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HomeMy WebLinkAbout820677_INSPECTIONS_20171231NORTH CAROLINA Department of Environmental Quality ~o~liance Inspection Operation Review Structure Evaluation Reason for Visit: tf Routine 0 Complaint 0 Follow-u 0 Referral 0 Emergency 0 Denied Access r \ Date of Visit: 1-h.c iklrtf Arrival Time:l/H .rb# Departure Time:lta.•,c() ?1 County: . J?..f:'(., Region: Frt..o Farm Name: !;:;ft,.J~-~ ~r-t r Owner Email: Owner Name: Phone: . I Mailing Address: Physical Address: Facility Contact: _·~'-'~:;;;...;.._d........_· 1_5_0_. t'i-_·~ _ ___;;_~_{_f'_ Title: Phone: Onsite Representative: Certified Operator: -A""""""~.....;;...-i¥f--.J.D.=.......;...4-A_Ii_~_., _______ _ i { Integrator: Certification Number: Back-up Operator: Certification Number: Location of Farm: Latitude: Longitude: Discharges and Stream Impacts I. Is any discharge observed from any part of the operation? DYes ~DNA ONE Discharge originated at: 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 DWR) c. What is the estimated volume that reached waters of the State (gallons)? d. Does the discharge bypass the waste management system? (If yes, notify DWR) 2. Is there evidence of a past discharge from any part of th e operation? 3. Were there any observable adverse impacts or potential adverse impacts to the waters of the State other than from a discharge? Page 1 of3 0 Yes 0No ~A ONE 0 Yes 0No [JNA ONE 0 Yes 0No C(NA ONE 0 Yes ~· DNA ONE DYes No DNA ONE 1/411015 Continued I Facility Number: 'Waste Collection & Treatment I Date of Inspection: {(OP tft2J1-/ JK' I f 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: 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 ~NA ONE 0 Yes 0 No (;}NA-0 NE Structure 5 Structure 6 0 Yes [!jNo 0 NA 0 NE DYes ~o DNA QNE 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? DYes ~o DNA ONE D Yes [B"No 0 NA 0 NE 0 Yes l:a'-No 0 NA D NE DYes ~o DNA ONE ll.ls there evidence of incorrect land application? Ifyes, check the appropriate box below. 0 Yes [a"No DNA D NE 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PAN 0 PAN > 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12. Crop Type(s): ¥-3 e./'~~fu; .9( 0 13. Soil Type(s): I 14. Do the receiving crops differ from those designated in the CAWMP? 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acres determination? Page 2 of3 DYes DYes DYes DYes DYes DYes DYes 00ther: DYes {g1\lo DNA ONE EfNo DNA ONE []}N""o DNA ONE ~0 DNA ONE Glfo> DNA ONE []}NO DNA ONE [3'No . ' 0 NA ONE ~ 2/412015 Continued 1" I~ I Facility Number: ,ff~-lnate oflnspection: -a;o fJi/1 ft-! 1/31 "24·. Did the fa cility fait to calibrate waste application equipment as required by the permit? 0 Yes I]}MO 0 NA 0 NE 25. Is the facility out. of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. DYes ~ DNA ONE D 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 offll'St survey indicating non-compliance : ( 26. Did the fa cility fail provide documentation of an actively certified operator in charge? 0 Yes ~0 DNA ONE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? DYes [J)kr DNA ·ONE Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document and report mortality rates that were higher than nonnal? 0 Yes [pW DNA ONE 29. At the time of the inspection did the facility pose an odor or air quality concern? DYes ~ 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, ov er-application) 3 I . Do subsurface t ile drains exist at the facility? If yes, check the appropriate box below. DYes Q-'No DNA ONE D Application Field D Lagoon/Storage Pond D Other: ----------------------- 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 34. Does the facility require a follow-up visit by the same agency? Ct__(, b~ :G-'1 Sl~~ -CL4 l C}-)--~ --1 b ~ tt.-~-l7 --. DYes [?'No DNA ONE DYes LfNo DNA ONE DYes !2jNo DNA ONE Reviewe r/In spec tor Name: ~ .. ~ 1, \ l Q_u ~ Revi e wer/Inspector Signatur_e_: .:...._ __ ___.:.:(~ \~-:a;:=;--:r. tf-?1-J~--QJ-1--~-V}------------------------- Page 3 of3 r Phone: f{tJ ' l(.._1J-3JJ r Date: _.-a i) Jlr "'f / (j 21412015 Compliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Vi sit: efRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: lloAJ.~tl{1 Arrival Time:l3;a p Departure Time: l'ftC»L I County: SA:\.tl. Region ; fee Farm Name: {:? ""ct-Jt~ .q -/'{ Owner Email: Owner Name: 0£..1'~ Mailing Address: Physical Address: Facility Contact: Onsite Representative: Certified Operator: ~ D~~cA.... Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I . Is any d ischarge o bserved from any part o f th e operati on? D is charge origi na ted at: 0 Struct ure 0 Appli cati on Fie ld a . Was the conveyance man-ma d e? Phone: 0 Oth er: b . Did the discharge re ach wa ters of th e State ? (If yes, notify DWR ) c. What is th e esti mated vol ume that rea ched waters of the State (ga llon s)? Phone: Integrator: Pr ~ ~ Certification Number: {/t]7 0 ~~--~--------- Certification Number: Longitude: DY es ~ D NA ONE 0 Yes 0 No LJNA O NE 0 Yes 0 No ~ O NE d. Does the discharge bypass the was te management system? (If yes , no t ifY DWR ) 0 Yes 0No ~A ONE 2. Is there evi dence of a past di scharge from any part of the op erati on? 3. W ere there any ob se rva ble adverse impact s or potential ad ve rse impa cts to th e wa ters o f the State oth er than from a di sc harge ? Page 1 o/3 0 Yes 0 Yes ~0 D NA ONE EJNo D NA O NE 11411 015 Continue d IFacility.Number: ~~-{; 77 I . I Date of Inspection: ItS Jf/J.ITI/7 I ~~~ste 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): 3 / 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 0 No [3-NA. D NE Structure 5 Structure 6 D Yes [H'No D NA 0 NE DYes (d-'No DNA 0 NE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR 7. Do any ofthe 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 DYes DYes DYes [!t'No DNA ONE [d'No DNA ONE ~DNA ONE [?No DNA ONE 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes ILt'No 0 NA 0 NE D Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PAN D PAN> 10% or 10 Ibs. D Total Phosphorus D Fa ilure to In corporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Approved Area 12. Crop Type(s): -~.--~ sc;v 13. Soil Type(s): No 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 lo 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 Certi ficate 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 O c hecklists 0 Design D Maps D Le ase Agre ements 21. Does record keeping need impro vemen t? Ifyes, check the appropriate box below. DYes ~ DNA ONE DYes ~ DNA ONE DYes [J1fo DNA ONE 0 Yes ~ DNA ONE 0 Yes [Lt'No DNA ONE DYes ~0 DNA ONE DYes ~0 DNA ONE 00ther: DYes ~ DNA ONE D Waste Application 0 Weekly Freeboard 0 Waste Anal ysis 0 Soil Analysis 0 Waste Transfers 0 Weather Code 0 Rainfall D Stocking 0 Crop Yield D 120 Minute Inspection s 0 Monthly and I" Rainfall Inspections D Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 23 . If se lected, did the facility fail to in stall and maintain rainbreakers on irri gation equipment? Page 2 of3 DYes ~o DNA ONE D Yes~ DNA ONE 214/2015 Continued IFacili~ Number: r J -a; 7 7 I nate of Inspection~ to A/~"1 ( d I LJf: Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes ~o 0 NA 0 NE 25. Is the facility out of compliance with permit conditions related to sludge? lfyes, check the appropriate box(es) below. 0 Yes IB'No 0 NA 0 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 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 of the permit orCA WMP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 34. Does the facility require a follow-up visit by the same agency? e~L{,~-p., - s(GLl, SCL.t'.,).Ly {D-f-5-/b D--~3-t? 6'9-,l{ DYes ~o DYes ~o DNA ONE DNA ONE 0 Yes g'No DNA ONE DYes ~o DNA ONE 0 Yes !2rNo 0 NA 0 NE 0 Yes [;&'No 0 NA 0 NE 0 Yes [1'No 0 NA 0 NE 0 Yes Gr'No 0 NA D NE 0 Yes la"No 0 NA D NE £851 Reviewer/Inspector Name: _6_;.,-_\_\_\ ___;,D---._t.t.-=--4~1(.-+P----------------­ Reviewer/lnspector Signature: ....l0.Jt:::::.JolJP~--=J0~~~--=~~---------------­ Page 3 of3 Phone~{o-l{J 3-r3~3f Date: fv dw\ { {J 21412015 Type of Visit: ~ompliance Inspection Reason for Visit: ~outine 0 Complaint 0 FoUow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: I '1!\S{b I Arrival Time:l1{)~ 0~ ,tneparture Time: I (Of!3l5J/;1 County:-·S'Jh+\. Region: p(G./Q FarmName: £:1,~~ ~Y; E~J 1-1 r OwnerEmail: ------------- Owner Name: Ua.,...tb..-@1 ~oJ.Twt.-J Phone: Mailing Address: Physical Address: ------------------------------------------- Facility Contact: J3 ~Title:---------Phone: Onsite Representative: I I Certified Operator: Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I. Is any discharge observed from any part of the operation? Discharge originated at : 0 Structure 0 Appli cation Field 0 Other: a. Was the conveyance man-made? b . Did the discharge reach waters of the State? (If yes, noti fy DWR) c. What is the estimated volume that reached waters of the State (gallons)? Integrator: J?tr4> r.-,-e Certification Number: /'i J 7 0 Certification Number: Longitude: DYes ~DNA ONE D Yes 0 No ~ONE D Yes 0 No ~ONE d. Does the discharge bypass the waste management system? (If yes, notify DWR) D Yes 0 No ~: ONE 2 . Is there evidence of a past discharge from any part of the operation? 