820666_INSPECTIONS_20171231

NORTH CAROLINA
Qepartment of Environmental Quality
Date of Visit:~~/@ Arrival Time:l ]}c?t> jf I Departure Time: I ?/!3tJ/t I County: S"'J1'PilJN Region:F{Zi?
Farm Name: Jo \(, f\ f r f{o {k --f=t;-.,---1'7 Owner Email:
Owner Name: :::::r Dh"( R Ho'(J e Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
(S c:urw \. JC Title:
fl
Certified Operator: .S~""{od ..:r; t{¢ 4-e
I
Back-up Operator:
Location of Farm:
Disch a rges and Stream Impacts
I. Is any d ischarge observed fro m any part of the operation?
Latitude:
Discharge originated at: 0 Stru cture 0 App lication Fie ld
a. Was the conveyance man-mad e?
0 Other:
b. Did th e d ischarge reach waters of the State? (If yes, noti fy DWR)
c. What is th e estimated volume that reached waters of the State (ga llons)?
Phone:
Integrator: tfl/3 -S
Certification Number: .....!.../ZL-JLf...J'f[....;r"L-----
Certification Number:
Longitude:
D Yes~ DNA O NE
D Yes 0 No ~O NE
D Yes 0 No [3-1JA D NE
d . Does the di sc harge bypass the waste management system? (If yes, notify DWR) D Yes 0No Elii"A ONE
2. Is there evidence of a past discharge from any part of th e operation?
3. Were there any observab le adverse impacts or potential advers e impacts to the waters
of the State other than from a disc harge?
Page 1 of3
0 Yes
0 Yes
~0 D NA O N E
[d'No D NA O N E
2/41201 5 Continued
IFacili'l Number: B~ -loate oflnspection: tj-cvw~ ;51
Waste CoUection & Treatment
4.A's storage capacity (structural plus storm storage plus heavy rainfall) Jess than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ~ f
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 ~ DNA ONE
DYes ~ DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
II. Is there evidence of incorrect land application? If yes, check the appropriate box below.
~~DNA
DYes~ DNA
ONE
ONE
DYes [LJ.No 0 NA 0 NE
DYes ~DNA ONE
DYes ~DNA ONE
0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
0 PAN 0 PAN> 10% or 10 lbs. 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area
r1{. ( ( c,/f= 12. Crop Type(s): c rs tLt F'
13. Soil Type(s): {A)a Jl/o
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 of Coverage & Permit readily available?
20. Does the facility fail to have all components ofthe CAWMP readily available? If yes, check
the appropriate box.
0WUP Ochecklists Onesign 0 Maps D Lease Agreements
21. Does record keeping need improvement? lfyes, check the appropriate box below.
DYes ~0 DNA ONE
0 Yes ~0 DNA ONE
0 Yes ~ DNA ONE
DYes ffNo DNA ONE
DYes ~No DNA ONE
0 Yes 5No DNA ONE
0 Yes ~No DNA ONE
00ther:
0 Yes [1J-1'Jo DNA ONE
D Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers D Weather Code
0 Rainfall 0 Stocking 0 Crop Yield D 120 Minute Inspections 0 Monthly and 1" Rainfall inspections D Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? D Yes []}No 0 NA 0 NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes G;}1fo 0 NA 0 NE
Pagelof3 214/2015 Continued
I Facility Number: e:z -'b 6 I Date oflnspection: c9J1i/VE'/Bl
24 .. Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes [l...Nt> 0 NA 0 NE
2':f. Is the facility out of compliance with permit conditions related to sludge? If yes, check 0 Yes ~ 0 NA 0 NE
the appropriate box(es) below.
0 Failure to complete annual sludge survey 0 Failure to develop a POA for sludge levels
0 Non-compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail 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 n ormal?
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, c heck the appropriate box below.
0 Application Field 0 Lagoon/Storage Pond 0 Other:
32. Were any additional problems noted which cause non-compliance of the permit or CA 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?
-6K5t
Re viewer/Inspector Name :
Reviewer/Inspector Signature:
Page 3 o/3
QYes
0 Yes
DYes
DYes
DYes
0 Yes
0 Yes
DYes
DYes
~DNA ONE
~DNA ONE
@-NO DNA ONE
~ DNA ONE
~ DNA O NE
[]}No DNA ONE
~DNA ONE
c:fNo DNA ONE
~ DNA ONE
11411015
Compliance Inspection Operation Review 0 Structure Evaluation
Reason for Visit: akoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date ofVisit: ranMiilflb I Arrival Time:VotJcv41 Departure Time:l/lllo dJ County: sl]--tAt Region: Fr'l...i>
Farm Name: ::::\~ ~ \(._ll-'( ~ ~ ~iJ""4.1 Owner Email:
Owner Name: 1.-( Phone:
Mailing Address:
Physical Address: -------------------------------------------
Facility Contact: Oa.(lt.4) M Title:-----------Phone:
Onsite Representative: £{
Certified Operator:~ ...,_...,o.:.altc:.w~"'"¥+-+{<.....:.....-'f{,~.......:._,.(X~--------­
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Structure D 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)?
Integrator: J'{ IJ -S
Certification Number: 2JJ: <ff --~-~-----
Certification Number:
Longitude:
DYes~ DNA ONE
DYes 0No ~A ONE
DYes 0No ffNA ONE
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes DNo Q14A 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
DYes
DYes
~0 DNA ONE
~0 DNA ONE
21412011 Continued
I FacultY Number: ;[).; -b l £; I @te of Inspection: A 0 Nif t61
Waste Collection & Treatment
4 . Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? 0 Yes ~ DNA ONE
Ef'NA ONE a . If yes, is waste level into the structural freeboard? DYes 0No
Structure 1 Sttucture2 Stru cture 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? DYes ~o DNA ONE
(i.e., large trees, s evere erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a DYes ~o DNA ONE
waste man agement or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public bealtb or environmental threat, notify D\VR
7. Do any of th e structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes ~ DNA ONE
DYes ~o DNA ONE
DYes ffNo DNA ONE
D Yes [1"No D NA D NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes i2t'No 0 NA 0 NE
D Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
0 PAN 0 PAN > 10% or 10 lbs . D Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Approved Area
12.cropTypc(s): 8~~ SG,O 1'{~1/r::---ft-
13. Soil Type(s):
14 . Do th e receivi ng crops differ from those des ignated 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 Jack of properly operating waste application equi pment?
Required Records & Documents
19 . Did the facility fail to have the Certificate of Coverage & Permit readi ly available'!
20. Does the facility fail to ha ve all components of the CAWM P readil y available? If yes, check
the appropriate b ox .
OWUP 0Checklists 0Design 0 Map s 0 Lease Agreements
21. Does re cord keeping need improvement? If yes , check the appropriate box below.
DYes (ZJ.-No DNA ONE
DYes ~0 DNA ONE
0 Yes [Z{No DNA ONE
DYes ~0 DNA ONE •
DYes ~0 DNA ONE
DYes ~0 DNA ONE
DYes ~0 DNA ONE
00ther:
DYes [31lo DNA ONE
0 Waste Application 0 Weekly Freeboard 0 Waste Anal ysis 0 Soil Analysis 0 Waste Transfers 0 Weather Code
0 Rainfall 0 Stocking 0 Crop Yield D 120 Minute In spections 0 Monthly and 1" Rainfall Inspections 0 Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? DYes 0 No DNA 0 NE
23. If selected, did th e faci lity fail to install and maintain rai nbreakers on irrigation equipment? DYes ~No DNA 0 NE
Page2of3 21412014 Continued
l~acmt;Number: &'):: -h b6 I I Date of Inspection: OI6Vif a . I
24. Did the facility fail to calibrate waste application equipment as required by the permit? D Yes ~0 DNA ONE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check D Yes ~0 DNA ONE
the appropriate box( es) below.
0 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 to provide documentation of an actively certified operator in charge? DYes ~0 D NA ONE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? DYes ~0 DNA ONE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document DYes E:{No DNA ONE
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? DYes ~0 DNA ONE
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 [3'No DNA ONE
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 Yes Q"No DNA ONE
D Application Field 0 Lagoon/Storage Pond D Other:
32. Were any additional problems noted which cause non-compliance of the permit or CA WMP? D Yes [3'No DNA ONE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes GrNo DNA ONE
34. Does the facility require a follow-up visit by the same agency? DYes [Lt'1'io DNA ONE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or aoy other commentS~'-'·:<::~~,;·
Use drawings of facility to better explain situations (use additional pages as necessary). '··-,::;,,::;·.\, ··.
-7-r-'r
-l l-.:. Jo -1 s
(
Reviewer/Inspector Name: Phone:
Reviewer/Inspector Signature:
Page3of3
o.,., ,!Yo~t1
V4/101 .
oinpliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ~outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: IGT?ApJ§ Arrival Time:I]JlSf I Departure Time:l~t2)b P I County: ~-/h Region~·j:;z:i)
Farm Name: C) oh!M\1 &J'k: ~ Owner Email:
Owner Name: Phone:
Mailing Address:
PhysicaiAddress: -------------------------~----------------------------------------------------------
Facility Contact: G..,-4:t•5 \?>o.A.. t-J~ Title: Phone: ---------------------
Onsite Representative: __ 1...;..:..{ __________________________________ __
Certified Operator: .2r uh.I.\IA-1 JZ:#ope
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
LIs 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 the estimated volume that reached waters of the State (gallons)?
