310353_INSPECTIONS_20171231

NORTH CAROLINA ..�
Department of Environmental Qual

North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor
Secretary
November 6, 2015
Donnell Kornegay
Kornegay Brothers Farm
320 Scotts Store Road
Mt. Olive, NC 28365
Subject: Sludge Survey Testing Dates
Certificate of Coverage No. AWS310353
Kornegay Brothers Farm
Animal Waste Management System
Duplin County
Dear Donnell Kornegay:
The Division of Water Resources (Division) received your sludge survey information on
November 5, 2015. With the survey results, you requested an extension of the sludge survey
requirement for the lagoon at the Kornegay Brothers Farm facility. Due to the amount of
treatment volume available, the Division agrees that a sludge survey is not needed until 2018 for
your lagoon.
The next sludge survey for the lagoon at Kornegay Brothers Farm facility should be performed
before December 31, 2018.
Please call me at [phone] if you have any questions.
Sincerely,
J.R. Joshi
Animal Feeding Operations Program
Division of Water Resources
CC' Wilmington Regional Office, Water Quality Regional Operations Section
Permit File AWS310353
REGEIVEDIMDENR/M
N0, V 13 2015
Water Quality Regional
1636 Mail Service Center, Raleigh, North Carolina 27699-1636 Operations Section
9 Wilmington Regional Office
Phone: [phone] Internet: http:/twww.ncwater.org
An Equal Opportunity 4 Affirmative Action Employer - Made in part by recycled paper

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Donnell Kornegay
Kornegay Brothers Farm
320 Scotts Store Road
Mt. Olive, NC 28365
Dear Donnell Kornegay:
Donald R. van der Vaart
Secretary
February 12, 2015
Subject: Sludge Survey Testing Dates
Certificate of Coverage No, AWS310353
Kornegay Brothers Farm
Animal Waste Management System
Duplin County
The Division of Water Resources (Division) received your sludge survey information on
February 11, 2015. With the survey results, you requested an extension of the sludge survey
requirement for the lagoon at the Kornegay Brothers Farm facility. Due to the amount of
treatment volume available, the Division agrees that a sludge survey is needed by 2015 for your
lagoon.
The next sludge survey for the lagoon at Kornegay Brothers Farm facility should be performed
before December 31, 2015.
Please call me at [phone] if you have any questions.
Sincerely,
J.R.Joshi
Animal Feeding Operations Program
Division of Water Resources
cc: Wilmington Regional Office, Water Quality Regional Operations Section
Permit File AWS310353
ECEUE.
FEB 13 2015
N 27 - (� 1636 Mail Service Center, Raleigh, North Carolina G�� iG3G BY.
Phone: 919M7-64641 Internet: http:/Awm.ncwater.org
An Equal Opportunity 1 Affirmafive Acfion Employer — Made in part by recycled paper

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
October 27, 2010
Donnell Komegay
Komegay Brothers Farm
362 Scotts Store Road
Mt. Olive, NC 28365
Subject: Sludge Survey Testing Dates
Certificate of Coverage No. AWS310353
Kornegay Brothers Farm
Animal Waste Management System
Duplin County
Dear Donnell Komegay:
The Division of Water Quality (Division) received your sludge survey information on October
26, 2010. With the survey results, you requested an extension of the sludge survey requirement
for the lagoon at the Komegay Brothers Farm facility. Due to the amount of treatment volume
available, the Division agrees that a sludge survey is not needed until 2014 for your lagoon.
The next sludge survey for the lagoon at Komegay Brothers Farm facility should be performed
before December 31, 2014.
Thank you for your attention to this matter. Please call me at [phone] if you have any
questions.
Sincerely,
J. R. 3.6shi
Animal Feeding Operations Unit
cc: Wilmington Regional Office, Aquifer Protection Section
Duplin County Soil and Water Conservation District
Permit File AWS310353
1636 Mail Service Center. Raleigh, North Carolina 27699-1636
Location: 2725 Capital Blvd., Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Servlce: 1-877-623-6748
tntemet www,ntwatemiialitv.nm
RECEIVED
OCT 2 g �010
BY:
NorthCarolina
Naturally
An Eoual bnnnrtunb V Affirmative Action EmnIOVPr

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Kornegay, Rodney
Paradise Hog Farm & Camp Branch
1138 Red Hill Rd
Mount Olive, NC 28365
Dear Permittee,
Division of Water Quality
Coleen H. Sullins
Director
June 28, 2010
Subject: Notice of Violation
Paradise Hog Farm & Camp Branch
Permit Number AW S310354
Duplin County
Dee Freeman
Secretary
As of this date, our records indicate that the above -referenced permit issued to your facility has
overdue fees. It is both a condition of your permit and required by Rule 15A NCAC 2T .0105(e) (2) to
pay the annual administering and compliance fee within thirty (30) days of being billed by this Division.
The following invoices are outstanding:
Invoice Number
Invoice Date
Due Date
Outstanding Fee (S)
2009PRO11890
11 /11/2009
12/11/2009
180.00
2008PRO12022
12/10/2008
1/9/2009
180.00
TOTAL
360.00
Please be reminded that the table above covers the period between Years 2006 and 2009. Please
also include payments for invoices that you received in 2010 and any other year for which the anuual
fees are still due.
Failure to pay the fee accordingly may result in the Division initiating enforcement actions, to
include the assessment of civil penalties. Failure to comply with conditions in a permit may result in a
recommendation of enforcement action, to the Director of the Division of Water Quality who may issue a
civil penalty assessment of not more that twenty-five thousand ($25,000) dollars against any "person"
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit under
authority of G.S. 143-215.6A. Therefore, it is imperative that you submit the appropriate fee as requested
within thirty (30) days of this Notice of Violation.
Z —.
JUN 3 0 2010
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
i_ocapon: 2728 Capital Blvd.. Raleiah. North Carolina 27604 One
?hone: 919-7 33-32211 FAX'. 919-715-05881 Custome 7 Service. 1-87 r-623-8749 N olth C aroli n a
intemet: www.ncwaterauaiity.arg Naturally
,
An z_aaal Ooporrn!nq 1 Afirmalive Action =-mplove; � �/ FiE!/✓,(

Please remit the payment, made payable to the North Carolina Department of Environment and
Natural Resources (NCDENR), in the above amount. Please include Permit Number on your check and
mail this payment to:
Division of Water Quality — Budget Office
Attn: Fran McPherson
1617 Mail Service Center
- Raleigh, NC 27699-1617
If you have any questions concerning this Notice, please contact J. R. Joshi at [phone] or
[e-mail].
Sincerely,
Keith Larick, Supervisor
Animal Feeding Operation Unit
cc: Wilmington Regional Office, Aquifer Protection Section
APS Central File (Permit No AWS310354)

P14ME)PENR
North Carolina Department of Environment and Natural Resources
Bevedy Eaves Perdue
Governor
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Kornegay, Donnell
Kornegay Brothers
320 Scott Store Rd
Mount Olive, NC 28365
Dear Permittee,
Division of Water Quality
Coleen H. Sullins
Director
June 28, 2010
�..4`
Subject: Notice of Violation
Kornegc y Brothers
Permit Number AWS310353
Duplin County
Dee Freeman
Secretary
- 4 V r�
JUt Q r 2010 i
f
As of this date, our records indicate that the above -referenced permit issued to your facility has
overdue fees. It is both a condition of your permit and required by Rule 15A NCAC 2T .0105(e) (2) to
pay the annual administering and compliance fee within thirty (30) days of being billed by this Division.
The following invoices are outstanding:
Invoice Number
Invoice Date
Due Date
Outstandine Fee ($)
2008PR0O1480
2/11/2009
3/12/2008
180.00
2007PR001429
2/8/2007
3/10/2007
150.00
TOTAL
330.00
Please be reminded that the table above covers the period between Years 2006 and 2009. Please
also include payments for invoices that you received in 20I0 and any other year for which the anuual
fees are still due.
Failure to pay the fee accordingly may result in the Division initiating enforcement actions, to
include the assessment of civil penalties. Failure to comply with conditions in a permit may result in a
recommendation of enforcement action, to the Director of the Division of Water Quality who may issue a
civil penalty assessment of not more that twenty-five thousand ($25,000) dollars against any "person"
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit under
authority of G.S. 143-215.6A. Therefore, it is imperative that you submit the appropriate fee as requested
within thirty (30) days of this Notice of Violation.
1635 Mail Service Center, Rale'lgh, North Carolina 27699-1636
Location: 2728 Capital Slue.. Raleigh. Nariin Carolina 27604
Phone: [phone]=AX: 919-715-05881 Customs., Service: 1-877-623-6748
Internet: wwva=ovate quality.orq
An Eouai Opmrtunity i Atrrriative Action Emimyer
North Carolina
Alatitrallly

Please remit the payment, made payable to the North Carolina Department of Environment and
Natural Resources (NCDENR), in the above amount. Please include Permit Number on your check and
mail this payment to:
Division of Water Quality —Budget Office
Attn: Fran McPherson
1617 Mail Service Center
Raleigh, NC 27699-1617
If you have any questions concemmg,this Notice,.please contact J. R. Joshi at [phone] or
at [e-mail].
Sincerely,
/-.
Keith Larick, Supervisor
Animal Feeding Operation Unit
cc: ihnington Regional Office, Aquifer Protection Section
APS Central File (Permit No AWS310353)

_ - 770
- - y
. Murphy -Brown, LLC 5/22/2007 2822 Hwy 24 West
P.O. Box 856
Warsaw, NC 28398
Grower(s ):
Farm Name.
County: ,
NUTRIENT UTILIZATION PLAN 3�
Donnell Kornegay
Kornegay Brothers Finisher
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Wean to Feeder
Feeder to Finish
2448
Storage Structure:
Anaerobic I
Storage Period:
>180 days
Application Method:
Irrigation
The waste from your animal facility must be land applied at a specified rate to prevent pollution
of surface water and/or.groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops in the fields where the waste
is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient. Waste should be analyzed
before each application cycle. Annual soil tests are strongly encouraged so that all plant
nutrients can be balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan in order to maximize
the fertilizer value of the waste and to ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be grown and the nutrient
content of the waste. Do not apply more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration rates, leaching potentials,
yu
cation exchange capacities, and available water holding capacities.
3. Normally waste shall be applied to land eroding at less than 5 tons per acre per
year. Waste may be applied to land eroding at 5 or more tons per acre annually, but
less than 10 tons per acre per year providing that adequate filter strips are established.
4. Do not apply waste on saturated soils, when it Is raining, or when
Either of these conditions may result in runoff to surface waters wh€ch €s no# al oweT�
under DWQ regulations. APR 0 3 Zoog
5. Wind conditions should also be considered to avoid drift and do]Wd odor
problems.
6. To maximize the value of the,nutrientVor crop production and to.reduce the potential
for pollution, 1he waste should be applied! to a growing crop or applied not more than
30 days prior to planting a crop or forages breaking dormancy. Injecting the waste or
disking will conserve nutrients and reduce odor problems.
1 of 8

This plan is based on the waste application method.strown above:. If you choose to change
methods In the future, you need to revise this plan.' Nu' hfent levels for.differerit_application
methods are not the same. -
The estimated acres needed -to apply the animal waste is based:on. typical'hutrient content
for this type of facility. in some `case.s you maywanfto haveIplant analysis mad6. Which could
allow additional waste:to:be"appiiad. .Provisions shall be made'for tt e,area receiving waste to'
be flexible so as to accommodate changing;waste analysis`content and'crop type: Lime must
be applied to maintain pH in the optimum range for speciflccrop production.
This waste utilization plan, if ca0ed out meets the requirements for -compliance with 15A NCAC
2H .0217 adopted by the Enviin6nrnental Management Commission. `
AMOUNT OF WASTE PRODUCED PER YEAR (..gallons; ft3 tons" etc.):
-Ca . ci Type Waste Produced, r-Anirnal Total :.
Farrow to Wean
3212'gaVyr
gat/yr
Farrow to Feeder
4015,gallyr
gaftyr
Farrow. to Finish'
10585 gal/yr
gavyr
Wean to Feeder
223 gaityr
gal/yr
2448
feeder to Finish
' :986
2,413.728 a
',,Total,-,: :2,413,728,:,9.al1yr
AMOUNT OF PLANT AVAILABLit-NITROGEN'PRODUCED `PER YEAR (lbs):
,T :..Nitrogen Produced` rAnljrral= Total
Farrow to Wean
5.4 Ibslyr
Ibs/yr
Farrow'to Feeder
6.5 lbslyr
IbsJyr
Farrow to Finish
26lbsl'yr
Ibsiyr
Wean to Feeder'
0.4.6 Ibs/yr.. ,
Ibslyr .
2.448
.:.".. Feeder,to Finish
2.3.1
5,630 1bs/yr
Total-. ••, 5,630 1
Applying the•above amount of waste is a big job. You* should plan Alme and have appropriate
equipment to apply the waste in a timely manner.
LAND UTILI2ATtON SUMMARY
The following table describes the nutrient balance and land. utilization rate for this facility
Note that the. Nitrogen Balance for Crops indlcates the'ratio of the amount of nftrogen produced
on this.facillty to the arnounf of nitrogen that the crops under. Irrigation may uptake and'utilize
in the normal growing season.
Total'Irrigated Acreage: . 60.:66
Total N'Reouired i:st Year: 10308.002
Total N Requlred''2nd"Year: 5921:152
Average Annual Nltrciger►.Requirement of.Crops: 8,114.58
Total. Nitrogap Produced b`y_Farm:.. 5;630.40
Nitrogen Balance for Crops: - (2,484.18)
The following table describes the specifications of"the:hydrants and; fields that contain the crops
b0ighkgd for,utiliiation of.the nitrogen produced on`this facill f •;This'6hart.describestpe sole,.
soil characteristics; and uptake rate for each crop in the specified crop rotation schedule. for this
facility.
2of8

Acreage Typ2 Code, I�pply YleW AbiNJUnit Reildual IA6 Utjlllz�d.,
If, 16 1 ri. fill M If,11jo IF': I �llllllllllllllF I (If
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���®®�■�®tee®®®��®®®®®®®
���®®�■®�r�■e�®®�■�■®®rr�®®wee®®��
'��a�r®��®�e®®��®®�®®®®e■�®nn®ate®
�■�ru��n■�u�—®®®�®®��®���®®®ins®
Lr n
3(a) of 8

Reception Area Specifications
Tract Field Irrigated Soil 1st Crop Tlmo to 1st Crop 1st Crop Lba N AC' N Tdal lea N nd Crop .Time to 21d Crop .2nd Crop Lbs WAG Lbs N Total tbs N ,. Total Total tea N
Acreage_._. Type Code _ ApplyYield IbsN/Unll Residual,'._._.JAc. UHllzed? Code . App! Yleld__:_lbsN/Unit Residual.__<!Ae Utilized'_7. LbsN/Ac Utilided`'
Totals:60.66
5921-152
0
3(b) of 8

This plan does riot include commercial. fertilizer. The -farm should produce adequate plant
available nitrogen,to satisfy the requirements of the crops listed above.
The applicator is cautioned that P and K maybe over applied while meeting the N.requirements.
In the:future, regulations may require farmers in some parts of North Carolina to have a nutrient
management plan that addresses all nutrients_ This plan only addresses nitrogen.
In interplanted fields ( i.e_ small grain, etc, interseeded In bermuda), forage must be removed
through grazing, hay, and/or silage. Where grazing, plants should be grazed when they
reach a height of six to nine inches. Cattle should be removed when plants are grazed to a
height of four inches. In fields where small grain, etc, is to be removed for hay or silage, care
should be exercised not to let small grain reach maturity, especially late•in the season (i.e..
April or May). Shading may result if small grain gets too high and this will definately interfere
With stand of bermudagrass. This loss of stand will result in reduced yields and less nitrogen
being utilized. Rather than cutting small grain for hay or silage just. before heading -as; is
the normal situation, you are encouraged to cut the small:grain earlier. You may want to
consider harvesting hay or silage'two to three times during the season, depending on the
time small grain is planted In the fall.
The ideal time to Interplant small grain, etc, .is late September or early October. Drilling"is
recommended over broadcasting. Bermudagrass should be grazed or cut to a height of
about two inches before drilling for best results.
CROP' CODE. LEGEND
Crop Code Crop
A Barley
B Hybrid Bermudagrass - Grazed
C Hybrid Bermudagrass - Hay
D Com - Grain
E Corn - Silage
F Cotton
G Fescue - Grazed
H Fescue- Hay
I Oats
J Rye
K Small Grain - Grazed
L Small Grain -Hay
M Grain Sorghum
N Wheat
O Soybean
P Pine Trees
Lbs N utilized 1 unit yield
1.6 lbs; N / bushel
50 lbs N-/ ton
50 lbs N / ton
1.25 lbs N / bushel
12 lbs N I ton
0.12 lbs N / lbs lint
50 lbs N I ton
56 lbs N 1 ton
1.3 lbs N 1 bushel
2.4 lbs. N /.bushel
50 lbs N / acre
50 lbs; N / acre
2.5 lbs N / cwl
2.4 lbs N / bushel
4.0 lbs N / bushel
40 lbs N I acre 1 yr
Acres shown in the preceding table are considered to be the usable: acres excluding
required buffers, filter strips along ditches, odd areas unable to be irrigated, and perimeter areas
not receiving full application rates due to equipment limitations. Actual total acres in the fields
listed may, and most likely will be, more than'the acres shown in the tables.
See attached map showing the fields to be used for the utilization of animal waste.
4 of 8

SLUDGE APPLICATION:
The following table describes the annual nitrogen accumulation rate per animal
in the lagoon sludge
Faris Specifications PAN/ /animal -Farris Total) r
Farrow to Wean 0.84
Farrow to Feeder 1
Farrow to Finish 4.1
Wean to Feeder 0.072-
2448 Feeder to Finish 0.36 881.28
The waste utilization plan must contain provisions for periodic land application of sludge at
agronomic rates. The sludge will be nutrient.rich'and will require.precautionary: measures to
prevent over application of nutrients or other elements. Your .production facility will.prodoce
approximately 881.28 pounds of plant available n€trogen'per year will accumulate in the lagoon
sludge based on the rates of accumulation`listed'above.
If you remove the sludge every 5 years, you will have approximately.4406.4 pounds of plant
available nitrogen to utilize. Assuming you apply this PAN,to'hybrid bermuda grass hayland at the
rate of 300 pounds of nitrogen per acre, you will need 14 acreas. of land. If you apply the sludge
to com at a rate of 125 pounds per acre, you will need 35.2512 acres of land. Please note that these
are only estimates of the PAN produced"and-the land required to'util'ize that PAN. Actual values
may only be determined by sampling the sludge for plant available nitrogen content prior to application
Actual utilization rates will vary with soil type, crop, and realistic yield expectations for the specific
application fields designated for sludge application at time of removal.
APPLICATION OF WASTE BY IRRIGATION:
The irrigation application rate should_ not exceedAhe intake rate of;the.-soil at the time of irrigation
such that ninoff or ponding occurs. This rate is limited by initial soil moisture content, soil
structure, soil texture, water droplet size, and organic solids. The application amount should not
exceed the available water holding capacity of the soil at the time of irrigation nor should the
plant available nitrogen applied exceed the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan, it is the responsibility of the
producer and irrigation designer to ensure that an irrigation system is installed to properly
irrigate the acres shown in the preceding table.' Failure to apply the recommended rates and
amounts of nitrogen shown in the tables may make this plan invalid.
`This is the maximum application amount allowed for the,soil assuming the amount
of nitrogen allowed for the crop is not over applied. in many situations, the application
amount shown cannot be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil conditions.
Your facility is designed for >180 days of temporary storage and -the temporary storage must
be removed on the average of once every fi months. In no instance should the volume of the
waste stored in your structure be within the 25 year 24 hour storm storage or one foot of
freeboard except in the event of -the 25 year 24 hour storm..
It is the responsibility of the producer and waste appiicator.to ensure that the spreader equipment
is operated properly to apply the correct rates to the acres shown in the tables. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid.
Call your technical specialist after you receive -the waste. analysis report for assistance in
determining the amount of waste per acre and the proper application prior to applying the waste.
5of8

