HomeMy WebLinkAbout820670_INSPECTIONS_20171231NORTH CAROLINA
Department of Environmental Quality
-. ....--..·-.. _ ...... _..-..
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ompliaoce Inspection Operation Review 0 Structure Evaluation
Reason for Visit: ~utine 0 Complaint 0 Follow-up 0 Referral 0 Emergency
Date of Visit:l WtJ: I) I Arrival Time: I / .' [J:> I Departure Time: I J"~ Q () I County:_ 5~ fe:x-Region:
Farm Name: ;·gJh,r--..J;; J~.,.J pZz/~ Owner Email:
Phone:
Mailing Address:
Physical Address:
Facility Contact: 5Jlii~-~ tt"--=' Title: Phone:
Oosite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Discharges and Stream Impacts
I. Is any di sc harge observed from any part of the operation? DYes ~o
Discharge originated at: 0 Structure 0 Application Fi eld D Other:
a . Was the conveyance man-made? DYes 0No
b . Did the discharge reach waters of the State? (If yes, notify DWR) 0 Yes 0No
c. What is th e est im ated volume that reached waters of the State (gallons)?
d . Does the discharge bypass the waste management syste m? (If yes, notify DWR) DYes 0No
2. Is there evidence of a past di sc harge 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 ~No
0 Yes [H. No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
214/10 15 Continued
'J
!Facility Number: &:CJ:--1? -& 2 Q !Date of Inspection: 12 ~/ J.f~ I 7
Waste CoUection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in): 11:
Observed Freeboard (in): tJ
5. Arc there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a
waste management or closure plan?
DYes ~No DNA ONE
D Yes D No D NA D NE
Structure 5 Structure 6
fl)-Yes DNo DNA ONE
gYes D No DNA D NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the 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?
~Yes D No 0 NA D NE
~ Yes D No D NA 0 NE
§-Yes D No 0 NA 0 NE
DYes 0 No DNA IZJ-.NE
11. Is there evidence of incorrect land application? Ifyes, check the appropriate box below. DYes D No DNA (ig_NE
0 Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu , Zn, etc .)
0 PAN D PAN> 10% or 10 lbs. 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area
12. Crop Typc(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Docs the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the ~gation design or wettable
acres determination?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page2of3
DYes D No
DYes DNo
DYes DNo
DYes DNo
DYes D No
DNA ~NE
DNA 0 N E
DNA ~NE
DNA DiNE
DNA (5j.NE
DNA ~NE
DNA 6?J._NE
DYes DNo D NA @.N E
214/2014 Continued
,, [Facility Number: ,i
I
loate of Inspection:
I ., • 1
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
theappropriate box(es) below.
DYes DNo
DYes 0 No
DNA ~NE
0 NA f2j-NE
0 Failure to complete annual sludge survey 0 Failure to develop a POA for sludge levels
0 Non-compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance :
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify th e Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over-application)
3 I . Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
0 Application Field 0 Lagoon/Storage Pond 0 Other:
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP?
33 . Did the Reviewer/Inspector fail to discuss review/i nspection with an on-site representative?
34. Does the facility require a follow-up visit by the same agency?
DYes 0 No DNA (2g NE
0 Yes DNo DNA Et) NE
0 Yes DNo DNA f5JNE
("'
0 Yes 0No DNA ~NE
0 Yes DNo DNA (FJ_NE
DYes 0No DNA ~E
0 Yes '23No DNA ONE
DYes ~No DNA ONE
0 Yes J£1-No DNA ONE
{i/~(lv (!} Tft·?;-/'1'7~/ UJ .. •.s ~~/ ptf-JJu CU ho> ~,-,~-f>~~
wh..p~ ('cN'_>4 1~ 7 4'fr· ~~-------tr/L f,_v'~ rw~·u:r,
t-~7..5 'J)7
-rr-rrr:;.+~ ; 3 ? ~; )_
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page3 of3
Phone: '7-/IJ-,YO:J-O 61
Date: 12:-/'/~1'?