Integrator: _ ___J(11L!.J:""'(<..L ________ __
Certification Number: '2.3 53 '/
Certification Number:
Longitude:
DYes ~NA ONE
DYes 0No ~A ONE
DYes 0No B"J'il'A ONE
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No ~A 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 discharge ?
Page I of3
DYes
DYes
~0 DNA ONE
E]No DNA ONE
21411011 Continued
. ~J
!Facility Number: . £46 I loate of Inspection:~ 7 &Jr-/SI
Waste Collection & Treatment
4.ls storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure2 Structure3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): j {)
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-s ite which are not properly addressed and/or managed through a
waste management or closure plan?
DYes ~DNA
0 Yes 0 No [;}N"A
Structure 5 Structure 6
ONE
O NE
DYes ~ DNA ONE
DYes ~DNA ONE
If any of questions ~ were answered yes, and tbe situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks , and/or wet stacks)
9. Doe s 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 [31q'O 0 NA 0 NE
QYes ~DNA ONE
0 Yes [3--NO 0 NA D NE
0 Yes [B-No 0 NA 0 NE
II. Is there evidence of incorrect land application? If yes, check the appropriate box below. DYes g.Mo D NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Hea vy Metals (Cu, Zn , etc.)
0 PAN 0 PAN > 10% or 10 lbs. 0 Total ~hosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evide nce of Wind Drift 0 Application Outside of Approved Area
12. Crop Type(s): \, 1) ~ft_ g G b flt .dld
13 . Soil Type(s):
14 . Do the receiving crops differ from those de signa te d in theCA WMP ?
15 . Does the receiving crop and/or land application site nee d improvement?
16 . Did the facility fail to secure and/or operate per the irrigation d esign or wettab le
acres determination?
17 . Does the facility lack adequate acreage for land application?
18 .1s there a lack of properl y operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have th e Certificate of Coverage & Permit readily available?
20. Doe s the facility fail to have all components of theCA WMP readily available? If yes , check
the appropriate box.
OWUP 0Checklists 0 Design 0 M a ps 0 Lease Agreements
D Yes ~0 D NA
D Yes ~0 D NA
DYes ~ DNA
DYes ~ DNA
D Yes ~ DNA
0 Yes ~DNA
D Yes 0 DNA
Oother:
ONE
ONE
O NE
ONE
ONE
ONE
ONE
21. Does record keeping need improvement? If yes, c hec k the appropriate box below . D Yes ~: DNA ONE
0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analys is 0 Waste Transfers 0 Weather Code
0 Rainfall D 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 rai n ga uge? D Yes d No 0 NA 0 NE
23. If selected, did the facility fail to install and maintain rainbrcakcrs on irrigation equipment ? 0 Yes a(No 0 NA 0 NE
Page 2 of3 214/201 I Continued
!Facility Number: &'Js-b fifJ !Date of lnspection?J:?
24.'!>id 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.
$~(1 I
DYes
DYes
D Failure to complete annual sludge survey D Failure to develop a POA for sludge levels
D Non-compliant sludge levels in any lagoon
List structure(s) and date of first 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 normal?
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
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
D Application Field D Lagoon/Storage Pond D Other: ------------------------
32. Were any additional problems noted which cause non-compliance of the permit or CA WMP? DYes
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes
34. Does the facility require a follow-up visit by the same agency? DYes
0 r ·t-f.'
~DNA ~DNA
~0 DNA
~0 DNA
[!fNo DNA
~0 DNA
[Z{No DNA
~0 DNA
r::(No DNA
12(~o DNA
0 No DNA
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ReviewerllnspectorName: ~\ ~
Reviewer/Inspector Signature: ....:.£--=.a.....s.l-:~-W:..~J-L--hf-·~~ ... AA~£.:...:~~L-------------------------­
Page3of3
Phone: lf33 ,._ 3.?J3 f
{h~t "=! Date: d f-.=J
214. 014
mpliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ~ne 0 Complaint 0 FoUow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: I ~~!J 0 I Departure Time:l,/t fJ b I County: ~"r:"' Regio7{1!:v
Farm Name: ~4 .,(.~ U"l?jd -f' '(P V'-£/\ Owner Email:
Owner Name: ~ i "t ~ '!&(At_ Phone:
Mailing Address:
Physical Address:
==~=·V=~=i==~===~=~=L~-~-~=~=~=~=====-T-it-le-:-----~-----b-.---------P-b-on_e_: ________________ __ Facility Contact:
Onsite Representative: 1{ ~JD
Integrator: _..._f'VL~J.Q"""-----------
Certified Operator: :::( 4.. ~" 1 f'L lkfR f Certlfi<ation N umberc J J5 f( £
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: 0 Structure 0 Application F ie ld 0 Other:
a . Was the conveyance man-made? DYes 0 No @-HA ONE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) DYes 0No ~ ONE
c. What is the estimated volume that reached waters of the State (ga llons)?
·d. Does the discharge bypass the was te management system? (If yes, noti fy DWQ) D Yes 0 No [J..W. 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 I of3
0 Yes
0 Yes
~0 DNA ONE
~0 DNA ONE
21412011 Continued
lfacWtyNomber: 8'2: · 6({; I I Date of Jnspe<tio., It &t-Iff
Waste Collection & Treatment
,. 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than ad!=quate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): .36
5. Are there any immediate threats to the integrity of any of the structures o bserved?
(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 [)..Wo-·0 NA 0 NE
DYes 0No ~ ONE
StructureS Structure 6
0 Yes ca No . DNA 0 NE
DYes [3.No 0 NA 0 NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes~ DNA ONE
DYes~ DNA ONE
DYes Q No DNA ONE
DYes ~ DNA ONE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~0 NA D NE
0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.)
0 PAN D PAN > 10% or 10 lbs. 0 Total Phosphorus D Failure to Incorporate Manure/Sludg e into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift f;Jfplication Outside of Approved Area
12. Crop Type(s): (} f3 'P; . .v1l1 1/ ({?
13 . Soil Type(s):
15. Does the receiving crop and/or land application site n eed improvement?
16. Did the facility fai l to secure and/or operate per the irrigation design or wenable
acres determination?
17 . Does the facility lack adequate acreage for land appli cation?
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 readil y available?
20. Does the facility fail to have all components of theCA WMP readily avai lable? If yes, check
the appropriate box.
Dchecklists
DYes ~DNA
DYes ~-DNA
DYes ~ DNA
DYes ~DNA
DYes ~-0NA
DYes ~DNA
DYes [fj.Ko DNA
ONE
ONE
ONE
ONE
ONE
ONE
ONE
OwuP 0 Design 0 Maps D Lease Agreements O other : /
21. Does r ecord keepin g need improvement? If yes, check the appropriate box below. 0 Yes ~o 0 NA 0 NE
D Waste Application 0 Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers 0 Weather Code
0 Rainfall 0Stocking 0 C rop Yield 0120 Minute Inspections D Monthly and l " Rainfall Inspections/ D Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? 0 Yes [::l No 0 NA 0 NE
23. If selected, did the facility fail to install and maintain rainbreakers on irri gation equipment? 0 Y es ~o 0 NA 0 NE
Page2of3 214/2011 Continued
IFa<ili'I Nnmbe., t;r};,-CU1 I Date oflnseection' l ¥-H
· 24. Did the facility fail to calibrate waste application equipment as required by the permit? D Yes ~ 0 NA D NE
•' 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
DYes £a.ble-D NA D NE
0 Failure to complete annual sludge survey D Failure to develop a POA for sludge levels
D Non-compliant sludge levels in any lagoon
List structure(s) and date 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 lo ss assessments (PLAT) certification?
Other Issues
28 . Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal ?
29 . At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
pennit? (i.e., discharge , freeboard problems, over-application)
DYes
DYes
0 Yes
DYes
DYes
DYes 31. Do subsurface tile drains ex ist at the facility ? If yes, check the appropriate box below.
0 Application Fieid 0 Lagoon/Storage Pond D Other: ------------------------
32. Were any additional probl em s noted which cause non-compliance of the penn it or CA WM P? DYes
33. Did the Reviewer/In spector fail to discuss review/inspection with an on-site representative? DYes
34. Does the facility require a follow-up visit by the same agency? DYes
~DNA
~ DNA
~0 DNA
{3No DNA
(3-'No DNA
(3-'N'o DNA
[d1'fo DNA
[3'No DNA
c:rN~ DNA
I)--}-!j( ·CJ-t/. f
() -t-+, 0
Revi ewer/Inspector Name:
Rev iewer/Inspector Signature:
Page3 of3 214/2011
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
Date of Visit: Arrival Time: I /01~.41'\.l Departure Time:l/1!%:"A!'\ l County: c:£~~0(\. Region: ER.o
Farm Name: __ ~_,~-...lloo"-"b....._n:..:..n-.3...-'1T--'rl.._..o""'p~t.......__akJ....:.A..:.::R""'rsL,;:~~---
~bnn""\ ):\op ~
Owner Email:
Owner Name: Phone:
Mailing Address:
Pb)'S ical Address: -------------------------------------------
Title: Phone: Facility Contact: C., 1<3;s:r.::> :BM\.t.J:tc.\( -------------
Onsite Representative: ......;:o~-...:.~..:...:..l""-.....:...::f:..=---------------­
Certified Operator: -;rc>"'f\f'"/ R. \:\opE
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge orig inated at: 0 Structure 0 Appl icat ion Field
a. Was the conveyance man-made?