Application Rate�Guide
The following.is-provided as a guide for establishing application, rates and amounts.
Soil
Application -Rate
Application Amount
Tract-
Hydrant
Type-
Crop.
inlhr
* inches _
T5504
1
AuB
D
0.6
1
T5504
2
AuB
D
0.6
1.
T5504
3
AuB
D
0.6
1
T5504
4
AuB
D
0.6
1
T5504
5
AuB
D
0.6
1
T5504
6
AuB
D
0.6
1
T5504
7
AuB
D
0.6
1
T5504
8
AuB
D
0.6
1
T5504
9
AuB
D
0.6'
1
T5504
10
AuB
D
0.6
1
T5504
i 1
AuB
D
0.6
1
T5504
12
AuB
D
0.6
1
subl-7
AuB
D
0.6
1
Leased
subl3
AuB
Tobacco
0.6
1
6of8

Additional Comments:
The subfield acres shown on this plan.are picked up usin, -thg a honeywagon.
Subtield 13 is with a pumping agreement and is_optional.
7of8

NUTRIENT'UTILIZATION. PLAR CERTIFICAMN. _
Name of Farm: Kornegay Brothers Finisher
Owner: Donnell Kornegay
Manager:
Owner/Manager Agreement:
Ilwe understand and'will follow and implement the specifications and the operation and
maintenance procedures established in the approved animal waste nutrient management
plan for the farm named above. I/we know that any expansion to the existing, design capacity
of the waste treatment and/or storage system, or construction of. hew facilities, will require a
new nutrient management plan and a new certification to be submitted.to DWQ before the new
animals are stocked.
Ilwe understand that l must own or have access.Wequipment; primarily irrigation equipment,
to land apply the animal waste described in this nutrient management plan: This equipment
must be available at the appropriate'pumping time such that no discharge occurs from the lagoon
in the-eventof a 25 year 24 hour storm. I also certify thaf the waste will be. applied on -the land
according to this plan -at the appropriate times and at'rates which produce no run6ff.
This plan will be filed on site at the farm office and at the office of the local Soil and Water
Conservation District and will be available for review by-NCDWQ upon request.
Name of Facility Owner: Donnell Kome a
Signature: d
Date
Name of Manager (if different -from owner):
Signature:
Date
Nam_ a of Technical Specialist: Toni W. King _
Aff€Nation: Murphy-Brown,-LLC.
Address: 2822 Hwv 24 West., PO'Drawer 866
Signature:
Warsaw, NC 28398
Telephone: [phone] . _
� K
Date
8 of 8

NUTRIENT UTILIZATION, PLAN
REQUIRED SPECIFICATIONS,
Animal waste shall not reach surface waters of the state- by runoff, drift, manmade
conveyances, direct application, or'direct'discharge during,operation or land application.
Any discharge of waste which reaches surface water is prohibited.
2 There must be documentation in the design folder that the producer either owns or has an
agreement for use of adequate.land on which to properly:apply the waste. If the producer
does not own adequate land to properly dispose of the waste, he/she shall provide
evidence of ' an agreement with a landowner, who is within a reasonable proximity,
allowing- him/her the use of the land for waste application. It is the responsibility of the
owner of the waste production facility to secure an' update of the Nutrient Utilization Plan
when there is a change in the .operation, increase in the number of animals, method of
application, recievinq crop type, or available land.
Animal waste shall be applied to meet, but not exceed,.the nitrogen needs for realistic crop
yields based upon soil type, available moisture, historical data, -climatic conditions, and
level of management, unless there are regulations that restrict the -rate of applications for
other nutrients.
4 Animal waste shall be applied to land eroding less than.5 tons per acre per year. Waste
may be applied to land eroding at'more than 5 tons per acre per year but less than 10 tons
per acre per year provided grass filter strips are installed where runoff leaves the field (See
USDA, NRCS Field Office Technical Guide Standard 393 - Filter Strips).
5 Odors can be reduced by injecting the waste or disking after waste application. Waste
should not be applied when there is danger of drift from the land application field.
6 When animal waste is to be applied on acres -subject to flooding, waste will be soil
incorporated on conventionally tilled cropland. When waste is applied to conservation tilled
crops or grassland, the waste may be broadcast provided the application does not occur
during a season prone to flooding (See "Weather and . Climate in North Carolina" for
guidance).
7 Liquid waste shall be applied at rates not. to exceed the soil infiltration rate such that runoff
does not occur offsite or to surface waters and in a method' which does not cause drift
from the site during application. No ponding should occur in order to control odor and flies.
8 Animal waste shall not be applied to saturated soils, during rainfall events, or when the
surface is frozen.
1 of 3

NUTRIENT'UTILIZATIOWPLAN
REQUIRED SPECIFICATIONS
(continued)
Animal waste shall be applied on actively growing crops in such a manner that the crop is
not covered with waste to a depth that would inhibit growth. The potential for salt damage
from animal waste should also be considered.
10 Nutrients from waste shall not be applied in fall -or winter for spring planted crops on soils
with a high potential for leaching. Wastetnutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to take up released nutrients.
Waste shall not be applied more than 30-days prior to,planting of the .crop or forages
breaking dormancy.
11 Any -new swine facility sited on or after October 1;.1965 shall comply with the following:
The outer perimeter of the land area onto which' waste is applied from, a- lagoon, that is a
component of a swine farm shall be at least 50.feet from any residential property boundary
and canal. Animal waste, other than swine waste from facilities sited on or after October 1,
1995, shall not be applied closer than 25 feet to perennial waters:
12 Animal waste shall not be applied closer than 100 feet to wells.
13 Animal waste shall not be applied closer than 200 feet of dwellings other than those
owned by the landowner.
14 Waste shall be applied in a manner not to reach other property and public right-of=ways.
15 Animal waste shall not be discharged into surface waters, drainageways, or wetlands by
discharge or by over -spraying. Animal waste may be applied to prior converted cropland
provided the fields have been approved as a land application site by a "technical
specialist". Animal waste shall not be applied on grassed waterways that discharge
directly into water courses, and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from the site.
16 Domestic and industrial -waste from washdown facilities, showers, toilets, sinks, etc., shall
not be discharged into the animal waste management system.
2of3

NUTRIENT WILIZAT10N.IpLAN
REQUIRED SPECIFICATIONS
(continued)
17 A protective cover of appropriate vegetation will be. established on all disturbed areas
(lagoon embankments, berms, pipe runs; etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, .and other woody species, etc.,
are limited to areas where considered appropriate.. Lagoon areas should be'kept mowed
and accessible. Berms and structures should be'inspected regularly -for evidence of
erosion, leakage, or discharge.
18 If .animal production. at the facility is to :be suspended, or terminated, the owner is
responsible for' obtaining and implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19 Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks and spills. A regular maintenance -checklist should be
kept on site.
20 Animal waste can be used in a rotatiomthat includes vegetables and other crops for direct
human consumption. However, 'if animal waste is used on crops for direct human
consumption,, it should only be applied pre -plant. with no -further applications of animal.
waste during the crop season.
21 Highly visible markers shall be installed to mark the 'top and: bottom elevations of the
temporary storage (pumping volume)of all- waste treatment lagoons.. ,Pumping shall be
managed to maintain the liquid level between the markers. -A marker will be required to
mark the maximum storage volume for waste storage ponds.
22 Waste shall be tested within 60 days.of utilization and soil shall be tested at least annually
at crop sites where waste products are applied: Nitrogen shall be the rate=determining
nutrient, unless other restrictions require waste to be applied based on other nutrients,
resulting in a lower application rate than a nitrogen based rate. Zinc and copper levels in
the soil shall be monitored and alternative: crop sites shall be used when these. metals
approach excessive levels. pH shall be 'adjusted and ,maintained for optimum crop
production. Soil and waste analysis records shall be kept for a minimum of five years.
Poultry dry waste application records shall be maintaine& for a minimum of three years.
Waste application records for all other waste shall be maintained for a minimum of five
years.
23 Dead animals will be disposed of in a manner that meets North Carolina regulations.
3 of 3

of
CERTIFIED MAIL
1tETURN RECEIPT REOUESnD
DONNELL KoRNEGAY, JR.
320 Scoz-rs STORE ROAD
MT. OLIVE NC 28365
Dear Donnell Kornegay, Jr.:
Michael FEasley, Governor
--�� tWilliam&oss Jr., Secretary
North Carolina Department of Environment and Natural Resources
W. Klimek, P.E. Director
Division of Water Quality
Subject: Notice of Violation and Revocation for Nonpayment
Kornegay Brothers
Permit Number: AWS310353
Duplin County
In accordance with North Carolina General Statute 143-215.10G, all animal operations who receive an animal
waste management system permit will be charged in each year of the term an annual permit fee. Annual permit fees are
billed following the issuance of the permit and then annually thereafter on the anniversary of that date. Your animal waste
management system permit was issued on 1/4/1999.
Your annual permit fee for the period of 1/4/2003 - 1/3/2004 is $150.00. Your payment was due 3/9/2003.
Because this fee was not fully paid within 30 days after being billed, this letter initiates action to revoke the subject permit,
pursuant to 15 NCAC 2H .0205 (c) (4). and G.S. 143-215.1 (b) (3).
Effective 60 days from receipt of this notice, the subject permit is hereby revoked unless the required Annual
Animal Waste Management System Permit fee for your animal operation is received within that time. Operation of an
animal waste management system without a valid permit is a violation of North Carolina General Statute 143-215.1 and is
subject to the assessment of a civil penalty of up to $10,000 per day. Your payment should be sent to:
N.C. Department of Environment and Natural Resources
Division of Water Quality
Budget Office
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If you have any questions, please contact Fran McPherson at [phone] ext. 210.
Sincerely,
a44"4:;t�
Alan W. Klimek, P.E.
cc: Non -Discharge Branch Compliance/Enforcement Unit
CW.ilming on Regional_.Office.)
Duplin County Health Department
Permit File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer paper

?� ANIMAL FACILITY ANNUAL CFRT'IFIEATION FOR!
Certificate of Coverage or I'emlit Number�Qj County ( Year 200 3
Facility Name (as shoe on Certificate of Coverage or Permit)„ . ()rAV�_ t K Aers
Operator in Charge for this Faciiit; ann _ KOr'npga i4 ck. Certification 4 jq&6 3
Land oplication of animal waste as alloyed by the above permit occurred during the past calendar year,
YES NO_ If NO, skip Part I and Part I1 and proceed to the certification_ Also, if animal waste
was generated but not land applied; please attach an explanation on how the animal waste was handled.
Fart 1 : F acifity Information:
1. Total number of application Fields n or Pulls Y(please check the appropriate box) in the Certified Animal
Waste Management Plan (CAWMP): - i Total Useable Acres approved in the CAWIAP
t
2. Total number of Fields ❑ or Pulls r (please check the appropriate box) on which land application
occurred during the year: Total Acres on which waste was applied ,0 q_ d-_____
3. Total pounds of Plant Available ?\itrogen (PAN) applied during the year for all application sites:
Cq
4. Total pounds of Plant Available Nitrogen (PANT) allowed to be land applied annually by the CAWMP and
the ryerrnit: g (o . `75
5. Estimated amount of total manure, litter and process wastewater sold or given to other persons and taken
off site during the near ZOD tons L` or gallons (please check the appropriate box)
6_ Annual averagp, number of animals by type at this facility during the previous year:
i. Largest and smallest nutrtber of animals by type at this facility at any one time during e —Previous year:
Largest N -
Smallest
(These numbers are for informational purposes only since the only permit limit on the number of animals
at the facility is the annual average numbers)
8_ Facility's Integrator if applicable:
Part 11: Facility Status:
IF THE ANSWER TO ANY STATEMENT BELOW IS "NO". PLEASE PROVIDE A WRITTEN
DESCRIPTION AS TO WHY THE FACILITY WAS NOT COMPLIANT, THE DATES OF ANY NON
COMPLIANCE, AND EXTLAIT CORRECTIVE ACTION TAKEN OR PROPOSED TO.BE TAKEN TO
BRXNG THIS FACILITY BACK INTO COMPLIANCE.
Only animal Nvaste generated at this facility was applied to the permitted sites during es !- No
,he cast calendar year.
BEGFIV Ed
AFACF 3-14a03
MAR Q 20D4
Non���fiz�

?. The facility was operated in such a way that there was no direct runoff of v asie from
Yes L No
,be facility (including the houses. lagoons/storage ponds and the applicarion sites) during
the past calendar year.
3. There was no discharge of waste to surface water from this facility during the -past
�'�Yes I No
calendar. vear.
4 _ There was no freeboard violation in any lagoons or storage ponds at this facility= during
�Z—yes :._ ' No
the past calendar year.
5. There was no PAIN application to any fields or crops at this facility greater than the
E--Yes No
levels specified in this facility's CAWMP during the past calendar year.
6. All land application equipment was calibrated at least once during the past calendar Lear.
eYes No
7_ Sludge accumulation in all lagoons did not exceed the volume for which the lagoon
Yes do J� (�Q
was designed or reduce the la on's mini um treatment voll�m� to less than tide � lurne
designed- S1 "VLy' w ik i ii er�rm e.d b `
II ``��II'''��
for which the lagoon v as e
rt aa40SF
S. A copy of the Annual Sludge Surveylorm for� This facility is attached to this Certification.
' Yes No
9. Annual soils analysis were performed on each field receiving animal waste during the
tKYes L No
past calendar }rear.
10. Soil pH was maintained as specified in the permit during the past calendar Year?
t--Ies -D No
11. All required monitoring and reporting was performed in accordance with the facility's
—✓1'es ;_ No
permit during the past calendar year.
12. All operations and maintenance requirements in the permit were complied -Mth during
2 Yes LI No
the past calendar year or, in the case of a deviation, prior authorization was received
from the Division of Water Quality_
13. Crops as specified in the CAWMP were maintained during the past calendar year on all
i yes r No
sites receiving animal waste and the crops grown were removed in accordance with
the facility's permit.
14_ All buffer requirements as specified on the permit and the CAW -MP for this facility 'k4ere.
�4s l No
maintained during each application of animal waste during the past calendar year.
"I certify under penalty of law that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted_ Based on my inquiry of the person or persons who manage the system. or
those persons directly responsible for gathering the information. the information submitted is, to the best of
my knowledge and belief, trite, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for kDowinn,.,iolations_"
0T e
ittee Name
ow,\jeYl dPPva�a�
Signature of Operator in Charge mate
Of different from Perrnitteej

IF I
P.O. Box 759
Murphy -Brown LLB Rose Hill, NC 28458
91 a289-2111
910-289-6478 Fax
S35
c�
April 12, 2004 RECEIVED
APR 2, '75 2i 0
Murphy -Brown, LLC
Rose HiII Division `�4 `� j,tALt
i`��R �J h2iue v4fflri; GCSi t.
Contract Growers
Dear JAMES ALLEN KNOWLES,
If your farm is currently covered by an NPDES permit, as a requirement of your permit, you
should have completed an annual certification form that summarized the environmental activities
on your farm for 2003. If you are not under an NPDES permit, ignore this letter. You will recall
that one of the questions on this annual certification form asked for your annual animal
population average. In a series of grower meetings that many of you attended, we committed to
provide you with your annual average inventories on or around the anniversary date of your
permit. Your annual average inventory, based on the information in our tracking system for
groups closed from 4-24-03 through 4-5-04 is as follows:
Facility Name Facility No.. Permitted Head Actual Average
_ JAMES ALLEN KNOWLES 031-0352 4848 2176.4
If you did not provide the annual inventory average to DENR in your annual report, you should
forward this correspondence to them by the end of the month. They should be sent to the
following address:
NCDENR
Division of Water Quality
Permitting Unit
Attn. Keith Larick
1617 Mail Se: v ice CerAcr
Raleigh, NC 27626-1617
In addition, a copy of this correspondence should be kept with your environmental files.
If there are any questions or concerns regarding either the information contained in this letter, or
other environmental issues, please feel free to call me at [phone].
Sincerely,
Kraig Westerbeek
Director of Environmental Compliance

Murphy-BrOvvn LLC
'e') 0, ,:'
April 12, 2004
Murphy -Brown, LLC
Rose Hill Division
Contract Growers
Dear MARVIN E KNOWLES,
P.O. Box 759
Rose Hill. NC 28458
91 Q289-2111
91 Q289-6478 Fax
ReCEIVE©
APR 2 r- 2004
QuEnt
a°
r�cn.us ry
If your farm is currently covered by an NPDES permit, as a requirement of your permit, you
should have completed an annual certification form that summarized the environmental activities
on your farm for 2003. If you are not under an NPDES permit, ignore this letter_ You will recall
that one of the questions on this annual certification form asked for your annual animal
population average. In a series of grower meetings that many of you attended, we committed to
provide you with your annual average inventories on or around the anniversary date of your
permit. Your annual average inventory, based on the information in our tracking system for
groups closed from 4-24-03 through 4-5-04 is as follows:
Facility Name Facility No. Permitted Head Actual Avera-e
MARVIN E KNOWLES' 031-0352 4848 2214.7
If you did not provide the annual inventory average to DENR in your annual report, you should
forward this correspondence to them by the end of the month. They should be sent to the
following address:
quefBIALM11
Division of Water Quality
Permitting Unit
A_"— . Keith L -arrick --
1617 Mail Service Center
Raleigh, NC 27626-1617
In addition, a copy of this correspondence should be kept with your environmental files.
If there are any questions or concerns regarding either the information contained in this Ietter, or
other environmental issues, please feel free to call me at [phone].
Sincerely,
Kraig Westerbeek
Director of Environmental Compliance

Murphy -Brown LLc
April 12, 2004
Murphy -Brown, LLC
Rose Hill Division
Contract Growers
Dear KORNEGAY BROTHERS INC,
P.Q. Box 759
Rose Hill, NC 28458
910-289-2111
910-289-6478 Fax
If your farm is currently covered by an NPDES permit, as a requirement of your permit, you
should have completed an annual certification form that summarized the environmental activities
on your farm for 2003. If you are not under an NPDES permit, ignore this letter. You will recall
that one of the questions on this annual certification form asked for your annual animal
population average. In a series of grower meetings that many of you attended, we committed to
provide you with your annual average inventories on or around the anniversary date of your
permit. Your annual average inventory, based on the information in our tracking system for
groups closed from 4-24-03 through 4-5-04 is as follows:
Facility Name Facility No. Permitted Head Actual -Average
KORNEGAY BROTHERS INC 031-0353 2448 2282.6
If you did not provide the annual inventory average to DENR in your annual report, you should
forward this correspondence to them by the end of the month. They should be sent to the
following address: , A
NCDENR
Division of Water Quality
Permitting Unit
Attu.' Keith Larick --
1617 Mail S ..;ice Censer
Raleigh, NC 27626-1617
In addition, a copy of this correspondence should be kept with your environmental files,
If there are any questions or concerns regarding either the information contained in this letter, or
other environmental issues, please feel free to call me at [phone].
Sincerely,
i
Kraig Westerbeek
Director of Environmental Compliance ?

