ocu m ent and report mortality rates that exceed normal rates? 29. At the lime 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 regional DWQ of emergency situations as required by 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 I Storage Pond Other If Other, please specify 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 on-site represe ntative ? 34. Does the facility require a follow-up visit by same agency? 820 642 Ro ut ine Yes NoNa Ne 0 0 0 Yes No Na Ne o•oo o•oo 0 0 0 o•oo o•oo o•oo page: 5 Division of Water Resources • D D Division of Soil and Water Conservation Other Agency Facility Number: 820642 Facility Status: Active Permit: AW$820642 -------- lnpsection Type: Compli;mce Inspection Inactive Or Closed Date: Reason for Visit: Routine -----------------County: Region: --------Sampson Date of Visit: 12/17/2013 Entry Time: 02:00pm Exit Time: 3:00pm Incident# Farm Name: Waycross Farm Owner Email: Owner: Murphy-Brown LLC Phone: Mailing Address: PO Box487 Warsaw NC 28398 Physicai Address: Sr 1120 1242 Leonard Ln Rose Hill NC 28458 Facility Status: • Compliant D Not Compliant Integrator: Murphy-B~own LLC 0 Denied Access Fayeneville 910-296-1800 Location of Farm: Latitude: 34 • 50' 07" Longitude: 76" 10' 54" From Rose Hill, go west to Concord Church. tum Lt(on NC 903?)., take first road to the right past He~lls Pond (on Halls Pond Rd {CR 1120 or 1943)) farm driveway on left in sharp right curve before Waycross. Question Areas: • Dischrge & Stream Impacts • We~ste Col, Star, & Treat • Waste Application • Records and Documents • Other Issues Certified Operator: Julia Tatum Operator Certifice~tion Number: 22989 Secondary OIC{s): On-Site Representative(s): Name Title Phone 24 hour contact name Mike Ammons Phone: On-site representative Mike Ammons Phone: Primary Inspector: Robert Marble Phone: Inspector Signature: Date: Secondary lnspector(s): Inspection Summary: page: / \ Permit AWS820642 Inspection Date: 12/17/13 Regulated Operations Swine I D Swine · Feeder to Finish Waste Structures Type I Lagoon Identifier Owner. Facility : Murphy-Brown LLC Facility Number: 820642 lnpsection Type: Compliance Inspection Reason for Visit: Routine Design Capacity Current promotions Total Design Capacity: Closed Date Start Date Total SSLW: Disignated Freeboard 19.50 Observed Freeboard page: 2 \ Permit: AWS820642 Inspection Date: 12/17/13 Owner • Facility : Murphy-Brown LLC lnpsection Type: Compliance Inspection Facility Number: Reason for Visit: Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: Structure Application Field Other a. Was conveyance man-made? b. Did discharge reach Waters of the State? (if yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (if yes, notify DWQ) · 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than from a discharge? Waste Collection, Storage & Treatment 4. Is storage capacity less than adequate? If yes, is waste level into structural freeboard? 5. Are there any immediate threats to the integrity of any of the structures observed (I.e./large trees, severe erosion, seepage, etc.)? 6. Are there structures on-site that are not properly addressed and/or managed through a waste management or closure plan? 7. Do any of the structures need maintenance or improvement? 8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. Excessive Ponding? Hydraulic Overload? Frozen Ground? Heavy metals (Cu, Zn, etc)? PAN? Is PAN > 10%/10 lbs.? Total Phosphorus? Failure to incorporate manure/sludge into bare soil? Outside of acceptable crop window? Evidence of wind drift? Application outside of application area? 620642 Routine Yes NoNa Ne o•oo 0 0 0 oo•o oo•o oo•o o•oo o•oo Yes No Na Ne o•oo Yes No Na Ne o•oo o•oo D D 0 0 D D D D 0 D D page: 3 : \ Facility Number: Permit: AWS820642 Inspection Date: 12/17/13 Owner-Facility : Murphy-Brown LLC lnpsection Type: Compliance Inspection Reason for Visit: Waste Application Crop Type 1 Crop Type 2 Crop Type 3 Crop Type 4 Crop Type 5 Crop Type 6 Soil Type 1 Soil Type 2 Soil Type 3 SoiiType 4 Soil Type 5 Soil Type 6 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management Plan(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 i rrigation design or wettable acre determination ? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Records and Documents 19. Did the facility fail to have Certificate of Coverage and Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropriate box below. WUP? Checklists? Design? Maps? Lease Agreements? Other? If Other, please specify 21. Does record keeping need improvement? If yes, check the appropriate box below. Waste Application? Weekly Freeboard? Wa ste Analysis? Soil analysis? Waste Transfers? 820642 Routine Yes No Nil N! Coastal Sennuda G rass (Hay) SmaQ Grain Overseed Com, 'Mleat, Soybeans Blan1o n sand , 0 1o 6% slopes Goldsboro loamy sand, 0 to 2%slopes Norfolk loamy sa nd, 0 to 2% sl opes Wagram loamy sand , 0 to 6% slopes Yes No Na Ne 0 0 0 0 0 0 0 0 0 0 0 page : 4 \ Permit: AWSB20642 Inspection Date: 12117/13 Owner-Facility: Murphy-Brown LLC lnpsection Type: Compliance Inspection Faci lity Number: Reason for Vis it: Records and Documents Weather code? Rainfall? Stocking? Crop yields? 120 Minute inspections? Monthly and 1" 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 a rainbreaker on irrigation equipment (NPDES only)? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes , check 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 phosphorous loss assessment (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals within 24 hours and/or d ocument and report mortality rates that exceed normal rates? 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 regional DWQ of emergency situations as required by Perm it? (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 I Storage Pond Other If Other, please specify 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 on-site representative? 34. Does the facility require a follow-up visit by same agency? 820642 Routine Yes NoNa Ne 0 0 0 Yes No Na Ne D 0 0 page: 5 Operation Review 0 Structure Evaluation Reason for Visit: 0 Follow-up 0 Referral 0 Emergency 0 Other Date of Visit: Owner Email: Owner Name: Phone: Mailing Address: Physical Address: -------------------------------------------------------------------------------------- Facility Contact: [V\~lte~V\..c; Title: Phone: --~--~~~~~~~~~~L-------------------------- lotograto" f114fk-rfbow n Onsite Representative: Certified Operator: Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I. Is any discharge observed from an)' part of the operation? Discharge originated at: 0 Structure D Application Field a. Was the conveyance man-made? 0 Other: b. Did the discharge reach waters of the State? (Ifycs, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? Certification Number: Certification Number: Longitude: DYes rsa No 0 Yes 0No DYes 0No d. Does the discharge bypass the waste management system? (If yes, notifY DWQ) DYes 0No 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? Page 1 of3 0 Yes [8No DYes ~No DNA ONE ~NA ONE ~NA ONE (CtNA ONE DNA ONE DNA ONE 214/2011 Continued ,. ·,, '· .. :- ~-.... ~:-• .. • • _·r ..... .., 4 ,.., ,...._ t----· 1-.. -.... • -·•·. 