FIELD TILE MONITORING AT LAND APPLICATION SITES (PERSONAL DOCUMENT) State Form 51910 (9-04) National Pollutant Discharge Elimination System for Concentrated Animal Feeding Operations INSTRUCTIONS: This sheet is for your personal records and you are not required to include it in your operating record. This sheet is meant to serve as quick reference regarding field tile monitoring requirements and assist you in tracking monitoring activities. In the “Details” columns of the table, elaborate on any changes in flow rates, colors, or odors regarding liquids exiting field tile outlets. Field Tile Monitoring Regulations: 327 IAC 15-15-12-(k) Land application sites must be inspected to identify any field tile outlets under or immediately bordering the land application site. Visual monitoring of identified field tile outlets must occur during and immediately following land application of manure, litter, or process wastewater. If there is evidence of manure or process wastewater discharging from the file tile outlet, the land application must cease immediately and the flow stopped or captured. Any flow that is captured shall be either land applied or returned to storage. Application Time Application Date Field Name or ID Start Finish # of Field Tiles Under or Immediately Bordering Site Visual Monitoring Information Prior to Application During Application Details Details Immediately Following Application Details Initials American LegalNet, Inc. www.FormsWorkflow.com