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HomeMy WebLinkAbout820689_INSPECTIONS_20171231NORTH CAROLINA Qeparbnent of Environmental Quality ..---....... ----....... -·-·-·--~.J ·. 0 Denied Access Date of Visit: I I :9 :ltf., p Arrival Time:l a: 3D I Departure Time:l I (D1J I County: 5~ Region: FarmName: 27Zi-e-tf.3 h,.--m Owner Email: Owner Name: :272rh Phone: Mailing Address: Physical Address: Facility Contact: p r~ ~I Title: Pbone: Onsite Representative: Integrator: Certified Operator: Certification Number: Back-up Operator: Certification Number: Location of Farm: Latitude: Longitude: Discharges and Stream Impacts I . Is any discharge observed from any part of the operation? DYes (&_No Discharge originated at: 0 Structure 0 Application Field D Other: a . Was the conveyance man-made? 0 Yes 0No b. Did the di scharge reach waters of the State? (If yes, notify DWR) DYes 0No c . What is the estimated volume that reached waters of the State (gallons)? d . Does the discharge bypass the waste managem ent system? (If yes, notify DWR) DYes 0No 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any observable adverse impacts or potential adverse impacts to the waters of the State other than from a discharge? Page I o/3 DYes ~No DYes ~No DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE l/4120 15 Continued ~·!Facility Number: it':2;-kJ"t Waste Collection & Treatment ·•~ 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure I . Structure 2 Structure 3 Structure4 Identifier: Spillway?: Designed Freeboard (in): ;9: 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 (23-No DNA D NE D Yes 0 No D NA D NE Structure 5 Structure 6 DYes £8._No DNA D NE DYes ~No DNA ONE If any of questions 4-6 were answered yes, and tbe situation poses an immediate public bealth 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? 0 Yes [3-No DNA 0 NE QYes ~o DNA ONE DYes ~No DNA ONE 0 Yes ~No 0 NA 0 NE II. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~o D NA D 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 0 Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Approved Area 12. Crop Type(s): $-~:.cnJ~ / & ~r'/3 n/ 13. Soil Type(s): f±oA-I L n-I 75!)1 14. Do the receiving crops differ from those designated in the CAWMP? 15 . Does the receiving crop and/or Jan~ application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acres determination? Page 2of3 DYes DYes DYes 0 Ye s 0 Yes DYes DYes Dather: DYes 0No 2l.No ~No ~No &No @.No &a-No J;a No DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE 2/412015 Continued '•I Facility Number: [Date oflnspection: Q-//f-1 Z I I , 24. Did the facility fail to calibrate waste application equipment as required by the permit? .. 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. DYes ~No 0NA ONE DYes [3-No 0 NA 0 NE D failure to complete annual sludge survey 0 Failure to develop a POA for sludge levels D . Non-compliant sludge levels in any lagoon List structun!(s) and date offrrst survey indicating non-compliance: 26. Did the facility fail provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document and report mortality rates that were higher than normal? 29. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional Air Quality representative immediately. 30. Did the facility fail to notify the Regional Office of emergency situations as required by the permit? (i.e ., discharge, freeboard problems, over-application) 31 . Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. 0 Application Field 0 Lagoon/Storage Pond 0 Other: 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? ,rw-,~<5~c-t?f ~-eu~,_,v_J" I c?--v?O-Jt9 f / Reviewer/Inspector Name: Reviewer/Inspector Signature: Page 3 of3 DYes [2l.No DYes ~No DYes [gl_No 0 Yes j3No DYes ~No DYes ~No DYes ~No DYes !3-No DYes 129--Mo DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE Phone: 9zp 30.3--"0151 Date: /¢--/"'/-J 2 214/1015 r . ompliance Inspection Reason for Visit: ~tine 0 Complaint 0 Denied Access Date of Visit: 112-;J.K-Jft Arrival Time: I /1• ·o (.) Farm Name: $-di &,.I"Y'-.In c. DepartureTime:lf'?! Q\) I County.;..{~r=-Region : Ef;o Owner Email: Owner Name·. /~-J. c:::. -r-JJ"" -, frrd'{ ,. e ,_._ ....1--n ~ • Phone: Mailing Address: Physical Address: Facility Contact: W~J Title: .t'/"-"t ~ Onsite Rcpresentati,·e: Certified Operator: Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I . Is a ny 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 di scharge reach waters of the Sta te ? (If yes, notifY DWR) c. What is the estimated vo lume that reached waters of the State (gallons)? Phone: Integrator:~~~~~ Certification Number: ?/., 5b . 7 Certification Number: Longitude: D Yes Kl_No D NA ONE 0 Yes 0 No D NA O NE 0 Yes 0 No D NA ONE d. Does the discharge bypas s the waste management system? (If yes , notify DWR ) 0 Yes 0 No D NA 0 -NE 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 o/3 DYes D Yes ~No D NA ONE ~0 DNA ONE 2/412015 Continued !Facility Number: s;& {,ff \ I Date of Inspection: /qt..-~d'V/ kl ~• Waste Collection & Treatment 4. Is stora ge capacity (structural plus storm storage plus heavy rainfall) le ss than adequate? a. Ifyes, is waste level into the structural freeboard? Structure I Structure 2 Structure 3 Structure 4 Identifier: Spillway?: Designed Freeboard (in): /7 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 3 No D NA D NE DYes 0 No DNA ONE Structure 5 Structure 6 D Yes ~ No 0 NA D NE DYes ~No 0NA ONE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR 7. Do any of the structures need maintenance or improvement? 8. Do any of the_ stru c tures lack adequate markers as requi red by the permit? (not applicable to roofed pits, dry stacks, and/or wet stacks) 9. Doe s any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application I 0 . Are th e re any req uired buffers, setbacks, or compliance a lte rnati ves that need maintenance or improvement? D Yes ~No D NA ONE DYes 5l.No DNA 0 NE D Yes ~No D NA D NE D Yes ~ No 0 NA D NE II. Is there evidence of incorrect land application? If yes, check th e appropriate box below. D Yes ~o 0 NA 0 NE D Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn , etc.) D PAN D PAN > 10% or 10 lbs. D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Approved Area 12 . Crop Type(s): '$~ / tJ vr.,r<-z-J 13 . Soi l Type(s): {3o.,f / L n / 1iJJ 14 . Do th e receiving crops differ from those designated in the CA WMP? 15. Docs the recei ving crop and/or land application site need improvement? 16. Dirlthe facility fail to secure and/or operate per the irrigation design or wettable acres determination? 17. Docs the facility lack adequate acreage for land application? 18.1 s there a la ck ofproperlyoperating waste application equipment? Required Records & Documents 19. Did th e facility fail to have the Certificate of Coverage & Permit readily available? 20. Does th e facility fail to have all components of the C A WMP read il y available? If yes. check th e appropriate box. 0WUP 0Check lists D Design D Maps D Lease Agreements 2 1. Does record keeping need improvement".' If yes , check the appropriate box bel ow. DYes f.6J No DNA ONE DYes ~No D NA ONE DYes j2g No DNA ONE DYes baNo Q NA ONE DYes ~No DNA ONE D Yes ~No DNA O NE D Yes ~No D NA ONE 0 0ther: D Yes ~No D NA ONE 0 Waste Appli cation D Weekl y Freeboard 0 Was te Analysis D Soil Analysis 0 Waste Transfers D Weather Code 0 Rainfall 0 Stocking D Crop Yield 0 120 Minute In spections D Monthly and I" Rainfalllnspections D Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? D Yes ~No 0 NA D NE 23. If selected , did the facility fail to install and maintain rain breakers on irrigation equipment? 0 Yes J8-No 0 NA 0 NE Page2of3 21412015 Continued ; ,, [Facili~ Number: J?::L -/,R'f I Date of lns~ction: L.?..?Z8-'-..,:016j 24. Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes ~No DNA ONE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check DYes ~No DNA ONE the appropriate box( es) below. D Failure to complete annual sludge survey 0 Failure to develop a POA for sludge levels D Non-compliant sludge levels in any lagoon List structure(s) and date of first survey indicating non-compliance: 26. Did the facility fail provide documentation of an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document and report mortality rates that were higher than normal? 29. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional Air Quality representative immediately. 30. Did the facility fail to notifY the Regional Office of emergency situations as required by the permit? (i.e., discharge, freeboard problems, over-application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. D Application Field D Lagoon/Storage Pond D Other: 32. Were any additional problems noted which cause non::compliance of the permit orCA WMP? 