1 • , ..,, • -•· • • - ® Compliance Inspection Reason for Visit: ®Routine 0 Complaint Owner Name: !"ailing Address: Operation Review 0 Structure Evaluation 0 Technical Assistance . . I 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Owner Email: Phone: Physical Address: --~-:------------------------------------.......:..--- Facility Contact: ._• [V1 ~-{Le~o V\ S Title: ------------Phone: •••••"''"" .MU-.f k .pJww, Onsite Representative: · Certifi.ed Operator: Certification Number: il.•·. ·Back-up Operator: · Certification Number: Location of Farm: Latitude: Discharges and Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: D Structure 0 Application Field D 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 the discharge bypass the waste management system? (If yes, notify DWQ) ~-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? Pagel of3 Longitude: ...... 0 Yes &a No D NA 0 NE O Yes 0No O Yes 0No ~NA ONE lkJ NA 0 NE • DYes 0No LSNA ONE 0 Yes (ENo 0 NA 0 NE 0 Yes lM No 0 NA 0 NE .. 21412011 Continued • ... : ~. ·.~ .. ,I .. ,. · ............ : .r~ J ,.:.,.. .... , __ ! !Facility Number: B1P" -{jlfz_ I '~.~~~--~~~--:-~~~ Waste Collection & Treatment I nate of Inspection: 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure 1 Structure 2 Structure 3 Structure4 Identifier: I Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? --------=- DYes ~No DNA ONE DYes D No JJa NA D NE Structure5 Structure 6 DYes ~No DNA ONE DYes ~No DNA ONE If any of questions 4-6 were answered yes, and the situation poses an immediate public bealtb or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? 8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or improvement? Waste Aoplication 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? DYes ~No DNA ONE D Yes ~ No 0 NA 0 NE DYes ~No DNA ONE DYes ~No DNA ONE ll.ls there evidence of incorrect land application? lfyes, check the appropriate box below. 0 Yes ~No DNA D NE D Excessive Ponding D Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) D PAN 0 PAN> 10% or 10 lbs. D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12.CropType(s):Coos-h,l %-~c-Gws~~1 SiM.~Or~1 ~~~~~S' 13. Soil Type(s): :B?f3 J ~ 14) iJo~ ~ 14. Do the receiving crops differ from those designated in theCA WMP? 0 Yes ,® No DNA D NE 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 Jack 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 theCA WMP readily available? If yes, check the appropriate box. OwuP Ochecklists D Design 0 Maps 0 Lease Agreements DYes ~No DYes ~No DYes l2!J No DYes ~No DYes ~No DYes lEJ No Oother: DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE 21. Does record keeping need improvement? Ifyes, check the appropriate box below. 0 Yes ~No DNA 0 NE D Waste Application 0 Weekly Freeboard D Waste Analysis D Soil Analysis 0 Waste Transfers D Weather Code D Rainfall D Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and 1" Rainfall Inspections 0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? D Yes [2! No DNA 0 NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes ~No 0 NA D NE Page2of3 214120IJ Continued ·.-.::.••. .. ,: ···---~~ IF:acility Number: PJt -6$ I [!late of Inspection: I I ., • ..... ""\ A/3D,I1 z_ f , Waste CoUection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy ~infall) less than adequate? a. If yes, is waste level into the structural freeboard? ~·Lldentifier: ... Spillway?: . Designed Freeboard (in): _.. Ob~erved Freeboard (in): Structure 1 I Structure 2 Structure 3 :} Structure-4 :.. ':S. Are there any immediate threats to the integrity of any of the structures observed? ·~ ·"' (i.e., large trees , severe erosion, seepage, etc.) ''6. Are there structures on-site which are not properly addressed and/or managed through a :~ waste management or closure plan? DYes DYes ' · Structure 5 DYes DYes l;iiJ No DNA ONE 0No j)iJ NA ONE Structure 6 .:. .... { '"·•"""' ~!;]No DNA ONE I g) No DNllDNE •: .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? · 8. Do any of the structures lack adequate markers as required by the penni t? ~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 maintenance or improvement? Waste Application .~10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? ~· DYes ~No DNA ONE I D;Yes IE] No 0 NA D ~ I DYes ~No DNA ONE. DYes ~No DNA ONE _I~-· Is there evidence of incorrect land appl ication? If yes, check the appropriate box below . 0 Yes ~ No 0 NA 0 Nr; '? 0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PAN 0 PAN> 10% or 10 lbs. 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12. Crop Type(s!: Cco~.la.-l %~ ~ ~s( (J~,t ,c;,.....~t-Oc~ . a.r~ ~,.~~~ r . 13. Soil Type(s): 'f3oJ3 1 fm /4 , No-A-. tib.B I ) . · 14. Do the receiving crops differ from those designated in the CA WMP? 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 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropriate box. 0 Yes .09 No DYes ~No DYes ~No DYes ~No DYes ~No DYes ~No DYes IE] No DNA DNA DNA DNA DNA DNA DNA ONE ONE ONE ONE : ONE ONE ONE OwuP · Dchecklists D Design 0 Maps D Lease Agreements Dother: _________ _ 21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes jg No D NA 0 NE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis D Soil Analysis D Waste Tr~sfers D Weather Code 0 Rainfall 0 Stocking 0 Crop Yield D 120 Minute Inspections D Monthly and 1" Rainfall Inspections D Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 0 Yes [lJ No D NA 0 NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? Page2of3 -~-=-· .. · .. :_:/ ....... . ·-... ; ,..r 0 Yes Czl No 0 NA 0 NE 214/1011 Continued '1.'.:.: i ... ~)t: . ·~ .~. !Facility Number: A2 -{092; I I Date oflnspection: Af'i4JZ< I . ,, 24. Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes ~No 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 0 Yes ~ No the appropriate box(es) below. 0 Failure to complete annual sludge survey 0 Failure to develop a POA for sludge levels 0 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? Ifyes, check the appropriate box below. 0 Application Field 0 Lagoon/Storage Pond 0 Other: DYes )'3No DYes (2g No DYes I8J No 0 Yes ~No DYes lbNo DYes lhNo ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? DYes 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes 34. Does the facility require a follow-up visit by the same agency? ~c~ rev~~ ?(zo/rz, 5* J iS~~ 8 (rkJ {I Z.. Reviewer/Inspector Name: Reviewer/Inspector Signature: Page3 of3 DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE .J -·-:--·--~ ...... ~~~._...~-.......,.._...,.~,.,..,\71'-'--~~L.t,.··:A .. ',. .. ,-....... -....... --.... ,_ ···~.··· ~-.. ;c_, . --~--• , / -~~~~~t;N_umbe~: At -tCJ92.. I ·' · ·· I Date oflnspection: "-/?D{ J 7< ..!