820658_INSPECTIONS_20171231

NORTH CAROLINA
Oeparbnent of Environmental Quality
Technical Assistance
Reason for Visit: 0 Other 0 Denied Access
Date of Vi sit: j.r ~u ~ 19 Arrival Time: I :( f 1& Pt Departure Time: I <fl3 0 fJ I County: S' .1-nf8; (I) Region : /:; Zf)
FarmName: t11.a"'c(..<...5 ()()'.fl\./"(.fs --#-2-,-e...rNf OwoerEmail:
Owner Name: Sou:fh e...-vt_ H .C rl'v c::.. 5 f (_ ~ Phone:
Mailing Address:
Physical Address:
Facility Conta ct: {t_r._~t~ \S 4-~wc~t( Title:
Onsite Representative : I I
Cert ified Operator: -~<J.I~-.2~h..;...Ln.~...-~M.~-D~-=~=Vl..u..i t!;::;..;;{..::;f _______ _
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
1. Is any discharge observed fro m any part of th e op eration?
Discharge ori ginated at: D Structure D Appli cati on Fi eld
a . Was t he conveyance man-made?
D Other:
b . Did th e d ischarge re ach waters of th e State ? (If y es , noti fy DWR)
c . What is the estimated vo lume that reached waters o f the State (ga llons)?
Phone:
Integrator: J!ft /]-f
Certification Number: / 'f 0 7(
Certification Number:
Longitude:
D Yes ~DNA ONE
D Yes 0No [J.-N1\ 0 NE
D Yes 0 No ~ONE
d . Does the di scharge bypass the wa ste management syste m? (If ye s, notify DWR) D Yes 0No ~ONE
2. Is there evidence of a past discharge fr om any part o f the ope ra tion?
3. Were the re any observable adverse impac ts or potenti al a dverse impacts to the waters
of the State other th a n from a disc harge?
Poge ·l o/3
DYes
DYes
~DNA ONE
~DNA ONE
21411015 Continued
I Facility _Number: I nate of Inspection: S' J" Ut'Q~J~
WasttiCollection & Treatment
4. ~storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: A
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): .-·'J--b
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?
D Yes ~N A O N E
D Yes 0 N o ~NE
Structure 5 Structure 6
0 Yes ~ 0 NA 0 N E
DYes ~DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or e nvironmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
8. Do any of the stmctures 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. Arc there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
0 Yes
0 Yes
0 Yes
DYes
~ D NA O NE
~-D NA O N E
B1fo D NA ONE
~ D NA O N E
II. Is there evidence of incorrect land application? Ifyes, check the appropriate box below. 0 Yes ~ 0 NA D NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metal s (Cu, Zn, etc .)
0 PAN 0 PAN> 10% or 10 lbs. 0 Total Phosphorus 0 F ailure to Incorporate Manure/Sludge into Bare So il
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Applic ation Outsi de of Approve d Area
12. Crop Type(s): \3 eJ'vVI v.-A. ,J{ Ly <S'G 0
13. Soil Type(s): !1-vivytJ d (C..
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 fail to have the Certificate ofCoverage & Permit readily available?
20. Does the facility tail to have all components of theCA WMP readily available? If yes, c hec k
the appropriate box.
OwuP Dchecklists 0 Design 0 Maps 0 Lease Agreement s
21. Docs record keeping need improvement? If yes. check the appropriate box below.
0 Yes [3"No D NA O N E
0 Yes ~D N A O NE
0 Yes ~D N A O NE
0 Yes ~D N A ONE
0 Yes ErNo D NA ONE
0 Yes ~ D NA ONE
0 Yes ~ DNA ONE
O o ther:
0 Yes a;;o DNA ONE
0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Tran sfers D Weather Code
0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Ra in fall I ns pecti ons 0 S ludge Surv ey
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility tail to install and maintain rain breakers on irrigation equipment?
Page 1 of3
0 Yes [L3-'No
DY es ~
DNA ONE
D NA ONE
214/2015 Continued
!Facility ~umber: e:z -b 5" ff I Date of Inspection: ~ ..JIJW E / 8
24, 0~ the facility fail to calibrate waste application equipment as required by the permit?
~
25. Is the faci lity out of compliance with permit conditions related to s ludge? If yes, check
the a ppropriate box(es) below.
D Yes ~ 0 NA 0 NE
DYes ~DNA ONE
0 Failure to complete annual sludge survey 0 Failure to develop a POA for sludge levels
D Non-compliant sludge levels in any lagoon
Li st 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 nonnal?
29. At the time o f th e inspection did the facility pose an odor or air quality concern?
If yes, contact a re gional 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 sub surface 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 orCA WMP?
33. Did the Rev iewer/Inspector fail to discuss review/inspection with an on-site representative?
34. Does the facility require a follow-up visit by the same agency?
C. a_ (,•(, ('D...+, 0 "\.--r-;L3-Ib s u . '-; .(! 3'-rf' v-;
F-() (J 7c
l• ~ ].~ ?l-3 1{ 5 i~
Z\3 ),.7 f.-t1 ttl 'io
31 c, ~, ~ t{3 3D 7o
Reviewer/Inspector Name:
. -. J~ Reviewer/lnspector Signature:
Page 3 of3
DYes ~DNA ONE
DYes ~DNA ONE
0 Yes ~DNA ONE
DYes ~DNA ONE
DYes ~ DNA ONE
DYes ~DNA ONE
DYes [3'No DNA ONE
DYes ~ DNA ONE
DYes ~ DNA ONE
PhomfUo-t/33---33 3(
Date: S',Jte-o.Vt/ f ~
214/20 15
ompliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: erRoutine 0 Complaint 0 FoUow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 1.9ff~ 11 Arrival Time: I J r JD F I Departure Time: IJ"; ic) f I County: sfi,t( Region:FfD
Farm Name: .111,~ 0 ~t.c.._,( -~2-. Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: ~5 /3ezv-t:Vt~ Title: Phone:
Onsite Representative: Integrator: 11{(1-S
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation? DYes ~DNA ONE
Discharge originated at: D Structure 0 Application Field D Other:
a. Was the conveyance man-made? DYes DNo ~A ONE
b. Did the discharge reach waters of the State? (If yes, notifY DWR) 0 Yes DNo ~ ONE
c. What is the estimated volume that reached waters ofthe State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notifY DWR) 0 Yes 0No 0'NA ONE
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page 1 of3
0 Yes [dNo
0 Yes IZfNo
DNA ONE
DNA ONE
11412015 Continued
I facility Number: &-loate oflnspection: 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 I Structure 2 Structure 3 Structure 4
ldentitier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): sr
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 ~DNA ONE
D Yes D No @'NA 0 NE
Structure 5 Structure 6
D Yes ffNo DNA 0 NE
DYes ~o DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate pu~lic health or environmental threat, notify DWR
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
l 0. Are there any required buffers , setbacks, or compliance alternatives that need
maintenance or improvement?
DYes ~o
0 Yes @No
0 Yes [2f'"No
DYes c:)No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
II. Is there evidence of incorrect land application? Ifyes , check the appropriate box below. 0 Yes [Lt"No 0 NA D NE
0 Excessive Ponding 0 Hydraulic Overload D Frozen Ground D Heavy Metal s (Cu, Zn, etc.)
0 PAN D PAN > 10% or 10 lbs. D Total Phosphorus D Failure to Incorpora te Ma nu re /S ludge into Bare Soil
0 Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
Page2of3
0 Yes
0 Yes
0 Yes
DYes
DYes
DYes
0 Yes
00the r:
DYes
[3'No DNA ONE
(:1No DNA ONE
[2t"No DNA ONE
~0 DNA ONE
[2f'"No DNA O NE
~~0 ~0
DNA ONE
DNA ONE
~No
214/2015 Continued
[Fhdlity Number: !Date of Inspection: ~ 1!{ 17
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.
