830017_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qual

NORTH CAROLINA
Department of Environmental Quai

Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 830017 Facility Status: Active Permit: AWS830017 ❑ Denied Access
In action Type: Compliance Inspection Inactive Or Closed Date:
Reason for vialt Routine County: Scotland
Date of visit: 02/14/2017 Entry Time: 11:00 am Exit Time: 12:00 pm
Farm Name: Farm 7668
Owner: Murphy -Brown LLC
Mailing Address
Physical Address:
Region: Fayetteville
Incident g
Owner Email:
Phone: [phone]
PO Box 487 Warsaw NC 28398
Facility Status: 0 Compliant ❑ Not Compliant Integrator. Murphy -Brown LLC
Location of Farris: Latitude: 34° 48' 26" Longitude: 79° 30' 37"
From Laurinburg take 74 Bus. West and go out of town and pass Hwy 79 (on left) and proceed on 74 Bus. for about 0.5 mile and
turn Rt. on SR 1303 and go over railroad crossing and go over the crossroad and the farm entrance is 0.5 mile an the right.
Question Areas:
Dischrge 8 Stream Impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: James Brian McGugan Operator Certification Number: 986752
Secondary OIC(s):
OnSke Representative(s): Name Tnie Phone
24 hour contact name Mike Cudd Phone
On -site representative Mike Cudd Phone
Primary Inspector:
Inspector Signature:
Secondary Inspector(s):
Inspection Summary:
Robert Marble
Phone:
Date:
page: 1

Permit: AWS830017 Owner - Facility : Murphy -Brown LLC Facility Number. 830017
Inspection Date: 02/14/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Swine
FSwine - Farrow to Wean 1,200
Total Design Capacity: 1,200
Total SSLW: 619,600
Waste Structures
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon
1
28.00
Lagoon
A
26.00
50.00
Lagoon
B
26.00
49.00
page: 2

Permit: AWS830017 Owner - Facility : Murphy -Brown LLC Facility Number. 830017
Inspection Date: 02/14/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
DischaCRes & Stream Impacts
Yes No Na No
1. Is any discharge observed from any part of the operation?
❑
M ❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
❑
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
110
❑
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)
❑
❑ 0
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
0 ❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the
❑
❑
❑
State other than from a discharge?
Waste Collection Storage & Treatment
Yea
No Na He
4, Is storage capacity less than adequate?
❑
0 ❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.eJ large
❑
0 ❑
❑
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
❑
❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
M ❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑
0 ❑
❑
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑
0 ❑
❑
maintenance or improvement?
Waste Application
Yes No Na Ne
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ ■ ❑ ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 10%/10 Ibs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
page: 3

Permit: AWS830017 Owner - Facility: Murphy -Brown LLC Facility Number. 830017
Inspection Date: 02/14/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Waste Application
yea Na-_Na No
Crop Type 1
Coastal Bermuda Grass
(Nay, Pasture)
Crop Type 2
Small Grain Overseed
Crop Type 3
Com (Grain)
Crop Type 4
Soybeans
Crop Type 5
Crop Type 6
Soil Type 1
Wagram
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste
❑
0 ❑
❑
Management Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
0 ❑
❑
16. Did the facility fail to secure andlor operate per the irrigation design or wettable acre
❑
0 ❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑
0 ❑
❑
18, Is there a lack of properly operating waste application equipment?
❑
0 ❑
❑
Records and Documents
yes No Na No
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
0 ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
0 ❑
❑
If yes, check the appropriate box below.
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
0110
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

Permit: AWS830017 Owner - Facility: Murphy -Brown LLC Facility Number. 830017
Inspection Date: 02/14/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Y Nero Na No
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
0 ❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
E ❑
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
M ❑
❑
25. is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
M ❑
❑
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 to provide documentation of an actively certified operator in charge?
❑
❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
M ❑
❑
Other Issues
Yes No Na No
28. Did the facility fail to property dispose of dead animals within 24 hours and/or document
❑
M ❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concem? If yes,
❑
M ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Pen -nit?
❑
0 ❑
❑
(i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility?
❑
0 ❑
❑
If yes, check the appropriate box below.
Application Field
❑
Lagoon / Storage Pond
❑
Other
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or
❑
❑
❑
CAWM P?
33. Did the Reviewer/Inspector fail to discuss reviewfinspection with on -site representative?
❑
0 ❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
0 ❑
❑
page: 5

r
Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Outer Agency
Facility Number: 830017 Facility Status: Active Permit: AWS830017
Inpsection Type: Compliance Inspection Inactive Or Closed Date:
Reason for Visit: Routine County: Scotland Region:
Date of Visit: 03/09/2015 EntryTime: 10:00 am Exit Time: 11:00 am Incident #
Farm Name: Farm 7668 Owner Email:
Owner: Murphy -Brown LLC Phone:
Mailing Address: PO Box 487 Warsaw NC 28398
Physical Address:
Facility Status: 0Compliant ❑ Not Compliant Integrator. Murphy -Brown LLC
Denied Access
Fayetteville
910-296-1800
Location of Farm: Latitude: 34° 48' 26" Longitude: 79` 30' 37"
From Laurinburg take 74 Bus. West and go out of town and pass Hwy 79 (on left) and proceed on 74 Bus. for about 0.5 mile and
turn Rt. on SR 1303 and go over railroad crossing and go over the crossroad and the farm entrance is 0.5 mile on the right.
Question Areas:
Dischrge & Stream Impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: James Brian McGugan Operator Certification Number: 986752
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Mike Cudd Phone :
On -site representative Mike Cudd Phone:
Primary Inspector: Robert Marble Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
page: 1

Permit: AWS830017 Owner - Facility : Murphy -Brown LLC Facility Number: 830017
Inspection Date: 03/09/15 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Swine
Swine - Farrow to Wean 1,200
Total Design Capacity: 1,200
Total SSLW: 519,600
Waste Structures
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon
1
28,00
Lagoon
A
26.00
47.00
Lagoon
B
26.00
53.00
page: 2

Permit: AWS830017 Owner - Facility : Murphy -Brown LLC Facility Number: 830017
Inspection Date: 03/09/15 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes
No Na No
1. Is any discharge observed from any part of the operation?
❑
0 ❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
❑
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
❑ 0
❑
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)
❑
❑ 0
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
0 ❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the
❑
E ❑
❑
State other than from a discharge?
Waste Collection, Storage & Treatmpl)t
Yes No No No
4. Is storage capacity less than adequate?
❑
E ❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large
❑
E ❑
❑
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
❑
E ❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
E ❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑
00
❑
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑
0 ❑
❑
maintenance or improvement?
Waste Application
Yes No Na He
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ 0 ❑ ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ N ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
page: 3

Permit: AWS830017 Owner - Facility : Murphy -Brown LLC Facility Number: 830017
Inspection Date: 03/09/15 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Waste Application
Yes No Na No
Crop Type 1
Coastal Bermuda Grass
(Hay, Pasture)
Crop Type 2
Small Grain overseed
Crop Type 3
Com (Grain)
Crop Type 4
Soybeans
Crop Type 5
Crop Type 6
Soil Type 1
Wagram
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste
❑ 0 ❑
❑
Management Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑0 ❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre
❑ N ❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑ ■ ❑
❑
1 B. Is there a lack of properly operating waste application equipment?
❑ 0 ❑
❑
Records and Documents
Yes No Na Ne
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
[] 0 ❑ ❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑ a ❑ ❑
If yes, check the appropriate box below.
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
if Other, please specify
21. Does record keeping need improvement?
❑ ❑ ❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
[]
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

Permit: AWS830017 Owner - Facility : Murphy -Brown LLC Facility Number. 830017
Inspection Date: 03/09/15 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes
No Na No
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
01111
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
0 ❑
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
0 ❑
❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 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 to provide documentation of an actively certified operator in charge?
❑
N ❑
❑
27, Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
0 ❑
❑
Other issues
Yes No Na No
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑
E ❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
E ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
M ❑
❑
(i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the fadlity?
❑
E ❑
❑
If yes, check the appropriate box below.
Application Field
❑
Lagoon 1 Storage Pond
❑
Other
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or
❑
0 ❑
❑
CAWMP?
33. Did the Reviewerllnspector fail to discuss review/inspection with on -site representative?
❑
0 ❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
N ❑
❑
page: 5

Division of Water Resources
Division of Soil and Water Conservation
❑ Other Agency
Facility Number. 830017 Facility Status: Active Permit: AWS830017
Inpsection Type: Compliance Inspection Inactive Or Closed Date:
Reason for Visit: Routine County: Scotland Region:
Date of Visit: 03/18/2014 Entry Time: 06:30 am Exit Time: 9:00 am Incident #
Farm Name: Farm 7668 Owner Email:
Owner: Murphy -Brown LLC Phone:
Mailing Address: PO Box 487 Warsaw NC 28398
Physical Address:
Facility Status: Compliant ❑ Not Compliant Integrator. Murphy -Brown LLC
❑ Denied Access
Fayetteville
910-296-1800
Location of Farm: Latitude: 34" 48' 26" Longitude: 79' 30' 37"
From Laurinburg take 74 Bus. West and go out of town and pass Hwy 79 (on left) and proceed on 74 Sus. for about 0.5 mile and
turn Rt. on SR 1303 and go over railroad crossing and go over the crossroad and the farm entrance is 0.5 mite on the right.
Question Areas:
Dischrge & Stream impacts Waste Col, Slor, & Treat Waste Application
E.Records and Documents E Other Issues
Certified Operator: Michael L Cudd Operator Certification Number: 25233
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Mike Cudd Phone:
On -site representative Mike Cudd Phone
Primary Inspector: Robert Marble Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
Records reviewed 2/25114.
Site visit 3/18t14.
page: 1

Permit: AWS830017 Owner - Facility : Murphy -Brown LLC Facility Number: 830017
Inspection Date: 03/18/14 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Swine
Swine - Farrow to Wean
Total Design Capacity:
Total SSLW:
Waste Structures
Disignated Observed
Type Identifier Closed Date Start pate Freeboard Freeboard
Lagoon
1
28M
Lagoon
A
26.00
Lagoon
B
26M
page: 2