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 34. Does the facility require a follow-up visit by the same agency? Rev;ew.,/lmpecto,Nameo ~~ Reviewer/Inspector Signature : . = Page 3 ofJ DYes ~No DNA ONE DYes ~No DNA ONE 0 Yes [29 No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes 0-No DNA O~E Phone: 9-/o-Jora I£/ Date: /2-d?t:-.Rt:J/h Z/412015 Date of Visit: I /;t...p!S"I Arrival Time: I / tJf If.£ I Departure Time: II/ c' 7(C I County: (~ Region: E;Z 0 Farm Name: £7?,. ~~ Fer;-~ ::C: n ~ . Owner Email: --------------- Owner Name: 5' !JYr=/-$ rAI'h'l. kd t;. Phone: Mailing Address: Physical Address: ----------------------------------------- Facility Contact: ~" /( .fl?z-) Title: f) U/ 11 y r Oosite Representative: _.f?~......,;,-,t_;_d\_.-c«"'"--g..;___~ .... '£_· ________ ...,.---- Certified Operator: F r ~ { 77:-.,.,..) 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: 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)? Phone: Integrator: --~..mLL..~'jJ'-----------­ Certification Number: 2"&.5b Z Certification Number: Longitude: 0 Yes [3..No DNA ONE DYes DNo DNA ONE DYes DNo DNA ONE d. Does the discharge bypass the waste management system? (If yes, notifY DWR) DYes 0No 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 DYes DYes ~No DNA ONE ~0 DNA ONE 2/4/1014 Continued I Facility Number: I Date of Inspection: /l--C IS Waste Collection & Treatment .J 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): !9' Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? DYes ~No DNA ONE DYes 0No DNA ONE Structure 5 Structure 6 0 Yes ['3.No DNA 0 NE D Yes [B No 0 NA D 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 appl icable to roofed pits, dry stacks, and/or wet stacks) 9 . Doe s any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application 10 . Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE 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.) D PAN 0 PAN > 10% or 10 lbs. 0 Total Pho sphorus D Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acc eptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12 . Crop Type(s): ~"Jr~"m«JI!'\.. /t'l vrr_5-rr-J 13 . Soil Type(s): (z oA-I '-n I :b11 t i DYes DYes DYes DYes DYes Page1of3 ~No (2Y._No ~No (gNo [8.No DNA ONE DNA ONE DNA ONE DNA ONE D NA ONE DNA ONE DNA ONE 11412014 Continued '!.~..:IF..=a;;:;cili=·:.:.~ty:.....:N~u=m=be::.:r..:..: _ _,V~=-----.....:z;~Rf~___.J lnate oflnspection: /:;2--¥-IJ 24. Did the facility fail to calibrate waste application equipment as required by the permit? l f 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. DYes ~No DYes ~No DNA ONE DNA ONE D Failure to complete annual sludge survey D Failure to develop a POA for sludge levels D Non-compliant sludge levels in any lagoon List structure(s) and date of first survey indicating non-compliance: 26. Did the facility fail to provide documentation of an actively certified operator in charge? 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. D Application Field D Lagoon/Storage Pond D Other: DYes ~No DNA ONE DYes Q!No DNA ONE DYes [3No DNA ONE DYes {2i_No DNA ONE DYes L3.No DNA ONE DYes (29..No DNA ONE ---------------------- 32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~0 DNA ONE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ~No DNA ONE 34. Does the facility require a follow-up visit by the same agency? DYes ~0 DNA ONE Comments (refer:: to qlie~on #): Explain· any YES answ~rs:an_d/or any:additional recommendatil)n,s ;or;'~Y..'~~e.r~·col;n.Oieq_:: '· -~ ·.·:. ___ ,_. ___ .. ··::""Of:,_ ' --... ' ··. ·-1'~ '•·-'-•.. '···-_-·.-,., ....... _·_, ••• ,.~,_: • .ilc.~'--~'~·· ... ~_-.;.:-.-~ .. --:"_"··_:"'·-·0··_••:.·--.., Use diawings offacility::"to better explain situations (use additional pages as necessary). "· · -:~:~;:;:; t'~::c-~:-:. · · ':Z?~: ~,,. .J /. pP/ffl J 0Yf> y./D I {,()~fl. }JO 1,/)7 ~ h t1Jy_ SfX7 7:. c c D rrh FD r c9fJ I tj ~ /<.. T" & ()J ~ r. /Ot5 3/'/-rvz---6 A II( v' r: In: i"rL 12-e ?1)/lT"/ ~ T '7__, i5vr-/-4) r f? ;-?l)/'/r./ p-n_ _J::: -;< fZ ;;_ pP / rn J tAra' J~ cfUJ Is-r 7 -:7 r-- Reviewer/Inspector Name: Reviewer/Inspector Signature: Page3of3 Phone: 9zp-#f'JJ-33 °0 Date: /.? -g-.:::A?~ 214/2014 Operation Review 0 Structure Evaluation Reason for Visit: ®-Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency ~~r.-.~ Date of Visit: lq ; IO A!'j I Arrival Time:IIII3JI4 Farm Name: Si efd !; f0,177J I Inc . Departure Time:IJ{);"loAfjl County:~Z'('t1\ ' Owner Email: Owner Name: Sieeds roon lnc Phone: Mailing Address: Physical Address: ;)at] &'Ct~c.e '(J.J.. J furrell { Facility Contact: f'l l.b k 5±eeL Title: _Oo....<.Ltv::..:.().Llei,LV' _____ _ Phone: Region: f/?(} On site Representative: \Jtle,. I l e., S tea!_ Certified Operator: "JI) t I v \ frc;, { Sfpftl_ Integrator: _H~-...... Bc...,_ ________ _ Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I. Is any discharge observed from any part of the operation? Discharge o riginated at: 0 Structure 0 Application Field a. Was the conveyance man-made? 0 Other: b. Did the discharge reach waters of the State? (If yes, notify DWQ) c . What is the estimated volume that reached waters of the State (gallons)? Certification Number: .:=~u~~~::...:::::Si:..::W::;..)-L------ Certification Number: Longitude: DYes "'fia"No DNA ONE DYes 0 No DNA ONE DYes 0No DNA ONE d . Does the discharge bypass the waste man agement system? (If yes, notify DWQ) D Yes 0No 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? Pt~ge 1 of3 DYes 0 Yes ~No DNA ONE 9No DNA ONE 214/lOJI Continued • IFacilitr Number: I Date oflnspection: ) }r,3 I l':f Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. lfyes, is waste level into the structural freeboard? Structure 1 Structure2 Structure 3 Structure 4 Identifier: Spillway?: Designed Freeboard (in): --::)::,..9...,_ __ Observed Freeboard (in): OJ 'J 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? DYes ~No DNA ONE DYes 0No DNA ONE Structure 5 Structure 6 DYes ~No DNA ONE 0 Yes f:>I"No DNA D NE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? 8. Do any of the structures lack adequate markers as required by the permit? (not applicable to roofed pits, dry stacks, and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? DYes ~No DYes 64-No DYes ~No 0 Yes !Sa'No DNA ONE DNA ONE DNA ONE DNA ONE 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes QNo DNA 0 NE 0 Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.) 0 PAN 0 PAN> 10% or 10 lbs. 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 Approved Area 12. Crop Type(s): Cs~ia\. 'GPr~t~Ja Pruiv((:,... ~Sfhall gror~ OS ] 13. Soil Type(s): Lynchb-ry s lj i>lcnk ~ s; doldihoro A- 14. Do the receiving crops differ from those designated in the CA WMP? 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Reguired Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropriate box. DYes ~No DNA ~Yes 0No DNA DYes fSa"No DNA DYes '5a No DNA DYes fgNo DNA DYes ~No DNA DYes ~No DNA ONE ONE ONE ONE ONE ONE ONE OwuP Ochecklists 0 Design 0 Maps D Lease Agreements Oother: _________ _ 21. Does record keeping need improvement? If yes, check the appropriate box below. l)fYes 0 No DNA D NE D Waste Application ~Weekly Freeboard 0 Waste Analysis 0 Soil Analysis D Waste Transfers D Weather Code 0 Rainfall 0 Stocking D Crop Yield D 120 Minute Inspections 0 Monthly and 1" Rainfall Inspections D Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 0 Yes ~No D NA 0 NE 23. If selected, did the facility fail to install and maintain rain breakers on irrigation equipment? Page2of3 0 Yes 0 No !Sa'NA D NE 21411011 Continued .!Facility Number: $).. I Date of Inspectioo{OI/ 1 ~} J j J 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. D Yes f><J No D NA 0 NE DYes f);}No DNA ONE 0 Failure to complete annual sludge survey D Failure to develop a POA for sludge levels 0 Non-compliant sludge levels in any lagoon List structure(s) and date of first survey indicating non-compliance: 26. Did the facility fail provide documentation of an actively certified operator in charge? DYes lSJNo DNA ONE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? DYes DNo I}(NA 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 normal? DYes [}l-No DNA ONE 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. DYes 5lNo DNA ONE 30. Did the facility fail to notify the Regional Office of emergency situations as required by the DYes ~No DNA ONE permit? (i.e., discharge, freeboard problems, over-application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. DYes ~No DNA ONE 0 Application Field D 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: Page 3 of3 DYes l)jNo DNA ONE DYes ~No DNA ONE DYes ~0 DNA ONE Phone: qr &-li3J., 3JOO fd(6~ Date :\fa, {3)0 fL( 21412011 . . ' ... Facility No .'bd::b<&Cc t\-irr-el s~ r 1 Farm Name """""S.....