HomeMy WebLinkAbout820647_INSPECTIONS_20171231NORTH CAROLINA
Qeparbnent of Environmental Quality
Division of Water Resources • D
D Division of Soil and Water Conservation
Other Agency
Facility Number: 820647 Facility Status: --------
lnpsection Type: Compliance Inspection
Reason for VIsit Routine
Active Pe~ AVVS820647
Inactive Or Closed Date:
Sampson Region: ------------------------County: ------
DateofVIsit: 0312312017 EntryTime: 12:00pm Exit Time: 12:30pm lncidentt
FannName: Farm #31/3731 Owner Email:
Owner: Murphy-Brown LLC Phone:
Mailing Address: PO Box487 VVarsaw NC 28398
Physical Address:
FacUlty Status: • Compliant D Not Compliant Integrator. Murphy-Brown LLC
0 Denied Access
Fayetteville
91 Q-296-1800
Location of Farm: Latitude: 34" 55' 28" Longitude: 78" 30' 38"
From Rosesboro, farm is approx. 1.5 mi. out, on NC 411. The farm will be approx. 0.5 mi. on the right, past where NC 242 and NC
411 meet.
Question Areas:
• Dischrge & Stream Impacts • VVaste Col, Stor, & Treat • VVaste App~cation
• Records and Documents • Other Issues
Certif"1ed Operator: Robert T Young Operator Certification Number: 18461
Secondary OIC(s):
On-sits Representative(s):
24 hour contad name
On-site representative
Primary Inspector:
Inspector Signature;
Secondary lnspector(s):
Inspection Summary:
Name
Michael Ammons
Michael Ammons
Robert Marble
Title Phone
Phone : 91 Q-289-6087
Phone: 910-289-6087
Phone:
Date:
page:
Permit: AVVS820647
Inspection Date: 03123/17
Regulated Openttions
Swlne
I 0 Swine -Farrow to Wean
Waste Structures
Type
I Lagoon
Identifier
Owner -Facility : Murphy-Brown LLC Facility Number: 820647
lnpsection Type: Compliance Inspection Reason for Visit: Routine
Design Capacity Current promotions
Closed D1te
2,000
Total Design Capacity:
Start Date
TotaiSSLW:
Dlslgnated
Freeboard
19.50
2,000
866,000
Observed
Freeboard
54.00
page: 2
Permit: AVVS820647
Inspection Date: 03123/17
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?
Facility Number:
Reason for Visit:
3. V\lere there any observable adverse impacts or potential adverse impacts to Waters of the
State other than from a discharge?
Wasta 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 property 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 tack 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 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?
820647
Routine
Yea No Na Ne
oo•o
o•oo
o•oo
Yes NoNa Ne
o•oo
D
o•oo
Yn No Na Ne
o•oo
D
D
D
0
D
0
0
0
D
0
0
page : 3
Owner-Facility: Murphy-Brown LLC Facility Number. Permit: AVVS820647
Inspection Date: 03/23117 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
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 andfor 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?
Checldists?
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?
820647
Routine
Yn NoNa Ne
Com. Wheat. Soybeans
Aullyville loamy sand, o to
6% slopes
Norlolk loamy sand, 0 to 2%
slopes
wagram loamy sand, o to
6% slopes
o•oo
o•oo
Ya NoNa Ne
D
D
D
D
D
D
o•oo
D
0
0
D
D
0
page: 4
Owner-Facility : Murphy-Brown LLC Facility Number: Permit: A\NS820647
Inspection Date: 03/23/17 lnpsection Type: Compliance Inspection Reason for Visit
Records and Documents
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 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
CAVVIIIIP?
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?
820647
Routine
Yes NoNa Ne
D
D
D
In No Nil Ne
D
D
D
page: 5
;
• Division of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
Facility Number: 820647 Facility Status: Active Permit: AW$820647 -------
lnpsectlon Type: Compliance Inspection Inactive Or Closed Date:
Reason for Visit: Routine -------------------------Sampson County: Region : -------
Date of Visit: 09/2212015 Entry Time: 08:00am Exit Time: 9:00am Incident#
Farm Name: Farm #31 /3731 Owner Email:
Owner: Murphy-Brown LLC Phone:
Mailing Address: POBox487 Warsaw NC 28398
Physical Address:
Facility Status: • Compliant D Not Compliant Integrator: Murphy-Brown LLC
0 Denied Access
F ayetteville
910-2~1800
Location of Farm : Latitude: 34• 55' 28" Longitude: 78 • 30' 38" ----------
From Rosesboro , farm is approx. 1.5 mi. out, on NC 411 . The fann will be approx . 0 .5 mi. on the ri ght , past where NC 242 and NC
411 meet.
Question Areas:
• Dischrge & Stream Impacts • Waste Col, Stor. & Treat
• Records and Documents • Other Issues
Certified Operator:
Secondary OIC(s):
On-Site Representative(s):
24 hour contact name
On-site representative
Primary Inspector:
Inspector Signature:
Secondary lnspectorts):
Inspection Summary:
Robert T Young
Name
Michael Ammons
Michael Ammons
Robert Marble
• Waste Application
Operator Certification Number: 18461
Title
Phone :
Phone :
Phone
910-289-6087
91 0-289-6087
Phone :
Date:
page:
Permit: AWSB20647
Inspection Date : 09/22/15
Regulated Operations
Swine
I 0 Swine -Farrow to Wean
Waste Structurps
Type
I lagoon
Identifier
Owner -Facility : Murphy-Brown LLC Facility Number: 820647
lnpsection Type: Compliance Inspection Reason for Visit: Routine
Design Capacity Current promotions
Closed Date
2,000
Total Design Capacity:
Start Date
TotaiSSLW:
Disignated
Freeboard
19 .50
2 ,000
866,000
Observed
Freeboard
60.00
page: 2
Permit: AWS820647
Inspection Date: 09/22/15
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 DWO)
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 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?
820647
Routine
Yes No Na Ne
Yes No Na Ne
o•oo
o•oo
Yes NoNa Ne
o•oo
D
D
D
D
D
D
D
D
D
D
D
page: 3
Owner-Facility : Murphy-Brown LLC Facility Number: Permit: AWS820647
Inspection Date: 09/22/15 lnpsection Type: Compliance Inspection Reason for Visit:
Waste Application
Crop Type 1
Crop Type 2
Crop Type 3
Crop Type4
Crop Type 5
Crop Type6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
SoiiType 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 comp o nents of the CAWMP readily available?
If yes, check the appropriate box below.
WUP?
Checkli sts?
Design?
Maps?
Lease Agreements?
Other?
If Other, please specify
21. Does record keeping nee d improvement?
If yes. c heck the appropriate box be low.
Waste Application?
Weekly Freeboard?
Waste Analysis?
Soil analysis?
Waste Transfe rs?
Weather code?
820647
Routine
Yes No Na Ne
Com, 'Mleat, Soybeans
A utryviU e lo amy sand, 0 to
6% slopes
Norfolk loamy sand, 0 to 2%
slopes
Wa9ram loamy sand . 0 to
6% sl opes
Yn NoNa Ne
D
D
D
D
0
D
0
D
D
D
D
D
page : 4
Owner-Facility: Murphy-Brown LLC Facility Number: Permit: AWS820647
Inspection Date: 09/22/15 lnpsection Type: Compliance Inspection Reason for Visit:
Records and Documents
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 rain breaker 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 t o properly dispose of dead animals within 24 hours and/or document
and report mortality rates that exceed normal rates?
29. At the tim e of the inspection did the facility pose an odor or air quality co ncern? 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 , c heck the appropriate box below.
Application Field
Lagoon I Storage Pond
Other
If Other, please specify
32. Were any additional problems noted whi ch 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 foll ow-up visit by same agency?
820647
Routine
Ye& NoNa Ne
0
0
0
Yes NoNa Ne
CJ
0
0
o•oo
page: 5
Division of Water Resources • 0
0
Division of Soil and Water Conservation
Other Agency
Facility Number: 820647 Facility Status: Active Pennlt: AWSB20647
-~------
lnpsection Type: Compliance Inspection Inactive Or Closed Date:
Reason for Visit: Routine ---------------------------Sampson Region: -------County:
Date of Visit: 08/19/2014 Entry Time: 08:30am Exit Time: 9:30am Incident#
Farm Name: Farm #31 I 3731 Owner Email:
Owner: Murphy-Brown LLC Phone:
Mailing Address: PO Box 487 Warsaw NC 28398
Physical Address:
Facility Status: • Compliant 0 Not Compliant Integrator: Murphy-Brown LLC
0 Denied Access
Fayetteville
910-296-1800
Location of Fann: Latitude: 34 • 55' 28" Longitude: 78• 30' 38"
From Rosesboro, farm is approx. 1.5 mi. out. on NC 411. The farm will be approx. 0.5 mi. on the right, past where NC 242 and NC
411 meet.
