ILLINOIS ENVIRONMENTAL PROTECTION AGENCY Livestock Facility Inspection Checklist

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1 GENERAL INFORMATION BOW ID # ILLIIS ENVIRONMENTAL PROTECTION AGENCY Livestock Facility Inspection Checklist TYPE OF FACILITY: W TYPE OF INSPECTION: FACILITY NAME (LLC, Inc., Corp, Partnership, sole proprietorship, etc.) INSPECTION DATE ARRIVAL TIME DEPARTURE TIME ADDRESS CITY STATE IL LATITUDE (Decimal) N ZIP CODE INSPECTOR(s) LONGITUDE (Decimal) W GPS Measured Google Earth ACCOMPANIED BY (if applicable) COUNTY SECTION TOWNSHIP RANGE POLITICAL TOWNSHIP TEMP. PRECIP. TYPE / AMT LAST 24HR Facility Owner(s): Same as Facility NAME CONTACTED PHONE MOBILE ADDRESS CITY STATE ZIP CODE NAME CONTACTED PHONE MOBILE ADDRESS CITY STATE ZIP CODE Facility Operator(s): Same as above NAME CONTACTED PHONE MOBILE ADDRESS CITY STATE ZIP CODE NAME CONTACTED PHONE MOBILE ADDRESS CITY STATE ZIP CODE NPDES PERMIT INFORMATION (If no NPDES Permit, skip this section) 1. What type of NPDES permit has been issued? No NPDES Permit Individual NPDES Permit General NPDES Permit NPDES # 2. What date was the NPDES permit issued? 3. What date does the NPDES permit expire? 4. Is a copy of the NPDES permit onsite? 5. Permitted number of animals (no. & specie)? 6. Does the NPDES Permit contain a compliance schedule? 7. Any changes to the production or land application areas since the permit was issued? If, provide a detailed description of changes (i.e. change in capacity, land, N&P rates, crops, transport risk): 2018 CLM < > Page 37

2 BOW ID# W Facility: Inspection Date: Page 2/10 FACILITY NUTRIENT MANAGEMENT INFORMATION 1. How many TOTAL acres are available for land application? acres 2. How many acres are READILY available for land application at the time of inspection? acres 3. Estimated annual quantities of liquid waste gallons 4. Estimated annual quantities of solid waste tons 5. Does the facility have a contractor perform land application? If, Name of Contractor: 6. What type of land application equipment is available to the facility? Umbilical Injection Honeywagon Injection Honeywagon Surface Irrigation Rotational Gun Manure Spreader Vegetative Filter Other 7. Does the facility calibrate the land application equipment? If, What method is used? 8. Facility land apply at least 100 from surface water conduits (without 35 veg buffer)? If, Explain 9. Facility land apply at least 150 from any water well? If, Explain 10. Facility land apply at least 200 from any surface water (without upgradient/diking)? If, Explain 11. Facility land apply at least ¼-mile from any residences? If, Explain 12. Does the facility have a storm water pollution prevention plan? 13. Are there aerial maps of land app fields showing waterways, buffers, and field tiles? 14. Does the facility have inclement weather/condition waste storage provisions? 15. Expected crop yields for land application areas 16. Inclement weather/conditions storage provisions 17. A topographic map for production and land application including drainage, discharges, and waterways FACILITIES WITH NUTRIENT MANAGEMENT PLAN 1. Does the NMP reflect the current operational characteristics (number of animals, cropping, Animals not in direct contact with Waters of US, N & P land application rate, etc.)? 2. Are the number of acres owned/leased consistent with those in the NMP? 3. Is manure and wastewater being applied in accordance with setback/buffer requirements of the NMP? 2018 CLM < > Page 38