_,_, ' · 24, Did•t~_faci_lity fail to calibrate waste application equipment as required by the permit? D Yes 25~ Is the r;diity out of compliance with permit conditions related:fo·sludge? i • _ -._t_he ap~rqtriate box(es) below. ~ ~, DYes Ifye~ check .;J . ., ~ ~ -:;: ... I _-. ,.-~-·!t ;:.. - i;' · -~G;j.Fai~~ ~ complete annual sludge survey :0( >lr-. ·'1-< D F~ilure to develop a POA for ~Judge levels ~ l f~--·~:;-;:-:~·Non::c~pliant sludge levels in any lagoon 1 :t:: L~st.~tnicture(s) and date of first survey indicating non-compliance: ~No [l;) No ' r. ,...26~:'pid theJ~Ility fail to provide documentation of an a~tively certified operator in charge? i~o:-~"i;-l?,}d th~.ficility fail. to secur~ a' p~osphofus_Ioss assessments (PLAT) certification? :~ ...... DYes JiB No [J•Yi's\':-..,[29 No :, . -·Other ISsues ~ · · .·~ '· ~· l.io~is: Did the f~fility fail to properly dispose of dead animals with 24 hours and/or document ; .. ··~· -=:~nd ~e'port mortality rates that were higher than normal? i \ ) DYes J8lNo ~- :,:_ ,~i91:'Kt the tiipe of the inspection did the facility pose an odor or air quality concern? t · _ :~~Ifyes,~contact a regional Air Quality representative immediately. DYes _$No 1. -~--:~-'• • !' _ ...... :1i30.:J>i~ the rJcitity fail to notify the Regional Office of emergency situations as required by the ·. D Yes '> :::~:4'.F.~9 (i:e., discharge, freeboard problems, over-application) \ i\· ;-: ·i~:.JI.'p..Q_.subsurface tile drains exist at the facility? Ifyes, check the appropriate box below. [dYes '-,·~··. . l' \ .. ' -~(] Application Fi_eld D Lagoon/Storage Pond 0 Other: _________ -=-- ~'ic .... ,.,~ . ( ·~:~~~.:JVcrc any additional problems noted which cause non-compliance of the permit orCA WMP? :~ .. - [. .... ~3. J;:>id the Review~rllnspector fail to discuss review/inspection with an on-site representative? ··' ,,..... ~ ', ~34. Does the facility require a follow-up visit by the same agency? . "' 't > ' ··:------"··~ ,.... ~..,... . ····~ '{ev;~ v (.; ,f- lhNo \ ·Reviewer/Inspector Name: Phone: · .. Revie wer/Inspector Signature: ~ ~ ~- .~~age} of3 &>·-. ·r . -~· t .... ·-··' • <· • • • ..:~ .· ... .. u'"· • ~. ~ .l .... DNA ONE-· DNA ONE DNA· [$i.NE DNA ONE __ _:..../'• DNA ONE \ \ ......... .: .... . '· .;..-· : '1" ··; I. . I I > f. .·-;)!: ' · . •.. ';"' ., 1.· .. , .~-.:.A.4 .jlt>.~tij Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit: e Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: ~ Arrival Time:I&1.'QI'5i.Jt:h Departure Time:p5! Td-county: ~oFJ Region: ,::::ptD Farm Name: ltJdi CVD$$ fP,v""' Owner Email: Owner Name: lV\1uf~ -PJ~w,_.,1L!!-Phone: Mailing Address: PhysicalAddress: -------------------------------------------------------------------------------------- Facility Contact: M ~'fe. fuwot-.5 Title: Phone: ---------------------- Onsite Representative: Integrator: ~~-~LOll\. Certified Operator: Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I. Is any discharge observed from any part of the operation? Discharge originated at: 0 Structure 0 Application Field a. Was the conveyance man-made? 0 Other: b . Did the di scharge reach waters of the State? (If yes, notify DWQ) c . What is the estimated volume that reached waters of the State (gallons)? Certification Number: Certification Number: Longitude: DYes 'fl No DYes 0No DYes 0No d. Does the discharge bypass the waste management sys tem ? (If yes, notify DWQ ) DYes 0 No 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 th e waters of the State other than from a di scharge? Page 1 of3 DYes ~No 0 Yes~ No DNA ONE ~NA ONE ~NA ONE ttNA ONE DNA ONE DNA ONE 2/4/10 11 Continued I nate or Inspection: 'if*u IFacility:,_Number: • ... Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure I Structure 2 Structure 3 Structure 4 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? 0 Yes riP No DNA 0 NE DYes 0No ¥NA ONE Structure 5 Structure 6 0 Yes f¥?No DNA 0 NE DYes ~No DNA ONE 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? 8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or improvement? Waste Application I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE II. Is there evidence of incorrect land application? Jfyes, check the appropriate box below. 0 Yes ~No 0 NA 0 NE D Excessive Ponding 0 H ydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.~ D PAN D PAN > 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Appli cation Outside of Approved Area 12. Crop Type(s): ~-\J ~~ (b,~s (J}4y)p 5r.t.~ Ouu'xoJ, (1.,., 1 ~ ~ 13. Soil Type(s): So~ Gult\, M ())aJ3 14. Do the receiving crops differ from tho se designated in theCA WMP? 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 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropriate box. owup Dchecklists D Design D Maps D Lease Agreements DYes DYes DYes DYes DYes DYes DYes Oother: ~No lfJ>No !/)No ~No No ~No No DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE 21. Docs record keeping need improvement? If yes, check the appropriate box below. DYes 1FJ No 0 NA 0 NE D Waste Application 0 Weekly Freeboard D Waste Analysis D Soil Analysis 0 Waste Transfers 0 Weather Code 0 Rainfall D Stocking D Crop Yield D 120 Minute Inspections 0 Monthly and I" Rainfall Inspections D Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 23 . If s electe d, did the facility fail to install and main tain ra in breakers on irri gation equipme nt? Pagelo/3 D Yes ¢;J No 0 NA 0 NE DYes ~N o DNA ONE 21412011 Continued I Date of Inspection: ~ { '2. ,,,, 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. DYes Jid No DNA 0 NE DYes ~No DNA 0 NE D Failure to complete annual sludge survey 0Failurc to develop a POA for sludge levels D 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? 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. DYes ~No DNA ONE DYes 0No ~NA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE D Application Field D Lagoon/Storage Pond 0 Other: ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? DYes lid No DNA ONE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ~No ONE 34. Does the facility require a follow-up visit by the same agency? Reviewer/Inspector Name: Phone: 'fto-433-33co Reviewer/Inspector Signature: Date: _9~/~....-ZfJ--f--L-.{ ;u..ll __ __ Page 3 ofJ 21412011 / Type of Visit 8 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit • Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Arrival Time: I 0 {: 0~ Departure Time: bJ_ 13'j?Jt I County: ~&oV Region: f1'lO Farm Name: CVl:J'SS. Owner Email: --------------- Phone: Mailing Address: PhysicaiAddress: _____ ~-------------------------------------------- Facility Contact: ........;G:..~:....· -J-J........;W;;::_:.l,_.LV: _______ Title: ------------r-Phone No: --------- Ons;te Repmentative' ~ lntq;rato".ff~---/3/r®u)"': ·~+f','ck-Q~:....;....