11411015
Compliance Inspection Operation Review 0 Structure Evaluation
Reason for Visit: @ Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Denied Access
Date ofVisit: l11l~f!'J I Arrival TimedJ0:15 AH I Departure Time:l/o:soAH I County :5~
Farm Name: Butf-rr l:s roJ totAt Owner Email:
Owner Name: St-fl-f(l Ta~ Phone:
Mailing Address: PO fux; 141~ E 1\-z.a hefh fowa
7
hlC P>K33)
Physical Address: 14 ~ f"a \ \ tJ l£a &ifJ Ln; Ro,e /x} o
Facility Contact: S=k..,e_ -Ta"tm Title: (OJ.,z,f; Phone:
Region: f:PlJ
Onsite Representative: n I{).._ Integrator: --------------
Certified Operator:
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)?
Certification Number:
Certification Number:
Longitude:
DYes ~No
DYes 0No
DYes 0No
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2.ls there evidence of a past discharge from any part of the operation?
DYes
DYes
0No
~No
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 0No
DNA ONE
(EJ NA ONE
DNA ONE
r5a'NA ONE
DNA ONE
DNA {MNE
11411011 Continued
• !Facility Number: $Q. -(/nO lnate oflnspection: (!lOS fl3
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 l Structure 2 Structure3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a
waste management or closure plan?
DYes 0No ~NA ONE
DYes 0No DNA ONE
Structure 5 Structure 6
DYes 0 No cg-NA 0 NE
~ Yes 0 No D NA 0 NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
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?
rg) Yes 0 No 0 NA 0 NE
DYes 0No ~NA ONE
181 Yes 0 No 0 NA 0 NE
DYes 0 No I8J NA 0 NE
II. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes 0 No 18 NA 0 NE
D Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.)
D PAN 0 PAN > I 0% or I 0 lbs. D 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):
"-soil Type(s): Av],f llle I s
14. Do the receiving crops 1ffer from those destgnated m the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Reguired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
the appropriate box.
OWUP 0Checklists D Design D Maps D Lease Agreements
21. Does record keeping need improvement? lfyes, check the appropriate box below.
DYes 0No ~NA ONE
DYes 0No ~NA ONE
DYes 0No DNA ~NE
DYes 0No DNA IEJNE
DYes 0No (2iNA ONE
DYes 0No DNA ~NE
DYes 0No DNA (2'NE
Oother:
DYes 0No DNA ~NE
D Waste Application D Weekly Freeboard D Waste Analysis 0 Soil Analysis D Waste Transfers D Weather Code
D Rainfall D 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? ~ Yes 0 No 0 NA 0 NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of3
DYes 0No ~NA ONE
21412011 Continued
'" jFacil1ty Number: q;~ -/t21~ loate of lns~ection: ulm l13
24 . Did the facility fail to calibrate waste application equipment as required by the permit? DYes 0No ~NA ONE
25. Is the facility out of compliance with pennit conditions related to sludge? If yes, check DYes 0No i8NA ONE
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
Li st structure(s) and date offtrSt survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over-application)
31 . Do subsurface tile drains exist at the facility? If yes , check the appropriate box below.
0 Application Field 0 Lagoon/Storage Pond D 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?
Rev iewer/Inspector Name:
Reviewer/Inspector Signature:
Page3 of3
DYes 0No ~NA ONE
DYes 0No I)!NA ONE
DYes 0No ~NA ONE
DYes ~0 DNA ONE
DYes 0No iSa'NA ONE
DYes 0No DNA f}iNE
DYes 0No DNA fS(1 NE
~Yes 0No DNA ONE
DYes ~No DNA ONE
ore
Phone: qi(}{I33..3Joofrrlfirr)
7
Date: Nov £?~40\3
21412011
Type of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other
Date of Visit: lq)!~f 1 4-. I Arrival Time:IUJ~4£AH I Departure Time: I I /'r~ I County: ..5n~ttf!th
FarmName: Bu!J&. ~s/u,J Wlh
Owner Name: S f.ewn Tatv,.,
Owner Email:
Phone:
Mailing Address: po .lrJK ll/1~ . E f h.ab&rfovn WC... cl8.337
)
Physical Address: l4a.. Fall~ L£4"'111he ) f<..orebtra
Facility Contact: S+e~ Ttdva, Title: _O:I.L.:...,__Itfr-=-------Phone:
Region:.fM
Onsite Representative: -.:n:....!· ~fa_::=::::__ _____________ __;_ __ Integrator: .....:.n.!:/!.:tt-:.= _________ _
Certified Operator: nla
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
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 ~No
DYes 0No
DYes 0No
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page 1 of3
DYes ~No
DYes 0No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ~E
214/2011 Continued
IFacilitrNumber: 1)a... I Date of Inspection: g(t~l ld-.
