330026_Compliance Evaluation Inspection_20200810

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Facility Number
0 Division of Water Resources
Q Division of Soil and Water Conservation
Q Other Agency
Type or visit: Co iance Inspection Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: Routine Q Complaint Q Follow-up Q Referral Q Emergency Q Other Q Denied Access
Date of visit: Arrival Time: Q; D Departure Time:L. County: Region:
Farm Name: %?j2..' S Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gills
Boars
Other
Other
Title:
Integrator:
Phone:
Certification Number:
Certification Number:
Latitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
La er
rie-dI INon-Layer
ury I+oultry
Layers—
Non -Layers
Pullets
Turkeys
Turkey Poutts
Other
Design Current
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes No NA ❑ NE
Discharge originated at: El ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes N ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes Na ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (if yes, notify DWR) ❑ Yes ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation'? ❑ Yes ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ElYes No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facility Number: - Date of Inspection: ~ 1 b —;2
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes FAo ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):l�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which arc not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environment r t, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes;No
No NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wct stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ❑ NA ❑ NE
maintenance or improvement?
Waste ADDliCBtion
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes C.j N ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ TotaI Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): A L y
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? Yes 0"'t o ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes LCd N ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes !� N ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? [] Yes [] NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfe s ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yicld ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspection ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge`? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facili Number: 3j - X4 Date of Inspection: d -
11
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes X� " NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA NE
the appropriate box(es) below.
❑ failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ 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? ❑ Yes No NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes;No
o NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ NA ❑ NE
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 ofemergency situations as required by the
permit'? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes (] No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
[] NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑Yes
No
❑NA
❑NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (rise additional pages as necessary).
C-1 l b '-p vl\' l�vs�- ,, '//' - 3 o I
SI h 6/9e 5itro,9-1 Pr •"'V4t2
7
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Reviewer/Inspector Name:
Reviewer/Inspector Signature: j Gf 5 f -�g_
Page 3 of 3
o -z.- 3 .3 11' 1 — 0
L
Phone: �j ( 7 700
Date: f Q &�
21412015

DEVICES TO AUTOMATICALLY STOP IRRIGATION EVENTS
STATE GENERAL PERMITS
The State of North Carolina has issued State General Permits for animal facilities to operate in North Carolina. These
Permits meet both State and EPA requirements and provide coverage for the following types of facilities.
• AWGI00000 -Swine Facilities
• AWG200000 - Cattle Facilities
• AWG300000 -Poultry Facilities with a liquid waste management system
You have recently been issued a Certificate of Coverage (COC) to operate your animal facility under one of these General
Permits.
Condition II.24 of each of these Permits reads as follows:
The Permittee shall:
a. instaII, operate, and maintain devices on all irrigation pumps/equipment designed to automatically stop irrigation
activities during precipitation; or
b. commit to provide for the presence of the OIC, a designated backup OIC, or a person under the supervision of an
OIC or designated backup OIC at all times during the land application of waste so that in case of a precipitation
event, the irrigation activities will be stopped immediately. This commitment must be submitted in writing to the
Division on a form supplied by, or approved by, the Division. (G.S ¢ 904-471
Installation of devices or submission of alternate documentation shall be completed within 12 months of the
issuance of the COC for this General Permit. The Permittee shall maintain such devices according to the
manufacturer's instructions and warranties. This Condition does not apply to manure spreaders or other equipment
pulled by manned vehicles. VISA NCAC 02T.0108(h)]
Please check the box below that indicates your commitment to do one of the following,
f Within twelve (12) months of the effective date of a COC issued under this permit, I shall install, operate and maintain
devices on all irrigation pumps. -equipment designed to automatically stop irrigation activities during precipitation.
This condition does not apply to manure spreaders or other equipment pulled by manned vehicles. -
' I will commit to provide for the presence of the Operator in Charge (OIC), the designated backup OIC, or a person
under the supervision of an OIC or backup OIC at all times during the land application of waste.
-I certify under penalty of law that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible forgathering the information,
the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations."
�5 33DozCe
Facility Name Permit Number
D11 k`
Owner/Permlttce Name and Title (type or print)
- - !7•,
Signature of Owner/Permittce D tc
Signaturc of Operator in Charge (if different from Permittec)
(Bail to: Animal Feeding Operations
1636 Mail Service Center
Raleigh, NC 27699-1636
Date
DTASIE 1-22-2020