Question Areas:
• Dischrge & Stream Impacts • Waste Col, Stor, & Treat
• Records and Documents • Other Issues
Certified Operator:
Secondary OIC(s):
On-Site Representative(&):
24 hour contact name
On-site representative
Primary Inspector:
Inspector Signature:
Secondary lnspector(s):
Inspection Summary:
\Nilliam Victor Sutton
Name
Michael Ammons
Michael Ammons
Robert Marble
• Waste Application
Operator Certification Number: 26076
Title
Phone:
Phone:
Phone
91 o-289-6087
91o-289-6087
Phone:
Date:
page:
Permit: AWS820647
Inspection Date: 08/19114
Regulated Operations
Swine
0 Swine-Farrow to Wean
Waste Structures
Type
!Lagoon
Identifier
Owner-Facility: Murphy-Brown LLC Facility Numbe r: 620647
lnpsection Type: Compliance Inspection Reason for V isit Routine
Design Capacity Current promotions
Total Design Capacity:
Closed Date Start Date
Total SSLW :
Dlsignated
Freeboard
19.50
Observed
Freeboard
page: 2
Permit: AWS820647
Inspection Date: 08/19/14
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 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?
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 improve ment?
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 in corporate manure/sludge into bare soil?
Outside of acceptable crop window?
Evidence of wind drift?
Application outside of application area?
820647
Routine
Yes NoNa No
D
D
D
oo•o
oo•o
Yes NoNa Ne
Yes No Na Ne
D
D
D
D
D
D
D
D
D
D
D
page: 3
Permit: AWS820647
Inspection Date: 08/19/14
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
Soil Type 4
Soil Type 5
Soil Type 6
Owner-Facility : Murphy-Brown LLC
lnpsection Type: Compliance Inspection
14. Do the receiving crops differ from those designated in the Certified Animal Waste
Management Plan(CAWMP)?
15. Does the receiving crop andlor land application site need improvement?
Facility Number:
Reason for Visit:
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 Applic ation?
Weekly Freeboard?
Waste Analysis?
Soil analysis?
Waste Transfers?
Weather code?
820647
Routine
Yes NoNa Ne
Com, Ill/heat, Soybeans
Autryville loamy sand, 0 to
6% slopes
Norfolk loamy sand, 0 to 2%
slopes
Wagram loamy sand, 0 to
6% slopes
Yes NoNa Ne
0
0
0
0
0
0
0
D
D
D
D
D
page: 4
Owner-Facility : Murphy-Brown LLC Facility Number: Permit: AWSB20647
Inspection Date: OB/19/14 lnpsection Type: Compliance Inspection Reason for Visit:
Records and Documents
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 dale 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 t o 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
CAVVMP?
33. Did the Reviewe r/Inspector fail to discuss review/inspection with on-site representative?
34. Does the facility require a follow-up visit by same agency?
820647
Routine
Yes NoNa Ne
D
0
D
Yes No Na Ne
0
D
D
page: 5
Division of Water Resources • D
D
Division of Soil and Water Conservation
Other Agency
Facility Number: 820647 Facility Status: Active Permit: AWS820647 --------
lnpsection Type: Compliance Inspection Inactive Or Closed Date:
Reason for Visit: Routine ------------------Region: ------Sampson County:
Date of Visit: 10/15/2013 Entry Time: 08:30am E~titTime: 9:30am Incident#
Farm Name: Farm #31 I 3731 Owner Email:
Owner: Murphy-Brown LLC Phone:
Mailing Address: PO Bo~t487 Warsaw NC 28398
Physical Address:
Facility Status: • Compliant D Not Compliant Integrator: Murphy-Brown LLC
0 Denied Access
Fayetteville
91 0-296-1800
Location of Farm: Latitude: 34" 55' 28" Longitude: 78" 30' 38"
From Rosesboro, farm is approx. 1.5 mi. out, on NC 411. The farm will be approx. 0.5 mi. on the right, past where NC 242 and NC
411 meet.
Question Areas:
• Dischrge & Stream Impacts • Waste Col, Stor, & Treat • Waste Application
• Records and Documents • Other Issues
Certified Operator: Clifton Daniel Tyndall Operator Certification Number: 989946
Secondary OIC{s):
On-Site Representative(sl:
24 hour contact name
On-site representative
Primary Inspector:
Inspector Signature:
Secondary lnspector(s):
Inspection Summary:
Name
Michael Ammons
Michael Ammons
Robert Marble
Title
Phone:
Phone:
Phone
910-289-6087
910-289-6087
Phone:
Date:
page:
Permit AWS820647
Inspection Date: 10/15/13
Regulated Operations
Swine
J 0 Swine-Farrow to Wean
Waste Structures
Type
[Lagoon
Identifier
Owner-Facility : Murphy-Brown LLC Facility Numb er: 820647
lnpsection Type: Compliance Inspection Reason f or Visit: Routine
Design Capacity Current promotions
Total Design Capacity:
Closed Date Start Date
Total SSLW:
Disignated
Freeboard
19 .50
Observed
F111eboard
page: 2
Permit: AWS820647
Inspection Date: 10115113
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?
Facility Number:
Reason for V isit:
3 . Were there any observable adverse impacts or potential adverse impacts to Waters of t he
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 ne ed
maintenance or improvement ?
11 . Is there evidence of incorrect application?
If yes , check the appropriate box below.
Excessive Ponding?
Hydraulic Overload?
Frozen Ground?
He avy metals (Cu, Zn , etc)?
PAN ?
Is PAN > 10%/10 lbs.?
Total P hosp horus ?
Fa i lure to incorporate manure/sludge into bare soil?
Outs ide of acceptable crop window?
E vidence of wind drift?
Appl ication outside of application area?
620647
Routine
Yes NoNa Ne
Yn NoNa Nt
Ye! NoNa Ne
D
0
D
0
0
0
0
0
0
0
0
page: 3
Owner-Facility: Murphy-Brown LLC Facility Number: Permit: AWS820647
Inspection Date: 10/15/13 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
Soi1Type4
Soil Type 5
Soil Type6
14. Do the receiving crops differ from those designated in the Certified Animal Waste
Management Plan(CA\1\/MP)?
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?
1 B. 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?
820647
Routine
Yes NoNa Ne
Com, IMleat. Soybeans
Autryvill!t loamy sand, 0 to
6% &IOp!!S
Norfolk loamy sand, o to 2%
SIOp!!S
Wagram loamy sand, 0 to
6% SIOp!!S
o•oo
o•oo
Yes NoNa Ne
o•oo
o•oo
D
0
D
D
0
D
D
D
0
0
0
0
page: 4
Owner-Facility : Murphy-Brown LLC Facility Number: Permit: AWS820647
Inspection Date: 10/15/13 lnpsection Type: Compliance Inspection Reason for Visit:
Records and Documents
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) certificati on ?
Other Issues
28. Did the facility fail to properly dispose of d e ad animals within 24 hours and /o r 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 ye s ,
contact a re gional 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, c heck the appropriate box below.
Application Field
Lagoon I Storage Pond
Other
If Other, please specify
32. Were any additional proble ms noted which cause non-compliance of the Pe rmit o r
CAWMP?
33 . Did the Reviewer/Inspector fail to discu ss review/inspection with on-site represe ntative?
34. Does the facility require a follow -up visit b y same agency?
820647
Routine
Yes No Na Ne
D
D
D
Yes No Na Ne
D
D
D
o•oo
page : 5
Type of Visit: • Compliance Inspection 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
Date of Visit: Lf/2f'{lz_. I Arrival Time:ldJ~¢rin,
Farm Name: 313l \ (~ ~I)
.>
Departure Time: I Cft-'!Cx:ter I County: ~~ON Region:
Owner Email:
Owner Name: M~~ ,a~ ,U.( Phone:
Mailing Address:
Physical Address: --------------------------------------------------------------------------
Facility Contact: _,.ti!_:...;;,~....:Vl-=-..:..fb~....:M-4~E;..vt-!..=5:::;.,_ ___ Title: ---------Phone:
f Integrator: N/~ ~r/\
~'e-4w 5 t-t -lfvn Certification Number: _).b __ O_?,;_'fo ____ _
Onsite Representative:
Certified Operator:
Back-up Operator: M ,"iz< 4, ,~-45 Certification Number:
Location of Farm: Latitude: Longitude:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? DYes ~No
Discharge originated at: 0 Structure D Application Field 0 Other:
a. Was the conveyance man-made? DYes 0No
b. Did the discharge reach waters of the State? (If yes, notifY DWQ) DYes 0No
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) 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 ofJ
DYes~ No
0 Yes )gNo
DNA ONE
(8NA ONE
Ill NA ONE
j»NA ONE
DNA ONE
DNA ONE
21411011 Continued
Reason for Visit:
Operation Review 0 Structure Evaluation
0 Follow-up 0 Referral 0 Emergency 0 Denied Access
Date ofVis~t: I fj25/1z_. ,, Arrival Time:loCJ:qn,..