Permit: AWS830017 Owner - Facility : Murphy -Brown LLC Facility Number: 830017
Inspection Date: 03/18/14 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes
No No No
1. Is any discharge observed from any part of the operation?
❑
M ❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
❑ ■
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
110
❑
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)
❑
❑ 0
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
M ❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the
❑
M ❑
❑
State other than from a discharge?
Waste Collection, Storage & Treatment
Yes No No He
4. Is storage capacity less than adequate?
❑
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Led large
❑
■ ❑
❑
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
❑
0 ❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
0 ❑
❑
B. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑
O ❑
❑
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑
0 ❑
❑
maintenance or improvement?
Waste Application
Yes No No No
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ 0 ❑ ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ M ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
page: 3

Permit: AWS830017 Owner - Facility : Murphy -Brown LLC Facility Number: 830017
Inspection Date: 03/18/14 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Waste Application
Yes No Na Ne
Crop Type 1
Coastal Bermuda Grass
(Hay, Pasture)
Crop Type 2
Srnall Grain Overseed
Crop Type 3
Corn (Grain)
Crop Type 4
Soybeans
Crop Type 5
Crop Type 6
Soil Type 1
Wagrarn
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste
❑
❑
❑
Management Plan(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 design or wettable acre
❑
❑
❑
determination?
17, Does the facility lack adequate acreage for land application?
❑
0 ❑
❑
18, Is there a lack of properly operating waste application equipment?
❑
M ❑
❑
Records and Documents
Yes
No Np Ne
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
0 ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
M ❑
❑
If yes, check the appropriate box below.
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
M ❑
❑
if yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

. OW
Permit: AWS830017 Owner - Facility : Murphy -Brown LLC Facility Number:
830017
Inspection Date: 03/18/14 Inppection Type: Compliance Inspection Reason for Visit:
Routine
Records and Documents
Yes No Na Na
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
N ❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
0 ❑
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
N ❑
❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
0 ❑
❑
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 to provide documentation of an actively certified operator in charge?
❑
E ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
0 ❑
❑
Other Issues
Yes
No Na No
26. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑
0 ❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
E ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
0 ❑
❑
(i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility?
❑
0 ❑
❑
If yes, check the appropriate box below.
Application Field
❑
Lagoon / Storage Pond
❑
Other
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or
❑
0 ❑
❑
CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑
❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
0 ❑
❑
page: 5

0 Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 830017 Facility Status: Active Permit: AW5830017
Inpsection Type: Compliance Inspection Inactive Or Closed Date:
Reason for Visit: Routine County: Scotland Region:
Date of Visit: 0212512013 Entry Time: 10:00 am Exit Time: 11:00 am Incident #
Farm Name: Farm 7668 Owner Email:
Owner: Murphy -Brown LLC Phone:
Mailing Address: PO Box 487 Warsaw NC 28398
Physical Address:
❑ Denied Access
Fayetteville
910-296-1800
Facility Status: Compliant Q Not Compliant Integrator. Murphy -Brown LLC
Location of Farm: Latitude: 34' 48' 26" Longitude: 79" 30' 37"
From Laurinburg take 74 Bus. West and go out of town and pass Hwy 79 (on left) and proceed on 74 Bus. for about 0.5 mile and
turn Rt. on SR 1303 and go over railroad crossing and go over the crossroad and the farm entrance is 0.5 mile on the right.
Question Areas:
Dischrge & Stream Impacts Waste Cal, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: James Brian McGugan Operator Certification Number: 986752
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Mike Cudd Phone:
On -site representative Mike Cudd Phone :
Primary Inspector:
Inspector Signature:
Secondary Inspector(s):
Inspection Summary:
Records reviewed 214113
Site visit 2125/13
Robert Marble
Phone:
Date:
page: 1

Permit: AWS830017 Owner - Facility: Murphy -Brown LLC Facility Number: 830017
Inspection Date: 02/25/13 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations
Swine
Design Capacity
Current promotions
Swine - Farrow to Wean 1.200
Total Design Capacity:
Total SSLW:
Waste Structures
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon
1
28.00
Lagoon
JA
26.00
Lagoon
B
26.00
page: 2

Permit: AWS830017 Owner - Facility : Murphy -Brown LLC Facility Number: 830017
Inspection Date: 02/25/13 1npsection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes No Na NB
1. Is any discharge observed from any part of the operation?
❑
■ ❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
❑ M
❑
b. Did discharge reach Waters of the State? (if yes, notify DWO)
❑
11011
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)
❑
❑ M
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
0 ❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the
❑
M ❑
❑
State other than from a discharge?
Waste Collection. Storage & Treatment
Yes No Nj Ne
4. Is storage capacity less than adequate?
❑0
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large
❑
M ❑
❑
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
❑
0 ❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
M ❑
❑
B. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑
0 ❑
❑
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑
M ❑
❑
maintenance or improvement?
Waste Application
Yos No Na No
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ M ❑ ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
page: 3

Permit: AWS830017
Owner - Facility : Murphy -Brown LLC Facility Number: 830017
Inspection Date: 02/25/13
Inpsection Type: Compliance Inspection Reason for Visit: Routine
Waste Application
Yes No Na No
Crop Type 1
Coastal Bermuda Grass
May, Pasture)
Crop Type 2
Small Grain Overseed
Crop Type 3
Soybeans
Crop Type 4
Corn (Grain)
Crop Type 5
Crop Type 6
Soil Type 1
wagram
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste
❑
E ❑
❑
Management Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
E ❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre
❑
E ❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑
E ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
0 ❑
❑
Records and Documents
Yes
No Na No
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
1100
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
❑
❑
If yes, check the appropriate box below.
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑ 0 ❑ ❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

Permit: AWS830017 Owner -Facility: Murphy -Brown LLC Facility Number: 830017
Inspection Date: 02/25/13 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes No Na Ne
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
01111
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
M ❑
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
01111
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑01111
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 to provide documentation of an actively certified operator in charge?
❑
■ ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
0 ❑
❑
Otherlssues
Yes No Na No
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑
M ❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
0 ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
❑
❑
(i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility?
❑
❑
❑
If yes, check the appropriate box below.
Application Field
❑
Lagoon / Storage Pond
❑
Other
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or
❑M
❑
❑
CAWMP?
33. Did the Reviewer/Inspector fail to discuss reviewlinspection with on -site representative?
❑
0 ❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
M ❑
❑
page: 5

type of visit: SP Uompliance inspection u uperation Keview u structure Lvaluation V iecnnicai Assistance
Reason for Visit: ® Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: -��/j Arrival Time: jD '00 t, Departure Time: County: t Region:
Farm Name: " LQ �p S - Owner Email:
Owner Name: M u. Uhta - oaf n , U Q, Phone:
Mailing Address:
Physical Address:
Facility Contact:
1 1t
Onsite Representative:
Certified Operator: E ( l 1✓ [ e 1 '�— 1
Back-up Operator:
Location of Farm:
Title: Phone:
Latitude:
Integrator: Mk(C)kL4
Certification Number: 1 b 3 -
Certification Number:
Longitude:
Design Current
Design Current Design Current
Swine Capacity Pop.
Wet Poultry Capacity Pop. Cattle Capacity Pop.
La er Dairy Cow
Non -La er Dairy Calf
Wean to Finish
Wean to Feeder
Dairy Heifer
Feeder to Finish
Farrow to Wean
Dry Cow
Farrow to Feeder
D . 1{oul Ca aci Po Non -Dairy
La ers Beef Stocker
Non -Layers Beef Feeder
Farrow to Finish
Gilts
Boars
Pullets Beef Brood Cow
Turke s
her,
Turkey Poults
Other
Other
Discharees and Stream Imnacts
1. Is any discharge observed from any part of the operation? ❑ Yes M No ❑ NA ❑ NE
Discharge originated at: ❑ Structure El Application Field ❑ Other: T'
a. Was the conveyance man-made? ❑ Yes ❑ No NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑ No 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 DWQ) ❑ Yes [:]No QINA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes g] No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes 0 No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facili Number: -
Date of Inspection.
5` 13
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
❑ No
fg NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): _109.�— Al 9
5. Are there any immediate threats to the integrity of any of the structures observed?
[] Yes
Ug No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
[M No
❑ NA
❑ NE
waste management or closure plan?
Ira
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?
❑ Yes
M No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
[n No
❑ NA
❑ NE
(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
❑ Yes
W No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
R] No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 6 No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total 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): 0.S �+(SY1u-�cL �0.55� �i0..t.1, �C�Stu fe� ► Ici� n 1�`/Pce�
13. Soil Type(s): LJ 0_Q
14. Do the receiving crops diffei4om 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 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?
Required 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 the CAWMP readily available? If yes, check
the appropriate box.
Saj pca c15�+-.
C'211 4 trQt f
❑ Yes
No
❑ NA t] NE
❑ Yes
No
❑ NA ❑ NE
❑Yes
No
❑NA ❑NE
❑ Yes LP
rV No ❑ NA ❑ NE
❑ Yes K) No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑WUP []Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes A No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1 " Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? [:]Yes No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑NA ❑NE
Page 2 of 3
21412011 Continued

Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check [] Yes No
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 to provide documentation of an actively certified operator in charge? ❑ Yes No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [—]Yes ® No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
No
❑ 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?
❑ Yes
No
❑ NA
❑ NE
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
❑ Yes
No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
® No
0 NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
No
❑ NA
❑ NE
Comments (refer to question #):,Explain aoy YES answers andlor.any additional recommendations: or_-anykother, commients*
Use drawings of facility to better explain situations'(ase additional pages as necessary).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
4_+IV%,a.�- IJ1-e_
Phone: l 0 �133 330t)
Date: 13
21412011

