1.Number and type of animals confined and maintainedat this facility.
Type ofNumber ofAnimalCAFOAnimalsFactorUnits
Ë
Dairy Cattle________x 1.4________
Ë
Slaughter / Feeder Cattle________x 1.0________
Ë
Swine (over 55 lbs.)________x 0.4________
Ë
Horse________x 2.0________
Ë
Sheep or Lambs________x 0.1________
Ë
Chickens________
Ë
Turkey________
Ë
Ducks________
Ë
Other ______________________
Total Animal Units:
________
Ë
Permit
Ë
Self-Monitoring
Ë
Pollution Prevention
Ë
Operation & Maintenance
Ë
Records
Ë
Laboratory
Ë
Compliance Schedule
Ë
Solids Disposal
Ë
Facility Site Review
Ë
Other:______________________________________________________________
•
U
N
I
T
E
D
S
T
A
T
E
S
•
E
N
V
I
R
O
N
M
E
N
T
A
L
P
R
O
T
E
C
T
I
O
N
A
G
E
N
C
Y
Department of AgricultureRegion 6Dallas, Texas
3.Monitoring Records
A.Has facility had a dischargeYes
Ë
No
Ë
B.Discharge(s) reported to EPAYes
Ë
No
Ë
N/A
Ë
C.Description and cause of discharge(s)Yes
Ë
No
Ë
N/A
Ë
D.Period of discharge, including exact dateand timesYes
Ë
No
Ë
N/A
Ë
E.Sampling date, time, and flow pathYes
Ë
No
Ë
N/A
Ë
F.Individual collecting the sampleYes
Ë
No
Ë
N/A
Ë
G.Analyses dates and timesYes
Ë
No
Ë
N/A
Ë
H.Individual performing the analysisYes
Ë
No
Ë
N/A
Ë
I.Analytical methods/techniques usedYes
Ë
No
Ë
N/A
Ë
J.Analytical resultsYes
Ë
No
Ë
N/A
Ë
Part IIRecord KeepingPart IFacility Operation Information and Permit Verification
NPDES Facility Number:
O K G 0 1
Ë
Ë
Ë
Ë
Areas Evaluated During Inspection
(S = Satisfactory, M = Marginal, U = Unsatisfactory, N = Not Evaluated)
Concentrated Animal Feeding Operation(CAFO)NPDES Inspection Report
Facility Name:_________________________________Facility Address:________________________________________________________________________________Date:____/____/____ Entry Time:_____Exit Time:_____Inspector's Name:_______________________________Inspector's Signature:____________________________Inspector's Phone:_______________________________Oklahoma Feed Yard License No.:__________________
Legal Description:
____
1/4
____
1/4
____
1/4
S____T____R____
On-site Representative:___________________________
On-site Representative's Signature:
____________________On-site Representative's Phone:____________________Name & Address of Responsible Official:_______________________________________________________________________________________________________
CAFO NPDES Inspection ReportPage 1 of 2
1.Operation and Maintenance Records
A.Weekly measure of water level in retention facilityYes
Ë
No
Ë
B.Daily rainfall records (from on-site rain gauge)Yes
Ë
No
Ë
C.Log of removal of manure sold or given awayYes
Ë
No
Ë
D.Date, location, and amount of manure and/or retentionbasin waste applied to croplandYes
Ë
No
Ë
E.Weekly, quarterly, and annual inspection and maintenancereports and inspection reports properly signedYes
Ë
No
Ë
F.Log of preventative maintenance and employeetraining completedYes
Ë
No
Ë
2.Information Required to be Maintained at the Site
A.Copy of the general permitYes
Ë
No
Ë
B.Copy of Notice of IntentYes
Ë
No
Ë
C.
Documentation of no significant environmental impact*
Yes
Ë
No
Ë
* Documentation on file at EPA Region 6,Dallas, Texas for facilities in existencebefore February 10, 1993.
2.Number of days animals are stabled/confined and fed/ maintained over any 12-month period:
Ë
45 Days or more
Ë
Less than 45 Days3.What is the 25-year, 24-hour rainfall amount for thislocation? ___________ inches4.Name of surface water (stream, river, lake, canal) towhich a discharge from the facility would be received?__________________________________________5.Do the animals confined on the CAFO come intodirect contact with Waters of the U.S.?
Yes
Ë
No
Ë
If yes, are fences used to restrict access?
Yes
Ë
No
Ë
6.Is facility meeting complianceschedules?
Yes
Ë
No
Ë
N/A
Ë
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Environmental Protection Agency: inspfrm
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| Category: | Uncategorized. |
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| Upload Date: | 01/26/2008 |
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