Waste Collection & Treatment
4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
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. Arc there structures on-site which are not properly addressed and/or managed through a
waste management or closure plan?
D Yes D No fid NA D NE
D Yes D No 0 NA D NE
Structure 5 Structure 6
DYes D No ~NA 0 NE
jgYes D No 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
lO. Are there any required bu!Ters, setbacks, or compliance alternatives that need
maintenance or improvement?
ISJYes D No DNA D NE
DYes 0 No ~NA D NE
~ Yes D No D NA D NE
DYes D No ~ NA D NE
II. is there evidence of incorrect land application? If yes, check the appropriate box below. DYes D No ~NA D NE
D Excessive Ponding 0 Hydraulic Overload D Frozen Ground D Heavy Metals (C u, Zn. etc.)
D PAN D PAN> 10% or 10 lbs. 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside o f Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s): ...J.A_.v:.....:;\"-~'Y~v..uil~~o..~off........_l£......._ _________________________ _
14. Do the receiving crops diflcr from those designated in the CA WMP?
15. Docs the receiving crop and/or land application site need improvement?
I 6. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the fa c ility 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 Ochec klists D De sign D Maps 0 Lease Agreements
DYes DNo ~NA ONE
DYes DNo ~NA ONE
DYes DNo DNA ~NE
DYes DNo DNA IIfNE
DYes DNo 1)4NA ONE
DYes DNo DNA lk:fNE
DYes 0No DNA ~NE
00ther:
21. Does record keeping need improvement? lfycs, check the appropriate box below. DNA ~NE 0 Yes DNo
0 Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analys is D Waste Transfers 0 Weather Code
D Rainfall 0 Stocking 0 Crop Yield 0 12 0 Minute Inspections 0 Monthly and I" Rainfall Inspe ctions 0 Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
23 . If se lected, did th e fa c ility fail to install and maintain rain breake rs on irrigation equipment?
Page1of3
~Yes D No DNA D NE
D Yes D No ~NA 0 NE
214/1011 Continued
t!<acillty" Number: q;~ _[p10 loate of IDSJ:!ection: q11~ I!~
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes DNo ~NA ONE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check DYes DNo ~NA ONE
the appropriate box(es) below.
0 Failure to complete annual sludge survey DFailure to develop a POA for sludge levels
0 Non-compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? DYes 0No ~NA ONE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? DYes DNo (S}NA ONE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document DYes DNo ~NA 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 ~No DNA ONE
If yes, contact a regional Air Quality representative inunediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the DYes
permit? (i.e., discharge, freeboard problems, over-application)
0No IS}NA ONE
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. DYes 0No DNA ISJ NE
0 Application Field D Lagoon/Storage Pond D Other:
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes 0No DNA !SfNE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 18J'Yes 0No DNA ONE
34. Does the facility require a follow-up visit by the same agency? DYes f5lNo DNA ONE
AttnJO!ett -{h-PJ wi-t1l o"~jfOt'll fieldr lWi IC[Ja:ns, lne_.own-rr fs po/.,~'1 fil-e_ OJ~ft-fee..
-to tnoi'tf-ah sa (e or-fl'OII}. 'TI)e.(a_pu u;rgho-1PJ Wov/d ha't:.-i-o be_ iDftliJ f'ehv/ff--
fo ..-+~ fo""_,(lfo pred~c-h't::VJ, lhe. lajans or-e.'drt tY neet'y so,
No' YYI&" c}ro.Jen'me_ I ttr+ y eor. A fe~v fro IV ho-e bf..-, b., h htj~ 1 ft t) b:?bf far Av1!!J
0((ey,
pJIOJ fYlO i /eJ--+-o ownrr q I~ 7/J;)... ,
Reviewer/Inspector Name:
Reviewer/Inspector Signatu re :
Page3 of3
Phone : qf{)-43Jr33JoWffi'ce}
Date: Sert :.1], ~01~
214120II
0'Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ~Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: llO~'B Ill I Arrival Time: II~ 15"" PH
Farm Name: Ovf:ftt :1-s/o,J 'f?k....-,
Owner Name: S±ev& }'v", TCrt~.tt,
Mailing Address:
Departure Timed /~30ffl I County: S GrrfSOJ
Owner Email:
Phone:
Region: f:'l?{)
Physical Address: -------------------------------------------
Facility Contact: Sif ~~~ Tatvt!? Title: ------------Phone:
Onsite Representative: --'-OI.JI-.IICa ... <'-------------------Integrator: _.!..nu/..:;;Q.:.... _________ _
Certified Operator: nla....