0 Yes 0'No 0 NA 0 NE
0 Yes [3No 0 NA 0 NE
D Failure to complete annual sludge survey 0 Failure to develop a POA for sludge levels
D Non-compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
pennit? (i.e., discharge, freeboard problems, over-application)
31. Do subsurface tile drains exist at the facility? Ifyes, check the appropriate box below.
0 Application Field 0 Lagoon/Storage Pond 0 Other:
32. Were any additional problems noted which cause non-compliance ofthe 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?
r-~3-'~ t? p
t .,.._-?J-Ib Q.\. J. ( 3 ,l(
b ~-~ :A·~
t-I 3 ,( l(, b
Reviewer/Inspector Name:
Reviewer/! nspector Signature:
Page3of3
DYes [2r'No DNA ONE
DYes @No DNA ONE
DYes B"No DNA ONE
DYes ~0 DNA ONE
0 Yes ELrNo DNA ONE
'
DYes c:{No DNA ONE
DYes ~0 DNA ONE
DYes ~0 DNA ONE
DYes LlNo DNA ONE
'f6"/
Phoneft(tJ .. '{f3'-J>J' 3 t
nate t~n
214. 15
Date of Visit: lllOJ !tlo:~ Arrival Time: I "'1Wrf' I Departure Time: I ~It$ 5 County: Region:
Farm Name: (f{~ ~<f.~Z Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number: ltotY
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? 0 Yes [31ilo
Discharge originated at: D Structure 0 Application Field 0 Other:
a. Was the conveyance man-made? D Yes 0No
b. Did the discharge reach waters ofthe State? (If yes , notifY DWR) 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 DWR) 0 Yes 0No
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page 1 of3
0 Yes [3-'No
0 Yes [2t'No
DNA ONE
~A ONE
[J}NA ONE
~A ONE
DNA ONE
DNA ONE
21411015 Continued
I Facility Number: I Date of Inspection: 2J 3./.,t/44.-/~
Waste~ollection & Treatment
~.Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure l Structure2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a
waste management or closure plan?
DYes ~DNA ONE
DYes 0No ~ ONE
StructureS Structure 6
DYes ~o DNA ONE
DYes ~o D NA ONE
If any of qu~tions 4-6 were answered yes, and the situation pos~ an immediate public bealtb or environmental threat. notify DWR
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures Jack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
D Yes [l('No
D Yes ~o
DNA ONE
DNA ONE
DYes ~o DNA ONE
DYes ~o DNA ONE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes c('No 0 NA 0 NE
0 Excessive Ponding D Hydraulic Overload D Frozen Ground D 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 Aoooptable Crop W~ 0 Evidence of Wind Drift 0 Applkalion Outside of Approved Am
12.CropType(s): ~e..r~ c5G~
13. Soil Type(s): &+~ .v~ll<
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of3
DYes ~0 DNA ONE
D Yes ['LfNo DNA ONE
D Yes [?No DNA ONE
DYes c(No DNA ONE
D Yes ~0 DNA ONE
D Yes GrNo DNA ONE
DYes [2(No O ~A ONE
00ther:
3No DYes
D Yes [d1'l"o 0 NA 0 NE
2/4/1014 Continued
!Facility Number: I Date of Inspection:
24 . D_id"the facility fail to calibrate waste application equipment as required by the pennit?
2e. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
D Yes rp1No
DYes ~o
DNA ONE
DNA ONE
0 Failure to complete annual sludge survey D Failure to develop a POA for sludge levels
0 Non-compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28 . Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than nonnal?
29. At the time of the ins pection 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 '[g'No DNA ONE
DYes ~0 DNA ONE
DYes ~ DNA ONE
DYes ~0 DNA ONE
DYes ~0 DNA ONE
DYes ~0 DNA ONE 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
0 Application Field 0 Lagoon/Storage Pond D Other: ------------------------~ 32. Were any additional problems noted which cause non-compliance of the pennit orCA WMP?
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?
~{l)~+r~-1 -~-13-1~
S(f~ --to-r-ts
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page3 of3
DYes DNA ONE
DYes ~ DNA ONE
DYes ~ DNA ONE
~,ny,otll,~r: .. ~.o ..
p
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Phone: ~ ~3 -3~ t{
Date : ~\..:i"W4V I b
11411011
..
4 March 2015
Report on inspection and complaint investigation of Marcus Daniels Farm 82-0658 with regard
to odor and pumping in the rain. This farm is situated in the Snow Hill Community, east of
Roseboro.
After contacting Curtis Barwick, who keeps records for the farm, I made an appointment and
arrived at 1:00PM. Weather was clear and breezy, temperature in the high 50s or low 60s. After
meeting for a few moments with Curtis and Marcus, I made a circuit of the field. At no point did
I find any evidence of excessive ponding or nutrients leaving the field . The field is very flat and
is an Autryville soil, having a high hydraulic loading capability. I noted the presence of a rain
gage , but it was empty or nearly so . There were no fresh tracks around it. I noted that the·
irrigation pump had a rain brake installed. Marcus commented, and Curtis confirmed that this
was the first pumping event since Marcus bought th.e farm in 2011. The farm was a former
Caroll 's farrowing operation and Marcus had tom down those buildings and rebuilt as a feeder to
finisher farm . Marcus did say that he had briefly left the farm while pumping, but there had
never been sufficient rainfall to cut the pump off via the rain brake. It had been misting early in
the day, and a few squalls did pass over.
As far as odor is concerned, the hog houses are situated against the Sampson County land fill and
the odor of the dump was stronger than the farm and recent pumping despite the presence of over
5000 hogs.
I completed a regular inspection and found all records to be in order. The lagoons w ere high, but
not in the "Red." Pumping will resume as weather permits. A winte r cover had been planted but
recent snow, ice and freezing weather appears to have killed it.
A manual records search revealed some record k eeping violations in the late 1990s when this
farm was owned by Carrol's . None more recent than that.
Sincerely,
~'vfJ \JwJ),p
Bill Dunlap
•
ompUance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: &1routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I~IJ; J5 l Arrival Time: 1/ lw ~ f Departure Time:~ ~J\) f l County:SA Y\1 Regionf=l-ci)
Farm Name: Ott~ D Cc.M\.i rf..s ;f,. Z. Owner Email:
Owner Name: Pl6oi'Ctls (Jt:h'-; e('5 Phone:
Mailing Address:
Physical Address: -----------------------------------------
Facility Contact: _C: __ .;..,;..;....._j{._'-;,.Jji~-8""""'~(1rA£Jo:...:-.""'("'~'t---Title: ----------Phone:
Onsite Representative: l{
Certified Operator: lf/.cr"CC? .i)a ..c../i
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I. Is any discharge observed fro m any part of the operation?
D isch arge orig inated at: 0 Structure 0 Applic ation Field
a. W as the conveyance man-made?
0 Other:
b . D id the disc harge reac h w a ters of the State? (If yes, n otify D WR)
c . What is the estimate d vol ume that reached waters of the State (gallons)?
Integrator: __ J'U_cS _________ _
Certification Number: /~o7f
Certification Number:
Longitude:
D Yes ~D NA O NE
D Yes 0No (J;}NA O NE
D Ye s 0 No (9-NA O NE
d. Does the d isch arge bypass the waste man age ment system? (If yes, notify DWR ) D Yes 0No c:PiA ONE
2. Is there evidence of a past d ischarge fr om an y part of the operatio n?
3. We re th ere any observable a dverse imp acts or potential adverse impac ts to the waters
of the State other than from a discharge?
Page I of3
DYes
D Yes
B'No DNA O NE
ffNo DNA O NE
214/2014 Continued
I Facility Number: I Date of Inspection: ytc{;c.; /} I
Waste Collection & Treatment
4 . Is s torage capacity (s tructural plus stonn storage plus heavy rainfall) less than adequate?
a . If yes, is waste level into the structural freeboard?
Structure! Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ().:o
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 ~DNA O NE
0 Yes 0 No []}MA. D NE
Structure 5 Structure 6
0 Yes [1J..bok> 0 NA 0 NE
DYes ~ DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public bealtb or environmental threat, notify DWR
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 land application? If yes, check the appropriate box below.
DYes ~o DNA ONE
DYes ~o DNA ONE
D Yes ~o DNA ONE
0 Yes [D-No DNA ONE
DYes ~o DNA ONE
0 Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
0 PAN 0 PAN > 100/o or 10 lb s. 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 Outs ide of Approved Area
12 . Crop Typc(s): g~~«
13. SoH Type(<)' '::!:::1 ,.,(f'(
14. Do the receiving crops differ fro~sign a ted 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?
Reguired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
the appropriate box.
owuP Ochecklists 0 Design D Maps 0 Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
0 Yes ji?'No D NA O NE
0 Yes []}i<fo 0 NA D NE
0 Yes [iJ._l)k) 0 NA 0 NE
0 Yes ~ DNA ONE ~ DYes DNA -O NE
DYes ~ DNA ONE
0 Yes ~ DNA O NE
Oother:
DYes [i]4o DNA ONE
D Waste Application 0 Weekly Freeboard 0 Waste Analysis D Soil Analys is 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?