Farm Name: 21 :?Jl \' C§rM ~I)
DepartureTime:lQ1:~,..,1 County: S~,J Region:
. I ......
Owner Email:
OwnerName: M'Vf~~ ,u_(
'-.
Phone:
Mailing Address:
(
Physical Address: ------------------------------------......;'"-'-----
Onsite Representative:
_,.tfl.;;....;_~....:..lJ(-=-A,..:....:....:..;;....;..;.M...=.=..OI-1.....:..::.5;;....._ ___ Title: --------
f
Phone: · Fac!llty Contact:
'· Integrator: M~ ~r'\
Certification Number: _J.h __ O_?_t}, ____ .....,.-Certified Operator:
Back-up Operator: Certification Number:
· Location_oq<arm: Latitude: Longitude:
Discharges and Stream Impacts-·=·
1. Is any discharge observed froi'n any part of the operation? . ., .,.. t•
Discharge originated at D Structure D Application Field
DYes ~No DNA ONE
D Other:
a. Was the conveyance man-made? DYes 0No ~NA ONE
b. Did the discharge reach wat~rs of the State? (If yes, notify DWQ) DYes 0No (aNA ONE
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) DYes 0No JBNA ONE
2. Is there evidence of a past discharge from any part ofthc operation?
3. Were there any observable advede impacts or potential adverse impacts to the waters
of the State other than from a discharge? ·
0 Yes '19 No DNA ONE
\
DYes ~No DNA ONE •
Page 1 of3 114/2011 Continued
4"/ ·. __ ,. · .. , . ·. ~· . • ~ • ,, • j
I Facility Number: lnate oflnspection: 5· :J,;;--cz ..
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: 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?
0 Yes pg No
DYes 0No
DNA ONE
IR:INA ONE
Structure 5 Structure 6
DYes ~No DNA ONE
DYes reNo DNA 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 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?
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need 0 Yes ~No 0 NA 0 NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. 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): Cwo I wh.RA.t-r -~ r1bzCln -S
13. Soil Type(s): 4:b ,, ;1/e,,tVwAlf-flct+; wt\j~ -vJ~
14. Do the receiving ::TOI>Sd:~r from those 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 the CA WMP readily available? If yes, check
the appropriate box.
0WUP Ochecklists 0 Design 0 Maps 0 Lease Agreements
DYes ~No DNA
DYes ~No DNA
DYes ~No DNA
DYes ~No DNA
DYes ~No DNA
DYes ~No DNA
DYes ~No DNA
00ther:
ONE
ONE
ONE
ONE
ONE
ONE
ONE
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes !p} No 0 NA 0 NE
0 Waste Application 0 Weekly Freeboard D Waste Analysis D Soil Analysis 0 Waste Transfers 0 Weather 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 install and maintain a rain gauge? 0 Yes ~No 0 NA 0 NE
23. If selected, did the facility fail to install and maintain rain breakers on irrigation equipment? 0 Yes '§a No 0 NA 0 NE
Page1of3 114/1011 Continued
,-· .. ~
I nate of Inspection: $"· '-~ -rz ... I Facility Number:
• .... • .. r ~
Waste CoUection & 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 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
' 0 Yes 0 No jB NA 0 NE
StructureS Structure 6
. ' X.
D Yes ~ No [J NA 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 .A'"p~·Jication
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes
DYes
DYe!
DYes
~No DNA ONE
I
12§ No DNA ONE
~No DNA ONE
00No DNA ONE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes IE No D NA ~ NE
f
D Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
0 PAN D PAN> 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sl~dge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area
12. Crop Type(s): ~V\. LJ\va {--r ~ ~'b,lbl__s
I ( 1 IL .. I •• \
13. Soil Type(s): ~~~1 p :!'iWf:o j HvfJ A:} W~~ -lJg£
14. Do the receiving crops d1 r from those designated m 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
tt'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 & Pennit readily available?
20. Does the facility fail to have all components of the CA WMP readily available? If yes, check
the appropriate box.
DYes
DYes
DYes
DYes
DYes
DYes
DYes
~No
I
~No
~No
~No
OCJNo
I
~No
~No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
OWUP 0Checklists 0 Design 0 Maps 0 Lease Agreements 00ther: _________ _
21. Does record keeping need improvement? If yes, check the appropriate box below. DYes I2SJ. No 0 _NA D NE
0 Waste Application 0 Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste T~sfers 0 Weather Code
0 Rainfall D Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rainfall Inspections D Sludge Survey
22. Did the facility fall to install and maintain a rain gauge? DYes IP'l No 0 NA 0 NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes ~ No 0 NA 0 NE
Pagel of~ 114/2011 Continued
. .-, .. ' ..... ~
!Facility Number: BA-h91 !Date of Inspection: 5"-'->1 z;
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.
D Yes ~ No 0 NA D NE
D Yes ~ No 0 NA 0 NE
0 Failure to complete annual sludge survey DFailure 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? If yes, check the appropriate box below.
0 Application Field D Lagoon/Storage Pond D Other:
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes Q9No DNA ONE
DYes ~No DNA ONE
0 Yes ~No DNA ONE
0 Yes D!J No DNA ONE
------------------------
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? DYes DNA ONE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes DNA ONE
34. Does the facility require a follow-up visit by the same agency? DYes DNA ONE
Reviewe r/Inspector Name: Phone : CJ~triJ/~0
Reviewer/In spector Signature: Date: f;;-s----rz. ..
-------------------
Page3 of 3 11412011
·-
• IFacili!J' Number: AA-b '1...-/ I nate of Inspection: 5-U1 i:' . -·-24. Did the facility fail t_o 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 !Sa No
' DYes ~No
D Failure to complete annual sludge survey D Failure to develop a POA for sludge levels
D Non-compliant sludge levels in any lagoon
List structure(s) and date offust survey indicating non-compliance:
26. Did the faciiity fail to provide documentation of an actively certified operator in charge?
27. Did the facili~ 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.
3~. 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
UJYes ~No
DYes IJ9 No
DYes ~No
I
DYes QQNo
DYes ~No
D Application Field D Lagoon/Storage Pond D Other: ------------------------
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~No
33. Did the Reyiewer/Inspector fail to discuss review/inspection with an on-site representative?
34. Does the facility require a follow-up visit by the same agency?
DYes ~No
DYes l29 No
'-,[.
DNA ONE
DNA ONE
/
.,
......
DNA ONE
DNA ONE
.
DNA ONE:
DNA ONE
-~
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
R eviewe r/1 nspector Phone : C?!o--'tf.f--?J~o
Re vi ewer/Inspecto r Signature : Date : .fJS-{1-
Pagel of1 21412011
.•,
.. ;_. t: ~·'
. -
Reason for Visit:
Operation Review 0 Structure Evaluation
0 Follow-up 0 Referral 0 Emergency
Date of Visit: I '1 I BJ (I I Arrival Time:l re~oOa-y. I
'
t
I
Farm Name: ?J7 31 \ LHLrfYl 31)
Departure Time: 16$JdfY'I County: ..$JlmfJf(.;rJ Region: fRD
Owner Email:
Owner Name: Mu.rph,= arow~}t..LC
Mailing Address:
Physical Address:
Phone:
--------------------------------------------------------------------------------------
Facility Contact: _ .... m .......... ; ...... ke-=-...... tbn'--4-1-.:...a.o...m__..(), __ n_..~..__ _____ Title: ----------Pbooe:
II Integrator: M~~WV)1 lL.C..
ij ~~ ~tc!k~ Certification Number: 2./::,t:f7b
Onsite Representative:
Certified Operator:
~ack-up Operator: M~ ke /1n...,.,01S Certification Number: 19ffifl
Location of Farm: Latitude:
Discharges and Stream Impacts
L Is any discharge observed from any 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? (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)
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 oth er than from a discharge?
Pagel of3
Longitude:
0 Yes g) No DNA ONE
0 Yes 0No ~NA ONE
DYes 0No ~NA ONE
DYes 0No ~NA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
114/ZOJJ Continued
I .. \
[facility Number: '&-6Y1 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 Structure4
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
~NA ONE
Structure 5 Structure 6
DYes ~No DNA ONE
0 Yes [XI No D NA D NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental tbreat, 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
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes ~No
0 Yes &J No
0 Yes fsZ] No
0 Yes "pG No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
11. Is there evidence of incorrect land application? If yes , check the appropriate box below. DYes ~No DNA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc .)