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Structure 0 Application Field
a. Was the conveyance man-made?
0 Other:
b. Did the 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 ~No
DYes 0No
DYes 0No
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page I of3
DYes ~No
DYes &J-No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
21411011 Continued
IFacmq; Number: $a--hJO I nate of Inspection: I ol~i/t 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
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any ofthe structures observed?
(i.e., large trees, severe erosion, seepage, etj)
6. Are there structures on-site which are not properly addressed and/or managed through a
waste management or closure plan?
DYes 0 No jgNA ONE
DYes D No DNA D NE
Stru cture 5 Structure 6
D Ye s D No 181 N A D NE
~Yes 0No D N A O 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 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 or improvement?
gj Yes D No DNA D NE
DYes D No ~ NA D NE
18)Yes 0No DNA ONE
D Yes 0 N o DNA ~NE
I I. Is there evidence of incorrect land application? If yes, check the appropriate box bel ow . D Yes D No ts!J NA D NE
D Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heavy Metal s (C u, Zn , etc.)
D PAN D PAN> 10% or 10 lbs. D Total Phosphorus 0 Failure to Inc orpo rate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window D Evidence ofWind Drift 0 Application Outs ide of Approved Area
12. Crop Type(s):
13. soil Type(sJ' A ,tr !lie. l s
14. Do the receiving crop:iffer from those designated in the CA WMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If ye s , c heck
the appropriate box.
owup Dchecklists 0Design D Maps D Lease Ab'Te emen ts
21. Does record keeping need improvement? If yes, check the appropriate box below.
DYes 0 No ~NA O NE
D Yes 0 No ~N A ONE
0 Yes 0 No DNA ~NE
0 Yes 0 N o DNA ~N E
DYes 0 No 8]~ BJNE
DYes 0 N o D NA [;g NE
D Yes 0No D NA !B'NE
Oother:
DYes 0 N o D NA ~NE
D Waste Application D Weekly Freeboard D Waste Analysis 0 Soil Anal ys is 0 Wa ste Transfer s D Wea ther Code
D Rainfall D Stocking D Crop Yield D 120 Minute Inspections D Monthl y and I " Rai nfall In s pections D S ludge Survey
22. Did the facility fail to install and maintain a rain gauge? ~ Yes 0 N o 0 NA D NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equi pment? D Ye s 0 No ~ NA D NE
Pagel of3 2/412011 Continued
jFac~li!l Number: lSC\.. -~]{2 I Date oflns~ection: lOla,~ lll
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No ~NA ONE
25. Is the facility out of compliance with permit conditions related to sludge? ffyes, check DYes No ~NA ONE
the appropriate box(es) below.
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 provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over-application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
0 Application Field 0 Lagoon/Storage Pond 0 Other:
32. Were any additional problems noted which cause non-compliance ofthe permit orCA WMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
34. Does the facility require a follow-up visit by the same agency?
Reviewer/Inspector Name:
Reviewer/Inspector Si~:,'llaturc:
Page3of3
DYes 0No ~NA ONE
DYes 0No (')a-NA ONE
DYes 0No ~NA ONE
DYes ~No DNA ONE
DYes 0No 6}NA ONE
DYes 0No DNA ~NE
DYes 0No DNA 18J"NE
I8J Yes 0No DNA ONE
DYes [gJ No DNA ONE
Phone: ql(}-~33 ~3300 foffi-e)
Date: IO \ad) l
' 214/20//
, .. _I
I -~ • • .:::.. . • £__,.., ~(ilii!llim~ lia.c 'i'ih~·· ~110. .. ]( [ID;ftftan<lil00€Illf\~~
llti!N?~
Type of Visit "fiJCompliance 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
Region: f?'Ro Date of Visit: IJal~l(O I ArrivalTime:l J;~~ro P!11 Departure Time:I~~:30Pf1 I County: s-arrrs tb
Farm Name: Bvf-f1t J::.s fev.J.. tiu0 Owner Email: -----------
Owner Name: ~Si~..\,f,..l=v~e-Jnu__ ______ -n._,~""'~m:....:.-------Phone: ~(()) ~0J.-11> d.<J
Mailing Address: PO @OX I Y f ~ -4.<G'+l ....... o."""""a...;<...>b&rfo..,__,_._,<..:.....-:.....:.." _.;..:.IV ..... c __ 0}8327
Physical Address:----------------------------------------
Facility Contact: S {eve)) Tafvn Title: 0}¥11 fr Pbone No: ~xt$~------
Onsite Representative: ...;..h....,I'""L=-------------Integrator: Gzi {a;z/; f'$; s=.: ~4 fPn/tl_
Certified Operator: ____.b'-'-'-}IJ..""""",........._ _____ -----------Operator Certification Number: -------
Back-up Operator: --------------------Back-up Certification Number:
Location of Farm: Latitude: D OD'D" Longitude:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? DYes ~No DNA ONE
Discharge originated at: D Structure 0 Application Field D Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does 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?