3 BOW ID# W Facility: Inspection Date: Page 3/10 FACILITY RECORDKEEPING ALL FACILITIES 1. Land application Date, Time, Location, Rate(s)? 2. Amount of livestock waste transferred off-site to another party and date? 3. Total N and P applied and removed from the land application fields? 4. Calculations deriving land application rates do not exceed N or P crop removal rates? 5. Calculations showing adequate land for waste application? 6. Adequate storage levels for waste in Waste Handling System? 7. Inspection & Maintenance of Waste Handling System? 8. Chemicals, Contaminants, & Mortalities Properly Disposed - T Directly Disposed in Waste Handling System unless designed to treat or handle those materials? 9. Clean Water Diverted from Waste Handling System? 10. Animals not in Direct Contact with Waters of US? 11. Land application performed in accordance with setback/buffer/conservation practices? 12. Protocols & test methods for routine soil and manure testing for land application? 13. Protocols for nutrient utilization in land application field? 14. Setbacks 150 -water well, 200 surface water (unless up gradient or adequate diking)? 15. Winter time land application plan (incl. setback, forecast 24 hr post land app, monitoring)? 16. Subsurface drainage inspect during/after land app? 17. A spill control and prevention plan? 18. Annual review of the nutrient management practices and an update if warranted? 19. Lg. unpermitted CAFO Above records kept to meet ag storm water exemption? N/A PERMITTED FACILITY RECORDKEEPING ADD L RECORDS TO CREATE/MAINTAIN FOR 5 YEARS: Continuous records: Date, time, & est. volume of any discharges Deficiencies and corrective actions w/in 30 days Mortalities quantity and disposal method Application equipment inspection date Results from livestock waste and soil sampling Expected crop yields for land application areas Calculations of total N/P applied to each field including sources other than livestock waste Number & type of animals/ size, design, type, & days of storage for livestock waste storage structures Weekly facility inspection records: Stormwater diversion devices Runoff diversion structures Livestock waste diversions to containment structure Depth of livestock waste in storage structures Daily facility inspection records: Inspection of water lines in the production areas, including drinking water or cooling water lines Daily land application records: Amount of livestock waste is applied per acre Soil conditions at time of application Date & location of the field livestock waste applied Leak inspection of application equipment Weather forecast 24 hr following land application The method used to apply the livestock waste Quantity of livestock waste removed when a manure storage area or waste containment area is dewatered Weather precip, temp, wind speed & direction, dew point, 24 hr prior, at land app, 24 hr post land app 4. Are all of the records identified in the NMP being maintained and kept current? 5. Are records being maintained at the required frequency? 6. Are records being maintained onsite for the period required by NMP and/or NPDES permit? 2018 CLM < > Page 39

4 BOW ID# W Facility: Inspection Date: Page 4/10 LIVESTOCK FACILITY DESCRIPTION Type of Animals Number of Animals (currently) Animal Capacity Type of Confinement Number of Structures Does the facility have an Illinois Certified Livestock Manager (300 or greater animal units)? N/A If greater than 1000 animal units but less than 5000 animal units, does the facility have a waste management plan? N/A If greater than 5000 animal units, has the facility submitted a waste management plan to IDOA for review? N/A Does the facility have any other locations under common ownership, or where equipment and/or manure is shared, or where the other site shares land application sites? If so, put names and addresses below. LIVESTOCK WASTE STORAGE 1. Does the facility have any existing livestock waste containment system? If, then proceed to question General description of the waste containment system (include solid and liquid manure handling, mortality, and feed storage areas) CLM < > Page 40

5 BOW ID# W Facility: Inspection Date: Page 5/10 Type of Storage Anaerobic Lagoon Covered Lagoon Holding Pond Above Ground Storage Tank ( Slurrystore ) Below Ground Storage Tank Settling Basin Roofed Storage Shed Concrete Pad Impervious Soil Pad Underfloor Pits Anaerobic Digester Manure Stacks Vegetative Filter Other None Total Storage Capacity (Specify Units) 3. Estimated days of storage in livestock waste storage structures. 4. Do the storage structures have depth markers or staff gauges? 5. Are levels of manure in the storage structures recorded and records kept? 6. Do the storage structures have adequate freeboard/ contain 25-year/24-hour storm? 7. Estimated final stage storage structure freeboard in. of total depth in. 8. Does facility utilize a temporary manure stack? 9. Does the temporary manure stack have a cover, pad, and other control to prevent runoff? 10. Does the system have an outfall or discharge point? If, please provide a description (overflow pipe, spill way, etc. Include a description the area receiving the discharge). 11. Are there any portions of the production area where runoff is not controlled? If, provide a detailed description of the area(s) of concern: 12. Is storm water is entering the production area or waste handling system? If, provide a detailed description of the area(s) of concern: 2018 CLM < > Page 41