D PAN D 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 Typc(s): 01'1\ I~~~
13 . Soil Type(s): /t)trf'folk---No& ~-Wc£1 74s~uilk~
14. Do the receiving crops differ from those 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 fa il to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of theCA WMP readil y available? lfyes, check
the appropriate box.
OWUP 0Checklists 0 Design 0 Maps 0 Lease Agreements
DYes ~No
0 Yes r;s?J No
DYes r;iZI No
.0 Yes ~No
DYes ~No
DYes ~No
DYes '>3 No
QOther:
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
21. Docs record kee ping need improvement? If yes, check the appropriate box below. 0 Yes (E No D NA 0 NE
0 Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis D Waste Transfers D Weather Code
0 Rainfall 0Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and I" Rainfall Inspections 0 Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? DYes (Xi No 0 NA 0 NE
23. If selected, did the facility fail to install and maintain rainbrcakers on irrigation equipment? D Yes !2g No 0 NA 0 NE
Page 2 ojJ 2/4/2011 Continued
l5cility Number: BfJ.-bLI7 I !Date of Inspection: 9/Jfi/ (I
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
DYes
~No
~No
DNA ONE
DNA ONE
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 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
pennit? (i.e ., discharge, freeboard problems, over-application)
DYes ~No DNA ONE
DYes jg}No DNA ONE
DYes li] No DNA 0 NE
DYes ~No 0 NA ONE
DYes tiJ No 0 NA 0 NE
0 Yes 1&1 No 0 NA 0 NE 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
0 Application Field 0 Lagoon/Storage Pond 0 Other: -----------------------
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
34. Does the facility require a follow-up visit by the same agency?
~;':/e., v t's1t co(\kc-kf s-j rl/1 1'
jZec~Js re__..;,'e.vJed 1/t B/11
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of3
DYes ~No
DYes ~No
DYes ~No
DNA ONE
DNA ONE
DNA ONE
Phone: 'J IDA/33-331J()
Date : t.J/18/tt
21412011
~
-~ ~ " 'vJ "' ..
".) ~ ~ I
t\1
'"' -..J..
~
,.
I
Type of Visit • 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 0 Denied Access
j
DateofVisit: ls;h2{jo I ArrivaiTime:IOO:O??l;J DepartureTime:l (j(')~l County: -:;..::::.<.,;..L....,J~.-....;-Region: ~
FarmName: ( 373/L (Jfy-,f~~ OwoerEmail: ____ _
Owner Name: cilt.U'f~,.. ~uJPj U.L Phone:
Mailing Address:
Physical Address:--,-...---.-------------------------------____ _
_ .,_f'Vh-'--~1q_'---"";.;...· jk,«.=_llt_-Oil;;.....o,L>::::...._ ____ Title: -----------Phone No: ---------Facility Contact:
v
Oosite Representative: ---:-----------------Wrl/,~ ~
~------------Certified Operator:
Integrator: ~-/J..owll' 1 LlJ-
Operator Certification Number: cR. b 016
Back-up Certification Number: ~ 6'7 5 Back-up Operator: 0(41."1 rypl4C ___ _
Location of Farm: Latitude: D OD'D" Longitude:
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation? DYes ~No DNA ONE
Discharge originated at: D Structure 0 Application Field D Other
a. Was the conveyance man-made? DYes 0No tpNA ONE
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)?
DYes 0No ~NA ONE
d. Does discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No _)giNA ONE
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 of3
OMto
DYes o
11118/04
DNA ONE
DNA ONE
Continued
I Facility Number:9;?-b¢'[1 I •
Date oflnspection I !fbl;OI I
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
DYes bNo ~A ONE
Structure 5 Structure 6 structre 1
Identifier: ----1{-1---------------------------------------
Spillway?:
Designed Freeboard (in): ---.,...,'l'""Fr-------------------------------------
Observed Freeboard (in): ___ Z:J_..:..._l_' __ --------------------------------
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
DYes ¢!"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
DYes
DYes
DNA ONE
DNA ONE
DNA ONE
DYes ~No DNA ONE
I I. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes ~ No D NA D NE
D Excessive Ponding 0 Hydraulic Overload 0 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
D Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Area
12. Croptype(•) Orrrn,~~.S.
13. Soil type(s) No/J.!; vJa}; 1 Jry
14. Do the receiving crops differ from those designated in theCA WMP?
15. Does the receiving crop and/or land application site need improvement?
DYes ~No DNA ONE
DYes ij3No DNA ONE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? 0 Yes
17. Does the fac ility Jack adequate acreage for land application?
18. Is there a Jack of properly operating waste application equipment?
-~······-,.· .. ~···· to question #): oswers and/or any recomm.~:.~(JIJ!~()ns:.or;
ral'viD'!!Si'tlf facility tO better eXJplalm''Si.•u•aulJIU:!>. (Use additional pages as ne,ce.s.salry):.'
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Page 1 of3
DYes
11118/04 Continued
, .
I Facility Number: m -6<t71
Required Records & Documents
Date of Inspection ~
I 9 . 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 avai lable? If yes, check
the appropriate box. 0 WUP 0 Checklists D Design 0 Maps 0 Other
DYes ~No
DYes ;wNo
DNA ONE
DNA ONE
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes PJNo DNA D NE
0 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 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 faci li ty fail to install and maintain rain breakers 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?
Otber Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32 . Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
33. Does facility require a follow-up visit by same agency?
~dditi()tialt::oi#meots and/or Drawings:
Page3of3
. . ~'
DYes ~No DNA O NE
DYes ~No DNA ONE
DYes fiJ No DNA O NE
DYes ~No DNA O NE
DYes ~No DNA ONE
DYes (a No DNA ONE
DYes lpNo DNA ONE
DYes ~No DNA ONE
DYes l?fNo DNA ONE
D Yes psi No DNA ONE
DYes JaNo DNA ONE
DYes ~No DNA ONE
;~,;; ,C~";_::, .. ... ~~~~~~if~~~A~I~~
£ -
11118104
Type of Visit e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 RefeiTal 0 Emergency 0 Other D Denied Access
ffO
J
Date of Visit: I $1 ArTival Time: It I: Ctl'iO::j Departure Time: I {'2Ja9f""County: .sAM,~ Region:
Farm Name: 31 3 I Owner Email: ------------
Owner Name: Mtvt(?~~ S rt)wV". ,L-l--'(_'---------Phone:
Mailing Address: ----------------------------------------
Physical Address:-----------------------------------------
Facility Contact: M ~ ~ ~16con S Title: -------------,.-Phone No:---------
Integrator: ,NJ(M (Jt'1-6~ 1U( Onsite Representative: __ l_l _______________ _
Certified Operator: W; l[ t'am 5uHrJ..:....I1,___________ Operator Certification Number: :J.b() 7,6
Back-up Operator: ~n1 fiJn!-r Back-up Certification Number: ~97 ~
Location of Farm: Latitude: D OD'D" Longitude: D OD'D"
Discharges & Stream Impacts
I . Is any discharge obs erved from any part of the operation?
Discharge originated at: 0 Structure 0 Application Field 0 Other
a . Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c . What is the estim ated 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 pote ntial adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
DYes ~0 DNA ONE
DYes DNo ~NA ONE
DYes 0 No Q§NA ONE
I
DYes DNo ~NA ONE
DYes ~No DNA ONE
DYes pNo DNA ONE
12128104 Continued
r '·
j Facility Number: 8?.,-bfT I Date of Inspection I ¥::yi.oJ
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?:
DYes ~o DNA ONE
DYes 0No pNA ONE
Structure 5 Structure 6
Designed Freeboard (in): ---=-...-r.----------------------------------31 4
ObservedFreeboard(in): __ ~.l.-----------------------------------
5 . Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
DYes ~No DNA ONE
6. Are there structures on-site which are not properly addressed and/or managed DYes l(JNo 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 bealtb or environmental threat, notify DWQ
7. Do any ofthe 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
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes ~No DNA ONE
0 Yes lfJNo DNA ONE
DYes ShNo DNA ONE
DYes ~No DNA ONE
II. Is there evidence of incorrect application? If yes, check the appropriate box below . D Yes }0 No D NA 0 NE
D Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metal s (Cu, Zn, etc.)
D PAN D PAN > 10% or lO lb s 0 Total Phosphorus 0 Failure to Incorporate Manure/S ludge into Bare Soil
0 Outside of Acceptable Crop Window D Ev idence of Wind Drift D Application Outside of Area
12 . Crop type(s) Cr;)r"'r'\ ~ S sykgr $
13. Soil type(s) tJ~~~ WatyttW\1 ~(QG:{c:..
14 . Do the receiving crops differ from those designated in theCA WMP? DYes
15. Does the receiving crop and/or land application site need improvement? DYes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?D 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
~No DNA
~No DNA
~No DNA
~No DNA
~No DNA
ONE
ONE
ONE
ONE
ONE
Page 2 of 3 12/18104 Continued
• l.