0 Other:
b . Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
Integrator: flh 1R ph1 J3RQ «Ari2
Certification Number: d 3 5 g ¥
Certification Number:
Longitude:
D Yes ~o DNA ONE
DYe s 0 No [9"NA ONE
DYes 0 No (Q"NA ONE
d. Does the discharge bypass the waste management system? (If yes, notifY DWQ) DYe s 0No ~NA ONE
2. Is there evidence of a past discharge from any pan of the oper ation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a di scharge?
Page I of3
DYes
0 Yes
~0 DNA ONE ~0 DNA ONE
214/2011 Continued
I Facility Number: I Date of Inspection: shl Jd...
I 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 1 Structure 2 Structure 3 Structure 4
Identifier: #l
Spillway?:
Designed Freeboard (in): _ ..... [_;Cj'!.,__ __
Observed Freeboard (in): :} 9
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 u;(No DNA ONE
0 Yes 0 No (i]MA 0 NE
Structure 5 Structure 6
DYes ~o DNA ONE
DYes u;rNo DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
1 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes ~o
DYes ~o
DNA ONE
DNA ONE
DYes ~o DNA ONE
0 Yes [g"No 0 NA 0 NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~o 0 NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D H eavy Metals (Cu, Zn, etc.)
0 PAN 0 PAN> 10% or 10 lbs. 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Approved Area
12 . Crop Type(s): Q,t.~t!'uO ~ ['StR~-z...~J / S. 6 . 0 \ \'(\-s\\<f...~ ~"\L .Swroro.t.Cl .... ~.\dttJ.t.(t ~«'-t"'-l")
13. Soil Type(s): -~~!..l.I:~...l:::!:~~------------------------.,..-------
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 lac k of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CA WMP readi ly available? If yes, check
the appropriate box.
0WUP Ochecklists 0Design 0 Maps 0 Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
0 Yes No DNA ONE
DYes gNo DNA ONE
DYes g"No DNA ONE
DYes ~0 DNA ONE
DYes ~0 DNA ONE
DYes 0No DNA ONE
DYes [);{No DNA ONE
00ther:
DYes li'No DNA ONE
0 Waste Application 0 Weekly Freeboard 0 Waste Analysis D Soil Analysis 0Waste Transfers 0 Weather Code
D Rainfall 0Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthl y and 1" Rainfall Inspections 0 Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? 0 Yes r2{ No 0 NA 0 NE
23 .1fselected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes 0 No ~ NA 0 NE
Page 1 of3 1/411011 Continued
.. ...
I Facility Number: lnate oflnspection: 5~;-,\l"r-
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 B"No 0 NA 0 NE
0 Yes 0 No [g'NA 0 NE
0 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 of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? DYes ~0 DNA ONE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? DYes 0No DNA ~E
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document DYes [S?'No DNA ONE
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? DYes ~0 DNA ONE
lfyes, 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 ~0 DNA ONE
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 ~0 DNA ONE
D Application Field 0 Lagoon/Storage Pond 0 Other: ------------------------
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes BNo DNA ONE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 0 Yes gNo DNA ONE
34. Does the facility require a follow-up visit by the same agency? DYes IQ1' No DNA ONE
Reviewer/Inspector Name: Phone: C\\D-":>o~-L«,s)
Reviewer/Inspector Signature: Date: ---=-~OL..f-:~ O~b>o<..\+-< \.:...J-__ _
Page 3 of3 2/412011
Reason for Visit:
Date of Visit: DepartureTime:l/,~1 County:~ Region:
Owner Email:
Owner Name: Phone:
Mailing Address:
PhysicaiAddress: ------------------------------------~----------------------------------------------­
Facility Contact: Cuc-±ts ~a_,_ uc k Jitle: ~ ~ AA ~-Phone:
Onsite Representative: ~~ Integrator: __ .!.f11~._-......~/S:.::=: _____________ _
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Imoacts
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?
D Other:
b. Did the discharge reach waters of the State? (If yes , notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
Certification Number:
Certification Number:
Longitude:
DYes~ DNA ONE
DYes 0No ~A ONE
DYes 0No ~A ONE
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No ~ 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 I of3
DYes
0 Yes
~0 DNA ONE
~ DNA ONE
2/4/ZOll Continued
IFacility.Number: I Date oflnspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) Jess than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: =Itt
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 ~o DNA ONE
DYes 0No ~ONE
Structure 5 Structure 6
DYes ~ DNA ONE
0 Yes @-1fo DNA D NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes ErNo DNA D NE
DYes [B"No DNA D NE
DYes [kt'No 0 NA D NE
DYes ~o DNA ONE
ll. Is there evidence of incorrect land application? Ifyes, check the appropriate box below. 0 Yes ~ DNA D NE
D 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 Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Approved Area
t_~ L&b-ty) I SG-Q 12. Crop Type(s):
13. Soil Type(s):
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 of Coverage & Permit readily available?
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
the appropriate box.
owuP Dchecklists 0 Design D Maps D Lease Agreements
21. Does record keeping need improvement? lfyes, check the appropriate box below.
DYes ~0 DNA ONE
DYes ~0 DNA ONE
DYes ~0 DNA ONE
DYes @'No DNA ONE
DYes ~ DNA ONE
DYes ~DNA ONE
DYes ~DNA ONE
Oother:
DYes ~DNA ONE
D Waste Application D Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers D Weather Code
0 Rainfall 0 Stocking D Crop Yield D 120 Minute Inspections 0 Monthly and I" Rainfall Inspections D Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2of3
DYes ~~~ONE
D Yes D No [B"T'JA D NE
2141101 I Continued
~acillly 'Nnmbero 8J" -~~ (jlat• of lnspecdon: 7/Jz/11 I
24. Dtd the facility fail to calibrate waste application equipment as required by the permit? D Yes B""No 0 NA 0 NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 0 Yes ~ 0 NA 0 NE
the appropriate box( es) below.
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
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
~ DNA ONE
0No DNA ~
~ DNA ONE
~ DNA ONE
~0 DNA ONE
~0 DNA ONE
D Application Field 0 Lagoon/Storage Pond 0 Other: --------------------
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? DYes [3'No DNA ONE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site repre~entative? DYes [9"No DNA ONE
34. Does the facility require a follow-up visit by the same agency? DYes ~ DNA ONE
Reviewer/Inspector Name: Phone: '7/tJ --f.33 -3337
Page3of3
Date ;Ez/J!
2 '/2011
2-tJ5-ZOIO
Compliance Inspection 0 Operation Review
Reason for Visit ~tine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
DateofVisit: 11-zS..;ID I ArrivaJTime:IJo;oo;;J DepartureTime: lto:m;J County: Region: FA!o
Farm Name: "J';, h A/It/ 'I MA./L 4_,....""-~ Owner Email: ;r ~ ------------------------
Owner Name: --"'"""'-.-"""""D..:..h.;:....;..;:N'---__,_flr>~p~<--=------------------------Phone:
Mailing Address: -----------------------------------------------------------------------
Physical Address: ---------------------------------------------------------------_______ _
Facility Contact: C .. -1,5 8~,-wic..k:.. -,--/ ~ , ___:::....:.;_ .. _,., _________ Title: / <-cA-• 7 IZ,....._' PboneNo: _______________ _
Onsite Representative: Curtts. & rwic.k Integrator: _..:::6J::..::....::ha-=~r."""t...;~ C.=--....;f?.-=t:J.r=--"1.5-=----
Certified Operator:-------------------------------------Operator Certification Number: -----------
Back-up Operator: --------------------------------------Back-up Certification Number:
Location of Farm: Latitude: O OD'D" Longitude: O OO'O"
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? DYes ~DNA ONE
Discharge originated at: 0 Structure 0 Application Field 0 Other
a. Was the conveyance man-made? DYes DNo ~A ONE
b. Did the discharge reach waters ofthe State? (If yes, notify DWQ) DYes DNo ~ ONE
c. What is the estimated volume that reached waters of the State (gallons)? I
d. Does discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No ~A ONE
2. Is there evidence_ of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
DYes B'No DNA ONE
DYes B"f(o' DNA ONE
12118/04 Continued
'' 1-28 -/t7
Date of Inspection I I I Facility Number: B2-6";, 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 ~DNA ONE
DYes ~o DNA ONE
Structure 5 Structure 6
Identifier: ______ -----------------------------------
Spillway?:
DesignedFreeboard(in): ________________________________________ _
Observed Freeboard (in): efW
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 ~o DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any ofthe structures need maintenance or improvement? DYes ~ DNA 0 NE
8. Do any ofthe stuctures lack adequate markers as required by the permit? DYes ~ DNA D NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
DYes ~DNA -ONE
Waste Application
I 0. Are there any required buffers. setbacks, or compliance alternatives that need
maintenance/improvement?