@If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page1of3
DYes a(~ DNA ONE
0 Yes cJNo 0 NA D NE
11411014 Continued
I Facility Number: I nate of Inspedion: IJ ~ /5 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
DNA ONE
DNA ONE
D Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels
D Non-compliant sludge levels in any lagoon
List structure(s) and date offrrst survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notifY the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over-application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
0 Application Field 0 Lagoon/Storage Pond 0 Other:
DYes-~ DNA ONE
DYes ~ DNA ONE
DYes ~DNA ONE
DYes ~ 0NA ONE
DYes~ DNA ONE
DYes~ DNA ONE
------------------------
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP?
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?
~~~~ '1-d---1-ltf
4-b -3.o, P-~.5
B D f-~1 3
c
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page3of3
0 Yes [3"No 0 NA 0 NE
DYes [21"No 0 NA 0 NE
DYes ~o DNA ONE
Phone: i31--33 3f
Date: ----~,..~~~~~\ 5_
214/2011
Date of Visit: Arrival Time:b::=::J Departure Timed ~P{)
~ o~<-)j --tfz rio'\.. OwnerEmail:
I County:
Farm Name:
Owner Name: ~ ~~ OttJ~~ Phone:
Mailing Address:
Physical Address: -------------------:=------------------------
Facility Contact: w) -~ Title:~/~~
Onsite Representative: l { ----------------------
Certified Operator: 5[~ Ott~d!
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
l. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Structure 0 Application Field
a. Was the conveyance man-made?
0 Other:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is th e estimated volume that reached waters of the State (gallons)?
Phone:
Integrator: _,0{4....-c:B~------------
Certification Number: '?o 7tf
Certification Number:
Longitude:
DYes ~DNA ONE
0 Yes 0No [901Ci( 0 NE
0 Yes 0No Lj'NA ONE
/
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No ONA ONE
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 th e State other than from a di scharge?
Page I of3
DYes
DYes
~0 DNA ONE
~0 DNA ONE
1/412011 Continued
!Facility Number: !Date of Inspection:
Waste CoUection & 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?
Structure l Structure 2 Structure3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 33
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 ~DNA ONE
DYes 0No ~ONE
Structure 5 Structure 6
DYes ~0 DNA ONE
D Yes I1J No D 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 structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
DYes [i('No
DYes ~o
DNA ONE
DNA ONE
9. Does any part ofthe waste management system other than the waste structures require
maintenance or improvement?
DYes ~o DNA ONE
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes
[kf'No
~ ~0
0 Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.)
DNA ONE
DNA ONE
0 PAN D PAN> 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window Evidence of Wind Drift D Application Outside of Approved Area
12. Crop Type(s): S{go
13. Soil Type(s):
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 detennination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
the appropriate box.
OwuP Ochecklists
DYes ~ DNA
DYes ~0 DNA
DYes 4J.-Mo DNA
DYes G4 DNA
DYes ~ DNA
DYes ~ DNA
DYes ~0 DNA
ONE
ONE
ONE
ONE
ONE
ONE
ONE
0Design 0 Maps 0 Lease Agreements DOther: c
21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~o DNA D NE
0 Waste Application D Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers D Weather Code
D Rainfall D Stocking 0 Crop Yield D 120 Minute Inspections 0 Monthly and 1" Rainfalllnspectio_J D Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? D Yes [2J ~ D NA D NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? D Yes {3'No DNA D NE
Page2of3 21412011 Continued
IFad~~tyNumber: ~b. -b•SJ' I !Date oflnspectioo:$ /Jftl/t
24, D1d the facility fail to calibrate waste application equipment as required by the pennit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
0 Yes
DYes
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 offiiSt survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? DYes
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? DYes
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document DYes
and report mortality rates that were higher than nonnal?
29. At the time of the inspection did the facility pose an odor or air quality concern? DYes
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 DYes
pennit? (i.e., discharge, freeboard problems, over-application)
3 I. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. DYes
0 Application Field 0 Lagoon/Storage Pond 0 Other: ------------------------
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 0 Yes
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 0 Yes
34. Does the facility require a follow-up visit by the same agency? DYes
~0NA
~ DNA
~ DNA
~0 DNA
!
~0 DNA
~0 DNA
~No DNA
lpNo DNA
!!::rNo DNA
dations or any
~o !&Js ~ yewr
5{4..{_ ~ I{-{ f _/1 i--o lJ
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page3of3
-1-t>cp~
l ~ i
(f ~ ?-c r ?-J". ?-R r-]r (, Q,3 if,,
/rr
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ompliance Inspection Operation Review 0 Structure Evaluation
Re ason for Visit: ~outine 0 Complaint 0 Follow-up 0 Refe rral 0 Emergency
Date of Visit: I '-/ };;7.fJ 2d Arrival Time: I j '· ~ 0 P"'l Departure Time: I ~! &> {2t!l I County:"'l \Mps-=.N
I '
Farm Name: f'4\ {:\{\£ V>'> {\ Af\l.t>\.'> ~Cit £o.R!1 Owner Email:
Owner Name: ~obN !Y\i?\RC \-)!) Qp,l"\~f b Phone:
Mailing Address:
Region: £1!0
Physical Ad dress: -------------------------------------------
Facility Contact: C.. uR.\:s.~(\{\. 4 , 10 K Title:----------Pbone :
Onsite Representative: _....;~=.,JC?\=...~o..:....>o..Jf:......_ _____________ _ Integrator: --------------
Certified Operator: ~C>bN fi\~RC.v~ '0~1\.n.eJ ~ Certification Number:
Back-up Operator: Certification Number:
Location of Fa rm: Latitude: Longitude:
Discharges and Stream Impacts
I . Is a ny di scharge observed from any part of the operation? D Yes (9"'No
Di sc harge originated at : 0 Structure 0 Application Field D Other:
a. Was the conveyance ma n-made? D Yes 0 No
b . Did the discharge reach waters of the State? (If yes, notify DWQ) QYes 0 No
c. What is the es timated volume that reached waters of the State (gall ons)?
d . Does the discharge bypass the waste management system? (If yes, no tify DWQ) 0 Yes 0No
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any obs ervable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page I of3
0 Yes G(No
0 Yes Q(No
DNA ONE
cg'NA ONE
g'NA ONE
(B'NA ONE
DNA ONE
DNA ONE
214120 II Continued
I Facility Number: I nate of Inspection: 4/J., Jl'::l.
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: .}l.:j\
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Aie there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Aie there structures on-site which are not properly addressed and/or managed through a
waste management or closure plan?
DYes [j}NO
DYes DNo
DNA ONE
~A ONE
Structure 5 Structure6
DYes ~No DNA ONE
DYes [g"No 0 NA D NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures neeq 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. Aie there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
0 Yes [Y('No
0 Yes [g"No
DYes ~o
DNA ONE
DNA ONE
DNA ONE
DYes [Q'No 0 NA 0 NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Ye s cgiNo 0 NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu , Z n, etc.)
0 PAN 0 PAN> 10% or 10 lbs. 0 Total Phosphorus 0 Failure to incorporate Manure /Sludge into Bare Soil
D Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area
I2 .CropType(s): e_¢BS1~\ ~t..R!"'qo~ l (.;t>AS$,\lBV
13. Soil Type(s): ~u-\R~ V'I \\£
\
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?
Page 2of3
~.C,.O•
DYes [3"No
DYes ~0
DYes [MN"o
DYes ~0
DYes ~0
DYes gNo
DYes §No
Oother:
DYes [9'No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
214/2011 Continued
I Facility Number: I Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25.ls the facility out of compliance with permit conditions related to sludge? Ifyes, check
the appropriate box(es) below.
DYes
DYes
a2{No
u;{No
DNA ONE
DNA ONE
D Failure to complete annual sludge survey D Failure to develop a POA for sludge level s
D 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 inunediately.
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)
DYes gNo DNA ONE
DYes @'No DNA ONE
DYes 9"No DNA ONE
DYes l#o DNA ONE
DYes ~0 DNA ONE
DYes G('No DNA ONE 31. Do subsurface tile drains exist at the facility? lfyes, check the appropriate box below .
0 Application Field 0 Lagoon/Storage Pond D Other: ------------------------
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP?
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?