I Facility Number: B~ifl'71 Date of Inspection I 5i/t5foCj I
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 CAWMP readily available? lfyes, check
the appropirate box. D WUP 0 Checklists D Design D Maps 0 Other
DYes ~No DNA ONE
DYes ~No DNA ONE
21. Does record keeping need improvement? lfyes, check the appropriate box below. DYes jg)No DNA 0 NE
0 Waste Application D Weekly Freeboard D Waste Analysis 0 Soil Analysis D Waste Transfers 0 Annual Certification
D Rainfall 0 Stocking D Crop Yield 0 120 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 of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern ?
If yes, contact a regional Air Quality rep resentative immediately
31. Did the facility fail to notify the regiona l office of emergency situations as req ui red 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?
Page3 of 3
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes KINo DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes fB..No DNA ONE
DYes ~fiNo DNA ONE
DYes i5JNo DNA ONE
DYes !SINo DNA ONE
DYes ~No DNA ONE ,:j.:--...
1--
-....
11118104
_(\ \ tJ\ '
I F3fility ~umber I_ ~:t-H tp_~J. Jl
~Division of Water Quality \)\\'. ct: 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit '6 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
Date of Visit: 13/ /9 I Arri"·aJ Time: I lJ {1:) I Departure Time: I /I SD I County:~ Region~
~~,~ ...u.. 2( Farm Name: -"--•-_,~oct::=-!.!.J.L!...L---.....__;_--=>.=:...:....____________ Owner Email: -------------
Owner Name: ~'('"D...9bS 01 Co..r-:a,.,_L\.=':::.:.M~_LlJ--=~~=---Phone:
Mailing Address: ----------------------------------------
Physical Address:----------------------------------------
Facility Contact: m j K~ 0vnm0f'l5 Title: _Wlo..ooo::~'{Y\=---:..,__-----Phone No:W) I~
On site Representative: m ; k {... ~Q r1 $ Integrator: _..:.(Y) __ ----.:6_;,._ ________ _
Certified Operator: \1.,) 'i \l ~ ~A'\••-~ *~CY\ Operator Certification Number: ;{~(}I l,p '
Back-up Operator: __ ---:,{h_..;.~..:..k=..::o____ ~t'\ Back-up Certification Number: j~ sq9,g
Location of Farm: Latitude: D 0 D' D " Longitude: D 0 D ' D "
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
ID Wean to Finish I I 10 Layer
0 Wean to Feeder 0 Non-Layer I I I. ODairvCow !
0 Dairy Calf ' I
0 Feeder to Fini sh
:ge:arrow to Wean ;,J./Y)D R-1 b'i
0 Fa rrow to Feed er
0 Fa rrow to Finish
0Gilts
D Boars . --..
0 Dairv Heife1 I
ODrvCow I
0 Non-Dai ry I
0 Beef Stockel
:
0 Beef Feeder ;
0 Beef Brood Co\\ .. ··----' -
Dry Poultry
0 l ayers
0 Non-Lavers
0 Pullets
0 Turkeys
Other 0 Turkey Poults
0 Other Number of Structures: OJ IOOther
Discharges & Stream Impacts
I . Is any discharge observed from any part of the operation? D Yes ~No DNA O NE
Discharge originated at: 0 Strucrure 0 Application Field 0 Other
a. Was the conveyance man-made? DYes 0 No E5bNA ONE
b. Did the discharge reach waters of the State? (If yes, not ify DWQ) DYes 0 N o _ftlNA O NE
c . What is the estimated vo lu me that reached waters of the State (gallon s)? I
d . Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from an y part of the operation?
3. Were there any advers e impacts or potenti al adverse impacts to the Waters of the Sta te
other than from a disch arge?
D Yes 0 No
D Yes ~: DYes
12/28/04
6Q)NA ON E
DNA ONE
DNA ONE
Continued
I Facility Numbcr:<t :l_-(ot.fij Date of Inspection
WastelcoUection & Treatment
4 . Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
DYes ~No DNA ONE
DYes ~No DNA ONE
Structure I Structure 2 Structure) Structure 4 Structure 5 Structure 6
Identifier: __ ..:.A~--------------------------------------
Spillway?:
Designed Freeboard (in): ___ _,_/_5-f-----------------------------------
Ob served Freeboard (in): __ ___.."$"-""Z __ ------------------------------
5. Are there any immediate threats to the integrity of any ofthe structures observed?
(ie/ large trees, severe erosion, seepage, etc .)
DYes ~No DNA ONE
6. Are there structures on-site which are not properly addressed and/or managed
through a waste management or closure plan?
DYes ~o 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 permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management syst em other than the waste structures require
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes ~No
DYes ~No
DYes ~No
DYes cO No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
II. Is there evidence of incorrect application? If yes , check the appropriate box below. 0 Yes ~o 0 NA 0 NE
D Exces sive Ponding 0 Hydraulic Overload D Frozen G ro und D Heavy Metal s (C u, 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 D Application Out sid e o f Area
12 . Crop type(s) C:.Ov 0 -Scu '-\AJu, o._j-,
\ ~.I 1J. SoH typo<s> I>)QA ~ 1 W~ae 1 r&~-C..
14 . Do the recei ving c rops differ f:those des ignated in the CA~ D Yes
15 . Doe s the receiving crop and/or land application site need improvement? DYes
16 . Did the facility fail to secure and/or operate per the irri gation des ign or wettable acre detennination ?O Yes
17 . Doe s the fa c ility lack adequate a creage for land application?
18 . Is there a lac k of pro perl y operating was te application e quipment ?
I
DYes
DYes
~No
~No
~No
2:J No
~No
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
R eviewer/Inspector Name
Reviewer/Inspector Signature:
DNA
DNA
DNA
DNA
DNA
ONE
ONE
ONE
ONE
ONE
Date of laspection ~
Required Records & Documents
19. Did the facility fai l to have Certificate of Coverage & Permit readil y available?
20. Does the faci lity fail to have aU components of the CAWMP readi ly available? If yes, check
the appropirate box. 0 WUP 0 Ch ld . 0 D · 0 M 0 Oth ec 1sts es1gn aps er
D Yes ~No D NA O NE
D Yes ~No D NA ONE
21. Does record keeping need improvement? If yes, check the appropria te box bel ow. 0 Yes ~N o 0 NA D NE
0 Waste Application D Weekly Freeboard 0 Waste Analysis D Soil Anal ysis D Waste Tran sfer s 0 Annual Certification
D Rainfall D Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and l" Rain Inspections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge? D Yes ~No DNA O NE
23 . If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? D Yes 0No ~NA O NE
24 . Did the facility fail to calibrate waste application equipment as required by the permit? D Yes 1i!No D NA O NE
25. Did the facility fai l to conduct a s ludge survey as required by the permit? D Yes ~No D NA O NE
26. Did th e faci li ty fai l to have an actively certified operator in charge? D Yes ~0 D NA O NE
27. Did the facility fail to secure a phosphoru s Jos s assessment (PLAT) certification? D Yes 0 No 'iJ,NA ONE
Other Issues
28. Were any additional problems noted which cause non-compliance of the pennit or CA WMP? DYes !Xt No DNA O NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document D Yes ~No DNA O NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? D Yes ~No DNA O NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by D Yes ~0 DNA O NE
General Permit? (ie/ discharge, freeboard problems , over application) ~0 32. Did Re viewer/Inspector fail to discuss review/inspection with an on-site representative? D Yes DNA O NE
33. Does facility re quire a follow-up visit by same agency? D Yes ~0 D NA O N E
Additional Comments and/or D.-awings:
......
1-
r-....
11128/04
Facility No~:>-le\..{l Time In ____ Time Out _____ Rate
Farm Wanie ~ 3 1 Integrator _ _ill...L..:,.--=-:--:--=b,.... ______ _
Owner ~b.;> U ~C SiteRep_~6\...!....-l~~~~&~=....::-:.....:;::-=--'----
Operator W :0\f i ~ ~ l..> f..£ er-.... No. --~--'--'"'lo~o __ ]~lp-:--:::---
Back-up ___ ---.:.'N\~---=~=...:....:~·~......;.~c.__~--No. __ Cj~~~S..__9_._S~2......__
COC ~ Circle: . ~)or NPDES
Desiqn Current Design Current
Wean-Feed Farrow-Feed
Wean-Finish Farrow-Finish
Feerl ..-· ·
~ Gilts I Boars
t' ....f'arrow-Wean ) "'Z.<PD ~10 1 Others
FREEBOARD: Design / tf
Observed ___ j_:;L ____ _
Sludge Survey \/" S (. "3
Catibration/GPM -----'-'----
Crop Yield ____ "'I ;A-"'
\
:"\ llJH1 ~\ 't,\.