$"~-----------------Operator Certification Number: ------------Certified Operator: Back-up Operator: -----------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: Discharges & Stream Impacts l. Is any discharge observed from any part of the operation? Discharge originated at: D Structure 0 Application Fie ld 0 Other DYes ~No a . Was the conveyance man-made? DYes 0No b. Did the discharge reac h waters of the State ? (If yes, notifY DWQ) DYes 0No c . What is the estimated volume that reached waters of the State (gallons)? d. Docs discharge bypass the waste management system? (If yes, notify DWQ) DYes DNo 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential advers e impacts to the Waters of the State other than from a di sc harge? Page I of 3 DYes ~No DYes ~No 12128104 DNA ONE NA ONE NA ONE bNA ONE NA ONE DNA ONE Continued j 4 Facilicy Number: ~ Gq;;?J Date of Inspection • Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure 2 Structure 3 Structure 4 DYes ~No DNA ONE 0 Yes 0 No '1;0) NA 0 NE Structure 5 ~tructure 6 Struc,ure I Identifier: ___ ..L ____ ----------------------------------- Spillway?: Designed Freeboard (in): ---~....,....,.-------------------------------------- Observed Freeboard (in): ___ t{L.lf...J~..--11 __ --------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/large trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? DYes 'lflNo DNA ONE DYes ~No DNA ONE 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? 8. Do any of the stucturcs lack adequate markers as required by the permit? (Not applicable to roofed pits, dry stacks and/or wet stacks) DYes ~No DNA ONE DYes lN. No DNA ONE 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? DYes ~No DNA ONE Waste Aoplication I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes II. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) rspNo DNA ONE ~No DNA ONE 0 PAN D PAN> 10% or 10 lbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outs;de of Acocptabl/ Cflp w;ndow 0 Evidence of)lf."d Drift 0 Applicat;on Outs;de of Mea . I I ~ I 12. Croptype(s) Cori'}.AX. {3e.trl (}..rg<v}a,), $"..,. Cr.~ Gn.,~, ~ 13. Soil type(s) Wa8 N D _____fp 4-, f3 PJ3 I r 14. Do the receiving crops differ from those designated in theCA WMP? DYes ~No DNA ONE 15. Does the receiving crop and/or land application site need improvement? DYes DNA ONE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? DYes NoD NA D NE 17. Does the facility lack adequate acreage for land application? DYes DNA ONE Is there a lack of properly operating waste application equipment? ONE Reviewer/Inspector Name Phone: Reviewer/Inspector Signature: Date: Page 2 oj3 ~facility Number: ?3~ blfF-Date oflospection ~ Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CA WM P readily available? If yes, check the appropriate box. 0 WUP 0 Checklists 0 Design 0 Maps 0 Other DYes lpNo DNA ONE DYes ~No DNA ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. D Waste Application 0 Weekly Freeboard 0 Waste Analysis D Soil Analysis DYes ~No DNA ONE 0 Waste Transfers b Annual Certification 0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rain Inspections 0 Weather Code 22. Did the facility fail to install and maintain a rain gauge? DYes ~No DNA ONE 23. 1 f selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes 0No ~NA ONE 24. Did the facility fail to calibrdte waste application equipment as required by the permit? D Yes ~No NA ONE 25 . Did the facility fail to conduct a sludge survey as required by the permit? DYes ~No DNA ONE 26. Did the facility fai l to have an actively certified operator in charge? DYes ~No DNA ONE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes Other Issues q;No DNA ONE 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~No DNA ONE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes m.No DNA ONE 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? DYes ~No DNA ONE 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 DYes '£tlNo DNA ONE General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/In spector fail to discuss review/inspection with an on-site representative? DYe s [!'tNo DNA ONE 33. Docs facility require a follow-up visit by same agency? DNA ONE Page 3 oj3 11118/04 Type of Visit e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit e Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access DateofVisit: !IIU,Jdl! Arrival Timed 0/:sfs"~ DepartureTime: ... ~~.2,.....!""'1~4~"-'~1 County: $4dJ'O,.} Region: pfl£J '~ ~ -'r Farm Name: ~cr?J S $ G.t-M Owner Email: -------------- Owner Name:fVlu.,,,qL -[}w&A.Jt\. £.1_( Phone: .~ Mailing Address: Physical Address:----------------------------------------- Facility Contact: _....::M____c;..:.~ ..... k!..:o.........::N....=..~M04.:....:..f'........,0.::..... _____ Title: -----------Phone No:--------- Onsite Representative: ---:--{1----:;-------------Integrator: ,Mt,vp~ mwl'l () G m~~ Mob'~----------Operator Certification Number: .:J7,f/'1:3 Certified Operator: Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: Discharges & Stream Impacts I. Is any discharge observed from any part of the operation? DYes ljNo DNA ONE Discharge originated at: D Structure D Application Field D Other a. Was the conveyance man-made? b. Did the discharge reach waters of the State? (Ifyes, notifY DWQ ) c. What is the estimated volume that reached waters of the State (gallons )? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part ofthe operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the Stale other than from a discharge? DYes 0No VJNA ONE DYes DNo !ZINA ONE I DYes 0No ~NA ONE DYes ~No DNA ONE DYes }a No DNA ONE 11118/04 Continued I Facility Number: e:c6lj2.l Date of Inspection 1 I IHL1jdf I I \\'aste Collection & Treatment 4 . Is storage capacity (stnlctural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure I Slntcture 2 Structure 3 S1ructur<! 4 DYes q!No DNA ONE DYes 0No 'f9NA ONE Structur.: 5 Structure G ldentifi~r: __ _,) ___ ------------------------------(/ Spillway?: ----------------------------------------- Designed Freeboard (in): --------1~r.r------------------------------------- Observed Freeboard tin): __ _.<i_._Q_Jt __ ------------------------------ 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/large trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? DYes ~No DNA ONE DYes ~No DNA ONE 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? 0 Yes ~No 0 NA 0 NE 8. Do any of the stuctures lack adequate markers as required by the permit? (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 maintenance or improvement? DYes ~No DNA ONE DYes f1!No DNA ONE Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes ~No DNA ONE 11. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes ~No DNA 0 NE D Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PAN D PAN> 10% or 10 lbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Area 12. C~ptype(s)~!::trt&l £. .ftr,.,\. ~~ ~feJ1~ 13. Sodtype(s) __ __&__ __ Rl_, ~- 1 , 14. Do the receiving crops differ from those designated in the CAW.MP? 0 Yes ~No 15. Does the receiving crop and/or land application site need improvement? DYes ~No 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination! 