3 . Were there any observable adve rse impacts or potential adverse impacts to the waters of the State other than from a discharge? Page 1 ofJ DYes DYes ~0 DNA ONE ~0 DNA ONE 214/2014 Co ntinued tf'acilit~ Number: I Date of Inspection: 1fllt<t a Waste Collection & Treatment 4. Is storage capacity (structural plus storm stornge plus heavy rninfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure I Structure2 Structure3 Structure4 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): a r 5. Are there any immediate threats to the integrity of any ofthe structures observed? (i.e., large trees, severe erosion, seepage, etc.) 6. Are there structures on-site which arc not properly addressed and/or managed through a waste management or closure plan? DYes~ DNA O NE Q Yes 0No ~A ONE Structure 5 Structure 6 DYes ~o DNA ONE 0 Yes 0'No 0 NA 0 NE If any of questions 4-6 were answered yes, and tbe 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. Docs 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? 0 Yes (J-No 0 NA 0 NE D Yes ~o DNA ONE DYes ~ DNA O NE DYes ~o DNA O NE II. 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 0 Heavy Metals (Cu, Zn, etc.) 0 PAN 0 PAN > 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12. Crop Type(s): !fry ~z..e -s~o 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAW 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 Covernge & Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? lfyes, check the appropriate box. 0WUP Ochecklists 0 Design 0 Maps 0 Lease Agreements 21. Does record keeping need improvement? lf yes, check the appropriate box below. DYes g-No DYes ~0 DYes ~0 DYes [3"No DYes ~0 DYes !2(No DYes (J-No 0 0ther: ~ {3'"No DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE QNA O NE DNA ONE 0 Waste Application [Ef Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Trnnsfers 0 Weather Code ~ainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and 1" Rainfall Inspections 0 Sludge Survey 22 . Did the facility fail to install and maintain a rain gauge? 0 Yes [2t"No 0 NA 0 NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes ~No 0 NA 0 NE Page 1 of3 1/412014 Continued IFacilit)"'Number: (b...-@7 I Date of Inspection: f'lla, Zb 24. Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes [jJKo D NA D NE 25. Is the facility out of compliance with permit conditions related to s ludge? I f yes, check D Yes ~ D NA D NE the appropriate box(es) below. D Failure to complete annual sludge survey 0Failure to develop a POA for s ludge 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 loss assessments (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document and report mortality rates that were higher than nonnal? 29. At the time of the inspection did the facility pos e an o dor or air quality concern? If yes, contact a regional Air Quality representative immediately. 30. Did the facility fa il to notify the Regional Office of emergency situations as required by the permit? (i.e., discharge, freeboard problems, over-application) DYes DYes DYes DYes DYes DYes 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. W ere any additional problems noted which cause non-compliance of the permit orCA WMP? DYes 33. Did the Reviewer/Inspector fail to discuss rev iew/inspection with an on-site representative? DYes 34. Does the facility require a follow-up visit by the same agency? DYes ~0 ~ [$1fo Q-No ~0 ~0 ~ ~ ~0 Gtt:L~(~ sc~~~­ ;;p, ~t P· fV-l~L~.J lb-jl-('( ·1-C(-15 0""-~~~ Qtl e-}..s, p-l{./ S_, _L -K:Jcc -D t.pr r twl ""5 DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE Reviewer/Inspector Name: Rev iewer/In spector Signature: Page3 of3 Phone ~33-~~¥ Date : t.{~ l 214/20 4 ompliance Inspection Operation Review 0 Structure Evaluation Reason for Visit: Q-Routine 0 Complaint 0 Follow-up 0 Referral 0 Erne ency 0 Denied Access Date of Visit: Q3 DtlJ(S Arrival Time:J2·5b p ] Departure Time:lJJo }'s ] County:· S',f rh. Region~ Farm Name: R [L(I(A. fa Q ~ ;:;#:: [ Owner Email: Owner Name: Ju .fl. , ~ ~ Phone: Mailing Address: Physical Address: ---------------------------------------------- Facility Contact: --~-____:._'1 __ .:..._g{)4"-_.....~o~W~trie!I:.W~--Title:----------Phone: Onsite Representative: f( ------~~--------------- Certified Operator: ~Or { P J.e r- Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts L Is any discharge observed from any part of the operation? Discharge originated at: 0 Structure 0 Application Field a. Was the conveyance man-made? 0 Other: b. Did the discharge reach waters of the State? (If yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? Integrator: (~-(! Certification Number: /f. ( 0 0 Certification Number: Longitude: DYes 0No ~ONE DYes 0No DNA ~ DYes 0No DNA B'NE / d. Does the discharge bypass the waste management system? (Jfycs, notifY DWQ) DYes 0No DNA dNE 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 0No DYes 0No ~A ONE NA ONE 21411011 Continued IF&&ility Number: I nate of lnspectiongJ (L,;./5 Waste CoUection & Treatment • 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard ? Structure 1 Structure2 Structure 3 Structure4 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly a ddressed and/or managed through a waste management or closure plan? 0Yes~NA ONE DYes 0No ~ONE StructureS Structure 6 0 Yes @-MO 0 NA D NE 0 Yes Cf1'jo 0 NA 0 NE If any of questions 4·6 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 . 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? 0 Yes Q-No 0 NA D NE DYes~ DNA ONE DYes~ DNA ONE 0 Yes (31'fo 0 NA 0 NE II . Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~o D NA 0 NE 0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) D PAN 0 PAN > 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12. Crop Type(s): CGu~ BG/'"~ ll. sou Type(s): l.t,!.s. (!tk 1 flvu'f~ 14 . Do the receiving crops differ from those designated in theCA WMP? 15 . Does the receiving crop and/or land application s ite 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 th e facility fail to have the Certificate of Coverage & Pennit readily available? 20. Does the facility fail to have all co mponents of the CA WMP readily available? If yes, check the appropriate box. OwuP Ochecklis ts 0 Design 0 Maps 0 Lease Agreements 21. Does record keeping need improvement? I f yes, c hec k the appropriate box below. DYes (lj..bkr 0 NA ONE DYes ~ DNA ONE DYes [3"1QO DNA ONE 0 Yes ~0 DNA ONE DYes r::fNo DNA ONE DYes []-No DNA ONE 0 Yes 12(No DNA ONE O o ther: DYes ~0 DNA ONE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis D Waste Transfers 0 Weather Code D Rainfall 0 Stocking 0 C rop Yield 0 120 Minute Inspections 0 Monthly and I" Rainfa ll Inspections 0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 23 . If selected, did the facility fail to in s tall and maintain rain breakers on irrigation equipment? Page lof3 0 Yes [ZJ No D NA 0 NE DYes [?'No DNA ONE 1/4/2011 Continued IFJcility Number: I nate of Inspection: J.3 flj&; fJf · 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 ~DNA ONE DYes ~ DNA ONE 0 Failure to complete annual sludge survey 0 Failure to develop a POA for sludge levels 0 Non-compliant sludge levels in any lagoon List structure( s) and date of first survey indicating non-compliance: 26. Did the facility fail to provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document and report mortality rates that were higher than normal? 29. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional Air Quality representative immediately. 30. Did the facility fail to notify the Regional Office of emergency situations as required by the permit? (i.e., discharge, freeboard problems, over-application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. 0 Application Field 0 Lagoon/Storage Pond 0 Other: DYes 2)No DNA ONE DYes 0"No DNA ONE DYes LfNo DNA ONE DYes LfNo DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 34. Does the facility require a follow-up visit by the same agency? {6-3 {-! L{ Reviewe r/Inspector Name: Reviewer/Inspector Signature: Page 3 of3 DYes [3'No DNA ONE DYes ~0 DNA ONE DYes EJ'No DNA ONE Phone: l-{!3-33 ·~ i Date: a3~ IS 214/1014 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit: 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: Departure Time: r-1 ------,1 Coun~v-.- Owner Email: ------------------- Owner Name: Phone: Mailing Address: PhysicaiAddress: ------~------~--------~----------------------------------=Lu::....:...._~::..._..!.,....~_.:._~~__:;;_l~-' _·Title~ Facility Contact: t( Onsite Representative: Certified Operator: Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I. Is any discharge observed from any part of the operation? Discharge originated at: 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)? Phone: Integrator: ·p Yrt r:.'1 Certification Number:. l7 I 0 0 --~~---------- Certification Number: Longitude: DYes ~DNA ONE DYes D No ~ ONE DYes D No ~ 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 1 of3 DYe s DYes []J4o DNA ONE ~0 DNA ONE 21412011 Continued .. . !Facility Number: oft: -b. !Date oflnspcdlon' {0 t9pr-I'( Waste CoUection & Treatment 4 . Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into th e s tructural freeboard? Structure I Structure 2 Structure 3 Structure 4 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Aie there any immediate threats to the integrity of any of the structures observed? (i.e ., large trees, severe erosion, seepage, etc.) 6. Are th ere structures on-site which are not properly addre ssed and/or managed through a waste management or closure plan? DYes ~NA 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 environm,..~reat, notify DWQ 7. Do any of the structures need maintenance or improvement? DYes LJ No DNA D NE 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 alternative s that need maintenance or improvement? 11. Is th ere evidence of incorrect land a pplication ? If yes , check th e appropri a te box below. DYes ~ DNA ONE D Yes [3"1'fu 0 NA D NE DYes ~DNA ONE DYes ~ DNA ONE 0 Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metal s (Cu, Zn, etc.) 0 PAN D PAN > 10% or 10 lbs. D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptabl e Crop Window 0 Evidence of Wind Drift D Application Outside of Approved Area 12 . Crop Type(s): t:C_ V -{3 fj c::.l'fi-'L~ 13 . Soil Type(s): tv A:;;! /lit!) 1 / /Y1a.Jt tV\ 14 . Do the receiving crop s diffe r from those de sign ated in th eCA WMP? 15. Does th e receivi ng crop and/or land application site need impro vement? 16 . Did the facility fail to sec ure and/or operate per the irrigation design or wettable acres determinati on? 17 . Does the facility lack adequate acreage for land appl icati on? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents 19 . Did the facility fail to h ave the Certificate of Coverage & Permit readil y available? 20. Does the facility fail to have all components of the CAWMP re adily available? Ifyes, check the appropriate box. Owup Ochecklists D De si&>n D Map s 0 Le ase Agreements 2 1. Doc s record keepin g n eed improvement? If yes , check the appropriate box below. DYes DYes 0 Yes DYes 0 Yes DYes DYes O other: DYes ~No DNA ONE ~ DNA ONE [Y--MO DNA ONE G}NO DNA ONE ~ DNA ONE ~ DNA ONE ~ DNA ONE 0No DNA ONE 0 Waste Application 0 We ekly Freeboard 0 Waste Ana lys is 0 Soil Anal ysis 0 Waste Transfers D Weather Code 0 Rainfall D Stocking D Crop Yield 0 120 Minute In spection s 0 Monthly and I " Rainfall Inspection s 0 Sludge Survey 22. Did the facility fail to install and maintain a rain ga uge? DYes D No 0 NA 0 NE 23. If s elected , did the fa cility fail to insta ll and maintain rai nbreakers on irri gation equipment? 0 Ye s D No 0 NA D NE Page2of3 214/2011 Continued !Facility Number: !Date of Insp.,tio#J;,d /If ] 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. 0 Yes [3.-N<> 0 NA D NE DYes ITN"o DNA ONE D Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels 0 Non-compliant sludge levels in any lagoon List structure(s) and date of first survey indicating non-compliance: 26. Did the facility fail provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document and report mortality rates that were higher than normal? 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 r!:rNo DNA ONE 0 Ye s ~0 DNA ONE DYes erNo DNA ONE DYes ~ DNA ONE DYes [l)>ro DNA ONE DYes ~ DNA ONE 0 Application Field 0 Lagoon/Storage Pond D Other: ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes l:]-1fo DNA ONE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representati ve? DYes ~ DNA ONE 34. Does the facility require a follow-up visit by the same agency? DYes [31fu DNA ONE 1 t-if-r-;, Reviewer/Inspector Name: Reviewer/Inspector Signature: Page3of3 Datef6 ~ 11 214/2011 Date of Visit: IS(l?--JJI Arrival Time:IJ/J.Iir I Departure Time:l/.1f)V I County:~ Region: efJ.. 0 Farm Name: /?un.n.l 71--1> r,...,J, I ~ Owner Email: Owner Name: J{;y I ~ b..,c 5 .... '1"'=---.:::J=ne-, Phone: Mailing Address: PhysicaiAddress: -----------~-------------------------------­ Facility Contact: _a~a::::~~..;;.-' _ _.Z~~~.IL/l£.Lp/::::..:..~---Title: d&, . ~~, Phone: Onsite Representative: _.-=;foc.::~c::..,'< .. --..:::::.. _______________ _ Certified Operator: 7i r-/ ~; "-...,...,-- Integrator: ?"es~- Certification Number: .... /~9-.:.....:....IOV.=.....::__ ____ _ Back-up Operator: Certification Number: Location of Farm: Latitude: Longitude: Discharges and Stream Impacts l. Is any discharge observed from any part of the operation? DYes [5a_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 DNo DNA ONE c. What is the estimated volume that reached waters of the State (gallons)? d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes DNo DNA ONE 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any observable adverse impacts or potential adverse impacts to the waters of the State other than from a discharge? Page 1 of3 0 Yes DYes ~No DNA ONE ~No DNA ONE 21412011 Continued ·!Facility Number: rr-t,zz 1 I nate of Inspection: ,y V.-{3 I Waste Collection & Treatment 1 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: 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? D Yes !B-No 0 NA 0 NE 0 Yes 0 No 0 NA 0 NE Structure 5 Structure 6 0 Yes [fJNo DNA 0 NE DYes [8.No 0 NA D NE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures 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 oftbe 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? 0 Yes jS No D NA D NE DYes (3No DNA D NE 0 Yes fglNo 0 NA 0 NE DYes 5No DNA ONE II . Is there evidence of incorrect land application? If yes, check the appropriate box below . D Yes ~N o 0 NA D NE D 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 D Application Outside of Approved Area 12 . Crop Type(s): &cm«)~J t7v~,/ 13 . Soil Type(s): JU?J:~ jf""{,~fi /Is /!)1.;zr~YA 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 the CA WM P readily avai table? If yes, check the appropriate box. owup D checklists D Design D Maps 0 Lease Agreements 2 I . Does record keeping need improvement? If yes , check the appropriate box below. DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE 0 Yes SNo DNA ONE 0 Yes j3 No DNA ONE D Yes jgNo DNA ONE D Yes ~No DNA ONE Oother: D Yes (E No DNA ONE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysi s 0 Soil Analysis D Waste Transfers D Weather Code D Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rainfall Inspections 0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? D Yes l29 No D NA D NE 23. If se lected , did the facility fail to in sta ll and maintain rainbreakers on irrigation equipment? 0 Yes (;21 No D NA D NE Page 1 of3 1141201 I Continued · I Facility Number: I Date of Inspection: I 1'=-2-= nl 24. Did the facility fail to calibrate waste application equipment as required by the pennit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. 0 Yes IZJ-No 0 NA 0 NE 0 Yes t:ZJ-No 0 NA 0 NE 0 Failure to complete annual sludge survey DFailure to deve lop a POA for sludge levels 0 Non-compliant sludge leve ls in any lagoon List structure(s) and date of first survey indicating non -compliance: 26. Did the facility fail to provide documentation of an active ly 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) DYes ~No DNA ONE DYes ~No DNA ONE 0 Yes j2gNo 0 NA D NE DYes ~No DNA ONE DYes ~No DNA ONE DYes !29-No 0 NA 0 NE 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. 0 Application Field 0 Lagoon/Storage Pond 0 Other: -------------------- 32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 34. Does the facility require a follow-up visit by the same agency? Reviewer/Inspector Name: -Reviewer/Inspector Signature: Page3of3 0 Yes ~No DYes J8lNo DYes ~No DNA ONE DNA ONE DNA ONE Phone: '1JfLI{!3-:53UO Date: ~,s-'~-;?0(3 1/412 011 Reason for Visit: Co~liance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance @""Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access DateofVisit: I '-1/'1/1.;1 ArrivaiTime:l og :qo4,., I DepartureTime:l 0&-'..5(1A111 County:$Ampsl)ll Region: F l!..lJ Farm Name: Hu('\(U;C'..,~ ~R~"'Cb -:kl.J. Owner Email: Owner Name: <S'oe \ £A~ 't\tR ~~f:?,..ri'l~ Phone: Mailing Address: Physical Address: ----------------------------------------- Title: Phone: ---------------- Onsite Representative: -~.;.>...::~~-rr"'--i! _______________ _ Certified Operator: ~ OU \, ~f:\-R\le, R. Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I. Is any discharge observed from any part of the operation? Discharge originated at: D Structure 0 Application Field a. Was the conveyance man-made? 0 Other: b . Did the discharge reach waters of the State? (If yes, notify DWQ) c . What is the estimated volume that reached waters of the State (gallons)? Integrator: __ \?.L....LR:~..:clllobol~Pc..q..;'f...-... __________ _ { Certification Number: \ C(\OO ----~-------- Certification Number: Longitude : 0 Yes Ei No DNA ONE DYes 0No 0NA ONE DYes 0No g"NA ONE d. Does the discharge bypass the waste management system? (If yes, notifY DWQ) DYes DNo 0NA 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 ~No DYes 0No DNA ONE DNA ONE 11411011 Continued !Facility Number: ' t Waste CoUection & Treatment 4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure 1 Identifier: -ilJ.... ::.!!C.