DYes
11. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes
D Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
~DNA
~DNA
0 PAN D PAN> 10% or 10 lbs D Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Area
ONE
ONE
12. Crop type(s) -..!:~=...=~...;.'<-:.:d~4..-=--=~....::G::.::n...::; .. ..l.>~<-:.::::):......;.;--=S;:....:.:JU4---=._//_~.=......:.....:.'"...:.-p----!(l:....:o:....:.•_s.:..:, ):....>..j.1 -=S.:..:"':.=.."'.:...:...,.:...e...::;;v;..........~f~t ...::kl=..t:..;;'~-~_v_,:....,4~"#..:....:~-=-ua/...=C5=--
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CA WMP? DYes 0No DNA ONE
15. Does the receiving crop and/or land application site need improvement? DYes 0No DNA ONE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination!D Yes 0No DNA ONE
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Reviewer/Inspector Name
Reviewer/Inspector Signature:
DYes DNo DNA
DYes 0No DNA
Phone: 'l10·1'33,33t::JO
Date: /-28-;zi!J/0
ONE
ONE
12/18104 Continued
I Facility Number: gz -v6?1 Date of Inspection It-.28-10 I
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLA 1) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit orCA WMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notifY the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
33. Does facility require a follow-up visit by same agency?
Additional Comments and/or Drawings:
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DNA ONE
DNA ONE
~0 DNA ONE
~ DNA ONE
~ DNA ONE
~ DNA ONE
~ DNA ONE
DYes ~o DNA ONE
..... -
-...
121281().1
3IH{S /0 -07 -zoo?
ivision of Water Quality
Facility Number8 2 ��� Division of Soil and Water Conservation
0 Other Agency
Type of Visit (3160—mpliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit outme 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: �County:awa Region: �
Farm Name: 1A n Ar u "L� pe_ fat�.S Owner Email:
Owner Name: IT -0 1A 4 1+0 Phone:
Mailing Address:
Physical Address:
Facility Contact: cV-1�'t S -18orwyG k Title: e -r . /' Phone No:
Onsite Representative: Cat�3 Bat-wl C.K Go Integrator: tx ,-j`c_
Certified Operator: Operator Certification Number:
Back-up Operator:
Location of Farm:
Swine
Back-up Certification Number:
Latitude: =U =' =" Longitude: =o =,
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Wean to Finish ❑ Layer
❑ Wean to Feeder ❑ Non -La et
in Feeder to Finish 3 Z -O 2S E3
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Cattle
Design Current
Capacity Population
El Dairy Cow
❑ Dairy Calf
❑ Dairy Heifei
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
Number of Structures: FTI
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes E o ❑ NA EINE
❑ Yes
❑ No
ETRA
❑ NE
❑ Yes
❑ No
3'5A
❑ NE
B A
EINE
❑ Yes
❑ No
❑ Yes
2'1`o
❑ NA
EINE
❑ Yes
B<o
❑ NA
EINE
12/28/04 Continued

I Facility Number: ~Z -~1 Date oflnspection Pf-;6-0 $'1
~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 I Structure 2 Structure 3 Structure 4
DYes ~DNA ONE
DYes ~ DNA ONE
Structure 5 Structure 6
Identifier:---------------------------------------
Spillway?: ---------------------------------------
DesignedFreeboard(in): ______________________________________ ....,....
Observed Freeboard (in): _ ___../f'----'2-----------------------------------
5. Are there any immediate threats to the integrity of any of the structures observed? DYes ~DNA ONE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed DYes ~DNA ONE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental tbreat, 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 Apolication
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes 91fu DNA ONE
DYes 81fo DNA ONE
DYes ~DNA ONE
DYes B1'fc> DNA ONE
II. Is there evidence of incorrect application? lfyes, check the appropriate box below . 0 Yes GI-M'o DNA 0 NE
0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heav y Metals (Cu, Zn, etc.)
0 PAN 0 PAN> 10% or 10 lbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Area
12. Croptype(s) 'Bev-~~(GV~",c...) ) s~ Gra...'N (o.:s.) J sv. ..... a...~ 7 Vll'll/cy ,,.,NI«,/5
13. Soil type(s) -..!.~..!.:::;::...._ ________________________ ----::7""------
14. Do the receiving crops differ from those designated in theCA WMP? DYes No DNA ONE
15. Does the receiving crop and/or land application site need improvement? DYes ~DNA ONE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre detennination?O Yes Gifu' DNA ONE
17. Does the facility lack adequate acreage for land application? DYes [31(o DNA ONE
18. Is there a lack of properly operating waste application equipment? DYes ~ DNA ONE
(;00 J/ Exct-lbvl-?~s.J
.:.-----G~ c.c.v'--~ra6Yds /
Pagel of 3 12/28/04 Continued
I Facility Number: g"Z. -~~~~ Date of Inspection 19 -lb ;:&]
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 ~DNA ONE
DYes ~DNA ONE
21. Does record keeping need improvement? Ifyes, check the appropriate box below. 0 Yes ~ 0 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 0 Crop Yield 0 120 Minute Inspections 0 Monthly and 1" Rain Inspections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24 . Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fai l to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28 . Were any additional problems noted which cause non-compliance of the permit orCA WMP ?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative inun ediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32 . Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
33. Does facility require a follow-up visit by same agency?
Additional Comments and/or ~rawings:
D Yes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
D Yes
DYes
DYes
D Yes
12128104
(d1qO DNA ONE
Etffo DNA ONE
B"fifo DNA ONE
!a-No DNA ONE
81fo DNA ONE
(31qO DNA ONE
l3'NO D NA ONE
B1ilO DNA O NE
~DNA O NE
~0 DNA ONE
~DNA ONE
~DNA ONE
....
1-.
f-...
Type of Visit ~pliance 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 D Denied Access
Date of Visit: 16-J/-0 B I Arrival Timed ~:'V{"4&t I Departure Time: lb:"',t?M I Couoty: Region: E/2-l:)
Farm Name: ::ro ltNt-!1.1 tlof -L Fa YW\. Owner Email: -------------
Owner Name: To~ ,.s/Vi ilo,.P-L Phone:
Mailing Address: -----------------------------------------
Physical Address:-----------------------------------------
Facility Contact: Cud.·s Bo.rw,.c..K. Title:/~. S:~~<-• '
Phone No: ________ _
Onsite Representative: ------------------Integrator:-----------------
Certified Operator:--------------------Operator Certification Number: --------
Back-up Operator: ---------------------Back-up Certification Number:
Location of Farm: Latitude: D OD'D " Longitude:
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation? DYes B"'No DNA ONE
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 ofthe operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page 1 of 3
DYes 0 No ~A ONE
DYes 0No ~A ONE
I
DYes 0 No B"NA ONE
DYes ~ DNA ONE
DYes Ghfo DNA ONE
11128104 Continued
I Facility Number: ~Z.-r;b/p I Date of Inspection 18 -II-o6 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 B"fifo DNA ONE
DYes Q1qO DNA ONE
Structure 5 Structure 6
Identifier:----------------------------------------
Spillway?:
Designed Freeboard (in): -----:7---------------·--------------------LLJ II
Observed Freeboard (in): __ _,~e...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?
DYes C3"1'fo DNA D NE
D Yes Et"1'lo DNA 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? 0 Yes ffio 0 NA 0 NE
8. Do any of the stuctures lack adequate markers as required by the permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part 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?
0 Yes [31\lo 0 NA ONE
DYes ~ DNA ONE
DYes ~ DNA ONE
II. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes ~ 0 NA D NE
0 Excessive Ponding D Hydraul ic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.)
D PAN D PAN > I 0% or 10 lbs D Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Area ,
12. Crop type( s) _....;B~c.;_r..:...."Pt...:..~.;..:d.::....:•:..;::-:.......!..~..=c;.::....:~ ~:...::"'~L--~;-----~...:..::...;:::..._::...::.....:....::.....:..::.....---:::::S::...:'<:.... ...... _-.:...-_"'.:....;· v:..........::-'---......;;..tJ~/_,w_~--=--...:;//...:.::N~;.:::;:;..L.;::=----
13. Soil type(s)
14. Do the receiving crops diller from tho se designated in the CA WMP? DYes
15. Does the receiving crop and/or land application site need improvement? DYes
16 . Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?O Yes
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Pagel of 3
DYes
DYes
Date:
12/28104
0No DNA ONE
0No DNA ONE
0No DNA ONE
0No DNA ONE
0No DNA ONE
Continued
•
J Facility Number: <l'Z -p~~~ Dateoflnspectioo [8'-11-0B I
Required Records & Documents
19. Did the facility fail to have Certificate ofCoverage & Pennit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. D WUP 0 Checklists 0 Design 0 Maps 0 Other
0 Yes B"No 0 NA 0 NE
DYes ~ DNA O NE
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes B'1'fo DNA D NE
D Waste Application D Weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers D Annual Certification
0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and I" Rain In spections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the pennit?
25. Did the facility fai l to conduct a sludge survey as required by the permit?
26. Did the fa c ility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28 . Were any additional problems noted which cause non-compliance of the permit orCA WMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal ?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately .
31 . Did the facility fail to notifY the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
33. Does facility require a follow-up visit by same agency?
~ • • .. . . ~ . . • . . ....... --.;,· ·-,......... ,.=.! . Ad dltionai:Comments audlor:l)r~wmgs: ~· 41~·';;;,~~;~: ".._~-;.. · ·
Page3 of 3
DYes ErNo DNA O NE
DYes ~ DNA O NE
D Yes GJ1qO DNA O NE
DYes eNo DNA O NE
DYes ~ DNA ONE
DYes ~DNA ONE
D Yes ~DNA ONE
DYes ~DNA ONE
D Yes ~DNA ONE
D Yes [3-No". DNA ONE
D Yes ~DNA ONE
DYes ~DNA O NE
.... -.. ... ..