0 Yes ~No l('No ijNo .17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? DYes DYes Comments (refer to question #): Eiplain any YES answen and/or any recommendations or any other comments. Use drawings olfac:ility to better uplain situations. (use additional pages as necessary): Reviewer/Inspector Name Reviewer/Inspector Signature: /2118/IU DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE • · I Facility Number: @-6q)J Date of Inspection ~ Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropirate box. D WUP D Checklists D Design D Maps 0 Other 0 Yes rpNo DYes ~No DNA ONE DNA ONE 21. Does record keeping need improvement? Ifyes, check the appropriate box below. DYes ~No DNA 0 NE D Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification 0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and I" Rain Inspections 0 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 orCA WMP? 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 3 I. 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? AdditionafComfuenis ·ari.d/or Drawings: . -.. . Page3 of 3 D Yes ~No DNA ONE DYes txJNo DNA ONE DYes ~No DNA ONE DYes lXI No D NA D NE DYes ~No DNA ONE DYes J]No DNA ONE DYes IXJ No DNA ONE D Yes 1lJNo DNA D NE D Yes liJ No DNA ONE D Yes fj!No DNA ONE D Yes Iii No DNA ONE D Yes ~No DNA ONE _--;~:--~~?#-~~i~~?..5~~~-:~-~~:~rs:~i~~! 12128104 ... 1- I-... Type of Visit e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit 8 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access Date of Visit: I JJ.//b/f.81 Arrival Time:IOf~D '& Departure Time: jt)tJ%?£.J... County: !fi!trn&tJ Region: F'f20 1 •• J r: r ~ Farm Name: t'Y ~croSS f'QrM Owner Email: -------------- Owner Name: ,NlYNflt-BY'bt.«irt 1lL.L Pbone: Mailing Address: ------------------------------------____ _ Pbysical Address: ---::7"'"-------------------------------------_.:...fY\--'-1..._'/~--'-..... N=O_rl..:....'('..;,,,_f._· ____ Title: ----------Phone No:--------Facility Contact: Integrator: Mu'f~41 -i>rown 1 l1L Operator Certification Number: ..1 '1 tftJ3, ll Onsite Representative: ------------------- J\1\ )\ ~} I I 'I Certified Operator: __.t!_!r...:.....:..L_ .. ~!::.-!""'-"'~=1-----+M~O~b..,__.=~=i---------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? DYes lpNo Discharge originated at: 0 Structure D Application Field D Other a. Was the conveyance man-made? DYes 0No b. Did the discharge reach waters of the State? (lfyes, notifY DWQ) DYes 0No 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) DYes 0No 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? Page 1 of 3 DYes ~No DYes ijdNo 12128/04 DNA ONE ~NA ONE ~NA ONE I ~NA ONE DNA ONE DNA ONE Continued I Facility Number: ~@:2J Date of Inspection I i #JI2/dJI Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. lfyes, is waste level into the structural freeboard? Structure 2 Structure 3 Structure 4 DYes ~No DNA ONE DYes 0No 6ZJNA ONE Structure 5 Structure 6 Strufture 1 Identifier:---------------------------------------- Spillway?: DesignedFreeboard(in): __ ~1'1~qf-r----------------------------------- Observed Freeboard (in): ___ q ..... ~7 ___ ---------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ large trees, severe erosion , seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? D Yes ~No DNA ONE 0 Yes fl§:No 0 NA D NE { 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 ofthe structures need maintenance or improvement? 0 Yes ~No 0 NA D NE 8. Do any of the stuctures lack adequate markers as required by the permit'! D Yes fig No D NA D 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 maintenance or improvement'? DYes KINo DNA ONE Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? D Y es ~No DNA ONE 11. Is there evidence of incorrect application'? If yes, check the appropriate box below. D Yes '11 No 0 NA D NE D Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn , etc .) 0 PAN 0 PAN> 10% or 10 lbs D Total Phosphorus D Failure to Incorporate Manure /Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence ofWind Drift D Application Outside of Area 12. Crop type(s) c~ Be_rF)'\t.<Ja ~sUla-;)1 SJn. ~\.> ~ 13. Soil type(s) JJ&.fclkNa~ ,GoiJsb k4 fHB!Q.rt,-!IVg£ J 8/~~-f.>oB 14. Do the receiving crops differ from those designated in the CAWMP? DYes m No 15. Does the receiving crop and/or land application site need improvement? DYes [j3 No 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determinati on?O Yes [j No 17. Does the facility lack adequate acreage for land application? 0 Ye s Ill No 18. Is there a lack of properly operating waste application equipment? D Yes B No Reviewer/Inspector Name Reviewer/Inspector Signature: DNA DNA DNA DNA DNA ONE ONE ONE ONE ONE Pagel of 3 12128104 Continued ' . I Facility Number: 9-t-lJ..lC?J Required Records & Documents Date of Inspection I 12/Jt:JOO J (I 19. Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropirate box. 0 WUP 0 Checklists 0 Design 0 Maps D Other 21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes rpNo DNA ONE DYes fgNo DNA 0 NE DYes jKJNo DNA ONE D Waste Application 0 Weekly Freeboard 0 Waste Analysis D Soil Analysis D Waste Transfers 0 Annual Certification D Rainfall 0 Stocking D Crop Yield 0 120 Minute Inspections D Monthly and I" Rain Inspections D Weather Code 22. Did the facility fail to install and maintain a rain gauge? DYes ~No DNA ONE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes 129No DNA ONE 24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No DNA ONE 25. Did the facility fail to conduct a sludge survey as required by the permit? DYes IS No DNA ONE 26. Did the facility fail to have an actively certified operator in charge? DYes lEiNo DNA ONE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes ~No DNA ONE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ikJNo DNA ONE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes ~No DNA ONE 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? DYes r8No DNA ONE 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 DYes ~No DNA ONE General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes I!ONo DNA ONE 33. Does facility require a follow-up visit by same agency? DYes rpJ No DNA ONE Page 3 of 3 12/28104 ... · • Division of Water Quality --·~,_ ·. ;' _; "{!>{!. [Facility Number [ -~ ~ H __ G,~~ll --=.-·- 0 Division of Soil and Water Conservation ,~:D 0 Other Agency J Type of Visit • Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit e Routine 0Complaint 0 Follow up 0 Referral 0 Emergency Oother 0 Denied Access I I ArrivaiTime:l n :t t ~ ~~ Region: f'¥V Date of Visit: I qJ '1 rc)'l I Departure Time: I tr :rJ11t;l County: ' I Farm Name: ~Cf"d)S ~M. OwnerName: Mwvf~-brov)~ Owner Email: ------------- Phone: Mailing Address: ---------------------------------------- Physical Address:---------------------------------------- Facility Contact:· ~(_ ~w"" Title: -----------Phone No : --------- Onsite Representati\·e: ~C--~u) V"-Integrator: M~S-~1.A... Certified Operator: rJ\ l ~ N\cb...:l;.;;~~--------Operator Certification Number: ).1l( tl,3 Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: D OD'D" .. , .·.