Ii ype of visit: w Lompuance inspection V vperatnon xevtew 1.1 btructure lrvaluanon V 1 ecillima1 Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency O Other 0 Denied Access
Date of Visit: I
Arrival Time: Departure Time: County: pRegion:
Farm Name: tt,9003-1 Owner Email:
Owner Name: �V !?•y ' flan 'U G Phone:
Mailing Address:
Physical Address:
Facility Contact: /rig
Title:
Phone:
OnsiteRepresentative: Integrator:
Certified Operator: _ yt G P'refl Certification Number: �� 3
Sack -up Operator:
Location of Farm:
Certification Number:
Latitude: Longitude:
q
esign
Gu'rent
Design Currenri�
Capity Pop.
11c
Wet Poultry
Capacity
Pop.
Cattle Capacity Pop.
inish
La er
Dai Cow
eeder
Layer
DairyCalf
Finish
Dai Heifer
Wean
Design
Curren
D Cow
tFeeder
Feeder
Dr, P,oul
Ca aci
P.o
Non -Dairy
Finish
La ers
Beef Stocker
Beef Feeder
Non -La ers
113eef Brood Cow
Turkeys
OtherT
Turkey Poults
L_jOther
. �r"�: .:u+x..'.._,uwRC".�IIYRS�..-:.:-1hdWs[
10ther
.. ..' urv.�a:*�a:.i:iYWGili'13-1�11�11�'•».
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
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)?
d. Does the 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 observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes `Es No ❑ NA ❑ NE
[:]Yes [:]No
[:]Yes [:]No
[—]Yes
[:]No
❑ Yes
Qj No
[:]Yes
qbNo
[O NA ❑ NE
NA ❑ NE
�NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Page I of 3 21412011 Continued

t
Facility Number: - Date of inspection:
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 rNo PNA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: & 8�-
Spillway?.
Designed Freeboard (in):
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?
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ 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? [:]Yes CP)No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as'required by the permit? ❑ Yes No ❑ NA ❑ NE
(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 ❑ Yes 0 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [gNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 1No ❑ NA
[3 Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.`)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total 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):
13. Soil Type(s):
14. Do the receiving
15_ Does the receiving crop and/or land application site need improvement? ❑ Yes No
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes ® No
18. is there a lack of properly operating waste application equipment? ❑ Yes No
Required Records & Documents Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes [�PNo
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No
the appropriate box.
❑ NE
❑ NA
❑ NE
❑ NA
❑ NE
❑ NA
❑ NE
❑ NA
❑ NE
❑ NA
❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? if yes, check the appropriate box below. [:]Yes T No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute inspections [:]Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? [:]Yes [?q No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [:]Yes P No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Faci itv Number: RS - I Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?'
❑ Yes
{o No
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
No
71
❑ 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 fast 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
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes No
P
❑ 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?
❑ Yes No
❑ NA
❑ NE
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
❑ Yes No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes [PNo
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
TT
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes No
❑ NA
❑ NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
❑ Yes 4No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes [4 No
❑DNA
❑ NE
Comments (refer to . Explain,
� _ - '. ( q #)• p am ao -YES answers and/or any additional recommendations or an of er comments
Use drawin -necessary).
tuyestion
sof facility to better ez lain situations` use additional a es as-necessa
( pages as
_,.
3 � � 12,
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 6
Date:
21412011

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 ❑ Denied Access
Date of Visit: ;Z1+ I Arrival Time: d % Departure Time: QSr County: 9'_ 7 7 wt-"W Region:
r
Farm Name: ` (06(>QQrrfOwner Email:
Owner Name: Mau& —ow[c,,el LLC, Phone:
Mailing Address:
Physical Address:
Facility Contact: ! "^ at CjV Title:
Onsite Representative:
l ry
Certified Operator: _ � C_
Phone No:
Integrator: A 4"�4
Operator Certification Number: 176 7/
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: = o = 6 ❑ u Longitude: ❑ ° = f ❑ u
Design CGurrent Design Current Design Cnrrent
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Popnlation
❑ Wean to Finish
❑ Layer
❑ DairyCow
❑ Wean to Feeder
❑Non -La er
❑ DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
V
Dry Poultry
❑ Layers �
❑Non -La Non -Layers
❑ Pullets
Q�
❑ D Cow
El Non -Dairy
El Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Beef Stocker
❑ Beef Feeder
El Beef Brood Cowl
I
❑Turke s
Other.
❑ Turke Pouets
❑Other
Number of structures:
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
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)?
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?
❑ Yes �To ❑ NA El NE
❑ Yes
❑ No
�&NA
❑ NE
❑ Yes
❑ No
&NA
❑ NE
❑ Yes
❑ No
P5NA
❑ NE
❑ Yes
MNo
❑ NA
❑ NE
❑ Yes
�bNo
❑ NA
❑ NE
Page I of 3 12128104 Continued

1 _
Facility Number: — 17Date of Inspection 3 1f
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 ❑ No A NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: k
Spillway?:
Designed Freeboard (in):
u
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 0 No ❑ NA
❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes i} No ❑ NA
❑ NE
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? ❑ Yes JpNo ❑ NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes r No ❑ NA
❑ NE
(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 O Yes .3 No ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes MNo ❑ NA
❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes PNo ❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or l0 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window 0Evidence of Wind/Drift ❑ Application Outside
1ofArea
12. Crop type(s) k5w il�h f�� t �l�rG.� E)'WLt d 15, C 6rv-)
13. Soil type(s)
14. Do the receiving cos differ from those designated in the CAWMP?
❑ Yes (9No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[�No
El NA
El NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
(
P� No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
PNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
UNo
❑ NA
❑ NE
' Qec" yt j at,o 3141r ,
ceLc4ed 7 ib/ ( r
Reviewer/Inspector Name Phone: [phone]ar7
Reviewerllnspector Signature: Date:
Page 2 of 3 12128104 Continued

Facility Number: — Date of Inspection rL
Required Records &_Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes PNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes �] No ❑ NA ❑ NE
the appropirate box.
❑ WUP ❑Checklists ❑Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 1�No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
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
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
r� No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
`❑ Yes
'No
❑ NA
ElNE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
PNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
PNo
❑ NA
❑ NE
Other issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
[P)No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
�§No
❑ NA
❑ NE
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?
❑ Yes
P No
❑ NA
❑ NE
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
❑ Yes
QbNo
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
1p No
❑ NA
❑ NE
Page 3 of 3 12128104

'///z/ zo/D
Type of Visit
Inspection
0 Operation Review 0 Structure Evaluation
0 Technical Assistance
Reason for Visit
1�Co`�mpliance
(94 outine 0 Complaint
0 Follow up 0 Referral 0 Emergency
0 Other ❑ Denied Access
Date of Visit: Arrival Time: -%:Op 14 Departure Time: 7; OD County: SC10flpAA=1 Region: FA0
Farm Name: -*: 76 Owner Email:
Owner Name: M-$rouln/ L' L C Phone:
Mailing Address:
Physical Address:
Facility Contact: r4 f ke, C u►dci. Title: L14M �dh' c-+r Phone No:
Onsite Representative: Integrator: 1B,"V dA)
Certified Operator: Operator Certification Number: 1 7b3 T
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: [= 0 = = N Longitude: = o = ,
Design CEarrent
©esign Current
Design Current
M-ne Capacity: Population
Wet Poultry C►apacity Population
Cattle Capacity Popnlation
Finish
❑ La er
❑Dai Cow
Wean toFeeder
❑Non -La er
❑Dai Calf
PO Feeder to Finish
airy Heifer
Farrow to Wean /ZOO
Dry Poal_try
❑ D Cow
Farrow to Feeder
❑ La ers
❑ Non -Dairy
❑ Farrow to Finish
❑ Beef Stocker
Gilts
❑ Non -La ers
❑ Beef Feeder
EBoars
El Pullets
❑ Beef brood Cowl I
El Turkeys
Other
❑ Other
❑ Turke Poults
❑ Other
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
❑ No
2<AA
❑ NE
h. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
❑ No
D"NA
❑ NE
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)
El Yes
1:1 No
�,
UPKA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
2<oo
[INA
[INE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
ElYes
2<
❑ NA
❑ NE
other than from a discharge?
12128104
Continued

Facility Number: 83 e7l7
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 structural freeboard?
Structurdo Structurc© Structure 3 Structure 4
Identifier: 7/ 4 9/ A -76, 6 8/ Q
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): vs
5. Are there any immediate threats to the integrity of any of the structures observed?
(ic/ 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?
ElYes C❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes E o ❑ NA ❑ NE
❑ Yes E'IVo ❑ INA ❑ 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? [I Yes B o ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes Leo ❑ NA ❑ NE
(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 ❑ Yes M'lVo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes U4110 ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
a<0 ❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 101bs []Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) CNly 17PaS�v��,. Skt/I 6raiN �O •j ., so
y �e�••�/� Cpri✓ �si N�
13. Soil type(s) LJO v , _
14, Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
�
B o ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
1-goo ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
2 Noo ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
Cl Yes
3 5o ❑ NA
❑ NE
18. is there a lack of properly operating waste application equipment?
❑ Yes
BNo ❑ NA
❑ NE
Comments (refer to gjuestton`#}: Explain any YES answers and/or any: recommendations or any othencomcom ents
b
Use drawings of facility to t etter explain situations. (use additional pages as necessary)
ReviewerfInspector Name 1G�u ze-VJS ': Phone: 910-i'33-330
Reviewer/Inspector Signature: Date: id ZD/O
12128104 Continued

Facility Number: 165 —Q/ '] Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ONo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes LONo ❑ NA ❑ NE
the appropriate box. ❑ 'LXTTTp ❑ Ch kl' ❑ D ' ❑ M ❑ O h
ec �sts estgn aps t er
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 Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and i"
Rain Inspections Weather
Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
�❑
B-9o�❑ NA
El NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
El Yes
L'7No ❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
O io El NA
[I NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
El Yes
g�❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
to ❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
I~l'No ❑ NA
❑ NE
Other Issues
�
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
ElB Yes
o ❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
L9'No ❑ NA
❑ NE
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?
❑ Yes
9<0 ❑ NA
❑ NE
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
❑ Yes
BNo ❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
Yes
,�
L�No NA
❑ NE
33. Does facility require a follow-up visit by same agency?
El
o ❑ NA
❑ NE
I2(28/04