~~.:le.J..Iaf"-'j:......IPo.......,._/ /Jf___,U«----Date 0 I h ~I l<f Permit ..../ COC ---OIC~ NPDES{Rainbreaker PLAT Annual Cert Daily Pipe) FBD roos ~1-lr"1 ~tin:. 61 ~~~ . :r, .1:' ... '. d.n'}) nM~-~~ ~ Lagoon Name, S for spillway 1 2 3 4 DesiQn Freeboard I Last Recorded {in 19 Observed freeboard ~ Sludge Survey Date \~ ~~~/11_ Sludge Depth (ft) I -:J.fe. Liouid Trt. Zone (ft 4-~- Ratio Sludge to Treatment Volume if> 0.45 I Date out of compliance/ POA? Calibration Date 1/r{N/(\ 2 3 4 5 Ring Size (in) ,."lf:;.- Design Flow (gpm) ttr Actual Flow Ill Design Diam . (ft) Actual Diam . 'dOl wlneyN~ I tt~il Test Date t;j }3,11~ dlllr). Crop Yield pH Fields -~ Wettable Acres __ _ Lime Needed all--A~~ WUP l..J"CJ1/f-::1L Lime Applied '~ Weekly Freeboa-rd _______ l"tfss-._, 'o/ Cu-I Zn-1 1 in Inspections __ ~ Needs S (S-1<25) 120 min Insp. __ _ Needs P Weather Codes Waste Date lloiJJII1 lllr{f~ 3i11n blJJ IQ. ~Jhlh -60 Day ./ + 60 Dav - N (lb/1 000 Gal) l·41 \J"6 lr Cfq' \ 49 [{') .. :]<{ pH -d) ~,74 fn.Q<i 15 : [, () Pull/Field Soil Crop Acres PAN I -PI -ll lh < ~-rnrm-e .)J<T ~11 :.{ ()-l'i tXA ().l 19/l . 3 ?-\').., ~nA I, I ;n5> All S(o· sO ~chbVi6/ tOc .A-v ~~B Verify PHONE NUMBERS and affiliations Date last WUP FRO JI-13-0 I FRO or Farm Records Date last WUP at farm W Lagoon # J.;)c 9-1 0 App. Hardware r Top Dike 53_ Stop Pumpi.f1 Start Pump5\ l+l=Vf Conversion-Cu-I 3000= 108 lb/ac; Zn-1 3000= 213 lb/a'c I t,.}d 01\\ I" ~ ~~J 1"142 Window tt¥-Jep ' 5 6 6 7 Transfer Sheets RAIN GAUGE . 7 8 Dead box or incinerator __ _ Mortality Records Check Lists Storm Water Max Rate Max Amt (J,S-/, 0 I ~ , .. ompliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit: ~tine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: I ~ .¢1,:lJz.Arrival Time: I 7·'0 0 Farm Name: '!f'&~J <' Ff:cl"tYld .:z::ht!.. Departure Time: I/(); oO I County: 6o-r-1fl?":""' Region: E'g D Owner Email: • Owner Name: ~J Fa./111~ Phone: Mailing Address: Physical Address: ------------------------------------------- Facility Contact: Onsite Representative: Certified Operator: Back-up Operator: Location of Farm: Latitude: Discharges and Stream lmoacts 1. 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)? Phone: Integrator: /!(IL~ Certification Number: e:l'sb 7 Certification Number: Longitude: DYes ~No DNA ONE DYes 0No DNA ONE DYes 0No DNA ONE d. Does the discharge bypass the waste management system? (If yes, notify DWQ) -D Yes 0No 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? Pagel of3 DYes DYes !)a No DNA ONE ~No DNA ONE 114/1011 Continued ' - I Facility Number: I nate of Inspection: t-£S21-t?-l Waste CoUection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure 1 Structure 2 Structure 3 Structure4 Identifier: Spillway?: Designed Freeboard (in): 19 Observed Freeboard (in): 3b 5. Are there any immediate threats to the integrity of any of the structures observed? (i.e., large trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? DYes ~No DNA ONE DYes 0No DNA ONE Structure 5 Structure6 DYes ~No DNA ONE DYes [E No 0 NA 0 NE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? 8. Do any of the structures lack adequate markers as required by the permit? (not applicable to roofed pits, dry stacks, and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? DYes El_No DYes IB! No DYes ~No DNA ONE DNA ONE DNA ONE D Yes [81 No DNA 0 NE 11. Is there evidence of incorrect land application? Jfyes, check the appropriate box below. DYes ~No 0 NA 0 NE D Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) D PAN 0 PAN > 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Approved Area 12. Crop Type(s): l>e(~ /AJv~t::"reJ. 13. SoilType(s): Lp/ Jf!4:B /G-a/1- 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 de sign or wettable acres determination? 17 . Does the facility lack adequate acreage for land application? I 8. Is there a Jack of properly operating waste application equipment? Required Records & Documents DYes ~No DNA DYes {SNo DNA DYes ~No DNA DYes ~No DNA DYes jgl No DNA ONE ONE ONE ONE ONE 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? D Yes ~ No 0 NA 0 NE 20. Does the facility fail to have all components ofthe CAWMP readily available? Ifyes, check DYes ~No 0 NA 0 NE the appropriate box. OwuP Ochecklists D Design D Maps 0 Lease Agreements 00ther: _________ _ 21. Does record keeping need improvement? Jfyes, check the appropriate box below. D Yes [ia No 0 NA D NE 0 Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis D Waste Transfers 0 Weather Code D Rainfall 0Stocking 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 ga uge ? D Yes ~ No 0 NA D NE 23 . If se lected , did the faci lity fai l to install and maintain rainbreake rs on irrigation equipment? DYes ~N o 0 NA 0 NE Page2of3 21411011 Continued IFacili~ Number: 8;l:: -brf' I Date of lns(!ection: S -;:719'-1 ~ I 24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No DNA ONE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check DYes j3.No DNA ONE the appropriate box(es) below. 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 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: 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? Re vi ewer/In spector Name : Reviewer/In spector Signatu re: Page3 of3 DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes gjNo DNA ONE DYes ~No DNA ONE DYes IXJ No DNA ONE Phone: 9JIJ?{P-35'f7V Da te : Y /t-/OJ;;:L 11412011 Type of Visit ~mpliance 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 0 Denied Access DateofVisit: j;-/f'--J/1 Arrival Timed /0.'0 0 I DepartureTime: I It :pO I County:'$"~ Region: T-?.. Q Farm Name: :s zr.,h QrfVt-Ln c I Owner Email:-------------- Owner Name: s Ur=h F&~r"'1.._ rn'. Phone: Mailing Address: ----------------------------------------- Physical Address:----------------------------------------- Facility Contact: Phone No: ________ _ On site Representative:. ___ :?=f"'!Ad=~-------------- Certified Operator: _;;-.fl::.(' Integrato<: at '«1"f Operator Certification Number: ci?? .JP Z Back-up Operator: --------------------Back·up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? DYes ~o DNA ONE Discharge originated at : 0 Structure 0 Application Fi eld 0 Other a. Was the conveyance man-made? b. Did the discharge reach waters of the State? (If yes, noti fy DWQ) c . What is the estimated volume that reached waters of the State (ga llons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is the re evidence of a past discharge from any part of the operation? 3. We re there any adverse impacts or potential adverse impacts to the Waters of the State other than from a disc harge? Page 1 of 3 DYes 0No DNA ONE DYes 0No DNA ONE I DYes 0No DNA ONE DYes IX No DNA ONE DYes SNo DNA ONE 11118104 Continued -~ • _ I Facility Number: fl2..-tff'JI Date oflnspection 1/--9'// 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 ri/:s !&No DNA D NE DYes 0No DNA ONE Structure 5 Structure 6 Identifier:--------------------------------------- Spillway?: Designed Freeboard (in): /~ ... Observed FreebOard (in): ]"3 5. Are there any immediate threats to the integrity of any of the structures observed? DYes ~0 DNA ONE (ie/·iarge trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed DYes through a waste management or closure plan? ~0 DNA ONE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? 8. Do any of the stuctures lack adequate markers as required by the 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 ~No DNA ONE DYes ~o DNA ONE DYes ~o DNA ONE DYes R]No DNA ONE 11. Is there evidence of incorrec t application? If yes, check the appropriate box below. DYes ~o DNA D NE D Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.) 0 PAN 0 PAN> 10% or 10 lbs D Total Phosphorus 0 Failure to In corporate 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) ;&rn-w£.. /~·rr:r--s,.,.. _./ 13. Soil type(s) Lp /'ff P B / {..,a ,A- 14. Do the receiving crops differ from those designated in the CAWMP? 15 . Does the receiving crop and/or land application site need improvement? DYes ~o 0 Yes 12Sl.No 16 . Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?O Yes ~o 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? DYes ~o DYes &No DNA DNA DNA DNA DNA ONE ONE ONE ONE ONE Pagel of 3 12128104 Continued \ • · I Facility Number: ~-~~I Date of Inspection I 1(741/ J 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 0 Checklists 0 Design 0 Maps 0 Other 21. Does record keeping need improvement? Ifyes, check the appropriate box below. DYes ~No DNA ONE DYes [&.No DNA D NE DYes ~No DNA ONE D Waste Application D Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers D Annual Certification D Rainfall D Stocking D Crop Yield 0 120 Minute Inspections D Monthly and l" Rain Inspections D Weather Code 22. Did the facility fail to install and maintain a rain gauge? DYes [;81 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 ~No DNA ONE 26. Did the facility fail to have an actively certified operator in charge? DYes ~No DNA ONE 27. Did the facility fail to secure a phosphorus Joss assessment (PLAT) certification? DYes r8No DNA ONE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes IE No DNA ONE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes [BNo 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 IiJ.No DNA ONE If yes, contact a regional Air Quality representative immediately 31. Did the fa c ility fail to notify the regional office of emergency situations as required by DYes 2SJ 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 1)1 No DNA ONE 33. Does facility require a follow-up visit by same agency? DYes IS-No DNA ONE Drawings: Page 3 of 3 12/28104 S+edS hvWt./INc_ , , HIGH FREEBOARD NOTIFICATION FORM Staffple.ase retain your original and place a copy in the High Freeboard Notification Box .located in Richard Canady's office . . Person Reeeiviog Notification '"/:::,~ty "E:.CAI<-t ..S , Facility' Number 82 -&B 9 Date Received 2/JS/zo/o . Farni Name d,iiii' e &4 UJiil S.-lc.~~ fC~,..,..~'ffn;e Cf:30AIH Caller's.Name /tlowc..ll s-+ ~c..d Caller's Telephone Numbers Home# q10, 269, 7 .5"75 Farm#_·-------- CeU# _______ _ Pager# _______ _ For all callers PLEASE obtain a phone number where they can be reached at any time. (Celt phone numbers, home phone numbers, farm phone numbers, pager numbers) Tell the caller that a member of the CAFO unit or Paul Rawls will contact them as soon aspo~sibJe . -roJUi K :-.5 ~ov-~ ?~~ofl..-1 To"'i .,..;u .(;~ ;.f -h.cJ~'1'' Freeboard (in inches) I Q ,, Lagoon# 1_----=D:;...__ Lagoon # 2 ___ _ Lagoon# 3 ___ _ Lagoon# 4 ___ _ Lagoon # 5 ___ _ Lagoon# 6. ___ _ Do not instruct the caller on the action they should take. That is up to the caller. Remind them that they are to remain in compliance with their Permit and Waste Utilization Plan. Make the caller aware that you are assigning a tracking number to their call. Give the caller the tracking number and tell them to use this number for all future contacts about . this particular incident and when they call back reporting they are back into compHance. Hig~ Freeboard Level Tracking Number is .:?:Pj@'?o/ Thank the caller for their cooperation. *Water Quality Staff Only* If the caller indicates that the lagoon level is<l2 inches, contact one of the CAFO staff AND Paul Rawls. Do not leave a note, e-mail or voicemail without contacting the CAFO staff AND Paul Rawls directly on any report of <12 inches . Treat any report of <12 inches as an emergency event. --------------------------------------------------------------------------------------·------------------- *CAFO STAFF ONLY* Establish a Filemaker/ BIMs Entry number for this report. 20100081'+ Print the Filemaker/ BIMs Entry and attach it to this form. Type of Visit e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit e Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access Date of Visit: IJ ojiilltl, I Arrival Time: I( 0 :a?a,...,. I Departure Time: II~~ 00 p ,._j County: Region: qzt I Farm Name: 5~ Farros :J:hc , Owner Email: ------------- Owner Name: S:kd5 ft,Lcoy; ,J1.,L..L>o,;c •:...,.._ ______ _ Phone: Mailing Address: ------------------------------------____ _ Physical Address:---------.....--------------------------------__.m'---&.....lo<:::n'-'Tk""'~~f-5""-'kJ~:w...----Title: ----------Phone No: ---------Facility Contact: Integrator: A'lucp~-B !bc..Jn lLC... Operator Certification Number: ,._~ Sh 7 Onsite Representative: ___ ,,;,! _______________ _ Certified Operator: ____ ,.:...,_ _____ ------------ 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 Discharge originated at: 0 Structure 0 Application Field 0 Other a. Was the conveyance man-made? DYes b. Did the discharge reach waters of the State? (If yes, notify DWQ) DYes c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (lfyes, notify DWQ) DYes 2 . Is there evidence of a past discharge from any part ofthe operation? 3. Were there any adverse impacts or potential adverse impa cts to the Waters ofthe State oth er than from a di scharge? DYes DYes !EJNo DNA 0No ~NA 0No ~NA I 0No ~NA -~No DNA ~N o DNA ONE ONE ONE ONE ONE ONE 12128104 Continued ·~ T~acility Number: f?;t6~ I Date of Inspection ~ ~Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure 1 Structure 2 Structure 3 Structure 4 DYes ~No DNA ONE DYes 0No ~NA ONE Structure 5 Structure 6 Identifier: ----1''---------------------------------------- Spillway?: Designed Freeboard (in):---=--:-=------------------------------------ 3, ,, Observed Freeboard (in): __ -=.._..,;_ __ --------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? DYes (ic/ large trees, severe erosion, seepage, etc.) ~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. Arc there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? D Yes JiJ No D NA 0 NE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE II. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes !:p No 0 NA D NE D Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.) D PAN 0 PAN> 10% or 10 lbs D Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Area 12. Crop typc(s) Coosk) Sw-mL.(ck ~S.S @sf-u.N 4 5 1"1· Gftuo Owrruvf 13. Soiltype(s) ~{qn.Jn~-f3of!>} ~ftkb -Gt,A-; trJ.blj-IJ,. 14. Do the receiving crops differ from those designated in the CA WM P? DYes ~No DNA ONE DYes ~No DNA ONE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? D Yes If' No 0 NA 0 NE 15. Does the receiving crop and/or land application site need improvement? 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 ~No DNA ONE DYes cyl.No DNA ONE .... I Facility Number: 8'J.. {?ffi I Required Records & Documents Date of Inspection l!~&foq I I I 19 . Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropriate 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 ~No DNA ONE DYes 1(1 No DNA ONE DYes L1l No DNA ONE D Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification 0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and I" Rain Inspections 0 Weather Code 22. Did the facility fail to install and maintain a rain gauge? . 23 . If selected, did the facility fail to install and maintain rain breakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report the mortality rates that were higher than normal? 30. At the time of the inspection did the facility pose an odor or air quality 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 ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes QJNo DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes FNo DNA ONE DYes lfJNo DNA ONE DYes []No DNA ONE DYes ~No DNA ONE DYes t¥JNo DNA O NE DYes No DNA O NE 11128104 Type of Visit e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit e Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access J Mailing Address: ------------------------------------------------- Physical Address:---..:..------------------------------------------ Facility Contact: ---=--Fn:u,...;..__.....:.k.J_'--=--e____;;.?}&d_.__· ...;;.,.._ ___ Title: --------PboneNo: _______________ _ Onsite Representative: ----------------------Integrator: Adcnf~ ;J.6sto7 II 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 ~No DNA ONE Discharge originated at: D Structure D Application Field 0 Other a. Was the conveyance man-made? b. Did the discharge reach waters ofthe State? (If yes, notifY DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notifY DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Page 1 of 3 DYes 0No ~NA ONE DYes 0No MNA ONE I DYes 0No ~NA ONE DYes ~No DNA ONE DYes ~No DNA ONE 12128/04 Continued 1 Facility Number: B'd=-6fr} I Date of Inspection I e/ilf./OB ] Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure l Structure 2 Structure 3 Structure4 DYes i)1No DNA ONE DYes 0No \iiNA ONE Structure 5 Structure 6 Identifier: __ __./ ____ ---------------------------------- Spillway?: Designed Freeboard (in): -----::-r-::-;:,r------------------------------------- Observed Freeboard (in): __ .lf....l...L( _ 11 ___ ---------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ large trees, severe erosion, seepage, etc.) DYes fXINo 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 threa~ notify DWQ 7. Do any of the structures need maintenance or improvement? 8. Do any of the stuctures lack adequate markers as required by the permit? (Not applicable to roofed pits, dry stacks and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes DYes DYes DYes ~0 DNA ONE ~0 DNA ONE I)LNo DNA ONE ~~No DNA ONE 11. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes pi No DNA 0 NE 0 Excessive Ponding 0 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 0 Evidence of Wind Drift 0 Application Outside of Area 12. Croptype(s) Cca.s~( ~~q ~Ss(p~)j.Jl\1\. ~(.,_.. ~ 13. Soiltype(s) &B) Go~ Ln 14. Do the receiving crops differ from those designated in the CAWMP? 15. Does the receiving crop and/or land application site need improvement? DYes DYes 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?D Yes .~.No ~No l§.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: Page 2 of 3 DYes ~No DNA ONE DYes ~No DNA ONE 12128104 Continued J . r-------------~~~~~ j Facility Number: a;lO.i!£91 Date of Inspection I PJII.J./Cf1 I Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Pennit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropriate box. 0 WUP D Checklists D Design D Maps D Other DYes jfNo DNA ONE DYes -No DNA ONE 21. Does record keeping need improvement? Ifyes, check the appropriate box below. DYes f8No DNA D NE D Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification 0 Rainfall D Stocking D Crop Yield D 120 Minute Inspections D Monthly and I" Rain Inspections D Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report the mortality rates that were higher than normal? 30. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional Air Quality representative immediately 31 . Did the facility fail to notify the regional office of emergency situations as required by General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 33 . Does facility require a follow-up visit by same agency? Additional Comments and/or Dra1\ings: Page 3 of3 DYes ~·No DNA ONE DYes ~No DNA ONE DYes fjNo DNA ONE DYes ~No DNA ONE DYes No DNA ONE DYes ~0 DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~0 DNA ONE DYes ~0 DNA ONE DYes tiNo DNA ONE DYes ~o DNA ONE ..... - 12128104 --.-.... JFacility Number J fJ.~J , @~ ,, e Division of Water Quality 0 Division of Soil and Water Conservation ·:::·: ~: ~; -··:"-) 0 Other Agency .. ~ §f.i ~;?~~]~ '. j Type of Visit • Compliance Inspection · 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit e Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: lt1 r5{ct'J I ";rinl Time:! of:Sli~l Departure Time: I u: ltJqa., I County: SAm p~ Farm Name: steed$:; Eu~s ~~c.. Owner Email: ------------- Region : . Ff!!J Owner Name: Sk~s~~~~----------Phone: Mailing Address: ---------------------------------------- Physical Address:------------,,...--------------------------------£ra~...;._n_~.;__·-e._.=;......;5;_k __ {U;). ____ Title: --------Phone No:-------Facility Contact: ~ Onsite Representative: ------------------Integrator: _...,~{Vl"--" ... ~o.;;.:..~'"1~..~:,:;.t---------- Operator Certification Number: ..~o~='l;b6:::;.__7 ___ _ "' Certified Operator:-------------------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD 'D" Longitude: D OD'D" Swine ID Wean to Fini sh D Wean to Feeder I~ Feeder to Finish :J Farrow to Wean D Farrow to Feeder D Farrow to Finish 0 G ilts 0Boars -· . . ... ·~ . Other Design . · Current Capacity Population I~PL> _oi.IW . ... IQ Other ..... J Discharges & Stream Impacts Wet Poultry 10 Layer D Non -Laver J Dry Poultry D Layers 0 Non-Layers D Pullets D Turkeys D Turkey Poults t D Other I _ Is any discharge observed from any part of th e operation ? Design C apacity Current Population Discharge originated at: 0 Structure D Application Field 0 Other a. Was the conveyance man-made? b . Did the discharge reach waters of the State? (If yes, notify DWQ) Design • Current Cattle Capacity Population I 0 Dairy Cow 0 Dairy Calf I D Dairy Heife1 j D Dry Cow r 0 Non-Dairy I D Beef Stockel i 0 BecfFeeder I D Beef Brood Cow I ' ·-- - - Number of Structures: rn~ DYes ~0 DNA ONE D Yes 0No ~NA ONE DYes 0No $NA ONE c . What is th e estimated volume that reached waters of the State (gallons)? I d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part ofthe operation? 3. Were there any adverse impact s or po tenti a l adv erse impacts to the Waters of th e Stat e other than from a discharge? DYes 0No .ft'NA ONE DYes ~o .DNA ONE DYe s ~No DNA ONE 12118104 Continued iF=Kili~· Number: tFQ:i£11 Date of Inspection ~ Waste Collection & Treatment 4 . Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the s tru c tural freeboard? Structure 2 Structure 3 Structure 4 DYes L&No DNA ONE DYes DNo ,giJ"NA ONE Structure 5 Structure 6 s 1 tructure I Identifier: ---L------------------------------------- Spillway?: Designed Freeboard (in): __ '"T"""__,.r------------------------------------!f'1ll Observed Freeboard (in): --~.L-""D<..~----------------------------------- 5. Are there any immediate threats to the integrity of any of the structures observed? DYes ~No DNA ONE (ic/ large trees, severe erosion, seepage , etc .) 6. Are there structures on-site which are not properly addresse d and/or managed DYes ~0 DNA ONE through a waste management or closure plan? If any of questions 4~6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures n ee d maintenance or improvement? 8. Do any of the stuctures lack adequate markers as required by the permit? (Not applicable to roofed pits, dry stacks and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application \ 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes ~No DNA ONE DYes JfLNo DNA ONE 0 Yes ~$No DNA ONE 0 Yes ltfN"o DNA D NE 11 . Is there evidence of incorrect application '! If yes , check the appropriate box below. 0 Yes ~No 0 NA 0 NE 0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metal s (Cu, Zn, etc.) D PAN 0 PAN> 10% or 10 lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil D Eviden e of Wind Drift D Application Outside of Area 12 . Croptype(s) ~\.r.... 0 13. Soil type(s) 8o ()1 6-QA-J ~ 14 . Do the receiving crops differ from those de signated in the CA WMP? 15. Does the receiving crop and/or land application site need improvement? DYes DYes 16. Did the facility fail to s ecure 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? DYes DYes IE No ij3No ll9No ~0 I» No Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments. Use drawings of facility to better explain situations. (use additional pages as necessary): · DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE .... - -.... Reviewer/Inspector Name ( ~~.J... ~ 1.:::1 Reviewer/Inspector Signature:"\. ~'A11..4'f 11AJ,p ~1../At_ Phone: (91°) "i 33-3300 Date: (o/ts/o7 /2128104 Conttnued .... :.... I Facility Number: BJtC"{ffi Required Records & Documents Date of Inspection ~ 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 0 Other DYes rpNo DNA ONE DYes ~No DNA ONE 21 . Do es record keeping need improvement? If yes , check the appropriate box below. 0 Yes ~ No 0 NA D NE D Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis D Waste Transfers 0 Annual Certification D Rainfall D Stocking D 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 C$)No DNA ONE 23 . If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes l1)No DNA ONE 24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes rQ.No DNA ONE 25 . Did the facility fail to conduct a sludge survey as required by the permit ? DYes lpNo DNA ONE 26 . Did the fa cility fail to have an actively certified operator in charge? DYes ~No DNA O NE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes ~No DNA O NE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes rpNo DNA ONE 29 . Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes and report the mortality rates that were higher than normal ? ~No DNA ONE 30. At the time of the inspection did the facility pose an odor or air quality concern? DYes ~No DNA ONE If yes , contact a regional Air Quality representative immediately 3 I . Did the facility fa il to notifY the regional office of emergency situations as required by DYes OQNo DNA ONE General Pennit? (ie/ discharge, freeboard problems, over application) 32 . Did Reviewer/Inspec tor fail to discuss review/inspection with an on-site representative? DYes ~No DNA ONE 33 . Does fa cility require a follow-up visit by same agency? DYes J!)No DNA ONE Additional Comments and/or Dra\\-ings: .... 1- 1- ~ 12128104 Type of Visit e Compliance Inspection Q OP.eration Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit e Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: I B-2Y-dil ArTival Timedlt~!ey} am I Departure Time: I /1-'0041'-" I County: ~~" Region: FR-O Owner Email: -------------- Phone: FarmName: ~~~·~~~s~'~f6Lc~~n1~1~---~~,~C~'--------------­ Owner Name: __ frru,.L.....~;;....:.Jl;[....L~ -e_=-_S___;-keJ......;;...=::......_ ----::--.--------- Mailing Address: !DQ-0 Penf\1 Brtu'\~ ~· 1 ~w......:tJ;....;;..._c__..;;...