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
\ Page3of3
DYes ~0 DNA ONE
DYes [lJ'No DNA ONE
DYes ~0 DNA ONE
or any
.. -\~.:-'
Phone: Ci'J() ·~ 3'i ~ /p ffSI
Date: _4~/-...:a:.:;_':"f"'-1/'-'-1-~.....;...._-­)4/201~
Reason for Visit: 0 Denied Access
Date of Visit: I l( I rP>{u I Arrival Time: I ffi: (02 ...... 1 Departure Time:l~ I County: ~Region: B2lJ
Farm Name: 2. I C01 f Owner Email:
Owner Name: fltl~~~'J ILl(_ Phone:
Mailing Address:
Physical Address: --------------------------------------------------------------------------------------
Facility Contact: A A 'I. -A .. AA ~ c I" 11 ~ ft1\'1 ~ r• ~ ,__;o Title: Phone: --~~~~~~-------------------------------------
Integrator: )1~~W"J, LL(
Certification Number: ----=J:........;...6_0_7_.f:,:,;;..._ ___ _
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: D Structure 0 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 ofthc State (gallons)?
Certification Number:
Longitude:
0 Yes ~No
0 Yes 0No
DYes 0No
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page 1 of3
DYes ~No
DYes ~No
DNA ONE
~NA ONE
~NA ONE
~NA ONE
DNA ONE
DNA ONE
114/1011 Continued
I nate of Inspection: 'lj,ts(q [f~acility ~umber: sa;-l)% 1
Waste Collection & 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?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: A B
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
\XD NA D NE
StructureS Structure6
DYes ~No DNA ONE
DYes pNo 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 pennit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes
DYes
DYes
DYes
~No DNA ONE
~No DNA ONE
OQ No DNA ONE
~No DNA ONE
ILls there evidence of incorrect land application? Ifyes, check the appropriate box below. 0 Yes ~No DNA D NE
0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
D PAN 0 PAN> 10% or 10 lbs. D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Approved Area
12.CropType(s):Cos-lzt_( ~~·s&zt~Cikt,"J 1 _)t\\• £g.',., CNusmJ
13. SoH Type(<)' A~:.t; l{r_ -Az,
14. Do the receiving crop:dier 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 detennination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
0WUP Dchecklists 0 Design D Maps D Lease Agreements
DYes
DYes
DYes
0 Yes
DYes
DYes
DYes
00ther:
~No
~No
~No
~No
~No
~No
l¥J No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~ No DNA D NE
D Waste Application D Weekly Freeboard 0 Waste Analysis 0 Soil Analysis D Waste Transfers 0 Weather Code
D Rainfall 0 Stocking D Crop Yield D 120 Minute Inspections D Monthly and I" Rainfall Inspections D Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? 0 Yes [f1 No 0 NA D NE
23. If selected, did the facility fail to install and maintain rainbreakcrs on irrigation equipment? 0 Yes ~No 0 NA D NE
Page2of3 2/4/2011 Continued
I I lr,cility~umber: e?~ 655 1 I nate onnspectiou: qp8fu
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 ~No DNA ONE
DYes ~No DNA ONE
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 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 di d 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 siruations 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
DYes
DYes
DYes
DYes
DYes
0 Application Field 0 Lagoon/Storage Pond D Other: -----------------------
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP?
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?
S,:.k_ v~s:f-corJ.u.o0 s;{r 2),.
((-e~J f€J~~ ti/tt0/11 t
DYes
f2!] No DNA ONE
~No DNA ONE
~No DNA ONE
Q]No DNA ONE
BNo DNA ONE
'¥J No DNA ONE
DNA ONE
DNA ONE
Reviewer/Inspector Name : Po 6:cf= (V'\a,.,tb fe Phone : 'furlf33-3Jo0
Reviewer/Inspector Signature : -~.:......:~=..~...-... 1'1~-.:::..cufla~:;;..o,<.;"'¥'-'-------------------------­
PageJ of3
Date: ~/tB/11
214/1011
' •
Type of Visit e Compliance Inspection 0 Operation R~view 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
J
Dat•orvn"' I ~~~•riv•t;;m.,~!aJqal D•P'"""nm" lof'a?/"' I County' ?tbt'~ Rog;ono tfio
Farm Name: ~~ 2J~? 1 · Owner Emad: --------------
Owner Name: MU1fhy::f2tew"-t U C . Phone:
Mailing Address: -----------------------------------------
Physical Address: -----"71"'"---------------__________ ___;_ ____ -------..:.(ltt_'...~:~:..::·~~;......L,;:,.._;;....:...!::..:..r?.:..2~----Title: Phone No: --------Facility Contact:
Onsite Representative: __ ":"1"""11_______________ Integrator: rrlwf'ry~lp)W11 J L[c_
wrl/ r'~ 5u ~~(--'D...;.h-L--------Operator Certification Number: ;l."or"fC:,
~~~~.'}.( Back-up Certification Number: q ~'?90
Certified Operator:
Back-up Operator:
Location of Farm: D OD'D" DOD'D" Latitude: Longitude:
Discharges & Stream Impacts
l. 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 DNo I(JNA ONE
b. Did the discharge reach waters of the State? (lfyes, notify DWQ) DYes 0No ~NA ONE
c. What is the estimated volume that reached waters of the State (gallons)? I
d. Does discharge bypass the waste mana~ement system? (If yes, notify DWQ) DYes 0No ~NA ONE
2. Is there evidence of a past discharge from any part of the operation? DYes ~No DNA ONE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State DYes ~No DNA ONE
other than from a discharge?
Page 1 of3 11118/04 Continued
. \I F~cil~~ Number: f32i/)SB I '~ Date of Inspection I t'{r?f= 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 3 Structure 4
DYes ~o DNA ONE
DYes 0No ~A ONE
Structure 5 Structure 6 Structure 1 Strucwre 2
Identifier: ___ -4/y:,;,<... _____ V;;;;.._ ______________________________ _
Spillway?:
Designed Freeboard (in): ----........ -----,=--------------------------------
5 n"' ,-.3 Observed Freeboard (in): __ ..:::_c......t __ --~-<:......--------------------------
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 t?JNo DNA ONE
DYes ~0 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 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
DYes qgNo DNA ONE
DYes ~o DNA ONE
DYes DNA ONE
II. Is there evidence of incorrect application? If yes, check the appropriate box below. D Yes
~No
~No DNA ONE
0 Excessive Ponding D Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
D PAN 0 PAN> 10% or 10 lbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Evidence of Wind Drift D Application Outside of Area
12. Crop type(s) .....1:::~--!..:,~~~~~~'...L:.~~~~:::J~~C2~::g~----------------
13. Soil type(s)
14. iffer from those designated in the CA WMP? DYes lpNo DNA ONE
15. Does the receiving crop and/or land application site need improvement? DYes ~0 DNA ONE
\
16. Did the facility fail to secure and/or operate per the irrigation design or wettable. acre determination ? DYes ~No 0 NA 0 NE
17. Does the facility lack adequate acreage for land application? DYes ~No DNA ONE
18. Is there a lack of properly operating waste application equipment? DYes lpNo DNA ONE
·answers and/or any· I'. ~'~.!O•m,~,i_ldatitDDS or any other comments.·
Reviewer/Inspector Name
Reviewer/( nspector Signature:
Page2of3
exJtlain·'situ:aticms. (use additional
11/28/04 Continued
~. .
I Facility Number: e;?. ""6.S5l
Required Records & Documents
Date of Inspection I ~p 2/Jo I
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of theCA WMP readily availab le? If yes, check
the appropriate box . D WUP 0 Checklists 0 Design D Maps D Other
DYes ~o DNA ONE
DYes ~No DNA ONE
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes ~ No D NA 0 NE
0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification
0 Rainfall 0 Stocking D Crop Yield 0 120 Minute Inspections 0 Monthly and l" 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 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?
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 rate s that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
3 1. Did the fa cility fail to notify the regional offi ce of emergency situations as required by
General Permit? (ie/ discharg e, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss rev iew/in spection with an on-site representative?
33. Does facility require a fo llow-up visit by same agency?
Page3of3
DYes ~No DNA ONE
DYes p!§No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes JilNo DNA ONE
DYes ~No DNA ONE
DYes fa No DNA ONE
DYes ~No DNA ONE
11118104
'i.
I Facility Number 1. ~0) .H ~I e Division of Water Quality
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit e 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 Den ied Access
Date of Visit: ~~~ l3/tf1 I Arrival Timed c;6:£X22-I Departure Time: I Cfj; cf;£, I County:
Farm Name: · .;(( g7 Owner Email: ------------
Owner Name: JVlu.,yp~ -~Wl-1 1-=l.LJ=C ______ _ Phone:
Mailing Address: ----------------------------------------
Physical Address:------------------------------------------'jf1t.......;;..~1 t._~;;;;....#,~'-'---'-~::.!:n-..SL-____ Title: -----------Phone No: ---------FaciUty Contact:
t; J. . a.