·, :~ ' . Design Current Design Current Swine Capacity Population Wet Poultry Capacity Population r.:ID::;--W-e_a_n-to-Fl-.n-is-h~!---.,.,-----.I,B ~~~~~ay~t _I I t 0 Wean to Feeder ' ~Feeder to Finish 5100 l_q Other .I 0 Layers 0 Non-Layers 0 Pullets 0Turkeys 0 Turkey Poults 0 Other . -·-···-... D Farrow to Wean 0 Farrow to Feeder i 0 Farrow to Finish 0Gilts 0 Boars -.-··· ···-·-. ·---- · · Dry Poultry Other Discharges & Stream Impacts I . Is any discharge observed from an y part of the operation? Discharge originated at: 0 Structure 0 Application Field 0 Other a. Wa s the conveyance man-made? b. Did the di scharge reach waters ofthe State? (lfyes, notify DWQ) Cattle 0 Dairy Cow 0 Dairy Calf 0 Dairy Heife1 0 Dry Cow 0 Non-Da_iry 0 Beef Stocker 0 BeefFeedcr 0 Beef Brood Cow Design '·'· .C.u~ent Capacity:z Pltp!ii,ation " "•L '" • -y ' i ' I • I --· ---.---- Number of Structures: DYes BNo I DNA ONE DYes 0No lfJNA ONE DYes 0No ~NA ONE c . What is the estimated volume that reached waters of the State (gallons)? I d. Does discharge bypass the waste management syste m? (If yes, notify DW Q) 2. Is the re evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential advers e impacts to the Waters of the State other than from a discharge? DYes 0No DYes Df..No DYes -~No 11128104 ~A ONE DNA ONE DNA ONE Continued I . · ........ I Facility Number: e ~ 69 ~I Date of Inspection Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure I Structure 2 Structure 3 Structure 4 DYes ~No DNA ONE DYes 0No ~A ONE Structure 5 Structure 6 Identifier: _....~1,___ ____ ------------------------------- Spillway?: Designed Freeboard (in): ----..,.,...--------'-------------------------------.~~11 Observed Freeboard (in): _ __.,...J.L.:....s:oQ:.,___ __ ------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? DYes ~No DNA ONE (ie/ large trees, severe erosion, seepage, etc .) 6 . Are there structures on-site which are not properly addressed and/or managed DYes ~No DNA ONE 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? DYes ~No DNA ONE 8. Do any of the stuctures lack adequate markers as required by the permit? (Not applicable to roofed pits, dry stacks and/or wet stacks) DYes ~No DNA ONE 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? DYes ~o DNA ONE Waste Application I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes ~No DNA ONE II . Is there evidence of incorrect application? If yes, check the appropriate box below . 0 Yes ~No DNA 0 NE D Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu . Zn, etc.) D PAN 0 PAN > 10% or I 0 lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Area 12 . Crop type(s) CwshJ Bort\'u)g &a$$~) ~rY'Q.( I ~t.-. Dve.r<;au/1 SlC]ky,!Jad 13 . Soil type(s) GoiJs~A-1 ~-W45 1 8/.~:fon -A>6i ikff-fPtL~No-A 14 . Do the receiving crops differ from those designated in theCA WMP? 0 Yes ~No 0 NA D NE 15 . Does the receiving crop and/or land application site need improvement? 0 Yes ¥JNo DNA 0 NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre detennination?D Yes ~No DNA 0 NE 17 . Does the facility lack adequate acreage for land application? DYes ~No 0 NA 0 NE 18 . Is there a lack of properly operating wa ste application equipment? 0 Yes riJ No 0 NA 0 NE Comments (refer to question #): Explain any YES answers and/or any recommendations or any other commeo~s. Use drawings of facility to better explain situations. (use additional pages as necessary): Reviewer/Inspector Name -.....;!~~:!.....!,-....L.:~~IiT~--------------Phone: .Y..t.:::...L-J~:=..:::;;.-=:....:;..-- Reviewer/lnspector Signature: Date: ll/28104 Continued I Facility Number: fa -{jfj,. Required Records & Documents Date of Inspection ~ 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? Ifyes, check the appropirate box. D WUP D Checklists D Design D Maps D Other DYes ~No DNA ONE DYes ~No DNA ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~No DNA 0 NE D Waste Application D Weekly Freeboard D Waste Analysis D Soil Analysis 0 Waste Transfers 0 Annual Certification D Rainfall D Stocking 0 Crop Yield D 120 Minute Inspections D Monthly and 1" Rain Inspections D 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 ofthe permit orCA WMP? 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? Additional Comments and/or Drawings: DYes DYes DYes DYes DYes DYes DYes DYes DYes DYes DYes DYes 12128104 ~No DNA ONE IKJNo DNA ONE 'fCj No DNA ONE ~No DNA ONE ~No DNA ONE []No DNA ONE ~No DNA ONE KlNo DNA ONE ~No DNA ONE f8>No DNA ONE EbNo DNA ONE Kl.No DNA ONE ... - -.... \' f 'j' ' Type of Visit e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit e Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access DateofVisit: ltopk/t:Jb I Arrival Time: I OOJLJ(c}r.J Departure Time: I Q'j!yS'lld County: SllmPsotJ Region: f={«) Farm Name: W£11 Cro~S fa.t)"' Owner Email: ------------- Owner Name: Gw:t.rh Jll fzvms ~c. Phone: Mailing Address: ----------------------------------------- Physical Address: De.cek-: Brow n Title: ----------- Phone No: ________ _ Facility Contact: -~ iJ-_ tWn I ~ h.. ~~ Onsite Representative: -------------------Integrator: J1Ll.K'fby Certified Operator:_.....:;:;..,.,...... ______ -----------Operator Certification Number: -------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: D OD'D" Discharges & Stream Impacts I. Is any discharge observed from any part of the operation? Discharge originated at: D Structure 0 Application Field D Other a. Was th e co nveyanc e 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 disc harge 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 potenti al adverse impac ts to the W ate rs of the State other than from a disch arge? Page 1 of3 0 Yes ~No DNA ONE DYes 0No ~NA ONE DYes 0No ~NA ONE I DYes 0No ~NA ONE DYes lj21No DNA ONE DYes f)CI No DNA ONE 12128/04 Continued f J Facility Number: S;l-~;).J Date oflnspection I to/~¥o61 Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure I Structure 2 Structure 3 Structure 4 DYes ~No DNA ONE DYes 0No lj'INA ONE Structure 5 Structure 6 Identifier: __ ___.)~.....-___ -------------------------------- Spillway?: Designed Freeboard (in): ------:-:----.nr--------------------------------~. "3(Jv ________________________ _ Observed Freeboard (in): ~ ../.... 5. Are there any immediate threats to the integrity of any of the structures observed? DYes 1]No DNA ONE (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? DYes ~No DNA ONE 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? 8. Do any of the stuctures lack adequate markers as required by the pennit? (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 maintenance or improvement? Waste Aoplication 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes DYes DYes DYes ~No DNA ONE EfJ'No DNA ONE ~No DNA ONE ~No DNA ONE II. Is there evidence of incorrect application? Ifyes, check the appropriate box below. 