~_B_3?....;........;;e _________ _ tl Physical Address:-----------,.....---------------------------------_,_§_iV'I_a::~::..'~~;._...;:9~-.Jed..:...-:=-------Title: -----------Phone No: ---------Facility Contact: II Onsite Representative: ------------------Integrator: f()u.rp&, f3COt.#l1 Operator Certification Number: ~ftJS:67 if Certified Operator:-------------------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: ,.. Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? DYes lfJNo DNA ONE Discharge originated at: 0 Structure .D Application Field 0 Other a. Was the conveyance man-made? b. Did the discharge reach waters ofthe State? (If yes, notify DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? {lfjtes.,.notify'DWQ) 2. Is there evidence of a past discharge trom any part of the operation'! 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Page I of3 DYes 0No ~NA ONE DYes 0No mNA ONE I DYes 0No lt~NA ONE DYes ~No DNA ONE DYes t(fNo DNA ONE 12/28/04 Continued I Facility Number: B;f 6?J I Date of Inspection lfi.-..2q~61 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 Structure3 Structure 4 DYes DJNo DNA ONE DYes 0No ~NA ONE Structure 5 Structure 6 Identifier:---------------------------------------- Spillway?: Ia ,, Designed Freeboard (in): --~"J.--:-------------------------------------12JI' Observed Freeboard (in): __ ..:.J...:.... ___ ---------------------------------- 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 ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes r)lNo DNA ONE n. Is there evidence of incorrect application? lfyes, check the appropriate box below . DYes ~No DNA D NE 0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PAN D PAN> 10% or 10 lbs D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outs ide of Area 12. Crop type(s) ---!::B~Y:........:..:""'...:!~~C\::L....:~~~"Zft:.......+J~S~W¥J~.&~::ll!..........:~::..:.· ........:.:.:' "'....:__(9_:· vt..r::...=....:~::::=:!!!..._ __________ _ kp,. BoB 1 &of} 13. Soil type(s) 14. Do the receiving crops differ from those designated in theCA WMP? DYes 15. Does the receiving crop and/or land application site need improvement? DYes 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? DYes 17. Does the facility lack adequate acreage for land application? DYes 18. Is there a lack of properly operating waste application equipment? DYes l(:onllmtents ~[r:ererto.qulesjtion #): Explain any YES .'". ""'~t~~'1.r;;,;::;;-.,.1~;t;:,:.:.'fr< mmendations or any ()111\~.!.t!~!».~l!l ra~.vi111gs of'·.fa~~ilifY;Ito better explain situations. .·. as necessary): Vtr~ £-f-ee({~+ recErYdSt Reviewer/Inspector Name Reviewer II nspector Signature: Page 2 of3 129 No DNA ONE !ENo DNA ONE l8il No 0 NA 0 NE ~No DNA ONE ~No DNA ONE Continued ...... ,_. ... I Facility Number: f;ih-t,69l Date of Inspection I ·6-c2lf:'4$l Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Pennit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropriate box. 0 WUP 0 Checklists D Design D Maps D Other DYes J!INo DNA ONE DYes ~No DNA ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~No DNA 0 NE D Waste Application D Weekly Freeboard D Waste Analysis D Soil Analysis 0 Waste Transfers 0 Annual Certification 0 Rainfall D Stocking D Crop Yield 0 120 Minute Inspections 0 Monthly and 1" Rain Inspections D Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the pennit? 25. Did the facility fail to conduct a sludge survey as required by the pennit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non-compliance ofthe pennit orCA WMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report the mortality rates that were higher than nonnal? 30. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional Air Quality representative immediately 31. Did the facility fail to notify the regional office of emergency situations as required by General 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? Page 3 of3 DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes r:gJ No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes Ji'] No DNA ONE DYes 181No DNA ONE .... _.··. ·.· ... ·.·. ·::~~i-t?,;};f:j~~ 11128/04 .... f- 1-.... CERTIFIED MAIL RETURN RECEIPT REQUESTED Frankie Steed Steed's Farms, Inc. · 1040 Penny Branch Road Warsaw NC 28398 Dear Frankie Steed, Michael F. Easley, Govcmor William G. Ross Jr., Secretary North Carolina Department of Environmmt and Natural Resources Alan W. Klimclc, P.E. Director Divisio n of Water Quality January 3, 2006 Subject: RECEIVED JAN -2 ~ 2005 DENR-FAYETIDlLLE REGIONAl ornr.e Notification for Phosphorus Loss Assessment Steed's Fanns, Inc. Permit Number NCA282689 Facility 82-689 Sampson County There is a condition in your recently issued Animal Waste Management General_NPDES Permit addressing phosphorous loss 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 being lost from different fields. Instructions on how to comply with this requirement are provided below . In accordance with your NPDES Permit Number NCA282689 Condition 1.6, your facility must now conduct a Phosphorus Loss Assessment. Condition 1.6 states: "If prior to the expi rati on date of this permit either the state or federal gove rnment establi shes Phosphorus loss 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 CAWMP under the requirements of the Phosphorus loss standards to determine 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 su bmitted 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 federa l government that are appli cable to facilities app lying to operate under this permit, no Cert ifi cate of Coverage will be issued to any new or expanding facility to operate under this permit until the applicant demonstrates that the new or expanding facility can comp ly with these standards." The method of evaluation is the Phosphorous Loss Assessment Tool (PLAT) developed 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 Aquifer Protection Section Internet: http://h2 o .enr.s tate.nc.us 1636 Mai I Service Cen ter 2728 Capital Boulevard Raleigh. NC 27699-16 36 Raleigh , NC 27604 An Equal Opportun ity/Affirmative Action Employer-50% Recyded/10% Post Con su mer Paper ~Carolin·~ . ;vatnrall!l Phone (9 I 9) 733 -322 I Customer Service: Fal{ (91 9) 7 15·0588 1-8 77-623-6748 Fax (9 19) 715 -6048 Frankie Steed Page2 January 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 farm. 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 will 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 farm, 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 this 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 82-689 Sincerely, Paul Sherman Animal Feeding Operations Unit Type of Visit • 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; I ft-.2 ... dj'f Arrival Time: I '1 /JS4 •• J Departure Time: Ll ___ _.I County: ,<;'l,.f.fcjJ·f4 ...._ Region: f /:..() FarmName: .2/-e.e£~ (a.vlks: 1~-..c, Owner Email: ------------- Owner N arne: f v--1{,"'-k •' .e :5 +~e. ,f Phone: Mailing Address: I o 'i d ? e. k,I.;L¥ ~ r-.e. -c. L f..J, Wav-r~~c-/ ~<~.:....:e~J..=-.:1-:....:3::....:.~-1' ____________ _ Physical Address:---------------------------------------- Facility Contact: fr4."-k; C ~ t ~eel Title: -----------PhoneNo: ______________ _ Onsite Representative: fhl'+ k~ -t [;.f.'<-J Integrator:---------------- Certified Operator: f:, a H. ~i .c. Q ~"~-----------Operator Certification Number: /l!gP.. g~ .['? Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: D OD'D" Design Current Design Current Swine Capacity Population Wet Poultry · Capacity Population ID Wean to Finish I 0 Wean to Feeder ·l[g'Feeder to Fini sh I _,5rO I r-D==L~ay~er~---r----~-----~11 ~-[]~N~o~.n~~~~~~~y~e~I--L-------~=-~~-] 'J DO 0 . 0 Farrow to Wean I 0 Farrow to Feeder 0 Farrow to Finish I ~D Gilts J 0 Boars I --....... 4 --·--I Dry Poultry Otber []Layers I 0 Non-Layers 0 Pullets 0 Turkeys 0 Turkey Poults 0 Other I I t.,• -----· . -~ --I ~ I ::J -5IO~O~t~he=r==~~~==~'====~] Discharges & Stream Impacts I. Is any discharge observed from any part of the operation ? Discharge originated at: D Structure · 0 Application Field 0 Other a. Was the conveyance man-made? b. Did the discharge reach waters of the State? (If yes, notify DWQ) Design Current Cattle Capacity Population []Dairy Cow 0 Dairy Calf 0 Dairy Heife1 []DryCow 0 Non-Dairy 0 Beef Stocker 0 Beef Feeder 0 Beef Brood Cow --. -I Number of Structures: Di -==:!..1 I I t I I I i j 0 Yes [g"No DNA 0 NE []Yes 0No DNA ONE DYes 0No DNA ONE c . What is the estimated volume that reached waters ofthe State (gallons)? d. Does di sc harge bypass the waste management system? (If yes, notify DWQ) 2. Is there e vidence of a past discharge from any part of the operation? 