0
WATF9
P
r
~r -
Donnell Kornegay, Jr.
Kornegay Brothers
320 Scotts Store Road
Mt. Olive NC 28355
Dear Donnell Kornegay, Jr.:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E., Director
Division of water Quality
May 1, 2003
Subject: Certificate of Coverage No. AWS310353
Kornegay Brothers
Swine Waste Collection, Treatment,
Storage and Application System
Duplin County
On April_ 28, 2003, the North Carolina General Assembly ratified Senate Bill 733 which directs the
Division of Water Quality (Division) to extend the expiration date of the Swine Waste Operation General
Permit AWG€00000. Therefore, the General Permit has been re -issued by the Division to extend the
expiration date to October. 1, 2004. During the period of this extension the Division will be working with
all interested parties on the development of a new version of the Non -Discharge General Permit.
In accordance with your application received on January 22, 2003 and in accordance with the directive of
Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to Donnell
Kornegay, Jr., authorizing the operation of the subject animal waste collection,. treatment, storage and
land application system in accordance with General Permit AWGI00000. The issuance of this COC
supercedes and terminates your previous COC Number AWS310353 which expired on April 30, 2003.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the Kornegay Brothers, located in Duplin County, with an animal capacity of no
greater than an annual average of 2448 Feeder to Finish swine and the application to land as specified in
the facility's Certified Animal Waste Management Plan (CAWMP). If this is a Farrow to Wean or
Farrow to Feeder operation, there may also be -one boar for each 15 sows. Where boars are unneccessary,
they may be replaced by an equivalent. number of sows. Any of the sows may be replaced by gilts at a
rate of 4 gilts for every 3 sows
The COC shall be effective_ from the date of issuance until October 1, 2004. Pursuant to this COC, you
are authorized and required to operate the system in conformity with the conditions. and limitations as
specified in the General Permit, the facility's CAWMP, and this COC. An adequate system for collecting
and maintaining the required monitoring data and operational information must be established for this
facility. Any increase in waste production greater than the certified design capacity or increase in number
of animals authorized by this COC (as provided above) will require a modification to the CAWMP and
this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
If your Waste Utilization Plan has been developed based on site specific information, careful evaluation.
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property. KIRA
RMFUNR
Non -Discharge Permitting Unit Internet http://h2o.enr.state.nc.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post-oonsumer paper

Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per NRCS standards a 100 foot separation shall be maintained between water supply wells and any
lagoon or any wetted area of a spray field.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit.by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Wilmington Regional Office. The Regional Office
Water Quality Staff may be reached at [phone]. If you need additional information concerning
this COC or the General Permit, please contact Sue Homewood at [phone] ext. 502.
Sincerely,
for Alan W. Klimek, P.E.
Enclosures (General Permit AWGI00000)
cc: (Certificate of Coverage only for all cc's)
Wilmington Regional Office, Water Quality Section
Duplin County Health Department
Duplin County Soil and Water Conservation District
Permit File AWS310353
NDPU Files

s -Fac 3 1-3S3
ANIMAL WASTE UTILIZATION PLAN
Producer: KORNEGAY BROTHERS
Location: 221 SCOTTS STORE ROAD
MOUNT OLIVE NC 28365
Telephone: [phone]
Type Operation: Existing Feeder to Finish Swine
Number of Animals: 2448.00 hogs
(Design Capacity)
STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water and/or
groundwater. The plant nutrients in the animal waste should be used
to reduce the amount of commercial fertilizer required for the crops
in the fields where the waste is to be applied.
This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil
tests are strongly encouraged so that all plant nutrients can be
balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization
plan in order to maximize the fertilizer value of the waste and to
ensure that it is applied in an environmentally safe manner:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
10 tons per acre per year -providing that adequate filter
strips are established.
4. Do not apply waste on saturated soils, when it is raining,
or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed
under DWQ regulations.
Page: I

dl ANIMAL WASTE UTILIZATION PLAN
5. Wind conditions should also be considered to avoid drift and
downwind odor problems.
6. To maximize the value of the nutrients for crop production
and to reduce the potential for pollution, the waste should
be applied to a growing crop or applied not more than 30
days prior to planting a crop or forages breaking dormancy.
Injecting the waste or disking will conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods are not the
same.
The estimated acres needed to apply the animal waste is based on
typical nutrient content for this type of facility. Acreage
requirements should be based on the waste analysis report from your
waste management facility. In some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirements
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
2448 hogs x 1.9 tons waste/hogs/year = 4651.2 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
2448 hogs x 4.6 lbs PAN/hogs/year = 11260.8 lbs. PAN/year
Applying the above amount of waste is a big job. You should plan time
and have appropriate equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on
the crop to be grown, soil type and surface application.
Page: 2

l : S • ti
ANIMAL WASTE UTILIZATION PLAN
TABLE 1: ACRES OWNED BY PRODUCER
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
5504
1
AUB
C
75
73.75
20
28
2065
1
MAR - JUN
5504
-I
1-1
JAUB
JWI
145
190
T8
12520
OCT-MAR
5504
DSB
1-1
JAUB
I
118
172 1
�28
12016
JUN-SEPT
15
5504
2
1527.5
INOA
IC
I
1110
1117.5 120
113
IMAR-JUN
5504
1-2
INOA
JW
1
160
1120 1
113
11560
OCT-MAR
5504
"2
NOA
DSB
I
133
1132
113
11716
JUN-SEPT
15
mil
I
TOTAL111404.5
- Indicates that this field is being overseeded (i.e. interplanted)
or winter annuals follow summer annuals.
NOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations may
require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This plan
only addresses nitrogen.
Page: 3

ANIMAL WASTE UTILIZATION PLAN
TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT
FIELD
SOIL TYPE & CLASS-
CROP
YIELD
LBS
COMM N
**
* LBS
DETERMINING PHASE
CODE
AW N
PER
ACRES
AW N
PER AC
AC
USED
-----
or
-------
APPLY
RESID.
APPLIC
METH
N
TIME
END
TOTAL 10
Indicates that this field is being overseeded (i.e. interplanted) or
winter annuals follow summer annuals.
** Acreage figures may exceed total acreage in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required nitrogen
less any commercial nitrogen (COMM N) supplied.
The following legend explains the crop codes used in tables 1 and 2 above:.
CROP CODE
CROP
UNITS
PER UNIT
C
CORN
BUSHELS
1.25
DSB
DOUBLE CROPPED SOYBEANS
BUSHELS
4
W
WHEAT
BUSHELS
2
TOTALS FROM TABLES 1 AND 2
WETTABLE LBS AW N USED
—ACRES
TABLE 1 41 11404.5
Page: 4

ANIMAL WASTE UTILIZATION PLAN
TABLE 2 0 0
TOTAL 41 11404.5
*** BALANCE -143.7
-------------------
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page: 5

ANIMAL WASTE UTILIZATION PLAN ,; $,r.`•
*** This number must be less than or equal to 0 in order to fully
utilize the animal waste N produced.
Acres -shown in each of the preceding tables are considered to be the
usable acres excluding required buffers, filter strips along ditches,
odd areas unable to be irrigated, and perimeter areas not receiving
full application rates due to equipment limitations. Actual total
acres in the fields listed may, and most likely will be, more than the
acres shown in the tables.
See attached map showing the fields to be used for the utilization of
animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient
rich and will require precautionary measures to prevent over application
of nutrients or other elements. Your production facility will produce
approximately 905.76 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 4528.8
pounds of PAN to utilize. Assuming you apply this PAN to hybrid
bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you
will need 15.096 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 36.2304 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 2511 depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the
soil at the time of irrigation such that runoff or ponding occurs. This
rate is limited by initial soil moisture content, soil structure, soil
texture, water droplet size, and organic solids. The application amount
should not exceed the available water holding capacity of the soil at the
time of irrigation nor should the plant available nitrogen applied exceed
the nitrogen needs of the crop.
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and irrigation designer to ensure
that an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Page; 6

ANIMAL WASTE UTILIZATION PLAN
amounts of nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application
rates and amounts.
Tract
5504
5504
5504
Field
Soil Type
Crop
Application Rate
(in/hr)
Applic. Amount
(inches)
1
AUB
C
.5
*1
2
NOA
C
.50
*1.0
AUB
DSB
.5
*1
5504
5504
Y1
AUB
W
.5
*1
72
NOA
DSB
.50
*1.0
5504
-2
NOA
W
.50
*1.0
* This is the maximum application amount allowed for the soil
assuming the amount of nitrogen allowed for the crop is not over
applied. In many situations, the application amount shown cannot
be applied because of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for 180.00 days of temporary storage and the
temporary storage must be removed on the average of once every 5.00
months. In no instance should the volume of the waste be stored in
your structure be within the 25 year 24 hour storm storage or one foot
of freeboard except in the event of the 25 year 24 hour storm: -
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to the acres shown in Tables 1 and 2. Failure to apply
the recommended rates and amounts of nitrogen shown in the tables may
make this plan invalid.
Call your technical specialist after you receive the waste analysis
report for assistance in determining the amount of waste per acre and
the proper application rate prior to applying the waste.
NARRATIVE OF OPERATION
Page: 7

WASTE UTILIZATION PLAN
REQUIRED SPECXFICATIONS
1. Animal waste shall not reach surface waters of the state by
runoff, drift, manmade conveyances, direct application, or
direct discharge during operation or land application. Any
discharge of waste which reaches surface water is prohibited.
2. There must be documentation in the design folder that the
producer either owns or has an agreement for use of adequate
land on which to properly apply the waste. If the producer does
not own adequate land to properly dispose of waste, he/she shall
provide a copy of an agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for
waste application. It is the responsibility of the owner of the
facility to secure an update of the Waste Utilization Plan when
there is a change in the operation, increase in the number of
animals, method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the
nitrogen needs for realistic crop yields based on soil type,
available moisture, historical data, climatic conditions, and
level of management, unless there are regulations that restrict
the rate of application for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons
per acre per year. Waste may be applied to land that is eroding
at 5 or more tons, but less than 10 tons per acre per year
providing grass filter strips are installed where runoff leaves
the field. (See FOTG Standard 393 -Filter Strip)
5. Odors can be reduced by injecting the waste or disking after
waste application. Waste should not be applied when there is
danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to
flooding, it will be soil incorporated on conventionally tilled
cropland. When applied to conservation tilled crops or
grassland, the waste may be broadcast provided the application
does not occur during a season prone to flooding. (See -"Weather
and Climate in North Carolina" for guidance.)
7. Liquid waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur offsite or to
surface waters and in a method which does not cause drift from
the site during application. No ponding should occur in order
to control odor or flies.
8. Animal waste shall not be applied to saturated soils, during
rainfall events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such
a manner that the crop is not covered with waste to a depth that
would inhibit growth. The potential for salt damage from animal
waste should also be considered.
Page: 8

WASTE UTILIZATION
PLAN'
REQUIRED SPECIFICATIONS
10. Waste nutrients shall not be applied in fall or winter for
spring planted crops on soils with a high potential for
leaching. Waste nutrient loading rates on these soils should be
held to a minimum and a suitable winter cover crop planted to
take up released nutrients. Waste shall not be applied more
than 30 days prior to planting of the crop or forages breaking
dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall
comply with the following: The outer perimeter of the land area
onto which waste is applied from a lagoon that is a component of
a swine farm shall be at least 50 feet from any residential
property boundary and from any perennial stream or river (other
than an irrigation ditch or canal. Animal waste other than
swine waste from facilities sited on or after October 1, 1995),
shall not be applied closer than 25 feet to perennial waters.
(See Standard 393 - Filter Strips).
12. Animal waste shall not be applied closer than i00 feet to
wells.
13. Animal waste shall not be applied closer than 200 feet of
dwellings other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property
and public right-of-ways.
15. Animal waste shall not be discharged into surface waters,
drainageways, or wetlands by a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been approved as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that causes no runoff or drift from
the site.
16. Domestic and industrial waste from washdown facilities,
showers, toilets, sinks, etc., shall not be discharged into the
animal waste management system.
17. A protective cover of appropriate vegetation will be
established on all disturbed areas (lagoon embankments, berms,
pipe runs, etc.). Areas shall be fenced, as necessary, to
protect the vegetation. Vegetation such as trees, shrubs, and
other woody species, etc., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page: 9

r :4%-
WASTE UTILIZATION PLAN
REQUIRED SPECIFICATIONS
18. If animal production at the facility is to be suspended or
terminated, the owner is responsible for obtaining and
implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should
be inspected on a regular 'basis to prevent breakdowns, leaks,
and spills. A regular maintenance checklist should be kept on
site.
20. Animal waste can be used in a rotation that includes vegetables
and other crops for direct human consumption. However, if
animal waste is used on crops for direct human consumption it
should only be applied preplant with no further applications of
animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of
all waste treatment lagoons., Pumping shall be managed to
maintain the liquid level between the markers. A marker will
be required to mark the maximum storage volume for waste
storage ponds.
22. Waste shall be tested within 60 days of utilization and soil
shall be tested at least annually at crop sites where waste
products are applied. Nitrogen shall be the rate - determining
element. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these
metals approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste
analysis records shall be kept for five years. Poultry dry
waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be
maintained for five ( 5 ) years.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 10

j s
L ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm:BYRD PLACE
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established in the
approved animal waste utilization plan for the farm named above. I
(we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new
facilities will require a new certification to be submitted to the
North Carolina Division of Water Quality (NCDWQ) before the new
animals are stocked. I (we) also understand that there must be no
discharge of animal waste from this system to surface waters of the
state from a storm event less severe than the 25--year, 24-hour
storm. The approved plan will be filed on -site at the farm office
and at the office of the local. Soil and Water Conservation District
and will be available for review by NCDWQ upon request.
Name of Facilit Owner: KORNEGAY BROTHERS
(Please print)
Signature: Date: :Q
Name of Manager(If different f m owner):
Signature:, �. �,;� Date:
Name of Person Preparing Plan: (Please print)ANGIE B. QUINN
Affiliation:DUPLIN SOIL AND WATER CONSERVATION DISTRICT
Phone No. 910-296-2120 -
Address (Agency): PO BOX 277
KENANSVILLE NC 28349
Signature; 1 k_r l Date:
Page: 11

APR 1
Wettable Acres Determination Certificate � Z�02
Name of Facility: V, Facility Nuii er :?>-L- i3-25-
Owner(s) Name: Q 1 Phone No: cos s � -- p—t y CV
Mailing Address: 3a0 Ste- s S-}or�
f`n . 01+jam C1c, 2,1%3 L S
By signing this form, the facility owner and Technical Specialist acknowledge the completion of the
Wettable Acres Determination. All necessary Wettable Acre Determination Field Data Sheets and
calculations were completed to conduct a Wettable Acre Determination. The facility's Waste
Utilization Plan has been amended as necessary to reflect actual wetted acreage. A copy of all
worksheets, calculations, and other Wettable Acres Determination documents, along with the
applicable Waste Utilization Plan and Wettable Acre Determination Certification will be filed with
the local Soil and Water Conservation District. A copy will also be kept on site with the Certified
Animal Waste Management Plan. Any future modifications must be approved by a technical
specialist and filed with the Soil and Water Conservation District prior to implementation. If any
modifications to the existing irrigation system or any new irrigation equipment was required to
adequately address the waste management needs of this facility, an Irrigation Specialist or
Professional Engineer has certified the design and installation below.
Owner Nam
Owner Sign
Technical Specialist N
7-C4 1--t.. k"3 . ^,_
Technical Specialist Signature: _�� y Date: `k—C 1
If assisted -by an Irrigation Specialist or Professional Engineer please read and sign below:
Animal waste application equipment has been designed or modified to apply waste as necessary to
accommodate the waste management plan and according to NRCS Standards. Animal waste
application equipment has been installed according to NRCS Standards and is ready for use.
Irrigation Specialist/PE Name:
Irrigation Specialist/PE Signature: Date:
Submit this form to:
Attn: Sonya Avant
Non -Discharge Compliance Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
WADC - 7/99

till:
r n,h..... ..
:������;.�:�`v Li.:^4st.•`t', v.Uvnv.v:: ..-. t..Uv
ii�;........... .....................: n. .i?iY� .....:V11 `:......., r...n}.....r........................r..r...ZA
......,..........n:r............:..:.n.....vn............t...r..r..:]Y.L`:Yii:-iii..iti:: :�::Cr.... \t�ih:y::.i: r;i
PRODUCER: Komegay Brothers Finisher
LOCATION: 221 Scotts Store Rd., Mt. Olive, NC 28365
TELEPHONE: [phone]
TYPE OPERATION: Feeder - Finish
NUMBER OF ANIMALS: 2448
(Design Capacity)
The waste from your animal facility must be land applied at a specified rate to prevent pollution
of surface and/or groundwater. The plant nutrients in the animal waste should be used to
reduce the amount of commercial fertilizer required for the crops in the fields where the waste
is to be applied. This waste utilization plan uses nitrogen as the limiting nutrient. Waste
should be analyzed before each application cycle. Annual soil tests are strongly encouraged
so that all plant nutrients can be balanced for realistic yields of the crop to be grown.
Several factors are important in implementing your waste utilization plan in order to maximize
the fertilizer value of the waste and to ensure that it is applied in an environmentally safe
manner. Always apply waste based on the needs of the crop to be grown and the nutrient
content of the waste. Do not apply more nitrogen than the crop can utilize. Soil types are
important as they have different infiltration rates, leaching potentials, cation exchange
capacities, and available water holding capacities. Normally waste shall not be applied to land
eroding at greater than 5 tons per acre per year. With special precautions, waste may be
applied to land eroding at up to 10 tons per year. Do not apply waste on saturated soils, when
it is raining, or when the surface is frozen. Either of these conditions may result in runoff to
surface waters which is not allowed under DEM regulations. Wind conditions should also be
considered to avoid drift and downwind odor problems. To maximize the value of nutrients for
crop production and to reduce the potential for pollution, the waste should be applied to a
growing crop or applied to bare ground not more than 30 days prior to planting. Injecting the
waste or disking will conserve nutrients and reduce odor problems.
The estimated acres needed to apply the animal waste is based on typical nutrient content for
this type of facility. Acreage requirements should be based on the waste analysis report from
your waste management facility. Attached you will find information on proper sampling
techniques, preparation, and transfer of waste samples to the lab for analysis.
This waste utilization plan, if carried out, meets the requirements for compliance with 15A
NCAC 21-1.0217 adopted by the Environmental Management Commission.
Page 1

2,448 animals X 12 (tons) waste/animal/year
Amount of Plant Available Nitrogen (PAN) Produced Per Year
2,448 animals X 13 lbs. PAN/animal/year =
Guide Std. 633)
4,651 (tons) waste/year,
5,630 lbs. PAN/year. (PAN from N.C.
Tech
Applying the above amount of waste is a big job. You should plan time and have appropriate
equipment to apply the waste in a timely manner
The following acreage will be needed for waste application based on the crop to be grown and
surface application:
Table is ACRES OWNED BY PRODUCER
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
# No. Type Per Acre Utilized Application
5504
1
AuB
Corn
78.75
26.38
2077.425
March - July
5504
1
AuB
Wheat
108
26.38
2849.04
Sept - April
5504
1
AuB
Soybeans
100
26.38
2638
June - Sept
5504
2
AuB
Corn
78.75
15.85
1248,1875
March - July
5504
2
AuB
Wheat
108
15.85
1711.8
Sept -April
5504
2
AuB
Soybeans
1001
15.85
1585
June - Sept
Total
12109.453
Two Year Rotation
Total
6054.7263
Per Year
0
0
0
0
Total 42.231 6,054.73
*This N is from animal waste only. If nutrients from other sources such as commercial fertilizer are
applied, they must be accounted for. N must be based on realistic yield expectation.
NOTE: The applicator is cautioned that P and K may be over applied while meeting the N
requirements. Beginning in 1996 the Coastal Zone Management Act will require farmers in some
eastern counties of North Caroline to have a nutrient management plan that addresses all nutrients.
This plan only addresses Nitrogen.
Page 2

Table 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowner must be attached)
(Required only if operator does not own adequate land [see
Required Specification 2])
Tract Field Soil Crop Lbs. N Acres Lbs. N Month of
# No. Type Per Acre* 'Itilized ..
* See footnote for Table 1.
Totals from above Tables
Acres Lbs. N
Utilized
Table 1 42.23 6,055
Table 2 0.00 -
Total 42.23 6,055
Amount of N Produced 5,630
Surplus or Deficit (424}
NOTE. The Waste Utilization Plan must contain provisions for periodic land application of sludge at
agronomic rates. The sludge will be nutrient rich and will require precautionary measures to prevent over
application of nutrient or other elements.
Page 3