94xt e_,JA- Icd 5x/03/0 9
Facility Number
0'61vtsion of Water Quality
Division of Soil and Water Conservation
0 Other Agency
Type of Visit Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit outine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: 3 /Z —' 7 Arrival Time: ��0 Departure Time: 1, % y� County: Region: � fl
Farm Name: S76 V Owner Email:
Owner Name: -9-MA✓n/ Phone:
Mailing Address:
Physical Address: vL
Facility Contact: _ g4.ye�.,, �Crt�gdrver Title: '4�0-�u //Phone No: p
Onsite Representative: ` Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: [:] c = ' ❑ « Longitude: ❑ ° = ' = u
Design .. Current Design Current Design i
Swine iCapacity Population WetPoultry Capacity Population Cattle Capacity Pc
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish r`
Farrow to Wean 1200
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ Layer
❑ Non-Layet
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turke s
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation'?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Dairy Cow
❑ Daia Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cowl
2`
Number of Structures:
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)?
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?
❑ Yes 2 No ❑ NA ❑ NE
❑ Yes ❑ No NA ❑ NE
❑ Yes ❑ No BNA ❑ NE
❑ Yes [--]No �NA❑ NE
❑ Yes ��No ❑ NA ❑ NE
❑ Yes ErNo ❑ NA ❑ NE
12128104 Continued

FacilitSrNumber: 7,3— f 7 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 structural freeboard?
Structure I Structurel2 Structure 3 Structure 4
Identifier: _ Pvi ••�--, ^�ci s •-
Spillway?:
Designed Freeboard (in):
i 1r
Observed Freeboard (in):
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?
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No 2<A ❑ NE
Structure 5 Structure 6
❑ Yes ErNo ❑ NA ❑ NE
❑ Yes ZN ❑ NA ❑ 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? ❑ Yes EI'No El NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes LrJ No ❑ NA ❑ NE
(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 ❑ Yes ff No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes CTINo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ffNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) i CA irru -u3 L - S i1 e0,,
13. Soil type(s) 1AA1
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
2<o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
CTNoo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
ffNo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
NNoo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
,r
LTNo
❑ NA
❑ NE
Comments (refer to question ft 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):
Reviewer/inspector Name yeG Phone: `?A9, 3�'33. 33470
Reviewer/Inspector Signature: Date:
11/28/04 Continued

Facility Number: 73 — / 7 Date of Inspection /2-D
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes BNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes R'�Vo ❑ NA ❑ NE
the appropirate box.
❑ WUP El Checklists El Design ❑Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes Et5Z ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
0
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
E3-lqo-
❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
[.]'No
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
�o
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
Q Roo
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
3<
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
No
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
No
❑ NA
❑ NE
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?
❑ Yes
ETNo
❑ NA
❑ NE
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
❑ Yes
ffNo
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
To❑
NA
El NE
33. Does facility require a follow-up visit by same agency?
El Yes
—
01QO'❑ NA
❑ NE
Comments and/or Drawings:
I2128104

�W L,v�,-" vY_/ �j/ -// -Z b0 S 2 ►
Type of Visit (31-Compliqpze Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: #-0/-0g Arrival TJime: %r�/ S Departure Time: /; 30 County:-5;TV_A19-JC1 Region: A
Farm Name: ��/ l / Owner Email:
Owner Name: /wt Phone:
Mailing Address:
Physical Address-
Facility
fj p�
Facility Contact: Pr'Ad" 15 M L4$r rwe- Title: �r / Yi — Phone No:
Onsite Representative: ka'V'4" Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: 0 e = ' =" Longitude: = ° ❑ 4 Q "
!gn Current
Design Current Design Current
Swine Capacity Population
Wet Poultry
Capacity Population Cattie Capacity Population
We an to Finish
El
La er
Discharges &Stream ]m acts
1. Is any discharge observed from any part of the operation?
❑Yes
�No
❑ NA
❑ NE
Discharge originated at: El Structure El Application Field El Other
a. Was the conveyance man-made?
El Yes
gNa
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (1f yes, notify QWQ)
❑Yes
Oh10
❑ NA
❑ NE
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)
El Yes
� No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑Yes
� No
❑ NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
El Yes
� No
❑ NA
❑ NE
other than from a discharge?
Page 1 of 3
12/28/04
Continued

Facility Number: 33— / 7 Date of Inspection S7701`D
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
QjNo
❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
[' No
❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure
5
Structure 6
Identifier: Paxllt24e
Spillway?:
y r�
Designed Freeboard (in): >A
' ` J (P Al
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
VNo
❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
[$No
❑ NA ❑ NE
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?
❑ Yes
1� No
❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
[7No
❑ NA ❑ NE
(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
❑ Yes
[;VNo
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
PNo
❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application'? If yes, check the appropriate box below.
❑ Yes
gNo
❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside
of Area
12. Crop type(s)
13.
Soil type(s) AJQ_ 13
14.
Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
V] No
❑ NA
❑ NE
15.
Does the receiving crop and/or land application site need improvement'?
❑ Yes
P No
❑ NA
❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
M No
❑ NA
❑ NE
17.
Does the facility lack adequate acreage for land application'?
❑ Yes
® No
❑ NA
❑ NE
18.
Is there a lack of properly operating waste application equipment?
❑ yes
[9) No
❑ NA
❑ NE
Comments (refer to question:#): Explain any YES answers and/or any recommendations or any other comments
Use drawings of facilky to-better.explain situations. use additional pages as necessary
Reviewer/Inspector Name t. +1VWks. Phone: �Zp 33 33D 0
Reviewer/Inspector Signature: Date: �
rage z of 3 121.Z61v4 uonunuea

Facility Number: Date of Inspection
Required Records & Documents , �{
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes [if No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes 0 No ❑ NA ❑ NE
the appropriate box.
❑ WUP El Checklists El Design ❑Maps El Other
21. Does record keeping need improvement? if yes, check the appropriate box below. ❑ Yes VNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ 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?
❑ Yes
T No
❑ NA
❑ NE
❑ Yes
P No
❑ NA
❑ NE
❑ Yes
VNo
❑ NA
❑ NE
❑ Yes
[XNo
❑ NA
❑ NE
❑ Yes
O No
❑ NA
❑ NE
❑ Yes
P No
❑ NA
❑ NE
❑ Yes JP No ❑ NA ❑ NE
❑ Yes V No ❑ NA ❑ NE
❑ Yes
(� No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
�NNo
❑ NA
❑ NE
Page 3 of 3 12128104

® Division of Water Quality
Facility Number S3 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit (&Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: 5 Q—D% Arrival Time: 9: �ttj Departure Time: �2 Kj County:-S�TL��d Region:
Farm Name: # 7447 Owner Email:
Owner Name: MLi r6 — $1M" n/ Phone:
Mailing Address:
Physical Address: l //j�
Facility Contact: (t 0th/l M d nr C Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone11 No: p
Integrator: 1 1//�� "rDL' f- wo W ^t
Operator Certification Number:
Back-up Certification Number:
Latitude: a o= i[�dg Longitude: [� o= 4 0 A.
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
Farrow to Wean / Z.O O
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ Laver
❑ Non -La et
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Ciirri
Capacity -
El Dai Cow
❑ Daja Calf
❑ Daia Hcifei
❑ Da Cow
❑ Nan -Dal
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co
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)?
Number of Structures:
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?
❑ Yes P No ❑ NA ❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
EM No
❑ Yes
[ No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
12128104 Continued

Facility Number: $3 - /?
Date of inspection •y
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?
Structurcl Structure® Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
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?
❑ Yes N No ❑ NA ❑ NE
❑ Yes [Z No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes .M No ❑ NA ❑ NE
❑ Yes 1�No ❑ NA ❑ 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? ❑ Yes 19No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ® No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks) I
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes
[A No
❑ NA
❑ NE
maintenance/improvement?
11.
is there evidence of incorrect application? if yes, check the appropriate box below. ❑ Yes
qNo
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Hcavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Outside of Area
r co,��/
12.
'Appplication
}
Crop type(s) B•G Q� (� �- { Sl�c.� 1' ii✓ �t9V e_YS�> J �O cr•.;
�1
a#
13.
Soil type(s) W0.
14.
Do the receiving crops differ from those designated in the CAWMP? ❑ Yes
§] No
❑ NA
❑ NE
15.
Does the receiving crop and/or land application site need improvement? ❑ Yes
[A No
❑ NA
❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Ycs
No
❑ NA
❑ NE
17.
Does the facility lack adequate acreage for land application? ❑ Yes
[ No
❑ NA
❑ NE
18.
Is there a lack of properly operating waste application equipment? ❑ Yes
[� No
❑ NA
❑ NE
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):
Reviewer/Inspector Name �r� � Phone: (Q/4)�� 3300
Reviewer/inspector Signature: Date: .3 =/O —Z 0O 7'
12128104 Continued

Facility Number: S3 — /'•_'] Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 1% No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes VNo ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 19 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ Weather Code
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
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
No
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
( No
❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
r7No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
No
❑ NA
[:3 NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
[] yes
[A No
❑ NA
[I NE
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?
❑ Yes
;9 No
❑ NA
❑ NE
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
❑ Yes
9No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/]nspector fail to discuss review/inspection with an on -site representative?
❑ Yes
[$ No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
;9 No
❑ NA
❑ NE
Additional Comments and/or Drawings:' '
Page 3 of 3 12128104