3. Were there any adverse imp ac ts or potential adverse impacts to the Waters of the State other than from a di sch arge? DYes 0No DYes M"No DYes a" No 12128/04 DNA ONE DNA ONE DNA ONE Continued . \ I Facility Number: g1_ -(?((1 j Date of Inspection I f-tl-6?1 Waste CoUection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? a. If yes, is waste level into the structural freeboard? Structure 1 Structure 2 Structure 3 Structure 4 Identifier: I Spillway?: DYes li?'No 0 NA 0 NE DYes 0No DNA ONE Structure 5 Structure 6 Designed Freeboard (in): _ __._/...,~? ____ ----------------------------------- ObservedFreeboard(in):_....;;'l;;,_,.,J4.__ _____________________________________ _ 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 !VNo DNA ONE DYes [UNo 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? DYes lit"No 0 NA 0 NE 8. Do any of the stuctures lack adequate markers as required by the permit? (Not applicable to roofed pits, dry stacks and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application DYes G?"No DNA 0 NE 0 Yes IQINo DNA D NE I 0. Are there any required buffers, setbacks, or compliance alternatives that need D Yes ~0 D NA D NE maintenance/improvement? II. Is there evidence of incorrect application? Ifyes, check the appropriate box below. DYes ~o DNA D NE D Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.) D PAN 0 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. Crop type(s) ber tJ..<u..J..,. (.;.,.4 ,'·•·..-t $",._6/1 tJ r#f-•~....._ 13. Soil type(s) &p :3 "-B ~ () A 14. Do the receiving crops differ fTom those designated in the CAWMP? DYes ~o DNA D NE 15. Does the receiving crop and/or land application site need improvement? 0 Yes GI'No DNA D NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre detennination'iO Yes [3 No DNA D NE 17. Does the facility lack adequate acreage for land application? DYes l:Y'No DNA D NE 18. Is there a lack of properly operating waste application equipment? D Yes !:!?No 0 NA D NE Reviewer/Inspector Name Reviewer/Inspector Signature: 11128104 Continued . . .. j Facility Number: ~ ~ -,;~ j Required Records & Documents Date of Inspection J *-J -csS1. 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 appropirate box. D WUP 0 Checklists D Design D Maps 0 Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~o DNA ONE DYes DVNo DNA ONE DYes ~o DNA ONE D Waste Application 0 Weekly Freeboard D Waste Analysis D Soil Analysis D Waste Transfers D Annual Certification D Rainfall D Stocking 0 Crop Yield D 120 Minute Inspections D Monthly and I" Rain Inspections D Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakcrs on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Otber Issues 28. Were any additional problems noted which cause non -compliance ofthe 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? (ic/ 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 DYes DYes DYes DYes DYes DYes DYes DYes DYes DYes DYes 12/28/04 UYNo DNA ONE lllNo DNA ONE [il)'Jo DNA ONE 9'No DNA ONE ~0 DNA ONE [i/'No DNA ONE li:JNo DNA ONE g'No DNA ONE Ef'No DNA ONE @No DNA ONE @No DNA ONE ~ DNA ONE • Type of Visit 8 Compliance Inspection Reason for Visit 0 Routi ne 0 Complaint 0 Operation Review 0 Lagoon Evaluation 0 Follow up 0 Emergency Notification 0 Other D Denied Access I llate of Visit: I/() ~"'ll· ~ ll'j Time: I 7 ; .3D Facility Number I &;? H <C 8 2 '----------------------~ IO Not Operational 0 Below Thres hold [I Permitted ISJ Certified [J Conditionally Certified [J Registered Date Last Operated or Above Threshold: FarmName: ·.St,a.eR..s: F:.,.._._~. .!:ne-. County: Sc::.....,p,se.N Ftt!_o Owner Name: £eM k ic PhoneNo: (1•0 ) ::J.~3-'1-71{-f Mailing Address: __ &..;/ 6=-4~0~-"-'A,...,_.o~"''"""('f-.........~:B"'"""-&'t;..oac.~n-~s:J..a:~o_""t?g,~:::.. LJa~rsaw.J; 1\1 C ;)8 31R Facility Contact: ______________ Title:-----------PhoneNo: --------- Onsite Representative: ----'-,C:~.,. .... a!.!AJ~l""c.JIO·..,;___.::.S._+.:......:oe,;.;J:=='--------- Certified Operator: & e & A i C.. ~ + c: S' g Integrator: /??uti'),)"_ &ow.IV Operator Certification Number: # ,;?C. SC. 7 Location of Farm: lla Swine 0 Poultry 0 Cattle D Horse Latitude Discharges & Stream Impacts l. Is any discharge observed from any part of the operation? Discharge originated at: 0 Lagoon 0 Spray Field 0 Other a. If discharge is o b se rved, was the conveyance man-made ? b . If di scharge is o bserved. did it reach Water of the State? (If yes, notify DWQ) c. If discharge is ob serv ed. what is th e estim ated flow in gal/min ? d . Does di scharge bypass a lagoon system? (lfyes, notify DWQ) 2. Is there evidence of past discharge from any pan of the operation? 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Waste Collection & Treatment 4 . Is storage capacity (freeboard plus storm storage) le ss than adequate? Identifier: Freeboard (inches): 05/03/01 Stru cture I I Structure 2 Structure 3 0 Spillway Structure 4 Strucrure 5 0 Yes Ill No D .Yes 0No DYes 0 No Nl/t D Yes 0No DYes 00 No DYes ~No D Yes ~No Structure 6 Continued • [Facility Number: ~ .l -t. i1 I Reouired Rec:ords & Document" 21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? 22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? (ieJ WUP, checklists, design, maps, etc.) 23. Does record keeping need improvement? If yes, check the appropriate box below. D Waste Application D Freeboard D Waste Analysis 0 Soil Sampling 24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? 25 . .rn,d 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? (iii discharge, freeboard problems, over application) 27. Did Reviewerllnspector fail to discuss reviewfmspection 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 Permitted Facilities 30. Is the facility cove-zed under a NPDES Permit? (If no, skip questions 31-35) 31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 32. Did the facility fail to install and maintain a rain gauge? 33. Did the facility fail to conduct an annual sludge smvey? 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 Fonn 0 Crop Yield Form 0 Rainfall 0 Inspection After 1" Rain D 120 Minute Inspections D Annual Certification Form DYes DYes DYes DYes DYes DYes DYes DYes DYes !!)Yes DYes DYes DYes DYes DYes ID No violations or defideucies were noted dnriDg this visit. You will. reaive no fnrtber correspondence about this visit. 12112/03 (i!No 2]No 12J'No li]No (i!No [iiNo (iiNo [iJNo (iJNo DNo N)No Jl!No ~No ((]No [IJNo. 1--.... • [Facility Number: f..2 -~ 8 <; I Date oflnspection (/D-o'(· otl 5. Are there any immediate threats to the integrity of any of the Structures observed? (iel trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? · (H any of questions 4-6 was answered yes, and the situation poses an immediate public: health or environmental threat, notify DWQ} 7. Do any of the sauctures need maintenancefunprovement? 8. Does any part of the waste management system other than waste sttuctures require maintenancefunprovement? 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level elevation markings? Waste Application 10. Are there any buffers that need maintenancefunprovement? 11. Is there evidence of over application? If yes, check the appropriate box below. D ExceSsive Ponding 0 PAN D Hydraulic Overload 0 Frozen Ground 0 Copper and/or Zinc 12. Crop type /1e: t ~ '1A's. (; ra-.:;.~ 5 b . 13. Do the receiving crops differ with those designated in the Certified Animal Waste ~aement 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 aJ/or below liquid level of lagoon or storage pond with no agitation? 18. Are there any dead animals not disposed of properly within 24 hours? 19. Is there any evidence of wind drift dwing land application? (i.e. residue on neighboring vegetation, asphalt, roads, building structure, and/or public property) 20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional Air Quality representative immediately. f ~,.. c:.. b C..l-c:;.. C:...L>r-.. +c.l .:..., .. HD;o'.e.\'...".l\'f Reviewer.IIDSpector Name Reviewer.IIDSpector Signature: 12112103 DYes li)No DYes ll:l No lj)Yes 0No DYes llitNo DYes liaNo DYes JE]No DYes ~No DYes ri)No DYes [iJNo DYes [)I No DYes llaNo DYes Iii No DYes [iNo DYes J;iiNo DYes i:aNo DYes (B:I No DYes KINo Type of Visit ~ Compliance Inspection 0 OPeration Review 0 Lagoon Evaluation Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Emergency Notification H I Date of\'isit: Facility :\umber 82 r-1 'f9 L_~==~~~~~~~~~~--~f 0 Other 0 Denied Access Below Threshold [] Permitted [J Certified [J Conditionally Certified [] R~istered Date Last Operated or A bon~ Threshold: Farm !\arne: 7tJI'1 3 0 {L!e.sf Coun~·: ..Sitht/UIJ'] Owner !\arne: -----------------------PhoneNo: 9/o· S"~'t · o:v9 Mailing Address: .{t' ... ··~"' FaciJi~· Contact: ---------...,..