___ - __ ars.xoxxannx;•:co nxu :sa.• - :ss•:: - - - - -�fa �•sss. a:t<r'owr:<:• T^:t-:^.:::^xn:o Y;:kryy
:•�::::.?iN• 'v-i:.ti�vi'izu::.ua.vv :•xn:•:: nunxx..v
:.a•:4ne.v:::..:vvv-. _: L'n•.vv::.......vn�.u:v.w:.::•:ua:-:•:iu.vn - ..
:.yv..v-::-:.vv: •}r mow::-•x..t:..:..x;•:.v:-n:.v:xnv..vv.:n.n..:.:.:- '
.v.:-iv •: x v.
v v.u. .v.:•.t..v..v�n v. xx..vvt
.v-.avv0..vv.::urtv..vnxve::.x:.:::..:..:::::.w.w:n.u...v:4::iv`uH.:+/.:4/+w.:Jwi:+iv:•:.liv.x+naxx-:.vv:.:xa'tvrvv::::.uu::-nv:.7
^...u.:...:.:-.:-..::...-.::.v-::.:ii4:.:Uvx:u:US"1'`vv\kvvuutu:ir'.uuuuuehvuUuv.xxxvv.+:
See attached map showing the fields to be used for the utilization of waste water.
Application of Waste by Irrigation
Field Soil Type Crop Application Application
No. Rate On/Hr) Amount (In.)
THIS TABLE IS NOT NEEDED IF WASTE IS NOT BEING APPLIED BY IRRIGATION, HOWEVER A SIMILAR TABLE WILL
BE NEEDED FOR DRY LITTER OR SLURRY.
Your facility is designed for 180 days of temporary storage and the temporary storage must
be removed on the average of once every 6 MONTHS. In no instance should the volume of
waste being stored in your structure exceed Elevation "see lagoon design.
Call the local Natural Resources Conservation Service (formerly Soil Conservation Service) or Soil
and Water Conservation District office after you receive the waste analysis report for assistance in
determining the amount per acre to apply and the proper application rate prior to applying the
waste.
Narrative of operation: The acres shown in this plan are "wetted"_acres. This plan shows a
two year rotation of corn, wheat and soybeans. Risidual nitrogen has been accounted for.
Page 4

REQUIRED SPECIFICATIONS
Animal waste shall not reach surface waters of the state by runoff, drift, manmade
conveyances, direct application, or direct discharge during operation or land application.
Any discharge of waste which reaches surface water is prohibited.
2 There must be documentation in the design folder that the producer either owns or has an
agreement for use of adequate land on which to properly apply the waste. If the producer
does not own adequate land to properly dispose of waste, he/she shall provide a copy of
an agreement with a landowner who is within a reasonable proximity, allowing him/her the
use of the land for waste application. It is the responsibility of the owner of the facility to
secure an update of the Waste Utilization Plan when there is a change in the operation,
increase in the number of animals, method of utilization, or available land.
3 Animal waste shall be applied to meet, but not exceed, the nitrogen needs for realistic crop
yields based on soil type, available moisture, historical data, climatic conditions, and level
of management, unless there are regulations that restrict the rate of application for other
nutrients.
4 Animal waste shall be applied to land eroding less than 5 tons per acre per year. Waste
may be applied to land that is eroding at 5 or more tons, but less than 10 tons per acre per
year providing grass filter strips are installed where runoff leaves the field. (See FOTG
Standard 393 - Filter Strip),
5 Odors can be reduced by injecting the waste or disking after waste application. Waste
should not be applied when there is danger of drift from the irrigation field.
6 When animal waste is to be applied on acres subject to flooding, it will be soil incorporated
on conventionally tilled cropland. When applied to conservation tilled crops or grassland,
the waste may be broadcast provided the application does not occur during a season
prone to flooding. (See "Weather and Climate in North Carolina" for guidance.)
7 Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff
does not occur offsite or to surface waters and in a method which does not cause drift
from the site during application. No ponding should occur -in order to control odor or flies.
S Animal waste shall not be applied to saturated soils, during rainfall events, or when the
surface is frozen.
Page 5

REQUIRED SPECIFICATIONS
(continued)
Animal waste shall be applied on actively growing crops in such a manner that the crop is
not covered with waste to a depth that would inhibit growth. The potential for salt damage
from animal waste should also be considered.
10 Waste nutrients shall not be applied in fall or winter for spring planted crops on soils with a
high potential for leaching. Waste nutrient loading rates on these soils should be held to a
minimum and a suitable winter cover crop planted to take up released nutrients. Waste
shall not be applied more than 30 days prior to planting of the crop or forages breaking
dormancy.
11 Any new swine facility sited on or after October 1, 1995 shall comply with the following:
The outer perimeter of the land area onto which waste is applied from a lagoon that is a
component of a swine farm shall be at least 50 feet from any residential property boundary
and from any perennial stream or river (other than an irrigation ditch or canal. Animal
waste other than swine waste from facilities sited on or after October 1, 1995), shall not be
applied closer than 25 feet to perennial waters. (See Standard 393 - Filter Strips).
12 Animal waste shall not be applied closer than 100 feet to wells.
13 Animal waste shall not be applied closer than 200 feet of dwellings other than those
owned by the landowner.
14 Waste shall be applied in a manner not to reach other property and public right-of-ways.
15 Animal waste shall not be discharged into surface waters, drainageways, or wetlands by
discharge or by over -spraying. Animal waste may be applied to prior converted wetlands
provided they have been approved as a land application site by a "technical specialist".
Animal waste shall not be applied on grassed waterways that discharge directly into water
courses, and on other grassed waterways, waste shall be applied at agronomic rates in a
manner that causes no runoff or drift from the site.
16 Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc., shall
not be discharged into the animal waste management system.
Page 6

REQUIRED SPECIFICATIONS
(continued)
17 A protective cover of appropriate vegetation will be established on all disturbed areas
(lagoon embankments, berms, pipe runs, etc.). Areas shall be fenced as necessary to
protect the vegetation. Vegetation such as trees, shrubs, and other woody species, etc.,
are limited to areas where considered appropriate. Lagoon areas should be kept mowed
and accessible. Berms and structures should be inspected regularly for evidence of
erosion, leakage or discharge.
18 If animal production at the facility is to be suspended or terminated, the owner is
responsible for obtaining and implementing a "closure plan" which will eliminate the
possibility of an illegal discharge, pollution and erosion.
19 Waste handling structures, piping pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks and spills. A regular maintenance checklist should be
kept on site.
20 Animal waste can be used in a rotation that includes vegetables and other crops for direct
human consumption. However, if animal waste is used on crops for direct human
consumption it should only be applied pre -plant with no further applications animal waste
during the crop season.
21 Highly visible markers shall be installed to mark the top and bottom elevations of the
temporary storage (pumping volume) of all waste treatment lagoons. Pumping shall be
managed to maintain the liquid level between the markers. A marker will be required to
mark the maximum storage volume for waste storage ponds.
22 Waste shall be tested within 60 days of utilization and soil shall be tested at least annually
at crop sites where waste products are applied. Nitrogen shall be the rate -determining
element. Zinc and copper levels in the soil shall be monitored and alternative crop sites
shall be used when these metal approach excessive levels. pH shall be adjusted for
optimum crop production and maintained. Soil and waste analysis records shall be kept
for five years. Poultry dry waste application records shall be maintained for three (3)
years. Waste application records for all other waste shall be maintained for five (5) years.
23
Dead animals will be disposed of in a manner that meets North Carolina regulations.
Page 7

WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: Kornegay Brothers Finisher
Owner / Manager Agreement
I (we) understand and will follow and implement the specifications and the operation and
maintenance procedures established in the approved animal waste utilization plan for the
farm named above. I (we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new facilities will require a new
certification to be submitted to the Division of Environment Management (DEM) before the
new animals are stocked. I (we) also understand that there must be no discharge of
animal waste from this system to surface waters of the state from a storm event less
severe than the 25-year, 24-hour storm. The approved plan will be filed on -site at the farm
office and at the office of the local Soil and Water Conservation District and will be
available for review by DEM upon request.
Name of Facility Owner:
(Please print)
Signature:
Donnell Kornegay, Jr.
Name of Manager (If different from owner):
Signature: Date:
Name of Technical Specialist: (Please print) Toni W. King
Affiliation: Murphy - Brown
Address (Agency): P.O. Box 856
Warsaw, NC 28398
Signature: L,v` Date.
Page 8

Irrigated Acreage Determination Procedures
for Wastewater Application Equipment
1.
2.
3.
4.
5.
6.
7.
8.
**9.
**10.
f
**12
**13.
"* 14
Hard Hose Traveling Gun System
FIELD DATA WORKSHEET*
Make and model number C v>1an 3caoO Tree V--
Hose length 9U0 [feet] and hose inside diameter (ID) 3 [inch]
Gun make and model number on ) a c %ten IS 0
Gun nozzle size • 9�[ir ch], ring orifice, taper bore orifice
Gun arc angle [degrees]
Travel lane spacing . a pp --. jfeet]. Indicate whether uniform or random.
Number of e t riolr hydrants . Number of interior hydrants
Gun wetted diameter Q'15 [feet]. measured or based on gun chart.
Gun pressure �o C) [psi] observed at working gauge,
determined from gun charts, calculated (show calculations)
Operating pressure at hose reel �O [psi]. observed at working garage or
provided by owner.
Supply line size [inch] (from pump to last hydrant)
Supply line length feet (maximum pumping distance)
Supply line type PVC or alumintitn
Pump make and model number
Pump capacity [gpm]
Engine make and model number
or
**16. Electric motor horsepower and rpm [hp] [rpm]
Note: It is strongly recommended that you field determine wetted diameter and operating
pressure at the reel and gun.
* Locate each hydrant on a copy of the map. Indicate the start and stop of the sprinkler cart
for each travel lane and show the distance traveled. Show the location of the supply line.
Irrigated acres are determined by the travel lane.
** Optional data, furnish where possible.
*** Information furnished by
and/or
Signature of owner or facility representative Signature of technical specialist
�Jocanal� VIocne��
Printed name of owner or facility reprekntative Printed name of technical spAialist
Date Date
*** Only the person or people collecting the data should sign the Field Data Worksheet.
4
4

(Mullipir work.akeets mdoy be needed)
Hard Hose Traveling Gun System
COMPUTATIONAL 1WORKSHEET
HARD HOSE TRAVRER
IRRICIATION SYS"i"F_IG1
I. Farm nunibcr (id era tification)K�n� Meld nuitiber (identification)
2. Irrigation system designation _t/ E.Nisting irrigation sysieni __ New/expanded irrigation system
3. Number of travel lanes # Interior lanes # Exterior lanes feetj Leiigth of pull([.])
# Interior lanes . .._ # f,.rterior lanes {feet{ Length of pull(t.2)
#Interior [ants __-__-- N Isterioi lanes T - jfeetj Length of pul](1.3)
4. Wetted diameter a7S jfee(j front Held I)ata Wr►rksheet
5. Spacing Qi.06 _ Hydrant spacing Ifeetj '?a'lc, jas a percentage of wetted dianteterl
ei. Hydrant Irlyot+t __" Multiple hydrants _— silt le hydrant Excessively spaced hydrants
7. head the irrigated area per travel pull for tilt• given wetted diameter trcnn the appropriate table and column
based on pattern, spacing, and travel lane location,
Travel lake length (L, _ Interior or ✓exterior (lanc/Et)>cir'I
.ln?, (a) Acres start end of pull from Table Column
3, a1 (b) Acres middle portion of pull (1.5 � too
{!'till length (DW jieetj S �1c+ttecl width a3-1.5 jfeetjj /443,560
5c�S (c•) Acres stop end of pull froin 'table —— Column
y 4(y Total acres for travel lane lengrth (Li) (Sui►i: it + b + c)
Travel lane length (L_) ✓Enteric►r or _Exterior (lane/hydrant)
ta) Acres start cad of grill front lalsle --- C011.+111i1
.� (b) Acres middle portion Of pull (12)
® (1't+11 le[tgth_w;a� jfeetj \ Wetted width ADO )teet)1 / 43,5(-0
.c� H tc) Acres stop end of pu11 fi'am 'Fable _ Colwttn
3,1�1 Total acres for travel lane length (L2) (Sum: a + b + c)
Travel lane length (L_) ✓lnterior or F-Yterior (lane/hydrant)
.155 (a) Acres start end of pull front Table Column
ta. (b) Acres middle portion of pull (L3)
O3 {!lull length-70)feet) X Wetted width a-DOjfeet)) / 43,560
(c) Acres stop end of pull from "fable Column.
3 , l0'1 Total acres for travel luxe length (L3) (Suru: a + b + c)
8. Multiply the tabulated irrigated acreage value per travel pull by the nuinber of pulls of each
category in the Reid. Add all of these, and this is -the total irrigated acreage for the field.
(a) Acres per travel lane length (L1) X # Lanes = Acres
(b) Acres per travel lane length (L2) X # i.anes = Acres
_ (c) Acres per travel lane length (L3) X — # Lanes = Acres
Total CAWMP wettable acres for field (Sum: 8a + 8b + 8c)
Wettable Acre Computational Worksheet Completed by: Date:
Signature of technical specialist
11�1
��I

I
(-�1tr11iple WOrk+Aeeti may he needetl)
HART HOSE TRAVELER
IRRIGATION SVSTFNl
Hard Hose Traveling Gun System
COMPUTATIONAL WORKSHEET
I. Farrtl nuntber (idcntificatii�n) __ _ Field tturrrber (identificiltion) _
2. Irrigation system designation _W,_ Existing irrigation system Neiv/expanded irrigation wstem
I Number of travel lanes # hrterior lanes _..� # Exterior lanes _ teetj Length of plill(I,1 }
___.__-• # Interior lanes # T•_xtcrirlr lanes _._ ._ Ifeetl Lelt);th Of 1111(1.2)
# Interior Ii111CS _-_-- _ # Blerior lailes .___ jleetj length of pull(1.3)
4. Wetted diameter Ifeetl from Field Data Worksheet
S. Spacing Hydrant spacing jfeetl _ jas a percentage of wetteel diameter]
6. Hydrant layout Multiple hydrants _ Siltgle hydrant Excessively spaced hydrants
7. Read the irrigated area per travel bull for the giver, Wetted diameter from the appropriate table and column
based on pattern, spacing, alul travel lane locatiUlt.
Travel lane length (L_) Interior or Exterior (lane/hydrant)
, 5ti (a) Acres start end of pull from fable —_ i..olt111111
3-.A-- (b) Acres middle portion of pull (1.1)
{Pall Iengtlt..{ O ]feed X Wcttecl width a00 fteet1} / •13,560
(0 Acres stop end of pl.rll from 'fable C'olurtrrt
3, L$9 `total acres for travel lane length (U) (Suitt: a + b + c)
Travel lane Iength (L-) _✓ interior or --Exterior (lane/hy(lrant)
.55_ (a) Acres start end of pull front -i ItAe Column
(h) Acres middle portion Of pull (12) - —�
© {full lengthla-�s�j Ifectl X Weetted width aLX. [feed; / 13,S60
_ (c) :Acres stop end of pull from 'lahle Column
3.4'1 Total acres for travel lane length (11-2) (Sun,: a + b + c)
Travel lane length (L_) interior or Exterior (lane/hydrant)
.5..5 (a) Acres start enci of pull from Fable Colrllnn
3.02 (b) Acres middle portion Of pull (1-3)
CD {Pull length_6a0jfeetj X Wetted width D-00 ]feet)) / 13,560
(c) Acres stop end of pull from Table Coluntrt
3 , U3 Total acres for travel lane length (1-3) (Sinn: a + h + c)
8. Multiply the tabulated irrigated acreage value per travel pull by the nurnber of pulls of each
category in the field. Add all of these, and this is the total irrigated acreage for the field.
(a) Acres per travel lane length (1,1)
X
# Lanes =
Acres
(b) Acres per travel lane length (L2)
X
# Lanes =
Acres
(c) Acres per travel lane length (L3)
X
# Lanes =
Acres
Total CAWMP wettable acres for field (Sum: 8a + Sh + 8c)
Wettable Acre Computational Worksheet Completed by:
Date:
Signature of technical specialist
C��

u
(Airrltiph- rrurkclteets may be rre'eded)
Hard Hose Traveling Gun System
COMPUTATIONAL WORKSHEET
I-1AR17 HOSE TRAVELER
IRRIGATION SYSTEM
I. Earn number Odcntification) _ field number (identification)
2. Irrigation systein designation —_ F.xisting irrigation system ._ Net-dexpanded irrigation system
3. Numher of travel lines It Interior lanes # Exterior Ianes -.._ feet) Length of pull(LI 1
11te:ricrr lanes ._..__ # 1'.XtCrior lanes Meet( Lcrrf;th Of pu11(1.2)
_ # lntericrr larks _ .� #Exterior lanes JfeetJ 1.cngth of pull(13)
L. Wetted diameter JfectJ frorn Field fknta Wurksheet
5. Spacing --_.- Hydrant spacing; Jfcc1J ___. _ Jas a percentage of wetted dialneterl
ti. Hydrant layout Multiple hydrants __ Single hydrant — Excessively spaced hydrants
7. Read the irrigated area per travel pull for the given wetted dianncter from the appropriate table and column
hased on pattern, spacing, and travel lane location.
Travel lane length (L_) interior or ✓ Exterior (lane/hydrant)
(a) Acres start end of pull from Table _ C:c}lumrl
a lob, tl�l :Acres middle portion of pull (LI )
JPUII I0ngth_4'1KQ JfeetJ X 1Vetted width a3l_5 jfeetJJ / 43,560
.3� (e) Acres step elld Of pull from -fable __ Colunnn
3. W -Total acres for travel lane length (LI) (Stun. a + b + c)
Travel lane length (Lj rrltCrior or _�l.Xterinr (lanelhyclrant)
_.4`1 (a) Acres start end of pull from '!'able cotuntn
a, 6 (h) Acres middle portion of pull (1-2)
{full lengthwLiQy.JfectJ X \Vetted width 05IfeetJj i 43,S60
•36 (c) :Icres step end of Pull from Tal e. Column
3, Io3 Total acres for travel lane length (L2) (Sum: a + b + c)
Travel lane length (L_) ✓Interior or Exterior (lane/hydrant)
. SS (a) Acres start encl Of pull frOrn Table COlirrnn11
D.4 % (b) Acres middle portion of pull (L3 )
JI'ull Iengt115 Jfeet] X Wetted wicltholl�C? JfeetJJ / 43,560
103 6 (c) Acres stop end of pull frorn 'fable . Column
3.03 Total acres for travel lane length (1-3) (S1un: a + b + c)
8. Multiply the tabulated irrigated acreage value per travel pull by the number of pulls of each
category in the field. Add all of these, and this is the total irrigated acreage for the field.
(a) Acres per travel lane length (L1) X
(b) Acres per travel lane length (L2) X
(c) Acres per travel lane length (L3) X
# Lanes =
Acres
# Lanes =
Acres
# Lanes =
Acres
Total CAWMP wettable acres for field (Sum: 8a + 8b + 8c)
Wettable Acre Computational Worksheet Completed by:
Date:
Signature of technical specialist
5