---- Spillway?: Designed Freeboard (in): ,~ Observed Freeboard (in): Structure 2 Structure 3 Structure4 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 SNo 0 Yes [3'No DNA ONE DNA ONE StructureS Structure 6 DYes EfNo 0 NA ONE DYes ~No DNA ONE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? 8. Do any of the 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 mainte nance or improvement? DYes 0No DNA ONE DYes 0No DNA ONE DYes gNo DNA ONE DYes ~o DNA ONE 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes g'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. 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Approved Area 12 . Crop Type(s): ~£.~~\JC)"A (G-~~-z.t.) ~' Q,, 0 . 13 . Soil Type(s): W(:lg,.C\1.\[t') (2 • L.. \ Nolt ~DR\~ 0.·9.. \ \'f\~~YtN :).~ ~ 14. Do the rec eiving 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 irrig ation 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 Ce rtificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the C A WMP readily available ? If yes , check the appropriate box. OwuP O c hecklists 0 Design 0 Maps 0 Lease Agreements 21. Does record keeping need improvement? If yes , check the appropriate box below. DYes E) No DNA ONE DYes 0No DNA ONE O Yes ~No DNA ONE DYes (;2fNo DNA ONE DYes @(No DNA ONE DYes ~No DNA ONE DYes (ilNo DNA ONE 00ther : DYes [g"No DNA ONE 0 Waste Application 0 Weekly Freeboard D W aste Analysis D Soil Analysis 0 Waste Transfers 0 Weather Code 0 Rainfall 0 Stockin g 0 Crop Yi eld D 120 M inute Inspections 0 Monthly and I" Rainfall Inspections 0 Sludge Survey 22 . Did the facility fa il to install and ma inta in a rain gauge? D Yes ~No 0 NA 0 NE 23 . lf s electe d, did the facility fail to in sta ll and mainta in rainbreakers on irrigation equipme nt? DYes ~No 0 NA 0 NE Pag el of3 21412011 Continued I Facility Number: ga, • /4 17 I nate of Inspection: 4/4(/2., 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. 0 Yes ~No D NA 0 NE DYes ~o DNA ONE 0 Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels 0 Non·Compliant sludge levels in any lagoon List structure(s) and date of first survey indicating non-compliance: 26. Did the facility fail provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document and report mortality rates that were higher than normal? 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 Otfice of emergency situations as required by the permit? (i.e., discharge, freeboard problems, over-application) DYes []'No DNA O NE DYes @'No DNA ONE DYes @"No DNA ONE 0 Yes u;fNo DNA ONE DYes [i}'No DNA ONE DYes u:YNo DNA ONE 31. Do subsurface tile drains exist at the facility? [f 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/inspection with an on-site representati ve ? 34. Does the facility require a follow-up visit by the same agency? N-t_~o c..~tt:b~~" ~l-1.. M\ ~ ~ ~~t> ~~\ Sf\.rc-..\>\~~ '"l:.fV L ~~) ~ Reviewer/Inspector Name: Reviewer/Inspector Signature: Page 3 of3 0 Yes utNo DNA ONE 0 Yes gNo DNA ONE 0 Yes lSZ( N o DNA ONE Phone: 9.\rl ·"30§-\.R.~ '::>\ Date: 1..\ \4\ l:;).. 21412011 Operation Review 0 Structure Evaluation Reason for Visit: ~tine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access DateofVWt' .~ ~<rivaiT;m.,[ if;~~partu,..T;m.,[;f,~J.._Connty'~ IUg;oo' Fano Nam" ~"''"'j ~&1., =# I Owoe< Email' Owner Name: .:JOe.\ -P~ ~ I pc_,, Phone: Mailing Address: Physical Address: -----;----------------------------------------~~S ~L(L, Title:----.:~=n-==ak""""-"-=-. -~-+-=-· _ Facility Contact: Phone: ~ Integrator: --~:....~--=-.a....:-~F:!:;....._---- JOed -:r; f>~l~.- Onsite Representative: Certified Operator: Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: 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: 14100 Certification Number: Longitude: DYes ~DNA ONE DYes 0No uaNA ONE DYes DNo ~ ONE d. Docs the discharge bypass the waste management system ? (If yes, notify DWQ) DYes DNo ~ ~ 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 th e waters of the State other than from a discharge? Page I of3 DYes DYes DNA ONE 01io DNA ONE 2141201 1 Continued l~acility Number: fc;;t -(/7 71 I Date of Inspection: ?;13hz 1 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: Spillway?: Designed Freeboard (in): !'J_ 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 ~o QNA ONE StructureS Structure 6 0 Yes [E'1ilo 0 NA 0 NE DYes~ DNA ONE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? 8. Do any of the structures lack adequate markers as required by the permit? (not applicable to roofed pits. dry stacks, and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? 0 Yes [!J'No 0 NA 0 NE DYes~ DNA ONE DYes ~ DNA ONE DYes DNA ONE 11. Is there evidence of incorrect land application? Ifyes, check the appropriate box below. 0 Yes DNA ONE 0 Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PAN 0 PAN> 10% or \0 lbs. 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Approved Area 12.CropTypo(s) <Be~"--[Q.-:e. /C)~ g 13. Sod Typo(s): UJCLlf'> 0o A: _ i f. __ 4 14. Do the receiving cr~ps diff:fTOll!those designated in thecA? 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CA WMP readily available? If yes, check the appropriate box. OWUP 0Checklists D Design 0 Maps 0 Lease Agreements 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~0 DNA ONE D Yes [JJ-1(o D NA 0 NE DYes~ DNA ONE DYes 1IJ111o DNA ONE DYes ~ DNA ONE DYes rg'No DNA ONE DYes ~ DNA ONE 00ther: DYes ~DNA ONE 0 Waste Application D Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers D Weather Code 0 Rainfall D Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rainfall Inspections D Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 0 Yes ~ D NA D NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes 0 No ~ D NE Page 2 of3 21412011 Continued l~acility 'Number: n -~ 711 !Date oflospection: ~ I 24. Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes ~ 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. 0 Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels 0 Non-compliant sludge levels in any lagoon List structure(s) and d ate 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 ~ DNA ONE DYes 0No g1lA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE 0 Application Field 0 Lagoon/Storage Pond 0 Other: ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 34. Does the facility require a follow-up visit by the same agency? Reviewer/Inspector Name: Reviewer/J nspector Page3 of3 DYes ~ DNA ONE DYes ~0 DNA ONE DYes [Q4o DNA ONE Phone : 110 -¢.33-3.33J D ote ~f )JJ '12011 2-05-20/0 Compliance Inspection 0 Operation Review 0 Structure Evaluation Reason for Visit ~utine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access Date of Visit: lt-z" -/0 I ArrivaiTime:l I: 1riJM I Departure Time: I /,' 9?'ite I County: ~~>nv r J Region: r.#ZO Farm Name: R LtNNjA/3 .BhA«c L. .,r / Owner Email: -------------- Owner Name: ::IDeJ 'Pa.v-Ker ~'V"-.3 Xt.~<.. · Phone: Mailing Address: ----------------------------------------- Physical Address:----------------------------------------- Facility Contact: c u.trfts a Q YW I"' K -:.i' 0 e.\ 'i>a viC.~ Title: ~. ~p<-L · Phone No:--------- Onsite Representative: ...::C==..:::l.!~.~~dl:.='".;;:..,o.....:~i:~c..~£1c~'.u• r~,; c........:K:........ ________ _ Integrator: P..-~s;.f,~ f=....v........S 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 ~DNA ONE Discharge originated at: 0 Structure D Application Field D Other a. Was the conveyance man-made? DYes DNo ~ONE b. Did the discharge reach waters of the State? (If yes, notify DWQ) DYes DNo gm-·0NE c. What is the estimated volume that reached waters ofthe State (gallons)? I d. Does discharge bypass the was te management system? (If yes , notify DWQ) DYes DNo ~ONE 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? DYes ~DNA ONE DYes ~DNA ONE 12/28104 Continued I Facility Number: 82 -"7 71 Dateoflnspection I1-2Cl-/O 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 ~ DNA ONE Structure 5 Structure 6 Identifier:------------------------------------------ Spillway?: Designed Freeboard (in): ----------------------------------------- Observed Freeboard {in): _.......;;2=-->5=--- 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 ~ 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 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. Arc there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? II. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes ~ DNA ONE 0 Yes l31'fo DNA 0 NE DYes ffio DNA ONE DYes ~ DNA ONE DYes ~DNA ONE 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.) 0 PAN 0 PAN> 10% or 10 Jbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Area 12. Crop type(s) _'&~· ~.._"'":...!~=:!::~k~o..-...J{~'c!:rt~:JJ-:~~J:........,,,__ . ....:S.~M:.!.="~t,.!.../....!G~n>=':..:.:'IIJ:..._..Lfl:::::D...!... • .:::.S...!..., ....t.):...._ __________ _ 13. Soil type(s) w~ '& . No 11-Ma.C I ) 14. Do the receiving crops differ from those 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? DYes 17. Does the facility lack adequate acreage for land application? 