Rain Gauge____ \"\0. 0 1 ~-c,-
Soil Test -----Wettable Acres ___ _
Waste Transfers ____ _
Rain Breaker---
PLAT _____ _
Weekly Freeboard ~ Daily Rainfall ~ 1-in Inspections _....__.---___ _
Spray/Freeboard Drop ---~~:::.....3o~------------------
Weather Codes __ _ 120 min Inspections __ _
Waste Analysis:
Date Nitrogen (N) Date Nitrogen (N)
l .) '-!: 11/~o
Pull/Field Soil Crop Pan _L Window
\)fi.\_M\ lc ( ' l~ ~/I'S-~/~o
T u \_,..) NY_ 'Se...-c._,,.
~ lu'J..
11\. ,....
w~ <.._ (q
\J ~ q~
.s l t '"L
1\. r .. ,r\[ c ( '-t~
~'-' (J-) l u-'-1
-~ 70,)
' j
(Facility Number'·!. ·s~_·H ~Cj_J II e Division of Water Quality
0 Division of Soil and Water Consen·ation ·-·--....
. 0 Other Agency
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
Date of Vjsit: I "'f6 JOt] I Arrival Time: I 08! 304e-. I
Farm Name:
1 'f:ari'"V\. 3'l3Jj
Departure Time: I tft.'?LJQ./1.-f I County: Region :
Owner Email: ---------------------------
Own er Name: fY\w.rp~ Phone:
MailingAddress: -------------------------------------------------------------------------------
Physica l A ddress: ----~----------------------------------------------------------------------_frl_;.:...~.:::......;~~~I'V\O~V=------------Title : -------------Facility Contact: Phone No : ________________ _
Onsite Representative : -----------------------------------Integrator: Mw-pfry
Certified Operator:-------------------------------------Operator Certification Number: -------------
Back-up Operator: -------------------------------------Back-up Certification Number:
Location of Farm: Latitude: D OD'D" Longitude: D OD'D "
Design Current De si gn Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
ID Wean to Fini s h 10 Layer I I 0 Wean to Feeder
0 Dairy Cow I
' 0 Dairy Calf D No n-L ayer
. 0 Fee der to Fini sh
~Farrow to Wean :).«X) !Cfb1
D Farrow to Feeder
0 Farrow to Finish
. 0Gilts
D Boars ----...
0 Dairy Heife1 : 0 QryCow
0 Non-Dairy i 0 Beef Stocker !
0 BeefFeeder i
0 Beef Brood Cow
i
-----.
Dry Poultry
D Lavers
D Non-Layers I
0 Pullets
D Turkeys
Other D Turkey Poults
0 Other lr:;J '?fher Number of Structures: OJ
Di sc harges & Stream Impacts
1. Is any discharge observed from any part of the operation? D Yes [$1No DNA ONE
D ischarge originated at: 0 Structure D A pplication F ield 0 Other
a. Was the con veyance man-made? DYes 0No ~NA ONE
b. Did the disc harge reach waters of the State? (If yes, notify DW Q) DYes 0No Ef)NA ONE
c . What is the estimated vo lum e that reached waters of the State (gall ons)? I
d . Does discharge bypass the was te manageme nt system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were the re any adverse impacts or potential adverse impacts to the Waters of the Stat e
other than from a discharge?
D Yes 0 No
D Yes ~No
DYes ~No
12128104
~NA O NE
DNA ONE
DNA ONE
Continued
., (FaCiliTy Number: B ~-pt/ 11 Date of Inspection I ilflo1 I
~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
0 Yes 0 No I);] NA 0 NE
Structure 5 Structure 6
Jdentifier: __ ___:l ___________________________________ _
Spillway?:
Desi~'lled Freeboard (in): ----,,.....,..,,...-----------------------------------
Observed Freeboard (in): ¥3{{
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
0 Yes Q!J 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 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)
DYes ~No DNA ONE
0 Yes Q9No 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 Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes liQNo DNA ONE
II. Is there evidence of incorrect application ? If yes , check the appropriate box below. 0 Yes ~No 0 NA 0 NE
0 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 D 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 . Crop type(s) c~n I W~ r S~ btnn.f
13. Soil type(s) Nodi> I J:-1 ~rg""' J Az,coc.k:.
14 . Do the receiving crops differ from those des ignated in the CAWMP? DYes rn No
15 . Does the receiving crop and/or land application site need improvement? 0 Yes [fJ No
16 . Did the facility fail to secure and/or operat e per the irrigation design or wettable acre detennination?O Yes
17. Does the facility lack ade quate acreage for land appl ication?
18 . Is there a lack of properly operating waste application equipment?
DYes
DYe s
~No
Q:!No
!;iJ No
Comments (refer to question #): Explain any YES ans~·ers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary)!
DNA
DNA
DNA
DNA
DNA
-
Reviewer/Inspector Name ~ ~~ V'r'htb ~ Phone: 1_9/f)}/33-JJ()()
Reviewer/Inspector Signature: \£J 'JJA~ ,_ .NVI JA ~1 0 Date: L//5"10'1
ONE
ONE
ONE
ONE
ONE
.....
1-
1-...
; 12128/04 Conttnued
. '
I Facility Number: SJ.--f!/1 I
Required Records & Documents
Date of Inspection llj/-s/o1 r1
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 0 Design 0 Maps 0 Other
DYes ~N o DNA ONE
DYes ~No DNA ONE
21. Does record keeping need improvement? If yes, check the appropriate box below . DYes rja No DNA D NE
0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis D Waste Transfers D Annual Certification
0 Rainfall 0 Stocking 0 Crop Yield D 120 Minute Inspections 0 Monthly and I " Rain In spections 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 ijJNo DNA ONE
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~N o 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 ~No 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 ~No DNA ONE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes 53 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 ~No DNA ONE
General Permit? (ie/ discharge, freeboard problems, over application)
it9-No 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes DNA ONE
33. Does facility require a follow-up visit by same agency? DYes pg.No DNA ONE
Pagel of3 12118104
ompliance Inspection 0 Operation Review 0 Structure Evaluation
Reason for Visit ~utine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 other 0 Denied Access
Date of Visit: I <l/tt:;;/elJ Arrival Timed "()9 I Departure Time: ._I ___ ...JI County.-,::;;""rtf~r--"".i)'),__......._ Region: }:{to
Farm Name: Fo...v VY\. -it~' Owner Email: -------------------------
Owner Name: '\3 Y <S\A)Y) ~ % C.O..._v--=o:.....;l1='"-'Y\.9....-=-"-------Phone:
NiailingAddress: ------------------------------------------------------------------------________ _
Physical Address: -----------------------------------------------------------------------------
Facility Contact: Y\'\ ·, k ~6'(\S Title: ~L=-.:..N--=-...:.M.....:.... _____ _
Onsite Representative: -!-~---l~l:....;k.g:.=....._~C}_m~=-.:...!.:...Y"f\~~OY\:.!....:;:::::S:::....._____________ Integrator: ---=......:..-+..:==-if'C---""*--~~...w;;-=...;....-=:.....;-
Certified operator: _\\t_=--;_.\u~-----..... Q""'"'"' .... tO..:........o__;r()~6Y\S"'-'--=-<-----
Ba~k-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 ~No DNA
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? (If yes, notifY DWQ)
DYes 0NojA
DYes 0No A
c. What is the estimated volume that reached waters of the State (gallons)? -I
d. Does discharge bypass the waste management system? (If yes, notifY DWQ) DYes 0No ~A
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?
DYes ~No DNA
DYes No DNA
ONE
ONE
ONE
ONE
ONE
ONE
Pagel of3 12128104 Continued
I Facility N um&Jer: ~). -Lelf 11 Date of Inspection
~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?:
DYes ~No DNA ONE·
DYes DNo ~A ONE
Structure 5 Structure 6
Designed Freeboard (in): --~!-r"::=1-:1 -r-------------------------------------C"
Observed Freeboard (in):_ .......... _--=~'-----------------------------------
5. Are there any immediate threats to the integrity of any ofthe 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 ~o DNA ONE
If any of questions 4-6 were answered yes, and tbe 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 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
DYes
DYes
0 DNA ONE
0 DNA ONE
DNA ONE
Waste Application
DYes MNo DNA ONE
II. Is there evidence of incorrect application? If yes, check the appropriate box below . 0 Yes ~o DNA D NE
I 0. Are there any required buffers, setbacks , or compliance alternatives that need
maintenance/improvement?
D Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
D PAN 0 PAN > IO% or lO lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Area
12. Cmptype(•) ~n-mo.;,.., :s~, ~
13. Soil type(s) Nov IL \ l/3~ I CJ::..
14. Do the receiving crops differ from those designated in the CA WMP?
15. Does the receiving crop and/or land applicatio n site need improvement?
16. Did the fa ci lity fail to secure and/or operate per the irrigation design or wettable acre determination? DYes
17. Does the facility lack adequate acreage for land ap pli ca ti on?
18 . Is there a lack of properly operating waste application equipment?