Onsite Representative:----------:----------Integrator: /Vl.().,Vplr-LCJ-vrvw VJ, LLC..
Certified Operator: ~) ,' {{, Q fk\ <X.t._.+lo'---'--'"''-'--------Operator Certification Number: ~laO 7 (:,
m:k£ &rnoll! s Back-up Certification Number: 'J~B Back-up Operator:
Location of Farm: Latitude: D OD 'D " Longitude: D OD'D"
Design C urrent Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
D Wean to Feeder
0 Dairy Cow
I
l
D Dairy Calf
ID Wean to Finish I I 10 Layer I I. D Non-Layer
~Feeder to Fini sh t;t'fO D Dairy Heife1 I
D Farrow to Wean
rgJ Farrow to Feeder 1000
D Farrow to Fin ish
0 Gilts
0Boars --.. -·-. --··
D Dry Cow I
D Non -Dairy
I
\
D Beef Stocker
0 Beef Feeder I
0 Beef Brood Cow ---. ---
Dry Poultry
D Layers
D Non-Layers
D Pullets
D Turkeys
Other D Turkey Poults
0 Other !P Other . I Number of Structures: I ~-J
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation? DYes lCJ No DNA O NE
Discharge originated at: D Structure D Application Fie ld D Other
a. Was the conveyance man-made? D Yes 0No l)'INA ONE
b . Did the discharge reach waters of the State? (If yes, notify DWQ) D Yes DNo ~NA ONE
c . What is the estimated vo lume that reached wa ters of the State (gallons )? I
d. Does discharge bypass th e 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 pot enti a l adverse impac ts to th e Waters of the State
other than from a disc harge?
D Yes 0 No
DYes r{;b No
D Yes S)No
12/28/04
feNA ONE
D NA O NE
DNA ONE
Continued
L
!Facility Number: ~-b5£ I Date of Inspection
Waste Collection & Treatment
4. Is storage capacity {structural plus storm storage plus heavy rainf~ll) less than adequate?
a. If yes, is waste level into the structural freeboard?
DYes pgNo DNA ONE
DYes 0No ~NA ONE
Struc!j= 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: __ ___.15:_~--__ ___,;;13'---C-ffilnf~ -lo c_~-------
Spillway?:
Designed Freeboard (in): ---r_,""77'_ ---.....,.~-------------------------ztnn y=-c~
Observed Freeboard (in): ___ Tf.,__;:__ ____ __,.,L2_~"-------------------------------
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 a~e not properly addressed and/or managed
through a waste management or closure plan?
DYes ~o DNA ONE
0 Yes ~No 0 NA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7 . Do any of the structures need maintenance or improvement?
8. Do any of the stuctures lack adequate markers as required by the pennit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
10 . Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes
DYes
DYes
DYes
fNo DNA ONE
~0 DNA ONE
~0 DNA ONE
~No DNA ONE
11 . Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes 12JJNo 0 NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
D PAN 0 PAN > 10% or 10 lbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Area
12. Croptype(s) ~"1~iL~)1 5"M. ~~0~
13 . Soil type(s) ..A:~u~lloe
14 . Do the recei ving crops differ from those designated in the CAWMP? DYes
15 . Does the receiving crop and/or land application site need improvement? DYes
I 6. 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?
DYes
DYes
~No
ffl No
(J9No
~0
~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):
Reviewer/Inspector Name --~~~~.L~~~~..,...------------Phone:
Reviewer/Inspector Signature: Date:
DNA
DNA
DNA
DNA
DNA
ONE
ONE
ONE
ONE
ONE
12/28104 Continued
I Facility Number: S.l. -~ Date of Inspection ~
Required Records & Documents
19 . Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
the appropirate box. 0 WUP 0 Checklists 0 Design 0 Maps D Other
DYes f!]No DNA O NE
DYes ~No DNA ONE
21. Does record keeping need improvement? lfyes, check the appropriate box below. 0 Yes [Kl No DNA D NE
0 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 0 Monthly and 1" Rain In spections 0 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 [BNo DNA ONE
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes IE No DNA ONE
25. Did the facility fail to conduct a sludge survey as required by the permit? DYes GaNo DNA O NE
26. Did the facility fail to have an actively certifi e d opera tor in charge? D Yes 23No 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 or CAWMP? DYes ~No DNA ONE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document D Yes l9No 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? (iel discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes llflNo DNA ONE
33. Does facility require a follow-up visit by same agency? D Yes B!No DNA ONE
Additional Comments and/or Drawings:
.&
f-
f-....
11118/04
""' '\ "'(\ <::' ,.
I·Facility Number I ~~-H tqq<t .II ... Division of Water Quality \)\" y 0 Division of Soil and Water Conservation
0 Other Agency SJJ
Type of Visit 1J Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit $ Routine 0 Complaint 0Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
I
I county~ Region: Ego Date or Visit : 13 1 (1_) d'& I Arrh'al Time: I ~CD I Departure Tim e: I ~ 3o
I .
Farm Name: ---'d~_}._% ___ J-'-------------Owner Email: -------------
Owner Name: _ ...... (Y)--:.....::;..;U:.L,vp~h_.~"+--&~QU.)""'=..a....;O~...;:::L'--L_C.. ___ _ Phone:
Mailing Address: ----------------------------------------
Pbysical Address :~~-----:-----------------------------------
Facility Contact: m \ \.<e ~mons Title: _..:UJ=--=--t'Y\--=-----Phone No :9 IG ~Z3 '" o~J
Onsite Representative: m l kt._, Cl._m ffi~ Integrator: __ Yli __ --8-=::..-----------
Certified Operator: \A}( u t(\ Yl'-sllH6b Operator Certification Number: ::2 (p ()~ l
Back-up Operator: rn I k:e..... r:J®i))'b.) Back-up Certification Number: q jc;;:ztjg
Location of Farm: Latitude: D OD'D" Longitude:
Design Current Design Current Design Current
s~in e Capacity Population Wet Poultry Capacity Population C attle Capacity Population
ID Wean to Finish I I j, 10 L a ~er
_I I I ODa iry Cow
0 Wean to Feeder ~D Non -L aye1 0 Dairy Calf
~eeder to Fini s h JJ.<fO l~(g'$" 0 Dairy He ife1
0 Farrow to We an Dry Poultry 0Dry Co w
~Farrow to Fee der lru~ lito a 0Non-Dairy D L!l}'e rs 0 Farrow to Fini sh 0 Beef Stockel D No n-La yers
!
0Gilts I 0 Beef F ce der D Pullets 0 Bo ars ; 0 Beef Brood Cow I
D Turkeys -· .. --·. I .. -
Other 0 Turkey Poults
!Dother I I r Oother Number of Structures: en · -·-·· ..
Discharges & Stream Impacts
I . Is any discharge observed from any part o f th e operation? DYes ~No DNA ONE
Di sc harge ori gin ated at: 0 Structure 0 Application Fi e ld 0 Othe r
a. Was th e conveyan ce man-made? DYes 0No ~NA ONE
b . Did th e discharge reac h waters o f the Sta te? (ff yes, notifY DWQ) DYes 0No~NA O NE
c. Wh at is the e stimated vo lume that reached wat ers of the State (gallons)? ~ I
d. Does d ischarge bypass th e waste manag ement system? (If yes, notify DWQ )
2 . rs th ere ev idence of a past d ischarge fro m an y part of the operation?
3. Were there an y ad verse impac ts or potenti al adv erse imp acts to th e Waters of th e State
ot her th an from a d isc harge ?
DYes 0No jBNA ONE
DYes ~N o DNA O NE
DYe s ~No DNA O NE
12/28104 Continued
·iFacil~ .. ty Number~·J.. -(g~<g I Date of Inspection
'Waste Collection & Treatment
4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 4
DYes ~No DNA ONE
0 Yes Jl5bNo 0 NA D NE
Structure 5 Structure 6 Structure I St~J~cture 2 ~ructure 3
Identifier: -----JA.....L.--__ ~$ ______ ~='-----------------------
Spillway?:
Desibrned Freeboard (in): --.!.:-/9+.~-__ .~.-1_.9.._ __ ------------------------
Observedfreeboard(in): ___ <;_lo.lg'-----3=--7::.....-_-------------------------
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe eros ion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed
through a waste management or closure plan?