11
Type of Visit 0 Compliance Inspection Q Operation Review O Structure Evaluation Q Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: (y ~% —(} Arrival Time: :S-0 Departure Time. �� County: Region: 6Wd
Farm Name: % ! t!O J Cst nit f rt 7 Owner Email:
Owner Name: Iyy&;A4 ip Phone:
Mailing Address:
Physical Address: A
Facility Contact: r� i - AAwoNs Title: Phone No:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
=a =,
Latitude:
Integrator: ^u�'D�c. Bt�ulnl
Operator Certification Number:
Back-up Certification Number:
Longitude: = ° u
Design Current
Design Current
Design Curren#
Swine Capacity Population
Wet Poultry Capacity Population
Cattle Capacity Population
❑ Wean to Finish
❑ Layer
❑ Dairy Cow
❑ Wean to Feeder
❑ Non -Layer
❑ Dairy Calf
❑ Feeder to Finish
❑ Dairy Heifer
Farrow to Wean
Dry Poultry
❑ Dry Cow
El Farrow to Feeder
❑ Layers
❑ Non -Dairy
❑ Farrow to Finish
❑ Beef Stocker
❑ Gilts
❑ Non -Layers
El Beef Feeder
❑ Boars
❑ Pullets
❑ Beef Brood Cowl I
❑ Turkeys
Other
❑
❑Turkey Pouits
Other
Number of Structures:
Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
0 No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
VNo
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
U No
❑ NA
❑ NE
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)
❑ yes
[9No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
[jPNo
❑ NA
❑ NE
3_ Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
ER No
❑ NA
❑ NE
other than from a discharge?
Page I of 3
12128104
Continued

Facility Number: S3 — / Date of Inspection
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
[ No
❑ NA
❑ NE
Structure I Structure) 2� Structure 3 Structure 4
Structure
5
Structure 6
Identifier:
Spillway?:
it it
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No
❑ NA
❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
No
❑ NA
❑ NE
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?
❑ Yes
W No
❑ NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ yes [4 No ❑ NA ❑ NE
(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 ❑ Yes VNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers. setbacks, or compliance alternatives that need ❑yes [�No ❑ NA El NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes 0 No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 101bs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window /❑ Evidence of Wind Drift ❑ Application Outside of Area j
12. Crop type(s) _ &V-94-4 d c.` [ G r4� e /_h J SfLf l��sr�.�N �011¢Yste.�1 J_� u. caM5
13. Soil type(s) �J�$
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
I7_ Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
[XNo ❑ NA ❑ NE
I9 No ❑ NA ❑ NE
(5 No ❑ NA ❑ NE
P9 No ❑ NA ❑ NE
1P No ❑ NA ❑ NE
Comments (refer to question f: Explain any YES.answers.and/or any recommendations or ianyother comments
Use drawings of facrlrtyto better explain situations. (use additional pages as necessary):.,; =�>a
AAL
n rr
Reviewer/Inspector Name i �K__ GB!'[.(.:S ���T� Phone:
q!O 3-3—, Qo
Reviewer/inspector Signature: 4�1� Date:
(p — f Z— 2-cop p
Page 2 of 3 12128104 Continued

Facility Number: 3 —f 7 Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes [ No ❑ 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 El Maps ❑Other
2L Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes �a No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ AnnuaI Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1 " Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
1p No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
1� No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
�M No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
'q No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
[PNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
No
❑ NA
❑ NE
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?
❑ Yes
VNo
❑ NA
❑ NE
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
❑ Yes
[j No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
P No
❑ NA
❑ NE
Page 3 of 3 12128104

Type of Visit ® Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit O Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: Arrival `time: Departure Time: County: xo-H" J
it r—
Farm Name: ag/� 0)j yr'ol_r_'S # -7- eS Owner Email:
Owner Name: _ �,.] r j Phone:
Mailing Address:
Physical Address:
Facility Contact: 1r-+ . Title:
Onsite Representative: J t� 1'ri e try
Certified Operator:
Phone No:
Region: F'90
Integrator: �& �� iT 'z0_
Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: = o ='
=di Longitude: = o = I = u
Design Current,, . Design Current
Swine Capacity. Population..Wet Poultry Capacity Population Cattle
❑ Wean to Finish
i
❑ Wean to Feeder
❑ Feeder to Finish
Farrow to Wean 20D
I
❑ Farrow to Feeder #
❑ Farrow to Finish i
❑ Gilts
❑ Boars
Other
❑ Other
❑ Layer
❑ Non -La et
Dry Poultry
Non-L.
Pullets
Other
Pouits
Discharges & Stream Impacts
t. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made`?
Design Current
Capacity .Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cowl
Number of Structures:
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)?
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?
❑ Yes [2 No ❑ NA ❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
N No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
® No
❑ Yes
W No
❑ NA
❑ NE
❑ Yes
09 No
❑ NA
❑ NE
12128104 Continued

Facility Number: q3= Date of Inspection
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 [ No ❑ NA ❑ NE
Structure Structurd2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): Z g 3'0
Observed Freeboard (in): SS+t 4�Gj, S
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes t9 No ❑ NA ❑ NE
(ic/ large trees, severe erosion, seepage, etc_)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes tA No ❑ NA ❑ NE
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?
❑ Yes
D9 No
❑ NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
[9 No
❑ NA
❑ NE
(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
❑ Yes
54 No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
5? No
❑ NA
❑ NE
maintenance/improvement?
11. Is there evidence of incorrect 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 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) ttr 10 �l SIt 11 V 02- ee-d
So
ril/
13. Soil type(s) Wd�
14, Do the receiving crops differ from those designated in the CA WM P?
❑ Yes
(9 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
ER No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑ Yes
(KNo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
[A No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[% No
❑ NA
❑ NE
Reviewer/Inspector Name ` DVS „ .' Phone:
Reviewer/Inspector Signature: Date: J2-20—Z.4>0S
12128104 Continued

Facility Number: 3 - i-? Date of Inspection 12?A-r75
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 the CAWMP readily available? If yes, check
the appropirate box. ❑ WUp ❑ Checklists ❑ Design ❑ Maps ❑ Other
❑ Yes ®No ❑ NA ❑ NE
❑ Yes R No ❑ NA ❑ NE
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 Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ 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 pen -nit?
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 CAW -MP?
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?
❑ Yes
(3 No
❑ NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
[M No
❑ NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
.❑ No
❑ NA
❑ NE
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes ® No ❑ NA ❑ NE
❑ Yes [A No ❑ NA ❑ NE
❑ Yes W No ❑ NA ❑ NE
❑Yes V]No ❑NA ❑NE
❑ Yes [ANo ❑ NA ❑ NE
I2128104

Type of Visit ® Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number 3
=Nt Below Threshold
ED Permitted 0 Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: r- a r r a W C _ �a r vv% ¢ 7% G� County: s G.+1 a►..
Owner Name: d.,. o \1's _ Fo n �a c-• Phone No: 9 1 `} - 0 93 - 314IN
Mailing Address: d Sex Q a o -1 141111 N o.+ k t_a r 6 i i ng Q A
Facility Contact:
Onsite Representative:
Title: �* Phone No:
Integrator: Ccr. o ll'a — Y e .. r }p�.f Brow u
Certified Operator: Operator Certification Number:
Location of Farm:
® Swine ❑ Poultry ❑ Cattle ❑Horse Latitude ' 4 Du Longitude • '
V.Desigia Current
Design Current
-Design h Currents
Swine Ca acrtv` Po ulation
Poultry
Ca aci Po ulation Cattle
Ca' acrty- ulation
❑ Wean to Feeder
❑ Layer
❑ Dairy
❑ Feeder to Finish
10 Non -Layer
❑ Non -Dairy_
© Farrow to Wean 1200
f'
fi
❑ Farrow to Feeder
❑ Other
-
t
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
❑ Boars
Total SSLW
_� r-�, ❑ No Liquid Waste Management System
Number of Lagoons ® ❑Subsurface Drams Present ❑ La oon Area Spray Feld Area
'Holding Ponds /.•Soled Tt•aps
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, 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 gaUmin?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ)
2. Is there evidence of 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?
Waste Collection & Treatment
4- Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure
Identifier: c% k a r I e_
Freeboard(inches): L4C) 314 tt
05103101
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Structure 6
Continued

Facility Number: S 3 — 17
Date of Inspection FT- q-o
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ 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 maintenance/improvement?
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. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
❑ No
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15.
Does the receiving crop need improvement?
❑ Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
❑ No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
❑ No
19_
Does record keeping need improvement? (iel irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
❑ No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
❑ No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
(:1 No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
nsEor apyothek commept_
Comments (refer toquesoii #1) Explain any#YES answers-and/or;any rerommendatioka
U e drawtigs ofs cDtt} to°better ezplam sttnahons..", (rise namuonal pages as-neces `sa I
m Field Copy ElFinal Notes
a. .< .
5+0 r P . 49 Od V% C.
T
ReviewerlInspector Name
Reviewer/Inspector Signature: Date:
05103101 ell Continued

Type of Visit ® Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit *Routine 0 Complaint O Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Date of Visit: Time: 3�
Facilitt-lumbet� II � ._ t _'-
Not operational 0 Below Threshold
O Permitted ® Certified O ConditionalIv Certified © Registered Date Last Operated or Above Threshold:
Farm Name: C-"-r-ro (k S t—o ad r,n C County:
O-� 4-}6 g Phone No: OOwner Dame: C_.G i'.!' o L1 S G �^.•� ^, 1
Mailing Address: A� O , QO��CL l� _._ S 3c;l.c",- J tj f(
Facility Contact: i'Y,- ��; h er. iOG� tiC.�f Title:
OnsiteRepresentative: Mg+k
Certified Operator:
Location of Farm:
Phone No:
Integrator f
Operator Certification Dumber: iG 3
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude C�0 C a Longitude �• �•
Design Current
Design Current Design Current
Swine Ca acity Po ulation
Poultry
Capacity Population Cattle capacity Po ulation
❑ Wean to Feeder
I
I
P Laver
I
I
❑ Da'
❑ Feeder to Finish
I
I I
JE3 Nan -Lave:
I
Nan-Dairy
9 Farrow ro Wean
Oa
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
❑ Boars
Total SSLW
Number of Lagoons Z ! LU Subsurface Drains Present HLj Lagoon Area JU &rav Field Area
Holding Ponds / Solid Traps � ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated ar_ ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is obsen.ed, was the conveyance man-made? ❑Yes ❑ No
b. If discharge is obsmed, did it reach Water of the State? (If yes, notifi, DWQ) ❑ Yes❑ No
c. if discharge is observed, what is the estimated flow in gal/min?
d. Does discharge b}pass a lagoon system? (If yes. notifi, DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes M No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes Q No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 5
Identifier: L1 Ma. .1
b
Freeboard (inches): !ram [Gp2
05103101 Continued