Page I of 3
DYes 0No DNA ONE
DYes 0No DNA ONE
DYes 0No DNA ONE
DYes ~No DNA ONE
DYes fRNo DNA ONE
11128104 Continued
fFiiciii'ty Number:~().._ -G, 7() I Date oflnspection ~'diQ.d.lt 0 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 0No ~NA ONE
DYes 0No DNA ONE
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 0No ~A ONE
(ie/large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed t81Yes 0No DNA ONE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the stuctures lack adequate markers as required by the permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
81Yes 0No DNA ONE
DYes 0No RNA ONE
DYes 0No ~A ONE
DYes 0No DNA ~NE
II. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes 0 No 'IiaNA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn , etc.)
D PAN 0 PAN> 10% or 10 Jbs D Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Area
12. Croptype(s) .....!...f'l:....!.}~()._::::::::.... _____________________________ _
13. soil type(s) Avtryvll le..
14. Do the receiving crops differ from those designated in the CA WMP? DYes D No gNA ONE
15. Does the receiving crop and/or land application site need improvement? 0 Yes 0 No gNA D NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?O Yes 0 No 0 NA IStNE
17. Does the facility lack adequate acreage for land application? 0 Yes 0 No DNA ~NE
18. Is there a lack of properly operating waste application equipment? DYes 0No [&NA ONE
Reviewer/Inspector Name
Pagel of 3
-~Facility Number:~).._ -fo10 I Date of Inspection 11~§!10 I
Reguired 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
DYes 0No DNA ~E
DYes 0No DNA ~NE
21. Does record keeping need improvement? If yes, check the appropriate box below. DYes D No DNA ~NE
D Waste Application D Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers D Annual Certification
D Rainfall D Stocking 0 Crop Yield D 120 Minute Inspections 0 Monthly and I" Rain Inspections D Weather Code
22. Did the facility fail to install and maintain a rain gauge? ~Yes 0No DNA ONE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes 0No (SdNA ONE
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes DNa f£{NA ONE
25. Did the facility fail to conduct a sludge survey as required by the permit? DYes DNo ~NA ONE
26. Did th e facility fail to have an actively certified operator in charge? DYes DNo f){NA ONE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes DNo IXNA ONE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes 0-No DNA ~E
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes
and report the mortality rates that were higher than normal?
0No [SI(NA ONE
30. At the time of the inspection did the facility pose an odor or air quality concern? DYes fiSJ No DNA ONE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notifY the regional office of emergency situations as required by DYes 0No fiaNA ONE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? f8fYes 0No DNA ONE
33. Does facility require a follow-up visit by same agency? DYes !&"No DNA ONE
Page3 of 3 11128104
"'· ~ . ., ... -
~~-liJ'i'in·VJ~IIIIDI li 1:.1 "-&D ·~crilMaml~~ ~~m~J.·~.--.~
@J}m~
Type of Visit ® Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit ® Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access
Date of Visit: l1.z-17-o"l Arrival Timed03; oo,. _, Departure Time: l l>3 ~/o'> :J County: $"tJ••v'J59 A.1
I I
Region: FllO
Owner Email: --------------
Owner Name: ~W\At--t B. 1-/ro"'""·c..., f /-Phone:
Mailing Address: -----------------------------------------
Ph)·sical Address:------------------------------------____ _
Facility Contact: ______________ Title: ------------PhoneNo: _________ ___
Onsite Representative: -------------------Integrator:----------------
Certified Operator:---------------------Operator Certification Number: --------
Back-up Operator: --------------------Back-up Certification Number:
Location of Farm: r-loD'D" Latitude: L__j Longitude: D OD'D"
Design Current Design
Swine Capacity Population Wet Poultry C~pacity
Current
Population
I I li I§ ~:~~~ayer I ID Wean to Finish
D Wean to Feeder !