DYes ~No DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? 0 Yes ~No 0 NA 0 NE
8 . Do any of the stuctures lack adequate marke rs as required by the permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
D Yes !&No 0 NA D NE
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
DYes 0No DNA ONE
11 . Is there evidence of inco rrect application? If yes, check the appropriate box below. 0 Yes ~o 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
D Outside of Acceptable Crop Window 0 E vidence of Wind Drift 0 Application Outside of Area
12. crop type(s ) ----!if:p~M-JJJDw~~""-U~)_.::S::::::m~G~· L!....Y~6/p,S-L-------------
13. Soil type(s) lkh~ '1/ { )J.t
14. Do the receiving crops differ from those designated in the CA WMP?
15 . Does the rece iving crop and/or land application s ite nee d improvement?
DYes
DYes
16. Did the facility fail to se c ure and/or operate per the irrigation design or wettable acre detennination?O Yes
17 . Does the facili ty lack adequate acreage for land application?
18. Is there a lac k of properly operating waste application equipment?
DYes
DYes
~No
,K3No
~No
~No
(ijNo
Comments (refer to question #): Explain any YES answers and/or any recommendations or any otber comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Signature: Date: fY}
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
. ..
l F acili~ Number: 1?-=4QS}J
Required Records & Documents
Dote oflnspection ~
19 . Did the faci lity fai l to have Certifi cate of Coverage & Permit readi ly available?
20. Does the faci lity fail to have all components of theCA WMP readi ly available? If yes, check
the appropirate box. 0 WUP D Checklists 0 Design 0 Maps D Other
D Yes ¢_No D NA ONE
0 Yes OaNo D NA ONE
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes ~o 0 NA 0 NE
0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis D Waste Transfers 0 Annual Certification
D Rainfall 0 Stocking 0 Crop Yield D 120 Minute Inspections D Monthly and I" Ra in Inspections D Weather Code
22 . Did the facility fail to install and maintain a rain gauge?
23. If selected, did the faci lity fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fai l 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 fai l to have an actively certified operator in charge?
27. Did the facility fai l 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 fai l to properly dispose of dead animals within 24 hours and/or do cument
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 s ituations as required by
Genera l Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fai l to discuss review/inspection with an on-site representative?
33. Does facility require a fo llow-up visit by same agency?
Additional C omments and/or Drawings:
DYes ~ JlMA ONE
D Yes ~No DNA ONE
0Ye s ~No DNA ONE
D Yes 'MNo DNA ONE
DYes "SNo DNA ONE
D Yes 0No I):JNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
D Yes ~No DNA ONE
D Yes E]No DNA ONE
D Yes p9No DNA ONE
D Yes ~No D NA ONE
...
1--
1--...
12/28104
Time Out ___ _ &\a~
Integrator ___ ..~.{!J_~.......!..Ll~------
Site Rep fn. Q_lin~~
No. d. ~ Ot \..p
No. Q)_ 9\&~/iq){?
or NPDES
FREEBOARD: Design Sludge Survey ___ ll_;/_6_ <If-a
Calibration /GPM __ _,_ ___ _ ~ed ------"'--1'---=----
Crop Yield ___ _ Waste Transfers ____ _
Rain Gauge ___ _ Rain Break·~"-et',__--...,
Soil Test V" --=-----Wettable Acres ___ _ PLAT _____ _ -
Weekly Freeboard Daily Rainfall 1-in Inspections ____ _
Spray/Freeboard Drop 9-tv ~~~1
Weather Codes 120 min Inspections
Waste Analysis:
? Date Nitrogen {N)
:l; l{d--s "2...~ "S. f ~
ll4'Ct /. '-l 1.~
};}.] (."2...__ '·'
Date Nitrogen (N )
l.o I .'L
/.2.__ 1·9
L·O [. Lf
Pull/Field Soil Crop Pan Window
I r\ \ 1 .,
IUuJ~ v' lt,e \~ t\'1 ~t\_ ~-~ u .... ~
(I ,... \ I
ar--§y _1;\ lf\D ~ (}c_-f FvJ/~~
u
i Division of Water Quality
Facility Number 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 9 Routine 0 Complaint 0 Follow up Q Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit:Arrival Time: O Departure Time: .2-�f rs. County:
Farm Name: �� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Mrk Anmyn_ Title:
M
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to
Wean to
Feeder n
Farrow to
Farrow to
Gilts
Boars
Other
❑ Other
Phone No:
Integrator: A j.✓,I;//
.
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: =0 = = Longitude: mom,
om, M
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑ Non -La et
Dry Poultry
Poults
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑ Dairy Calf
❑ Dairy Aeifet
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Co
Number of Structures:
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. Docs discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes [P No ❑ NA ❑ NE
❑ Yes
❑ No
® NA
❑ NE
❑ Yes
❑ No
® NA
❑ NE
0
09 NA
❑ NE
❑ Yes
❑ No
❑ Yes
Wo
❑ NA
EINE
❑ Yes
M No
LV
❑ NA
❑ NE
12/28/04 Continued

Date of Inspection I fl!fo1 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 I Structure 2 Structure 3 Structure 4
DYes ~No DNA O NE
DYes 0No ~NA ONE
Structure 5 Structure 6
Identifier: __ .~.A_;__· ______ .:::{6:...._ ______________ ------------
Spillway?:
Designed Freeboard (in):-----=--------------------------------
ObservedFreeboard(in): __ .... ~~----'iL·...L?_lf _________________________ _
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-s ite which are not properly addressed and/or managed 0 Yes 1B No 0 NA 0 NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7 . Do any of the structures need maintenance or improvement?
8. Do any of the stuctures Jack adequate markers as required by the permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers , setbacks, or compliance alternatives that need
maintenance/improvement?
DYes 'fSINo DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
11. Is there evidence of incorrec t appli cation? If yes, check the appropriate box below. DYes f;iQNo 0 NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 F rozen 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 C rop Window 0 Evidence of Wind Drift 0 Application Outside of Area
12. Croptype(s) ~~Jq. @~; )"'X>Ll Gyq,~ ~
13. Soil type(s)
14 . Do the receiving crops differ from tho se designated in theCA WMP?
15 . Does the receiving crop and/or land application site need improvement?
DYes
DYes
16. Did the facility fail to secure and/or operate per the irrigation desi!,'ll or wettable acre determination?O Yes
17. Does the facility lack adequate acreage for land application ?
18 . Is there a lack of properly operating waste application e quipment'!
DYes
DYes
r8No
lj:il No
~No
[JJ No
I1!J No
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings offacility to better explain situations. (use additional pages as necessary):
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
Reviewer/Inspector Name ---:-:J-r~~~_,_..l,;;,;~:;;.;..J,.----------------· Phone: ~¥£~~...,;;..;~"""---
Reviewer/Inspector Signature: Date:
12128/04 Continued
•·
1.-F-a-cili-.-ty-N_u_m_b_er-: -Bt----{;j-98----.l Date of Inspection I 'tji./b'7 I
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Pennit readily available?
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
the appropriate box. D WUP D Checklists D Design 0 Maps D Other
DYes ~No DNA ONE
DYes ~No DNA ONE
21. Does record keeping need improvement? If yes, check the appropriate box below. D Yes ~ No D N A D NE
D Waste Application 0 Weekly Freeboard 0 Waste Analysis D Soil Analysis D Waste Transfers D Annual Certification
D Rainfall D Stocking D Crop Yield D 120 Minute Inspections D Monthly and I" Rain Inspections D Weather Code
25. Did the facility fail to conduct a sludge survey as required by the pennit?
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 nonnal?
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 Penn it? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
33. Does facility require a follow-up visit by same agency?
Addition~lComm~mts and/or Drawings:
Page3 of3
DYes ~No
DYes Ji1 No
DYes ~No
DYes ~No
DYes ~No
DNA ONE
DNA ONE
DYes ~No DNA ONE
DYes [ENo DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
11118104
.... -
I-...