18. Is there a Jack of properly operating waste application equipment? Reviewer/Inspector Name Reviewer/Inspector Signature: DYes DYes Date: ~ DNA ONE ~ DNA ONE ~D NAO NE ~DNA ONE ~ DNA ONE -z.9-ZDIO 12128104 Continued ., I Facility Number: 82 -&, 771 Date oflnspedion !1-29-10 I Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropriate box. O WUP D Checklists D Design 0 Maps 0 Other Oves ~o DNA ONE Oves ~ DNA ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes [J'ri(o DNA 0 NE 0 Waste Application D Weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification D Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and 1" Rain Inspections 0 Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which 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 rna DNA ONE DYes LfNo DNA ONE DYes ~ DNA ONE DYes [31(o DNA ONE DYes B1'lo DNA ONE DYes ~DNA ONE Oves [J1ctO DNA ONE Oves ~DNA ONE Oves ~DNA ONE DYes [B1(' DNA ONE DYes ~DNA ONE DYes ~NA ONE 12/18104 ... I Facility Number I 82 II G-ofvision of Water Quality H "77 0 Division of Soil and Water Conservation .. 0 Other Agency .·. . ; .. '-".:ii:~-,:~ Type of Visit e-t'Ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit ~utine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access DateofVisit: l?-18-o91 ArriniTime:,q:~o I DepartureTime:I/0/10/JCounty: $!'=7')",.....: Region: Fl'l.L:> Farm Name: !?uNivt':) 8hlNch ~ / OwnerEmail: ------------- Owner Name: <J'"C {_f' p Cl. r f<:c.-..r ~ v-..$ J:'N c_ Phone: Mailing Address: ------------------------------------____ _ Physical Address:----------------------------------------- Facility Contact: _G.::....--~.:....:..v...;h...;-..:S.~~&=t:.!:,.-.....:i...J:::::' :.:1..:"L:::.:..:k-::..... ___ Title: __ ..-..;../_-c._,;;...·£.:.......;.;__~¥.,_~::;;..;;:c.::::.....:,__ Phone No: --------- ~o ~ l>-=· ··ic-~-/? Onsite Representative: C;. • ..--1-l' ~ g .. .,.~ .. " 1...-L Integrator: _ ___::::L::::..::.(O.....:~;__~_. v-_1-<-.....;;;::_FO __ Vl---_;__S.=------ Certified Operator:--------------------Operator Certification Number: -------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: D OD'D" Swine Design Current Capacity Population Wet Poultry Design Current Capacity Population Cattle · ... · · · -,.·¥.c~~fi::; x Design Current~ : · capacity Popuhlri«>n.· · 10 Layer D Wean to Feeder !Ill Feeder to Finish lt,t.~/0 "38 8 I ONon-Layei I I I .:·:-;'., "'-'·· . ~-..... -.... , . 0 Dairy Cow I I D Daity Calf i D Dairy Heife1 ' ' ID Wean to Finish D Farrow to Wean D Farrow to Feeder D Farrow to Finish D Gilts D Boars D D_ryCow I D Non-Dairy D Beef Stockel D Beef Feeder i D Beef Brood c~ 1 ' .. . ~ -- Dry Poultry I D Layers D Non-Layers D Pullets D Turkeys D Turkey Poults D Other Number of Structures: [2J . Other ID Other Discharges & Stream Impacts I. Is any discharge observed trom any part of the operation? DYes ~DNA ONE Discharge originated at: D Structure D Application Field D Other a. Was the conveyance man-made? DYes 0No ~A ONE b. Did the discharge reach waters of the State? (If yes, notify DWQ) DYes 0No gm 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) 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 0No DYes ErNo DYes ~- 12/28/04 GhrA ONE DNA ONE DNA ONE Continued I Facility Number:82 -(, 7 7 I Date oflnspection 194 O··o'il 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 I Structure 2 Structure 3 Structure 4 DYes ifN"o DNA 0 NE DYes ErNo DNA ONE StructureS Structure 6 Identifier: ______ --------------------------------- Spillway?: Designed Freeboard (in): -----:-:-----------------------------------~. ,, Observed Freeboard (in): _ __..<o:....:le:;...... __ ------------------------------ 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 ~DNA ONE DYes ~ DNA ONE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threa4 notify DWQ 7. Do any of the structures need maintenance or improvement? 8. Do any of the stuctures lack adequate markers as required by the pennit? (Not applicable to roofed pits, dry stacks and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? D Yes B"'f[o DYes~ DNA ONE DNA ONE DYes EJNo DNA ONE DYes ~DNA ONE 11. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes ~ 0 NA 0 NE 0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.) 0 PAN D PAN > 10% or \0 lbs 0 Total Phosphorus 0 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) :&c,r ....... ...._ cl,c.-( G:: .-.,_3 c..) s-~ II Gr··· .~,..., ( o. s,) 13. Soil type(s) Wll. R . No/+ Ma. C.. 14. Do the receiving crops differ from those designated in theCA WMP? 15. Does the receiving crop and/or land application site need improvement? DYes DYes 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?O Yes 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Reviewer/Inspector Name Reviewer/Inspector Signature: DYes DYes No DNA ~DNA ~DNA ~DNA ~DNA ONE ONE ONE ONE ONE Page 2 of 3 12128104 Continued ~· . . .. I Facility Number: 82 -<G77I Date oflnspection W-tf? .. 09 I Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CA WMP readily available? If yes , check the appropirate box. D WUP D Checklists 0 Design 0 Maps 0 Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~ DNA ONE D Yes [3"f(o D NA D NE DYes ~DNA ONE D Waste Application D Weekly Freeboard D Waste Analysis D Soil Analysis D Waste Transfers D Annual Certification 0 Rainfall 0 Stocking D Crop Yield D 120 Minute Inspections D Monthly and l" 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 a ssessment (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 pos e 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 D Yes DYes DYes DYes DYes 11/28104 ~0 DNA ONE ~0 DNA ONE ~ DNA ONE ~ DNA ONE ~DNA ONE ~·DNA ONE ~ DNA ONE ~ DNA ONE ~ DNA ONE ~DNA ONE ~DNA ONE ~-DNA ONE ... - f-... Type of Visit e-t:ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit ~tine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access Date of Visit: I 8-19-o 7 ] Arrival Timediz: ZS .11'*1 I Departure Time: ltz: f/9 ,., I County: ~ 1 Region: P~ RuNNIA.(j i?ra.t.tc..l.... 4 I OwnerEmail: ------------ Owner Name: ~0 \!....( P~ r~ Phone: Farm Name: Mailing Address: ------------------------------------____ _ Physical Address:----------------------------------------- Facility Contact: /.) .I p_ f<.. ~ • LUn-t . .S. £>" Ywlc:... Title: I~. -~~~-~~~------- ~P~· ' PhoneNo: ___________ _ Onsite Representative: CLLrtts &.n.J:c..k. Integrator: ___ 4:>::::5:::..:..ha-=.!..r..:.t.....;<-~-=-~-v_,_,._s _____ _ Certified Operator:--------------------Operator Certification Number: -------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Discharges & 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? ([fyes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? Longitude: DYes G?No DNA ONE DYes 0No 0 Yes 0No Ef"NA B'NA I ONE ONE 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? Page 1 of3 0 Yes Q-r;fo 0 NA 0 NE DYes ~DNA ONE 12128104 Continued jFacility Number: 'K2 -(/,77 I Date of Inspection 18-IP-c'B Waste Collection & Treatment 4_ Is storage capac ity (structural plus stonn storage plus heavy ra infall) less than adequate? a. If yes, is waste level into the structural free board? S tructure 1 Structure 2 Structure 3 Structure 4 0 Yes r::rr;o DNA 0 NE DYes ~ DNA ONE Struc ture 5 Structure 6 Identifier:------------------------------------------ Spi llway?: Designed Freeboard (i n): -----:--------------------------------------- 37 11 O bserved Freeboard (in):_....;;;;~-------------------------------------- 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 ~ 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 stru ctures 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 maintenan ce/improve ment? 11. Is there evidence of incorrect appli cation? If yes, check th e appropri ate b ox below. DYes C3"N o DNA ONE D Yes £:d'No DNA ONE DYes ~ DNA ONE DYes ~o DNA ONE DYes ~DN A ONE 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PA N D PAN > I 0% or 10 lbs 0 Total Phosphorus 0 Failure to In corporate Manure/Sludge into Bare Soil 0 Outside of Acceptable C rop Window D Evidence of Wind Drift 0 Application Outside of Area 12 . Crop type(s) ~B::..:-t:-r:~M::..:J.=------=-{;_1/._""-.J...'t.:_/...:~:...._..-._~ 3.L:e-:::....::::.)_,___.$~1t.AQ...:!.-l_/.....:6~rc.....;.'_',J____;:U=O-·_~_. ) ________ _ NoA) Mtt-YVlJJ wt'A.-rs 13 . Soil type(s) ) D Yes ~ DNA ONE 14. Do the receiving c rops differ from those designated in th e CA WMP? 15 . Does the receiving crop and/or land appli cati on si te need improvement? D Yes [3"t1o 0 NA 0 NE 16. Did the faci li ty fail to secure and/or operate per the irrigation design or wettable acre determination?D Yes (3"f:lo D NA 0 NE 17. Does the facility lack adequate acr eage for land a pplication? 