D Feeder to Finish '
D Farrow to Wean
D Farrow to Feeder I
I
D Farrow to Finish
I
'
D Gilts
I
D Boars :
-.. -----'
Dry Poultry
D Layers
D Non-Layers
D Pullets
D Turkeys
ID Other !_
D Turkey Poults
D Other
. --····· -----. --···"------
Other
Discharges & Stream Impacts
I . Is any discharge observed from any part of the operation?
Discharge originated at D 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)
Design c'JriJ~t
Cattle Capacity PopUJ.ation
I!
ODairyCow i
I
D Dairy Calf
D Dairy Heife1
D D_!}' Cow
f D Non-Dail)'
D Beef Stocker
I
J D Beef Feeder
D BeefBrood Cow
---
I
I I
r
r
'
J Number of Structures: I . J :j:;-·;.·
DYes [i]No DNA ONE
DYes ~No DNA ONE
DYes GJNo 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) ..... _
2. ls 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?
DYes 5ll No
DYes [})No
DYes ~No
11128104
DNA ONE
DNA ONE
DNA ONE
Continued
'•
!' .,
;
i.
·:
F
I'
IFacilityNumber: FZ.-~Q70 I Date oflnspection l12-27· 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 I Structure 2 Structure 3 Structure 4
DYes []No DNA ONE
DYes llfNo DNA ONE
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 ~No DNA ONE
(ie/large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed DYes Ill 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?
DYes ~No DNA ONE
DYes [81No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
II. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes ~No 0 NA 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 0 Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Area
12. Crop type(s) --------------------------------------
13. Soil type(s)
14. Do the receiving crops differ from those designated in theCA WMP? DYes [l)No DNA ONE
15. Does the receiving crop and/or land application site need improvement? DYes [3No DNA ONE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ac re determination? DYes 1!1 No D NA D NE
17. Does the facility lack adequate acreage for land application? DYes !;}No DNA ONE
18. Is there a lack of properly operating waste application equipment? DYes 1;(1 No DNA ONE
Date:
CJto) ~.13-3-.53-o
/.Z -z7-zoo"
Page2of3 12118104 Continued
:•
i;
l .
.,.
I Facility Number: gz. -6701 Date of J nspection l17 · 27 • o '-l
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 ofthe CA WMP readily available? lfyes, check
the appropriate box. 0 WUP D Checklists D Design 0 Maps D Other
DYes []No DNA ONE
DYes ffiNo DNA ONE
21 . Does record keeping need improvement? If yes, check the appropriate box below. D Yes []}No DNA 0 NE
D Waste Application 0 Weekly Freeboard D Waste Analysis D Soil Analysis 0 Waste Transfers D Annual Certification
D Rainfall 0 Stocking D Crop Yield 0 120 Minute Inspections D Monthly and 1" Rain Inspections D Weather Code
:,
22 . Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24 . Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27 . Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality repre sentative immediately
3 I . Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-s ite representative?
33. Do es facility require a follow-up visit by same agency?
Poge3of3
DYes GNo D NA O NE
DYes Et}No DNA O NE
DYes [~l No DNA ONE
DYes liZ] No DNA ONE
DYes 00No DNA ONE
DYes (l1No DNA ONE
DYes a:JNo DNA ONE
'
DYes ~No DNA ONE
DYes [6JNo DNA O NE
DYes OJ' No DNA ONE
DYes [)No DNA ONE
DYes ~No DNA ONE
12128/04
e Division of Water Quality
0 Division of Soil and Water Conservation
0 Other Agency
::IF:aci~ityNum~~r j ~2... H (p 70 II
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
Date of Visit: !12 -27-0~~ Arrh·al Time: lu3;oo4 .... ...I Departure Time: lo3 ~icl>IJ County: 5'<)...y>fc iV Region: F£0
I I
Owner Email: ----------'------
Owner Name: ~~,u B. ~Ah'~ ~+j= Phone:
Mailing Address: ------------------------------------____ _
Physical Address:-----------------------------------------
Facility Contact: --------------Title: -----------PhoneNo: _________ _
Onsite Representative: -------------------Integrator:----------------
Certified Operator:--------------------Operator Certification Number: -------
Back-up Operator: --------------------Back-up Certification Number:
Location of Farm: Latitude: D OD'D" Longitude: D OD'D"