(Alc+ltrple warksheet5 Niue be Needed)
Hard Hose Traveling Gun System
COMPUTATIONAL WORKSHEET
HAM) FIOSL= TRAVELER
IRRIGATION S1`S-I'I'M
I. farm number {identificati�.�n) _ Field llurrtl)ef (identification) -
2. Irrigation system designation — Existing irrigation 5ysten1 Netv/expanded irrigation system
3. Number of travel lanes # interior lanes --- # Exterior lanes feed Length of Imull(LI )
__--_-. # 111teri0n laneS _ ... # Exterior ianCs -_--_ IfCet) f.cu);th of I)1.111(1,2)
-- fi htterior lanes —� - #Exterior lanes Ifcetl Length of pull(1.3)
4. Wetted diameter Ilectl from Field Data Worksheet
5. Spacing ._ Hydrant spacing Ifeet( _ jots a percentage of wetted diameterl
6. Hydrant layout Multiple hydrants Sitiole hydrant _ E.xcessively spaced hydrants
7. Read the irrigated area per travel pull for the given wetted diameter from the appropriate table and column
based on pattern, spacing, irnd travel lane location.
Travel lance length (L, �iterior or Exterior (lane/hydrant)
o 55 (a) Acres start end of pull from "fable i (]olurnn
a•41 (b) :Acres middle portion of pull (1.1)
1D (Pull le11gth5q 0 Ifeet[ X Wetted width-�wIfeetll / 43,5E{)
_ (c) Acres stop end of brill from -fable C olurtirt
3.p3 'Total acres for
travel lane leng-th (LI) (Sum: a + b + e)
"Travel lakne length (L) or Exteriot (lime/hydrant)
`S5_ (a) Acres start Cild Of pull front Table --- Coltrntn
o1 C7 (1)) Acres middle portloll of pull (L2)
[full length 5001tectl X Wetted ividth --�M Ifeetl; / 43,560
It
(.0 Acres stop end of pull from -fable _ C;oluinn
.45 Total acres for travel lane length (1,2) (Sunn: a + b + c)
Travel lane length (L_) Interior or f Exterior (lane/hydrant)
. 3 (a) Acres start end of pull from Table _ Column
3,00 (b) Acres muddle portion of pull (1.3)
{Pull length 55 01feet) X Wetted width X1.5 Ifeet)) / 43,560
(c) Acres stop end of pull from 'fable Column
Total acres for travel lame length (U) (Suiu: a + b + c)
8. Multiply the tabulated irrigated acreage value per travel pull by the number of pulls of each
category in the field. Add all of these, and this is the total irrigated acreage for the field.
(a) Acres per travel lane length (1-1)
X
# Lanes =
Acres
(b) Acres per travel lane length (L2)
X
# Lanes =
Acres
(c) Acres per travel lane length (B)
X
# Lanes =
Acres
Total CAWMP wettable acres for field (Sums: 8a + 8b + 8c)
Wettable Acre Computational Worksheet Completed by: Date:
Signature of technical specialist
15

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State of North Carolina
Department of Environment
and Natural Resources
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Kerr T. Stevens, Director
May 2, 2001
CERTIFIED MAU_
RETURN RECEIPT REQUESTED
Donnell Kornegay, Jr.
Komegay Brothers '
320 Scotts Store Road
Mt. Olive NC 28365
1 � •
mom
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
-1x w , ,
Ivrq r� � 9 �..,
zOO,
Subject: Notification for Wettable Acre Determination
Animal Waste Management System
Komegay Brothers
Facility Number 31-353
Duplin County
Dear Donnell Komegay, Jr.:
A letter dated January 15, 1999 was sent to advise you about concerns associated with Certified Animal
Waste Management Plans and the method by which the irrigated acres within the plans were calculated. Only
the acres that are wetted can be credited in the waste management plan as receiving waste application. Any
acreage within the plan that can not be reached by waste application equipment can not be used as part of your
plan.
An evaluation by Dean Hunkele on 613199 was made to review the actual number of acres at your facility
that receive animal waste during land application. The evaluation of your facility has yielded one of the
following two results as indicated by the box marked with an "X".
Category 1:
The evaluation of your facility could not be completed due to a lack of information. Please
contact your Technical Specialist to assist in providing Dean Hunkele the necessary
information to potentially exempt your facility from undergoing a complete wettable acre
determination. Please submit this information to Dean Hunkele, at 127 Cardinal Drive
Extension, Wilmington, NC 28405-3845, within in 90 days of the receipt of this letter. If you
have any questions please contact Dean Hunkele at [phone]. If within 90 days you
are unable to provide Dean Hunkele with the information you are automatically
required to complete a Wettable Acre Determination as described by Category 2
below, within 180 days of receipt of this letter.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

Notification for Wettable Acre Determination
Animal Waste Management System
Page 2
Category 2:
❑ Your facility has been identified by the Department of Environment and Natural Resources
as a facility that may have overestimated the number of acres actually receiving animal
waste. Therefore, some or all of your fields may be exceeding the allowable loading rates
set in your Certified Animal Waste Management Plan.
In order to resolve this issue, please contact a designated Technical Specialist to have him
or her conduct a Wettable Acre Determination for your facility. The Technical Specialist must
be one that has been approved by the Soil and Water Conservation Commission to conduct
Wettable Acre Determinations. Many Technical Specialist with the N.C. Cooperative Extension
Service, the Soil and Water Conservation Districts, the Natural Resources Conservation
Service, and the Division of Soil and Water Conservation have received this special
designation. You may also contact a private Technical Specialist who has received this
designation, or a Professional Engineer.
All needed modifications to your Animal Waste Management System must be made and
the Wettable Acres Determination Certification must be returned to DWQ within the next
180 days. If the needed modifications are not made and if the form is not returned within the
required time, DWO will be forced to take appropriate enforcement actions to bring this facility
into compliance. These actions may include civil penalty assessments, permit revocation,
and/or injunctive relief.
Once a Wettable Acre Determination has been completed, a copy of the attached Wettable
Acre Determination Certification must be submitted to the address listed on the form. Please
note that both the owner and the Technical Specialist must sign the certification. A copy of all
the Wettable Acre Determination documentation that applies to your Waste Utilization Plan
must be kept at your facility. DWQ and the Division of Soil & Water Conservation Staff will
review all documentation during their annual visit of your facility. An additional copy must by
kept on file at the local Soil & Water Conservation District Office. Please note that if you install
or modify your irrigation system, a designated Irrigation Specialist or a Professional Engineer
must also sign the Wettable Acre Determination Certification.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Sonya Avant of our
Central Office staff at [phone] ext. 571.
Sincerely,
Kerr T. Stevens
cc: Wilmington Regional Office
Duplin County Soil and Water Conservation District
Facility File
Murphy Family Farms

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Donnell Kornegay, Jr.
Kornegay Brothers
320 Scotts Store Road
Mt. Olive NC 28365
Dear Donnell Kornegay, Jr.:
1W
1 hlkql•IT
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 31-353
Duplin County
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRRl, IRR2, DRY1, DRY2, DRY3, SLUR1, SLUR2,
SLDi, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
cc: Wilmington Regional Office
Duplin County Soil and Water Conservation District
Facility File
Sincerely,
Kerr T. Stevens, Director
Division of Water Quality
1617 Mail Service Center, Raleigh, North Carolina 27699-16I7
An Equal Opportunity Affirmative Action Employer
Telephone [phone] Fax [phone]
50% recycled/10% post -consumer paper

R�V_5- Ld
Revised April 20, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number- 3S3 Operation is flagged for a wettable
Farm Name: o 2 acre determination due to failure of
On -Site Representative: a �Y`�'Y Part 11 eligibility items) F1 F2 F3 F4
Inspector/Reviewer's Name: iA"Q11z
Date of site visit:_ 613 Lql
Date of most recent WUP:
Annual farm PAN deficit: {� pounds
Operation not required to secure WA
determination at this time based on
exemption E7 E2 E3 E4
Operation pended for wettable acre
determination based on P1 P2 P3
Irrigation System(s) - circle # 9j lard -hose traveler; .2. center:pivot system; 3. linear -move system;
4. stationary sprinkler system w/permanent pipe; a. stationary sprinkler system.w/portable pipe;
6. stationary gun system w/permanent pipe; 7. stationary gun system w/portable pipe
PART I. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part I exemption_)
El Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D)D3 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part 111. (NOTE:76 % exemption cannot be
applied to farms that fail the eligibility checklist in Part H. Complete eligibility
checklist, Part II - F1 F2 F3, before completing computational .table in Part 111).
PART 11. 75% Rule. Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required -because -operation fails one of the eligibility
requirements listed -below:
_ F9 Lack.ofacreagewhichTesultedinnvermpplicationmf�vastewater,(PAN) on:spray.
fields) accord ing-fofarm'sdast-two -years nf:irrigationzecords.-:
F2 UnclearjIlegibie,-or lack of information/map.
F3 Obvious field -limitations -(numerousAitches;-failure#o:deductsequired.. _
buffer/setbackmcreage;-or-25% -of -total -acreage identified in-CAWM R.Tinclu des
small ;-irregulady -shaped.fie Ids - fields:less-than-5-acres for travelers-or.less-than
2 acres -for.-stationary sprinklers).
F4 WA determination required because CAWMP credits field(s)'s acreage -in excess
of 75% of the respective field's total acreage as noted in table in Part I[L

Revised April 20, 1999
Facility Number -
Part Ill. Field
by Field Determination of 75% Exemption Rule for WA Determination
TRACT
NUMBER
FIELD
NUMBER"
TYPE OF
IRRIGATION
SYSTEM
TOTAL
ACRES
CAWMP
ACRES
FIELD
%
COMMENTS3
SS6�
3 4�
I
I
I
I
I
I li
I
I
I
I
I
I
I I
I
I
I
FIELD NUMBER' - hydrant, pull, zone, or point numbers may be used in place of field numbers depending on CAWMP
and type of irrigation -system. - If pulls, etc. crossrnorethan one field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption; -otherwise operation will be subject to WA determination.
FiELD NUMBER - must be clearly delineated do map.
COMMENTS'- back-up fields with CAWMP acFeage-exceeding`75% of its total acres and having received less than 50%
of its annual PAN as documented in the farm'sprevious-two years' (1997 & 1998) of irrigation records, -cannot serve -as the
sole basis -for requiring a WA Determination:LBack-upfields-must-be noted in the -comment -section End must be accessible
by irrigation system.
Part IV. Pending WA Determinations -
P1 Plan:lacfcs -following information:_ �es'y�.,-
P2 Plan revision may_sabsfy75% rule based on adequate overall PAN deficit and by
adjusting all field acreage -to below 75% use rate
P3 Other (ie/in process of installing new irrigation system):

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
1,L �'-' , '- . 1D ?M
AUG 2 5 •
James B. Hunt, Jr., Govemor '-Y:
Wayne McDevitt, Secretary A. Preston Howard, Jr., P.E., Director
August 21, 1998
CERTIFIED MAIL
TURN RECE PT REQUESTED
Donnell Komegay
Komegay Brothers
320 Scotts Store Rd
Mt. Olive NC 28365
Farm Number: 31- 353
Dear Donnell Komegay:
I 1W
1
CDENR
NORTH C.ArRoumA DEPARTMENT OF
ENVIRONMENT ANo NAvuFtAL RESOURCES
You are hereby notified that Komegay Brothers, in accordance with G.S. 143-215.10C, must
apply for coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your
farm has sixty 60 days to submit the attached application and all supporting documentation. In
accordance with Chapter 626 of 1995 Session Laws (Regular Session 1996), Section 19(c)(2), any
owner or operator who fails to submit an application by the date specified by the Department
SHALL NOT OPERATE the animal waste system after the specified date. Your application must
be returned within sixty (60) days of receipt of this letter. Failure to submit the application as required
may also subject your facility to a civil penalty and other enforcement actions for each day the facility is
operated following the due date of the application.
The attached application has been partially completed using information listed in your Animal
Waste Management Plan Certification Form. If any of the general or operation information listed is
incorrect please make corrections as noted on the application before returning the application package.
The signed original application, one copy of the signed application, two copies of a general location
map, and two copies of the Certified Animal Waste Management Plan must be returned to complete the
application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any questions concerning this letter, please call at [phone] extension or Dave
Holsinger with the Wilmington Regional Office at [phone].
Siric"��
for A. Preston Howard, Jr., P.E.
cc: Permit File (w/o encl.)
Wilmington Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled110% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Wilmington Regional Office
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Division of Water Quality
June 15, 1998
Certified Mail # Z 312 646 442
Return Receipt Requested
Mr. Donnell Kornegay
Komegay Brothers
320 Scotts Store Road
Mt. Olive, North Carolina 28365
411;
. — Eli-
NCDENR
NORTH CAROLJNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: NOTICE OF DEFICIENCY
Kornegay Brothers
Facility Number: 31-353
Duplin County
Dear Mr. Kornegay:
On June 10, 1998, staff from the Wilmington Regional Office of the Division of Water
Quality inspected your animal operation and the lagoon(s) serving this operation. It was observed
that a corn/wheat/soybean rotation is planted in a spray field designated by the Certified Animal
Waste Management Plan (CAWMP) for summer and winter annuals. It was also observed that
there are erosion cuts on the inner dike wall of the lagoon.
All crops to be planted in the spray fields should be listed for each field in the Certified
Animal Waste Management Plan. The erosion cuts should be filled with a suitable clay material,
compacted and re -seeded with an appropriate vegetative cover. In addition, bare areas on the
inner dike wall should be revegetated. The lagoon design information for the lagoon should be
in the CAWMP. We suggest that you contact your service company, local NRCS or Soil and
Water District office for any assistance they may be able to provide to correct the situation.
To remain a deemed permitted facility, you must notify this office in writing within
fourteen (14) days of the receipt of this notice, what actions will be taken to comply with your waste
management plan. Failure to do so may result in the facility losing it's deemed permitted status,
requiring it to obtain an individual non discharge permit.
127 North Cardinal Dr., Wilmington, North Carolina 28405 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

Mr. Donnell Kornegay
June 15, 1998
Page 2.
Please be aware it is a violation of North Carolina General Statutes to discharge wastewater
to the surface waters of the State without a permit. The Department of Environment, Health and
Natural Resources has the authority to levy a civil penalty of not more than $10,000 per day per
violation.
When the required corrective actions are complete, please notify this office in writing at
the address below. If you have any questions concerning this matter, please call David Holsinger
or Brian Wrenn at 910--395-3900.
Sincerely,
Brian L. Wrenn
Environmental Specialist
cc: Harold Jones, County Soil and Water Conservation
Sandra Weitzel, NC Division of Soil and Water Conservation
Dr. Garth Boyd, Murphy Family Farms
Operations Branch
Wilmington Files
S: I WQSI BRIANWIDEF98I D UPLINI3I-353.DEF

r1
Kornegay Brothers Inc. JUL 0 6 1998
320 Scotts Store Road
Mt. Olive, NC 28365
Dear Mr. Wrenn
I have been in contact with Duplin Soil & Water office.
We have made approperate changes to the Animal Waste
Management Plan. We have also filled in the erosion cuts
on the lagoon bank and are re -seeding. Thank you for
your help in this matter.
Sincerely,
4714, - l
Donnell KornegWa
.

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State of North Carolina
Department of Environment
and Natural Resources
Wilmington Regional Office
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Division of Water Quality
June 15, 1998
Cer-tiffied Mail # Z 312 646 442
Return Receipt Requested
Mr. Donnell Kornegay
Kornegay Brothers
320 Scotts Store Road
Mt. Olive, North Carolina 28365
1 • •
RCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: NOTICE OF DEFICIENCY
Kornegay Brothers
Facility Number: 31-353
Duplin County
Dear Mr. Kornegay:
On June 10, 1998, staff from the Wilmington Regional Office of the Division of Water
Quality inspected your animal operation and the lagoon(s) serving this operation. It was observed
that a corn/wheat/soybean rotation is planted in a spray field designated by the Certified Animal
Waste Management Plan (CAWMP) for summer and winter annuals. It was also observed that
there are erosion cuts on the inner dike wall of the lagoon.
All crops to be planted in the spray fields should be listed for each field in the Certified
Animal Waste Management Plan. The erosion cuts should be filled with a suitable clay material,
compacted and re -seeded with an appropriate vegetative cover. In addition, bare areas on the
inner dike wall should be revegetated. The lagoon design information for the lagoon should be
in the CAWMP. We suggest that you contact your service company, local NRCS or Soil and
Water District office for any assistance they may be able to provide to correct the situation.
To remain a deemed permitted facility, you must notify this office in writing within
fourteen (14) days of the receipt of this notice, what actions will be taken to comply with your waste
management plan. Failure to do so may result in the facility losing it's deemed permitted status,
requiring it to obtain an individual non discharge permit.
127 North Cardinal Dr., Wilmington, North Carolina 28405 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

v
Mr. Donnell Kornegay
June 15, 1998
Page 2.
Please be aware it is a violation of North Carolina General Statutes to discharge wastewater
to the surface waters of the State without a permit. The Department of Environment, Health and
Natural Resources has the authority to levy a civil penalty of not more than $10,000 per day per
violation.
When the required corrective actions are complete, please notify this office in writing at
the address below. If you have any questions concerning this matter, please call David Holsinger
or Brian Wrenn at 910-395-3900.
Sincerely,
S' S �- �' 41, - �
Brian L. Wrenn
Environmental Specialist
cc: Harold Jones, County Soil and Water Conservation
Sandra Weitzel, NC Division of Soil and Water Conservation
Dr. Garth Boyd, Murphy Family Farms
Operations Branch
Wilmington Files
S. IWQS;BRI4N%-DEF981D UPLJM31-353.DEF

State of Noah Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Donnell Komegay
Kornegay Brothers
320 Scotts Store Rd
Mt. Olive NC 28365
A440a
�EHNR
November 13, 1996
SUBJECT: Operator In Charge Designation
Facility: Komegay Brothers
Facility ID#: 31-353
Duplin County
Dear Mr. Komegay:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 91gn33-0026.
Sincerely,
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
Enclosure
cc: Wilmington Regional Office
Water Quality Files
P.O. Box 27687, ilk *CRaleigh, North Carolina 27611-7687 An Equal Opportunity/Affirmative Action Employer
Voice 919-715-4100 50% recycled/10% post -consumer paper

NOV 1993
REGISTRATION FORM FOR ANIMAL FEEDLOT OPERATIOI�TB
Department of Environment, Health and Natural Res',lirce,sr` QJA'1rY
Division of Environmental Management; °lanninn F, _
Water Quality Section crr,
If the animal waste management system for your feedlot ape ll
is designed to serve more than or equal to 100 head of cattle, 75
horses, 250 swine, 1,000 sheep, or 30,000 birds that are served
by a liquid waste system, then this form must be filled out and
mailed by December 31, 1993 pursuant to 15A NCAC 2H.0217 (c) in
order to be deemed permitted by DEM. Please print clearly.
Farm Name: Kornegay Brothers
Route 1 Box 151
Mt. Olive, NC 28365
Duplin County
Owner(s) Name:
Manager(s) Name:
Lessee Name:
919-658-5685(H)
i 4G SO- c,.r, Ra 6 Ye,rC +-
Farm Location (Be as specific a _possible: road a es,
direct' milepost, etc.): A d �
151'-1 T �rll1:a X �6R.L�),4- 11 Qaa. Du+ ia,.0 alma e, cnnSc
Latitude/Longitude if known: QBSP # 16-123-01-19
Design capacity of animal waste mana ement system Number and
type of confined animal (s) : YV--Fc 5'mA �/�!JS h-e-f�
Average animal population on the arm (N r and type.of
animal (s) raised): ;� 4ty-8 3W 1na T 4L -gyp- _
Year Production Began: ASCS T act No.: ov
e of Waste Management System Used:
2'Yr n � Y � rl �
LA(-21, SR*L(P-R-
.Acres Available for Land Ap ication of pate: fi ZS00�
Owner(s) Signature(s): Date:_
ajE Date: ... f�
31 1 (Randy Lane, Serviceman)

�//V-
State of North Carolina
Department of Environment,
Health and Natural Resources. •
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
December 9, 1993
Donnell Kornegay-
Rt. 1, Box 151
Mt. Olive NC 28365
Dear Mr. Kornegay:
This is to inform you that your completed registration form required by the recently
modified nondischarge rule has been received by the Division of Environmental Management
(DEM), Water Quality Section.
On December 10, 1992 the Environmental Management Commission adopted a water
quality rule which governs animal waste management systems. The goal of the rule is for
animal operations to be managed such that animal waste is not discharged to surface waters
of the state. The rule allows animal waste systems to be "deemed permitted" if certain
minimum criteria are met (15A NCAC 2H .0217). By submitting this registration you have
met one of the criteria for being deemed permitted.
We would like to remind you that existing feedlots which meet the size thresholds
listed in the rule, and any new or expanded feedlots constructed. between February 1, 1993
and December 31, 1993 must submit a signed certification form to DEM by December 31..
1997. New or expanded feedlots constructed after December 31, 1993 must obtain signed
certification before animals are stocked on the farm. Certification of an approved animal
waste management plan can be obtained after the Soil and Water Conservation Commission
adopts rules later this year.
We appreciate you providing us with this information. If you have any question about
the new nondischarge rule, please contact David Harding at [phone].
Sincerely,
Steve Tedder, Chief
Water Quality Section
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer W% recycled/ 10% post -consumer paper