18. Is there a lac k of properly operati ng waste applicat ion equipment? D Yes [3"No DNA O NE D Yes ~DNA O NE C omments (refer to question #): Expla in any YES answers and/or any r ecommendations or any other comments. Use drawings of facility to better explain situations. (use additional pages as necessary): ..... ,___ r-.... Reviewer/Inspector Name Rrc.kc... R..e...v~l s. . Phone: 9/0, ~~3 .'333t!J Reviewer/Inspector S ignature: A'.wt. /5~ Date: 8-/t;-z,CJO 8 12128104 . Continued I Facility Number: tjZ -/J77l Date oflospectioo 18 -IY-0 8 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 0 Checklists 0 Design 0 Maps 0 Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~ DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification 0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rain Inspections 0 Weather Code 22. Did the facility fail to install and maintain a rain gauge? DYes ~ DNA ONE 23. lfselected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes ErN: DNA ONE 24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes r:fNo DNA ONE 25. Did the facility fail to conduct a sludge survey as required by the permit? DYes ~0 DNA ONE 26. Did the facility fail to have an actively certified operator in charge? DYes ~DNA ONE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes ~DNA ONE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~DNA ONE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes ~DNA ONE and report the mortality rates that were higher than normal? ~DNA 30. At the time of the inspection did the facility pose an odor or air quality concern? DYes ONE If yes, contact a regional Air Quality representative immediately ~DNA 31. Did the facility fail to notify the regional office of emergency situations as required by DYes ONE General Permit? (ie/ discharge, freeboard problems, over application) ~DNA 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ONE 33. Does facility require a follow-up visit by same agency? DYes ~ DNA ONE Page3 of 3 12118104 - ~acility Number l_S'l: If 8 Di\ision of Water Quality / H~_77 0 Division of Soil and Water Conservation 0 Other Agency Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 other 0 Denied Access Date of Visit: ltd -41 -b 1l Arrival Time: Ito: ¥0 Aet I Departure Time : I /J: I) AM l County: St»t4fS1JAl Region: Ell<J Farm Name: Ru.NAIINj EY!Nch ~ I Owner Email: ------------- Owner Name: Jo c.1 POl.yKtz¥ Phone: Mailing Address: -----------------------------------____ _ Physical Address:---------------------------------------- Facility Contact: Cw-4.:~ &l'Wtc;. k Title: __ &__..;.._'-'~· ......._/N.....;;/-;-r.~'-'-----PhoneNo: ________ __ Onsite Representative: C~r:s Be>-yufc,~ Integrator: _ __..C ..... o""' .... U""'4-~Ja,._._' .... c_"""EiY:M--==...~=.o..:.S=---- Certified Operator:--------------------Operator Certification Number: ------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: D oo·o·· Design Current Design Current Design Current Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population 10 Layer ID Wean to Fini sh D Wean to Feeder D Non-Laye t I I I D Dairy Cow i ' D Dairy Calf l!EFeeder to Finish 111#10 L/./3CJ 0 Dairy Heife1 : D Farrow to Wean D Farrow to Feeder D Farrow to Finish 0 Gilts D Boars ... 0 Dry Cow ' 0 Non-Dairy 1 0 Beef Stocket ' I 0 Beef Feeder I 0 Beef Brood Cow I .. -··--· -~--· Dry Poultry 0 Layers 0 No n-L ayers 0 Pullets 0 Turkey s lp Other 0 Turkey Poults D Other Number of Structures: [I] -·--:::::J Other Discharges & Stream Impacts I. Is any discharge observed from any part of the operation? DYes i)INo DNA ONE Discharge originated at: 0 Structure 0 Application Field D Other a . Was the conveyance man -made ? DYes ~No DNA ONE b. Did the discharge reach waters of the State? (If yes, notifY DWQ) DYes l?JNo DNA ONE c . What is the estimated vo lum e 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 the re any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? DYes ~No DYes ~No DYes [gNo 12/28104 DNA ONE DNA ONE DNA ONE Continued .:f I Facility Nu mber: ~z _, 77 Date of Inspection 1/D-6.3 -tJ71 Waste Collecti on & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level in to the structural freeboard? Structure I Structure 2 Structure 3 Structure 4 Identifier: ------ Spillway?: Designed Freeboard (in ): ------r-/_ ,, Observed Freeboard (in): J ep ---=----"''---- 5. Are there any immediate threats to th e integrity of any of the s tructures observe d? (ie/ large tree s, 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 (J~No D NA O NE D Yes ~No DNA O NE Structure 5 Structure 6 DYes ~N o DNA ONE D Yes ll1 No D NA O NE If any of questions 4-6 were answered yes, and t he 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 compl iance altern ativ es tha t need maintenance/im provement? D Yes ll~No DNA D NE D Yes [A No DNA O NE D Yes O'No DNA O NE D Yes ~No DNA ONE l I . Is the re ev idence of inco rrect a pplication? If yes, check the appropriate box below . D Yes ~ No D NA D NE D Excessive Ponding 0 Hydraul ic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc .) D PAN D PA N> 10% or 10 lb s D T otal Ph osphorus D Fai lure to Incorporate Manure/Sludge into Bare Soil D Outsid e of Acceptable Crop Window D Evidence of Wind Drifl D Application Outsid e of Area 12 . crop type(s) --!::.B::.......:::V'.:...::?Il~uAioo!:.~.:..=.!i<::......JU.u~=~/~G'.~hJ::::::i-~~..:::::...-J'~--.::::s;...:..:M-==a.::..:.;I/~G::.....;,.,_;,;':..;.::'N:.........:....~=O=S )...:::...,_ ________ _ 13. Soiltype(s) ;VcJ AfqvviN WrA..8 1 ) 14 . Do the rece iving crops differ from those desibrnat ed in theCA WMP? 15 . Does the receiving crop and/or land app lication site need improvement? D Yes D Yes 16. Did the faci lity fail to sec ure and/or operate per the irrigati on desi,brn or wettable acre determination?O Yes .00 No ~No ~No 17 . Does the fac ilit y Jack adequate acreage for land app li cati on? 18. Is th ere a lack of properly operating waste app li cation equipment? D Yes ~No D Yes ~No C omments (refer to question #): Explain any YES answers and/or any recommendations or any othe r comments. Use drawings of facility to better explain situations. (use additional pages as necessary): DNA ONE D NA O NE DNA ONE DNA ONE D NA O NE ... r-- 1-• R eviewer/Ins pector Name Krc:.~ R~ve-ls Phone: ~/0, ?33. 330 0 Reviewer/Inspector S ig nature: E__~R~ Date: /tJ -IJ3 -ZOtJ7 12128104 . Co ntinued I Facility Number: gz _, 7 71 Date oflnspection IIP-13-071 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 . D Yes [lf'No D NA 0 NE DYes efNo DNA ONE D Y es ~No DNA ONE 0 Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers D Annual Certi fi c atio n D Rainfall D Stocking 0 Crop Yield D 120 Minute Inspections D Monthly and l" Rain Inspec tions 0 Weather Code 22. Did the facility fail to install and maintain a rain gauge? DYes ~No DNA ONE 23. If selected, did the facility fail to install and maintain rain breakers on irrigation equipment? DYes 00No DNA ONE 24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No DNA ONE 25. Did the facility fail to conduct a sludge survey as required by the permit? DYes 00No DNA ONE 26. Did the facility fail to have an actively certified operator in charge? DYes ~N o DNA ONE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes ~No DNA ONE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~No DNA ONE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes -~No DNA ONE and report the mortality rates that were higher than normal? 30. At the time of the inspection did the facility pose an odor or air quality concern? DYes (l] 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 D Yes (ll No DNA ONE General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representati ve? D Y es ~No DNA ONE 33. Does facility require a follow-up visit by same agency? DYes [!t No D N A ONE Additional Comments and/or Drawings: • - I-- ~ 1212 8/04 Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation Reason for Visit ~ Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Technical Assistance 0 Other D Denied Access Date of Visit: l5 ""-o{, I Arrh·al Time: lJ: tJo~u.... I Departure Time: I I Count)·: ~-l'.r.,.., } L-------~ Region: l9tO FarmName: R"«NNiiV.j l?vc.,cL _a; .1. Owner Email: --------------- Owner Name: r 0" \ -~.........,o.~v-~K.:....:<..v--~------Phone: Mailing Address: Physical Address:------------------------------------_______ _ Facility Contact: -::r-D <-( P~v-k v.c= Title: -------------Phone No: ---------- Integrator: __ C-=-=o~l.:..!.=a~v-~,'-=~~---------Onsite Representative: c~ Ba.vw t<..K. 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 IE No DNA ONE Discharge originated at: D Structure D Application Field D Other a. Was the conveyance man-made? b. Did the discharge reach waters of the State? (If yes . notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Docs discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? DYes ~No DNA ONE DYes KINo DNA ONE DYes ~No DNA ONE DYes 181 No DNA ONE DYes !;gl No DNA ONE 12128104 Continued ' [Facility Number: gz-~ 7?1 Date of Inspection 15-0Cl-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? CliStructure I Structure 2 Structure 3 Structure 4 DYes ~No DNA ONE DYes ~No DNA ONE Structure 5 Structure 6 Identifier:------------------------------------------ Spillway?: u Designed Freeboard (in): _..::;GI:;;.· '..:1_1!---------------------------------- " Observed Freeboard (in): _....:=~··~4,._ . .:::0::;.._ __ ----------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ large trees, severe erosion, seepage, etc.) DYes ~No DNA ONE 6. Are there structures on-site which are not properly addressed and/or managed DYes ~No DNA ONE through a waste management or closure plan? If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? 