Design Current
Capacity Population
Design Current
C~pacity Population Swine Wet Poultry
ID Wean to Finish I I
0 Wean to Feeder
0 Feeder to Finish
10 Laver I J I.
0 Farrow to Wean
0 Farrow to Feeder
0 Farrow to Finish
0Gilts
0 Boars -----·-···---···-· -···
Dry Poultry
Other
D Layers
D Non-Layers
D Pullets
D Turkeys
0 Turkey Poults
OOther ID Other
.. __, -~-·-·-
Discharges & Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Structure 0 Application Field D Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
Cattle
ODairyCow
D Dairy Calf
0 Dairy Heife1
DDrvCow
D Non-Dairv
D Beef Stocker
D Beef Feeder
D Beef Brood Co\\
Design Current
Capacity Population
;
i
I
'
'
I
I
-----. ""
Number of Structures: o:
----~
0 Yes ltJ No 0 NA ONE
DYes ~No DNA ONE
DYes [YI No DNA ONE
c. What is the estimated volume that reached waters ofthe State (gallons)?
d. Docs discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
DYes !¥No
DYes []No
DYes ~No
12118104
DNA ONE
DNA ONE
DNA ONE
Continued
!Facility Number: '8z. -tpzo Date oflnspection !12-?7-&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
DYes ~No DNA ONE
DYes ~o DNA ONE
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?
(ie/large trees, severe erosion, seepage, etc.)
DYes ~No DNA ONE
6. Are there structures on-site which are not properly addressed and/or managed
through a waste management or closure plan?
DYes ~No DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any ofthe structures need maintenance or improvement?
8. Do any of the stuctures lack adequate markers as required by the permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes ~No DNA ONE
DYes !!}No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
II. Is there evidence of incorrect application? If yes, check the appropriate box below. D Yes ~No D NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.)
D PAN D PAN> 10% or 10 lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Area
12. Crop type(s) --------------------------------------
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CA WMP? DYes [l) No DNA ONE
15. Docs the receiving crop and/or land application site need improvement? DYes {2)No DNA ONE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? DYes ll:] No 0 N~ 0 NE
17. Does the facility lack adequate acreage for land application? DYes l:;HNo DNA ONE
18. Is there a lack of properly operating waste application equipment? DYes l;(i No DNA ONE
C<lmJments.(i,~fer to question #): Explaili any YES answers and/or any
drawiligs·:or facility to better explain situations. (use additional pages as nec~•sacy.)
Reviewer/Inspector Name ! . ~
--~~--~~~~~~~------------------------~~
Reviewer/Inspector Signature: Date:
Page2of3 12/28104 Continued
I Facility Number: 'Bz. -b 10!
Required Records & Documents
Date of Inspection lt:z-;n ~o 41
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components ofthe CA WMP readily available? If yes, check
the appropriate box. 0 WUP 0 Checklists 0 Design 0 Maps D Other
DYes []'No DNA ONE
DYes 12fNo DNA ONE
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes [iNo DNA D NE
D Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification
0 Rainfall D Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and I" Rain Inspections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non~ompliance 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 reg ional Air Quality representative immediately
3 1. 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:· .. ·'
Page3of3
DYes ~No DNA ONE
DYes EjJ No DNA ONE
DYes ~No DNA ONE
DYes 1\Z] No DNA ONE
DYes [!I No DNA ONE
DYes l;B' No DNA ONE
DYes i:pNo DNA ONE
DYes IE No DNA ONE
DYes ~No DNA ONE
DYes [JNo DNA ONE
DYes [J'No DNA ONE
DYes lj61 No DNA ONE
' '~>:, " . ; :; .~.·. : ~;~:.f!~fj_~·:~~~~i~~·.:~:~~:
....
f-
11118104
. ~. '
State of North Carolina
Department of Environment.