NORTH CARQLINA
Depadment of Environmental Quui

ivis'ion of Water Resources
Facitity Number - OO Divisioffi
ail and Water ConservatiOther y !\
Type of visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: tine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: f7--1 Arrival Time: / D Departure Time: O County: Region:
Farm Name: Owner Owner Email:
Owner Name: /�� GC�o- G�al� Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: - 1/1Yo �Q�G. Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Certification Number:/
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Design Current
Swine Capacity Pop.
Wean to Finish I
Wet Poultry
ILayer I
Design
Capacity
Current
Pop.
Cattle
Dairy Cow
Design Current
C►apacity Pop.
Wean to Feeder
Non -La er
DairyCalf
,*-feeder to Finish a
Dairy Heifer
Dry Cow
Non -Dairy
Farrow to Wean
Farrow to Feeder
Design C►urgent
D . P,oultr, C•_a aci P,o
Farrow to Finish
ILayers
Non -Layers
Beef Stocker
Gilts
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turkeys
Turkey Poults
Other
Discharges 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 DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
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 EF�No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
0 Yes [:]No ❑ NA ❑ NE
[:]Yes ❑ No
[—]Yes J,No
❑ Yes 125-No
DNA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 1 of 3
21412015 Continued

Facility Number: - 3 Date of Ins ection: r
p f
Waste Collecti )p & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
r
❑ Yes
FA -No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
[:]No
❑ NA
❑ NE
Structure l Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
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
(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
E�_No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
2 No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
JZ 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
12 No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[] Yes
r-1,71 No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. [] Yes Q 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): ��/�r � Aram ey'3 �y„f
13. Soil Type(s): ��y t/" ��e-
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
0 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
0 No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
MNo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
MNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
allo
❑ NA
[] NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
Q'No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
J� No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes RNo
❑ 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 21412015 Continued

Facili Number: IDate of Inspection: C7"�
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 0 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 provide documentation of an actively certified operator in charge? ❑ Yes a No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ® No
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
No
and report mortality rates that were higher than normal?
JR
24. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
54 No
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
15No
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
allo
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
,LNo
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
R No
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
EK-No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
( q y ... tions or any othercomments ` Comments refer to, uestaon#) ;Eplawwana YESanswersE and/or -any add►tio�al;reCommenda.
Use drawings of facility to ;better explain situations:,(use;add�honal;.pages; as, necessary
Reviewer/Inspector Name:
Reviewer/Inspector Signatui
Page 3 of 3
Phone:
Date: ✓f o j`zfl /7
21412015

Type of Visit: )D-Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Gleason for Visit: utine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
Farm Name: An— a ez- 7r t n(o. -- ""S Y,-r.. Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: �l Qpf / !y(Jri� - _ Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Design Current
Swine Capacity Pop.
Wean to Finish
Wet Poultry
La er
Design
Capacity
Current
Pop.
Design Current
@attle Capacity Pop.
DairyCow
Wean to Feeder
Non -La er
Da' Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Farrow to Feeder
Di, P,oult .
Design
Ca aci_
Current
P,o
Cow
Non -Dairy
Farrow to Finish
ILayers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Turke s
Turkey Poults
Other
Beef Brood Cow
Other
Other
Discharges 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?
[:]Yes ❑'No 0 NA ❑ NE
❑ Yes ff No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes 4�j 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 DWR) ❑ Yes Z No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? [:]Yes ff No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts.to the waters [:]Yes ❑/ NNo ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412014 Continued

Facility Number: - Date of Inspection:
Waste Collection & Treatment
4`. I' 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
Structurg 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): p2��
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
C2'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
Ca"No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
threat,
notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
[;],No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
[:]Yes
Z_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
[2'No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
W. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
P No
DNA
❑ NE
maintenance or improvement?
TT
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
'C:�No
❑ 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 crops differ from those designated in the CAWMP?
❑ Yes
E31rNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
.P'rNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑"No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
PNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
JZ No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
_ffNo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? if yes, check
[:]Yes
[allo
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes _LD'No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall [:]Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes � o
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes W_N4
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3
I
21412014 Continued

Facility Number: - Date of Inspection: 4
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [2[ No
25 Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes JF,;fNo
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes [2130
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes �No
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
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:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes o ❑ NA ❑ NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative? ❑ Yes �1Vo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes TJ, o ❑ NA ❑ NE
Comments (refer to"question;#): Explain,any YES answers and/or any additional recommendations or any other comments.
Use;drawings',of.iacility:to, etter explain..situations (use additional pages as necessary).
❑ NA ❑ NE
❑ NA ❑ NE
DNA ❑NE
❑ NA ❑ NE
❑ Yes 1'No ❑ NA ❑ NE
❑ Yes [21No [DNA ❑ NE
❑ Yes ❑'No ❑ NA ❑ NE
❑ Yes [;kfTo ❑ NA ONE
.JG 4,e C f t4'i^S G Asa dPn k a /Y7.0g-j` e-a
for
�3 jlG 4v "-+d
Reviewer/Inspector Name: / �(J/ r� G�� [�� Phone:
Reviewer/Inspector Signature: Date:
Page 3 of 3 21412015

I!
FaciliNumber: - Date of Inspection: 7>i
t
Waste Collection & Treatment
4. Is storage- apacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ONo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes 'E�j'No ❑ NA [] NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): �3
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 0'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 -E j No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes F2FNo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
1,
❑ Yes [allo
❑ 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 L3'No
❑ NA
❑ NE
maintenance or improvement?
Waste Aaalieation
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes _4E!fNo
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes 12-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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes L37No
❑ 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
❑ Yes `gNo
❑ NA
❑ NE
acres determination?
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 �fNo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the 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 U'No
❑ NA
❑ NE
the appropriate box.
T
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ja"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 [i]'Po
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes Q'go
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Sb vey
❑NA ❑NE
❑ NA ❑ NE
Page 2 of 3 21412014 Continued

Facility Number: jDate of inspection: t d
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
❑ 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
F:�,'No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
,
24. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes
[�f 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
KNo ❑ 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
EfNo ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? [:]Yes
ZrNo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes
ff No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes
ZNo ❑ NA ❑ NE
omments (refer to question #) Explain any. YES:answers.and/.or ;any, additional recommendations or any other comments. ,
* ,
Use, draw�ngs;of�facihtyato=be't#'er ex lain situations-' � pJ(use-additional°pages as necessary).
w JcrrPVj ex F U4hl aqlj:�,
�,� �lrs� Jr'�`CILU'd� cc(w ' O ✓`
(6#%
3 f,3111S. 0, 7/ L/
l0 `2-2-J1r 0/_62—
Reviewer/Inspector Name:
Phone: lll� I C r/ /75`;
Reviewer/Inspector Signature:
Page 3 of 3
Date: 1.21 -7.
21412015

of
Date of Visit:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Visit: Compliance
for Visit: -(;)<outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Othe
r 0 Denied Access yI
Arrival Time: eparture Time: County: f�l/lam
Owner Email:
Phone:
Facility Contact: Title: Phone:
Onsite Representative: )� �(� yp�� (p,� ___ Integrator:
,--
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop.
Wean to Finish La er
Design
Cattle Capacity
Current
Pop.
Dairy Cow
Wean to Feeder
- Non -La er
Dairy Calf
Feeder to Finish
OC)
Dairy Heifer
Farrow to Wean
Farrow to Feeder
Farrow to Finish
=Q7R712a Current
D . P,oul Ca aci_ P,o
Layers
Dry Cow
-Non-Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
=
Beef Brood Cow
Qther
Other
Turke s
Turkey Poults
Other1 —r--
Discharges 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 DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
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 ,❑''No ❑ NA ❑ NE
❑ Yes,,EJ�'No
❑ Yes JC2�No
❑ Yes ;:FNo
❑ Yes _E2-No
[:]Yes ❑'No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
Page I of 3 . 21412014 Continued

Facility Number: - Date of Inspection: Ilt
Waste, Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
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?
PNo ❑ NA ❑ NE
7❑"No ❑ NA [] NE
Structure 6
❑ Yes
No
❑ Yes P} %
❑NA ❑NE
❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ;EpNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [2'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 P�No ❑ NA ❑ NE
maintenance or improvement? T
Waste ADnItcatiOn
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes )ZfNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes P 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):
13. Soil Type(s):
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
E3 No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
�o
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
�i o
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
[:]Yes
[:jNo
T
❑ NA
❑ NE
_Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
J2-No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
L2'NQo
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements []Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes`�IQo
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I " Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �o
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [:]Yes EKO
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412014 Continued

Facili Number: - Date of Inspection: lib 3
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
jE'No
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
P3'No
❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
[:]Yes
�lo
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
[214o
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes �3 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)
3 1. 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 ❑ 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 ft Explain any YES answers and/or any additional recommendations or any other comments:
Use drawings of facility to better explain situations (use additional pages as necessary),
uy11 ao
13e S ur-c- ooj 4 L rvth r1 s
Arwe
a . -w
' yin roc o r C� S )C"01c �a
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: ` / 6 73� 5
Date:
2/4/2Q14

Type of Visit: Q<ompliance Inspection O Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: outine O Complaint O Follow-up O Referral O Emergency C) Other O Denied Access
Date of Visit: Z !/ Arrival Time: /D.e_� . cparture Time: County:'73Region:
Farm Name: �ii Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative:
Certified Operator:
Integrator:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design
Swine Capacity
Current
Pop.
Design Current
Wef Poultry C*apacity Pop.
Design Current
Cal#le Capacity Pap.
Wean to Finish
Layer
Da' Cow
Wean to Feeder
Non -La er
DairyCalf
Feeder to Finish
Farrow to Wean
Design Current
D . Pooutt . Ca aci P,o ,
La ers
Da' Heifer
D Cow
Farrow to Feeder
Farrow to Finish
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turke Poults
Other
Discharges and Stream Imnacts
1. Is any discharge observed from any part of the operation? ❑ Yes �Ivo ❑ NA ❑ NE
Discharge originated at: ❑ Structure [I 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)
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 ,ETNo
❑ Yes 4!lNo
❑ Yes eNo
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
Page 1 of 3 21412011 Continued

Facihty Number: Date of Inspection:
Waste Confection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes E!rNo
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
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.)
[:]Yes R No ❑ NA ❑ NE
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
P No
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health
or environmental
threat,
notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
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
O-No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
[;KNo
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land 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 I 0 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 crops differ from those designated in the CAWMP?
❑ Yes
ONo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
[:]Yes
PNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
fallo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
.0No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
E f No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the 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
L2'No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. Yes No
❑ Waste Application Weekly Freeboard Waste Analysis ❑ Soil Analysis jaste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 6 No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E]"No
[DNA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - Date of inspection:
24. Did_thkacility fail to calibrate waste application equipment as required by the permit? ❑ Yes Z No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ezNo
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes 2/ No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes g'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/6r,document ❑ Yes ff 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 ONo ❑ 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 KNo ❑ 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 ZNo ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ONo ❑ NA ❑ NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ONo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes Vej No ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments
Use drawings of facility to better explain situations (use additional pages as necessary).
Wti/►-� I� 3n !I !rt t�cir� 1'�a
a 4.7d uiMP1� � 11.ou-t�l f�.cTe- �s
/Y/!�
So
V/601P I #q
3131 /fl 6' 60
1z13 alwv 6 1
Reviewer/Inspector Name:
V VC, sufe -k sorl t/es��� ao�r.
• Fl"I'l ¢- records IoQ�So�
Phone: MY
Reviewer/Inspector Signature:
Page 3 of 3
Date: f y It,
21412011

Fa �,Itty N�mb�er= �I
vision of Water Quality,
Q Division of Soil and Water Conservafion �n
O Other. Ageneyy
Type of Visit )2'lrbmpliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit'15Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: rrival Time: �� Departure Time: County: � Region: l J 0
Farm Name:
Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: '5-a 1 4La,4l'PY
Certified Operator:
Back-up Operator:
Location of Farm:
Phone No:
Integrator•
Operator Certification Number:
Back-up Certification Number:
Latitude: = o = I Longitude: = o = = "
Design. ...Current Design Current w. w Desjgn� Current
Swine7 "Capacity Population Wet Poultry Capacity Population Cattle "' � Capacity'_Popu afio
. <..�.,
`� ❑ Wean to Finish ❑ Layer ❑Dai Cow
El Wean to Feeder ❑ Non -Layer ❑Dai Calf
;n ❑ Feeder to Finish El Dairy Heifer
_ ❑ Farrow to Wean Dry Poultry ❑ D Cow
HI ❑ Farrow to Feeder n "'��
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
zB ❑ Other
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Pouets
❑ 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?
LJ Beef Stocker
❑ Beef Feeder
❑ Beef Brood
Numberfof�f
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)
0
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?
Page 1 of 3
❑ Yes ONO ❑ NA ❑ NE
❑ Yes [� No
/❑No
El NA
El NE
❑Yes
❑NA
ONE
❑ NA
❑ NE
❑ Yes J'No
❑ Yes PNo
❑ NA
❑ NE
❑ Yes ❑ o
❑ NA
❑ NE
12128104
Continued

Facili Number: - Kate ection:
Waste Co,'ection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Jam'' No ❑ NA ❑ NE
r. .
a. If yes, is waste level into the structural freeboard? ❑Yeso ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
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
(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 EfNo
❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ YesJE7'No
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes j2no
❑ 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 allo
0 NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes _O-No
❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes P
❑ 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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes_J�JNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes o No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes j:�[No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes allo ❑ NA ❑ NE
❑ Yes 1EINo ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? [:]Yes [a.;Vo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [] Yes ❑"No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other.
21. Does record keeping need improvement? If yes, check the appropriate box below. [—]Yes LJ-No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? [:]Yes ❑Tlo
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [:]Yes 0 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 .[�T No [:]NA ONE
25.-Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes �3 No ❑ NA ❑ NE
the appropriate box(es) below.
[] Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes JZNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ff No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes P 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
�allo
❑ 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
JZ No
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
Z 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
PNo
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
9,No
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
EfNo
❑ NA ❑ NE
Comments (refer to question ff): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
e . F6-
G - 7o
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Jo�avr. a dj ll (D iahoo . con-
I-e Z_<�'rZ--7eS 45L-)k
Phone: "7 4 _7X8 (
Date: Z
2/4/201

Type of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit:�Routin__e 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: /Q / Z // g Arrival Time: , [j parture Time: County: Region:
Farm Name: J�'/�f�� y�r/f �s Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
OnsiteRepresentative: I_i�rA Integrator:
Certified Operator: Certification Number:
iE!�
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Design Current
Swine Capacity Pop.illWet
Wean to Finish
Design Current
Poultry Capacity Pop.
I I Layer
Design Current
Cattle Capacity Pop.
Daja Cow
Wean to Feeder
I
jNon-Layer
I
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
Qr7ylpTult , Ca aci_ P,o
Layers
Dry Cow
Farrow to Feeder
Farrow to Finish
Non -Dairy
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turke s
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 0No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes &,6 No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes FfNo ❑ 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 ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes � No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ,E]�No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 �, 21412011 Continued

Facility Number: - Date of Inspection.
Waste Collection & Treatment
4: ls-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 ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): off.
5. Are there any immediate threats totheintegrity of any of the structures observed? ❑ Yes' No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Ye!'ONo
❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat,
notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes _'No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [7rlqo
❑ 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 � o
❑ NA
❑ NE
maintenance or improvement? T
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 12'No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes P�rNo
❑ 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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 0No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 21l10 ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes [3No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes [�No ❑ NA ❑ NE
❑ Yes TfNo ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes I;kNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes �kNo ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists [:]Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes P-No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soit 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 Ins ection:
24, Didrthe facility fail to calibrate waste application equipment as required by the permit? ❑ Yes o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 0No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes 0-
No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ElYes XNo ❑ NA ❑ NE
Other Issues
28, Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes o
❑ NA ❑ NE
and report mortality rates that were higher than normal?
T
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
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
JVNo
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 J J No
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes VNo
❑ NA ❑ NE
Comments {refer to question ft Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
VIX113 0 � 7� � �rr� fi /'e bo�s oacl
/'#�/2 0 • 7.3
".
Q%
Reviewer/Inspector Name: Phone:
Reviewer/Inspector Signature: Date:�� �b
Page 3 of 3 14120 1

'Division of Water Quality
Facility Number - O Division of Soil and Water Conservation
-- - Q Other Agency
Type of Visit-4atompliance Inspection O Operation Review O Structure Evaluation O technical Assistance
Reason for Visit .EY"'Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: /1 j� Arrival Time: n� Departure Time: County: Lz4cakll Region:
Farm Name: 1i Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: ,-5, �a � wk,✓'
Certified Operator:
Back-up Operator:
Location of Farm:
0
Latitude:
Phone No:
Integrator:
col/
Operator Certification Number:
Back-up Certification Number:
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population
[❑ Wean to Finish I -
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ Layer
❑ Non -La of
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?
'd Longitude: =0=S ❑ i4
Design Curreni
Cattle Capacity Population=``
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifer
E]Dry
Cow
❑
Non -Dairy
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood Cowl
I
Number of Structures: F-1I
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^4fi5NO ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
12 No
❑ Yes
�o
El NA
❑ NE
❑ Yes
,ZNo
ElNA
❑ NE
12128104 Continued

Facility Number: —
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes )INo
❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
Cl Yes VNo
❑ NA ❑ NE
Struc re I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes pi'No
❑ NA ❑ NE
(iel 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 PNo
❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes WNo
❑ 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 ZNo
❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes P Ro
❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes J2'tVo
❑ 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)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ado
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[JNo
❑ NA
❑ NE
I & Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
[,_ 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
JZNo
❑ NA
❑ NE
n.'� �
Comments (refer to`quest�on:#) ; Explihfany YE&answers and/or any,.�recommendations or any ,othei;,, omments��
Use drawings of facility to tietter explain situations ° (use additional pages as necessary):
Reviewer/inspector Name y= ���# z Phone:
Reviewerllnspector Signature: Date: J
P 2 f 3 12 810 Continued
age o

Facility Number: Date of Inspection y %
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 0No ❑ NA ❑ NE
the appropriate box. ❑ WUp ❑ Checklists
❑ Design El Maps ❑Other 21. Does record keeping need improvement? If yes, check the appropriate box below. �u r�
Yes 4&No ❑ 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?
❑ Yes
FeKo
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
Ko
❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
[:14o
❑ 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
To
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
J:?No
❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
2-f4o
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
eNo
❑ 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
eNo
❑ 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
j2i�o
❑ 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'I�o
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
;2'No
❑ NA
❑ NE
Additional Comments'and/or' D"rawings::."�-,.. , z
Lj
'56 +V" f Aso czUEp:-- fS�
6 210 G0U44, '56W-CFulPJ)-3 et.
G . 7CO
° aecoISs
Page 3 of 3
12128104

�V Division of Water Quality
`Facility Number27D—E2M[ O Division of Soil and Water Conservation
O Other Agency
Type of Visit l?oMmpliance Inspection O Operation Review O Structure Evaluation 0 Technical Assistance
Reason for Visit sdRoutine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: o% r (! Arrival Time: CrV Departure Time: County: < l� Region:
Farm Name:
Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: �— et✓I ve Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator:
Location of Farm -
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Boars
Other
❑ Other
Back -up Certification Number:
Latitude: E::] o = ' = Longitude: = ° ❑ '
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
T._ ❑ Layer
1 10 Non -La et
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifer
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood Co
Number of Structures:
Discharces'& Stream Impacts
1. Is any discharge observed from any part of the operation
.., .a , ❑ Yes
P No
❑ NA
❑ NE
Discharge originated at: ❑ Structure'- ❑Application Field" ' ❑ Other
J;IY
„` �7 5
a. Was the conveyance man-made?
�;:❑ Yes
❑ No
❑ NA
❑ NE
b. Did the disc harge, reach waters of the State? (ifes, notify DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
c. Whatis-theestimated volume brat reached waters of.the State (gallons)?
d. Does discharge bypass the waste manageriient system?'(If yes„_ri it`ify
DWQ) ❑ Yes
❑ No
❑ NA
❑ NE
2, is there evidence of a past discharge froin,any-part of the operation?
+ _ { ❑ Yes
2No
❑ NA
❑ NE
3. Were there any adverse impacts of potential<adverse impacts to the Waters of the State
+ El Yes
CI No
❑ NA
❑ NE
*: other than from a discharge?
Y
12128104
Continued