�.3
Facility Number: 8 3 —T Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes � No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? El Yes � No
(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 maintenance/improvement? ❑ Yes [2 No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes [YNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes O No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes [�] No
12. Crop type AP ^.v. i 1410 c- 4 r►IA . %1`e_i n d 1 S. , C n 4U'� 4-- S01. t6 C rN
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes LkNo
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15.
Does the receiving crop need improvement?
❑ Yes
W No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
N3 No
Reuuired Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
P No
18.
Does the facility fail to have al] components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
[P No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
Q No
20,
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
(2 No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
F4] No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
Q No
(ie/ discharge, freeboard problems, over application)
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
Q No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
® No
25,
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
[�d No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Co ments`�`{�efe�,'q estion #) � Ealilarn anYES answers: andla��any �ecommendatrons or any otliter oomm �s�W �
EiUse draw�ngs,ofrfacility t6,l►etter�explain as
sitnadon,yys�.N(ns�e aridittonal�pages necessary : [,� Field Coay ❑Final Notes
6.` �(�•" l G C n 3 (% L Si -I ce 41., ,
�6 f l G �tX7rss rt G f —✓ Lot" o c�7
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
O5103101 -�`3 Continued

Facility Number: S' Date of Inspection
dor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
r
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
❑ Yes [P No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
05103101

Type of Visit (9) Compliance Inspection 0 Operation Review Q Lagoon Evaluation
Reason for Visit ® Routine O Complaint Q Follow up ( Emergency Notification O Other ❑ Denied Access
Facility Number
Date of Visit: Time:
10 �3 I ��
Nat O erational 0 Below Threshold
Permitted ® Certified 0 Conditionally Certified D Registered Date Last Operated or Above Threshold:
Farm Name: C 6, P r. W5 -CA .� County: - .SCy'f l-6 nd rao
Owner Name: cee rro(,t _ IF: 71-4.9 Phone No:
Mailing Address: P. 0, t3 Ox „ VA- SL
Facility Contact: Title: 1-Af M. Phone No: cr..,,.
Onsite Representative: 12sM- C,0 1 i 64 . integrator: /
IF
Certified Operator: rPC rli ?,. ; Operator Certification Number:
Location of Farm:
W Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' ' u Longitude =' ° C� u
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ $oars
Design Current
Poultry Capacity Po ulation ' Cattle
❑ Layer I I 1 10 Dairy
❑ Non -Layer I 1 1. 10 Non -Da
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons 0 ❑ Subsurface Drains Present ❑ La oon Area
Holding Ponds /,,Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed; 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? (if yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
Design Current
�apacity Po ulntion
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Coles & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier: SM& 11 ► >Qin
Freeboard (inches): 3a d
05103101
J Spray Field AMU,
R 4
❑ Yes [gNo
❑ Yes 0 No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
q No
❑ Yes
LNo
❑ Yes
C§ No
Structure b
Continued

Facility Number: V3 — 13 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes [9 No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes [ No
(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 maintenance/improvement? ❑ Yes No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes [,No
Waste Annlication
10. Are there any buffers that need maintenance/improvement? ❑ Yes [2�No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes [$No
12. Crop type Qer-Z,, 4 ep,,- 4 -
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
{5 No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
[RNo
lb. Is there a lack of adequate waste application equipment?
❑ Yes
[INo
Required Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
�No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
® No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
FNo
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
W No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
®No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
No
(ie/ discharge, freeboard problems, over application)
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
No
10
No violations or deficiencies were noted during this visit. You will receive no farther correspondence about this visit.
reCcx S �'Gp-LcS! 4- Ic��,bn Leo Soo
Reviewer/Inspector Name j
Reviewer/Inspector Signature:
.N715=WW.X
❑ Field Copy
Date:
Final Notes
0510310I
Continued

Facility Number: g3 — IT Date of Inspection as Q
Odor Issues
26. 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?
27. Are there any dead animals not disposed of properly within 21' hours?
28, Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. W'erc an,,-- major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missin_ or
or broken fan blade(s), inoperable shutters. etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanentitemporary cover?
and/or
`P Yes ❑ No
❑ Yes L No
❑ Yes ® No
❑ Yes ® No
[) Yes No
❑ Yes UP
No
,Yes El No
O5103101

Type of Visit 10 Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit ® Routine 0 Complaint O Follow up O Emergency Notification Q Other ❑ Denied Access
Facility Number 3 ' Date of Visit 7 � OZ Time: - Od
Not Operational- 0 Below Threshold
® Permitted ® Certified 0 Conditionaally Certified D Registered Date Last Operated or Above Threshol
Farm Name: ____ i4�1.... K 7%67 _ County:
Owner Name: swfTL i7/_& Phone No:
Mailing Address:
Facility Contact:
Title:
Onsite Representative: l S
Certified Operator:
Location of Farm:
Phone No:
Integrator: �AZ A_0" s
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude Longitude
1D Current Design Curreet Design _Curr eet
i �,
P6 try Ca acity Po ulation Cattle Ga ' actty P,o ulatioa
Swine =
estge - urren
a ac�ty=-: Population
❑ Wean to Feeder
❑ Feeder to Finish
Farrow to Wean
12,0eZd
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Laver I I I j[] Dairy
Number of+L0agoons ❑ Subsurface Drams Present ❑ Lagoon Area ❑ Spray Field Area
13oldteg Ponds/Solid Traps ❑ No Liquid Waste Management S stem' t
w._
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? El Yes X No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes A No
c. If discharge is observed, what is the estimated flow in gat/min'!
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ® No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes /� No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
Waste Collation & 'Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes )gNo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: lrsi..i
Freeboard (inches): 0 z
05/03101 Continued

Facility Number: S3 — /?
Date of Inspection 0
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 maintenance/improvement?
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. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application`? Cl Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type Ar.s..zr tdlF, ,Av' .✓ j • S/4 .,w- -f
❑ Yes �No
❑ Yes VNo
❑ Yes (No
❑ Yes ANo
❑ Yes KNo
❑ Yes igNo
❑ Yes N No
13. Do the receiving crops differ with those designated in fhe Certified Animal Waste Management Plan (CAWMP)? ❑ Yes CRNo
14.
a) Does the facility lack adequate acreage for land application?
❑ Yes
1W No
b) Does the facility need a wettable acre determination?
❑ Yes
99 No
c) This facility is pended for a wettable acre determination?
❑ Yes
O No
15.
Does the receiving crop need improvement?
,Yes
❑ No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
(KNo
Required RCcords & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
(K No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
Wo
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis &<Esample repo
❑ Yes
N No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
r%-;PNo
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
No
(ie/ discharge, freeboard problems, over application)
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
CKNo
24.
Does facility require a follow-up visit by same agency?
ElYes
nNo
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
[jNo
13 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to question: Explain any YES answers and/or any recommendations or any other camments.
Use drawings of facility to better explain situations. {use additional pages as necessary): ❑ Field Copy ❑ Final Notes
Nd
is.a.c-�Fi� !�S/x'l�/�✓ %.4 ��01/.-/r.�cb
Re"ewerAnspector Name
Reviewer/Inspector Signature: Date: 7 D Z_j
05103101 ¢.rir�i�+� �<•i�T./f�>! //*> �.� ��4�f ��/��d.0 G����/'�� /.�!/�o��Q-

Facility Number: — Date of Inspection �O
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes I-` No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes jj� No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes )KNo
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes PNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ,ZNo
32_ Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? MYes ❑ No
Additional omments an or Di*wmgs:
r
r
O5103101

J \ J
Division of Water Quality �- �" T _
Divisionof Soil and Water Conservation _ -
0 Other.Ageii -Y
Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit t (Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: Tiroe: E= Printrd on. 7/21/2000
0 Not Operational 0 Below Threshold
td Permitted 0 Certified 0 Conditionally Certified ❑ Registered Date Last Operated
__or Above(] Threshold: .........................
Farm Name:Tlkg .............. Countv:........R... y ¢�
OwnerName: ...... cz rqA. ..................... .. ;2;C................................ Phone No: .......................................................................................
Facility Contact: .... ! ......C+?.1 ! n ............................. Title: ..... F-m.—MAI ............................... Phone No:
Mailing Address:
Onsite Representative:
Integrator:
Certified Operator:......... S.i4rSC. r\............... xJ...............I............................. Operator Certification Number:
Location'of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' ° 44 Longitude &
Design Current.
Design Current Design Gbrrent .'
ci Po elation 'Poultry
CaaciPo ulation Cattle ;- ._. Pe_la
tion,
Wean to Feeder
❑ Layer ❑ Dairy -_
MM
Feeder to Finish
❑ Non -Layer ❑ Nan -Dairy
Farrow to Wean ),Roo
T`
Farrow to Feeder
❑Other
n
Farrow to Finish t t
TOtai Design Capacity-. 0
Gilts
Boars
Total SSLW .
Nilmtber Lisgpp�g
❑Subsurface Drains Present
❑ Larnm Area
❑ Spray Field Area
Ili Ponds'/ Solid T ollding raps::
❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes bKNo
b. If discharge is observed. did it reach Water of the State? (If yes, notify DWQ) ❑ Yes JNo
f c. Idischarge is observed. what is the estimated flow in gal/min? `,
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes or0
2. Is there evidence of past discharge from any part of the operation? ❑ Yes _ 11 o
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ADVo
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier.........TI.A ..................................................................
Freehoard (inches): 3�c[
5100 T
Continued on back