D'Ct:•m•:lli~•nt::f! Inspection 0 Operation Review 0 Technical Assistance
Reason for Visit 0 Complaint 0 Follow up 0 Referral 0 Emergency Q Other 0 Denied Access
Date of Visit: ~ Arrival Time: L....J......_;....._+--'
Farm Name: • ~ Cl....i Yn 2._ l ~ 'l Owner Email: --------------
Owner Name: ""'\)"{ v ~1$ B nsWV\ \ Ll e_ Phone:
Mailing Address: -----------------------------------------
Physical Address:-----...,..,....------------------------------------
Facility Contact: "-'\ l ~ Qy;;:\'l"\C:f(\,S Title: LN ~ Phone No: q \ 0 ~~9 {o 0~~
Onsite Representative: ~ l Q Q vY\.~ Integrator: ffiur p~ S .,(}W~
Certified Operator: 'tv\\ k<.. CAvnl'\'JCV\S Operator Certification NUJQ)er;q~ 9q~
Back-up Operator: --------------------Back-up Certification Number:
Location of Farm: Latitude: D OD 'D" Longitude:
Discharges & Stream Impacts
l. Is any discharge observed from any part of the operation? DYe~o DNA
Discharge originated at: D Structure 0 Application Field D Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
DYes DNo~A
DYes 0No A
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)
I ----;h
DYes 0No A
2. Js there evidence of a past discharge from any part ofthe operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
DYe\~" DNA
DYes No DNA
ONE
ONE
ONE
ONE
ONE
ONE
Page I oj3 12128104 Continued
; ., ---~. ' .. .:a--·::..;·
•
Dareorlnspection ~ '(Facility Number: q ~-4$.\ 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 3 Structure 4
DYes ~o DNA ONE
DYes JZNo DNA ONE
Structure 5 Structure6 Structure I ::tructure 2
Identifier: --..... A"--....ll..---_ .... !2.....:: ___________________ --------------
Spillway?:
Designed Freeboard (in): __ 1..,....0-L~....,q;.........,::--___ ! ...... ....,L~ ..... , .... ,~-.,..., -------------------------
Observed Freeboard (in): _......._lt_~tjf-------~L-Z?.L ____ --------------------------
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?
DNA ONE
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 system other than the waste structures require
maintenance or improvement?
Waste Application
DYes ~o DNA ONE
DYes ~o DNA ONE
DYes roo DNA ONE
I 0. Are there any required buffers, setbacks, or compliance alternatives that need D Yes fi-No DNA D NE
maintenance/improvement? F
11. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes ~o DNA D NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
0 PAN 0 PAN> I 0% or I 0 lbs D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Area
12. Cmptype(s) WmlL~ ~ ~~ J Grgj n-l:lwt
13. Soil typo(s) A u*lf' ll.i.
14. Do the receiving crops differ m those designated m the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
l€omme~nts; (r4efe.Jr.'to,rqulestion #): Explain any YES
to better explain situations.
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Page 2 of3
DYes ~o DNA ONE
DYes ~o DNA ONE
DYes~ NoD N~D NE
DYes ~o DNA ONE
DYes ~o DNA ONE
,, ...
I Facility Number: ~'2_-l,p~j
Required Records & Documents
Dale oflnspe<lion ~
19 . Did the facility fail to have Certificate ofCoverage & 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 0 Checklists D Design 0 Maps 0 Other
DYes ~l"o
DYes .,dNo
DNA ONE
DNA ONE
2 I . Does record keeping need improvement? If yes, check the appropriate box below.
0 Waste Application 0 Weekly Freeboard D Waste Analysis D Soil Analysis
DYes _)No DNA ONE
0 Waste Transfers D Annual Certification
D Rainfall 0 Stocking D Crop Yield 0 120 Minute Inspections D Monthly and I" Rain Inspections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and ma intain rain breakers on irrigation equipment?
24. Did the facility fail to calibrate waste appli cation 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 Jo ss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-complianc e 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 high er 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. D id the facility fail to notify the region al office of e mergency situations as required by
General Permit? (ie/ discharge, freeboard problems , over application)
32 . Did Reviewer/In spector fail to discuss revi ew/inspection with an on-site representative?
33 . Does facility require a follow-up visit by sam e agency?
A,ddition_al Comments and/or Ilrawings: .·
Page3 of3
DYes DNA ONE
DYes DNA ONE
DYes DNA ONE
DYes DNA ONE
DYes 0 DNA ONE
DYes
DYes ~o
DYes ~o
DYes ~o
DYes ~o
DYes ~o
DYes ~o
/2128104
DNA ONE
DNA ONE
DNA
DNA
DNA
DNA
DNA
ONE
ONE
ONE
ONE
ONE
....
1-
Facility' N~. ~')__-\...Q~ 1 Time In ___ _ T ime Out Date------
Integrator tJ -6 •Fann Name Q_ \ ~ 1 \ ~ M Cl ~"1
Owner f'Y\)v ~\A ~0->n t LlC
Operator \.-A\<.! ~~
Site Rep M Clm m m.S
No. 9~~qq~
Back-up --""?""'-=-----------=;:------No.--------
7 Circle :~ or NPDES coc
Design Current Design
Wean-Feed ~ow-~ l<JOO
Wr:>~n J=inish Farrow Finish
::Eeed -Finish:l lc'-tO I/7C: Gilts I Boars
Farrow-=Wean Others
REEBOARD: Design ____ _,. Observed
If\ • ~ te~ .. ~
fudge Survey t?V -~ u.~ Calibration/GPM ---'''-----
Crop Yield Z Waste Transfers ___ _
Rain Breaker __ _
PLAT Wettable Acres_..------___ ·_
Weekly Freeboard Daily Rainfall ~ 1-in Inspections--=~;.._ __ _
L--SPfay/Freeboard Drop Cf'f.£, ~ ~ ~ ~
Rain Gauge-:----
Soil Test 11Jo:5 U.~
Current
C/~5"
Weather Codes 120 min Inspections __ _
Ni~Jnti Waste Analysis:
Date Date
4/&
Nitrogen (/'J)
-z-( ll '2 I '2. ~~.0
Pull/Field Soil Cro.J?. Pan Window
r...
Q\1_ Av+v'"'. v; \[e.. ~.AYI vJI;). tt-.10-J ~lS ~r-~--v-~
~--~ ' -~ y
1
~~~.,rY\ ~ fro s~.-~
1 s-=-<::> C-N\_
Type of Visit ft 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 Visit: I '1/$5"1 Arrival Time: I ·'f 1-0Q I Departure Time: I '/ ' ~I County: £~ Sim&. Region:~
Farm Name: ~ Z.l83: Owner Email:------------
OwnerName: /'J.vrp'k'f -~crw-~~=LL=--C:... ____ _ Phone:
0o.c£6u) ~ Mailing Address: PO E;,c 8 SW ~ , Z8~18
Physical Address:---------------------------------------
Facility Contact: _____________ Title:-----------Phone No:---------
Onsite Representative: -----'~=-==T--....;Ga..cc=:s;;i:III!:!,....L.. ______ _
Certified Operator: M ~~e.\.
Integrator: M~~-&~
Operator Certification Number: Cf 8~' 8
Back-up Operator: --------------------Back-up Certification Nu mber:
Location of Farm: Latitude: D OD'D" Longitude: D OD'D"
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: 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 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 an y adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
DYes ~No DNA ONE
DYes D No ~A ONE
DYes D No lKNA O NE
I
DYes 0No ~A ONE
DYes ~0 DNA ONE
DYes l'tNo DNA ONE
12128104 Continued
.{!acility Number: ifi-"~-a j Date of Inspection I o/Z+ /o:st-
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
DYes CJtNo DNA ONE
DYes 0No ~NA ONE
Structure 5 Structure 6
Identifier: ·_~A-~f> A /{IJ·l)'--_''--------------
Spillway?: \A.() V\.0 "'-0
Designed Freeboard (in): _ ___:.,_..;......;... __ _
Observed Freeboard (in):_.......;.;.....;..:;____;____ __
,-l', ,-L1. ~l~
~eso .--5'1
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 ~o DNA ONE
DYes i?3No DNA ONE
If any of questions 4-6 were answered yes, and tbe situation poses an immediate public bealtb or environmental tbreat, notify DWQ
7. Do any of the structures need maintenance or improvement? 0 Yes ~o D NA 0 NE
8. Do any of the stuctures lack adequate markers as required by the permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part ofthe 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 }QNo DNA ONE
DYes l)No DNA ONE
DYes [KNo DNA ONE
II_ Is there evidence of incorrect application? Ifyes, check the appropriate box below. 0 Yes ~o DNA D NE
0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
D PAN 0 PAN> 10% or 10 lbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Area
12 -L L_. "f-~ u , tOO
12. Croptype(s) _ __!~:::::::::!.~!.!~.....JZK!Cf~rl-------""'.5:!.1::f:\/Ys.N~~~~N!~..!...!:·.,...:;__w~~¥------------
l3. Soil type(s) A~,o\le,
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
DYes ~o DNA ONE
DYes _RlNo DNA ONE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre deterrnination'iO Yes r.B-No 0 NA D NE
17. Does the facility lack adequate acreage for land application? DYes 18-No 0 NA D NE
18. Is there a lack of properly operating waste application equipment? 0 Yes ~o DNA D NE
Reviewer/Inspector Name Phone:
Date:
11128104
1 Facility Number: t1 2.. -hSill Date of Inspection I "if'Ut/O!J-
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Pennit readily available?