,.. . ~ -~ .. -:""-~:z
12128104
.
I Facility Number [ <12._ If
8 Division of Water Quality / H (p~(p 0 Division of Soil and Water Conservation
---'. , .. 0 Other Agency . ~:
•·':'
Type of Visit 8 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access
Date of Visit: !flt,,of-ozl ArrivaiTime:l 1": f r 11M I Departure Time: 110;15"" I County: ~'1"~A/ Region: ~M
Owner Email: -------------Farm Name: _..;:o::Jj""""o~br.:!Of...,;;_~""t--fh:....:....::.-Ff.....;~=-__._tg....::~o..~tuty\CQ,S"~-----­
Owner Name: _.....;;_)"--o.._h.;;..;...s=-._...:.Hop~~.g_-<.,___ ------------Phone:
Mailing Address: ----------------------------------------
Phys ical Address:----------------------------------------
Facility Contact: C\Aeb·s & vw tc. 1<. Title: E.tJv. ~t:. Phone No: ---------
Onsite Represen tati ve: G vh ~:s B((., ....JI-L. k. Integ rato r : Co~ Y.f L ~ n.-r S
Certified Operator:--------------------Operato r Certification Number: -------
BackAup Operator: --------------------Back-up Certification Number:
Location of Farm : Latitude: D OD 'D" Longi tude: D OD 'D"
Des ign Current Design Current
Swine Capacity Population Wet Poultry Capacity Population
r.::ID::::;-W-e_a_n-to-Fi-n-ish-,1 ........::__......:......,.....--....;;_ _ ___,1,0 Layer I
~[]~N~o~n~-~La~y~e~r--~----~~----~
Cattle
. -.-;{C.
· i>esigft . . . Curren·~ -
Capacity (»opulatioo
0 Wean to Feeder
[! Feeder to Finish 352-0 3'2"/0 i
-~. ~·~--~
D Dairy Cow i I
0 Dairy Calf
I 0 Dairy Heife1 '
Other
0 Layers
0 Non-Layers
0 Pull ets I
0 Turke}'S
0 Turkey Poults
Oother Number of Structures:
.~Farrow to Wean
0 Farrow to Feeder
0 Farrow to Finish :
0 Gilt s
D Boars --. -.. -
Dry Poultry D Dry Cow !
'
D Non-Dairy
I 0 Beef Stocker
D BeefFeeder
0 Beef Brood Cow
I
--~--. -----. =
ID other -
Discharges & Stream Impact s
l. Is any discharge observed from any part of the operation? D Yes ~No DNA O NE
Di sc harge originated at: 0 Structure 0 App lication Fi e ld 0 Other
a. Was th e conveyance man-made? DYes ~N o DNA O NE
b. Did the d ischarge reach waters of the State? (lfycs, notify DWQ) DYes ~No D NA ONE
c. What is the estimated vo lume th at rea ched waters of the State (gallons)?
d. Doe s di sc harge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past di scharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impa cts to the Waters of the State
oth er than from a di scharge?
DYes [jJ No
DYes ~No
D Yes li!J No
12118104
DNA O NE
DNA O NE
D NA ONE
Continued
I Facility Number: $2 -~{7"' Date of Inspection w-~1-07 I
Waste Collection & Treatment
4. Is storage capacity (structural plus stonn storage plus heavy rainfall) Je ss than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
D Yes [}J No D NA 0 NE
DYes MNo DNA ONE
Structure 5 Structure 6
Identifier:------------------------------------------
Spillway?: ------------------------------------------
Designed Freeboard (in): ------------------------------------------L1.9" Observed Freeboard (in): ---7:-.,__-L----------------------------------
5 . Are there any immediate threats to the integrity of any of the structures observed?
(ie/large trees , severe erosion, seepage, etc.)
DYes 9iNo DNA ONE
6. Are there structures on-site which are not properly addressed and/or managed DYes Ji!No DNA ONE
through a waste management or closure plan?
Jf 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 improve ment? DYes ~No 0 NA 0 NE
8. Do any of the stuctures lack adequate markers as required by the permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the wa ste 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/improvement?
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes I!JNo DNA ONE
I I. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes ~No DNA 0 NE
0 Excessive Ponding 0 Hydrauli c Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
D PAN D PAN > 10% or 10 lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptab le Crop Window 0 Evidence of Wind Drift 0 Application Outside of Area
1 2 . Crop type(s) _B~~L,~.I:::.Aiuii.:LSch~ci<~~~-=(;~._ ... ~)~~~)__,_1 --=.5";:..:M.:.::y/:u..... _· G-=-...-~...:.'..;..• "'-..:..~.=.D...:.::·.S::.:·:..:::)~,y--:.w~A-~,,--=S:::....;...;A~-----
1 3. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP ? DYes ~No DNA ONE
15 . Does the receiving crop and/or land application site need improvement ? DYes l!fNo DNA ONE
16. Did the facility fail to secure and/or operate per the irrigation desib'" or wettable acre determination?D Yes (BNo DNA ONE
17 . noes the facility lack adequate acreage for land application?
18 . Is th ere a lack of properly operating waste application equipment ?
DYes @No DNA ONE
DYes QNo DNA ONE
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):
.... -
f--....
Reviewer/Inspector Name f<c.t... K<2-v~& Phone: vo. ~.}.3 .3~00
Reviewer/Inspector Signature: Kd. /S,b...J Date: /0-0/-zoo 7
11128104 . Continued
I Facility Number: <i'Z -ebkl
Required Records & Documents
Date of Inspection 1/o-Q/-071
19 . Did the facility fail to have Certificate of Coverage & Pennit readily available?
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
the appropirate box. 0 WUP 0 Checklists 0 Design 0 Maps D Other
DYes 11JNo DNA ONE
DYes ~No DNA ONE
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes lXJ No D NA 0 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 I" Rain Inspections D Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23 . If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25 . Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit orCA WMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
33 . Does facility require a follow-up visit by same agency?
Additional Comments and/or Drawings:
D Yes ~No DNA O NE
DYes til No DNA O NE
DYes 9iNo D NA O NE
D Yes JiJNo DNA ONE
D Yes Ji2l No DNA ONE
DYes JmNo DNA ONE
DYes ~No DNA ONE
DYes [j3No DNA ONE
DYes Ill No DNA ONE
DYes jliNo DNA ONE
DYes Ill No DNA ONE
DYes [it No DNA ONE
• -
1--....
12/18104
f~l
i
I
Curtis Barwick
From: Keith Larick [[e-mail])
Sent: Friday, August 05, 2005 9:08AM
To: Curtis Barwick
Subject: Re: Sludge Survey Exemptions
Curtis,
I have added the due date of the next sludge s urvey to the spreadsheet. Let me know if you have any questions.
Thanks,
Keith
Curtis Bar:wick wrote:
Thank you Keith. I look forward to hearing from you.
CURTIS
-----Original Message-----
From: Keith Larick (mailto:[e-mail]]
Sent: Wednesday, July 21, 20 05 5 :35 PM
To: Curtis Barwick
Subject: Re: Sludge Survey Exemptions
Curtis ,
I got the mailing, and should get to it soon .
Keith
Cui:cis Barwick wrote:
., /1 {) /') (\(\(';.
Keith,
Please see the attached list of farms that I am aski ng for exemptions from
the annual sludge s urvey . I am sending via USPS the information sheet s fo r
each individual farm. I am emailing th is list so that you can reply back
after you have finished, with the due date f o r t he next survey (i f granted
an extension). This should save you having to send a letter to me about it.
Hopefully this will make it easier fo r you .
I look forward to hearing from you .
Thanks, CURTIS .
&\GOON 1 & 3
A G OON #2 O r
~!" ••
SLUDGE SURVEY EXEMPTION LIST CURTIS BAR'{VICK 910 590-6314
County# Facility# Farm Name First Name · Last Name County Next Survey Due
26
51
51
51
59 David Collier Farm
28 J & M Hog Farm
41 Spring Meadow Farm Unit 1
46 Sandy Ridge Pork
David
J & M Hog Farm
Whitley
Whitley
Collier
Stephenson
Stephenson
Cumberland Finish
Johnston
Johnston
Johnston
Finish
Sow
Sow
82 . 42 John 0 Royal: #1-8 JohQ Royal 1 Sampson Finish
82 53 F & W Farms I B - T Farm F & W Farms i Sampson Finish
82 74 Linoard Howard & Son (New Farrr Linoard Howard Sampson Finish
82 98 F&B Farms Harold Frederick & Freddl Butler Sampson Finish
82 132 Sam Hope Farms Samuel J. Hope . Sampson F i nish
82 188 F&W Farms James Faircloth Sampson Finish
82 190 Billy Lockamy Farm Billy Lockamy Sampson Finish
82 202 Simmons Hog Farm Ray Simmons Sampson Finish
82 215 T& T Farms Frederick Thornton Sampson Finish
82 606 Goshen Farms · W. Nelson · Waters Jr i Sampson Finish
.;a2~\;·i.·:~J,;~J~sss1Joti.rinY.Tffop.J:fF.~rrilsX~L;~:~):;'/,:0.~i ~:u~.9!1Jt~!.?;;<:::·~·;~)':?d~~~~~:t{ttoP.e;~~:,;~~,~~~·:-·.t ;L·:::::::-';.·:tsiirif)s.on?.-.:Zl F.!!l'~-!v;,~_,_;., .. ·.::;~ .-. ·:., ..... .