Facility Number: — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes Jallo
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
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 J"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 RNo ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes 2-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 [;�No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [,2RTo ❑ NA ❑ NE
maintenancehmprovement? ,
11. Is there evidence of incorrect application? If yes, check the appropriate box below, El Yes L�J 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 Area
l2. Crop type(s)
13. Soil type(s)
M. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
DWo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
Callo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes
[2rNo
❑ 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
[ZNo
❑ NA
❑ NE
Reviewer/inspector Name I Phone: q 16,
Reviewer/Inspector Signature: Date: �� G'

Facility Number: Date of Inspection 2
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes )2No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ERNo ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes )2No ❑ 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 J0 No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ZNo
❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes J;3A10
❑ NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes 0No ❑ NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
ffNo
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑�No
[I NA
[I NE
Other Issues
/
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
4? No
❑ NA
❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
ONo
❑ 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
;2'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
ONo
❑ 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
ENo
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
eN o
❑ NA
❑ NE
7/7/0. i(
Ay/ve 0-
r�iJ�'t got 1"4e
Page 3 of 3 12128104

--VIDivision of water Quality
Facility Number Q Division of Soil and Water Conservation
— — -- — Q Other Agency
Type of Visit erCompliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit E) Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: jl Arrival Time: Departure Time: County:
_Farm Name: 11414r S �Yt G Owner Email:
Owner Name: a Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No-
Onsite Representative: .l , l GlkicL_ LGVilf e Integrator: m Iq
Certified Operator: Operator Certification Number:
Back-up Operator:
Location of Farm:
Swine
❑ Wean to Finish
"� ❑ Wean to Feeder
Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Back-up Certification Number:
Region:
Latitude: = o = ❑ Longitude: = o = 6 ❑
64
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Laver
! ❑ Non -La yer
Dry Poultry
U Layers
❑ Non-L
❑ Pullets
Other
Poults
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 Current ,'`
Cattle Capacity Populattoi':
❑ Dairy Cow
❑ Dai Calf
❑ Dairy Heifer
EFDry Cow
❑ Nan -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Co;F__1
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?
Page I of 3
❑ Yes Z No ❑ NA ❑INE
[]Yes
[]No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
ONo
❑ NA
❑ NE
[:]Yes
-Lallo
❑ NA
❑ NE
12128104 Continued

# Fac;bty Number: 3 Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
4vfyes o
❑ 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?:
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 P 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 .0 No
❑ NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes 0'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 PNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑"No ❑ NA ❑ 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 ❑ FAN > 10% or to 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) l�erJYl/J�.�i•. ( e J /
13. Soil type(s) / UL
14. Do the receiving crops differ from those designated in the CAWMF?
❑ Yes E No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes .f No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes 0' 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 [21-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):
Lajoon @ 1�'', ems- Lliwv/ his
A �'Z C76����y_
Reviewer/Inspector Name I /rub . �/��W� �, �[ Phone:
Reviewer/Inspector Signature: e% Date: Q
Pane 2 of.? W28/fl4 Cnntinued

to
Iiacility Number: J 3 Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ZNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes Zo ❑ NA ❑ NE
the appropriate box. ❑ W­Up ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste 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
10 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
EINA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
[�tNo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
4 NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
V[No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
ff 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
ZNo
❑ 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
0 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
EfNo
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
�No
❑ NA
❑ NE
Additional Comments and/or Drawings:
3/310 G �f
Page 3 of 3 12128104

Type of Visit Xf compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of visit:
Q
Arrival Time: Q
Departure Time: County:
Farm Name:
r
�S
Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feedei
Farrow to Finish
Gilts
Boars
Other
❑ Other
Latitude: E o
Phone:
Region: 6��4
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
I 1❑ Non -Layer
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?
Longitude:
Design Current
Cattle Capacity Population
❑ Daia Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non-Dai
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:EJ
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 P'No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
;Iflqo
❑ NA
❑ NE
❑ Yes
[-No
❑ NA
❑ NE
12128104 Continued

Facili?Y, Number: 3 Date of Inspection
4e
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
Struc ure 1 Structure 2 Structure 3 Structure 4
Structure
5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
VJ 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
(ZNo ❑ 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
[/No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
VNo ❑ 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
�No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
❑ NA ❑ NE
maintenance/improvement?
7No
11. Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ Yes
[YNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or l0 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)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
U Yes
LM
U NA
U NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
ETNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,
❑ Yes
O No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
UNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
01V o
❑ NA
❑ NE
nments (refer taqueshon;#) Egplam=anyrYES`ansti+v
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: Date: O
1212814 Continued

Facilii , Number: S Date of Inspection
Re aired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 0 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 appropirate box.
❑ WUP El Checklists El Design ❑ Maps ❑Other
21. Does record keeping need improvement? if yes, check the appropriate box below. ❑ Yes [ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste 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? ❑ Yes QlNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No XNA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes V1 No E�,,l{ NA El NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes El No 2 f NA ElNE
26. Did the facility fail to have an actively certified operator in charge? ElYes Z No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No ❑ NA EfNE
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 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 [/No ElNA ElNE
General Permit? (ie/ discharge, freeboard problems, over application) !!
32. Did Reviewer/Inspector 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 No ❑ NA ❑ NE
Additional Comments. and/or Drawings:
12128104

Type of Visit O Cor�spliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up O Emergency Notification O Other 0 Denied Access
Facility Number 3SS Date of visit: a ]- 8 au Tune:
Q Not Operation2l, Q Below Threshold
permitted Certified © Conditionally Certified 13 Registered Date -Last Operated or Above Threshold: . .
Farm Name: -T-
?-iP �� . - �A a-y�n s1*f L. County:. QvP Lu.>
Owner Name: , , ,. , . , _ Phone No:
Mailing Address:
Facility Contact: ____ . _ _ _ — - ---Title: _ _ . — _ . Phone No:
Onsite Representative: —,,.P tic ,�lDiN LAr-1149- Integrator:
Certified Operator:
Location of Farm:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 4 " Longitude =• 4 44
Discharges & Stream Impac
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?
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 gaYrain?
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
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes
❑ No
❑ Yes
ENo
❑ Yes
eNo
❑ Yes
[/ No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): 7-s
12112103 Continued

Facility Number: 3 I:H3=S7S Date of inspection 2. o
5.e there any immediate threats to the integrity of any of the structures observed? Cie/ 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 [I Yes ur<0
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ) f
7. Do any of the structures need maintenance/improvement? El Yes E No
8. Does any part of the waste management system other than waste structures require maintenancerimprovement? ❑ Yes I;IIQo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
❑ Yes No
elevation markings?
Waste A heation
10. Are there any buffers that need maintenance/improvement? ❑ Yes B<O
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes 2<o
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type 60^ UDA ( N ) S& 0
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ENo
14. a) Does the facility lack adequate acreage for land application? ❑ Yes 2<0
b) Does the facility need a wettable acre determination? ❑ Yes
VNoc) This facility is pended for a wettable acre determination? ❑ Yes
15. Does the receiving crop need improvement? C Yes ❑No
16. Is there a lack of adequate waste application equipment? ❑ Yes [3'No
Odor Issues J
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below [j Yes E No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes U40
19_ Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes U40
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ Yes �o
Air Quality representative immediately.
CZ (zC.or-'o S Z.1J G'>oo 5"h APE,
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Field
f.Lcto rJ&-CDs LxmE 1-tbnl,
Date:
Final Notes
12112103 Continued

Facflity Number: — 31 Date of Inspection [.Z
c
Rewired Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
alNo
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
Oct WUP, checklists, design, maps, etc.)
❑ Yes
(/No
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
P PP �
❑ Yes
O�N<
25. Did the facility fail to have a actively certified operator in charge?
❑ Yes
;70
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
No
27. Did Reviewer/Inspector fail to discuss reviewhnspection with on -site repirsentative?
❑ Yes
[allo
28. Does facility require a follow-up visit by same agency?
❑ Yes
N
;Zo"
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) ❑ Yes E3No
31 _ If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [:]No
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes ❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate boa below. ❑ Yes ❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12172103

Date of Visit: / OZ Time:
10 Facilih• Number i
Not O erational 0 Below Threshold
Permitted © Certifed [:1 Conditionally Certified . 0 Registered Date Last Operated or bone Threshold:
p
Farm Name: T�r!MS —G . County' fW
Owner Name: JO 1.4 h.,('f Le �1r",e Phone No:
Mailing Address:
Facility Contact: Title: Phone No:
Onsite Representative: 4n W A -V' Integrator:
�rT
Certified Operator: Operator Certification Number:
Location of Farm -
[]Swine [:]Poultry ❑ Cattle ❑Horse Latitude Longitude
Desrgn ` Current Design Current =
Destgn Cnrrnt
Swine, ` �' =Ca aciti Po ula6on . Poult>rt� .._: Ca acitv� Po�nlatiou� .._=Cattle .. .,_ Ca acitvw�'.Pa iilatton.E
❑ Layer ❑ Dairy
1510 Non -Laver ❑ Non -Dairy
❑Other +
" Total Design1Capaclty
w
�SSLW
J.
ta1
Numberof Lagoons
❑Subsurface Drains Present ❑ Lagoon Area
5 ray Field Area
_
T
❑ No Liquid Waste Management Svstem
P
Haldtn ``Ponds,Wl:Sohd Tra s
g p
5
z
❑ Wean to Feeder
Discharges
® Feeder to Finish
Z 4�`b
❑ Farrow to Wean
Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
&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 flaw 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?
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? El Spillway
Structure 1 Structure z Structure 3 Structure 4 Structure 5
Identifier:
it
Freeboard (inchcs): Z7
OS/03/OI
❑ Yes ($3 No
❑Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes 59 No
❑ Yes ®,No
❑ Yes [&No
Structure 6
Continued

Facility Number: 3/ — Date of Inspection
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 anv 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 Ievel
elevation markings?
❑ Yes BNo
❑ Yes Elmo
❑ Yes Eg-NS
❑ Yes Ulm
❑ Yes ❑No
Waste -Application
10.
Are there any buffers that need maintenance/improvement?
❑ Yes
V1 #er
11.
Is there evidence of over application? ❑ Fxcesssisive Ponding [I PAN ❑ Hydraulic Overload
El Yes
8-No
Aft�,n*k12. Crop type `//i � i�t �/Ue!�SPezl —
13.
Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
Fr -No
14.
a) Does the facility lack adequate acreage for land application?
[IE 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
E3"No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
ETgo
Required Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
BNo
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ VTUP, checklists, design, maps, etc.)
❑ Yes
90-No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
EI No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
M-No
21 _
Did the facility fail to have a actively certified operator in charge?
❑ Yes
E�.RO
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes M-No
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes [�JiQo
24. Does facility require a follow-up visit by same agency? ❑ Yes E9-No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes B No
o violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Coaiimefnts refer t `- - _ o`gttestian#) Explain any YES;ansrrervand/or any recommendations or anv atlter comments
a ❑
Ilse drawtrxgs of facility to better explain sttExattoos :(nsed ailthort�:pages a`s necessary]
_ - Field Copv ❑ Final Notes
eYz; 7'�O he 7z4, -e17
re l�euSt. t/ir�u< <`K -r�e,l� �� r,�,c�t � �e /'e�%c�,
7�e-tic% r9���
Reviewer/Inspector Name _ .. .. ..
Reviewer/Inspector Signature: Date:
05103101 e- Continued

0' 4&
Facility Number: 31 — Date of Inspecti„n 0 11Z
Odor issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ElYes 9 tY0
liquid level of lagoon or storage pond with no agitation? ~
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes t 3vo
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt. ❑ Yes al <'o
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 ZING
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 R2-No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes M-o
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes 2
05103101

of Visit compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit _0'Routine Q Complaint O Follow up Q Emergency Notification O Other 1 ❑ Denied Access
Facility Number 31 S Date of visit:
[� Permitted [] Certified 13 Conditionally Certified [3 Registered
Farm Name: f i ' (G !� ..
Owner Name: J '�...
.............................................................................
11 i DI Time: 1 S: S
rO—N—otOperatioaal 0 Below Threshold
Date Last Operated or Above Threshold: ..._ ..
County: _ v� 1 t'j
Phone No:
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
MailingAddress: ......................................................................................_......._.................................................... ........
Onsite Representative: ct*ilG�....1.........a n ... r' ........ Integrator:..... m. U .................. - �......._
Certified Operator:................................................................................................................ Operator Certification Number: .....
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• �4 64 Longitude 0 4 46
Desi - Current.': Deli Current gn , Design Design Current,
Svvrne CPulatoPoltyCa aci Population Cattle
Ca aci ` .Po-ulatfoa__v
Wean to Feeder ❑ Layer ❑Dairy
❑Feeder to Finish ❑ Non -Layer ❑ Non -Dairy
Farrow to Wean
Farrow to Feeder ❑ Other
❑ Farrow to Finish Tote! I?eslgll Capacity,
Gilts
Boars Total SSLWs
Numbei"-of i.agooas - M ❑ Subsurface Drains Present ❑ Lagoon Area . ❑ Spray Field Area =~
Hol Ponds I Solid•Tra - ❑ No Liquid Waste duig - ps � . q 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 gai/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?
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 I Structure 2 Structure 3 Structure 4 Structure 5
Identifier ......I........1
......... ....................................................................................................................................................
Freeboard (inches): 1
S/00
❑ Yes hTo
❑ Yes �o
❑ Yes )2 No
h fa
❑ Yes ONo
❑ Yes XNo
❑ Yes �No
❑ Yes WNo
Structure 6
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, E] Yes V�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 XNo
(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 W&o
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ,Qf No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes Rio
Waste Application
10. Are there any buffers that need maintenance/improvement? y 5 ❑ Yes MO
G
11. Is there evidence of over application? / []Excessive Pondingg+ ❑ PAN Hydraulic Overload � es to
e 12. Crop type ^'� tJ �0. !`i C� T� �r`� u�1( C� e-ct ►'n _ ----
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes'P'NO
14. a) Does the facility lack adequate acreage for land application? ❑ Yes , NO
b) Does the facility need a wettable acre determination? ❑ Yes ONO
c) This facility is pended for a wettable acre determination? ❑ Yes /Enr'No
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 review/inspection 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?
�i6:* o iQtis:or deficiencies were h. d• dufing this'A t: • Yoo witl•reeeiye ii6 further -
�coriesporideoce: about this visit. .......................
❑ Yes ❑ No
❑ Yes ONO
❑ Yes�i No
❑ Yes WNo
❑ Yes 'O"No
❑ Yes 'ONO
❑ Yes XNo
❑ Yes [VNo
❑ Yes )2'No
❑ Yes )dNo
❑ Yes 'fi2(No
I1. 3e S vrc 1'104 4e A ff t vkna/e 4kAVI )ncti pew aicr< d ✓r;4"L)
a apt .-cC&on Pc.r-{ lc.Jlet.,I be Ct-,tam el-F 4; s ran shor4cY Pv1r--r.
�S. �e��^•tiuOiG C,r-pP is gaaGt Avid IWI.UG� ��w►.tp✓'oV+�� S%�GG� +'�i.y ja.�.� 1ii.�;•�.
IReviewer/Inspector Name
Reviewer/Inspector Signature: Date r r7 5/pa

facility Number:3 j -35s Date of Inspection Dj
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor 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 )2rK0
M Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes J2No
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 &No
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 -2V0
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yesio
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
itionaComments an or rawings: -: F
A

Facility Number 31 355 Date of Visit: 11-7-2441 Time: 15:45
0 Not Operational O Below Threshold
® Permitted ® Certified © Conditionally Certified © Registered Date Last Operated or Above Threshold: ....- __ __ __ _.
Farm Name:'hxiRltIFAtA4S.tqg ............................................................... County: ID -up iu--•-----•-----....--........ .................................... WIR0 ......
Owner Name: ,I414u1��---------------.- l.h_-- - - -------- ----- ---- Phone No: 4J.Q-2Z47-- ---------------------------
MailingAddress: 15.41 ?UCAI]4R.1 nd.................................................. ..... R!ln.HIILX.C......................................................... Z845.8 ..............
Facility Contact:........................................................... Title: ......................... I ........ Phone No:
Onsite Representative: d97Snda_1�auiiGP_.-__. ._----------------.--- Integrator:
Certified Operator: JjQja dajD............................ LaAjRr ............................................... Operator Certification Number: lQb.Cz6.............................
Location of Farm:
West of Rose Hill. On West side of SR 1100 approx. 0.25 miles South of Hwy 903 along Sampson Co. line.
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 • 49 4 17 =' Longitude 78 • 09 ' 37
Design Current
Swine CanaCity Population
❑ Wean to Feeder
® Feeder to Finish
2448
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity 2,448
Total SSLW 330,480
Number of Lagoons 10 Subsurface Drains Present ❑ Lagoon Area ID Spray 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 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 Water of the State? (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
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 Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ® No
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:-------------1.--------•----------------•--------•----.......................... ...........................
Freeboard (inches): 29

u�iva!u r
q.nniinuea
Facility Number: 31-355 Date of Inspection F5-7-2001
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
0 Yes
N No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
[I 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
N 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? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
N Yes
❑ No
12. Crop type Coastal Bermuda (Hay) Small Grain Overseed
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
N No
b) Does the facility need a wettable acre determination?
❑ Yes
N No
c) This facility is pended for a wettable acre determination?
❑ Yes
N No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
N No
Re uired Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
N 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
N No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
N No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
N No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
N No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
N No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
N No
24. Does facility require a follow-up visit by same agency?
❑ Yes
N No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
N No
© No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comirients (refer to question #) Explain any YES answers and/or any recommendations or.any ©they cnmEnents W _
Use drawings=of facility to;better explain situations (ase additional pages as necessary)
— - s
El Copy Final Note
11.13e. sure not to apply more than 1 inch per acre during an application, particuarly be aware of this on shorter pulls.
15. Bermuda crop is good and much improved since my last visit. Need to plant small grain crop ASAP.
Reviewer/Inspector Name Stonewall Mathis entered byBette Rose -
Reviewer/inspector Signature: Date:

1
05YO110I Continued
Facility Number: Date of Inspection 11-7-2001
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 ®No
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 ® No
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 ® No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No

Facility Number 31 355 Date of Visit: 11-7-2t101 Time:F_
15:45
O Not Operational O Below Threshold
® Permitted ® Certified [3 Conditionally Certified [3 Registered Date Last Operated or Above Threshold:
Farm Name: TM>Ik'.aI 1�SIASsape...........................................................County: I?UPAR.................................... WIR0 --•--•
Owner Name: ,IOIaAd�-----------------].ani�r Phone No: 4J_Q-32c2.797.-----------------------------
Mailing Address: ..... Rass..T�lu-NC.................................................. .45..8..............
1�. 7.... Est..,>�l�R.�aa��................................................................... ...... 28
Facility Contact: .........................Title:............................................... Phone No: ......................................
Onsite Representative: .191�A��_Iu301Cr------------------------------------- Integrator: i1911IDY�pJDJJ1'��rIIL�-------------- ---•
Certified Operator:JjQjAuda.D............................ LaAtlgj............................................... Operator Certification Number: 1Q6.fi6............................
Location of Farm:
West of Rose Hill. On West side of SR 1100 approx. 0.25 miles South of Hwy 903 along Sampson Co. line. +
T
® Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 "F 49 6 Longitude 78 'F 09 37 ',
Design Current
Swine Canacitv Panulation
❑ Wean to Feeder
® Feeder to Finish
2448
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
[].Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer JE1 Non -Dairy
❑ Other
Total Design Capacity 2,448
Total SSLW . 330,480
Number of Lagoons 1 ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds, [Solid Traps ❑ No Liquid Waste Management System
Discharees & 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 ® No
b. If discharge is observed, did it reach Water of the State? (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
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 Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ® No
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:------------- I ------------- -•--•--•--•--•--•--•--•---•--•--•--•--•--•--•--•-.............................. ...........................
Freeboard (inches): 29
nrinoin• r _..._--- _4

uJiEl 1/-vr
Facility Number: 31-355
Date of Inspection 11-7-20i11
4 onrtaueu
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 Coastal Bermuda (Hay) Small Grain Overseed
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
N Yes ❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes N No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes N No
b) Does the facility need a wettable acre determination? ❑ Yes N No
c) This facility is pended for a wettable acre determination? ❑ Yes N No
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 or other 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 review/inspection 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?
❑ Yes ❑ No
❑ Yes N No
❑ Yes ® No
❑ Yes ® No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments'(refer to question #} __ Explam,anyYES answers and/or any recommendations or:any;other comments
Use drawmgs--of fa6lity to better explain situations (use_ additional pages as necessary) ? ❑ Field Copy ❑ FinalVNotes
W
11.Be. sure not to apply more than I inch per acre during an application, particuarly be aware of this on shorter pulls.
15. Bermuda crop is good and much unproved since my last visit. Need to plant small grain crop ASAP.
w
Reviewer/Inspector Name Stonewall Mathis .. entered; by Bette Rose; .
Reviewer/Inspector Signature: Date:

0510101 • Continued
Facility Number: 31-355 Date of Inspection 1 11-7-2001
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 ® No
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 ® No
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 ® No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No

Facility Number 31 355 Date of Visit: 11-7-2001 Time: 15:45
O Not Operational O Below Threshold
® Permitted ® Certified [] Conditionally Certified © Registered Date Last Operated or Above Threshold: _ __
Farm Name: 'I rAP19JEa rmsJnc............................................................... County: 1?tlja.................................... }'. JR0 ......
Owner Name: ,I41gD,[ j_._-----------._ LeIU!<r_---------------------------- Phone No: 13.Q-��1��247------------------------------
MailingAddress: 15.41.01i1.CamRAnd....................................................................... Ron.M.Ac ........................................................ U.45A ..............
FacilityContact: ........................................................... Title: ............................................... Phone No: ......................................
Onsite Representative: dQiaf>de_Luie1------------------------------------- Integrator:sFl>x�ami�X��[ttLs�------------------•
Certified Operator. JQkwkda.D............................ La1 kir............................................... Operator Certification Number- 19.6.6............................
Location of Farm:
Vest of Rose Hill. On West side of SR 1100 approx. 0.25 miles South of Hwy 903 along Sampson Co. line. +
kk
N Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 34 ' 49 17 " Longitude 7$ • 09 37 «
Design Current
Swine Canacitv Pnnulation
❑ Wean to Feeder
N Feeder to Finish
2448
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
EE
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer El airy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity 2,448
Total SSLW 330,480
Number of Lagoons i ❑ Subsurface Drains Present 110 Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps JE1 No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes N No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes N No
b. If discharge is observed, did it reach Water of the State? (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 N No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes N No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes N No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes N No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:--•--•--•--.1............. ........................... .......................... ----•--•--•--•--•--•--•--..--------------------------- ---------------------------
Freeboard (inches): 29

t�ivaiul
a.unrrauru
Facility Number: 31-355 Date of Inspection 11-7-2001
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
N 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
N No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
N No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
N No
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
®No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
N Yes
❑ No
12. Crop type Coastal Bermuda (Hay) Small Grain Overseed
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
N No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
N No
b) Does the facility need a wettable acre determination?
❑ Yes
®No
c) This facility is pended for a wettable acre determination?
❑ Yes
N No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
N No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
N 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
N No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
N No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
N No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
N No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
N No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
N No
24. Does facility require a follow-up visit by same agency?
❑ Yes
N No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
N No
[J No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments {refer to':quest�on #). Ezplain any YES answers andloi_any recommendations of an other comments.
Use drawings of facility to better explain. situations Nse:additional pages as necessary) _ `—
❑ Field Copy ❑ Final Notes
I I.Be. sure not to apply more than 1 inch per acre during an application, particuarly be aware of this on shorter pulls.
A,
15. Bermuda crop is good and much improved since my last visit. Need to plant small grain crop ASAP.
Reviewer/Inspector Name Stonewall Mathis entered by Bette Rose =
Reviewer/Inspector Signature: Date:

05103101 Continued
Facility Number: 31 355 Date of Inspection 11-7-2001
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor 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 ® No
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 ® No
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 ® No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No

.- F
�. vision of Water Quality
0 sion o7.
f Sod and'Wafer ConservaLon�
O
Other Agency
Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of visit: Al 1-ime- Printed on: 7/2-1/2000
Not Operational Q Below Threshold
Permitted © Certified / 13 Conditionally Certified ], Registered Date Last Operated or Above Threshold:...........
FarmName: _.................................. 1 + ..................�.... .r4�/ .. County:....... 1.:a. ............... ...__....
OwnerName:.........................`............../.................................................................................... Phone No:.......................................................................................
Facility- Contact: - . . O ..... 1-flew+—� ... Title: w 1 Phone No: , .,
Mailing Address: ..........................
Onsite Representative:J4.1..-Ole_..._... G-� � ...........
Certified Operator:. .......................................... ...
Location of Farm:
..................................................................................... .........................,ot
Integrator: ,,,,.., ..........
................................................
Operator Certification Number: ........
AL
I W .
Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' �� �= Longitude �• �� �«
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer I JEJ Dairy
Feeder to Finish JE1 Non -Layer I I❑ Non -Dairy
❑ arrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons JE1 Subsurface Drains Present ❑ Lagn-n Area ❑ Spray Field Area
Holding Ponds / Solid Traps JE1 No Liquid Waste Management System
Discharges & Stream Impacts
I. 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. II'discharge is observed, what is the estimated [low in gal/rain?
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?
StrUCturo I Structure 2 Structure
Identifies : ............_
Freeboard (inches):
5100
❑ Spillway
Struclure 4 Structure 5
❑ Yes KNo
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes o
❑ Yes OCNo
Structure 6
Continued on back

Facility Number: — Date of lnspectinn ODU Printed on- 7/21/2000
5. Are there any imme iate threats to the integrity of any of the structures obse d. (re/ trees, severe erasion, [:]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? 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 J(No
8. Does any part of the waste management system other than waste structures require maintenance/'improvement? ❑ Yes 1ZNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum Iiquid level
elevation markings? ❑ Yes [ INo
Waste,Api2lication 11
10. Are there any buffers that need maintenance/improvement? ❑ Yes No
11- Is there evidence of�yer plication ❑ Excessive Ponding El PAN ❑ Hydraulic Overload El Yes No
12. Crop type �7]�
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes kTNo
14. a) Does the facility lack adequate acreage for land application? ❑ Yes *0
b) Does the facility need a wettable acre determination? ❑ Yes J�No
c) This facility is pended for a wettable acre determination? ❑ Yes KNo
15- Does the receiving crop need improvement?
<Yes
/❑
❑ No
16-
Is there a lack of adequate waste application equipment?
Yes
�IN0
Required Records & Documents
17-
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
O(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
KNo
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
WfNo
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?
Oe/ discharge, freeboard problems, over application)
❑ Yes
No
q
23-
Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
❑ Yes
o
24.
Does facility require a follow-up visit by same agency?
ElYes
No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
VNo
�: Nd-vi&146 jris oe Ofieiencies mere h ed during thisMsit; - Yoil will -t&-6 6 Rio: fukth&
c6rres066cYeuce. about this :visit.:::. - ........ .........:::::.::: :
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):
�4L ),1.4 Ate.— 25
o
eq-t
Reviewer/Inspector Name 4!t: y %.
Reviewer/Inspector Signatur „�/�ya� Date: % ,voo

Facility- lumber: Date of Inspection pQ()
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ONO
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes At)
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes P040
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 Q�lo
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 P60
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes Po
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? X-yes ❑ No
h �ammeatsan or rawtngs•� _ �r�w
_—
u .
L�

- �F�leaSQ nOfe n2w al�reC-Fi6n�
� Conservation -'Operation Re''
• - - Diviseon of Sorl and=Water-. • view a - -
E Division of Soil and -Water Conservation'- Compliiance Ioioection
HDivisioni of Water:Quality_- Compliance Innspection,
13`Other Agency Operation°Review -
® Routine O Complaint Q Follow-up of DWQ inspection Q Follow-up of DSWC review Q Other
Facility Number 3/ $ Date of Inspection f of
Time of Inspection S 24 hr. (hh:mm)
®-Permitted © Certified 0 Conditionally Certified © Registered JE3 Not O erational Date Last Operated:
—Tr:PIr- -T FRS rhf County: D.J �.
Farm Name: ........................................................................................................................ Y" ..... ...........................................................
OwnerName:............'' / y ^ of 'f L5 h i er Phone No :............... .......................... -.---............................................I.......I... .......................................
FacilityContact:............................................................................. Title:............... ............ .. Phone No:...................................................
Mailing Address:
-- �� LAhIer Ir at
Onsite Representative: ...a.l.'1 ...................................................................... Integrator:........................
Certified Operator: ................................................... ............................................................. Operator Certification Number:..........................................
Location of Farm:
Qn.....t tF-.....s'd�....of'...5.�.....L�..Q.i?....C3I�...Cax>wr...lW..0 ........ V!f.... Mile ... a. a�...-.9Q.3............................�
........................................................................................................................................................................•--•---.............. .
Latitude Longitude • �' �'°
Design Current Design : Cixrrent r' : Design -Current
Swine-- _ Capacity Population - Poultry Capacity - Population .. Cattle Capacity Population
❑ Wean to Feeder
j� Feeder to Finish
-Z14 q8
Z 4 q-
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
-Number-of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area
Holdtni]? nd&'/ Solid Traps E� ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: [I Lagoon [I 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 gallmin?
d. Does discharge bypass a lagoon system'? (If yes, notify DWQ)
Spray Field Area I.
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 I
Identifier: 1
Freeboard(inches):...........1..4........
Structure 2 Structure 3 Structure 4 Structure 5
❑ Yes Dd No
❑ Yes f9 No
❑ Yes JS No
nl,q
❑ Yes 19 No
❑ Yes Q No
Cl Yes in No
X Yes ❑ No
Structure 5
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
[]Yes JC No
Continued on back

Facility Number: 31 3J5 Date of Inspection it
6. Are tlher�structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
[]Yes
J'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
C6No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
.qNo
Waste r1Pplication
10. Are there any buffers that need maintenance/improvement?
❑ Yes
O No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
[KNo
12. Crop type �errv� 11al�, fiy , .srna G ra i h
13. Do.the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
54 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?
19 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 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
A No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
KYes
'❑ No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
B No
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
A No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
79 No
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
lffNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
,® No
�. O VtOlaficjriS,pl de#iC1 IiC1['$ Cf' pqt@d diHFllg'thls_vlslt.... You will receive IRo fucthgF •:
• C ' ' esponr]lei�ce a�nuti this :visit_ :: :: : :
Comments (refer to question #):-_ xplaini any YES•answers and/or. any recommendatEons or any_other comments."
Use;arawitigs ;of facility to_better explaiin:situatioiis {use additional pages as necessary} _
14, 1c5voh 1evel in et 'espor-jr;t'e anA 4,.,,,c[y yvlArtryQf
i4. lac 1141 it 14 cDI r �e#� blc a(,m �e�er,••8r�fa�«Y, .
15. Canna! b-rr-+udo� Ae fel -needs r,��v�oVt.�¢K-��wde4� n►avUg9ew.�n- ;
��p1 v� � : ,�•� a G � a,^ d ,'r�q �a Se i � -�'G s -�- -�.a �e jp i v►1 p trr' o w P G r Q
q. �VeW! t.las�e _rot,*,le sl,at_Id Ie+ak�� . 1�las-le �(�c�i ans wte�p[e
!h No�c bcr� a oujet te QLGrrd1V'#z4 +OO vgrA SmR �( 9 r41•I'✓t.
06�crrre 4�p1�ca�io►1 L.I;+"ldows for c.ro .s,
Reviewer/inspector Name S Q
Reviewer/Inspector Signature: Date: 1) ? qq
3/23/99

Facility Number: 1 —3�:$ Date of Inspection ) `�
Odw Issues'
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below
❑ Yes
21 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
1N No
2&
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
:K No
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
g No
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
9No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
3KYes
❑ No
3/23199

❑ Division of Soil and Water Conservation ❑ Other Agency
in Division of Water Quality
10 Routine—0 Com Taint 0 Follow-uR of D= inspection O Follow -tip of DSWC review 0 Other
Date of Inspection
Facility Number ! Time of Inspection 24 hr. (hh':
E3 Registered h Certified [3 Applied for Permit [3 Permitted 113 Not Operational I Date Last Operated:
Farm Dame... r Count .i� ��n.......................
rq� �j ,r,� .......... y ......,1 ... ......I .......... ............ I ......
Owner Name:.. ........................y01(,Aj .. �: r...................... .... Phone No:....(q jfl 4-...2.:i .7.................
FacilityContact: ............................................... Title: n ......................................................... Phone No:
MailingAddress: ....... �.'.'I.7......OQ.... .......i.......................................I......... .... . ......L�iG....rTt�.�. .C..... ........................ i ... Z ..........
�
Onsite Representative:...............Jal w.40 ,........ %.0 .................................... Integrator:.....- . !�v ...
Certified Operator.......................................................... _.................................................... Operator Certification Number;..................
Location of Farm:
©1.5..,au........g. .......Ifi .....` A �.................5�a�L.... �....................................................................1.----- .......................
----- ----------------------------------------------..... ....-----....----.. ............................................. _... ... ....................
Latitude •' " Longitude • 6 46
❑ Wean to Feeder
Feeder to Finish
Z
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
De -sign- = urgent ,­ `
;Poultry Capacity Population _ Cattle
❑ Layer [I Dairy
❑ Non -Layer ❑Non -Da
❑ Other
Total Design Capacit
Total SSLV
Subsurface Drains Present 11E] Lagoon Area
No Liquid Waste Management Svstem
Field Area
General
1. Are there any buffers that need maintenancelimprovement? ❑ Yes ® No
2. 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 S No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes R 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
19 No
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
No
5. Does any part of the waste management system (other than lagoons/holding ponds) require
A Yes
No
maintenance/improvement?
5. 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: 3 E — 3
8.
Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
[A No
Structures (LagoonsAolding Ponds, Flush Pits etc.)
9.
Is storage capacity (freeboard plus storm storage) less than adequate?
❑ Yes
[9 No
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
Identifier: ................................... .... ............. .................. .................................... .... :.............................. ...................................
...................................
Freeboard (ft): .. ........�.� .............. .
10.
Is seepage observed from any of the structures?
❑ Yes
RNo
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
([ No
12.
Do any of the structures need maintenance/improvement?
❑ Yes
® No
(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 Ievel markers?
❑ Yes
No
Waste Application
14.
Is there physical evidence of over application?
❑ Yes
,® No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type brcrhvl............... . mid. .....IMM.... I .................... ................................................................................................................
-----------------
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
t, No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
No
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
1A No
21.
Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
❑ Yes
[VNo
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
® No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
k] No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
® No
0- No.violations-or. deficiencies. were'note&ducing this.v_ isit.- You.Fvill re'cei've-no-ftirih.er : -
_ corresOimWeince aiioid this: visit: .....
��
� ' S rt or g c-6 be i � v l I numbev- USi �� corrccf we 4ej r,
� jJ � S � I f r
t � 1 � i+�-. Vl.► �e�Y� J?kkc R-Z pV,_ c_ �AIAN`C Z _ h�wlk�iSYCs$Q.di� be 'Sl�r-
.1q0 CoYIOr• d,�t_ �tr sr,ak smiy,_ 5kould lot~ eA'rd.
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: r„� `� �� Date:

IQ
❑ DSWCNAnlmal Feedlot Operation Review
r
"
�. � ��' ®DWQ;`Aniinal Feedlot Operation�Sife Inspection � ��
4) Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number
Date of Inspection 3 I fill
�
Time of Inspection : oa 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: El Registered [I Applied for Permit (ex:1.25 for I hr 15 min)) Spent on Review
® Certified ❑ Permitted or Inspection includes travel andprocessing)
❑ Not Operational Date Last Operated:..... r ._..... ._ .... .. .... �_.. .. _. ..... _ ...
Coun
Farm Name:.. �!r.�.P.S..�i.:..yy�.....�:.�:r'^^..S.,r.....�..��_......... _.... __.... .._......
�...... ty:._�.u.�.1.�..� ::ti.».....__.......».....»_.... _�ls.}.1....�.C7
Land Owner Name: o� �.... _... �-aR'� i f!_.... _ .... .. ..... Phone No:.�.`�.a1,.�.
FacilityConctaet:... .._.... .......... _...... .......... .._.... _......... ....... ........... ..... Title: ._..... ............ ...... .._.............. .,... [ .Phone No: .... ........ _ _.......
Mailing Address: ___�. S
Onsite Representative:., p..... 5,,, w..----i. Integrator:
Certified Operator: __ ... , i t............_ ... _.... O erator Certification Number:
Location of Farm:
-xin
............ ....... .._..... ............
Latitude �•� ©K Longitude ®• ®4 .(1«
�
Type of Operation and Design Capacity
Swi e" Design Current Design A Current �'�� ©estgn; Current
Po 'it
Ca ace Po alahon , , .:...rye , -Ca "aei Po ulat�ori Cattle A Ca aei '� Po tilat,on
❑ Wean to Feeder ❑ er ❑ D
,
Feeder to Finish ❑Non La er ❑ Non Da
Farrow to Wean N�
r:
Farrow to Feeder Total Design Capac
Farrow to Finish
nis.:... ... .... ........ <:
❑Other r 'Iota! SSLW 3 �fsD
,
M_ ..
Number of Litgoans /�Halding Pohds _ ❑Subsurface Drains Present
❑Lagoon Area ❑ Spray Field Area
�F .E
Hera
I. Are there any buffers that need maintenancc/improvement?
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 gal/inin?
d. 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
4/30/97 maintenancelimprovement?
❑ Yes gg No
❑ Yes ® No
❑ Yes ® No
❑ Yes AR No
❑ Yes
0 No
❑ Yes
®No
❑ Yes
AR No
® Yes
AirNo
Continued
on back

Facility Number: 2J.... -. �-...
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes 0 No
7. Did the facility fail to have a certified operator in responsible charge?
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structurps (Lagoons ark/or Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft). Structure I Structure 2 Structure 3
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?
(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?
Waste Annlication
❑ Yes ® No
❑ Yes JR No
❑ Yes R1 No
Structure 5 Structure 6
❑ Yes Q No
❑ Yes ® No
R Yes [I No
❑ Yes ]@ No
14. Is there physical evidence of over application? ❑ Yes ElNo
(If in excess of{{WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes 19 No
17. Does the facility have a lack of adequate acreage for land application? RYes ❑ No
18. Does the receiving crop need improvement? KYes ❑ No
19. Is there a lack of available waste application equipment? ❑ Yes IR No
20. Does facility require a follow-up visit by same agency? ❑ Yes O No
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes ® No
For Cedfied Facilities
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes NJ No
23. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ELNo
24. Does record keeping need improvement? Q Yes ❑ No
Comm ,.. wers'and/or any recommendahons or an other comments ents (refer to queshon #) Explain any YES ans ,- y
fi
Use drawings of facility to better explain sttuattons ` (use addthonal pages as necessary) { ' "Y m , , ,
���
5- t 1 T. of ¢.,. .f P ,r &a e t ►" o f , r,. 0-o v,. f r p i (�.i e u ' "' e-4
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V_G f �n a-v�e e.v. o U 11 ck- -C� n S p + T1 i s
s► .� a ti e V'LX4A !�o 6-e- +re.jz o f v-Q-OL i .,.,tip a
17 Wvzd wE o vas wQU. tso� �,x i-.at� e��-�^ oa�4
+ $ - LA) A- j-a ►N e..e..d i-e be to Co.r-e- Y. P,
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C v- f
Reviewer/Inspector Name#2 Reviewer/Inspector Signature: Date: 3 'I
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97
U4".