0 Yes ~No 0 NA 0 NE 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metal s (Cu, Zn, etc.) 0 PAN D PAN> 10% or 10 lbs D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Area 12. Croptype(s) CcasM EermuJa tflayJ. SMtU ~~~I s~'rMo~w~ 13. Soil type(s) B o 8) ~ ) tJ ()A J WQB 14. Do the receiving crops differ from those designated in theCA WMP? DYes ~No DNA 15. Does the receiving crop and/or land application site need improvement? DYes f,Z9 No DNA ONE ONE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? DYes ~No 0 N~ 0 NE 17. Does the facility lack adequate acreage for land application? ~No 18. Is there a lack of properly operating waste application equipment? C~mments (refer to question #): Explain any YES answers and/or any rec:ollDIIleiiJdaltiOI.~S.::Ot;'.lli:iy~~l)tllief:;comrne.Jnts~!';:; '(.se drawiilgs of facility to better explainsituatio~s. (use additional pages as ne<ces:sa•f1•):"L Reviewer/Inspector Name !...; .:[:~~~:.......!~~'¥'-~f-:--'7'1""'---------__:.------! Reviewer/Inspector Signature: Page2of3 12128104 DNA ONE ONE Continued '•· .. I Facility Number: 13~ -f:4aJ Required Records & Documents Date of Inspection IJtfJt,/oJ;I I 19. Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facilitY fail to have all components of theCA WMP readily available? If yes, check the appropriate box. 0 WUP 0 Checklists D Design 0 Maps 0 Other DYes l)jNo DNA ONE DYes ~No DNA ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes !¥1 No 0 NA 0 NE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers 0 Annual Certification 0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rain Inspections 0 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 orCA WMP? 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? Addition~l¢ohlriJeots and/or Drawings: . .... ··' '" ,-. -___ : ' ' · .... '~ Page3 of3 DYes Q}No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ij}No DNA ONE DYes ~No DNA ONE DYes !Xi No DNA ONE DYes [)SINo DNA ONE DYes r:f1 No DNA ONE DYes ~No DNA ONE DYes llfNo DNA ONE DYes l2SJ No DNA ONE -·~i.~-~-~~~;~.:.;:;;~.;.-~~~~--~~:~4j~~~~ 11128/04 ... - 1--...... (Type of Visit 49 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I Reason for Visit ® Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: 0 Arrival Time:r : 3a Departure Time: County: Region: Farm Name: 1A)AtJCXZ65, tea-rwl, Owner Email: Owner Name: .)A,<,"tr A eQ. &ln.S Phone: Mailing Address: YY 8 Physical Address: Facility Contact: Nt' ,I ca� /VXYI S Title: Onsite Representative: M' .dl moor; S Certified Operator: /AAi Back-up Operator: Phone No: Integrator: /uL6—rp it ACX12411. Operator Certification Number: Z y L/3 Back-up Certification Number: Location of Farm: Latitude: [10F—T M« Longitude: mom, 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? b. Did the discharge reach waters of the State? (If yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system'? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? [:]Yes ;gNo ❑ NA EINE ❑ Yes ❑ No 9 NA ❑ NE Yes El No RfNA ❑ NE rr❑ I� E�ONA ❑ NE ❑ Yes ❑ No ❑ Yes ERNo ❑ NA ❑ NE ❑ Yes ;gNo ❑ NA ❑ NE 12/28/04 Continued [?'acili~ Number: 82--il'fZ..! Date of Inspection I =r/z5j{)!k' Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure 1 Structure 2 Structure 3 Structure 4 0 Yes f2a No 0 NA 0 NE DYes DNo I)INA ONE Structure 5 Structure 6 Identifier: ___ ~_ ... .;..h ___ ---------------------------------- Spillway?: r\c) .. Designed Freeboard (in): __ ..£/..~&f.....:·...::~=--· '_ ------------------------------- Observed Freeboard (in): --=---·_};.::;. _3-L...:.$:9-· -------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ large trees, severe erosion, seepage, etc.) 0 Yes ~No DNA ONE 6. Are there structures on-site which are not properly addressed and/or managed DYes ~No DNA ONE 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? 8. Do any of the stuctures lack adequate markers as required by the permit? (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 maintenance or improvement? Waste Application I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes [}lNo 0 NA 0 NE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~o DNA ONE 11. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes ~No DNA D NE 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.) D PAN 0 PAN> 10% or 10 lbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Area 12. Crop type(s) ----=f»y~-p~:zs~llo..i?~;· ~~:::lii::::!.~:toa!.!:4,..~-:.......J3o~et¥~· .....ilfr&Kii!la!:JL' ~t},..!.f'A.I~· "'-~-...Elbl..4:ia-ytq--·~w~~::::A!#t~1..:....._ _____ _ 13. Soiltype(s) Go14t?La<rf12, w~O\,MI\,1 -1;~-hz,.,. I tJO<"".fo\ k. 14. Do the receiving crops differ from those designated in the CA WMP? 15. Does the receiving crop and/or land application site need improvement? DYes DYes 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination!O Yes 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Reviewer/Inspector Name Reviewer/Inspector Signature: DYes DYes Phone: Date: 12118104 ~No DNA ONE fiNo DNA ONE ~No DNA ONE ~No DNA ONE $No DNA ONE f'Facili~ Number: 8Z. -h'iiJ Date of Inspection 1-:f-/WoSt: Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Pennit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropirate box. D wt..J1'!"'" D Checklisfs' 0 Desigll" 0 Ma~ D Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE D Waste Application/ D Weekly Freeboar6 0 Waste Analy~ D Soil Analysi< 0 Waste Transfer:( 0 Annual Certification' D Rainfa'fl 0 Stocking'" D Crop Yield-D 120 Minute lnspectio~ 0 Monthly and 1" Rain Inspection!" D Weather Code.- 22. Did the facility fail to install and maintain a rain gauge? DYes jSNo DNA ONE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes 181No DNA ONE 24. Did the facility tail to calibrate waste application equipment as required by the permit? DYes ~No DNA ONE 25. Did the facility fail to conduct a sludge survey as required by the permit? DYes ~No DNA ONE 26. Did the facility fail to have an actively certified operator in charge? DYes rgNo DNA ONE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes BNo DNA ONE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? DYes ~No DNA ONE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes ~0 DNA ONE 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? DYes ~No DNA ONE lfyes,"contact a regional Air Quality representative immediately 31. Did the facility fail to notify the regional office of emergency situations as required by DYes 1K1 No DNA ONE General Permit? (ie/ discharge, treeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ~No DNA ONE 33. Does facility require a follow-up visit by same agency? DYes j&No DNA ONE ·-~>· 12128104 • Compliance Inspection 0 Operation Review 0 Lagoon Evaluation Reason for Visit e Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other D Denied Access I F cili"tyN L-J C7'\ 1--1 /<..LV J IDateofVisit: I7-0"·04'JTime:l1 :oo a umucr l>tT-~ >04. -· L--------------------..J lo Not Operational 0 Below Threshold E:'f"Pennitted a' Certified C Conditionally Certified [] Registered Date Last Operated or Above Threshold: --------·-·-· Farm Name: ·····----Jd~.::(-.f:..r.r.>~.S. ............. ---------.......................... County: ____ .s_a........, p ~IJ.