Facility Number: Date of inspection Printed on.• 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes $<filo
seepage, etc.) // �\
6_ Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? Yes �No
{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 maintenance/improvement? ❑ Yes PO
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes P(No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes o
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes No
12. Crop type T-S2rMLAL Oucr _e_j
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
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?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18_ Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss reviewtinspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
IQ- yi�l ti ris:oi- d ffcien-J- �►�ere noted- dy�rtng tbis'visit= • Yop wi�i•>iecOK6 Rio fui-th�r : :
cor'respoiideirCe a�aut this visit............ .... .
Ise_drawmzs G fad .y t&better j( j:o in situations: {use addi
1 n I
F,,,+b, I e.l�i %a��s
IIr g
6� K 'H�e_r�w�ovMCI
w
-any recomamendations oranyo
llpav as necessary)-:_
❑ Yes No
❑ Yes r o
❑ Yes K,
No
❑ Yes No
❑ Yes o
❑ Yes No
❑ Yes KNo
❑ Yes �No
❑ Yes U&No
❑ Yes 0,No
❑ Yes UkNo
❑ Yes 00 No
❑ Yes RNo
❑ Yes k'No
❑ Yes &No
AL
Reviewer/Inspector Name rj
Reviewer/Inspector signature: Date: 5100

Facility Number: — 17 Date of Inspection S Z Printed on: 7/21/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below Yes ❑ No
liquid level of lagoon or storage pond with no agitation? 0' \
2T Are there any dead animals not disposed of properly within 24 hours? ❑ Yes J` ' 0
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes 'No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes 1�1
0
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes o
31. Do the animals feed storage bins fail to have appropriate cover? ❑ YesfN
o
32. Do the flush tanks lack a submerged f ll pipe or a permanent/temporary cover? feso
- do Comments an or ravvtngs.
it
J
5100

Routine 0 Com taint 0 Follow-up of DWQ inspection 0 Follow-u of DSWC review 0 Other V
Facility Number Date of Inspection - 7 uv
Time of Inspection � Z4 hr. (bh:mm)
© Permitted Q Certified t] Conditionally Certified 0 Registered 113 Not Operational Date Last Op rated:
1
Farm Name: 9Enoff_°► s......7.7rP...�...........................................•--....... County:.........�=4...........................................................
. .
Owner Name. Ci C-1`0 /6 S rl5 Phone No. +Z �� �G � .
.........................•.........._.._.......I.....................I.............----...•.. .............--........._._......_.........----------......
Facility Contact: ........... 5-1,.......................... Title:.... Yvy1.................. Phone No:
Mailing Address: ....... q<rJ P�?...... Cl...a...la............�1 2 �s.l r J v C ...............G....�
Onsite Representative C'�' e_ Integrator. ........................ ............ ....................................................................
Certified Operator:.... .e.-. ................ 1.�tvi°�&�­.' ......... Operator Certification Number: .............................
„...__..
Location of Farm:
Latitude 0"0` =11 Longitude =0 =` =11
-..Des g
CurrentCr Dn
$wiC
Pulit]
:... -
-:ne
Ca acty�Po nlPo ulabon
Layer
...,. ,-:•
`- ❑ Dairy
-
• ❑Non -Layer ❑ Non -Dairy
❑ Other
--
Total Design Capacity Z !Ja
T©rat SSLW
` Number of Lagooims ''
` ❑ Subsurface Drains Present Lagoon Area ❑ Spray Field Area z
Holding Ponds / Sobd Tra :n -
No Liquid Waste Management System
z ❑Wean to Feeder
Discharges
Feeder to Finish
Farrow to Wean
z�]
Farrow to Feeder
Farrow to Finish
❑Gilts
-
,�' ❑Boars
&Stream Im�ac_ts
1. Is any discharge observed from any part of the operation?
❑ Yes ?�No
Discharge originated at: El Lagoon [I Spray Field El Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes No
b. If discharge is observed, did it reach Water of the State? (If yea, notify DWQ) El Yes 4N0
c. If discharge is observed, what is the estimated Flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑Yes ANo
2. Is there evidence of past discharge from any part of the operation? ❑Yes a
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes ANo
Waste Collection &Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑Yes RNo
Structure 1 �� ftyre� Structure 3 Structure 4 Structure 5 Structure 6
a. x
Identifier: Y" -34
Freeboard (inches): ......Y.......................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑Yes J9LNo
seepage, etc.)
3/23/49 Continued on Lack

Facility Number: �j� — 17 Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑Yes
�No
�j�j
(If any of questions 4-6 was answered yes, and the situation poses an
!J
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes
No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
No
►����"``
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
No
11. Is there evidence of over application? ❑ Excessiv Ponding ❑ PAN
[I Yes
�No
12. Crop type 2 -5 �a1�_
13. Do the receiving crops differ with those/designatedin the Certified An' ai Waste Management Plan (CAWMP)?
❑ Yes
4 No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
19 No
b) Does the facility need a wettable acre determination?
❑ Yes
9No
c) This facility is pended for a wettable acre determination?
❑ Yes
i[No
15. Does the receiving crop need improvement?
V<Yes
❑ No
16. Is there'a lack of adequate waste application equipment?
❑ Yes
RLNo
Required Records & Documents
IT. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
VO
20. Is facility not in compliance with any applicable setback criteria in effect at the time.of design?
❑ Yes
No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
PNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes
,,T
$� o
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
C�No
24. Does facility require a follow-up visit by same agency?
❑ Yes
ONa
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
AJ
❑ YesNo
yiol'aiigris er deficieit�cie wgre iio(ed i1oriftg this:vjsit; - Y:o� 'W •teegiye Rio
correspondence abatiti this visit:.:. :...::..........:.........:: . .. .
r �c�c k
" ..f,@ //. _Wf a`+s rqn170�/��irS Go. ��rfe
11� ! P Mil ` i a lOt S �' /7 �dS A 7rtlr-�i dY� . ��r Ia +cGtG� i 5 c om; r► q
,b y
lJe p4r� J / ly
y
Reviewer/Inspector Name
Reviewer/Inspector Signature: 69VI. 9(41r Date: 6 - �/- 7

Facility Number: - 1 Date of inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
❑ Yes o
❑ Yes o
❑ Yes E'No
❑ Yes Wo
❑ Yes Jlio
❑ Yes '❑ No

1
'x [j Division of Soil and Water Conservation ❑ Other Agency
K ®Division of Water Quality
IV Routine O Complaint O Fallow -up of DWQ inspection O Follow-up of DSWC review O Other I
Date of Inspection ld-Z 9
Facility Number
Time of Inspection 24 hr. (hh:mm)
© Registered 0 Certified © Applied for Permit © Permitted U Not Operational Date Last Operated:......,•„
Farm Name: .... County:......CQL.Q.......................................
4
Owner Name:..... G 1f`4.L[...5............. ...Qf ,-L� - ` .. Phone No. �3— 3 � .............................
Facility Contact: ......... { . Title:.. ,t'L,U. �... !................
., Phone No: ;U4..............
MailingAddress:.... &....go..... aa ................................. ................................i��t��a).r...i�C~----.----.....................
Onsite Representative:_L..e,....__. s .. Integrator*. .......................
Certified Operator. ............................ .................... - ........................... ............................. Operator Certification Number;-----------------.
Location of Farm:
Latitude =•=' 0" Longitude =0 =' ="
Design Current Design Current" Design Current
Gee esc*x h .y •. ,..:;,, S e »:....
Swine .,y Capacity,Popnlation ':P©ulirys hCapacity'Populahon ,Cattle . x CapacityPopulation
N. . ,H
❑ Wean to Feeder ❑Layer 1 10 Dairy
❑Feeder to Finish ':I[] Non -Layer I A❑ Non-Dairy
r� Farrow to Wean-
❑ Farrow to Feeder Other
" ❑ Farrow to Finish Total Design Capacit_Y_ " ZaD
is
' ❑ Gilts `.
v FAQ z G Total SSLW
,
m: ❑ Boars
s
Number of Lagoons l Holding Ponds ❑Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area
ag , rr: ❑ No L iquid Waste Management Systemn 4
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes A No
2. Is any discharge observed from any part of the operation? ❑ Yes qNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes �No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes—C No
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes No
7/25/97

Facility Number: —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons.14olding Pons Flush Pits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Yes
❑ Yes �o
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft): ..........(............................................ ........................ .... ................................ ................ I ................. .......
10. Is seepage observed from any of the structures? ❑ Yes VNo
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes ONo
12. Do any of the structures need maintenance/improvement? ❑ Yes JtNo
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
P(No
Waste Application
14. Is there physical evidence of over application?
❑ Yes
VENO
(If in excess of WMP, or runoff e e -ng wate of the S te, notify DWQ)
C....... .............. ..... .... ................................. -........................................................................
15. Crop type rr►!!..i 1 .... ci
16. Do the receiving crops differ ith those d:iznated in the Animal Waste Management Plan (AWMP)?
❑ Yes
No
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
No
18. Does the receiving crop need improvement?
❑ Yes
ZNO
19. Is there a lack of available waste application equipment?
❑ Yes
No
20. Does facility require a follow-up visit by same agency?
❑ Yes
No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
22. Does record keeping need improvement?
❑ Yes
No
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
RNo
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
qNo
25. Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
WO
No.violatio'ns,or deficiee c'ies.were-noted-during this:visit.- You4ill reeeive Ro furthei
::correspQtideini:e:abou�this:visit:•:•::::•...•�•:•::-::.• •. � :•::• •::.:..:
3 a ld Ia1 oohs &� Si-4
3 Dkal 4,clals levk 560j.
w 11 be-605&d o � w �-{ t. � � -5'
7/25/97
ReviewertInspector Name
Reviewer/Inspector Signature:
Date: //J -