8. Do any of the stuctures lack adequate markers as required by the permit? (Not applicable to roofed pits, dry stacks and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes 00No DNA ONE DYes 00No DNA ONE DYes ~&]No DNA ONE 0 Yes 1KJ No DNA D NE II. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes g) No 0 NA 0 NE D Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.) D PAN 0 PAN> 10% or 10 Ibs 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. Crop type(s) _..::....b..J=~~~.:....Yi=:(:.M~----.i ...... ;V(L:.::o:..!•:fP~1...l.f..L:.k::....._"'T'1 _/JI.~Il:!....!Y'~V'-..:J':I-£:-AI!....__ ______________ _ 13. Soil type(s) B'<.Yif4w)CA Grn3 ed Smell G-r~lv Uvc..n-, ... .../ ) J J 14. Do the receiving crops differ from those designated in theCA WMP? DYes 15. Does the receiving crop and/or land application site need improvement? DYes 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre detennination!O Yes 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? • # • • .. •• ~ J ' ••• : " ~ Reviewer/Inspector Signature: DYes DYes Phone: Date: 11/18104 ~No DNA ONE ~No DNA ONE ~No DNA ONE ~No DNA ONE !11No DNA ONE Continued l'1<acility Number: F2 -6 771 Date of Inspection lf-,o9-o '-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 ofthe CA WMP readily available? If yes, check the appropirate box. 0 WUP 0 Checklists D Design D Maps 0 Other 21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes tg] No 0 NA 0 NE 0 Yes (gNo DNA ONE DYes ~No DNA ONE D Waste Application D Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification 0 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? DYes !Sa' No DNA ONE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes ~No DNA ONE 24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No DNA ONE 25. Did the facility fail to conduct a sludge survey as required by the permit? DYes DNo ~NA ONE 26. Did the facility fail to have an actively certified operator in charge? DYes l1!J No DNA ONE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes ~No DNA ONE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes i81No DNA ONE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes R!No DNA ONE and report the mortality rates that were higher than normal? 30 . At the time of the inspection did the facility pose an odor or air quality concern? DYes j2gNo DNA ONE If yes, contact a regional Air Quality representative immediately 31. Did the facility fail to notify the regional office of emergency situations as required by DYes ~No DNA ONE General Permit? (ie/ discharge , freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ~-No DNA ONE 33 .. Does facility require a follow-up visit by same agency? DYes ~No DNA ONE 12/28104 CERTIFIED MAlL RETURN RECEIPT REQUESTED Joel Parker Farms Inc Running Branch #I 88 Laudie Honeycutt Rd Clinton NC 28328 Dear Joel Parker Farms Inc, Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek. P.E. Directoc Division of Water Quality January 3, 2006 Subject: RECEIVED JAN 24 2006 OEtiR-fA'fE'm\tii.LE REGlONALOfRCE Notification for Phosphorus Loss Assessment Running Branch # 1 Permit Number NCA282677 Facility 82-677 Sampson County There is a condition in your recently issued Animal Waste Manageme nt General NPDES Permit addressing phosphorous los s standards. The permit condition quoted below states that if the state or federal government establishes phosphorus loss standards your facility must conduct an evaluation within 180 days. The Federal Natural Resources Conservation Service has now established this standard. A computer-based program was developed to determine how much phosphorus was b eing lost from different fields. Instructions on how to comply with this requirement are provided below. ·- In accordance with your NPDES Permit Number NCA282677 Condition !.6, your facility must now conduct a Phosphoru s Los s Assessment. Condition 1.6 states: "If prior to the expiration date of thi s permit either the state or federal government establishes Phosphorus lo ss standards that are applicable to land application activities at a facility operating under this permit, the Permittee must conduct an evaluation of the facility and its CA WMP under the requirements of the Phosphorus loss standards to detennine the facility's ability to comply with the standards. This evaluation must be documented on forms supplied or approved by the Division and must be submitted to the Division. This evaluation must be completed by existing facilities within six ( 6) months of receiving notification from the Division. Once Phosphorus loss standards are established by the state or federal government that are applicable to facil iti es applying to operate under this permit, no Certificate of Coverage will be issued to any new or expanding facility to operate und~r this permit until the applicant demonstrates that the new or expa nding facility can comply with these standards." The method of evaluat ion i s the Phosphorous Loss Assessment Tool (PLAT) d eveloped by NC State University and the Natural Resources Conservation Service. PLAT addresses four potential loss pathways: leaching, erosion, runoff and direct movement of waste over the surface. Each field must be individually evaluated and rated as either low, medium, high or very high according to its Phosphorus ~,tthCarolina ;vatllrnlly Aquifer Protection Section Internet: http://h2o.enr.state.n c.us 1636 M ail Service Center 2728 Capital Boul evard Raleigh , NC 27699-16 36 Rale igh, NC 27604 Phone{919) 733-322 1 Customer Service Fax (9 19) 7 15-0588 1-877-623-6748 Fax (919)715-6048 An Equal Opportunity/Affirmative Action Employer -50% Recycled/1 0% Post Consumer Paper Joel J>arker Fanns Inc Page2 Ja nu ary 3 , 2006 loss potential. The ratings for your farm must be reported to DWQ using the attached certification form. The PLAT forms must be kept as records on your farm for future reference. From the date of receipt of this letter, a period of 180 days is provided to perform PLAT and return the certification form to DWQ. Only a technical specialist who has received specific training may perform PLAT. You are encouraged to contact a technical specialist now to run PLAT on your fann . Your local Soil and Water Conservation District may be able to provide assistance. This information on the attached form(s) must be submitted within 180 days of receipt of this letter to : Animal Feeding Operations Unit Division of Water Quality 1636 Mail Service Center Raleigh , NC 27699-1636 NPDES permitted farms will need to have implemented a nutrient management plan which addresses phosphorus loss before the next permit cycle beginning July, 2007. If you have any fields with a high or very high rating, then your waste utilization plan will require modifications. The purpose of performing PLAT this early is to allow adequate time for making waste plan modifications where necessary. With the next permit, continued application of waste w ill not be allowed on fields with a very high rating . For fields rated high, only the amount of phosphorus projected to be removed by the harvested crop. For low and medium ratings, phosphorus will not be the limiting factor. Once the PLAT evaluation is completed on your fann, you will know if you have fields that need further work. You are encouraged to begin developing and implementing a strategy to deal with any issues as soon as possible. Please be advised that nothing in th is letter should be taken as removing from you the responsibility or liability for failure to comply with any State Rule, State Statue or permitting requirement. If you have-any questions regarding this letter, please do not hesitate to contact me at (919) 715-6697 or the Fayetteville Regional Office at (910) 486-1541. cc: Fayetteville Regional Office Sampson County Soil and Water Conservation District Facility File 82-677 Sincerely, Paul Sherman Animal Feeding Operations Unit Type of Vi sit e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit • Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Dateof Visit: I;)/;J.3/o.S"I Arril'aiTime:l /O t 2~ I DcpartureTime: 1.__ ___ _,1 County: s~-(>.S. ... ~ Region: \=KU Farm Name: _ __..8.....:...Jv..........:h.I.;nc...J;u!O..~'t-_.~~t':..JSii.:"'-~c..b..-=.~-~-..!.\ _____ _ Owner E mail : -------------- Owner Name: --~.S.._.__..~:>._.c...._,\.__ _______ J...P...::su:r;_kh§oCi..J!IrL"---------Phone: (sJo) Mailing Address: ----'~=--.;.~-'---'L~.a:!O-...... =~=-:-...:..:"'-!:-....:'-'~o~"'-:...::<-:....:'(pC...::I..:::..+::...~..;._-'lJ2~cR..-_ ___;C.~/~:-=u=-+J....:o...:.""~~~_._,IL..\!~l"-C..=------ Physical Address:----------------------------------------- Facility Contact: ---=::S=....;.:.:::...,::c:-=->-\ _ ___.P--=4.::..:-r_k,=.::;:;::c....=---Title: -----------Phon eNo: ________ ___ Onsitc Representatil'e: ;:foe. I P~ ... k.-I c\,A,.+\.u e Grv..i,<-L Certified Operator: \T oc:..l e ..... ¥-L~ Integrator: C~kcn•·\c... 1::-ort"-'::.. Operator Certification N umber: 1>1 I~ /l> 0 Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD 'D " Longitude: D o o·o ~ Design Current Des ign Current Design Current Swine Capacity Population Wet Poultry C~pacity Population Cattle Capacity Population ID Wean to Finish I lj 10 Layer I I 1· .. :o Non-Laye1 _ _ _ D Wean to Feeder [i] Feeder to Finish Ljtj)D 4 3(..