82 667 Hall Farm · Coharle Hog Farm Sampson Finish
82 725 C-7 Coharie H'og Farm Sampson Finish
82 61 Knotty Pine Farm Mike Herring Sampson Finish
82 · 315 Bobcat Farms Henry Moore Sampson Sow
82 711 Henry Moore Finisher/Bad Branch Henry Moore Sampson Finish
82 714 SHW Sow Farm LLC SHW Sow Farm LLC Sampson Sow
96 28 Bennie Barwick Finishing Bennie ·Barwick
i
Wayne Finish
•I
I
! .
200'
200'
20 0 i
200~
200'
200'
2 00.
200
200
200
200
200
200
200
..200
20 0
200
200
200
20C
2 0C
20(
Type of Visit G Compliance Inspection 0 Operation Revi ew 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
DateofVisit: IS-b3-a6l ArrimiTimc:Vo:~o AM locparturcTimc: ._l ___ __.l County: -~~S'"N Region: /=.i!!IO
FarmName: --~R.. Hop<b Owner Email: --------------
Owner Name: :lck..,,.,:J ~-~------Phone:
Mailing Address: -----------------------------------------
Physical Address:-----------------------------------------
Facility Contact: _....;::3"":......::o:...;~~N~rv~1-.:.f4=.,p~ ... L----Title: ----------Pbone No: ---------
Onsite Rcpresentati\'e: ~6~4~~'-';.J.......,J~-s.."'-LK""-------
Certified Operator:--------------------
Integrator: ___ C_o~L......;;.a;;....:v'-''•-'...;:."----------
Operator Certification Number: --------
Back-up Operator: --------------------Back-up Certification Number:
Location of Farm: Latitude: D OD'D" Longitude: D OD'D"
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
I I 10 Layer I I 0 Dairy Cow
0 Dairy Calf
IO Wean to Finish
0 Wean to Feeder 0 Non-Layer
ri Feeder to Finish 35'2-o ~5517 0 Dairy Heife1
0 Dry Cow
0 Non-Dairy
0 Beef Stockel
0 Beef Feeder
· 0 Beef Brood Cow .. . --
0 Farrow to Wean
0 Farrow to Feeder
0 Farrow to Finish
0Gilts
0 Bo ars
Dry Poultry
0 Layers
0 Non-La ye rs
0 Pullets
0 Turkeys
Other 0 Turkey Poults
0 Other Number of Structures: 0: ID Other
Discharges & Stream Impacts
I . Is any disch arge observed from any part of the operation? DYes ~No DNA ONE
Di scharge orig inated at: D Structure 0 Appli cation Field 0 Other
a . Was the conveyance man-made? DYes ~No DNA ONE
b . Did the discharge reach waters of the State? (If yes . notifY 0\VQ) DYes !)No D NA ONE
c . What is the estimated volume th at rea ch ed waters of the Stale (gallons)? I
d. Docs discharge bypass the waste management system'! (If yes, notify DWQ)
2. Is there e\'idencc 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?
D Yes [)JNo
DYes QrNo
DYes l!i'No
11128104
DNA ONE
DNA ONE
DNA ONE
Contitrued
I Facility Number: i'Z-(p(p(p I Date of Inspection l5"-o3-o~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?
D Yes [11 No D NA D NE
DYes ~No DNA ONE
s.Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:----------------------'-------------------
Spillway?:
Designed Freeboard (in): _ ...... ··'~"-·-.<..._1~·9L..-_11
__ ,,
Observed Freeboard (in): -----:._!!1-Z:.·..:..'l ___ -----------------------------------
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
DYes [JNo DNA ONE
6. Are there structures on-site which are not properly addressed and/or managed DYes [!No DNA ONE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? DYes [!No DNA ONE
8. Do any of the stuctures lack adequate markers as required by the permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
DYes Q!:1 No DNA ONE
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
DYes ~No DNA ONE
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes ~No DNA ONE
1 L Is there evidence of incorrect application? lfyes, check the appropriate box below. DYes Qg No DNA D NE
0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.)
0 PAN 0 PAN> 10% or 10 lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Area
/) . ~·'e'S~c.d) .
12. Croptype(s) C>eYMudes.. C4Va:)ed 511ia.l/(;.cq:A/ Bcr&u.c4.. hay 7 /'
13. Soiltyp<(s) A,.~,·i/1.._ 1 44 •:; Jtla''"'J"'
14. Do the receiving crops di er from those destgnated m the CA WMP?
15. Does the receiving crop and/or land application site need improvement?
DYes ~No
DYes QfNo
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination! D Yes ~No
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Reviewer/Inspector Name
Reviewer/Inspector Signature:
0 Yes fSi)No
DYes O'No
11128104
DNA
DNA
DNA
DNA
DNA
ONE
ONE
ONE
ONE
ONE
I Facility Number: 'K Z. -{,fp &I Date of Inspection LS" ~c3-aw I
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
the appropirate box. 0 WUP D Checklists D Design 0 Maps D Other
21. Does record keeping need improvement? If yes, check the appropriate box below.
DYes rgNo DNA ONE
DYes (5iNo DNA ONE
DYes ~No DNA ONE
D Waste Application D Weekly Freeboard D Waste Analysis D Soil Analysis D Waste Transfers D Annual Certification
D Rainfall 0 Stocking 0 Crop Yield D 120 Minute Inspections D Monthly and 1" Rain Inspections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain 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) certitication?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit orCA WMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notifY the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
33. Does facility require a follow-up visit by same agency?
DYes [2gNo DNA ONE
DYes IE No DNA ONE
DYes QfNo DNA ONE
DYes f;j1No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes IXJNo DNA ONE
DYes (ENo DNA ONE
DYes IXJNo DNA ONE
DYes ~No DNA ONE
12128104
Type of Visit e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
DateofVisit: I ~/II Jt>~ I Arrival Time: I ;: .3C> I Departure Time: ._l ___ _.l County: SeM(U.PtJ Region: Fre..P
Farm Name: ---l~~.ab~\-..::!..: .... ~-_.~.11~-.........~\..\~:..:....:•~r~<---------Owner £mail: --------------
owner Name: __ __,D:......._,.,"-!~~~'0~"'~~~---_ ___;J\=\~c.z..:ff"-''oC:........_______ Phone: ~ JO -S'1' ~ -S374
Mailing Address: __ ....:7:-..:..9-=.1=--.....!6.=-..z'"-'z..~i"""c:.~.:.../<.~£~------_ _JoC"""'·..Lt~/P~-1-..:.~.:...""':.,~· ~N..:........:C...=-----:;J 8~~S
Physical Address:------------------------------------------
Facility Contact: Phone No: ---------
Onsite Representative: _L4,..+,·.J. /ler u1i e../c Integrator: __ lo.C~&>~A~~l.!r:.J;...!c:......._ ________ _
Certified Operator: Operator Certification Number: -~j_i:...i=--=(/~if.:...._ __
Back-up Operator: ---'-:r...L&."l..b.!:l.,;h~-R~ _ _.l._-\.=...;o~f'::....-<-=------Back-up Certification Number:
Location of Farm: Latitude: D Oo·ou Longitude: D OD'D"
Design Current Design Current
Capacity Population Wet Poultry Capacity Popul~tion
I I li 10 Layer I _I_. ~D~N~on~-~L~a~r~~~--~-~----~·~~~~-
Cattle Swine
Number of Structures:
.• Il.esigo '§~r:t~?~(:i;~\;
.· ci:lpa'city Pop Illation ,
D Wean to F ceder '
!
Ill Feeder to Finish 3s-.2o ,)1Jl/
) D Farrow to Wean
' D Farrow to Feeder ' I
D Farrow to Finish i
D Gilts i
D Boars I
I -----.~ ----.. -
'
D Dairy Cow ~
D Dairy Calf "
D Dairy Heife1 I.
D Dry Cow
I;
D Non-Dairy !.
0 Beef Stocker ~
D BeefFeeder '
I
D Beef Brood Cow t -
ID Wean to Finish
Dry Poultry
Other
· D Layers :
!
D Non-Layers i
D Pullets ' ;
D Turkeys I
I
0 Turkey Poults '
D Other ------
: f >-.. _. . ·-.. .-:_~:·_' __ ~ .. :
[Ll
Discharges & Stream Impacts
l. Is any discharge observed from any part of the operation? DYes [)No DNA ONE
Discharge originated at: D Structure D Application Field D Other
a. Was the conveyance man-made? DYes 0No DNA ONE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) DYes 0No DNA ONE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No DNA ONE
2. Is there evidence of a past discharge from any part of the operation? DYes J!INo DNA ONE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State DYes [fiNo DNA ONE
other than from a discharge? '
12128/04 Continued
\:.
J Facility Number: S OJ -(,(. (, I Date oflnspection 13/n /o.:.-1
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 rnNo DNA D NE
DYes 0No DNA ONE
Structure 5 Structure 6
Identifier: __ ___,..&/_"'"' __ ---------------------------------
Spillway?:
DesignedFreeboard(in): _.....:;;t)_o_.~....:.._·-_· -----------------------------------
Observed Freeboard (in): _ ___;3=-:C.:....N--------------------------------
5. Are there any immediate threats to the integrity of any ofthe structures observed?
(ie/large trees, severe erosion, seepage, etc.)