'�C15 � Division of Soil and Water Conservation - Operation Review
S Division of Soil and Water Conservation -Compliance Inspection t �QJYr
--- 7 0 Division of Water Quality - Compliance Inspection
[3 Other.Agenc} - Operation Review /
14PRoutine O Complaint O Follow-up of D1VQ inspection O FolluNo--up of DSIVC. review O Other
bacfhty Number
Date of InspcClioza ® _
Time of 1€1spection24 hr. (hh:mm)
Permitted Certified 0 Conditionally Certified [3 Registered ❑ Not O crational Date Last Operated:
FarmName: -----.....-•-------•-- -..1.� ................................................... Co�mly:.......,. `Nil.-..- ' itr!"........................
el
Owner Name:....... .. i .��5.- ............................ Phone No. �a........................ S=3
Facility Contact: ....... 475- G..... �.il..�.......... ..Title ....................... ......... Phone No:...................................................
Mailing Address: 8.. 11�t..../'�.�r ................ ts.1L
-.�.P�..fl.......-.r,................................-
Onsite Representative: Jfws!►tM/./"-................................. Intel;rator:.........fY?!'.�5........... ......'7:-....
Certified Operator: ................................... Operator Certification Number:..
Location (if Farm:
r............................................................................ ................... -
Latitude �r�� O.r Longitude �► �� r-�=' __
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder 10 Layer ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer 1E] Non -Dairy
Farrow to Wean
Farrow to Feeder other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons �, ❑ Subsurface Drains Present ❑ Lagoon Area JE1 Spray Field Area
Holding Ponds 1 Solid Traps ❑ No Liquid Waste Nlanagement System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
A a. If discharge is observed, was the conveyance avian -made`!
r h. If discharge is observed- did it reach: ❑ Surface Waters ❑ Waters of the State
c. if dischari�e is observed. what is the estimated flow in s-'allmin?
d. Does dischar�-c bypass a lagoon system`
2. is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts to the waters of the State other than f rom a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Sl}tl Structure 2 5tructurc 3 Structure 1
identifier:
is
freeboard (inches)- .............. . v
s.....
l ... ........................................................................-.......... ....................
...
Structure 5
❑ Yes [%No
❑ Yes Ix No
❑ Yes
,/ANo
rIA-
❑ Yes x No
❑ Yes No
❑ Yes No
❑ Yes ANo
Structure ()
1/6/99 Continued on back

Facility Number: — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ic/ 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 maintenance/improvement?
S. Does any pact of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required top of dike, maximum and minimum
liquid level elevation markings?
KCSI-P
No
V—Yes ❑ No
QQ No
�J
❑ Yes IcNo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes No
11, Is there evidence of over application? ❑ Ponding ❑ Nitrogen ❑ Yes No
12. Crop type z?-�....... Ir-t. S.............:.:. r{ ..�...' ''. i............................................
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? Yes ❑ No
14. Does the facility lack wettable acreage for land application? (footprint) ❑ Yes IX No
15. Does the receiving crop need improvement? Yes ❑ No
16. Is there a lack of adequate waste application equipment? ❑ Yes 'KNO
Required
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
IxYes
❑ No
I8_
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc_)
❑ Yes
No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
Yes
❑ No
20,
is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
q�No
21.
Did the facility fail to have a certified operator in responsible charge?
❑ Yes
(�N0
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) Yes ❑ No
23. Did Reviewer/inspector fail to discuss review/inspection with on -site representative`? ❑ Yes IkNo
24. Does facility require a follow-up visit by same agency? Cl Yes No
0: Nta.vitilations:or def cienries.v► ere nabt A.
during this_ visif:. Ynu will.reiceive nog further.:.. I�
c�rrespondeh&— about: this visit: .......:.:.:... . .....:....... . . ... . .:: .:. _ . . _ .:.:...:...:..... .
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other -comments.. w 7-
Use drawings,of facility to better ezplairi situations. (use additional pages as necessary) -I-I
4V yn
�• �MrwJl / 5 a� TMMO �►�lSar1IAR
�; N-%-C -
Reviewer/Inspector Name ��•79MYl
Reviewer/Inspector Signature: W, _ Date: J + ! 11/6/99

Facility Number: —
Date of Inspection
a
AddihonslComments.andlorDrawtngs:,; � - '�,;, r �` fi ,�':��,�< r •s.:.
3. k# ce01,r� C1 ` Gti�✓LP 1� 4�a�
jig
,w4vlaj
kyv-F Gxvaj Pe-� J- Qcto n,,l a
t �
f
Alj�
Pikcl,� aC ���
7/25/97

Division of Soil and Water Conservation [3 Other Agency
bivision of Water Quality
Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DSNVC review Q Other
Date of Inspection
Facility Number
Time of Inspection 3: 30 24 hr. (hh:mm)
© Registered 0Certified [3 Applied for Permit [3 Permitted 113 Not OperationalOperationall Date Last Operated;,,,,,,,,,,,,,
1
Farm Name:/'�.... • L _L '0-_(L.t .. L._ . yO. ................................... County:.... L�..4...[.Q ................ ~� ..
Owner Name: ..ECLri `..a lt'5.......�"¢,.oat. ...,lr.�.............................. i'hone No:..2-�4....-.2.la..T....�.......................................
Facility Contact: L tJ 1
...r.................................... Title &M......M. ........................... Phone No: ................
.. ..�LNal.trr ?I Mailing Address:J ........................ ......fi............ ................ .4• Onsite Representative:.,1- GS ..... .. g ................................................................ Integrator: --.
Certified Operator: .......... _................................................................................................... Operator Certification Number;.........................................
Location of Farm:
Latitude 0• 4 " Longitude • ' 0"
Design Ciierent g;Design CurrentrI?esignNCurrent`
Svvme fiipacify Population.
. y
Poutiry�apacityPopulation *Cat#le CapaciiyPopiilation
1 y❑
`� ❑ Wean to Feeder
❑ Layer Dairy
❑ Feeder to Finish
m` ❑ Non -Layer - ❑ Non -Dairy
Farrow to Wean 12, 00
- �`"" `�'
:M
[I Farrow to Feeder
�. � a �:.� ��''' �'' �•.��.
❑ Other b r r a z>c b
❑ Farrow to Finish"'
. Total Des>I n Ca nett [o
❑ Gilts
ry
_kx otal SSLW
❑ Boars
,
-.,...-,.,�,..
T�.
v.: P/P k.,.(.O .., ,r,ieltdb'b?. •3 xrtk?`�4 `�; Ck .: .F?NY<r,E..fiV ,•,« .�,'.
Number of Lagoons / Holduzg Ponds
' ❑ Subsurface Drains Present ❑ Lagoon Area V3 Spray Field Area
't- .vK � 6R r•�� ��agps@ �.; Rt Sx� �'3=,c 5Rn?•$ �'�" .• �K a T
a ❑ i`o Liquid Waste Management System s�
General
1. Are there any buffers that need maintenancelimprovement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (if yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in-at/min?
A. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
❑ Yes 11J No
❑ Yes /g\ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
ANo
❑ Yes
P(No
❑ Yes
JqNo
❑ Yes No
❑ Yes No
Continued on back

1
Facility Number:
S. Are there lagoons or storage ponds on site which need to be properly closed?
Structures fLagoons,Holdinz Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure ? Structure 3
Identifier: ^'!o��.�.- L.o�r a
ff f
Freeboard(ft): 1..0.................... ............ ..................... .............................
10. Is seepage observed from any of the structures?
Structure 4
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
Yes ❑ No
❑ Yes NNo
Structure 5 Structure 6
❑ Yes PNo
❑ Yes �No
❑ Yes kNo
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
B. Do any of the structures lack adequate minimum or maximum liquid level markers? [] Yes qNo
Waste Application
14. Is there physical evidence of over application? ❑ Yes foNo
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ............................ _................................... .............. .-........... ............ ........ ................ ................ ............... _..............
16. Do the receiving crops differ wi those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes KNo
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
MNo
18.
Does the receiving crop need improvement?
❑ Yes
� No
19.
Is there a lack of available waste application equipment?
❑ Yes
No
20.
Does facility require a follow-up visit by same agency?
❑ Yes
i No
21.
Did Reviewer/Inspector fail to discuss reviewrnspection with on -site representative?
❑ Yes
kyNo
22.
Does record keeping need improvement?
❑ Yes
0 No
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
krNo
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
PfNo
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
❑ No
No.violations,or deficiencies.were-noted-duritig this:visiC You:wiH i&e' i'Ve-IIof iiheir-.'
:. • corresphndenee about -this: visit:- : � - .. • � - ' • . - :: � :: • . : . :: • . � . • • . : � :. � .. • :.
erc�at►tin re^ouc�-kOK- Old [0-300v5 LOA 6z C1054 out
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature:T�L I Date:12- - 7�

Site Requires Immediate Attention: A10
Facility No. S 3 - /7
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: Scx t4 1 ` ' 1995
Time: O 3 : 00
Farm Name/Owner: No. 7 3 68' / Carroll s_ ocool xmc .
Mailing Address:_ Rt �4L - Fie/dareTe Rd, La-uc-imhaea NC 2S35Z. _
County: -- Sc :o f ! au _
Integrator: Phone:
On Site Representative: Phone: C 9/0) 27 ( - 72 G Z
Physical Address/Location: Sly / 30.3 woes o-F L4X"j iybu =s o f'f 0+ us Nun 7�
Type of Operation: Swine ✓ Poultry Cattle
Design Capacity: 351?8 Fa,-F" Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: ° q I?' Z& " Longitude: -7 ° 30' 4 "
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of I Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) (�]e or No Actual Freeboard: 4 Ft. 2 lnches
Was any seepage observed from the la oon(s)? Yes o No Was any erosion observed? Yes o No
Is adequate land available for spray. nor No Is the cover crop adequate? Yes or No
Crop(s) being utilized: /3eY-sK tkA a. _
Does the facility meet SCS minimum setback criteria? 200 Feet from
Dwellin s? Yes r No
100 Feet from Wells? es r No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or N
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line: Yes o No
Is animal waste discharged into water of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or N& If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Ye or No
Additional Comments: _ Rea , s4z eecl 4�r 41 o ri !
- /Q;c.Kx Reue.(s-
Inspector Name
R 9el�
Signature
-cc: Facility Assessment Unit Use Attachments if Needed.