6 BOW ID# W Facility: Inspection Date: Page 6/10 MORTALITIES MANAGEMENT 1. How are mortalities managed? (Composted, buried, burned, rendering service, other) 2. Are mortalities managed so all runoff/leachate is contained? 3. Are mortalities documented and are records kept? FACILITY WATER SOURCES 1. What type of method is used to provide drinking water for the animals? Overflow waterers Tip Tanks Nipple waterers Water Bowls Other 2. How is the water for animals obtained? Community PWS On-Site Well On-Site Impoundment Other 3. Is a mist cooling system used? How is mist water contained? DAIRY OPERATION (If No Dairy, skip this section) 1. How many times per day are cows milked? 2. Describe how the dairy s non-contact cooling water is contained (Example: it is reused for drinking water for the animals). 3. Describe how the milking parlor is cleaned (hose or flush) and where the process wastewater goes and how it is contained. 4. Describe how the tank(s) are washed and where the process wastewater goes and how it is contained. 5. Describe where process wastewater from the plate cooler goes and how it is contained. BEDDING (If No Bedding, skip this section) 1. Describe what type of bedding is used for the animals. 2. Describe how bedding is collected and how often. 3. What is done with the used bedding? Reused Land Applied 2018 CLM < > Page 42

7 BOW ID# W Facility: Inspection Date: Page 7/10 MANURE COLLECTION 1. How is manure collected? None Under Floor Pit [ Scraped: Automatic Manual] Flush Solids Separator Other: 2. If manure collection system uses either clean or reused water to flush, describe where this water goes and how it is contained. LAND APPLICATION AREA INSPECTION (IF FACILITY RECENTLY OR IS ACTIVELY LAND APPLYING) 1. What type of land application equipment is being utilized for land application? Umbilical Injection Honeywagon Injection Honeywagon Surface Irrigation Rotational Gun Manure Spreader Vegetative Filter Other 2. Is land application rate at a level to prevent over-saturation/pooling of livestock waste? 3. Has limitation for land slope of land application been met? 4. Has restrictions of precipitation forecast preceding land application been met? 5. Surface Application Is incorporation within 24-hours met? N/A 6. Is there a dry weather discharge into the Waters of the US from land application area? 7. Has setback to residences been met? 8. Has 150 setback to any water well been met? 9. Has 200 setback to surface water been met (unless upgrade or adequate diking)? 10. Has subsurface drainage monitoring been met? N/A 11. Has 10-yr flood plain land application injection/incorporation restriction been met? 12. AFO Has land application on snow/frozen ground met requirements? N/A 13. Large unpermitted CAFO Does facility meet agricultural stormwater exemption? N/A 14. Permitted CAFO - Has 100 setback to conduits to surface water been met? N/A 15. Is land application performed according to NMP? N/A FROZEN/SW COVERED LAND APPLICATION PROVISIONS (CAFO ONLY) 1. Has facility met <120 day storage, no alternative, IEPA notification prior 12/1? 2. Has facility met of reduction of waste prior 12/1, deemed overflow, unable to incorporate? 3. Has facility met liquid precipitation forecasts of < frozen ground / 0.1 -ice/snow? 4. Has facility met high temperature forecasts <32 O F next 7 days? 5. Has 200 setback to drainage, potable well, surface water for 0% slope been met? 6. Has setback 200 -drainage, 300 -potable well, 400 surface water for 0%-2% slope met? 7. Has setback 300 -drainage, 450 -potable well, 600 surface water for 2%-5% slope met? 2018 CLM < > Page 43