Reviewer/Inspector Name
R ev iewer/Inspector Signatu
Page2of3
DNA ONE
DNA ONE
1
Date oflnspectioo ~ I Facility N~mber:SI:>--ftH11
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 appropriate box . D WUP D Checklists 0 Design D Maps D Other
Ovos ~o DNA ONE
0Yes~No DNA ONE
21. Does record keeping need improvement? If yes, check the appropriate box below. DYes .o 0 NA D NE
D Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification
0 Rainfall 0 Stocking D Crop Yield 0 120 Minute Inspections D Monthly and 1" 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 ca use 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 e mergency s ituations as required by
General Permit? (ie/ discharge, freeboard probl e ms, over application)
32. Did Reviewer/Ins pector fail to discuss review/inspection with an on-site representative?
33 . Does facility require a follow-up visit by same agency?
A~diti9.1~1Commenf#:aiulior Drawings:
Page3of3
DYes DNA ONE
DYes DNA ONE
DYes 0 DNA O NE
DYes 0 DNA ONE
DYes DNA ONE
DYes DNA ONE
D Yes ~0 DNA ONE
DYes ')~No DNA ONE
DYes ~0 DNA ONE
0 Yes ""¢No DNA ONE
DYes ~No DNA O NE
DYes ~0 DNA ONE
-·~:···:-... ~. ~~~~-·;~~;':?.~~~~~~
• -
11128104
I
FaCility No~:;}-~41 Time In __ _ Time Out Date _____ _
Fann Name~ I~\\ kv-rn -t-~ Integrator l\1-fL
Site Rep fv\ ..._[M_VVL9Y\S Owner ~Y"\~ ~ CD.vo~
Operator ffi ·, kg ~ JIY\.® S No. q &5 ctGt.K
Back-up ----:::;:'--------~---;1"'--....:;:-----No.--------
COC \L Circle: ~ or NPDES
Design Current Design
Wean-Feed Farrow -Feed
Wean -Finish Farrow-Finish
Feed -Finish Gilts I Boars
d:arrow-We~ ?_GC::C> BIS' Others --·-1£4 l)-? FREEBOARD: Design----'--·+l--!:--'----Observed ------
Sludge Survey Calibration/GPM ---'''------
Crop Yield l/ Waste Transfers ___ _
Rain Gauge '· · D,.... \I Rain Breaker___ /
Soil Test ?7/ ~ PLAT----____, Wettable Acres _--7,'------
Weekly Freeboard Daily Rainfall ~-1-in Inspections J ____ _
Spray/Freeboard Drop !f r ~ j vI'(
Weather Codes __ _
Waste Analysis:
Date
120 min Inspections __ _
Nitrogen (N)
I . I
i.e::>
Date Nitrogen (N)
Current
Pull/Field Soil Crop Pan Window
~
'4~~ -z., ~~ /Vo" -tt, l L CPJvV\ .,_~vo..t"'"' I z.-9 H.u.t -)uiY ., .-;.~ ~~ ~~~ J \.on -').,rl
\C.. 3 if}. l..t~ ~ ~'( V\ -b liD. •• t9 'Nu_v -\-u\4('
'5 ~-(b \l ~~ 11?.. Jvn -~+v
<t:, \ ") v.b ~ 'Au. UJc:.t c~y"""' OJ\£_... t<.f~ yY\Q,_ y --~ '\) l '--'
.I ~~a. 7cYJ Jv" -~u
u
1\ ,..,...,
~
_,\,1.. f 1\.Xlv -t7D l t-.. 0) \8-l.Jc'-Jc-• ( (/-<-/
lA Jrt~ l~.._i.Ao~* Ljlp
()
A I
~U)f!}/!_j W(b~ !lfLJ
I
0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit f!l Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I 'i/.U,/oX Arrival Time: I / ~ f ~ I Departure Time: I 'Z : f 5' I County: S:wer.scz,.._ Region: ~0
Farm Name: F~•gt Owner Email: --------------
Owner Name: B~·~ cR Ga..ro\~.-&., ~-Phone:
Mailing Address: _--:\>...:o:;....,__:&,=.!::.,c_:f=-&...Jos4"--"----------Nc.. 28 'f.>'-<18---
Physical Address:-----------------------------------------
Facility Contact: ______________ Title: -----------PhoneNo: __________ ___
Onsite Representative: __ ....;G=-~"--=~---'C,_A. ..... c1.4-r-----------
M~c.M. e.\ Ao/V''M.O l'\S
Integrator: Mvrtly -Erxn..se
Certified Operator: Operator Certification Number: 98~1'!13
Back-up Operator: ------------------------Back-up Certification Number:
Location of Farm: Latitude: D OD'D" Longitude: 0 °0'0"
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
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? (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?
DYes ~No DNA ONE
DYes 0No KJNA ONE
DYes 0No (&NA ONE
I
DYes 0No ~NA ONE
D Yes ~No DNA ONE
DYes 13No DNA ONE
12/28104 Continued
(Facility Number: 8Z.. -''fT I Date oflnspection I Lf/t 'foit
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 1 Structure 3 Structure4
DYes ~No DNA ONE
DYes 00No DNA ONE
Structure 5 Structure 6
Identifier: ____ A ___ --------------------------------
Spillway?: ~
Designed Freeboard (in): --::.../'f~·-~--------------------------------
Observed Freeboard (in): ___ ;=-j.l...._ __ ----------------------------------
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
0 Yes liJ No 0 NA 0 NE
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
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
0 Yes [iaNo DNA ONE
DYes l}gNo DNA ONE
DYes ~o DNA ONE
D Yes lj4"No D NA D NE
II. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes IE' No 0 NA 0 NE
0 Excessive Ponding D Hydraulic 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~D Evidence of Wind Drift 0 Application Outside of Area
· A-fr-A~ ~-AJr ( '
12. Crop type(s) ~~ , vJ t-un-ll\_ t>\~W )
13. Soil type(s) Noc+c \\c;, ( &f'l., "o) W "3c~ ( 2.8 J 'fo) Ayc.oc-=k. ( ~-o, ~o)
14. Do the receiving crops differ from those designated in the CAWMP? ~Yes .No DNA ONE
15. Does the receiving crop and/or land application site need improvement? D Yes ~No D NA 0 NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre detennination~D Yes ~No 0 NA 0 NE
17 . Does the facility lack adequate acreage for land applit:ation?
18. Is there a lack of properly operating waste application equipment?
DYes SNo DNA ONE
DYes jglNo 0 NA 0 NE
tlf. ~ ~ ~~ ~~ '""" ~re.1d~ :Js;--.,..,...J. (p, &o.)k.•~ \s ~+-tt.c.aordt'~
~ -ft.4_ wuP· P\~ ~eA-.-. ~J.--Y pl~ ~t":. s---c....s pos~=ble...
+a.~~ '""'~ ~~d~'"o--~ ~e..S. ( ~eAJ~ ~l ~ 2> ~l~).
fk ~ ~ ~~ ~·({~ ~ ~~~-wr O>MttfeJ --tk_. CD~
Phone:
Date:
12128/04
(Facility Number: S~ -(,'ff-1 Date of Inspection I 1(./'l.ltJ fo&-
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. 0 WUY 0 ChecklistY" D Desi!Jl' D MapV' D Other
DYes ~No DNA ONE
DYes [&No DNA ONE
21. Does record keeping need improvement? lfyes, check the appropriate box below. 0 Yes ~o 0 NA D NE
D Waste ApplicatioV D Weekly FreeboatK' D Waste AnalysYD Soil Analysii/ D Waste T~nsfers D Annual Certification
0 Rainfall"" 0 Stocking"'""'D Crop Yiel¥0 120 Minute lnspectiotYD Monthly and 1" Rain lnspectionVO Weather Codev-
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 otlice of emergency situations as required by
General Permit? (ie/ di scharge, 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 ?