DYes !llNo DNA ONE
6. Are there structures on-site which are not properly addressed and/or managed DYes ~No DNA ONE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the stuctures lack adequate markers as required by the permit?
(Not applicable to roofed pits , dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application ·
10. Are there any required buffers, setbacks , or compliance alternatives that need
maintenance/improvement?
Iii Yes D No DNA D NE
DYes &!No DNA ONE
DYes ~No DNA ONE
DYes OC1No DNA ONE
II. Is there evidence of incorrect application? Ifyes, check the appropriate box below. DYes ~No 0 NA D NE
D Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.)
D PAN D PAN> 10% or 10 lbs D Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Area.
12. Crop type( s) _ ___.../h;.c:J;t'~r:.t.C?:!:Z...!~:Uo:!::.s.......J~>pr:.:::auc."-!s::~c(~.......!$L.i1"'L:!.Ileu/CJ.f~1u,.::J"3...L.o; NC~L;. ~.......c.lf.::z.!~-.r~m!:!Uw:l.~soCZ...........t.h'..La~f~:J~O.L....SL.z.J~wlo!....oiA;....:_ _____ _
13. Soil type(s) /?u/,.y vjii<J Lna.-?'YNJ
14. Do the receiving crops differ from those designated in theCA WMP?
15. Does the receiving crop and/or land application site need improvement?
0 Yes li] No
DYes [!lNo
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination! D Yes 11] No
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
7-B<:H·c:... !>pd"\-.5 0~ \a. ... ye.
0 Yes [l:itNo
DYes ~No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
s+a...--\.·,~. s 0 ;..-a c!:.. CA. c:..~·.c--~ ~ .. \,A..C.oSl, ~-\c. L r l a. c.~ +Cl a..~~r ~:s -\-L ·,.s
prob\~~.
Reviewer/Inspector Name
Reviewer/Inspector Signature:
12128104 Continued
.\
J Facility Number: f.l -tltJ Date of Inspection I 3/IJ z~....s-1
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
the appropirate box. D WUP D Checklists D Design D Maps D Other
21. Does record keeping need improvement? If yes , check the appropriate box below.
DYes !XlNo DNA ONE
D Yes li] No D NA D NE
lXI Yes 0No DNA ONE
D Waste Application D Weekly Freeboard D Waste Analysis D Soil Analysis D Waste Transfers D Annual Certification
D Rainfall D Stocking D Crop Yield 00 120 Minute Inspections D Monthly and 1" Rain Inspections D Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain 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 orCA WMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality co ncern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergenc y situations as req uired by
General Permit'? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
33 . Does facility require a follow-up visit by same agency?
~&ifti&lii:~~mmeots ancU6i-~ri~ilwin s: ...,_,. ~''-'•· --t ._ .. r ·,.~---·C •"·· ,. • · .-• .,.-,. __ ,__,, tt_. ~,.._.., .'.'.•. _g _._,•
PI~<L~c.. 6~1'""
.. Y\S p c..:: . .A-',o ~ ~.
+o . \ '
Y""'-Lo ....... ·,~o'C, ""'"' Cl.c
DYes IK]No DNA ONE
DYes DNo DNA ~NE
DYes lJ]No DNA ONE
DYes ~No DNA ONE
DYes li)No DNA ONE
DYes 0No DNA ONE
[8J Yes DNo DNA ONE
DYes 00No DNA ONE
DYes lXI No DNA ONE
DYes [itl No DNA ONE
DYes li]No DNA ONE
DYes llJNo DNA ONE
~-,. .. ~ . ... . ~ ' ' .
12128/04
'nmnli"'n,.. ... Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit ~outine .0 Complaint 0 Follow up 0 Emergency Notification 0 Other D Denied Access
I Date or Visit: I S/211 JD(Oil Tune: I , : () 0
Facility Number I l!:Z H /p&,' a.....--------------------.J IO Not Operational 0 Below Threshold
l:ilt'Pennitted li:I'Certified C Conditionally Certified [] Registered Date Last Operated or Above Threshold: --·---·
Farm Name: -······-·----~~~---····-·-···f?.: ............ __ &f.f....................................... County: ...... S..~!!!·------·--·--·-··-·-·--·-·--·
:;: NA:.:.~---~~-o-· -:)}~;-------·-· ~r No' __ _2J~--_f~1L ____ ~~-·-
• g ... --·-·---............. '.l.f.. __ .. ___ ... -----·-·--·-----... ..!.!.J.J.~ ...... ____ !!l_ ________ :----2l:3 ___ ..
Facility Contact: ..... _"J;.h.7 ...... M.fL, ......... ---·-·--Title: ....... ~ ................ _ ................ ___ Phone No: ----------.. ·-----.. ..
Onsite Representative: .. ------1~-----.......M.f-'..-----·-·-·----.. Integrator: ---~..i!l..-~--------
Certified Operator: ................... ~~1.. ........... __ 1/:!!f.tt ......... __________ ................. Operator Certification Number:
Location of Farm:
ffs'wine D Poultry D Cattle D Horse Latitude '---...JI• L..l ----~1· ~-.I _ __.I" Longitude
, ~:~~&~~i J I~-_ ........... _ ... II
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at 0 Lagoon D Spray Field D Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaUmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? D Spillway
Structure 1 Srructure2 Structure 3 Structure 4 Structure 5
Identifier:
DYes ~o
DYes DNo
DYes DNo
DYes DNo
DYes ~0
DYes ~0
DYes ~0
Structure 6
Freeboard (inches): --.::.~_j.L..J,L.:Ir~Jd.s.~~a;~~ -----------------------------------
12112103 Continued
jFacitity Number: f;1. -"' I Date of Inspection l SJJ.I.Il64,
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion,
seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenancefunprovement?
II. Is there evidence of over application? If yes, check the appropriate box below.
0 Excessive Ponding D PAN 0 Hydraulic Overload D Frozen Ground D Copper and/or Zinc
12. Crop type
13. tlesignated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) 'This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
-C.o<+l .. -.c. .f.., ,..._L~~I. (},vrr -/~ 1-.ls :~ J.v. ~'k.
~ Sf"'1 ~./J s /..,It ~'t ' ('....t;. t-. '1"' r~J d. .....
12112103
Date:
DYes l:!rNo
DYes i!1'No
DYes [B"No
DYes [!(No
DYes ~0
DYes l!fNo
DYes ~0
DYes ~0
DYes ~0
DYes ~0
DYes ~0
DYes ~No
DYes l!if'No
DYes ~o··
DYes ~0
DYes [ii'No
DYes ~0
Continued
I Facility Number: ~A -(,U, I Date of Inspection I Shl# p'fl
Required Records & Document.-;
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
[3"\v aste Application 8 Freeboard E1 Waste Analysis [J;Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
25. Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
27. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
28. Does facility require a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified A WMP?
l\TPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
32. Did the facility fail to install and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35. Does record keeping for NPDES required forms need improvement? If yes , check the appropriate box below.
--
D Stocking Form 0 Crop Yield Form D Rainfall D Inspection After 1" Rain
D 120 Minute Inspections D Annual Certification Form
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
~es
DYes
DYes
DYes
DYes
DYes
I II" No violations or deficiencies were noted during this visit. Yon will receive no further correspondence about this visit.
l,:~ /e~rA "'de L-f ~" ~ ~" l-ei-all Ju4;( erf'tJ -fl,. -1-w"> tJr.&.J ~
II /t.,ls ;., &ul6tt. ~-t~~ /-.JC ~""t.. •
i ~LI~.
12112/03
UfNo
[91Cfo
B'No
BNo
~0
~0
~0
~0
[Q'iQo
DNo
(!(No
MNo
I!(No
llmo
~0
1---•
, Site Requires Immediate Attention:_&
Facility No. -----
DMSION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: "0\ 'I ~0, 1995
Time: lb ', I 0
Farm Name/Owner:_.....,):::::.Jo,oooo..;h_,__n--::--n-'-'1+----'-\-\~p..,r"'--=='e~--J...E~c.w.r...;rh~...>~·-..,----~------
Mailing Address: (2..-\ . LJ ~ o .1 ch 0 ~ C I ~n +-a A • /V · (, -~ cf 3 ~ J:
I
County: :> c: cr f2 )d 0 ·
Integrator: c 0 h Ct:: I e Phone: c; I 0
On Site Representative: C v r-:b € r3c. c vv ;c. A. Phone: _____________ _
PhysicaJ Address/Location:_---.,·S'.~-·_,eo............::e.=--._.!A/l~~s+.e~--....._ _____________ _
Type of Operation: Swine 7 Poultry__ Cattle----------------
Design Capacity: ------Number of Animals on Site: --------------
DEM Certification Number: ACE DEM Certification Number: ACNEW ______ _
Latitude: __ 0 _' _. Longitude:_ 0 _._.
Circle Yes or No
Does the Animal Waste Lagoon ~sufficient freeboard of 1 Foot + 25 year .24 hour storm
(approximately 1 Foot + 7 inches) C!J;jor No Actual Freeboard: '7 Ft. _lz_Inches
Was any seepage observed from the lagoon(s)? Yes or@was any erosion observed? Yes or No
Is adequate land available fo~ spray? es or No Is the cover crop adequate? Yes or No
Crop(s) being utilized: C o r--~ .J
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings'? r No
100 Feet from Wells?@ or No
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 Line: Yes or®
Is animal waste discharged into water of the state by man-made ditch, flushing system, or other
similar man-made devices'? ~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)'? ~or No
event
Additional Comments: ____________________________ _
Signatu~ ~
cc: Facility Assessment Unit Use Attachments if Needed.