8 BOW ID# W Facility: Inspection Date: Page 8/10 FEED STORAGE CONTAINMENT 1. Describe how feed (silage, hay, etc) is contained. Bulk Bins Silage Pit Ag Bags Silo [ Hay: Barn Outdoor] Other: 2. Describe how feed (silage, hay, etc) runoff is contained. None Not Applicable Feed totally enclosed Other: RECEIVING SURFACE WATERS 1. Provide a description of the flow path from the facility to the nearest named surface water. 2. What is the name of the receiving stream? 3. Status of the named surface water: Intermittent Perennial 4. Are any unnatural bottom deposits observed in the receiving stream? If, please provide a description of the deposits: DISCHARGES 1. Have there been any documented discharges of livestock waste to surface water in the past year? If proceed to question 2. a. If, specify the date(s). b. What was the reason for the discharge? c. Was the discharge the result of a 25 year-24 hour rainfall event? d. What was the precipitation amount? (if applicable) e. Was IEMA notified of the discharge? f. Has the facility taken corrective action to remedy the situation which caused the discharge(s)? If, describe actions taken: 2. Is the facility currently discharging livestock waste from the production area? If proceed to next section. a. Was the discharge the result of a 25 year-24 hour rainfall event? b. What was the precipitation amount? (if applicable) 2018 CLM < > Page 44

9 BOW ID# W Facility: Inspection Date: Page 9/10 c. What is the reason for the discharge? d. Number of water quality samples taken: e. Locations of Water Quality Samples Relative to Discharge Flow: Discharge Point/Flow Path Upstream Receiving Stream Confluence Receiving Stream Downstream Receiving Stream Other f. What parameter(s) tested? ph Ammonia Nitrate Nitrite Phosphorus BOD 5 Total Susp Solids Fecal Diss O 2 Other g. Describe Hydraulic Connectivity of Receiving Stream to Waters of US : BIOSECURITY Inspection Activities 1. Were biosecurity measures discussed with the facility prior to inspection? 2. Has there been 24-hours downtime between inspections for all IEPA personnel present? 3. Was the order of inspection conducted from high risk to low risk? N/A 4. Did all personnel stay outside livestock management and livestock waste handling facilities as defined in 35 IAC and 35 IAC ? If skip to question 7. BIOSECURITY Personal Protection Equipment 5. Was sanitary footwear donned prior to entering the livestock management/waste handling facility(s)? 6. Were disposable coveralls donned prior to entering the livestock management/waste handling facility(s)? N/A Did not Enter N/A Did not Enter 7. Was sanitary footwear used during the inspection? 8. Was disposable sanitary outerwear disposed at the facility? BIOSECURITY Vehicle 9. Was the vehicle parking location discussed with the facility prior to inspection? 10. Was the vehicle washed since the inspection prior to current? If skip question Was the vehicle parked >300-feet from the livestock management/waste handling facility? Explain where vehicle was parked: N/A 12. Was IEPA vehicle used on site? 13. Was facility vehicle used on site? BIOSECURITY Inspection Equipment 14. Was all equipment wiped down with anti-bacterial wipes? 15. Was sample cooler kept inside vehicle during inspection? If skip question Was sample cooler wiped down with antibacterial wipes before placing back into vehicle? N/A 2018 CLM < > Page 45

10 BOW ID# W Facility: Inspection Date: Page 10/10 OTHER COMMENTS/TES The following were reviewed during inspection: CNMP / Records / Confinement Buildings / Feedlot / Milking Parlor / Feed Containment / Commodities Storage / Livestock Waste Containment System / Mortalities Management / Land Application / Receiving Stream Attachments: Narrative Photos Site Plan Sample Results Other: _ INSPECTOR S SIGNATURE REPORT DATE Cc: BOW/DWPC/RU Attachments: Revised December CLM < > Page 46