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes {&No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes l!lNo DNA ONE
DYes lRNo DNA ONE
DYes IKl.No DNA ONE
DYes ~No DNA ONE
.. ·.·.:_:_;_·:r<1-~~~·-r{ .. ~
1:1
12/28104
•. r /
Type of Visit • Compliance Inspection 0 Operation Review 0 lagoon Evaluation
Reason for Visit • Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other 0 Denied Access
II H' • I D:~tc of\"isit: I ~/:Jf/ti'fl Time: I 7 .' .5b
Fadliry :'\umber I 8« H '.1./7 1 - - -...._---------------------J IO 1\ot Oeerational 0 Below Threshold
13-Permitted [J Certified D Conditionally Certified [J Registered Date Last Operated or Above Threshold:
Farm !\ame: 3731 County: So.mps a~
Owner !\arne: ----------------------PboneNo: -------------------
Mailing Address:
Facili~· Contact: ---------------Title:--------------Phone!\o: --------------
Onsite Representative: Int~rator: __,/1?'---'--"'",.L!''-JI'""'J."'"i'Y'---'--.:..:·8:::...._~.=.;w=,.J'------
Certified Operator: _ ___:A:......;......:O=------_.....!.or3o~....;."...;~;...+_-t-..:..... ______ _ Operator Certification Number: .2!:'S70
Location of Farm:
IJ' Swine 0 Poultry 0 Cattle 0 Horse Latitude .._____,1•1 L-_ _.I• 1.__~1-. Longitude c:::::==J•I L-_ __.I· ._I _ __,1 ..
Design Current Design Current Design Current
Swine Capacin· Population Poultry Cal! a cit\· Pol!ulation Cattle Cal!acin· P22ubtion
0 Wean to Feeder BLaver I I I jDDairy I I I ] Feeder to Finish =Non-Laver , :o Non -Dairv :
0 Farrow to \Vean ID Other 0 Farrow to Feeder I I I
0 Farrow to Finish Total Design Capacity I I
0Gilts I I 0Boars Total SSLW
Number of ugooos I l I ID Subsurface Drains Present flO Lagooo Area ID SJ!nll; Field Area I
Holding Ponds I Solid Traps I I D Jlio Liguid Waste Management S\•stem 1-\~---;.0.--... " ..
Discbaroes &_ Stream Impacts
1. Is an y discharge observed from any pan of the operation?
Discharge originated at: 0 Lagoon 0 Spray Field D Other
a. If dis::narge is observed, was the conveyance man-made?
b . If discharge is observed, did it reach Water of the State? (If y es, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? {If yes , notify DWQ)
2. Is there evidenc e of past discharge from any pan of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Tresnneot
4. Is Sto~ge capacity (freeboard plus storm storage) less than adequate? 0 Spillway
Structure I Structure 1 Structure 3 Structure 4 Structure S
Identifier: /
Freeboard (inches):
05103101
-··-.... : .. ..a ....... .
91"
DYes [iNo
DYes 0No
DYes DNo
Nl~
DYes 0No
DYes ~No
DYes [!I No
DYes lXI No
Structure 6
Continued
..
r-1 F_a_ci_1i-~-. N-'u_m_b_e-r:_P_.:J---,-,.,-7--,I Date of Inspection
5. Are there any immediate threats to the integrity of any of the strucrures observed? (ie/ rrees, severe erosion,
seepage, etc.)
6 . Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan?
(If aoy of questions 4-0 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Apelic:ation
10. Are there any buffers that need maintenance/improvement?
II . Is there evidence of over application? D Excessive Ponding D PAN D Hydraulic Overload
12. Croptype So/J<:•A.I~ •. w-4<«+
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 wenable 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?
Reguire<f Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components o f the Certified Animal Waste Management Plan readily available?
(ie/ WUP , checklists, design, maps, etc.)
19 . Does record keeping ne ed improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the rime of design?
21. Did the facility fail to have a activel y certified operator in charge?
22. Fail to notify reg ion al DWQ of emergency situations as required by General Permit?
(ie/ discharge, fr eeboard problems, over application)
23. Did Reviewer/Inspector fai l to discuss review/inspection with on-site representative?
24. Does facility require a follow-up visit by same agency?
25 . Were any a dditional problems noted which cause noncompliance of the Certified AWMP?
DYes ~No
DYes ~No
DYes fl)No
DYes li!No
DYes 00No
DYes l)lJ No
DYes 00No
DYes ll]No
DYes (i]No
DYes f!INo
DYes [II No
DYes [JJNo
DYes [XJNo
DYes li}No
DYes ~No
DYes ~No
DYes [j!No
DYes !fiNo
DYes Iii No
DYes [iJ No
DYes ~No
DYes [IJNo
lC No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Reviewer/Inspector Name
Reviewer/Inspector Signature:
05/03101
Date: C /.1 '( /" Y
Continued
0 Operation Review
0 Follow up 0 Emergency Notificatio n 00ther 0 Denied Access
'iZ::H Gq) I Dati! or Visit:
C Certified [] Conditionally Certified []Registered Date Last Operated or Above Threshold :
!<arm Name: 3131 County:---------------
Owner Name: ----------------------Phone No:
Mailing Address:
Facility Contact: ______________ Title: -----------PboneNo: ---------
Onsite Rcpresentatiye: Integ r a tor:---------------
Certified Operator: __ ...:.fZ-_o.::.·-_.;;:;.~_r_:-'f_._ ________ _ Operator Certification Number:
Location of Farm:
0 Swine 0 Poultry 0 Cattle 0 Horse L atitude L---...JI• ._1_---JI• 1~... _ __.1 " Longit ude L--___.1• ._I _ ..... 1·1 .__ _...JI"
Design Current Design Current De sign Current
Swine Capacitv Population Poultry Capacitv Population Cattle Cal!acitv Pol!ulation
D Wean to Feeder 10 Layer I I I. ID Dairy I ·I J 0 Feeder to Finish 10 Non -Laver I I I D~on-Dairy
D Farrow to Wean I . . .. --. --···--·-·
0 Farrow to Feeder
I IDother I I I
' .. ·-·-I I; 0 Farrow to Finish Total Design Capacity
0Gilts I li 0Boars Total SSLW -.. -····--··--. -
Number of Lagoons I I I I ID Subsurface Drai_ns Present ~p _Lagoon Area_ .. ID SJ!r•l: Field Area I! ---I
Holding Ponds I Solid Traps IO No Liguid Waste Management s,·stem -..
Discharges & Stream lmoacts
I. Is any discharge observed from any part of the operation?
Discharge originated at : D La~oon D Spray Field 0 Other
a. If discharge is obse rved , was the conYeyancc man-mad e?
b . lf discharge is obse rved, did it reach Water o f the State? (If yes, notify DWQ )
c. lf discharge is observed. what is the estimated flow in gallmin ?
d . Docs di scharge bypass a lagoon sys tem? (If yes , notify DWQ)
2. I~ 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 Stat e other than from a discharge?
Waste Collectjoo §r Treatment
4. Is storage capacity (freeboard pl us storm stora ge) less than adequ ate?
ldenti fier:
Freeboard (inches):
05103101
Structure l Stru cture 2 Stru cture 3
D Spill wa y
Struct ure 4 Structure 5
D Yes ~
D Yes ~ D Yes
/
DYes ~ DYes ~· D Yes
DYes
Structure 6
Continued
..
[Facility Number: ~? -6y'] I Date of Inspection ltl/f0e31
5. Arc there any immediate threats to the integrity of any of the structures observed? (ief trees, severe erosion.
seepage, etc.)
6. Arc there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stucturcs lack adequate, gauged markers with required maximum and minimum liquid level
elt;vation markings?
Waste Application
I 0. Arc there any buffers that need maintenance/improvement?
II. Is there evidence of over application? D Excessive Ponding DPAN 0 Hydraulic Overload
12. Crop type (___
13. Do the receiving crops di ted in the Certified Animal Waste Management Plan (CA WM P)?
14. a) Does the facility lack adequate acreage for land application?
b) Docs the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fa il to h av e Ce rtificate of C overage & G en eral Permit or othe r Permit readily available?
18. Docs the facility fa il to hav e all co mponents of the C erti fi e d Animal Wa ste Management Pl a n r eadily availa ble?
(ie/ WUP, checklists. design. m ap s, etc.)
19. Docs rec ord k eeping need improve ment ? (ie/ i rrigati on, freeboard , waste analysis & soil sample reports )
20. Is fa c ility not in complianc e with a ny a ppl icabl e setback c rite ria in effect at the time of desi gn ?
21 . Di d the fa c ility fail to have a activ ely certified opera tor in c harg e ?
2 2. Fail to notify re gional DWQ o f eme rgenc y situatio ns as required by Genera l Permi t?
(i c/ d ischarge. freeb oard problem s. over application)
2 3. Did Reviewer/Ins pector fail to di sc uss re vi e w /ins p ec tion with o n-s ite representa ti ve?
24. Does facility require a fo llow-up visit by same a genc y ?
25. Were a ny additional problems noted whi ch cause n onco m p liance of the Certified AWMP?
DYes -~-
DYes ~~-
DYes ~ DYes ~ DYes
DYes
~r
DYes ~
DYes ~-
DYes 0
DYes 0No
DYes 0No
DYes z DYes
DYes ::.: DYes
~ ~
~ DYes
DYes ~
DYes ~ DYes w DYes
DYes
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Reviewer/Inspector Name
Reviewer/I n spector Signature:
05103101
Date:
Conti nued