Health and Natural Resources
FayettevUie Regional Office
James B. Hunt. Jr .. Governor
Jonathan B. Howes, Secretary
Andrew McCall. Regional Manager
DMSION OF ENVIRONMENTAL MANAGEMENT
Sandy Farm
A TIN: Mr. Johnnie Evans
c/o Tom Coble
Rt. 2, Box 120
Autryville, NC 28318
Dear Mr. Evans:
September 6, 1995
SUBJECT: Compliance Inspection
Sampson County
On july 25, 1995, an inspection of your animal operation was performed by the
Fayetteville Regional Office (FRO). Please find enclosed a copy of our Compliance
Inspection Report for your information. It is the opinion of this office that this facility is
in compliance with 15A NCAC 2H, Part .0217, and that Animal Waste Management is being
properly performed.
Should you have any questions regarding this matter, please feel free to contact me
at (910) 486-1541.
Sincerely,
Ricky Revels
Environmental Technician IV
RR/bs
Enclosure
cc: Facility Compliance Group
Wochovio Building. Suite 714. Fayetteville. North Carolina 26301·5043 Telephone 91~486-1541 FAX 91~86-0707
Arl Equal Opportunity Affirmative Action Employer 5(11. recycled/ 10% post·consumer paper
.,
Site Requires Immediate Attention: Ye. s
Facility No. ·z.~-2 G.
s/.ov/J 6.4v~ b~~,.,/
DMSION OF ENVIRONMENTAL MANAGEMENT f,~/.c.J ~., s-.-~!;oNt<>.
ANIMAL FEEDI.DT OPERATIONS SITE VISITATION RECORD
DATE: :r~\j 2.5 , 1995
Time: I tD ! '+-~
Farm NameJOwner:_-:::S;.::;a~"'::....;d;;...~::r-...:.P......:-a;;;.:v~""":::=;..JI;.....--=-/-~:I=o'-'~"':..~:N:~..~'~·c.c--....!=/£~vu.....,JJ=.S-~~-------
Mailing Address :_c-=-·/,.::O____;n.....:":....;""'..:..:..._.....:~~· hl:::t....:e...:::::.._-.!..:~:L.r_z:::;,,....· -=e.~~A;.;___:;I..:z::.:o~~~A..rl:...:.=..:..c;!!J;y..:.."'.;.:;"~'l <-:.:......,,~· _N_c_· _z.__;;.i"...;;3;_t.::.1! ___ _
County : Sa,.,e$o,.}
·Integrator: ' Phone: _____________ _
On Site Representative: To • .., Cob/(.. C&ai:>h~ dtrNI ) Phone: /9/c) szs-3/kJS pr s~ z-8/5"8
Physical Address/Location: st< tZ.l#P ..f"ir(;tN< B~ Swt>-P Tr«v~l Sou~ Q¥M· _,.....,,;~
~t'N I~ -l!f DN~ d ; r f. trd . 0::;;
1
Type of Opemion : Swine / Poultry_ Cattle------:----------
Design capacity: 1, '1-oc Number of Animals on Site: -~3;.-=.tJ...=.0_-...:.~...:::.....::0:::......_ ______ _
DEM Certification Number: ACE DEM Certification Number: ACNEW ______ _
Latitude: 3~ o SS' ~o • Longitude: 7~ o 3Z • 3"1 •
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour stonn event
(approximately 1 Foot + 7 inches) @r No Actual Freeboard: 2 Ft. ~Inches
Was any seepage observed from the lagoon(s)'! Yes or No Was any erosion observed'! Yes or No
Is adequate land available for spray? Yes or No Is the cover crop adequate'! Yes or No
Crop(s) being utiliz.ed: _ _!o~~oa~:.!..!lo=!;J-:..._ ________________ --::::oo~------
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellin~ eS 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'} Yes o@ If Yes, Please Explain . -
Does the facility maintain adequate waste management records (volumes of manure , land applied,
spray irrigated on specific acreage with cover crop)'! Yes or@
Additional Comments: A /t:Js5 p-1' l><u..~d Pc.r"-fi-1-<"~.s is b~;t) SeN-1-+o al/
Par~i<--3 i NVDitlui wi...;c::i-.. w ;tl r=<:.; I.A i r c... --'""e--± ON . ~ """">~C.J vJa.!ik MA.rJ'La Wt,Nf-r ) ~ -rv ,
Inspector arne Signature
cc: Facility Assessment Unit Use Attachments if Needed .