~----·-.... E ~~-- Owner Name: _____ , .............................. -.... ""--·------------------·--....... Phone No: -·---·------·----------·-· .. --. Mailing Address: .. _e_~ ........ fJ.g.x_ ___ 7~1_ ___ g o~~ \.:. \ '-·---·-·--·-·-______ #..d._ C. -------------, ____ ..... Facility Contact: .......... -·-·-·-···-·--·-·--·-···--.. --------Title: .......... --................................ ------· Phone No: -------·------··· .. . Onsire Representative: ....... f.!:! .. ~~b.a~.Lb. __ ..IJ:1 o~k~--··· .. ··-·-..... Integrator: ..... .l::!::I~.':.f2.h:t.=-~":~.l:;;!!:!, ________ _ Certified Operator: ...... IY..J.::.~h.9..~1 .... -.... -~ ... --.. ...r:Y-!.~Js:.::s .. ···-·-Operator Certification Number: . .!!. ... ?.. .. ?..'!...~~---·-· Location of Farm: [1 Swine D Poultry 0 Cattle 0 Horse Latitude L---....11• L..l _ ___,l' IL.. __ ...Jl " Longitude "' ~ .~-·~ ·-· -~· S~e .~;r .. :·~:· .•. Wean to Feeder Feeder to Finish $I OD Farrow to Wean ·Farrow to Feeder Farrow to Finish Gilts Boars ;· Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at 0 Lagoon D Spray Field 0 Other a. If discharge is observed, was the conveyance man-mack? 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 ga1/rnin? 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 CoUection & Treatment 4 . Is storage capacity (freeboard plus storm storage) Jess than adequate? 0 Spillway Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Identifier: .............. /.................. .. ................... -...... --..................................................................... .. Freeboard (inches): LJ ;( 11 __ .:.....=;;;:__ __ 12112!03 DYes Iii No DYes ONo DYes 0No fJIA DYes ONo DYes ~No DYes I] No DYes !KiNo Structu re 6 Continued fF'acilicy Number: f ,;1 -(, '1.2 j Date of Inspection l 7 /? / cuf I 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? (H 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 maintenanceJimprovement? 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 maintenancei"IIIlprovement? 11. Is there evidence of over application? If yes, check the appropriate box below. 0 Excessive Ponding D PAN D Hydraulic Overload D Frozen Ground D Copper and/or Zinc 12. Crop type f3e.. .. ....-.~ Hc'J / t'V\o. .f......_c { $b'tb€q""' r" 4 1{, ce-± / S G QV<;-r,S s; c::R. 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CA WMP)? 14. a) Does the facility lack adequate acreage for land application? b) Does the facility need a wettable acre determination? c) This facility is pended for a wettable acre determination? 15. Does the receiving crop need improvement? 16. Is there a lack of adequate waste application equipment? Odor Issues 17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below liquid level of lagoon or storage pond with no agitation? 18. Are there any dead animals not disposed of properly within 24 hours? 19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, roads, building structure, and/or public property) 20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional Air Quality representative immediate] y . I .5 £-ro.S /ol'l D P,f 6+' I:::-c. .. .-.. <....-of.:, he v £. b « e.--. c.. ~o. 4 ~ S,: b'( h <:.CW\._1 ~V h t.<:-+ r"G +-c.-~-~ C> 1-.J • DYes ~No DYes lXI No li]Yes D No IXJYes ONo DYes [ltNo DYes [l!No DYes ~No DYes OONo DYes (&JNo DYes ~No DYes ~No DYes ~No DYes [DNo DYes @No DYes !BNo DYes liJNo DYes (ZJNo . ' \ ..... ,..... '1 c..{~...... C::-\1 £._ ....... ~' Reviewer/Inspector Name Reviewer/Inspector Signature: 12112103 Continued Date oflnspection l7 /~ f" <f I Required Records & DocumenL'i 21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? 22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? (iel WUP, checklists, design, maps, etc.) 23. Does record keeping need improvement? If yes, check the appropriate box below. (XI Waste Application D Freeboard D Waste Analysis D Soil Sampling 24. Is facility not in compliance with any applicable setback 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? (iel discharge, freeboard problems, over application) 27. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? 28. Does facility require a follow·up visit by same agency? 29. Were any additional problems noted which cause noncompliance of the Certified A WMP? NPDES 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 rainbreakers on irrigation equipment? 32. Did the facility fail to install 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 NPDES required fonns need improvement? If yes, check the appropriate box below. 0 Stocking Form 0 Crop Yield Form D Rainfall D Inspection After 1" Rain D 120 Minute Inspections D Annual Certification Form DYes DYes DYes DYes DYes DYes DYes DYes DYes (EYes DYes DYes DYes DYes DYes C No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. :;23-J,..Ci~.s-Cc::.v-f\c:Y.\.Jo\ -t-o '10'-\w-I Rf?.-~ ..r'o.-v--0 a_,.Q \:!c:.e..p i-\.-.c..""'- lA f o2._ o.-t c..J2. . ~No l;iJ No IKJ No ~No ~No fSa No ijJNo !21No 00No DNo ~No liJNo DNo ~No BJNo ..... - I"'(;, .. ""'.,..-\--·,o~ ~ "-S. boe..c:..~ ,q .r o _o c \. n 1 I a.~c.vc~ a_...._~ ~..,_c=-~~ ~ 'De;.. -t-l ~-a c.c. C:f'tc..R ~v"--, .L ,..,..Co•-~ ... -\;\o"' ·,c;: CL-.~ ..-c.."'-+~ ' ....... -..... 12112103 Site Requires Immediate A-..tion: T-N_D=--- Facility No. ~'' l.~\ ~ c! DMSION OF ENVIRONMENTAL MANAGEMENT ANIMAL FEEDLOT OPERATIONS SITE VISIT A DON RECORD DATE: \J ~_j~ , l99S Time: \\o32- FumN~~~=~~-+~--------~~----~-,~~-r~--~~~~-------MmtingA~~·~~~~1~~~~~~~~~--~~~U-~~~~~~~------- County: ~ Integrator: v Phone: \-.f&oo -z...~q-2.tl9' On Site Representative:_....~-.-..-.~~+-....&..~.J~~--Phone: C\i 0 -5 57 -"2.] 4-.S Physical Address!Loc:ation: _ __.."'"""'-~------------------------• Type of Operation: Swine~ Poultry _ Cattle----------------------- Design Capacity: ------Number of Animals on Site : ___________ _..... __ DEM Certification Number : ACE DEM Certification Number : ACNEW ______ _ Latitude:_ • _. _. Longitude:_ • _._. Circle Yes or No Does the Animal Waste Lagoon~sufficient freeboard of 1 Foot + 2S year 24 hour storm event (approximately 1 Foot+ 7 inches es o No ~Freeboard : Z Ft. _±_Inches Was any seepage observed from the goon(s)'? Yes ~Was any erosion observed? Yes o® Is adequate land available for y'? Y~s ~No Is the cover crop adequate?~r No Crop(s) being utilized : __ ___;::...::::~oo:...:,;~:.=;:>:;..::>t=.;~~-------------r='"':------- Does the facility meet SCS minimum setback criteria'? 200 Feet from Dwel!m'? or No 100 Feet from Wells~ o};:!IP Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes o~ ~ Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Une: Yes o~ Is animal waste dischar&ed into water ~state by man-made ditch, flushing system. or other similar man-made devices? Yes o~ If Yes, PJease Explain. Does the facility maintain adequate waste management ~(volumes of manure, land applied, spray irrigated o specific acreage with cover crop)~,ir No Additional Comments :~~%=:o:---~:r;:-~--~----x:::=--~~--~-'T':::------~ . cc: Facility Assessment Unit Use Attachments if Needed .