20. Does the facility fail to have all components ofthe CAWMP readily available? Ifyes, check
the appropirate box. D wu~ D Checklisli" D Desi~ D Ma!Y'O Other
21. Does record keeping need improvement? lfyes, check the appropriate box below.
DYes IX.No DNA ONE
DYes C8-No DNA ONE
DYes ,81No DNA ONE
D Waste ApplicatiovD Weekly Freeboal~Yi] Waste AnalysiVO Soil Analysi,........D Waste Transfers 0 Annual Certificatio~
0 RainfV' 0 Stockiny--0 Crop YieVD 120 Minute lnspectionv{] Monthly and I" Rain Inspection~ Weather Cod~
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 rain breakers on irrigation equipment? DYes ~No DNA ONE
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes lB. No DNA ONE
25. Did the facility fail to conduct a sludge survey as required by the permit? DYes ~No DNA ONE
26. Did the facility fail to have an actively certified operator in charge? DYes IS 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 ofthe permit or CAWMP? DYes ~No DNA ONE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes ~0 DNA ONE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? DYes IE. No DNA ONE
lfyes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by DYes fl:!No DNA ONE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ljNo DNA ONE
33. Does facility require a follow-up visit by same agency? DYes IK!No DNA ONE
.;
12128104
• \
l
Type of Visit • Compl iance Inspection 0 Operation Review ·o Lagoon Evaluation
Reason for Visit • Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other
/
0 Denied Access
facili~· :\umber 1 fro1.. H ?;$ 8' I Oatt' of\"isit: I 'Jli¥@ I Time: I /iJ: /~
L-......:~.::.::...:...:=:..~~~:=~~==~::~--_j· IO ~ot Operati~nal 0 Below Threshold
a'" Permitted C Certified [J Conditionall~· Certified [J R~irtered Date Last Operated or Abo\"e Threshold:
Farm !'\ame: Fe:a,.,...,. -' 0112 7 County: S ~-fH on Fteo
Owner !'arne: -----------------------PboneNo: ------------------
Mailing Address:
Facilit~· Contact: --------------Title: ------------PhoneNo: ------------
Integrator: m ..... pL-'t -~~IIUAJt" Onsite Represenuith·e:
Certified Operator: __ ..;..R~Do..._ _____ __,8..,,.:...;:;..:-t:....+-=--------Operator Certification ~umber: 41 -'S.t'"7D
Location of Farm:
i!]Swine 0 Poultry 0 Cattle 0 Horse Latitude ...__ ___ _,I• ,_I ___ ___.I• ,_I __ _.!" Longitude .______.I• .._I _ _.I· ._I _ _.I;<
Design CIUTent Design Current Design current
Swine Capacitv PopnJation Poultry Capacin· Population Cattle CaJ!acitv Pol!ubtion ,...
Wean to Feeder LOLaver I I I IODairv I I I Iii Feeder to Finish J~b 10 Non-Laver I I I :o Non-Dairv :
Farrow to Wean I
IOOtber I .X Farrow to Feeder lObO> I I
Farro"'· to Finish Total Design Capacity I I 0Gilts I I 0 Boars Total SSLW
Number of Lagoons I I ID Subsurface Drains Present liD Lagoon Area 10 Sen'· Field Area I
Holding Ponds I Solid Traps I I ID J'lio Liguid Waste Management s,•stem
Discbarges & Stream Impact.."
l. Is any dis charge observed from any part of the operation?
Discharge originated at: 0 La2ooo 0 Spray Field 0 Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is obsen.-ed. did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d . Does discharge b)-pass a lagoon sys te m? (If yes , notify DWQ)
2 . Is there evidence of past discharge from any pan of the operation?
j .· :,::~; . .. i .. ,
DYes L!!No
DYes 0No
DYes 0No
NJJ4
DYes 0No
DYes 0No
3. Were there any adverse impacts or potential adverse impactS to the Waters of the State other than from a discharge? DYes ~No
DYes «::No
Waste Collectioo If Treatment
4 . Is storage capacity (freeboard plus storm storage) less than adequate? 0 Svillway
Structure 1 Structure 2 Structure 3 Strucrure 4 Structure 5 Structure 6
Identifier: 1'1 B --=f!l"=----------------------------
Freeboard (inches):
05103101
o/.£11
Continu61
'\ . .
I Facility Number:~ .2 -'-58 Date of Inspection ,, f.W}Df!l
5. Aie there any immediate threats to the integrity of any of the structures observed? (ie/ trees , severe erosion,
seepage, etc.)
6. Aie there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions U was answered yes, and tbe situation poses an
immediate public bealtb or environmental threat, notify DWQ)
7 . Do any of the structures need maintenance/improvement?
8 . Does any pan 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?
\Vaste Application
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 . Crop type /ic;,.,..,.Jc. H,7 / S""" s. II 'lt-s.in .
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does th e facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Reguired Records & Documents
17. Fail to have Certificate of Coverage & General Pennit or other Permit readily available?
18. Does the facility fail to ha ve all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP , checklists, design , maps, etc .)
19 . Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to noti fy regional DWQ of emergency si tuations as required by Gene ral Permit?
(ie/ discharg e, freeboard problems, o ver application)
23 . Did Reviewer/Inspector fail to discuss review/inspection with on-site repre sentative?
24 . Does facility require a follow-up visit by same agency?
2 5 . Were an y additional problems noted which cause non compliance of the Certified A WMP ?
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
IC !llo violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
DNo
DNo
0No
0 No
0 No
0No
0No
DNo
0No
0No
0No
0No
DNo
0No
DNo
0No
0No
DNo
0No
0No
0 No
0 No
·~:~"4~t!~l:,y1~*~~11~~i{~~~~iii':~~~~~~~~~1
1-·,...,e '-'a..l no+ btc.~ o.~~\\coL '1-~ 1"l· . .s Yet:L..... .!:
Reviel\·erllnspector Name
Reviewer/Inspector Signature:
05103/01
·~·~.: .·
t7 /
-...
Date:
Continued
Site Requires Immediate Attention: hb
Facility No. -----
DMSION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: :Ju\1 iS , 1995
Time: I].' 40
~-:,.~~M~~/~~iJ>N!!~ ~~M2ll:
County: · .6o rn p->oa
Integrator: Cc.tt"0\\'5. fOod:. +ac. Phone: C.sto 1 ~:s. a o' "'\
On Site Representative: ill .. ~' \.\o\,so0 1 Cr.uo\\j. FPec\ ~ Phone:~(-~c,Ll.J,o~)~ss.._._?..~t>u..o...;l "'•\~.....-.:-----­
Physical Address/Location : ~f.. \''93~ YL _;\~ >t.u\.h oC i"krstshT& ¢~ $~ 1J;t<1 d:= 14~
Type of Operation: Swine~ Poultry__ Cattle----------------
Design Capacity: ------Number of Animals on Site: --------------
DEM Certification Number: ACE DEM Certification Number: ACNEW ______ _
Latitude:_M o _a A • Longitude:_M o ..2z.. • .J_ •
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot+ 7 inches) Yes or No 1 ~-,cc?tual Freeboard: 3 Ft. __ Inches ~~
Was any seepage observed from the Jagoon(s)? Yes or@Was any erosion observed? Yes or liQ2
Is adequate land available for spray? Yes or No Is the cover crop adequate? Yes or No v..)u.~ f"'C~ ~~"~
Crop(s) being utilized : ___________________ ~:=:-------
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? ~or No
100 Feet from Wells? ~rNo
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or~
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Une: Yes or No \... vo.\ JeJ
Is animal waste discharged into water 0~ state by man-made ditch, flushing system, or~ther NCI e &1
similar man-made devices? Yes or~ If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied ,
spray irrigated on specific acreage with cover crop)? Yes or No ~~ yo.oL ~ ... CL.\ve..\c.c:l ~\. \4~ oJ.
Additional Comments: '..""' s.r~c \-te..,
~ ... ~ ....:tcq.. c;,_ \o ... ~t-t. \<"'e.pec\-i.u=o. l'w MctC-1-\....,tc~\, lo~""'-'4j\\ \oe. p=tC.tt . .,.,c\
\~ '--\~ <;,~~.