-....,.----Title: -----------j&JIJ Phonel\o: ----------------- Onsite Representatil'e: ..:..a4!:~~":.!jJ-__!.Itlr!l::!:l.~bfi:,_/L.JN!l..!.•'~,..Mi!1GPUn:lAJIIL.. ___ _ Certified Operator: ~O.~"k."~f!J~_J,Itf~~·:Jz~'amu!J!e:l:l~;~t~.....iAiiL!·~·e.~M!:U!().~"'"'JL ___ _ Integrator: _l}L...a..o~,.,_ _____________ _ Operator Certification Jliumber: Location of Farm: )2l'Swine 0 Poultry 0 Cattle 0 Horse Latitude .___~1•~...1 _ ___.1 ' .._! _ __.I" Longitude .______.I• ~....I _._JI· ~.....1 _ ...... 1· Design Current Design Current Design Current Swine Cauacin· Pooulation Poultrv Capacin· P()J!ulation Cattle Cal!acity Pol!ulation 0 Wean to F~eder IOLaver I I I 10 Dairy I I I 0 Feeder to Finish 10 Non-Laver j I J :o Non-Dairv : 0Farrow to \Vean ;2~~/J 2~LJ) I 0 Farrow to Feeder IDOtber I I J Farrow to Finish Total Design Capacity I I D Gilts I I 0Boars Total SSLW Number of Lagoons I l I ID Subsurface Drains Present liD Lagooo Area ID S(!ra'· Field Area ·1 Holding Ponds I Solid Traps ID No Liguid Waste Management Svstem ,-: :~~-:-.-:~. .. '· Discharges ~ Stream Impacts 1. Is any discharg~ observed from any part of the operation? Discharge originated at: 0 Laswon 0 Spray Field 0 Other a. If discharge is ob served, 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. Does discharge bypass a lagoon system? {lfyes, notify DWQ) 2. Is there evidence of past discharge from any part of the operation? 3 . Were there any advers~ impacts or potential advme impactS to the Waters of the State other than from a discharge? Waste Collection ~ Treatment 4. Is Storage capacity {freeboard plus stoiiD Storage) less than adequate? 'tst,.soillwav Structure I Structure 2 Structure 3 Structure 4 Identifier: / Freeboard (inches}: 05103/01 Lf7 Structure S DYes ~0 DYes ~0 DYes ~o DYes 1St No DYes ~0 DYes ~0 DYes ~0 Saucrure 6 Continued \ [Facility Number: 2::2 -(. 'f"t I Date of Inspection I ..J · It ·o }' I 5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion, seepage, etc.) 6. Are there structures on-site which are not properly addressed and/or managed through a waste management or closure plan? (If any of questions 4-6 was answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ) 7. Do any of the structures need maintenancel"tmprovement? 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. Axe there any buffers that need maintenancel"tmprovement? 11. Is there evidence of over application? If yes, check the appropriate box below. D Excessive PondinJ?; D PAN 0 Hydraulic Overload 0 Frozen Ground 0 Copper and/or Zinc .2 oZ ro :1 7s- 12. Crop type c,c..al.f ,. ~"'ell Wr.,,'l/ Qvecscred ,· L1er,..,vf4,cat.S Hry 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CA WMP)? 14. a) Does the facility lack adequate acreage for land application? 'i· 30-oj 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 of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, roads, building structure, and/or public property) 20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional Air Quality representative immediately. Reviewer/Inspector Name Reviewer/Inspector Signature: 12112/03 ~es DNo DYes ~0 DYes tstNo DYes ls;J_No DYes ti_No DYes lS:J.No DYes 'tstNo DYes ISJ. No DYes ISl_No DYes B.No DYes ~o DYes ~o DYes ~0 DYes 'tslNo DYes 'JSLNo DYes ~No DYes ~No Continued Date of Inspection I ;:z. -It, ·ij Required Records & Document.'> 21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? 22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? (iel WUP, checklists, design, maps, etc.) 23 . Does record keeping need improvement? If yes , check the appropriate box below. D Waste Application O~eeboard 0 ~te Analy%i D Soil SamP,li ng L; ;1-fl-41( /. 7/ J:l-lf'oJ I,(, Jo-lo /,1 ~-'1 {,)-. 5'·~ 1._2 ly.? I . ] ~ -') /. 7,/ 24. 1s fafility not in complian with any appli able setbac criteria in elfelt at the tim of design? '/ 25 . Did the facility fail to have a actively certified operator in charge? 26. Fail to notify regional DWQ of emergency si tuations as required by General Permit? (ie/ discharge, freeboard problems, over application) 27 . Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? 28. Does facility require a follow-up visit by same agency? 29 . Were any additional problems noted which cause noncompliance of the Certified A WMP? NPDES Permitted Facilities 30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) 31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 32. Did the facil ity fail to install and maintain a rain gauge? 33. Did the facility fail to conduct an annual sludge survey? 34. Did the facility fail to calibrate waste application equipment? 35 . Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. D Stocking Form D Crop Yield Form 0 Rainfall D Inspection After 1" Rain D 120 Minute Inspecti ons 0 Annual Certification Form DYes ~No DYes ~o DYes ~No DYes ~No DYes ~No DYes ~No DYes 't(No DYes ~o DYes ~No ~es DNo DYes ~o DYes ~o ~es DNo .'fsl: es D No ~Yes DNo Ill, No violations or deficiencies were noted du.riDg this visit. You will receive no further correspondence about this visit. 3s-- 12112103 • 1-- -.... ..... , ,'.;- Inspector Name ·site Requires Immediate Attention: __ N_0_ Facility No. ____ _ DMSION OF ENVIRONMENTAL MANAGEMENT ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD DATE: 7-1..1 , 1995 Time: r3: 3f:a Signature event cc: Facility Assessment Unit Use Attachments if Needed. __.· ~ .. .... 7 Phone No . : _ __,"""-=;.,----'t::~:~-....,.._.._.~-.. -::----:----------------.:..· ~~ <l,ounty: S" " ' o Fann location: Latitude and Longituae:~_-Y£.. 1...2 /<_ (required). Also. please attach a copy of a county road map with location identified. Type of operation (swine, layer, dairy, etc:.) : _____ .-'S;...;""~;g~rJ.-.E _________ _ Design capacity (number o! animals):~·--~--~~~5~Q~o~--------~~~~----------- Averaqe size of operation· (12 month population avg.) =----~2~~~~~g _________ __ Avera; e acrea.~e needed for land appl ic:at ion of waste (ac:-es) 1 ::t. -z, t. A-<-WS.> ··--·····································-·········-··········-··············· 'l'echnical Spec:ialiac ~itic:aticm , As a technical •"eci&lht c1etignated by the North Carolina Soil and Wacar Conse~Jation Commission pursuant to lSA NCAC 6F .0005, ! ce~~ify that the new or expanded animal waste ma.n.a.gament system as installed for ~he farm namec above has an animal waste zu.nA~ement plan that meets the design. c:ons~r-u:::tion. operation and maintenance standards and specifications of the Division of E:wiror.:nental Management and the VSOA-Soil Conser-.ration Se~.rice and/o:-the Nor':.h Carolina Soil and Water· Conser.ration Commission i)Ursuant to lSA NC.\C 2H. 0217 and lSA NCAC 6F .0001-.0005. The following e1ements and their corresponding minL~~ criteria-ha,ce hean_verified by me or other designated technical specialists ana are included in the plan as applicable: minimum separations (buffers); liners or equivalent !or lagoons or waste storage ponds; w~ste storage capacity; adequate quantity and amount o! land for waste utilization (or use of t;hird party); access or ownership of ·proper waste application equip;nent; schechlle for timing of applications; application rates; loading,. rates; .:ad the control of the discharge of pollutants frcma stormwatar runoff events less severe than the 25-year. 24-hour storm. Owner /M&Aager ~Q'X'e-..At I Phone No. c; It-· f'7 Z.."l Date: "5 -~ -'f •••••••••••••••••••••••••••••••••••••••••••••• I (we) understand the operation and maintenance procedures established in the approved animal waste management plan for the far.n named above and will implement these ~rocedurea. I (we) know that any additional expansion to the existing design capacity of the waate trea.tme~t and stora<;Je system or construc:ion of new facilities will require a new certification to be submitted to the Division of Envirorunental Ma.naqement be! ore the new animals are stocked. I (we l also understand that there must be no disc:har~e of animal waste from this ayatam to surface waters of the state either throu~h a man-made ~~~veyance or tnrou;h runof: !rem a sco~ event less severe than the 25-year, 24-hcur sco~. ~~e a~provad plan will be filed at the farm and at the office of th.e local Soil a.nd ~ater Conservation District. (Pleue Signatur~~~~~-¢C-~~~~~~~--------------Oate: ___ 5~--~-~~1.t ______ __ Bam. od K&nager, if owner (Please print):._ ____________________ _ Signature: Date=--------:-"':":'---:- ~: A c:hanqe in land ownership require• notification or a new c:artification (if the approved plan 11 changed) to be submitted to the Division o! Enviror~ental Management within 60 days of a title transfer. OEM USE ONLY :ACz,.i .. _______ _ /3.'3P ... . .o,\ ' \ i • \ ' \ 0 ' \ - ' 0 c ~···,,