I -• I Site Requires Immediate Attention: ~
Facility No. -----
DMSION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: .r~ ~o, 1995 f~
Time: /016 .-JI-8StJ p .. ,. •:~
Farm Narne/Owner: ____ :JO~h:.LJk~~"'~'l/~-r~TM-~:..------------------Mailing Address: _______ 1 ___ l ___________________ _
County: ___ ~~~----------------------------------lntegrator: ________________ Phone: ______________ _
On Site Representative: Phone: _____________ _
Physical Address/Location:, __________________________ _
Type of Operation : Swine =..7"' Poultry_ Cattle------------------
Design Capacity : ------Number of Animals on Site: --------------
OEM Certification Number: ACE DEM Certification Number: ACNEW ______ _
Latitude:_ o _. _· • Longitude :_ o _._ •
Circle Yes or No
Does the Animal Waste Lagoon h~-sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) ~or No ~ Freeboard: 7 Ft. ~Inches
Was any seepage observed from the 1 (s)? Yes o~as any erosion observed? Yes or No
Is adequate land available for spray? Y ~ or o Is the cover crop adequate? Yes or No
Crop(s) being utilized:: ___ ~~~I'-......1!~~~---------+=~----:----
Does the facility meet SCS minimum· setback criteria? 200 Feet from Dwellin~, or No ·
100 Feet from Wells'? ~r No
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 Lme : Yes or@
Is animal waste discharged into water of the state by man-made ditch, flushing system, or other
similar man-made devices? ®or No 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)? @or No
Additional Comments: ____________________________ _
Signature c/
cc: Facility Assessment Unit Use Attachments if Needed.
......
-~ ...
..
~ '"'-· .... -
=r.:~~ ..
l'~-•• r•tU%2l th• camp~•tecl ~oz:a to th• Diviaioa. ot Jtnvi.ro::maa.eal H&a.a~-=-a.e &t:
th• a~ ... OD ~ r•ver•• aic!e of th.i• tor.zl.
Name of farm (Please print) =-~JP~.:;b.~.,ar;l.l:ll!i.j"'--LJI/$wtJ..,_-~....Jfi~:..C?:;l:I...:~~---------------
Add:ess: Lt. ~ &>< jlaJ r • ci>#., j/c_ .;?f 3:)..QI Phone No. : frtt? .;f¢-tj i if
---------------------------C~unt:y: 5"'-e~,,..
Fa.r.:J location: Latitude and Longitude:~.~~ !...:3.'f£0_ (re<;UiredJ . Also ,
please accach a copy of a county read map with locacion identified.
'I'y;Je of operation (swine, layer. da.iry, etc.) :~~--"<l.J::,.t~'r..:."'::...:.( ____________ _
Desi~ ca~acity (number of anima1s): ________ ~2~~~~~o ________ ~-------------------
Avera~e size of operation· (12 month population avg.) =--~J~)L'~~~O'----~~~-----­
Avera\;'e acreage needed for land application of waste (a-::res) s_-.~~::...:.1.:.~·5'~------
~·c~ical Specialiat Certification
As a tech.''lical specialist designated by the North Carolina Soil a.'"ld Water
Conse~;ation Commission pursuant to lSA NCAC 6F .0005, I certify that the new or
expanded animal waste management system as installed for the fa~ named above
has a.'"l animal waste management plan that meets the desi~n. cons~ruction.
operation and IDaintena.'"l.ce standards and specifications of the Division of
~~vironmental Management and the USDA-Soil Conserration Serrice ar.c/or the North
Carolina Soil and Water Conser;ation Commission pursuant to lSA NCAC 2H.0217 and
lSA NCAC 6F .0001-.0005. The following e~ements and their corresponding minimum
criteria-~re been_verified by me or other designated technical specialists and
are included in the plan as applicable : minimum separations (buffers); liners or
equivalent for lagoons or waste storage ponds; waste storage capacity; adequate
quantity and amount of land for waste utilization (or use of third party); access
or ownership of proper waste application equipment: schedule for timing of
applications·: application rates; loadinq rates; and the cont=ol of the discharge
of pollutants from stor.cwater runoff events less severe than the 25-year, 24-hour
storm.
Af=iliation: ____ ~~~~~~~~~~~~~~~~~------------------~~=-~~~~~~~
Address (Ac;e.'"l.C"£ l : o · l:J Phone No •=.J..&.loL_!-1-..._--"'.....,j~.....,. :::n:..:~r.e~. -~~ -~ -~---•••••• ...... ~:;:: .. ;{~ t/:?uJt::::: .•.
owner/~ager Agrecmaa.t
I (we) understand ·the operation and maintenance procedures established in the
approved animal waste manage.'llent plan for the fa.r.n named above and will implei:lent
these ~rocedures. I (we) know that any additional exparision to the existing
design capacity of the waste treat:Inent and storage sys~em or construction of new
facilities will require a new certification to be submitted to the Division of
Environmental Mal'1agement before the new an i mals are stocked. I (we) also
~•derstand that there ~st be no dischar\;'e of anL'nal waste from this system to
surface waters of the state either through a man-made conveyance or through
runof= from a sto~ event less severe than the 25-year, 24-hour storm. The
approved plan will be filed at the fa_~ and at the office of the local Soil and
Water Conse~Jation District .
Nam. of Land OW::J.er (Please Print) =-~du4c;.'.e.ht._.ja~--:...11~---"'"h:...L.~-",..4~~;..._-----------------­>
Date : 3 ·-2 ?'-?9=
H-=-ot H&a.agar, if different from owner (Please print): ________________________ _
signa t:ure: Date:----------:-:-~-~­
~: A c~ange in land ownership requires notification or a new certification
(if t~e approved plan is changed) to be submitted to the Division of
Enviro~~ental Management within 60 days of a title transfer.
D~ USE ONLY:A~~~~------------------
/0 l
oeparlnient ·arEnVira.nment.
Heotth end Naturol Resources
Division of Environmental Management
James B. Hunt, Jr .• Govemor
Jonathon B. Howes. Secretory
A. Preston Howard. Jr .. P.E .• Director
CSRT+F!CATION FOR ~~ OR EXPANPED ANIMAL PEEDLOTS
INSTRUCTIONS FOR CE:RTIFIO.TION OF ;..PPROVED ANIMAL WASTE MANAGEMENT PLANS FOR
NE'"..l OR E:XP.~E.O ANIMAL WASTE M.AN;\G~l7 S"!STEMS SERVING P'-EDLOTS
In order to be deemed permitted by the Divisi~n of Envirornental Mana~ement
(DEM). t:he owner of any new or expanded ·anil:la.l was:e management. system
const:ruc:ed after January l. 1994 which is designed to serve greater than or
equal to ~he animal populations listed below is required to submit a signed
certification for:n to DEl-! betgrp the nEN animals are stocked on the farm.
Pasture operations are exempt from the requirement to be cert:ified.
100 head o~ catt~•
75 hcr•-
250 awiAe
1,ooo meep
30,000 birda with a l.~qu~d waste .yatem
The certification arust be siqned by the owner. of the feedlot (and manager if
different from the owner) and. by any technical specialist designated by the Soil
anci Water Conservation Commission pursuant to lSA NCAC 6F • 000 l-. OOOS. A
technical specialist must verify by an on-site inspection that all applicable
d.esiqn and construction standards and. specifications are met as installed and
~t all applicable operation and. maintenance standards and specifications can
be met. · · , · ·
..... 1
Althouqh the actual.n~~r of animals at the. facility may vary from time to time,
the d.esign capacity of·. the waste han.d.linq system should be used to determine if
a farm is subjecc to the certification requirement. For example, if the waste
system for a feedlot is."desiqned to handle 300 hogs but the average population
will be 200 hogs, then·· the waste manage!nent system requires a certification.
·~
This certification is required by regulations governing animal waste management
syste.'"lts adopted by the Enviroru:nental Management Commission (EMC) on December 10,
1992 (Title 1SA NCAC 2H .0217).
On the reverse side of this paqe is the certification fo:';1 which ;:rust be
submitted to OEM before new animals are stocked on the far::1. Assistance in
completing the form can be obtained from one of the local agricultural aqencies
su~~ as the soil and water conservation discrict. the USDA-Soil Conservation
Ser-.rice, or the N.C. Cooperative Ext: ens ion Ser-.rice. The form should be sent to_:
Depar~ent of Environment, Health and Natural Resources
Division of Environmental Management
Water Quality Section., Planning Branch
P.O. Box 29535 ~ __..)
Raleigh, N.C. 27626-0535 • ~.?A _
?hone: 919-733-5083 ------------~~
Steve W. Tedder. Chief
Water Quality Section
Form ID: A~~Ol94 Date: 1z ;z-, lffl
P.O. Box 29535. Rcleigh. North CaroJir, .... , 27626-{)5.:?.S Telephone [phone] FAX [phone]
An Equal Oppom..nity Afflrmcti\te Acti.:ln employer Sl.""'. racyc!ad/ 1 0'1. post-c ~1JTT'Ier pacer
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