() D Dai ry Cow 0 Dairy Ca lf D Dairy He ife1 ' I ' D Farrow to Wean D Farrow to Feeder ' D Farrow to Finish I 0Gilt s I D Boars ...... -·----------- D Dry Cow D Non-Dairy ; ' D Beef Stockel t I D Beef Feeder I I D Beef Brood Cow I ----· Dry Poultry Other D Layers i D Non-L avers i I D Pullets ~ ~ D Turkeys i ; 0 Turkey Pou lt s D Oth er ' -· ·------~~O~O~th~er __ ~--~----~~~__.1 1 Number of Structures: c:z::J1 Discharges & Stream Impacts I _ Is any discharge observed from an y part of the operation? D Yes [XI No D NA D NE Di scharge originated at: D Structure D Application Field D Other a _ Was the conveyance man-mad e? DYes 0 No DNA ONE b . Did the discharge reach waters of the Stat e? (If yes, notify DWQ) D Yes 0 No DNA ONE c . What is the estimated volum e tha t reached waters of the State (gallons)? d. Docs discharge bypass the waste management system? (If yes , no ti fy DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there a ny adverse impacts or potential advers e impacts to the Wate rs of the State oth er th an from a discharge? D Yes 0 No D Yes liJ No D Yes ~No 12128104 DNA ONE DNA ONE DNA ONE Continued lracility'Number: Y.2 -t;.7zl· Date of Inspection I~ I .23 I orl Waste Collection & Treatment 4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate? a. lfyes, is waste level into the structural fi"eeboard? Structure 1 Structure 2 Structure 3 Structure 4 DYes 181No DNA ONE DYes 0No DNA ONE Structure 5 Structure 6 Identifier: --.LI1.......,.P=--:Ic...._ __ ---------------------------------- Spillway?: ----------------------------------------- Designed Freeboard (in): __ ~_G_'_'_· __ ---------------------------------- Observed Freeboard (in): __ _.if'"-'-/_1 _ 1 __ ---------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ large trees, severe erosion, seepage, etc.) 0 Yes 00No DNA ONE 6. Are there structures on-site which are not properly addressed and/or managed D Yes li] No D NA D NE through a waste management or closure plan? If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any ofthe structures need maintenance or improvement? DYes [il No DNA 0 NE 8. Do any of the stuctures lack adequate markers as required by the pennit? (Not applicable to roofed pits, dry stacks and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes liJNo DNA ONE DYes fsaNo DNA ONE DYes [iNo DNA ONE II. Is there evidence of incorrect application? If yes, 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 D Application Outside of Area 12. Croptype(s) --~t?~c~c~nn~~~J2~~~~1~~a~z~~~d2~,~·~s~·n~~~/(L-1~t~A<~6ur~a~~~--------------------------------------- 13. Soil type(s) 14. Do the receiving crops ditfer fi"om those designated in theCA WMP? 15. Does the receiving crop and/or land application site need improvement? DYes I2SI No DNA ONE DYes ~No DNA ONE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre detennination!D Yes CilNo @No l:iJ No DNA ONE DNA ONE 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 DYes 11128104 Continued [ Facility Number: k-2 -~ 7?1 ()ate of Inspection l~/-21 / Arl Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Pem1it 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 D Design D Maps D Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes &!No DNA ONE DYes &I No DNA ONE DYes [11No DNA ONE 0 Waste Application D Weekly F~eeboard 0 Waste Analysis 0 So\1 Analysis 0 Waste Transfers D Annual Certification D Rainfall D Sto~king 0 Crop Yield D 120 ~inutc Inspections 0 Monthly and I" Rain Inspections 0 Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbn:akers 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 certilicd 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 reviL:w/inspection with an on-site representative? 33. Does facility require a tallow-up visit by same agency? Additional Comments and/or Drawings: DYes !XI No 0 NA ONE DYes 00No DNA ONE DYes 0No ~ NA ONE DYes ~No DNA ONE DYes ~No 0 NA ONE DYes 0No ~NA ONE 0 Yes [iJ No DNA D NE DYes ~No DNA ONE DYes ~No DNA ONE 0 Yes IE No 0 NA 0 NE D Yes [i;3 No 0 NA D NE DYes ~No DNA ONE 12128104 Cornnliam::e Inspection 0 Operation Review 0 lagoon Evaluation Reason for Visit Q1:!outine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other 0 Denied Access Facility Number 1 g' H k 11 I Date of Visit: I $/:JP/ocf= I Tune: llb ~ 1.o I . lo Not Operational 0 Below Threshold I ErPermitted 13"Certified C Conditionally Certified []Registered Date Last Operated or Above Threshold: ·---·----·-·-· Fann Nam" -··f=l:,-.---Jh~!:L.ftL______________ County' _5.'~~--------·-· Owner Name: ·····-·-·-···········:[~_!_ ......................... E~-~--t......................................... Phone No: ...... !.{~_:2~~.::~?1~······-···-·--·-·--·-·-·-· Mailing Address: ··-·---~·-·-·-·LwJ.!~ ............ Ik.rtt.f.'~:i± ......... ~.:.................. ______ CJ_;_~~~J. ....... t.4 .. G:... ........................ ~~~~------·-·-····· Facility Contact: ............. 1'~L ........ ~~~·····-----··--··· Title: ......... .QJ!:!.~~---··-·-·-··-·····-·--·--·· Phone No: -·----------·----·· Onsite Representative: .... ::'-~.J ........... f~!.~-~/ ... LMl::li~ .... ~~~~~---·-·-·· Integrator: ____ Cr~.~-------·······-··----------- Certified Operator: ................ J.! .. ~.L ................... 1!_~~~---·---·-·-·---·-·······-··· Operator Certification Number: ..... .J.'JJ..'!!. ..................... . Location of Farm: ef Swine 0 Poultry 0 Cattle 0 Horse Latitude ....._____.1•1.....______.1• ._I _ __.I•• Longitude '--__.1• L...l _ _.I· L...l _ _.I" Discharges & Stream Impacts l. Is any discharge observed from any part of the operation'! Discharge origmated at 0 Lagoon D Spray Field 0 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 gal/min? d. Docs 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? 0 Spillway Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 DYes ~0 DYes ONo DYes ONo DYes ONo DYes [!f'No DYes ~0 DYes BNo Structure 6 Identifier: .......... ______________ ····-··· ______ h_ .. _____________ ·----....... _·~----.--·-· -.----·--······ .. ········-·-·-·-··----···--·-·--·-.................. -·-·---·-·- Freeboard (inches): 12112103 -----Continurd !FacilitY, Number: <{) Date oflnspection I 5/~•/c4J 5 .. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, seepage, etc.) 6 . Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? (If any of questions 4-6 was aoswered 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 maintenance/improvement? II . Is there evidence of over application? If yes, check the appropriate box below. 0 Excessive Ponding 0 PAN 0 Hydraulic Overload D Frozen Ground 0 Copper and/or Zinc 12 . Crop type '&r..-..J. ~~ r.-t1"' 13. Do the receiving crops differ with those esignated in the Certified Animal Waste Management Plan (CA WMP)? 14. a) Does the facility lack adequate acreage for land application? b) Does the facility need a wettable acre determination? c) This facility is pended for a wettable acre determination? 15. Does the receiving crop need improvement? 16. Is there a lack of adequate waste application equipment? Odor Issues 17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor 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 o f wind drift during land application? (i .e . res idue 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. -~ l'c.&rd; -~lA jr-4~ C, tweJs -f. loc ,.o-tJ -N. ., .. ~J...ic. ~'fl.. ..,. rc~ ~~ ~ ~( Us.. Reviewer/Inspector Name Reviewer/lnspec:tor Signature: 12111/03 Date: DYes s"No DYes e1No DYes ~No DYes [!('No DYes 6"No DYes BNo DYes ~0 DYes [3'No DYes ~0 DYes (ifN'o DYes ~No DYes ~0 DYes [3"No DYes ~0 DYes E(No DYes b(No DYes !)!'No Continued I Fadli~ Number: ~'--l(n I Date of Inspection I 44 S Ztlyc'f- • Required Records & Documento; 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? (ie/WUP, checklists, design, maps, etc.) 23. Does record keeping need improvement? If yes, check the appropriate box below. 0 Waste Application D Freeboard 0 Waste Analysis 0 Soil Sampling 24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? 25. Did the facility fail to have a actively certified operator in charge? 26. Fail to notify regional DWQ of emergency situations as required by General Permit? (iel discharge, freeboard problems, over application) 27 . Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? 28. Does facility require a follow-up visit by same agency? 29. Were any additional problems noted which cause noncompliance of the Certified A WMP? NPDES Pennitted Facilities 30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) 3 J . 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. 0 Stocking Form D Crop Y ield Form 0 Rainfall 0 Inspection After 1" Rain 0 120 Minute Inspections 0 Annual Certification Form DYes DYes DYes DYes DYes DYes DYes DYes DYes [i;p'(es DYes DYes DYes DYes DYes I B' No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. r-f--r:) kas ~ ~Ail s-~ t.. 1l"y· lull r 12112103 ~"fe ,-S.~l$ c..-t C~l'rt....J .... ~""" ~No [!J"No ~0 [91Cjo !Bflo ~0 l!f'No ErNo B'No ONo ~0 ~0 (g1Jo [itNo [}No ..... 1- -....